FW-15-777Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-231710 Permit Number: FW -4-15-777
Scheduled Inspection Date: May 05, 2015 Permit Type: Fence/Wall
Inspector: Rodriguez, Jorge Inspection Type: Final
Owner: DE PASQUAL, EMILIANO Work Classification: Wood Fence
Job Address: 67 NW 103 Street
Miami Shores, FL 33150-1233 Phone Number
Parcel Number 1121360131090
Project: <NONE>
Contractor: HOME OWNER
:Sul
comments
WOOD FENSING HORIZONTAL 5 FT HIGH
INSPECTOR COMMENTS False
Inspector Comments
Passed tv
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
May 04, 2016 For Inspections please call: (305)762-4949 Page 9 of 40
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
rroject Aaaress Parcel Number Applicant
67 NW 103 Street 1121360131090 EMILIANO DE PASQUAL
Miami Shores, FL 33150-1233 Block: Lot:
Owner Information Address Phone Cell
EMILIANO DE PASQUAL 67 NW 103 Street
MIAMI SHORES FL 33150-
67 NW 103 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone
HOME OWNER
Approved:
Denied:
of Construction: Wood Fence
;ification: Residential
Fees Due
Amount
CCF
$0.60
DBPR Fee
$2.04
DCA Fee
$2.04
Education Surcharge
$0.20
Permit Fee -Wire & Wood
$136.00
Scanning Fee
$9.00
Technology Fee
$0.80
Work without Permit Fee
$136.00
Total:
$286.68
Valuation: $ 1,000.00
Total Sq Feet: 136
Additional Info: WOOD FENSING HORIZONTAL 5 FT I
Scanning: 3
Pay Date Pay Type Amt Paid Amt Due
Invoice # FW -4-15-55081
04/06/2015 Credit Card $ 50.00 $ 236.68
04/15/2015 Credit Card $ 236.68 $ 0.00
Available Inspections:
Inspection Type:
Final
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT rtify that all the fore g information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and z ing. Futh rmQrWl autho ' e the above-named contractor to do the work stated.
15, 2015
Authorized Signatur;�Mment
er / Applicant / Contractor / Agent
Building Dep a Copy
April 15, 2015 1
Miami Shores Village DO
Building
Building Department APR 701�
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 _
INSPECTION LINE PHONE NUMBER: (305) 762-4949
_FBC 2016
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
UILDING ❑ ELECTRIC ❑ ROOFING E]REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION [:]SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9:T
/V k/ /0 ° ��—j
City: Miami Shores County: Miami Dade Ziwa 3 to
_ w
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder : Phone#: 344(2�P
Address:
/ 1P
City: 1.'1 �jState: Zip: r':�?;z
Tenant/Lessee Name: Eos ( t i A,( ),-1 Phone#:
Email: :1 l 0� k
CONTRACTOR: Company Name: bAhv � Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ fi ;� Square/Linear Footage of Work: I `JVD
Type of Work: 11 Addition / ❑ Alteration F-1NewRepair/Replace F-1Demolition
Description of Work: fi��o'JG H 0 tai
Y--- -T �
S ► i (0-H
Specify color of color thru tile:
Submittal Fee $� ° �� Permit Fee $� ' CCF $ CO/CC $
Scanning Fee $ 00 Radon Fee $ _ Qj DBPR $ 2-4- Notary $
Technology Fee $ 0 • a v Training/Education Fee $ -2-<Z)Double Fee $ I K - o k-�
Structural Reviews $
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 inspection which occurs seven (7 , after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a rei ection fe will be wed.
Signatu
OWNER or AGENT
The foregoing instrument was acknowledged before me this
3\p dayof mfg 20 S by
I 4-1 , who is personally known to
me or who has produced�as
identification and who did take an oath.
NOTARY PUBLIC:
(Revised02/24/2014)
Signature.
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of , 20 by
who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
Plans Examiner l / Zoning
Structural Review
Clerk
NAME:
OWNER BUILDER DISCLOSURE STATEMENT
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
x.30.2�,r�
ADDRESS:
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. 1 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. 1 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,E
3. 1 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.
Initials
4. 1 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 built or substantially Improved it for sale or lease, which violates the exemption.
Initial,
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction�_Olp Initial
6. 1 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 eco mpunicipal ordinance.
Initial (J'��
7. 1 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. I, 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.
Initial US) P,
8. 1 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.
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. 1 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://www.myfloridalicense.com/dbpr/pro/cilb/index.html
Initial
11. 1 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:
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I 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 3-D day of M641�20
By tY-," 11 L4 A-" who was personally known to me or who has
\\\\III I I III////// rrr/////
identifira
ty
a
-#;)�JapWf rtO�SI511
k-l®r50AAOJ
IV. -1 CIA v
ullvc� * Z 9,Yl
pro v z
... . .. . . ... . .
. •. . • . • . . .
t
, I
00
• ••• • • • • •••
I
LOT 13 :�. :LOT 126. .60
BLOCK 124 .:6:CK j2F • f • •
•
•
OP. • ;4cL6 S' •.
F.I.P. 1/2"
(NO /. D.) 3.95'
°f �M•. PP
4.3' e, it ; CON C '•
®eI Z or rTAC
cla. Id
Elf
LOT 16 `�
BLOCK 124 '00'
N',
N
APR 06MS
F.I.A 112"
105.40' (NO 1.D.)
&DNC
9.95'
POOL c, ' °f
30,10'
Ordered By: .!'�' ;'�►
UNIVERSAL
LOT 11 LAND TITLE
BLOCK 124 tt E+ �1?r�lrr. lr rXrrpe�r
F.I.P. 1/2" N
(NO 0.) co
0' 10' 20'
10
CONC o tO r�
N N
07.95, J � REMAINDER OF
C111o.aa LOT 18
04 BLOCK 124
b LO
ONE STORY CBS of <
N
A... , a RESIDENCE 0 N
L.'.'.'. # 67 to 4:0' — 8•.. •
9
10.0in M AC o .•� ••••
1 17,80. 4 •• • *see
PL '0,11.20' Dose•• 0908
sF " Y O •
-10. 851'
'IT In
, 0•••q••• •
00.0.0:: 4.4' 13.10' x I� i'• so**
so 1.25' PL 0000 •0••
5.15' 0000•• 0000
' ..........'. ..'.'.'.'.'.'.'..'.. • • • • •
.... .. .. o.'.'.
...... •• •• •• •
.. 1.1.1.1...'.'.'.' '.'.'.'....1:.1.1..1... '.b'. • • • • • • •
e... .......... ....... N. ... • • •
• • • •
� ..... ...... .....M'.... ... .- 0000••
In M V." ..'.'. d' • • •
0 .... .'. �i .....'.'.. o�� '"F.y P :1�2„ • .. •
01 ... .... .. •
5.0' 37.50. (NO 4D.) Of •
e. 75.00' R&M)' csw e
(NO 1, D) 8, 0 PARKWAY :
O v a' •� '' �� ''n
a •4
•.
...........7777
, ...... 0 ...1.1.' 5D' R/GNT--OF-WAY (BY PLA.T). : • • ' ...: ...' '.
: 20:f ASPHALT PA DEMENT :.'... ' ... '.. .
•.'... ....................... — .... y'I9......bl�'d0
:. , ..::':.........................0 :.'. N.W. 16rd STR� 0.0.;.0.0.. ::..... , 0 0.10
�0r�ING SEPT
Notes:
NO VISIBLE ENCROACHMENTS ON THIS PROPERTY.
Property Address:
67 NW 103 STREET
MIAMI SHORES, FL 33150
�k fy Vi�xs; hal
�..'
"SURVEYORS,
0000••
•
0000••
%fee•
• •
•••e•
0000•
•8•e••
••
•
•Does•
e •
•0000•
� f --A DTEPT �= 1
TT n `„(,jVR,�y46E IAUTH ALL FEDERAL
AND CORRECT RRPR SENT TIQNGRy ERVT�IF�YpT�H�ApTTHISB�O�UN�DAgy�$uf�V�I
COMPLIES WITH TI{E£ '� NlhAiib$ iCS R�l1 7-B, F FLORIDATE
FLORIDA BOARD OFP I CHAPTER 61G77 8, ORID
ADMINISTRATIVE ` UAI� jQ�7 . �F L�RIDA STATUES.
lit vv �� •, tt•
` ni
D 521�J,�_.t--fir•
7J�WUATE OFq
LORIDA SIGNED ;� � FOR THE FIRM
FERNANDO V. 60k&R P.S.M. No. 5259
STATE OF FLORIDA l "' "'
NOT VALID WITHOUT AN AUTHENTIC ELECTRONIC SIGNATURE AND AUTHENTICATED
ELECTRONIC SEAL, AND/OR THE SIGNATURE AND/OR THE ORIGINAL RAISED SEAL OF A
LICENSED SURVEYOR AND MAPPER. THE SEAL APPEARING ON THIS DOCUMENT WAS
AUTHORIZED BY FERNANDO V. GOMEZ, P.S.M. NO. 5259 ON THE SURVEY DATE NOTED
Survey Date: 2/7/2012 Survey Code: 0-6307 Page 1 of 2 Not valid without all pages.
L
O
C
A
T
I
O
N
M
A
P
• • ••• • • . •..
•• •• • • • •• •• •
• • • • • • • • • •
F
O
N
T
I
W
CERTIFIED TO:
Community Number: VILLAGE OF MIAMI SHORES
EMILIANO DE PASQUAL
120652
UNIVERSAL LAND TITLE
Panel Number: 12086CO302
FIDELITY NATIONAL TITLE INSURANCE COMPANY
TBD
Suffix: L
KEYES TITLE SERVICES
Date of Firm Index: 9/11/2009
ITS'SUCCESSORS AND/OR ASSIGNS AS THEIR
Flood Zone: X
INTEREST MAY APPEAR.
Base Flood Elevation:
Date of Survey: 2/7/2012
Legal Description: LOT 17 AND THE WEST 1/2 OF LOT 18, IN BLOCK 124, OF MIAMI SHORES SECTION FIVE,
ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 10, AT PAGE 47, OF THE PUBLIC RECORDS OF
MIAMI-DADE COUNTY, FLORIDA.
Surveyor's Legend •�••
— PROPERTY UNE
i3 STRUCTURE
® CONC. BLOCK WALL TREE L.M.E. LAKE or LANDSCAPE MAINT. ESMT. & ESIAT. EASEXT • & • •
X CHAIN-LINK or HIRE FENCE P.P. POWER POLE R.O,E. ROOF OVERHANG EASEMENT • • • 41L• DR19•" EASEMENT • • • • • •
P.P. POOL PUMP �,. .. LANDSCAPE BUFFER ESMT.
®P.B. CATCH BASIN • • •
.+ +v WOOD FENCE PL PLANTER OR PROPERTY UNE �..k UMITED ACCESS EASEM�i= •
C.V.E. COUNTY UTILITY
• • • •
IRON FENCE I.E./EE. INGRESS/ EGRESS ESMT.
S ES I.D. IDENTIFICATION • • •T1V.. TEL�T�'
B.C. BLOCK CORNER • U.P• L TIT PDFLE•
T"In
U.E. UTILITY EASEMENT B.R. BEARING REFERENCE • • • • •
-- — — --- EASEMENT • • E•1.8. ELEOiy10)I+7IUTY BOK
FND. ORF FOUND IRON PIPE/
— — Q CENTRAL ANGLE a DELTA SEP. SEPTIC TANK
CENTER LINE PIN AS NOTED ON PLAT R RECORD OR RADIUS • • • � DRAM"& • • • • • •
LLICENSE 6 - BUSINESS • • C ITI ER
RAD. RADIAL • •
LS# S8 LICENSE N -SURVEYOR
WOOD DECK
• • • • • • CALC CALCULATED POINT N.R. NON RADIALTYP.
•
TYPICAL • • • • DRIVEWAW •
SET SET MONUMENT • •SCFb SCREEN •
CONCRETE ♦ CONTROL POINT I.R. IRON R00
&
I.P. IRON PIPE GAM GRiAGE • • • • •CONCRE• •
MONUMENT N&D NAIL & DISK CL• � •
E. ELEVATION &
.'.'..'.�'.'.'.•'.'.. �'•.'•.'.',.'.'.'.'. ASPHALT � NET TO SCALE • •
PK NAIL PARKER-KALON NAR • • • �•
P.T. POINT OF TANGENCY • • • • • •
II�P.P. POINT OF CURVATURE D.H. DRILL HOLE & • T.0.8. TSPFINJ,H & •
� BRICK/TILE P.R.M. PERMANENT REFERENCE MONUMENT WAVER
FIRE HYDRANT E.O.W.
P.C.C. POINT OF COMPOUND CURVATURE OOF
P.R.C. POINT OF REVERSE CURVATURE O M.H. MAN HOLE E/P E.O.P.EO.P. DG
/ MENT
VALLEY
WATER P.VRP.CRETE CUTTER
P.O.B. POINT OF BEGINNING O.H.L OVERHEAD LINES
P.O.P. POINT OF COMMENCEMENT TX TRANSFORMER B.S.L. BUILDING SETBACK UNE
CAN CABLE TV. RISER S.T.L. SURVEY TIE LINE
APPROXIMATE EDGE OF WATER P.C.P. PERMANENT CONTROL POINT
M FIELD MEASURED W.M. WATER METER q CENTER LINE
P PLATTED MEASURMENT PIE POOL EQUIPMENT R/W RIGHT OF WAY
CONCRETE SLAB R.O.E. PUBLIC UTILITY EASEMENT
®CONC
COVERED AREA D DEED C.M.E.. CANAL MAINTENANCE EASEMENT
C CALCULATED
A. I- ANCHOR EASEMENT
General Notes:
1) LEGAL DESCRIPTION PROVIDED BY OTHERS. 9) BEARINGS REFERENCED TO LINE NOTED AS B.R.
2) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO 10) BOUNDARY SURVEY MEANS A DRAWING AND/OR GRAPHIC REPRESENTATION
DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING PROPERTY. OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN ATA SHOWN
3) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER SCALE AND/OR NOT TO SCALE.
RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT, 11) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED.
4) THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND 12) NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYORS EMOSSED
FINANCING AND SHOULD NOT BE USED FOR CONSTRUCTION, PERMITTING DESIGN, OR ELECTONIC SEAL.
OR ANY OTHER PURPOSE WITHOUT THE WRITTEN CONSENT OF ONLINE LAND 13) DIMENSIONS SHOW ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN.
SURVEYORS INC. 14) ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS OTHERWISE
5) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER NOTED.
IMPROVEMENTS WERE NOT LOCATED. 15) THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED.
B) ONLY VISIBLE AND ABOVE GROUND ENCROACHMENT LOCATED. 16) THIS BOUNDARY SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF
8) FENCE OWNERSHIP NOT DETERMINED. THE ENTITIES NAMED HEREON, THE CERTIFICATIONS NOT EXTEND TO ANY
7) WALL TIES ARE TO THE FACE OF THE WALL. UNNAMED PARTIES.
SURVEYOR'S CERTIFICATION: I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY IS A TRUE
AND CORRECT REPRESENTATION OHF�JA�SURVEY PREPARED UNDER MY DIRECTION. THIS
WITH THE STANDARDS, AS SET BY STATE OF
FLOMPLIES
OR DA BOARD OF ROFES�i1dNEAL LA90 $YRVE ORS IN CHAPTER 6IAL
11GT7-BHFLORIDAE
ADMINISTRATIVE CODB%,4I T../472 Q Y,fLORIDASTATUES.
i
nlneLand
q
'�'N'
SuRVEiORS INC.
5259
b
STATE OF Q
SIGNED s FOR THE FIRM
Online Land Surveyors Inc.
-�-�--
'
7925 Coral Way, Suite 101
EZ.....
FERNANDO VMPJ
STATE OF FLSURV�'1��,�`� P•S.M. No. 5259
Miami, FL 33155-6524
NOT VALID WITHOUT AN AL/riliEwlirp r► &d O'NIC SIGNATURE AND AUTHENTICATED
Tel.: (305) 910-0123
ELECTRONIC SEAL, AND/OR THE SIGNATURE AND/OR THE ORIGINAL RAISED SEAL OF A
Fax: (305) 675-0999
LICENSED SURVEYOR AND MAPPER. THE SEAL APPEARING ON THIS DOCUMENT WAS
1_13*7904
AUTHORIZED BY FERNANDO V. GOMEZ, P.S.M. NO. 5259 ON THE SURVEY DATE NOTED HEREON.
Survey Date: 2/7/2012 Survey Code: 0-6307 Page 2 of 2 Not valid without all pages.