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PL-10-452Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 138401 Permit Number: PL- 3- 10-452 Scheduled Inspection Date: April 20, 2011 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: MAJOROS, PAUL & MILDRED Work Classification: Addition /Alteration Job Address: 601 GRAND CONCOURSE Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Phone Number Parcel Number 1132060172140 Building Department Comments RE PIPE AND WATER LINES 03/17/2011 - OWNER REQUEST CHANGE OF CONTRACTOR FOR PLUMBING PERMIT #10 -452. 12/06/2010 - SEE CONTRACTORS LETTER REQUESTING CHANGE OF CONTRACTOR. NO INSPECTION TO BE SCHDEDUAL UNLESS FROM ROBERTO NOVO OR Ill ISFS MC)RATON FROM NQ \/r R S NS INC: Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 19, 2011 For Inspections please call: (305)762 -4949 Page 1 of 20 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING )2V Terg 6 11UU Permit No. / L. —3 .- p O Master Permit No. Owner's Name (Fee Simple Titleholder) Ail 1 16°0 C J , Y0 5 Phone # 3r5 -sit' / o q Owner's Address , b r �-, yam,+ („ 0/1. City �1i V G�, '1'�9 S i f%JL State Pt Zip 33/3Y Phone # Tenant/Lessee Name Email Job Address (where the work is being done) ..c - G'k rti ubx- City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name / e I Contractor's Address City Qualifier Name Phone # State Zip Phone # State Certificate or Registration No. Certificate of Competency No. Contact Phone E -mail Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ['Addition Describe Work: Phone # (4-. Q ['Alteration Square / Linear Footage f Work: ['New 1! ' Repair/Replace [' Demolition ***************************************Fe es******************************************** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 1 / Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspec '. which „occur seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will .t bo'approved an a reinspection fee will be charged. Signature Owner or Agent The fore ;o g in rument was ackn day. 203 _ before Ae this [...\ who is personally known to me or who has produced As identification and who did take an oath. Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced as identification and who did take an oath. NOTAR,I PUBLIC:n t y;; NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY Plans Examiner (Revised 07 /10 /07)(Revised 06/10/2009) Sign: Print: My Commission Expires: Zoning Engineer Clerk checked Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: /1/1 v(C) /06 )'S ADDRESS: Cr) U( Cntvr -10 s� DATE: 2-Q i1 io -1j - Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner - builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. tialL Ini I understand that I may build or improve a one family or two- family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I buj1t or Nbstantially improved it for sale or lease, which violates the exemption. Initi 5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction. 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initia 7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erroneously implies that the property owner is providing his or her own labor and materials. 1, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. In' 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10, I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http:p www. myfloridalicense .comldbprlprolcilblin .htm1 Initidl 'cif 11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: 6 c( Col's,' k` Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the informal' have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this B ,' Pro d t -re License or 1 day o _``` ,2011 who was personally known to me or who has as identification. MAR 152.011 , Miami Shores Village 9 Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR 1 ARCHITECT Permit N. Pi- 3-/0-4-53- Owners Name (Fee Simple Title Holder): �J') �CtrC 1-k /1/16 6 'J Phone #: -30-C S(1 6 0ci Owners Address: 42 . I &N-APr-QJ (; xe o ivt/4-c- City: A tiCCM<; StOrycj State : Ft, Zip Code: 330 3g Job Address (Of where work is being done): S(kl City: Miami Shores State: Florida Zip Code: Contractor's Company Name: Del 0Y0 41-1 Phone #: Address: 4 4 S W /4-6 -(4- ± City: Mi c i' State: ice— Zip Code: 3 -5 131- Qualifiers Name P l-AA, N Lic. Number: Architect/ Engineer of Record Name: Phone #: Address: City: State: Zip Code: Describe Work: v. p / 6yc- ps w c( o iK WA( I hereby certify that the work has been abandoned and/or the contractor /architect is unable or unwilling to complete the contract. I hold the Building Official and the iami Shores harmless for all legal involvement. Signature owner or Agent The foregoing ins r r ent was aknowl [lit d . -for this li day o', °01i,b Who is personally known to me or who has produced Signature Contractor or Architect The foregoing instrument was aknowledged before me Nthis day of , 20 by who is personally known to me or who has produced as indentification..t, as indentification. Nota ; . � � ..� � � �; + � �� % °.1ti ti� � � � Notary Public: Sign: y1't$(P Sign: Seal: ��^� er�mo,4 ®�,�� Seal: Mildred & Paul Majoros 601 Grand Concourse Miami Shores, FL 33138 305 -519 -6095 March 15, 2011 Roberto Novo Novo & Sons, Inc. 4470 SW 2nd Street Miami, FL 33134 RE: Plumbing Peuiit # PL -3 -10 -452 Dear Mr. Novo: BY: VIA CERTIFIED MAIL This is to notify you that as the homeowners of 601 Grand Concourse in Miami Shores, FL, we have secured a Change of Contractor for the plumbing work referenced in Permit #PL -3 -10 -452. This action is due to the following: 1) The work performed at our home was not done by you, nor an employee of your company. Instead it was done by Ulises Moraton, an unlicensed plumber. 2) Mr. Moraton completed the rough plumbing work (a rough inspection was completed). However, a portion of the work was not done correctly and had to be repaired by another licensed plumber. Namely, all the plumbing for the roman tub bath had to be replaced (the existing lines were leaking, causing damage to the newly plastered ceiling in the ground floor); one of the lines in the master bath lavatory was left leaking (causing damage to a brand new, custom made cabinet which had to be replaced); various roof vents were damaged (causing several leaks and over $800 in roof repairs). 3) Furthermore, Mr. Moraton provided me with a bill for $810, stating that this is the amount he is owed on his plumbing contract, which totaled $8500; in addition to a separate bill of $280 for additional work completed in the cabana bath (installation of pedestal sink, toilet, lavatory and shower faucets). There is no contract between us and Mr. Moraton, or your company. Any contractual obligations were entered into between Mr. Moraton as the plumbing subcontractor and the contractor, Keith Johnston Construction (the general contractor). Mr. Johnston has informed me that there is no money owed to Mr. Moraton, as evidenced by the attached Proposal provided by Mr. Moraton dated 1/15/10 and signed by Santos Soto - an agent of Keith Johnston Construction - Field Ticket #0019, showing the total cost of the job to be $8,500. On March 15, 2011 Page Two May 6, 2010 I received a signed and notarized lien release from the general contractor, signed by you, stating that $9,020 had been paid as of that date for plumbing services. Therefore we are owed $240 for overpayment, not to mention the cost of repairs to the work done incorrectly by Mr. Moraton. A copy of this letter has been provided to the City of Miami Shores, notifying them of the change of contractor as well as an official report of unlicensed work by Ulises Moraton, using your license. Sincerely, Mildred & Paul Majoros Homeowners cc: Scott Jay, Esq. Keith Johnston City of Miami Shores Building Department Recording requested by and return to: Name Company Address City State Zip Phone Fax 0 WAIVER AND RELEASE OF LIEN UPON PROGRESS PAYMENT PLUMBING SUBCONTRACTOR The undersigned lienor, in consideration of the sum of .9;0 a 0 00 (representing the intial deposit for plumbing work), hereby waives and releases its lien and right to claim a lien for labor, services or materials furnished through ,(A 20 T, 2010, to Paul and Mildred Majoros (owner of property) to the following described propert 601 GRAND CONCOURSE MIAMI SHORES, FL 33138 FOLIO #: 11- 3206 - 017 -2140 LEGAL DESCRIPTION: 6 53 42 PB 15 -14 AMD PL MIAMI SHORES SEC 4LOT 13 & W2OFT LOT 14 BLK 103 This waiver and release does not cover any retention or labor, services or materials furnished after the date specified. Dated on the f4Ay o day of , 2010 Lienor's Name: Novo & Sons 5'tv Q s1 hvtA' at- 93 /3Y Address: Telephone: By: Printed Name: 786 - 356 -1986 /20,6 rio /L4iv , Owner State of FL County of MIAMI -DADE Sworn o (or affirme,) and ub(scribed before me this 2-0 day of M A-,/ , 2010 by L" /iJt 4 D Z04-, who is personally known to mie or produced as identification and who did take an oath. Printed Name of Notary Commission Expires PLUMBING SERVICE & REPAIR Ulises Moraton Ph 786- 356 -1986 Start Time: Finish Time- Job Date: 1b / �- Technician: /jG� Field Tickets # 0 019 I RESIDENTIAL 0 COMMERCIAL [Service 0 Warranty 0 Contract 0 Change Order CUSTOMER NAME JOB Yriv 1 4N d Mt v-ed M ij o f Billing Address City /state/ Phone# / 0 i ifaLid eat/ C ©OZSC Zip i 61-141 j 5 / 4 v t.) 312 1 31 3 32/ 3. 370 // Gv /..3'I - 6cxis- NUMBER ESTIMATE DESCRIPTION OF WORK TO BE PERFORMED �S l /-4 , z0, 4 \.. 0cc.inAA I-t }`c ©,u 1 9 / i1 h1, 4 1 91 C. �-V � I-(k iv 6C-) 6 /14.) • -3 a ati4- il—iu 4 I s 0 i i ez N. r1.4,..4. nir j coy -3 13 i � en 4i4 2. 54 i t9 Ilk 11 .544/‹..4/- 1II'J 6124. k) (/)3/ 1-fi PVe Se i t) kif,to / E .. i f S / i Locim://, k. 5w 3) , ate -3) .--1010,/i 0, ard ilia 3 0,14 , C 5/ %) Ab V c G ,w, -Ivr =, /cc-4 1-71 ) ZE rc rev 5 fi.ek 29)00, E lop /-( 4✓ h cot) R eoiutz i- E/ic / k e. ; 1 71 ingingalralgar R-4. 1110 N) '~ PVC p f ft9 f ki C. e . 1443 0 f c Zf f� _ {O "Epp Irk. 5i v.' (iQ[t. -r) i/ 72_ / Roo - IQ j '' v 4g 5/1“1 n C', /41°) 1 I l%4 k A ( 1 l ('®rc/yp I X0.4) tj c ,z M., lit �'*;l► - r v< * Technician Signature: / /A 41f L' sy`i Date Completed: (/ 0 All material is guaranteed to be as specified or as per manufacturer specifications. All Work to be completed in a professional manner according to standard practices. The labor charge as recorded here relative to the equipment service as noted is guaranteed for a period of 30 days. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders will become an extra charge over and above the estimate. Material Sales '2000,r 00 Labor Sales 15 b 0 00 I HAVE TH THE SEL ' R PAYME I REMO' REMO ` �� /��,.� /� WORK ORDER AUTHORIZATION IT IS AGREED THAT FINAL & COMPLETE HAVE THE RIGHT TO FROM THE REASONABLE Trip Charge UTHORITY TO ORDER ABOVE WORK AND DO SO ORDER AS OUTLINED ABOVE, WILL RETAIN s TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL MADE, AND I ^nAsa. j,; EMENT IS NOT MADE AS AGREED, THE SFI.I.FR SHALL SAME.. ,l ; i ER WILL BE HELD HARMLESS FOR ANY DAMAGES RESULTING " t y!;'=s f l E • AGREES 1 ' .1e OSTS OF COLLECTION INCLUDING �' s o. I HAVE READ AND AGREE TO THE TERMS. 0fili 8 GUARANTEE ON STOPPAGES /�/ / i Subtotal g°500, 00 Sales Tax Total 0500, 00 Cash ❑Check# In the event check is returned, a $25 Processing fee will be charge to the customer. Authr' ed Signature (Print Name) Above ordered work has been completed and I acknowledge receipt of my copy. Authorized Signature: Date: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 '00E17'7 MAR 1 9 211 BY:.. --� BUILDING Permit No. 10 t.P> PERMIT APPLICATION Master Permit No. !.0 10 — ? FBC 20 Permit Type: PLUMBING Owner's Name (Fee Simple Titleholder) , (� cm q Ala) —s Owner's Address of jo� u City /vtl(, 'Kj . rS State FL Tenant/Lessee Name (0%– Email 01A1 ( - ttl7, 10it JlN.1 e - 4 2yvj Job Address (where the work is being done) Phone # 3 os S 101 (0 OS Zip 3311k' Phone #V5'y. (DO( -t Ck U V City Miami Shores Village County FOLIO / PARCEL # — 3 2.0 ) - /L, 0 Is Building Historically Designated YES NO Miami -Dade Zip 3313$f „Ar Contractor's Company Name -r Q j/(/ / ,S d f Phone # Contractor's Address `/ Cf 7e 2 Tr- City /W/t /41 / State pl.. Zip 3S/31/ Qualifier Name R (? 1,3 b,-;72 7 e2 rtro t-' 7 Phone # 3 ('j- 1-/'/I/ Flood Zone x 3 2S- q416/ 7/ State Certificate or Registration No. Cl t 19 Z. 6'33 37- Certificate of Competency No. dc'pp // / 3 Contact Phone -7 D 6 3's- 6- rigio E -mail UItS 5 /V‘ - Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ q 500, 00 Square / Linear Footage Of Work: Type of Work: ❑Addition ]Alteration ❑New % f] Repair /Replace 111 Demolition Describe Work: � j�/ . 4 CE4A, - 424 f� �,— /r 3 ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * *: * * * ** * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ 3oo / d./4-5p . CCF $ l CO /CC $ Trainin / ucation Fee $ ' • �O Radon $ g\� 00 DPBR $ 000 Violation date: Submittal Fee $ Notary $ Technology Fee $ 400 Bond $ Structural Review. $ Total Fee Now Due $ ; See Reverse side - Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first in tion which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection wt I no be approve nd a reinspection fee will be charged. Signature � °` __R_ Signature /� � % v < ` Owner or Agent The foregoing instrument was acknowledged before me thislep day of p 'f , 20I) , by , is personally know me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Contractor The foregoing instrument was acknowledged before me this day of 9— J �— , 20J D, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: FNlN ifjf� / Ar fy Sig fio": co q : !% _m:o�� 3CD « My . �. G r * * * * * * *a�a��F:t�Fk9;i::FiP* k9F�c:tic�Fic/ *** **4,74 lk.ri:^.F`. ** :\ P*** *.*** F * *i:9;i;:e: **** ***** **** *9; ***** ** ** ki:i:9:9F:F:F**: *** **** APPROVED BY /'' Prin Josephine ot;si si�2n t)A9cperC+lslssion Felaife ccD850579 o- Expires 03/15/2013 OF 0 Plans Examiner Engineer (Revised 07/10/07)(Revised 06/10/2009) Zoning Clerk checked 5.44$ , Tee, of, /211/1 ,Obei7/0 V1,1/ 0 to se/i 067 e-)-T • /1A. /4/112/901 VO 4470 SW 2nd St. Miando Florida33134 Phone : (305) 444 7177 4-0 pcfri r/044b0t2 - • rb. lo K.144 Abbr'e,-0 60/ irn-itik./{iic.aivi_r M ri-04 A,1,e, -3/3g3 47 17k qs-0,4i mvoh/-07 ot9Aihwe-4/- do' „cif fily A/via tvoi//< ,10 (is-491 /il/ 6410-QA 4,rve/ cfitx-e.4-17=ia/ Ak /oink mn-gc eYmvi,e, c-o,v4-4-e/ Adoti_ (Wok J otv 0/75//4/11 gOtarP-ei Woeek_. A9 e re Notary Public State of Florida JOsephine Felaifel A 4 My COrrimiasion 00850579 Expires 03/15/201 3 vuse.3 -7Y0-3s(0— 110 klA/Ala cezri-D Lek 11111111111111 4410 $W and at. Wawa, Florlda33134 Phan* OM 4441177 0 2-0b Q.140 NOVO b0Q)A7D ( 0-D1/U19070i BM 5 <7Toc, (/do /--/Pe07 u) /cc 4)//-“0-0,-' 60/ 5irtg-A cott)coui2SC 3ir 3 /20 V '2 (1-tis tic. 194- aro -19/tAiriA-A.S1-4-- /0_5 Errs y cc-4 fikvh-s rio p,/e. epo4b,ra de Co tar 6 :r("r' (24 o 1 4 flA)41 14 rc ovo (5bitis . /42 ;. 1.342A r, 7)4E- j(Z t t•-s Poe, of Corida Jo:,,--7ofs+oe NiN ,,or:o1;,..-bm.o, 70850579 • Fd?(113