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FW-15-1978 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-240803 Permit Number: FW-8-15-1978 Scheduled Inspection Date: August 31, 2015 Permit Type: Fence/Wall Inspector: Rodriguez,Jorge Inspection Type: Final Owner: MOREJON, MICHAEL Work Classification: Wood Fence Job Address:68 NW 97 Street Miami Shores, FL 33150- Phone Number (305)409-8587 Parcel Number 1131010330340 Project: <NONE> Contractor: HOME OWNER Building Department Comments U HIGH WOOD FENCE HORIZONTAL Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction a Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 28,2015 For Inspections please call: (305)762-4949 Page 9 of 26 ' rye, $ h Ayt: 1 EE jt�r�3 Miami Shores Village 10050 N.E.2nd Avenue NWE Miami Shores,FL 33138-0000 17 E F LR� API� Phone: (305)795-2204 ; MI*8t14Jp Expiration: 02/10/2016 h Project Address Parcel Number Applicant 68 NW 97 Street 1131010330340 MICHAEL MOREJON Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell MICHAEL MOREJON 68 97 Street (305)409-8587 MIAMI SHORES FL 33150- 68 97 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 450.00 HOME OWNER ,..: .r . ._. .. . ._. ._ _.._. Total Sq Feet: 32 Approved: Available Inspections: Comments: Inspection Type: Date Approved:: Final Date Denied: Foundation Type of Construction:Wood Fence Additional Info:6'HIGH WOOD FENCE HORIZONTA Review Planning Classification:Residential Scanning:3 Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# FW-8-15-56614 DBPR Fee $2.00 DCA Fee $2.00 08/06/2015 Credit Card $50.00 $64.60 Education Surcharge $0.20 08/14/2015 Credit Card $64.60 $0.00 Permit Fee-Wire&Wood $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $114.60 In consideration of th ' su rice me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining ther o in stri of ity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting t ' p it I u e re onsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required fo EL RI k, UM ING, HANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNE A A that 11 the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constru io in . th authorize the above-named contractor to do the work stated. August 14,2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 14,2015 1 Miami Shores Village g ~AUG 0 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 S � FBC 201 BUILDING Master Permit No. �'� j '19 7 PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: on City: Miami Shores County Miami Dade zip: Folio/Parcel#:_ O fD 10 1— 15 9 C-1-tot 0 Is the Building Historically Designated:Yes NO_ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): (A ,�� Phone#: ';5005 - +C9 ( �5g� Address: Lo f5 NUJ -s7— City: I' o P-T-/f I SSV o State: IZ Zip: -':5�1 'So Tenant/Lessee Name: Phone#: Email: T V--A V(&'t— N L—L.) XL)V & CONTRACTOR:Company Name:_ NA Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State Zip: Value of Work for this Permit:$ t-56Square/Linear Footage of Work: 32- Type -Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work:_ '\/�� {(tC®�-i �t'2.•a c��7�� Specify color of color thru tile: Submittal Fee$ pT_Permit Fee$ CCF$ CO/CC$ Scanning Fee$ �T—, Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) < 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 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 sev n (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not pro a and a r spection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of "Q'S7 20 1,9-- ,by day of ,20 ,by Ml C J A-C(- '9`wo is personally known to who is personally known to me or who has produced ��-i as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: `�►►►►uulur��� NOTARY PUBLIC: Sign: \�� o ® ' Sign: Print: =us h o: r Print: Seal: Seal: S1 APPROVED APPROVED BY J Plans Examiner V ` Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village o�. Building Department 10050 N.E.2nd Avenue 0 Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER-7 STATEMENT NAME: DATE: ADDRESS: U i5 rj"sV 411 o tr 6 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 y 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 fQr the construction and is not hiring a licensed contractor to assume responsibility. Initial —a 3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that I Ue t myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her namemy own name.I also understand that the contractor is required by law to be licensed in Florida and to list his or Ion permits and contracts. Initial 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 substa tially'mproved myself is sold or leased within 1 year after the construction is complete, the law will presume that I bui r tantially 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, Initial 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 b county or municipal ordinance. Initial s 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_ 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. Initial 9. 1 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 odes, 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 htto:Uwww.myfoddalicense.com/dbpr/oro/cilbfindex. m1 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: tom® 1�l�°•� �"1 St Initial 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the informati th 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 Constr4ucfion 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 day of �t , 20 � By I ' l( ' �" `�``who was personally known tome or who has Produ d the I en ras identification. \\�1�unnirrrrn,�� _��``•,�•;yes OWNER NOTAtat' ': �\����,0'�6` rAT E Q ,/1111111 11111``;` JOHN MARRA & ASSOCIATES, INC. Professional Land Surveyors & Mappers W W W.IBAR RALANDSU RVEYORS.COM 777 N.W.72nd AVENUE 2804 DEL PRADO BLVD SOUTH SUITE 3025 SUITE NO.202 UNIT 1 MIAMI,FLORIDA 33126 CAPE CORAL,FL 33904 PH: (305)262-0400 PH: (239)540-2660 FAX:(305)262-0401 FAX:(239)540-2664 MAP OF BOUNDARY SURVEY 68 NW 97th STREET, MIAMI SHORES, FL 33150 y� �M IEf NW 97TH STREET<o, ,a�01 75'TOTAL RIGHT-OF-WAYS 18'ASPHALT -� ✓9 PVMT, r . A Wi 0.50'CURB v, • o . �24'PWY ����C. � �-9 F.I.P. 112" F.LP'1/2" :.:•:.;.:.fuO.CAP'....'...'.'.. ...................... NO.CA.P. .... 5'.GONG;.SWK.:::::..::: ..........: ......... . ,.............. 25.00' .�e B.C. Ird.- F.N.D. It NO 1D. 4 N � 0.50'CURB 4'C.L.F.-\ TILE STEPS16. /(/ " 0.42'CL— — 12.4fl) Vo L�LL�,��L1L.1�1L � lY � (L �� O LLL �L�L��L .O2' I 30.52' — ti. 5.5'x 1.15J CHIMNEY ONE STORY Itft, RES. # 68 STEPS • o. Lor-8 L :: 7 d N o o v BLOCK-130Mh g u, m ca 14.8 ' Cs► 41'R ; o c p EB O mN � O g O as AVC A/C 0i PAD PAD 28.20' 16.11' 4'C.L.F. m " — 3 REMAINDER OF I Q _ 0.75'CL aD 0 v a ST 112 LOT LOT-9 `-STEPS :� rn •- BL.00K-130 BLOCK-130 o� —4'C.B.S. N c �_ t RJ:A.P.J ! spy 0 'C ••••�;e� y.� 0 O N f �.9 • • •••• '� :d'•••••. 41 a 9 m S _THE EAST HALF_ •• • � .' E 0 OFLOT-9 $� 0 ' 0.50'CL•�� • qpty o PC- CL • U _ .•• • • IN Q Cf i•S'C.B.S.•••• 00:000 co i C.S. • • • • ••BARBECUE ����:•. tip o��ry I p •— 0'CL. ••• 0000•• �C) 5'W.F. cc :::: • • • • 0.70'CL 0.15' NCR. o� :.o..., •• (B� ...• 2 . 89 4B 32 ;,(B T ENGf�. CAP 75.00 0- F.I.P. 112" O/S 1� OVERHEADJ 15 ALLEY(N.A.P.) U.P. NO CAP 0.40'WESWIRE W ASPHALT PVMT. — � - _ —' - - - LOT-20 I- - - - - - - - - - - - - LOT-21 T BLOCK-130 BLOCK-130 ENCROACHMENT NOTES.• A.NORTH SIDE OF THE SUBJECTPROPERTY,BRICKRETURN IS ENCROACHING INTO THE RIGHT OF WAY OF NW 971h STREET. B.EAST SIDE OF THE SUBJECT PROPERTY,NEIGHBORS CHAIN LINK FENCE IS ENCROACHING INTO THE SUBJECT PROPERTY, C. WEST SIOE OF THE SUBJECT PROPERTY,WOOD FENCE IS ENCROACHING INTO THE NEIGHBOR'S PROPERTY. S IB,�� LEGAL DESCRIPUON. DRAWN BY. E.M. LOTBANDTHEEAST112OFLOT9,BLOCK 130,MIAMI SHORES SECT/ON 9 NO 6,ACCORD/NG TO THEMAP OR PLAT THEREOFAS RECORDED IN PL4 T SCALE: 1"=20' NO,8770 p BOOK 10,PAGE 39,PUBLIC RECORDS OF MIAMI--DADE COUNTY,FL OR/DA. O' STATE OF CERrIFICAr/ON.- FIELD DATE. 06/24/2014 '.. MICHAEL MOREJON LAWOFFICE OFILONA-ANNE WISS,P.A. 'qC LAS y' OLDREPUBLICNAT/ONAL TITLEINSURANCECOMPANY SURVEY NO: 14-002214-1 L/BER T Y MOR TGA GE L ENDING, L.B.#7806 SEAL ITS SUCCESSORSAND ORASSIGNS,AS THEIRwrmESTMAYAPPEAR SHEET. 2 OF 2 JOHN MARRA &ASSOCIATES, INC. Professional Land Surveyors & Mappers W W W.IBARRALANDSURVEYORS.COM 777 N.W.72nd AVENUE 2804 DEL PRADO BLVD SOUTH SUITE 3026 SUITE NO.202 UNIT 1 MIAMI,FLORIDA 33126 CAPE CORAL,FL 33904 �.-_. PH: (306)262-0400 PH: (239)640-2660 FAX:(306)262-0401 FAX:(239)640-2664 D � t �:. NE 971hSt ___ NAY 97th St NW 97th St' Aou r tt n 7 Z F l thea Rrry Co. . Silver jt%"Uy 4 n NW 96th St NW 96th S1 LOCATION SKETCH VIEW OF SUBJECT PROPERTY SCALE=N.T.& 68 NW 97th STREET,MIAMI SHORES,FL 33150 ABBREM TIOWS A =ARC. E.T.P. =ELECTRIC TRANSFORMER PAD ORB. =OFFICIAL RECORDS BOOK T =TANGENT AIC =AARCOA"TIO/IERPAD ELEV. =ELEVATION 0.VH. =OVERHANG TB =TELEPHONEBOOTH AE. =ANcHoRFAwAAFNT EACH. -ENCROACOMOENT PVMT. -PAVEMENT TRU..=TEMPORARYBENCHMARK AR. =ALI/ALNI/AIROOF Fit •FAREHYDRWT PL =PLANTER T.U.E.=TECHNOLOGYUTIUTYEASEMENT AS. =ALUAIWUM SHED F.I.P. =FOUND/RONP/PE P.L. =PROPL:RTYLINE TSB =TRAFFIC SIGNAL BOX ASPH =ASPHALT FIR =FOUND IRONROD P.C.C. =PUNT OF COMPOUND CURVATURE TSP. =TRAFFIC SIGNAL POLE B.C. =BLOCK CORNER F.F.E. =FINISHED FLOOR&EVA TION P.C. =POINT0FCUR✓47L1RE TWP =TOWNSHIP BLDG. =m1d.ANG F.N.D. =FOUND NAK 4 DISK P.0.T. =POINT OF TANGENCY UT/L =UTILITY BM =BENCHMARK FT. =FEET P.O.C. •POINT OF COMMENCEMENT U.E. =UT/LITYEA•SEMENT BCR =BROWARD COUNTY RECORDS FNIP =FEDERAL ILA TIONAL INSURANCE PROGRAM P.O.B. =POINTOFBEGINNING U.P. -UTIU7YPOLE B.O.B. =84SIS01FBEARWG FN. =FOUND NAIL PRC, =POINT OF REVERSE CUR VA TORE W.M. =WATER METER IQ =CALCULATED H. =HIGH OR(HEIGH7) PWY =PARKWAY W.F. =WOOD FENCE C.B. =CATCHBASW IN.BEG =INGRESSAND EGRESS EASEMENT P.R.M. -PERAIANEIVTREFEREIVCEMON41MENT W.P. =WOOD PORCH CAS =CONCRETE BLOCK STRUCTURE I.C.V. =IRRIGATION CONTROL VALVE P.L.S -PROFESSIONAL LAND SURVEYOR WR =WOOD ROOF C.AW. =CONCRETE BLOCK WALL IF =IRON FENCE P.P. =POWERPOLE W.Y. =WATER VAL VE CH -CHORD LB. =LICENSED BUSINESS P.P.S =POOL PUMP SLAB 10 =MONUMENTLINE CHB =CHORD BEARING LP -LIGHTPOLE P.U.E. =PUMIC(/TIL/TYEASEMENT -CENTFRUNE CHI. =CHORD LENGTH L.F.E. =LOWEST FLOOR ELEVATION (RJ =RECORD OISTANCE _ =DELTA CL. =CLEAR L.M.E. =IAKEMA/NTENANCEEASEA/ENT RR =RAILROAD C.O. =CLEAN OUT =MINUTES RES =RESIDENCE C.L.F. -CtWN L/NKFENCE (MJ =MEASUREDDISTANCE R/W =RIGHT-OOFWAY LEGEND CME -CANAL M4UYTENANCEEASEMEN7' MB. =MAK BOX RAD. -RADIUS OR RADIAL _ CONC. =CONCRETE M.D.C.R.=MIAM/DADECOUNTYRECOROS RGE. =RANGE =OVERHEADUTIL C.UP. =CONCRETE UTILITYPOLE ME. =A"N7FN4XCEE4SEUENT R.O.E. -ROOF OVERHANGFASEMENI— =CONCRETEBLOCKWALL C.P. =CONCRETE PORCH M.H. =~04E SEC. =SECT/ON =CHA/NL/NKFENCE C.S. =CONCRETE SLAB NAP. =NOTA PART OF STY. =STORY -�'- _WOOD FFENOFNCE E C.W =CONCRETE WALK NGVD =NATIONAL GEODETIC VERTICAL DA TUM SWK =SIDEWALK --�'-'-•-•�� =W D.E. =DRAINAGE EASEMENT N.T.S =NOT TO SCALE S.I.P. =SET IRON PIPE �• �- =BUILDING SETBACK LINE DUE. =DRNNAGEALAWTENANOEEASEAIENT Y OR NO. =NUMBER S =SOUTH -——- =UTf17ED A C-1SS T OR/VE =DRIVEWAY CYS =OFFSET S.P. =SCREENED PORCH -- - - =LIMITED ACCESS RA'Y =DEGREES O.H. =OVERHEAD SV =SEWER VALVE =NON-VEH/CU[ARACCESS 2W EB =ELECTRICBOX O.HL =OVERHEAD UTILITYL/NES =SECONDS ,ox -EXIST/NGELEVATIONS LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY: SURVEYOR'S NOTES.- •TNEREALA YBEEASEMENTSRECORDED IN TH£PUMIC RECORDS NOT SHOWN ON THIS SURVEY. f./F SHOWN,BEW/NGSAREREFERRED TOANASSUMED A/ER/D!A/it BYSAID PLAT IN THE •THEPURPOSEOF THIS SURVEYISFOR USE/NOBTAW/NG TITGND E/NSURANCEAFh%41VCINGAND SHOULDNOTBE USEDFOR DESCRIPTION OF THEPROPERTY,IFNOT,BEARINGSARE THENREFERRED TO COUNTY, CONSTRUCTIONPURPOSES TOWNSHIP MAPS. •EXMMNATIONS OF THIEABSTPA CTOF TI RE WALL HI4 VE TO BEMAOE TO DET&U&NERECORDED INSTRUMENTS IF AN Y, 2 THE CLOSUREIN THE BOUNDARY SUR VEYISABO VE 1:7500 FT. AFFECTING THEPROPERTY. A CERTIF/CA7E0FAU7H0R24TION4B/i 7606. •THIS SURVEYIS SUBJECT TO DEMC4TIONS,LIAUTARONS,RESTRICTIONS RESERVATIONS OR EASEMENTS OFRECORD. 4.NORTHIS BASED ONPLATNORTH. •LEGAL DESCRAPTIONSPROVIDEDBYCL/ENTORATTEST/NG RALECOMPANY. •BOUNDARY SUR VEYMEANS A ORA WANGANLV ORA GRAPHICREPRESENTA TION OF TILE SUR VEY WORK PERFORMED III THE HELD,COULD BE DR4WNAT•1~N SCALEANLVORNOT TO SCALE,THE WALLS ORFENCES A64 YBEEXAGGERA TED FOR SURVEYORS CERT/F/CAT/ON.• CLARITYPURPOSES. • • •E4SC"Ai78,W49HOWNARNP**%ATBOOK UN4ESSD,5WCTEDO7HERWISE. /HEREBY CERTIFY.•THIS BOUNDARYSURVEY'OFTHEPROPERTYDESCRIBEDHEREON• •THE 7F*M'ENCRQACHM£NT'MEANS V/S/BLEAN7ABOVE MROUND ENCROACHMENTS H4S RECENTL YBEEN SURVEYED AND DRAWN UNDERMYSUPERVISION,AND COMPLIES •ARCNITEOTSSH4LL VERIFYASGNIWMREGULATIMVS,RM0R/CTIONS,SETBACKSAND WILL BERESPONS/BLE FOR SUBA4TT/NG WITH THE MINIMUM TECHNICAL STANDAROSAS SETFORTHBY THEFLOMDA BOARD OF PLOTFtANSWATHCORREIT/IFORATKU✓FORAPPROVALFORAUTHOR2A77ON'TOTHEPROPERAUTHOR/TIESINNEW PROFESSIONAL LAND SURVEYORS/N CHAPTERW-17,FLORIDA ADMINISTRATIVE CODE CON171RLl J" • •• •••••• •UNLESS 07HERWISENOTED,THUS FIRMHAS NOTAAEMPTED TO LOCATEFOOTINGANLVORFOUA(D ATIONS PURSUANT T0F9AINO4WRAWPAf0TV&fjM~A 000000 472.027,FLORIDA STATUTES •THUS pPAfQ&,%DRVEY,HL4S BEENPREPARE[i FQR THE EXCLUSIVE USEOF THEENT/T/ESNAMED HEREOA;TNECERT/F/GATE DOESNOTEXT&D TOAN�OI VPARTY. •••••• ••••• •••• •••• 06%6 • ••••• •••• •••••• ®6/24/2014 Fc�;ZWE�d Tyr.'..•.. BY• CARLOS /BARBA (DATEOFFIELDWORKJ THE/VFAPFL00D AQAPS HIAIVEDESIGNATi R i/(EsWRE/NDESCR/BED LAND TO BE SITUATED IN.' F1ZONE. (/ • PROFESSION44LANDSURVEYORNO.:6770 STATEOFFLORLD4 ,9ASV"&t1ELEVATIqt.•••Hf1 • • (NOT VALID WITHOUT THE SAGNATUREAND THE OR/G/NAL RAISED SEAL OFA FLORIDA CQIdWNITY-4 52 ••• 0302 • P.MIFA.• • • LICENSED SURVEYORAND MAPPER). SL#Fix.. • 66* L• • •• DATEOFFIRM' • • 01/2D09 REVISED ON' THE SiA ECT PROPEfiTY D S NOT LIEINA SPECIAL FLOOD HAZARD AREA. REVISED ON• TITLE COUPAMY LENDER lLaW Offafts Of HOU M-ARne `67 ISS, PA. Q) Liberty l) MORTGAGE LENDING DRAWN BY: E•Af. UNDERWRITER S 1 FIELD DATE: 06124/2014 N0.67700 _ >t STATE OF * OLD REPUBLIC N namL Ti' u INSURAWE COWANV SURVEY NO: 14-002214-12214-1 ��`• ,� * i4P4p '�coR►oP y ' i:At�A SHEET: 1 OF 2 L.B.#7806 SEAL STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROF STREET IAI I AI~IAS;8I. F Il,32309-0783 MARTIN, YAMEL Y& M PLUMBING INC 4601 SW 127 COURT MIAMI FL 33175 F'tuti11,1ttlltdiCill;t� �11i1h t11E+i I w Iww you h0collw Ono of Ilio nearly 0M, r . pmt^nulliom I lnntll,lwi lu o jrod by lin+I)A,poutrnont of tju inosw t alld I'l; Iu1till rclfd.lhon Om tllnto .:r,irrn d "Ind h1lsanosf s N11191-'. NATE OF FLORIDA t1an 1lrhdrolL.to y.ocht btuhc+l 11on1 howls to hallltl<(tle. 1t�„tFafunilt.,, � DEPARTMENT OF BUSINESSANID unl they kt1�p t iolnoi.a`f.co.tmonly ..Irrinci- PROFESSIONAL REGULATION I vt,1y doy wo work lo nnpiovc Ilio vvoy we do l tjsIII stis in order to CFC1426681 ISSUED: 07/21/2014 soive you bottor tour Information abOUt OUr services, please log onto www.mylorldolicense.com, There you can find more information CERTIFIED PLUMBING CONTRACTOR about our divisions and the regulations that impact you,subscribe MARTIN,YAMEL to department nowsletters rand learn more about the Department's initiatives Y&M PLUMBING INC [Jur mission at the Doplartment 1s, License Efficiently, Regulate Fairly, Wei i:,nns101111y Sll lvil tO snrvC you hotter so that you can serve your , CWJO (111. 'I"hilfik Voll fol dolls t tttlsirx's::In Ilolid"i, IS'6EiFTIF1.E°D'o�tlfli�the�prov sions.of.Ch:4'69'1`FS` ,tf ltt d:U1L71,1t4d1.irliq 151111 Vol}I Ilt'w lhY'iso! Feptrw,dp daft;AUG 31,2016 @1 C37216JGtr£saa : lel lei r DETACH HERE RICK;SCO 1 ( i,,()b'i NNOR KEN LAWSON. SECRETARY STATE OF FLORIDA DEPAR WENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARDx 7 I ho, I'l t fMi,INt , t'o 1N I I� kI c)k N fnlo of lwlcv, i.; t'I 1\1 111 W1 Under the ptravrsrons ul Ghapt(;tr 489 I Cxpiration date' AUG 31, 2016 MAR I IN, YAMI I �A4 Y h', M PI I iMHING INC; � 41601 �;w It 1.1URf MIAMI VI 331',;$ 008559 Local Business Tax Receipt Miami-Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 5560454 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES Y& M PLUMBING INC RENEWAL SEPTEMBER 30, 2015 4601 SW 127 CT 5800603 MIAMI FL 33175 Must be displayed at place of business Pursuant to County Code Chapter 8A—Art,9& 10 OWNER SEC.TYPE OF BUSINESS Y& M PLUMBING INC 196 PLUMBING CONTRACTORPAYMENT RECEIVED CFC1426681 BY TAX COLLECTORWorkers) 1 $75.00 07/21/2014 CREDITCARD-14-028928 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 governmental or nongovernmental regulatory laws and requirements which apply to the business, The RECEIPT N0.above must be displayed on all commercial vehicles—Miami—gado Code Sec 80-276. For more information,visit w�yw.miatnidatiq,, g1f f � d � 14 _ CERTIFICATE OF LIABILITY INSURANCE ti15/( °°"'"Y"' 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 policy0es)must be endorsed. If SUBROGATION IS WAIVED,subject to -� the terns 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: E991is Cepero Lopez insurance Agency PHONEE■ry: (305)264-3636- ,Nol: (305)264-3357 5755 W.Flegler Street#204 � Miami,FL 33144 PRODUCER — Phone (305)264-3636 Fax (305)264-3357 INSURER(S)AFFORDING COVERAGE I NAIC B INSURED INSURER A: GRANADA INSURANCE COMPANY _ Y&M Plumbing,Inc. _INSURER B: MADISON INSURANCE COMPANY 14601 SW 127 CT INSURER C: Miami,FL 33175 INSURER 0: #CFC1426681 INSURER E: ^_ — _ I INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 1S 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. I IN3R SU POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER MIMIDD RA LIMITS C'ENERAL ) i EACH OCCURRENCE _ $ 1,000,000 COMMERCIAL GENERAL LIABILITY RISES �Ngy— _ 100,000 � ® PREMISES(Ea oxurren�) $ _ ❑ ❑ CLAIMS-MAINE ❑ OCCUR (0185FL00D44843 MED EXP(1( r +) i $ 5,000 A I❑ _-_- n i 04/15/2014 04/15/2015 PERSONAL&ADV INJURY $ `1,000,000 ❑ _.__-- `_ GENERAL AGGREGATE $ — — 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ _ 1,000,000 ❑ POLICY ❑ PRO- ❑ LOC I $ CT AUTOMOBILE LIABILITY — —I —tCOMBINED SINGLE LIMIT (Ea accident) --- $ ❑ ANY AUTO I i f —i------- i BODILY INJURY(Per person)I $ I ❑ ALL OWNED AUTOS iI BODILY K URY(Per a kbnt $ ❑ SCHEDULED AUTOS --- — ( PROPERTY DAMAGE $ ❑ HIRED AUTOS I !� (Per accident) ❑ NON-OWNED AUTOS LEI 1 ❑ UMBRELLALIAe ❑ OCCUR -- � --- --�--- -- '! EACH OCCURRENCE I $ — ❑ EXCESS LIAB ❑ CLAIMS-MADE I 1 AGGREGATE $ — ❑ DEDUCTIBLE i i $-- �_ RETENTION $ I -- i I $ WORKERS COMPENSATION WC STATU- -OTH�- i AND EMPLOYERS'LIABILITY YIN �❑TORY LIMrM � _ I ANY PROPRIETOR/PARTNER/EXECUTIVE7iwCV000329103 E.L.EACH ACCIDENT $ 100,000 I BOFFICER/MEMBEREXCLUDED? Y NIAIi 11/10/2014(11/90/2015 I --- j (Myandatory In NH) I E.L.DISEASE-EA EMPLOYEE$ 500,000 DESCRIPTION OFuPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 100,0001 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attech ACORD 101,Additional Remarks Schedule,H more space Is required) I Plumbing Services-CFC1426681 j CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN j Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. j Building Department _ 10050 N.E.2nd Avenue I A' UTHORI ED REPRESENTATIVE Miami Shores,Florida 33138 j i ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 26(2009/09)OF The ACORD name and logo are registered marks of ACORD