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FW-15-1513 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-237223 Permit Number: FW-6-15-1513 Scheduled Inspection Date: July 28, 2015 Permit Type: Fence/Wall Inspector: Rodriguez,Jorge Inspection Type: Final Owner: GABRIELA MALDONADO,JUAN Work Classification: Iron/Ornamental 1 11/IAI A 1 1 1 Job Address: 10642 NE 10 Place Miami Shores, FL 33138- Phone Number (786)493-4329 Parcel Number 1122320280860 Project: <NONE> Contractor: FENCES 4 LE$$ Phone: (305)795-8756 Building Department Comments REPLACE THE OLD FENCE FOR NEW WOOD AND Infractio Passed Comments WHITE PICKET FENCE INSPECTOR COMMENTS False Inspector Comments Passed E, Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 27,2015 For Inspections please call: (305)762-4949 Page 16 of 44 Permit NO. Fw-63-15-1,,13.. `SgoREs Miami Shores Village Permit Type:IF'cetl� Il. �n 10050 N.E.2nd Avenue NE � It Work Classification:IromfOrnameIr4'U Miami Shores, FL 33138-0000 Permit Status:APPROVE,~: Phone: (305)795-2204 i f'GOR1Dp' Issue Date:716/2015 Expiration: 01/02/2016 Project Address Parcel Number Applicant 10642 NE 10 Place 1122320280860 Miami Shores, FL 33138- Block: Lot: JUAN LI'VINALLi GABRIcLA MAI Owner Ir.formation Address Phone Cell i JUAN LIVINALLI GABRIELA 10642 NE 10 Place (786)493-4329 -- MIAMI SHORES FL 33138 Con_tractor(s) Phone Cell Phone Valuation: $ FENCES 4 LE$$ (305)795-8756 Total Scl Feet: 403 App(oved. Available Inspections: Comments: Inspection Type: Date Approved: : Final Date Denied: Foundation Type of Construction:Other Additional Info:REPLACE THE OLD FENCE FOR NE Review Planning Classification:Residential Scanning:3 Review Planning Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $6.00 DBPR Fee Invoice# FW-6-15-56033 $6.05 07/06/2015 Check#: 5789 S 390.10 $ 50.00 DCA Fee $6.05 Education Surcharge $2.00 06/19/2015 Cash $50.00 $ 0.00 Permit Fee-Wire&Wood $403.00 Scanning Fee $9.00 Technology Fee $8.00 Total: $440.10 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compl. ince with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the prol =r authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by ehher myself, my agp-' sere �sr'e or emr1m.- I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICA_.,WIND S, DOORS, OOFING and SWIMMING POOL wo <. OWNERS AFFIDAVIT: I certify that all the foregoing inform do i ura and that all work will be done in com fliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above- am a r to do the work stated. Ju!/ 06, 2015 Authorized Signature:Owner / Applicant /i ct / Agent )ate Building Department Copy July 06, 2015 ---— — 1 Miami Shores Village JUN 19 cam'` 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 10 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. OBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10642 NE 10th Place City: Miami Shores County: Miami Dade Zio: Folio/Parcel#: 11-2232-028-0860 Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee simple Titleholder): Juan P. Livinalli & Gabriela Maldonado Phone#: 786-4934329 Address: 10642 NE 10th Place City: Miami Shores State: Florida Zip: 33138 Tenant/Lessee Name: --------------- Phone#: -------------- Email: morogaby@hotmail.com CONTRACTOR:Company Name: P 0C_la5 L4 a55 Phone#: Address: OSaZ 7 T— City: M( �ee'��l 1 t State: � Zip: �3 t // Qualifier Name: t1 I e�— t—t g.1 J-)--K) q'yA2')_ Phone#: State Certification or Registration#: C�F1 (3S OZ7 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ �� FOOUWot;t Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: Replace the old perimetral fence for anew one of wood �— Specify color of color thru tile: vie-_t' 0�,J' g Q 6—; Submittal Fee$ Permit Fee$ q � �, W CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ --- --- - - - X6 . 10 t Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) HSBC Bank.USA, NA Mortgage Lender's Address 1 Mortgage Way, Mount Laurel city New Jersey state New Jerey Zip 08054 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) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. ^ � d 1 Signature c,61CC .� Signature y--- OW ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this _ day of 20� , by da//y of ,6-0 �e 20 ( � by i /406 who is personally known to ��1V;ZX f AA/aMAZ',who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUB C: NOTARY P:L4 ip�''�� LEM H Sign: ••� CO tl F 190 45 Sign:_°`.'' SINN NFYI I ANk15 ` txr1htWUffCefflD4-&,eV 10 Print: aIQ,snru�t Bv"Thre Budget MalyBeres Print � EXPIRES:Dece H vey8e � Seal: Seal: APPROVED BY Z J Plans Examiner vJ Zoning Structural Review Clerk Consilructim CSB Boord BUSINESS CERTIFICATE OF COMPETENCY 07BS00871 ALL ABOUT COlilfRAIC[011 NSC .B.k:FENMS 4 LE ►O ;HE XAVIER � under Ow Of C}�pMr 10 d 4476'26 Local Business Tax Receipt Miami-Dade County, State of FloridaLB -THIS IS NOT A BILL - DO NOT PAY e 6093363 't y BUSINESS NAMEMOCATION RECEIPT NO. EXPIRES FENCES 4 LES RENEWAL SEPTEMBER 30, 2015 10502 SW 77 CT 6355978 Must be displayed at place of business PINECREST FL 33156 Pursuant to County Code, Chapter SA-Art.B&10 OWNER SEC.TYPE OF BUSINESS ALL ABOUT FENCING CONTRACTOR INC 196 SPECIALTY BUILDING CONTRACTOR PAYMENT LLECTOR Worker(s) 1 07BS00871 $45,00 07/22/2014 CHECK21-14-029887 This Local Business Tax Receipt only confirms payment of the Local Business Tax The Receipt is not a license, permit,or a certification of the holder's qualifications,to do business. Holder must comply with any govermaental or nongovermnental regulatory laws and requirements which apply to the business. The RECEIPT NO.above nuM be displayed on aH cotmnercial vehicles-Miami-Dade Code Sec 6a-176. For more ieformation,visitwww.mlamidede.awAimcollector Municipal Contractor`s Taxleceipt Miami-Dade County,State of Florida THJS iS NOTA BILL-DO NOT PAY CC NO: 07BS&j871 Q BUSINESS NAMEILOCATION RECEIPT NO. EXPIRES FENCES 4 LES$ :-- NEW BUSINESS SEPTEMBER 30y 201 5 10502 SW 77 Ci 7455530 Must be displayed at place of business PINECRES 1,FL. 33156 Pursuant to County Code Chapter 9A=Art.9&10 OWNER TYPE OF BUSINESS PAYMENT RECEIVED ALL ABOt.i ENONG CONTRAC.CR SPEi=1ALtY BLIV DIN' -,,TRACTOR BY TAX COLLECTOR INC T75.G0 09;29/2014 C-26-i 4-00 7251 RDFor more iMormation,visit:y9�vw .miamiliNkayft icaltecler ' 1 ® DATE(MMDDIVYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE ��. 06/16/2014 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Tonyg Iglesias ROYALTY INSURANCE GROUP q/CONNo Extl: 305-233-5333 q/C No: 1305-359-5117 8846 SW 129 TERR 2nd Floor E-MAIL enc ro ainsurance rou ADDRESS: a 9 y� lt y y g p'com INSURERS)AFFORDING COVERAGE NAIC# MIAMI FL 33176 INSURER A: Granada 0 INSURED INSURER B: ALL ABOUT FENCES DBA FENCE 4 LESS INSURER C: 10502 SW 77 CT. INSURER D: INSURER E Miami FL 33176 INSURER F: CERTIFICATE NUMBER7 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. IR TYPE OF INSURANCE ADDL SUBR Y EFF POLICY EXP POLICY NUMBER MMD LTR D /YYYY MM D /Y DYYY LIMITS LT GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 5,000 A 0185FL00032016 12/17/2014 12/17/2015 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- LOC $ T F AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TCRY LM TS I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICERWEMBER EXCLUDED? N IA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) FENCE INSTALLATION CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF MIAMI SHORES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES VILLAGE 10050 NE 2 AVE. AUTHORIZED REPRESENTATIVE FAX#305-756-8972 ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD Report Viewer Page 1 of 1 D i i 100% 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 lo be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 9/26/2014 EXPIRATION DATE: 9/25/2016 PERSON: HERNANDEZ MANUEL FEIN: 203876459 BUSINESS NAME AND ADDRESS: ALL ABOUT FENCING CONTRACTOR INC 10502 SW 77 CT MIAMI FL 33156 SCOPES OF BUSINESS OR TRADE: FENCE INSTALLATION AND REPAIR- Pursuant to Chapter 440.05(14),F.S.,an officer of a corporstim who elects exemption horn this chapter byy fihng a mrtifiate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Cartifiates of election to be exempt.-appy only welm the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chanter 440 06(13)T RS,Notices of election to be exeript and certificates of election to be exempt shall be subject to revocation e,at any time after the Ong of the notice or the issuance of the certificate, the person named m the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shaft revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED W13 QUESTIONS?(850)413_1609 https://apps8.fldfs.com/crreportviewer/reportV iewer.aspx?data.=kdvpginc9D7Q3 gH6TER6... 5/26/2015 Report Viewer Page 1 of 1 y, JEFFATWATER "rony�.o"` 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 indnndual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 9/26/2014 EXPIRATION DATE: 9/25/2016 PERSON: HERNANDEZ XAVIER FEIN: 203876459 BUSINESS NAME AND ADDRESS: ALL ABOUT FENCING CONTRACTOR INC 10050 SW 51 TERR MIAMI FL 33165 SCOPES OF BUSINESS OR TRADE: FENCE INSTALLATION AND REPAIR- Pursuant to Chapter 440.05(14),F.S.,an officer ofs corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefds or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt..,apply only viMdn the scope of the business or trade fisted on the notice of election to be exempt.Pursuant to Chepter440.05(13),F.S.,Notices of efecfion to be exempt and certificates of election to be exempt Shall be wbjeU to revocation if,et any time ager the filing of the notice or the issuance ofthe certificate, the parson named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)113-1609 httns://anus8.fldfs.com/errei)ortviewer/renortViewer.asvx?data—kdvpizine9D7O3 gH6TER6... 5/26/2015 Report Viewer Page 1 of 1 0;I ,00% JEFF ATWATER CHEF FR ANCfAL 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 Wlxk9W Compensation law. EFFECTIVE DATE: 9/26/2014 EXPIRATION DATE: 9/25/2016 PERSON: HERNANDEZ .JOEL FEIN: 203876459 BUSINESS NAME AND ADDRESS: ALL ABOUT FENCING CONTRACTOR INC 10050 SW 51 TERR MIAMI FL 33165 SCOPES OF BUSINESS OR TRADE: FENCE INSTALLATION AND REPAIR- Pursuerd to Chapter 440 05(14).F.S.,an officer of a corporation who sleds exemption from this chapter by filing a certificate of election under this section may not remover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of eledion to be exempt..applyonly .shin the snipe of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,"oes of election to be exempt and cxfl des of election to be exempt shall be subject to revocation if,at any time atter the filing of the notice or the issuance of the certificate, Ne person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke e DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 https:Happs8.fldfs.com/crreportviewer/reportViewer.aspx?data=kdvpginc9D7Q3 gH6TER6... 6/18/2015 OR l� Miami Shores Village logo moves Lam` Building Department RIvA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption # i 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-time 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: Ut�n7 Owner State of Florida County of Miami-Dade The foregoing was acknowledge/I before me this tS day of '20 S . By juo �' L.( (/� 1 I/�f�k(� who is personally known to me or has produced as identification. J=+ DEZ Notary: 'MY 'EXP RES:Decem 20 SEAL: ��'rEOF v� ' 000ed Thru Mpet Notary Services • y ��.. '� rr�� c.rTx �'�s,.�4y*I-��}i ,:,fc.3C �..d'"�4�� "r'-.�. x-_73 F { y°Yr'F„e �y y 1 I Y ( I f � J File Num 15-081 Setdonm#Date:05/29/15 Name and Address of Borrower(s) Juan Pablo Uvinalli Arcas 10642 NE 10TH PLACE MIAMI SHORES,FLORIDA 33138 Gabriela Maldonado NO ADDRESS Name and Address of Seller(s) Dennis I Hansen 7430 Beadwiew Drive North Bay Village,Florida 33141 05.29-2015 at 11--02 AM • �` OMB Approval No.2502-0265 a* A.Settlement Statement(HUD-1) B.Type of Loan 1.0 FHA 2.0 RHS 3.M Cam.Lawes. 6.Fele Wanber 7.Loan Number 8.MOOPW Insurance Case Number 4.0 VA 5.0 Com.bs. 15-081 20594338M C.Nabs:This Torun le furnished 10 give you a sGMernerd of actual settlement casts.Amanslb pet W at by the settlement agent are shown.Items marked'(Pz.c.r*we pat ou[ste the do*V;grey am shawl fore for kAmtttlon purposes and are not i ikOW in to Mals. D.Nang at Address of Borrower E.Name and Address of Seller F.Name and Adtress of Lender Juan Pablo Livinad Arps Dards T.Hansen HSOC SaNc USA NA Gebrida Maldonado 7430 Seadlview Dnve C1 Plea Mortgage,l Mortgage Way 10642 NE 10TH PLACE Nora,Bay V*Qe,FwWa 33141 Mous taurd.Now Jersey OW54 MIAMI SHORES,FLORIDA 33138 G.Property Location H.S6010neM Agent (954.620-1100) 106442 NE 10TH PLACE Global America Title Services,LLC MIAMI SHORES,FLORIDA 33136 2323 Haywood Blvd,Hollywood,FL.33040 Place of Settlement I.Setgemert Onte 2323 HolWiood BW 052&15 HoOywood.Florida 3302[1 DD: 0521115 J.SUMMARY OF BORROWEIVS TRANSACTION: K SUMMARY OF SELLER'S TPJLMSACTK)N: 100.GROSS AMOUNT DUE FROM BAYER 400.GLOSS AMDNT DUE TO SELLER 101.Conrad sales price 680 .00 401_Contract sales price 6w000.00 102 Personal ppperty 402 Pergonal 103.SatliameK dw9es to borrower kW 1400 10141.61 403. 104. 404. 105. 405. Aclusunerms far Iters paid by salter M advance Adkmbnwft for Nems paid by seller In advance 106.Master HOA Crest to 408.Master HOA Credit 10 107. tares to 407.County taxes to 108,Non AdvalOrom 0509 to 09130 244.17 408.Non Advelwa n 0529 to 08130 244.17 109. 409. 110. 410. 111. 411. 112 f4l 12D.GROSS AMOUNT DUE FROM BORROWER e90.365-78 GROSS AMOUNT DUE TO SELLER 860 44.17 200.AMOUNTS PAN)BY OR IN BEHALF OF BORROWER REDUCTIONS IN AMOUNT TO SELLER 201.Deposit or sa est money 50 000.00 Fxess see tetruclions202.Principal amount of new tosn(s) 391000.00 Settlement dnages Lo seta(tae 1400) 46 420.00 203- bens taken a t"d to 6tiSLfg boas Wm subject to 204. 504.Payoff d fest mortgage ban#0504123543 344AU 39 Fkagstar Bank FSB 205. 505_Payoff of second mortgage ban 206. 506. 207. 507_ dshased as SOAOOAO 206. 506. 209.Sellers aedk 950.00 508.Sellers vecut 950,00 for items unpaid by salter for lucre rarpeW seller 210.Master HOA Craft to 510.Mester HOA Credl to 211.County tares 01/01 to 05/29 1217.91 511. laces 01/01 00529 1,217.91 212.Non Advabrem to 512 Non Advabrern to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. I.219. 519- 220.TOTAL PAN)BY I FOR BORROWER 443,167.91 520.TOTAL REDUCTION AMOUNT DUE SELLER 393 43230 300.CASH AT SETn.9MNT FROM OR TO BORROWER _ 600.CARL AT SETTLEMENT TO OR FROM SELLER 301.Gross amount e e due from bonower W 120 89 365.78 601.Gross amount due to seller 420 680244.17 302 Less amounts pad byAor borrower Mne 220) 443,167.91 602.Legs reciucton amours due o seller 520 393 43230 303.CASH FROM BORROWER 247 17.87 SM.CASH TO SELLER X6811.87 06-20-2015 at 11:02 AM Page 1 of 3 HUD-1 L.SEMEMENT CHARGES: He Number 15-081 700.Tod Real Esmts Broker Fess 40.800.00 PAD FROM PAD FROM 1 Division of convnis a 700 as folaaw. BORROWER'S SELLEWS 701,S 20.400.00 to Keler Wlkams Eagle Reeky FIRMS AT FUNDS AT 702.S 20400.00 b Keler Wlfams Eagle Reeky SETTLERWIff SETTLEMEPff 703.Conmission paid of SeaWnent 40 .00 704- 705. SM.Neer 1n ConnwUm with Loan PAC. 801.Our or4natm dww Chidudes OrOYMM POMM5825.00 i 625.00 iron GFE#I 802 Your o ad or .for the specific kfbrest rab chosen "' $ -1.500.00 iron GTE#2 803.You on durW Mm GFE A 875.00 804, Fee STARS Mm GFES3 585.DD 805.Crete from 808.Tax service from 807.Flood cer7Madon from Gl:03 808.kftmatWW Craft Report Fee ktierrobonal Rqmr&V&Co.inc. from GFM 809. 810. 811. 812. 813. 814. M.Sams RewAred by Lander to Be Paid In Adranos 901.Dagy irrbrest dmges from 05018/15 to 08101/15 OS 51.82 GFE#10 3 s 155.46 902.AdMlmal Premkun for to from GFE#3 903.Homeomsmes imurance for 1 year to Citimns from GFE#l1 4796. 9D4.Hood kwsanoe 1 year Selective ke from 1) SABI 905. 1000.Re"rvws Dmw~wft Lender 1001.ke'Gel deposit for your escrow accou (from GFE#9) 2264.37 1002.H®rd kreuance 3 mm.go i 311958 per mo. S 1,196.74 1003,Mortmoekersarsx mo.a$ per mo. $ 1004.City property taws mo.@ i per mro. S 1005.County yopedy taxes 9 mo.a S 310.34 per mo. $ 793.06 1006.Flood krsuance 2 mo. S 44.83 per mo. 3 89.66 1007. mo. S per mo. $ 1008. mo. S per mw. S 1009.Aggregate AcOus"eM -S 1,811.09 1100.MaCharges 1101.Title services and leader's title ireu-arce from GFF94 1,71328 1102_SetOwnertorclosbVfee, Gobi Merica Title Services,LLC $ 810.00 GFE#4 750.00 1103.Owner's We inwrame FxleW National Me I GAT frau GFE#5 3,475.00 1104.Larder's title kewanes Fdek4y NaW"TMa l GAT S 856.00 1105.Lender's Oft poky lmd 391 000.00-325.00 1108.Owrss's Me poky knit 880 000.00-3 5.00 1107.Agerfs portion of the total We krouance premitirn Fde4ly N8bOral Title I GAT S 3.031-00 1108.UrdersrWs porpon of the total As keurance Fdft Nabo al Title I GAT S I .00 1109.Endorsements Lender's$530.00 from GFEN4 1110.FF9,8.1,6.1 NaSoral Tile I GAT 1111.We Absbad FWelKy NafwW TBb I GAT 200.00 1112.Tib Poacy Sirdar FWeity Nadoat Title S 328 frau 1113.Doc Storage True Yew S 45.00 ffrom GFEA4 1200.Govenwant Recor&v TrammForazarges 1201.Gorermrerrt from GK7,M 193.50 1202.Deed$ 16.50 mortgage$ 163.00 Rebases S 1203.Trander tmm Tran GFEM 2150.50 1204. Deed$ S 1205.Stab taxlstam�s Deed 5 4,080.00Mortgage$ 1,368M 4,080.00 1206_krWpbig Tax_ Deed S Mortgage b 78200 (from GFE#8) 1207_E _ S 12.00 from GFW 1208. 1300.AdMord SeWsm wd Charges 1301.PWWjired services Oat you can 9W for from GFF96 479.50 1302 MV#O.16551 ONira Land&Vvesvors Inc. $ 375.00 Ctm,GFE#6 1303.Tax&ken search krv#84637 Title SLOW LLC- - 170.00 1304.Lraldy balarroe cjty Of Nortlr Miami 120.00 1305.UUMv Escrow Gbbd America Tab Services,LLC 300.00 1308.Tax Service Fee STARS S 85.00 from GFE#8 1307.Flood Cer6fxmbon Fee STARS $ 1950 from GFEM 1300. 1400.ToW Sedleeerd anter on Sres 103,Section J mW 507,Section IQ 10,141.61 48 420.00 Paid Outside Closing:B'by Borrower -'(kmkxim Dtscaas Pokes)$-1,500.00) 0S29-2015 at 11:02 AM Page 2 of 3 HUD-1 COMPWiSon of Good Faith Estimate and NMI Chairgas File Number 15-081 Good Faith Estimate HU61 Cheirges That Carnot Increase HU0.1 LMS Tharnber y Our orVimillm charge # 801 825.00 825.00 Your aedt or for to SPOCMC bterest rale chosen # 802 -1500.00 -1,500.00 Your # 803 575.00 -875.00 Trarelertamrs 41203 6.2W.50 2,150.50 Chwgm That M Total Cant Increase Moan Than 10% Good Faidu Esurnam tit1D-1 C #1201 321.00 193.50 Fee 9 804 585.00 595.00 INerreOoral Credt Raport Fee # 808 250.00 250.00 Tax Servkx Fee #1308 85.00 85.00 Flood Cer0 icagon Fel #1307 1950 1950 TOTAL 1 50 1133.00 Maease between WE and WJIM Chargea,J$ 0.00 or 0.00 % Chwos That Can Ommage Good FaM Es1M'aea HUD-1 kttW deposit for ym escrowaocowd #1001 .37 Deny Interest Charges Al 901 551. 156.48 155.46 morim"rvth insurance # 903 Om 4795.00 rale services and leridees 011e ins ance #1101 878.28 1,71328 Owner's He insurance #1103 3,92250 3,475.00 1NV#O-18551 #1302 450A0 375.00 I Flood kawance # 904 0.00 538.00 Loan Terms Your initial loan amourd is S 391 000.00 Your ban term La 30 yews Your kWal ktereet rate Ia 4.771 % Your-teal mmtw arnout owed for mirv*w,interest $ 2044.60 andudes and arty mortgage hWrance is ®pmx*al ®Interest ❑Mortgage ksuaoe Can yosr krtereet rate rice? ®No. ❑Yes,It can rise to a nm&rsan of %.The first large vw7 be on and-change again every after . EverY change dale,your trims[rate can increase or deamase by %. Over the We of the ban,Voir Merest rate a guerenlea4 to never be lower Ban %or higher than %. Even if You make ommients on Oma can voLff ben balance rhe? ®No. ❑Yes,it can rise to a maumm of S Even ifyou make paymats an fes,can your nwnd* ®No. ❑Yes,the first increase can be on and the ffomO y amara amours owed for principal.interest,and rrnortgage insurance rise? owed can rise to$ The maxnmm it can ever rise to is S Does rw ban have a pmpftment permW ®No. ❑Yes,yum maximum prepayment parmly is$ Does your ban have a baboon paymera? 0 No. ❑Yes,you have a balloon payment of S dr in years an Total monthly a iorrd owed kxlx&g escrow accowd payments ❑You do not have a monthly escrow payment for deme,srdn as property taxes and homeowner's i stmanoe.You must pay theme dams drecty yo rser ®Ym have an addidoral morttsy escrow payment of$ 754.75 that teem in a fatal WM monthly amaat owed of$ 2799.35 This incudes principal,interest any.mi terrane ad ary berms dhedced below. ®Property tans ->S 310.34®tbrnermuro sknsnranee ->S 399.58 ❑Flood Insurance ®Flood insurance ❑ ❑ NOW If you have try q mmfts about On Settlement(mages and Loan Terns bsted on this fan,peace contact yarn lander. 05-29-2015 at 11,02 AM Page 3 of 3 HUD•l t HUD-1 SETTLEMENT STATEMENT File Number.15-081 I have carefully reviewed the HUD-I Settlement Statement and to the best of my knowledge and belief,it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction I further certify that I have received a copy of the HUD-1 Settlement Statement. Borrowers Q�"j IJU ttpcx�a` JuankPablo Livimalli Arcm riela onado Seller Dennis T.Hansen Settlement Agent The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction I have caused or will cause the funds to be disbursed in accordance with tins statement. Global Amew5 By: Date:May 29th,2015 I 0 O �Q {T 6 r TRA5J4 LOT 5 w �L LOT 4 `LOT 3 BLOCK 5 ��,� BLOCK 5 BLOCK 5 • • •• • 00.0.0 9-4- ASPHALT PAVEMENT •0G� • •• • • ALLEY 75.00', R&M •. • • 00000• UD 0000•• FIR 112- �+�� FLP.. 1/� •� • • • • ` • • ••• •• t✓aCD Y-� 4 CONC. :f 10.0' • •• • 0000•• • 0000•• 11.60'. • • • 6.0' CONC &0' • iC N5:- 0 0 0 0•• 4 4' - -.: 18.20' vT-1O iO 9 • • • •• `O 16.47' • • 1.0 CONC 48.70' o _L •• • J N tuv go L✓4 Q CONC 2.7' n STORY LOT 14 �/ O RESIDENCE u LOT 16 BLOCK 5 s 1064211� BLOCK 5 Bo 1.02' 16.4r 6.60' Off+ � M 1.10• k>Od� s.so• Nl: ;n TILE 12.95' 9' bp hQ. Y 15.15'12.75' 23.25' �' CONC -.z> � , izP it cCN�-E.r N.6 Welt -+ C N F.I.P. 1/2" ~ 8 e 4'1 F.I.P. 1/2'289.57' 75 00' (R&M) U u 1r 3� 130 ASPHAL�POARK/NG X10 2' M C Fl. . i -.. ;.._. ..... N .., a Ir �Lw so RIGHT–OFWAY(BY PLA I) fPi " Lli Y 20..ASPHALT PA4t7NfNT , ) LL _ _.. G V L ..., — 7 7 C c N.E. 10Th PLACE c 5 < C ' UL. U, RIVEWAY AND WALKWAY EXTEND BEYOND LOT LINES.. � _ MAP OF BOUNDARY SURVEY HEREBYDERTFYTHATTHISBOUNDARYSUR TRDE AI�CORRECTREPRESENTAMTI ChgA,FIjRVEYPREPAREDUNOERMYDIREC IS �- COMPLIESNTTNTHEW/B�MR�11 I'BCAL STg=,AS SETFORTH BY OF Property Address: FLORIDA BOARD OF P�OF�LA SU�VORS INCHAPTERBIGn6 rope ADMNSTRATNE Cf�fE UAt�]'(OIT?�',fLL9RIDA STA7UE5. 10642 NE 10TH PLACE MIAMI SHORES,FL 33138 r Q SIGNED - FOR THE FIRM I n l i n@land FERNANDO V.6,�.y�y SURVEYORS,INC. STATE OFFLOR/A� " P•S.M.No.526� 15271 NW 60 AVE,Sude 208 NOT VALID YATHOUT AN AUTHENTIC ELECTRONIC SIGNATURE AND AUTHENTICATED Miami Lakes,FL 33014 ELECTRONIC SEAL Al"OR THE SIGNATURE AND/OR THE ORIGINAL RAISED SEAL OF A LICENSED SURVEYOR AND MAPPER.THE SEAL APPEMING ON THIS DOCUMENT NWS www.OnlineLandSurveyors.Com AUTHORIZEO BY FERNANDO V.GOMEZ.P.S NO.5299 ON THE SURVEY DATE NOTED Survey Date:4/20/2015 Survey Code:0-16551 Page 1 of 2 Not valid without all pages.. �'�� 1 ! 1 .0000. ,.�,...i..,.-,T 0000••} a• • 0000• 62mso-Qaw date 60015 C.0010-- 00 6009 LOCATION MAP N.T.S. PROPERTY FRONT V • • CERTIFIED TO: FLOOD INFORMATION: : • • ••06:0 JUAN PABLO LMNALLI AND GABRIELA MALDONADO Community Number: VILLAGE OF BISCAYNE PARK 0" " • • GLOBAL AMERICA TITLE SERVICE 120638 • • • •••••• FIDELITY NATIONAL TITLE INSURANCE COMPANY Panel Number: 12086CO306L • ' •' '; ' ' HSBC BANK USA Suffix: L '• • ITS'SUCCESSORS AND/OR ASSIGNS AS THEIR Date of Firm Index: 9/11/2009 INTEREST MAY APPEAR. Flood Zone: AE Base Flood Elevation: 8.0 Date of Survey: 4/20/2015 LEGAL DESCRIPTION: LOT 15,BLOCK 5,OF SUBDIVISION MIAMI SHORES ESTATES,ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 47,PAGE 58,OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA PNG',E Surveyor's Legend Cs snunUE ®LOQ GLOM TVLL 1B TREE 'LM.E. LAKE ar EANDSCAPE-INT ESMT ESMT. E-­T N.D.E. P.00E DYTRlIANG EASEMENT L" —A.EA W.W NNE PONE 0PP. POER P'OE PP- P00.PUP ..9.E. ­U�WFFER EWT. YCA GTOI M91 rptp PEYfE PL VENNIPLANTER OR PROPERTY UNE LAE. 1M3 ME F14 EAS£YENT C.U.E. CWNTY_'l1UtY ESY t. ID �R�ATICFI TEL VTLM PO fAClIlES 8011 FDCE �.E./E.E. MQt[ss/EGRESS ESM I. AC MDCK CORNIER UP. VR/IT POE EA$[MENT U.E. U 1y EASEMENT BA REARM 1Ej�� EUA ELFGIMC uR11Y em fID.M P FORD rot PPE/ D CENVAL ANGLE>DELTA SEP. gPIIC TAM( Mom Lw PM AS NOTED O1 q T R UMLI4AT FD POR IL RE[OD OR RAORK 0.F- ORAN Flab w uODH/-B119aES RAD. RAS AC AR ORRED OOI ®NDOD 0E= w IImH - MA NOM RAOFt7 COC�MYK GIG DTn' ORIENT s:r SET r URT MTVP. TW a uL RnI am svL 5aE1>, CONCRETE WRN PORT u'. ROI PPE GR GARAGE � OO VAN0N YOaROrT MRO MAL t OYL ENG- EYOD911E FIE. PUNTA 1 M.TS IIOT 10 SINE A�11KT P.T. POR OF TANGENCY PA I/AIL PAIRQR-KALOI MAl Fi. FM4m FUM Pjt PWT R T REF MEM OH DIEL MOLE WIXME PALL PFIMYEIFT RETE1pIGE IIDIRL1/7 I �L TAA RIP 6 OANKNP P.CC POM OF COPP11110 CLOVAIUME V FRE 1/1'OtMPT E0.E EDGE OF•AIER � POR W REVERSE d1NATURE QwLL MAN HOE EA' CONCRETE ,ED NT PAG/ M1FI1 P-OA PONT OF TMR 9"N MO - �IBES Rc, RJUNg M IRAp1 UWE PAG. PONT OF 00MMENCEMENT TY TRANSFO ER P.CP. PERMANENT PWT cAw GRE TV.Rglt STL 9AaE.MELE APPROMMATE EDGE 6 WATERY FEED MEASURED TW. RATER METER F P PLATTED IEASLO EMT NGFT OF MY P/E POOL FAWEYi® u.J9L:G UTILITY EASEMENT COMMED AREA D O® OOC CONCRETE IAB C.M.E. CAM.AF MAWiENANCE EASEMENT C CALL ATED AF. AMCVDR EASEMENT GENERAL NOTES: � � R 1) LEGAL DESCRIPTION PROVIDED BY OTHERS. 2) OCAALINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS,IF ANY,AFFECTING PROPERTY. �LTA 3) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR P OTHER RECORDEDT.ENCUMBERANCES NOT SHOWN ON THE PLAfiNafs�f 4) THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE �BRnR.P•c AND FINANCING AND SHOULD NOT BE USED FOR CONSTRUCTION,PERMITTING DESIGN,OR ANY OTHER PURPOSE WRHOUT THE WRITTEN CONSENT OFwor~� ONLINE LAND SURVEYORS INC. PRrltLnq to Scale: 4 1 5) UNDERGROUND PORTIONS OF FOOTINGS,FOUNDATIONS OR OTHER i Seka-None limn Peke ScaTirg IMPROVEMENTS WERE NOT LOCATED. 2 Deseletl%luno-Ropte and CmteT" -(j 2) A..ogpue.e caw 6) ONLYVISIBLEAND ABO VE GROUND ENCROACHMENTS LOCATCD. ; Selecl'OPoose paper sourte)ry D FENCE OWNERSHIP NOT DETERMINED. j(3�oue.Pne>..o:e,roR.wy 8) WALL TIES ARE TO THE FACE OF THE WALL PDF page se' 9) BEARINGS ARE BASE ON AN ASSUMED MERIDIAN 10) BOUNDARY SURVEY MEANS A DRAWING ANDOR GRAPHIC REPRESENTATION , OF THE SURVEY WORK PERFORMED IN THE FIELD,COULD BE DRAWN ATA FIELD WORK: 4/18/2015 SHOWN SCALE ANDOR NOT TO SCALE. 11) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. RAWN BY.' C.S. 12) NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYORS EMBOSSED OR - ELECTONICSEAL_ HECKEDBY.. F.V.G. 13) DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN -T 14)ELEVATIONS IF SHOWN ARE BASED UPON N.G.VD 1929 UNLESS OTHERWSE � �^ NOTED. [NAL REVISION: 04/2012015 -15) THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED.16) TMS BOUNDARY SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF PLETED:THE ENTITIES NAMED HEREONTHE CERTIFICATIONS DO NOT E)(TENO TO ANYUNNAMED PARTIES. LE: 1.=20'VEY CODE 0-105611 L$i�080 15271 NW 60 AVE,Suite 208 nlineLand Miami Lakes, -0123 33014 Phone:(305)91 910-0123 SURVEYORS,INC. Fax:(305)675-0999 www.OnlineLandSurveyors.Com Survey Date:4/20/2015 Survey Code:0-16551 Page 2 of 2 Not valid without all pages. Miami Shores Village Building Department i Q@,4 N.E.2Aa*Aventfd*0:' 0000 ep''r MiarN�S6Vres �A33138 • ��OR •••:Tel: (305) 795.220.4••• •••Fac: (30517b6.89V .0000 0000... . 00 00000 0000 0000 0000.. WOOD FENCE DETAIL . . . 0000.. o Shadow Box •• • o Vertical Picket o Board on Board G � I' 4x4 Post Spacing Fences<=S' high'P sts'spaced`at Yon center maximum Fences<=4' high posts spaced at 6"on center maximum Fence must not exceed i(�in height 1x pickets fastened with two corrosion .010 resistant fasteners per connection 2x4 horizontal pressure treated wood members with two corrosion resistant fasteners per connection 4x4 pressure treated posts embedded Yin concrete footing 10' diameter x Ydeep ALL wood must be pressure treated All fasteners must be corrosion resistant No less than two fasteners in any connection PROVIDE POST CAP. (TYP) PROVIDE 6'_0,� PICKET CAP.(TYP) MAX 2"X1 SQ. TO'P BOTTOM RAILS I. 3/4"SQ. PICKETS nra 2"SQ. POST. in GRADE I i►. ,►. 12 0 CONC. o cv ;:�►:: FENCE POST FOTTING (TYP) co NOTE : COMPONENTS SHA I 8E OF AL.QMLL B O H. Al L. CLOMECTIONS I W�LDHD:•: TYP . A LUaM FENE -ELEVATION a . . . . . . . . C -E L E .. ... .. . . . .. N DETAIL 1 . ... .. ... . .. . . . . . . .. . . SCALE: 1 '=1 /4