DS-15-791 4
Miami Shores Village ?e7t1 hypes �`i11i18�w' IBS
10050 N.E.2nd Avenue NE {Ci " jt1ftttQl11
"' as Miami Shores,FL 33138-0000
%r Phone: (305)795-2204
Expiration: 04116/2016
Issua 110/101
Project Address Parcel Number Applicant
[276 NE 105 Street 1121360130460
VICTOR&ELIZABETH OHARRI2
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
VICTOR&ELIZABETH OHARRIZ 276 NE 105 Street
MIAMI SHORES FL 33138-2020
Contractor(s) Phone Cell Phone
CAIBAI CONSTRUCTION LLC (786)229-2770 (786)470-4207 Valuation: $ 6,947.00
Total Sq Feet: 1080
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Work:STAMP CONCRETE PATIO SLAB Additional Info: Review Planning
Bond Return: Classification:Residential Review Planning
Scanning:3 Review Planning
Review Planning
Review Building
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Contractors Bond $500.00
CCF Invoice# DS-4-15-55102
$4.20 04/07/2015 Check#:3806 $50.00 $624.70
DBPR Fee $2.25
DCA Fee $2.25 10/19/2015 Check#:4224 $624.70 $0.00
Education Surcharge $1.40 Bond#:2880
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $5.60
Total: $674.70
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 work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBI ME ANIC L,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: at;all a foregoh information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoni ut ore,I uthorize a above-named contractor to do the work stated.
Q�v October 19, 2015
Authorized !gnat re: Zent
r / Applicant / Contractor / Agent Date
Building Depart Copy
October 19,2015 1
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-231879 Permit Number: DS-4-15-791
Scheduled Inspection Date: November 12,2015 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: OHARRIZ,VICTOR&ELIZABETH Work Classification: Addition/Alteration
Job Address:276 NE 105 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1121360130460
Project: <NONE>
Contractor: CAIBAI CONSTRUCTION LLC Phone: (786)229-2770
Building Department Comments
STAMP CONCRETE PATIO SLAB Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 10,2015 For Inspections please call: (305)762-4949 Page 3 of 34
�- teA Miami Shores Village
Building Department artment APR 0 2 2-015
_
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax:(305)756.8972 — —
INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING Permit No.I.�1
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: BUILDING ROOFING p �>
OWNER:Name(Fee Simple Titleholder): 6F/'/2A ��Z Phone#:
Address: 2 7& euC_ 1296-
,29ST
City: Al/19'f 7/ SY'/U/�' State: tor Zip: •�/
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: 27�, IJI
City: Miami Shores ,County:(/ Miami Dade Zip:
Folio/Parcel#: // 2-136 0/3 -0 116
Is the Building Historically Designated:Yes NO Flood Zone:
/� f7e7t�� f�7J
CONTRACTOR:Company Name: �%��� C �C>e7�7y L& Phon
Address: 1420& ?!Z X_M_
City: 1414c, State: Zip: 3&-4!
Qualifier Name: e nse, Lo,S /,q Phone#(j*
State Certification or Registration#: CC/� O5���� Certificate of Competency#:
Contact Phone#0, (/�)22/1797 Email Address: �G/ /�/S qI eV"
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit: 44 Z Squar inear Footage of Work:
Type of Work: ❑Addition ❑Alteration ew ❑Repair/Replace' ODemolition
Description of Work: J� � �� �/�L°�e=-7� /� `
Submittal Fee$ Permit Fee$ ` 0) CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ 1^
r
t r
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Z Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING, SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencer nt must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit iJiss . gthe ence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature-4eSignature
• Owner or Age t 17harf z Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this,L
day of 20/�,by �i2 (1rU�elz- day of diL,20 /5 by �se LU�p ,
�isperso�nally nown t me or who has produced ho is personally known to a or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY P BLI .
Sign: Sig
Print: rs Print: �s P
eve,
My Commission Expires ?. W COMM►SSION Y FF015813 My Commi cion !��. DAMARIS NEGRIN
EXPIRES:JUIy 7,2017 r MY COMMISSION f FF 015813
'l Boomed Thr,NdW POW Undemkom EXPIRES:July 7,2017
earned Thru Notary Public Utslewbis
APPROVED BY , Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
r
♦5K�R�s Gi
Miami shores Village
loss 111901" Building Department
10050 N.E.2nd Avenue
Lr--- y� Miami Shores, Florida 33138
OR Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF(DADE)
The undersigned Affiant, A/� - does hereby attest that
(Property owner) _
The attached survey, performed by
(Name of surveyor's company)
For address; Z 76 AA�
Performed on `C/�ye (date of survey)is an accurate representation of the existing conditions and
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property
without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to
remove or obtain permits for any structures which now may exist on the property which are not permitted or which
may violate zoning or building code regulations. The Affiant further understands that the existence of any such
structures may affect final inspections as applicable to this or other permits.
Furth ,Aff nt s eth naught..
I
Property Owner Signature lF11% I S. ®/�iY�o� Property Owner Print Name
SWORN TO AND SUB a me this day of L aE/h
Affiant is personally known to me, produced as identific ' n.
�Ar a DAMARIS NEGRIN
,%,
:: MY COMMISSION A FF 015813
:, :oma EXPIRES:July 7,2017 N tary
2 � Bonded rna, FaWic u�anrrilars
anl�i1y"p• Notary
Revised on 5/2212009/Revised on 8/12/09
K.•• Miami shores Village
Building Department
R'LUA
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CONTRACTORS' REGISTRATION
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A. COPY OF QUALIFIER'S STATE LICENCES
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF LIABILITY INSURANCE*
D. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL
CONTRACTOR'S TAX RECEIPT.
D. COPY OF LIABILITY INSURACE*
E. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit)
*YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW:
Certificate Holder:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES,FL 33138
Certificate must specify the description of operations or contractor license number.
...........................................................................................
BUSINESS NAME: all-k
BUSINESS ADDRESS: CITY 1'10-6-11 STATE ZIP--33/0.
BUSINESS PHONE: 67a ) d"J`/ a"776 FAX NUMBER C3�S) &�& OM2
CELL PHONE QUALIFIER'S NAME: -0 L
QUALIFIER'S LIC NUMBER: C C D 5 sQ&,(—
i
CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395
1940 NORTH MONROE STREET �
TALLAHASS�_P_ rL 3239"783
I
LOSA,JOSE ANTONIO JR
CAIBAI CONSTRUCTION LLC
10876 SW 24TH TER
MIAMI FL 33165
6epg+FatalaUa�!—W1btaNs-license ysu peca�ae one of nearly -:
one million Floridians Iloensed by the Department of Business and
Professional Regulation Our professionals and businesses range STATE OF FLORIDA
from architects to yacht brokers,*orn boxers to barbeque restaurants, DEPARTMENT.OF BUSINESS AND
and theykeepFlorida's economy strong. PROFESSIONAL REGULATION
Every day we work to Improve the way we do business in order to CGCO58066 1SSUEDe. :0710112014
serve you better. For information about our services.please log onto ,.: . . .
www.myfloridaNcense.com. There you can find more Information CERTIFIED GENERi L CONTRACTOR
about our divisions and the regulations that Impact you.subscribe LOSA;JOSE ANTQNIO JR=
to department newsletters and loam more about the Departments LOSA;
CONSTRUCTION LLC
Initiatives.
Our mission at the Department is:License Ellicledy,Regulate Fahy.
We constantly strive to serve you better so that you can serve your
Customers. 'Thank you for doing business In Florida, Is CERTIFIED under the provisions of Ch.499 FS.
and congratulatlars on your new licensel dde:n1031.2= r s ORROOM405
i
I
i
f
k
DETACH HERE
RICK•SCOTT IGOWRNOR- i�MM AWSON.SECRETARI'
STATE OF FLORIDA 4
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
+; xJ
.-CGConow !
The GENERAL CONTRACTOR
Named below IS CERTIFIED
Under the-provisions of Chapter 489 FS.
Expiration.date: AUG 31;2016
LOSA,-JOSEANTONIO JR •
-CAIBAI CONSTRUCTION LLC
10876 SW 24TH TER
MIAMI FL 33165 •
tssuED 7ro�r�o�a DISPLAY AS REQUIRED BY LAW SEa# L1407010001495
i
0014"31
Local 'Business Tax Receipt
Miami--Dade County, State of Florida
THIS IS NOT A BILL - DO NOT PAY
6543749 to:T:l
�/ {p :+
BUSINESS NAMEMOCATION RECEIPT NO. EXPIRES
CAIBAI CONSTRUCTION LLC RENEWAL SEPTEMBER 30, 2016
10676 SW 24 TERR 4841129 Must be displayed at place of business
MIAMI EL 33165 Pursuant to County Code
Chapter SA-Art.9&10
BEC.TYPE OF BUSINESS PAYMENT RECEIVED
OWNER 196 GENERAL BUILDING CONTRACTOR ®Y TAX COLLECTOR
CAIBAI CONSTRUCTION LLC CGC05w65 $75.00 08/11/2015
Worker(s) 1 CHECK21-15-114480
This Local Business Tau Recolpt only confirms payment of ire Local Business Tax.The Receipt is nota license,
petmit or a Certification of the holds,s quelificallom to do husiaoai.Holderaemus,comply wit,any govemmantai
or ooagovernmoutel regulatary laws sad requiroments which sppilt
The 208PT N0.above must be displayed Ort all eommorcial vehicles-Miami_tl�^°s'r4e ceC tta-'�7d
Farmom iNomlation,visityi>11 �R
(MMIDDIYY
CERTIFICATE OF LIABILITY INSURANCEDATE
., 10119/111.5 )
...........
PRODUCER R2mallo Assurance Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
12955 S.W.42nd Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
Miami,FL 33175 ALTER THE COVERAWAFFORDIEDBY THE POLICIES.BELOW...
Phone (305)207-1332 Fax (305)207-1343 INSURERS AFFORDING COVERAGE MAIC#
..........
:
INSURED Caibai Construction LLC INSURER A.. EssexIns Co
INSURER 8:
10876 SW 24 Ter
Miami, FL 33165-
INURER D:
_.._S....
.......... INSURER,E,
COVERAGES INSURER F:
................. ....................... .............
THE POLICIES OF INSURANCE LISTED 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY,PAID CLAIMS......,.,..........
INSR,ADD% POLICY EFFECTIVE! POLICY EXPIRATION
LTR_(NSRD. TYPE OF INSURANCE POUCY NUMBER LIMITS
GENERAL LIABILITY EACH OCCURRENCE 1.,000,00011
DAMAGE TO RENTED— 100,000
COMMERCIAL GENERAL LIABILITY :3EB6506 08/30115 08/30/16 PREMISES(Ea ocou 1
rence
CLAIMS MADE MED EXP(Any one person) 5,000,
OCCUR
A PERSONAL&ADV INJURY 1,000,000:
GENERAL AGGREGATE 2,000,000
...........
GEN'L AGGREGATE LIMIT APPLIES PER:'', PRODUCTS COMPIOP AGO 1,000,000
POLICY E]PROJECT LOC
......... ...........................
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO (Es accident.),,,.,
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person.) ..............
HIRED AUTOS
BODILY INJURY
NON OWNED AUTOS (Per accident)
.................... PROPERTY DAMAGE
(Per accident)
. ......... ..............
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT
.................
1 ANY AUTO OTHER THAN EA ACC.............
AUTO ONLY:
AGG
..........- ...................
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE
OCCUR CLAIMS MADE AGGREGATE ..........
E;
DEDUCTIBLE
RETENTION $
....................................
WORKERS COMPENSATION AND WC STATU-
OTH-
EMPLOYERS'LIABILITY TORY LIMIT
ER ....................
ANY PROPRIETOR I PARTNER/EXECUTIVE E.L.EACH ACCIDENT
OFFICER I MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE
If yes,describe under
SPECIAL PROVISIONS below .............................. ELL.,DISEASE.7,POLICY-LIMIT
OTHER
.............. .............................. .......
DESCRIPTION OF OPERATIONS LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
#CGC 058065
................- .................
CERTIFICATE HOLDER CANCELLATION
............. ........... ..............-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
MIAMI SHORES VILLAGES 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
THJEL&T,BUT FAILURE TO DO SO S!HAL MPOSE NO OBLIGATION OR LIABILITY
10050 NE 2nd AVE OF ANY KIND UPON THE INSURER,ITS A ENTS OR REPRESENTATIVES.
MIAMI SHORES FL 33138
AUTHORIZED REPRESENTATIVE
AC Rb*26(i66ibg�QF ...... ACORD CORPORATION 11 98 8
JEFF ATWATER
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SEMCI=8
D.IVMON OF 1NORKI RS'COMPPISAT1ON
*"CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW R
CONSTRUCTION INDUSTRY EXEMP71ON -
This certifies that the individual listed below has elected to:be exempt from Florida Workers'Compensation law.
EFFECTIVE DATE: 10117/2013 EXPIRATION DATE: 10/17/2016
PERSON: LOSA JOSE A JR
FEIN: 800429597
BUSINESS NAME AND ADDRESS:
CAIRN CONMUCTION LLC
10876 SW 24 TER
MIAMI FL 33165
SCOPES OF BUSINESS OR TRADE:
LICENSED GENERAL
CONTRACTOR
Purauent to(mer 44MO5(14),F 5.,an officer of a corporation who ekgu mmmpffon from v&chapter by aV a ate of et�on undue fids esdlon may
not fewer t►ertetits or conrptmsatlon under thie cx►apter.Pursuard to Chapter 440,0502),F S.Gert fes of ekfun to be amt...g44Y Only+ �stupe
of the l>u$ ortr. ie fisted on the nonce ore bn to be ownPt Pursuent to{fir 440.0501),F.$.,Nonaw of egeopm 1009"*mpt and puffitsts or
ebcuon to be exernpf ow be subject to revocation#,at any itnae after the tiling of the notes or gre tr+snrenw Of ttre m�.the person named on the nonce or
garMcate no iww meets the mw*,emwft of this sectlon for ismA ve of a tete. dapftrhngrri Shen Make a c2stlfit to at any ttriae far faitltrd tri no
framed on the r erttfiicafe to nit t? 2t of stu*mt
F F2-SL C- GERTIFit:.i iL�;i}:ELECI1UN TO BE L, F-,MPT RE4il8FT}07-12 OiJ> ;'tfUi#S?(F,Sti)4#3-3f,Uq
it
CAIBAI CONSTRUCTION LLC
10876 SW 24 TERRACE. MIAMI, FL 33165
786-229-2770
I
April 7t" 2015
State of Florida
County of Dade
Before me this day personally appeared Jose Losa who, being duly
sworn deposes and says; That he will be the only person working on
theJro°ect to to t 276 NE 105 St. Miami Shores FI 33138.
P
Swor subscribed before me this 7t" day of April 2015
by (Jose Losa)
Personally known to me.
a ublic
.fie"'••, DAMARISNEGRIN
MY COMMISSION#FF 016@13
?�,a EXPIRES:July 7,2017
i
.o r' gphded Th NOfdry Pubtle Undenxriten
I
gB 2
Sd,,,M Miami shores Village
NINK��- Building Department
(pRIpA 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-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: aoo • Itz � _
Ow er
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me this�_day of IU6 20/
By el17V_ ► �� Z wh is personally known t� or has produced
as identification.
r
Not
SE SCv fy'Q`, D ARIS NEGRIN
MY COIAMISSION Y FF 016813
a€
B01"E Thru Pubq U ftrb
- '• PLAN OF SURVEY � �" �" ALE 1" = ZlJ
SEP ` 0 2015
1149 M m 41 1
10
-= c
S�L�tk PA'f'ja 5�'�W P[
V
• ` . ewc V.
tcofw ca
J U,
CAP
A
N
`touun�
.rn
v y)
/ Z
P
1
Dt v
1
Lam .
• .. . . . . ... .
• ... � I� dot-t�.''e.�T
. . .�. .�. " •
/�''``�� -rte (37,5'
• • • • • i• i � Z-1_ 1../ 17,5 iz)G t - �wco-i
G A..ARC DISTANCE AIC...AIR CONDITIONING • CBS...CONCRETE BLOCK STRUCTURE O.U.L.-OVERHEAD UTILITY LINE CL..CLEAR CJL..CENTER UNE
y
RAD...RADIAL ENC...ENCROACHMENT RIW...RKViT OF WAY... FIP...FOUND IRON PIPE O.H...OVER HEAD W.M.—WATER METER C.H..»CHORD
DISTANCE. P¢,. PERTY LINE CONC...CONCRETE P.H.FIRE HYDRANT UTILITY POLE R..RADIUS U.E..UTILITY AS
A..CENTRAL gHGLL•� RyRADR�$ i �I l.�Ll4N�ER •T...TANGENT C s.,..CATCH BASIN
••• • • • •• ••
- 6-7488 LOCATION SKETCH SCALE 1"= 1001
w 4 � . to �T" •�T
m 0'\ 44 17Z,12'
SD'
4
'd
� 5 N � � � Q
51 o L
� �r, 1
`'1 =
1-7 1 19 20 21 22 Z 5
SCS' �Zo71
DES ION:Lot 3 and the West of Lot 2,Block 120,AN AMENDED PLAT OF SECTION NO. 5
F IlRAMT SUDRES,according to the Plat thereof as recorded in Plat Book 10,Page 47 of the
Public Records of Dade County,Florida.-
GENERAL NOTES
1) OWNERSHIP IS SUBJECT TO OPINION OF TITLE
2) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO 13E MADE TO DETERMINE RECORDED INSTRUMENTS,IF ANY,AFFECTING
THIS PWERTY.
3) (2.22).DENOTES THOSE ELEVATIONS REFERRED TO NIA DATUM,
4) LOCATION AND IDENTIFICATION OF UTILITIES ON AND/OR ADJACENT TO THE PROPERTY WERE NOT SECURED AS SUCH
INPOti,3'MAT'IdN WAS NOT REQUESTED.
5) THIS PROPERTY IS WITm m THE LIMITS OF THE FLOOD ZONE X
6) NO U"RGROUND LOCATIONS WERE DONE BY THIS COMPANY.
CER1'I)N'I fo:NdtionaTitle Services,Inc.,Attorneys' Title Insurance DATE:
"h"un@. ,inc.,Victor M. Oharriz April 18,2006
APPLICABLE ZONING,UNDERGROUND,ZONING AND BUILDING SET BACKS,MUST BE CHECKED BY OWNER,
ARCHITECT OR BUILDER BEFORE DESIGN OR CONSTRUCTION BEGINS ON THIS PROPERTY.
I HEREBY CERTIFY: That the attached Pica of Survey of the above described property Is true
and correct to the best of my knowledge,Information and belief,as recently surveyed and platted
••• • • • • •uncjq my direction,also that theare not above-ground encroachments other than those shown.
UNITEC • • • + • • re•TINS survey meets the minimum technical standards set forth by the Florida Board of Land Surveyors
o: +•ii i :•:purauant to Chapter 61617-6,Florida Administrative Code,Section 472-027,Florida Statin.
0
SURVEYING, INC
L.B. NO.3333 Y • ..
ego
• • • •• • • Lazaro D.Alonso
6157 NW 16711ST' T,Et5• •• ' • : : : : Professional Land Surveyor
MIAMI,FLORIDA 33015 • ••• ' Certificate No.36M
305/512-4940 State of Florida
THIS IS A BOUNDARY SURVEY
NOT VALKI UNLESS REALED WITH AN EMBOSSED SURVEYOR'S SEAL
• Y• •• • • • •• ••
••• • • 0 000 • •
OLAN OF SURVEY SCALE 1" 2
dc
lJ9i ! r fD^I
. 1 _
h
��� - - ��` 2� ,►�.� � � � .� trams e
APR Z 2015 �� k � � , ,. , - �
t 30C)o
4 1
M p �
i
,gtl `` ) •
it `
�k
� fad _� '\ i' V ) ..»`—.,11► p�
v �� (� � �� of ��-./1!� •, �
-10 CA.2
NO OBJECTION so •
Florida Health Miami-Dade County + 15 ,,t •
.. .. .. ......
O.S.T.D.S, &Well Program •
. . •
Applicati®n NO., 4 see •
Date: _ ..
Signa ture �' (37,s' Ric,UT_�-,�•��-,
� _ `�cJ-r� �,- L'E'I - " i S P t,4'r
A...ARC DISTANCE AIC...AIR CONDITIONING CBS...CONCRETE BLOCK STRUCTURE O.U.L..OVERHEAO UTILITY LINE CL..CLEAR CIL-CENTER LINE
m
RAD...RADIAL ENC—ENCROACHMENT RNY...RIGHT OF WAY... RP...FOUND IRON PIPE O.H...OVER HEAD W.M..«WATER METER C.H..-CHORD
DISTANCE. PIL-PROPERTY UNE CONC...CONCRETE F.H.FIRE HYDRANT UP...UTILITY POLE R..RADIUS U.E...UTU.ITY EASEMENT
&..CENTRAL ANGLE R.-RADWS FL-PLANTER T...TANGENT C.B.:..CATCH BASIN
06-7488 LOCATION SKIETCH , SCALE 1"s 1001
� N
'I S•O' Z,►z' ,r1
sot52�►ZI
-7 6 5 4 °
e•
1 1
15 ALL
{}j
r'C? ! W
v� t
� s
1-7 2a 21 22 -Z
1 Z,0-)7
DESQZIPTION:Lot 3 and the West of Lot 2,Block 120,AN AHMED PLAT OF SECTION NO. 5
F tOLM. SHORES,according to the Plat thereof as recorded in Plat Book 10,Page 47 of the
blic Records of Dade County,Florida.-
GENERAL NOTES
1) OWN kSH1P IS SUBJECT TO OPINION OF TITLE.
2) EXAMMINATI)ON OF THE ABSTRACT OF TITLE WILL HAVE TO BE Kam TO DETEwNE RECORDED INSTRUMENTS,IF ANY,AFFECTING
THIS PROPERTY.
3) (2522)DENOTES THOSE ELEVATIONS REFERRED TO N/A DATUM.
4) LOCATION!AND IDENTIFICATION OF UTILITIES ON AND/OR ADJACENT TO THE PROPERTY WERE NOT SECURED AS SUCH
INFO[i'MI M694 WAS NOT REQUESTED.
TI+ THIS PROPERTY IS WITHIN THE LIMITS OF THE FLOOD ZONE X
6) NO UNDERGROUND LOCATIONS WERE DONE BY THIS COMPANY.
OERZ ')fE TO:Nations T t e Sery ces, nc. , ttorneys a assurance DATE:
'und.,inc. ,Vietor M. Oharriz Apr11.48,rj006
. . .... ......
. •
APPLICABLE ZONING,UNDERGROUND,ZONING AND BUILDING SET BACKS,MUST BE CHF QY OWNER,• • •
ARCHITECT OR BUILDER BEFORE DESIGN OR CONSTRUCTION BEGINS ON THIS P9000 : •••
RV!'@RTY.
I HEREBY CERTIFY. That the attached Plan of Survey of desariW property a .
and correct to the beat at my knowledge,IMornratlan and be1W*a rmmntly and plIkSM•
under my direction,also that there are not above-ground a dhgots other thdrblose ahonm••
UNIT This survey meets the minimum technical standards set forththe Florida Boar of Land Survey8m
pursuant to Chapter 61617-6,Florida Administrative Code,SeVU A142T,Florida S tatues.G••'
SURVEYING, INC '••'•'
L.B. NO.3333 • • •
Lazaro 0..Alonso
6157 NW 167TH STREET,F15 Professional LarW Surveyor
MIAMI,FLORIDA 33015 Certificate 146.SM
305/512-4940 State of Florida
THIS IS A BOUNDARY SURVEY
NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYOR'S SEAL