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DS-15-834Project Address Parcel Number Applicant 145 NE 95 Street 1132060132740 ZACHARY T & HASSIA CROCKE Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell ZACHARY T & HASSIA CROCKETT 145 NE 95 Street (305)910-7375 MIAMI SHORES FL 33138- 145 NE 95 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone GREEN ENGINEERING & CONSTRUC- (954)590-0411 In Review Date Approved:: In Review Date Denied: Type of Work: INSTALL EXTERIOR PAVERS AT BACKYA Additional Info: Bond Retum : Classification: Residential Scanning: 3 Fees Due Miami Shores Village Bond Type - Contractors Bond 10050 N.E. 2nd Avenue NE CCF Miami Shores, FL 33138-0000 DBPR Fee Phone: (305)795-2204 oRm� $2.00 Project Address Parcel Number Applicant 145 NE 95 Street 1132060132740 ZACHARY T & HASSIA CROCKE Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell ZACHARY T & HASSIA CROCKETT 145 NE 95 Street (305)910-7375 MIAMI SHORES FL 33138- 145 NE 95 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone GREEN ENGINEERING & CONSTRUC- (954)590-0411 In Review Date Approved:: In Review Date Denied: Type of Work: INSTALL EXTERIOR PAVERS AT BACKYA Additional Info: Bond Retum : Classification: Residential Scanning: 3 Fees Due Amount Bond Type - Contractors Bond $500.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $617.80 Valuation: $ 2,300.00 Total Sq Feet: 500 Pay Date Pay Type Amt Paid Amt Due Invoice # DS -4-15-55151 04/10/2015 Credit Card $ 50.00 $ 567.80 04/28/2015 Check #: 130 $ 67.80 $ 500.00 04/28/2015 Check #: 2394 $ 500.00 $ 0.00 Bond #: 2693 Available Inspection Type: Final Plann Building 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 AFFIDAVI jj' I ifify that a[ Alit foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoni gg//11 t rmore, I �2t orize the above-named contractor to do the work stated. April 28, 2015 Authorized Signature: Owner / Applicant / Contractor / Agent Laic Building Department Copy April 28, 2015 1 BUILDING Miami Shores Village Building Department 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 20 [4:�) Master Permit No -DS IS- 85y PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING [:]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: /41 S N ,E 7 S7-/"& 7—. l City: Miami Shores County Miami Dade zip: .3 / 8 Folio/Parcel#: 113-2-060 y D Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): //A $.SIA C -P -.QC 9 F,7' ­r Phone#: Address:y. ,�y�i qs't ' 's'Te—�I� j City: 1' 1 l ®*-{�I a State: Zip: a--3 l a s Tenant/Lessee Name: —' Phone#: Email: CONTRACTOR: Company hone#: Cy Ste 5-9 0 © 4 / / Address:`( les�E q V SA -O rA % V-& -?LACL. W* City: * r. -M r) State: L Zip: 33'b3 1 Qualifier Name: Q0"A►2D0 CtlfL%I.t_ Phone#: 3D9r=L86Y/80 State Certification or Registration #: C. iv C. /5117- 19 1 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City —State: Zip: 106 Value of Work for this Permit: $ z,3 eO I Sgquua_ee/Linea "ataige L-� Type of Work: ❑ Addition [Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: L tJ S T .4 L L -Dt'T'�2.1 O 2. — -N e-& (a ��C,• 7A 4,0 Specify color of color thru tile:. Submittal Fee $ Permit Fee $ I , co CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ . E. 0 Ilk Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip City i" State i' 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified y of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days aft r e building permit is issued. I the absence of such posted notice, the inspection will not be approved and a reinspection fee w lle harged. OWNER or AGENT The foregoing instrument was acknowledged before me this .-�k day of Llkaieak 20 4, by F �ass►� Grp kg=6 who is personally known to me or who has produced DL- I I (off* 33 k$bgcaas identification and who did take an oath. NOTARY PUBLIC: Signature CONTRACTOR The foregoing instrument was acknowledged before me this 31 day of LA ctic,.- 20 C'S by I a p Ctd ®%06 who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: as Sign: Sign: • u° i+ Print - CAROL -INA MY Ct�h rr� :SSION # EE101376 D69 Seal: +'•..° ` MYCOI!tlASSION#EE101376 %"T .1, EXPdPFS June 08, 2015 (407) 398-0153 Flonaallotary5ervico.com }�q "pu,`�� EXPIRES June 08 2015 (40'7)'398 -0153 Flonda Wa N3ernce.com +k+k�x�x***�xm**+k*****�r�t*a��*�r�xw*x�* ***a��x*�+k*�x**+k�x�w*�******�****�xa�x***�x��x*##**�x�x�x* **• *w*�x*�x��x�**�x APPROVED BY Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk r I�ropei'ty Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-013-2740 Property Address: 145 NE 95 ST Owner ZACHARY T CROCKETT HASSIA T I D CROCKETT Mailing Address 145 NE 95 ST MIAMI SHORES, FL 33138 Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/2/0 Floors 2 Living Units 1 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 5,996 Sq.Ft Lot Size 26,455 Sq. Ft Year Built 1928 Assessment Information Year 2014 2013 2012 Land Value $502,937 $342,999 $295,596 Building Value $439,870 $442,494 $478,351 XF Value $22,034 $22,313 $25,986 Market Value $964,841 $807,806 $799,933 Assessed Value $559,946 $551,671 $542,450 Benefits Information 2014 2013 2012 County Exemption Value Benefit Type 2014 2013 2012 Save Our Homes Assessment $25,000 Taxable Value $534,946 $526,6711 $517,450 City Exemption Value Cap Reduction $404,895 $256,135 $257,483 Homestead Exemption $25,000 $25,000 $25,000 Second $50,000 Taxable Value Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). 13397-3372 2008 and prior year sales; Qual by Short Legal Description MIAMI SHORES SEC 1 AMD PB 10-70 E1/2 LOT 19 & LOTS 20 THRU 22 & W1 OFT OF LOT 23 BLK 20 LOT SIZE 185.000 X 143 COC 26439-4139 06 20081 Generated On: 3/31/2015 Taxable Value Information 2014 2013 2012 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $509,9461 $501,6711 $492,450 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $534,946 $526,6711 $517,450 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $509,946 $501,671 $492,450 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $509,946 $501,671 $492,450 Sales Information Previous OR Book - Sale Price PageQualification Description 03/06/2014 $1,000,000 29079-3030 Qua[ by exam of deed 06/01/2008 $705,000 264391-4139 2008 and prior year sales; Qual by exam of deed 08/01/1989 $0 00000- Qua[ by exam of deed 00000 08/01/1987 $145,000 13397-3372 2008 and prior year sales; Qual by exam of deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.govrinWdisclaimer.asp Version: http://www.miamidade.gov/propertysearch/index.html 3/31/2015 i 0STATE OF FLORIDA DEPARTMENT OFBUSINESS AND PROFESSIONAL REGULATION �,�c CONSTRUCTION INDUSTRY LICENSING BOARD ���Onwstm'" 194p NORTH MONROE STREET TALLAHASSEE FL 32399-0783 CURIEL, LEONARDO u GREEN ENGINEERING & CONSTRUCTION INC 184445'SAPPHIRE PLACE WESTON FL 33331 Congratulations! With this ;license you become one of the nearly'y one million Fiondians lic ensedby the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. Forinformatio i about our services, please log onto www.myflorldalicense.com. There'you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and Team more about the Department's initiatives. Our mission At the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your newlicensel RICK SCOTT, GOVERNOR N IS Expiration' - CONSTRUC R ar 489 FS: GREEN ENGINEIjftfNO 24861 ,tol�Nsa� <r PEMBROKE PJ I`" ISSUED: 07/13/2014 DETACH HERE (850)48.7-1395 KEN LAWSON, SECRETARY ;TATE OF FLORIDA [DESS AND PROFESSIONAL REGULATION NINDUSTRY LICENSING BOARD ff IRA 3 0 r DISPLAYAS REQUIRED BY LAW SEQ# L1407130001340 NATE OF FtORIDA DEP ARTI QF BUSINESS AND ,. PROFS dULATtQN k. CGC1511281 LF 07/13%2014< CERTIFIED Gl' CURIEL, LEON GREEN ENGIN#k3ET10N I is C RTJF,IED under #he-provisiah$ of,Ch 48S FS €zpiYSV A AUG 3n 20#6 L1d01361340- KEN LAWSON, SECRETARY ;TATE OF FLORIDA [DESS AND PROFESSIONAL REGULATION NINDUSTRY LICENSING BOARD ff IRA 3 0 r DISPLAYAS REQUIRED BY LAW SEQ# L1407130001340 City of Weston City of Weston 17200 Royal Urn Boulevard Weston, Florida 33326 (954) 385-2000 Business Tax Receipt Receipt Effective: 10/01/2014 - 09/30/2015 Contact Information: Name: Leonardo J. Curiel (CGC15111281) Phone: Name and Address of Business: Green Engineering & Construction, Inc. 16445 Sapphire Place Weston, Florida 33331 Business Tax Category: Limited Business: Home Occupation; Business with only a Post Office, Private Mail Box or Registered Office in the City RECEIPT NO. 2015-10530 1. This receipt MUST be renewed on or before September 30th of each year. Business Tax renewals are the responsibility of the business and shall occur during the 90 -day period prior to September 30th of each year. Renewal notices are provided as a courtesy and are not required for renewal purposes. 2. This receipt MUST BE DISPLAYED within 10 FEET of the entrance inside your business establishment. 3. The City of Weston must be notified of any changes of name, address or ownership. 09/15/2014 OMOV -E• UUA%-00� Date Issued David E. Keller, Assistant City Manager/CFO detach and keep this section for your records City of Weston Business Tax Receipt Limited Business: Home Occupation; Business with only a Post Office, Private Mail Box or Registered Office in the City $165.37 RECEIPT NO. 2015-10530 TOTAL BUSINESS TAX: $165.37 "°il.i ` CERTIFICATE OF LIABILITY INSURANCE �"'"�� DATE 4106/IYYYY) 04/06/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. ff SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certifleate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER Florida Bankers Insurance 7278 SW 8 Strut-MAILADDRESSo CONTACT NAME: MARTA ALONSO PHONE (305)266-6493 a No): (305)262-0679 Co marts@floridabankersinsurance.com INSURERS AFFORDING COVERAGE NAIC fl Miami, FL 33144 INSURER A : FEDERATED NATIONAL INSURANCE CO. Phone (305)266-6493 Fax (305)262-0679 INSURED INSURERB: INSURER C : GREEN ENGINEERING & CONSTRUCTION INC INSURER D 16445 Sapphire PI INSURER E., W ESTON, FL 33331- AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ AUTOS NED ❑ SSC�HOESULED HIRED AUTOS NON -OWNED F1 HIRED ❑ ❑ INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL ISR UBR POLICYNUMBER POLICY EFF MMIDD POLICY EXP MIDD LIMBS A GENERAL LIABILITY 0 COMMERCIAL GENERAL LIABILITY ❑ F-]CLAIMS-MADER] OCCUR ❑ GL -05040132227-00 03/19!2015 03/19/2016 EACH OCCURRENCE $ 300,000.00 GE 0 RENTED PREM SES Ea occurrence $ 100,000.00 MED EXP (Any one person $ 5,000.00 PERSONAL & ADV INJURY $ 300,000.00 ❑ GENERAL AGGREGATE $ 300,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PRO ❑ LOC PRODUCTS - COMP/OP AGG $ 300,000.00 $ AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ AUTOS NED ❑ SSC�HOESULED HIRED AUTOS NON -OWNED F1 HIRED ❑ ❑ OMBINEDnt SINGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accident ) $ PROPER AMAGE $ Par axIje $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATIONWC AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) ElE.L. If yyes describe under DESCRIPTION OF OPERATIONS below N 1 A STATU- OTH- ❑ TORY UMRS ❑ R E.L. EACH ACCIDENT $ DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CGC 1511281 CERTIFICATE HOLDER CANCELLATION @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) QF The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 AVE AUTHORIZED REPRESENTATIVE MIAMI SHORES, FL 33138 866) 866-2172 @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) QF The ACORD name and logo are registered marks of ACORD JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 4/25/2015 PERSON: CURIEL FEIN: 611704721 EXPIRATION DATE: 4/24/2017 LEONARDO BUSINESS NAME AND ADDRESS: GREEN ENGINEERING & CONSTRUCTION INC 16445 SAPPHIRE PLACE WESTON FL 33331 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if. 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part -rime employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: e:::� Owner State of Florida County of Miami -Dade / The foregoing was acknowledge before me this s day of �' % , 20 By z; ck Gt A x C AO C% 6Ti who is personally known tome or has produced �L C ,916-72-W-2- a as identification. Notary: �r r Notary public State or Florida IM" Lourdes O Hsm8ndez SEAL: My Commissw EE125812 XMr�d� • tertpiras 09/1312015 GREEN ENGINEERING & CONSTRUCTION, INC. www.greenencicon.com 16445 Sapphire Place Weston, FL 33331 Ph: (954) 590 0411 04/06/2015 State of Florida County of Miami Dade Before me this day personally appeared Leonardo Curiel who, being duly sworn, deposes and say: That he will be the only person working on the project located at 145 NE 95 Street, Miami Shores, FL 33138. Sworn to (or affirmed) and subscribed before me this c0 day of 2015, By Leo 64iA e-1 Personally Know Or produced identification Type of identification produced it�ADA.'pu - CAROLINA ®IMARTINO , My COWO;SSIOV # EE101376 EXP"": -S June 08, 2015 Print, Type or stamp Name of Notary -RETE CURE' 7 o BEDDIING iL•' Y Dp J `� L+v t J LoOCSur' c7G °Ga OPATIO /SIDEWALK /PLAZA ON COMPACTED AGGREGATE BASE . . 0000 0000.. .. . •••• • 0000.. ••0• 000000 0.0000 • 0 0 000• so .0000• 0 ••••.• s • •00 • • • •0•.0• • • • • 0 • • •a•••• • • CERTIFIED TO: ATICO SAVINGS BANK & ATTORNEYS TITLE INSURANCE FUND INC. n....;..,.,e i A44% as%, nf an -r;1 _ 1 9RR to include Sheet No. 2 I VE I F, Ion W, A 12 0 Q1 s CERTIFIED TO: CARTERET SAVINGS BANK, F.A. AND ITS SUCCESSORS OR ASSIGNS STEVEN J. & LINDA M. JOHNSON M AND M TITLE COMPANY ORDER NO. 9502 F.F. .350, P. 2 Kevisea Lnis zvcn day oz oepzemner, l�lu_4 to up -crate sKeteh of survey. ORDER NO. 10080 - Revised this 5th day of December, 1991 to show Elevations in the proposed septic tank area. Elevations shown are based on National Geodetic Vertical Datum of 1929. F.B. 391, P. 36-38. Tem^teary Bench Mark is a square cut in Easterly most corner of the concre driveway on the North side of the sidewalk. ORDER NO. 10584 - Revised this 5th day of October, 1993 to show addition, patio expansi n and up -date of I survey. F.B. 350, P. 1,2. I I 3.3 PATH 4.4 PATCH N PAVE j 46-P _0 LQ • LOCATION MAP •• N SKETCH OF SURVEY Da �"•`0 -e•�wt t SURVEY of the East 1/2 of Lot 19, all of Lots 20, 21 and 22, and the West 10 feet of Lot 23, Block 20, of "AMENDED PLAT OF MIAMI SHORES, SECTION NO. 1", according to the Plat thereof recorded in Plat Book 10 at Page 70 of the Public Records of Dade County, Florida, being situated in tk V e of Miami Shores. «s� �s' LR. ORDER NO. 8872 DATE: July 29, 1987 7., FIELD BOOK #350 Pages 1,2 SCALE: As shown g WE HEREBY CERTIFY: that the attached SKETCH OF SURVEY is true and`T,r`t to the best of our knowledge and belief as surveyed and platted uncir.L° direction in July, 1987. We further certify that this survey compl A the Minimum Technical Standards for Land Surveying in th-e of F1 id- ChaDter 472, of Florida Statutes. 61Q�Prssr,� 4Pl?9� A. R. TOUSSAINT & ASSOCIATES INC. -- LAND SURVEYORS 620 N.E. 126 Street, North Miami, Florizla -- -- f By: V. HOWARD C. GAMBLE Registered Land Surveyor No. 1683 State of Florida - - -ry v o / �•o�y _ tM• ' G P 0 lb �LOA .-f '•+: ;� �: ••+� 6°.256' IL I yr ci SO° n n n n n n C' ° A$ N••••� J t^OA Q . _ I S:.. J21- 13 12 I I to g 8 iS1 7 N NN N 2"1- '° �Jy 9.9 -re RRA O0 I VE I F, Ion W, A 12 0 Q1 s CERTIFIED TO: CARTERET SAVINGS BANK, F.A. AND ITS SUCCESSORS OR ASSIGNS STEVEN J. & LINDA M. JOHNSON M AND M TITLE COMPANY ORDER NO. 9502 F.F. .350, P. 2 Kevisea Lnis zvcn day oz oepzemner, l�lu_4 to up -crate sKeteh of survey. ORDER NO. 10080 - Revised this 5th day of December, 1991 to show Elevations in the proposed septic tank area. Elevations shown are based on National Geodetic Vertical Datum of 1929. F.B. 391, P. 36-38. Tem^teary Bench Mark is a square cut in Easterly most corner of the concre driveway on the North side of the sidewalk. ORDER NO. 10584 - Revised this 5th day of October, 1993 to show addition, patio expansi n and up -date of I survey. F.B. 350, P. 1,2. I I 3.3 PATH 4.4 PATCH N PAVE j 46-P _0 LQ • LOCATION MAP •• N SKETCH OF SURVEY Da �"•`0 -e•�wt t SURVEY of the East 1/2 of Lot 19, all of Lots 20, 21 and 22, and the West 10 feet of Lot 23, Block 20, of "AMENDED PLAT OF MIAMI SHORES, SECTION NO. 1", according to the Plat thereof recorded in Plat Book 10 at Page 70 of the Public Records of Dade County, Florida, being situated in tk V e of Miami Shores. «s� �s' LR. ORDER NO. 8872 DATE: July 29, 1987 7., FIELD BOOK #350 Pages 1,2 SCALE: As shown g WE HEREBY CERTIFY: that the attached SKETCH OF SURVEY is true and`T,r`t to the best of our knowledge and belief as surveyed and platted uncir.L° direction in July, 1987. We further certify that this survey compl A the Minimum Technical Standards for Land Surveying in th-e of F1 id- ChaDter 472, of Florida Statutes. 61Q�Prssr,� 4Pl?9� A. R. TOUSSAINT & ASSOCIATES INC. -- LAND SURVEYORS 620 N.E. 126 Street, North Miami, Florizla -- -- f By: V. HOWARD C. GAMBLE Registered Land Surveyor No. 1683 State of Florida - - -ry v o / �•o�y _ tM• ' G P 0 lb �LOA .-f '•+: ;� �: ••+� 6°.256' IL I yr ci FENCE M ON LINL Ln io.�•\ -4 � WALL. 6? Tu,.-7,.,,,- CONG PUMP A$ N••••� J t^OA Q . _ I 3 S3 , �-- 4! 1 ON FENCE o� 0.2o G tz.4 PARKWAY ih ___ .. X181 As�HAt-T PHv�M�NT APR 10 2015 HE • SHEET I hole 2 v eFbi� -ry to J t^OA Q . w �O- b . O 3 NOC 6�� 1 38.Co2' NN N 2"1- '° �Jy 9.9 -re RRA O0 c.B s WItVG ROOF O ER E S3 , �-- 4! 1 ON FENCE o� 0.2o G tz.4 PARKWAY ih ___ .. X181 As�HAt-T PHv�M�NT APR 10 2015 HE • SHEET I hole 2 C: RTIFIED TO: ATICO SAVINGS • BANK & ATTORNEYS TITLE INSURANCE FUND INC. . ..• • . . ... . . . . . . . . . . Revised this 14th day of April, 1988 to inciudi •�h $8X -:NJ : ?,• . . . . . .. .. . ..... . .. . . goo .goo - -.j. •• . . . .. ••• .• V 30 t1 56.2 •• • • • 4 • ••• 19 14. I3 12 11 to 9 S 7 (2 MMMI,FAIAFf,APAFWAW,AIMM �N �� J 4 o L _COCATION MAP scAL_r 0- too' SKETCH OF SURVEY ,_ER`r.IFIED TO: CARTERET SAVINGS BANK, F.A. AND STEVEN J. & LINDA M. JOHNSON M AND M TITLE COMPANY ORDER NO. 9502 Revised this 29th day of September, 1989 to 'a; ITS SUCCESSORS OR ASSIGNS F.R. ;50, P. 2 -nate Sketch of Survev ORDER N0. 10080 - Revised th 5th day of December, 1991 to show Elevations in the proprsed septic tank area. Elevations shown are based on National GPn�?_tic Vertical Datum of 1929. F.B. 391, P. 36-38. Tem--- ary Bench Mark is a square cut in Easterly most corner of the concret driveway on the North side of the sidewalk. ORDER NO. 10584 - Revised this 5th day of October, 1993 to show addition, patio expansi n and up -date ofI survey. F.B. 350, P. 1,2. :4_=^ �eftz N C.. Sgj=ryC_-Vh*tik SURVEY of the East 1/2 of Lot 19, all of Lots 20, 21 and 22, and the West 10 feet of Lot 23, Block 20, of "IMENDED PLAT OF MIAMI SHORES, SECTION �Msm%.3 C. NO. 1", according to the Plat thereof recorded in Plat Book 10 at Page 70 of the Public Records of Dade County, Florida, being situated in the Village of Miami Shores. o.ss' ORDER NO. 8872 DATE: July 29, 1987 FIELD BOOK #350, Pages 1,2 SCALE: As shown WE HEREBY CERTIFY: that the attached SKETCH OF SURVEY is true and correct to the best or our knowledge and belief as surveyed and platted under our direction in July, 1987. We further certify that this survey complies wi the Minimum Technical Standards for Land Surveying in the State of Florida' Chanter 4i2, of Florida Statutes. �. R. TOUSSA114T & ASSOCIATES INC. LA14D SURVEYORS 520 N.E. 126 Street, North `liami, Florida V. Pres. HOWARD C. Gr'1`IBLE eaistered Land Survevor No. 1683 Mate of Florida sc�,L� : ►�' = 30 'SHEET ON I.IN � P��Pe 0.7• WIDE drill hole OF 2