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DS-15-2577 ft#At Dom • 44 7 - �s+�„O1iEs 9� Miami Shores Village � �E17� abs 10050 N.E.2nd Avenue NE •• Miami Shores,FL 33138 0000J8tfr71t. ftfs:APPRouII `y- " Phone: (305)795-2204 �tORiDP' 02 01 Expiration: 04/10/201 Project Address Parcel Number Applicant 1361 NE 97 Street 1132060135760 BLACKWELL ESTATES LLC Miami Shores, FL 33138-0000 Block: Lot: Owner Information Address Phone Cell BLACKWELL ESTATES LLC FL Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 F&S CONTRACTORS LLC (305)466-9308 Total Sq Feet: 41 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:SIDE WALK REPAIR Additional Info: Review Planning Bond Return: Classification:Residential Review Building Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# DS-10.15-57384 DBPR Fee $2.00 DCA Fee $2.00 10/13/2015 Check#:3304 $ 116.20 $0.00 Education Surcharge $0.40 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $116.20 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: 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. Futhermore,I authorize the above-name ntractor to do the work stated. October 13, 2015 Authorized Signature:Owner / Applicant / Oontractor / Agent Date Building Department Copy October 13,2015 1 Miami Shores Village -- Building Department OCT 13 201 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 201D BUILDING Master Permit No. ±C 2i- 13- 39 PERMIT APPLICATION Sub Permit No. !r)!� - ( S - 25 3-:) ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP A CONTRACTOR DRAWINGS JOB ADDRESS: c Cn1 IV ':IIu e �1 City: Miami Shores County: Miami Dade Zip: 2J3l-3g Folio/Parcel#: 11--62A(o'()13—CJD" Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: SFE: c� FFE: OWNER: Name(Fee Simple Titleholder):��1P� �A-Q T Phone#: a AL- 0!;k3 Address: 3Gl City: "ICZm <: kpY"e5 State: Zip: gal 59 Tenant/Lessee Name: Phone#: Email: Q CONTRACTOR::Company Name: ��S C f*WAC-10Q) LLC Phone#:��5�wq-60?) Address: IS51 '*BE5b f' _ CLICeEt 4 City: �011UUJC- State: �\o216Q Zip: 16- 0010 —� c Qualifier Name: `c�I ue i Phone#: U4 35a� UE4q State Certification or Registration#:(,A C(S,M 6_2> Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State::, Zip: Value of Work for this Permit:$ joo o Square/Linear Footage of Work: 20 6F Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 1519e Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ` S® o .2n (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address 1 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 #curs seven (7) days after the building permit is issued. in a absence of such posted notice, the inspection will not be approv and r inspection fee will be charged. Signature Signature O NE rAGENT NTRACTOR The for oing instrument was acknowledged before —me this The foregoing instrument was acknowledged before me this day of_ 201S by day 20 LJC: by �a"`V ��tge r ,who is personally known to ('+ f 1 j'( ho is personally known to me or who has produced as me or who has produced as identification an who 'd t ke an oath. identification and who ci take an oath. NOTARY PUBLIC- NOTARY PUBLIC: y Sign: s Sign: J • v i DR Print: • t -Slate o1 Florida Print: ;•, KT .S ?s, 'a;,c My Comm.Expires Jun 16,2018 . ' : ? Notary Public State of Florida Seal: '••;;FpFp�OP Commission#FF 133281 Seal: N. d My Comm.Expires Jun 16,2018 '"��"" '��F��Op••• Commission#FF 133281 I6 F. APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) LRAFTEDIOWER OF ATTORNEY W-AL ESTATE) Jim Holt, has constitute and Appoint Samuel Fleischer of F & S Contractors LLC, located at 21006 West Dixie Hwy Miami FI 33180, lawful attorney for it and its name, place and stead, giving ad granting unto said attorney full power and authority to negotiacte and execute any and all agreements, contracts, affidavits, including, but not limited to, a Permit Application and Notice of Commencement,and/or any other documents pertaining thereto in connection with the CITE'OF MLAAH SHORES Permit Application for interior improvements and/or construction as the property located at 361 NE 97a' St Miami FI, as he in its discretion may deem advisable, giving and grating unto said attorney full power to do and perform all and every act and thing whatsoever requisite and necessary to be done in and about the premises as full to all intends and purposes, as it alight or could do if personally present, with full power of substitution and revocation,hereby ratifying and confirming all hart Samuel Fleischer,of F& S Contractors LLC said attorney or their substitute shall lawful do or cause to be done by virtue hereof. -WSLVG This Power of Attorney shall be effective for a period of (12)months,or until such time as the matters disclosed herein have been completed. 04*day of October in the year two thousand and eleven(2012) Jim Holt By C 4WP T-V I STATE OF FLORIDA COUNTY OF ARAM-DADE The foregoing instrument was acknowledge before me this 4d'day of October,2012,by Jilin Holt Notary Publi ,State of Florida , RONEL S.CHARLES Notary Public-State of Florida :ear My Comm.Expires Dec 11,2012 Commission#DD 844814 nnnua STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 FLEISCHER, SAMUEL F&S CONTRACTORS LLC 1910 NE 197 TERRACE MIAMI FL 33179 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses ranges STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. _ PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to CGC1510983 ISSUED: 06/16/2014 serve you better. For information about our services,please log onto www.myflorldalicense.com. There you can find more information CERTIFIED GENERAL CONTRACTOR about our divisions and the regulations that impact you,subscribe FLEISCHER,SAMUEL to department newsletters and learn more about the Department's F&S CONTRACTORS LLC 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, IS CERTIFIED under the provisions of Ch-489 F& and congratulations on your new license! Exp da®:AUG 31,2016 L1406160000957 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD T CGC1510983 x � The GENERAL CONTRACTOR r Named below IS CERTIFIED ren a 3{ Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 �U FLEISCHER, SAMUEL F&S CONTRACTORS LLC 21006 WEST DIXIE HWY e : MIAMI FL 33180 ISSUED: 06/16/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1406160000957 001741 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY LBT 5938064 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES F&s CONTRACTORS LLC RENEWAL SEPTEMBER 30, 2016 21006 W DIXIE HWY 6194765 Must be displayed at place of business MIAMI FL 33180 Pursuant to County Code Chapter SA-Art.9&10 ER BEC.TYPE OF BUSINESS pgYnMNT RECEIVED t' 'orkCer(s�ONTRACTORS LLC 196 GENERAL BUILDING CONTRACTOR BY TAX COLLECTOR 1 CGC1510983 $75.00 07/27/2015 CREDITCARD-15-038469 This Local Business Tax Receipt only confirms payment of the Local business Tax.The Receipt is not a license, permit or a certification of the holder's qualifications,to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade,Code Seo ea-278. For more information,visit www miemidade aovhaxaolled `' ® Policy Number: Hate Entered: 10/08/2015 A RIA► CERTIFICATE OF LIABILITY INSURANCE DATEjM%VDDIY1'YYI F3.0/8/2015 THIS CIERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CUNFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,ANIS THE CERTIFICATE HOLDER. IMPORTANT: If W holderi$an ADDITIONAL INSURED, poticy{ )must Bee entlorsed. If SUBROGATION IS WAIVED, stqect to the term and conditlom of the pollcY,certain Policies n-My regWrae an endorsenumt A StdiffnOnt on this certificate does not confer rights to the certificate holder In liege of such endue en s). PRODUCER La AntI1.Iaust Insurance algency _ .....- 900 W 49th STREET 4 532 1305)882-0478 �� (305)882-0479M __..... ___........ _.... Hialeah, Fl 33012 aeal.cam -___..._....... _....... _ _ _-.............. IWsuRERA AAf 4 tDuid3 Cr6VERAt3E . MAIC 1 iNBatRED F b S C CT'G�eR, 7 "�"... _ ._..._._...._.._._m__M__. UReR A. ANCE CAI?X SPECIALTY INS tN8a1RER 8 INSURER.0: __.. 1852 FLE R STREET ..._. _..__ _...................... ....... HOLLYWOOD, FL 33020-361+1 LN$Utt4R n ....... .. _....... INSURER E: _......._....----...._..........---....._.....__..,......_......._._ -::.._ .. �._...._............ ......_. INSURER F. COVERAGES CERTIFICATE NUMBER- REVISION NUMBER. THIS I5 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 SU13JECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR _. LTR TYPE _.......__,INSURANCE ' POLICY N 1 ItCY LIMITS G19tdM£RCLAL GENERAL LIABILITY ; CBC100081802D3 Istastzox5 pt;t+?atzox s EACH GE TORRENCE S1,000,000 p... CLAIAAS IAn£ OCCUR CranlATciRi ItirL o PlzgMisS Ea as a±I __................100 000 _ ...........___ .......... ABED EXP{Ancne person] $5,000 _ ...._ _..._........ ....._..........._.. PERSONAL&ADV INJURY $1,000,000 ....... ..... .... . ..._._ ....._--............ GEN`L AGGREGATE LINT APPLIES PER GEN RAL AGGREGATE S2,000,000 POLICY' PRO- .- _ - . J£CT LOC _._._. ..... __. -.: PRODUCTS-complop AGG $2,000,66 0 OTHER _........__._ $ AUTOMOBILE LIABILITY n #NG ANY AUTO __ ..... r Ee ao add L i $ BODILY INJURY(Pot parson $ ALL t"t'aVN£I,T '':.SCHEDULED ,w______..............,....._ ..._.Y,_. ......._ AUTOS AUTOS BODILY INJURY(Per atxldeM)i$______. NON-OWNED t�.._._... ....._....,..,.„a,. HIRED AUTOS # AUTOS PRC3PEI27Y DAAAAC+E ..............__._........._-- erAaciderr �$ UMBRELLA L IAB OCCUR £ACH OCL#RREidCE $ EXCESS LIAR _ _ _ m...._...... — — CCA#Aa3 SRAU)E' —. .. AGGREGATE S DED--- i3£TEIdT#ON$ _._....._._... _ _..—._. ..—__ ........ __- ._.__..... WORKERS COmPERSArON AND EMPLOYERS,LIAi WTY _ SYA I UTE YtN _1sU._ _...... __ _..._ ANY PROPMETMIPARTNEWEX£CUTtVE OFFICERIMEMBER EXCLUDED' E L EACH ACCIDENT S (Mandatory In NH) £L ni9E3a§E-EA£U PLOYEE"$ : .EIyes. sar#tre under ......._.._ _. .....,„,,,. .,..._. ... N.,,,-- „,„.. ............. .._._..... DESCRIPTION OF OPERATIONS below £L DISEASE•POLICY LIMIT $ i i i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES UIU R Ikg S6hedtde YA8g ba mfkeelxs9�6stoae mace is r�iauhe d) GENERAL CONTRACTOR COMPANY, 1',3 SE C C1 1098 CERTIFICATE HOLDER CANCELLATION MIAM 8EI9RES VIX,.'t.AGE SW)ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BUILDING DEPARMM THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd. AVS ACCORDANCE VffH THE POLICY PROVISIONS, MIAM SHORES VILLA03-, FL 33138 AU REPRESENTATIVE . .m 988--2014 ACORD CORPORATION. All rights reserved. ACORD 25 X2014101) The ACO and I are I s of ACORD Produced us,,V Forms Boss Plus saftare www FOMISSOsS.C®m;# WO-208-1977 JEFF ATINATER 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: 1/20/2015 EXPIRATION DATE: 1/19/2017 PERSON: FLEISCHER SAMUEL FEIN: 205228621 BUSINESS NAME AND ADDRESS: F&S CONTRACTORS LLC 1852 FLETCHER STREET HOLLYWOOD FL 33020 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 DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 F CONTRACTORS. LLC. Date: 10/07/2015 State of Florida County of Miami Dade Before me this day personally appeared Franklin Villafranca who, being duly sworn,deposes and says: That Franklin Villafranca will be the only person working on the project located at:361 NE 97 Street, Miami Shores 33138. Sworn to (or a i med) d subscribed before me this day ofCCC`T 2015, by SSMC Personally Know Produced Identification f 42-C Type of Identification Produced- =Pubficic State of Floridaarersion FF 158750312018 I I 1 Name of Notary: n ••go p.� Miami Shores Village rims 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 y 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 Y ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: ner State of Florida County of Miami-Dade The foregoing was acknowledge before me this Ql__� day of 20 \� By�f\A k:: l S� who is personally known to me or has produced ` eA VIUZ- as identification. Notary: SEAL: ?4, °L®� Notary Public State of Florida a Sindia Alvarez e My Commission FF 156750 ®e oIQ Expires 09/03/2018 STATE OF FLORIDA �. DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 � a 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 FLEISCHER,SAMUEL F&S CONTRACTORS LLC 1910 NE 197 TERRACE MIAMI FL 33179 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to CGC1510983 ISSUED: 06/16/2014 serve you utter. For information about our services,please log onto www.myfioridalicense.com. There you can find more information CERTIFIED GENERAL CONTRACTOR about our divisions and the regulations that impact you,subscribe FLEISCHER,SAMUEL to department newsletters and learn more about the Departments F&S CONTRACTORS LLC 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, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new license! Expsafiw dace:AUG 31.8116 L1406160000957 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON.SECRETARY STATE OF FLORIDA _ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CGC1510983 71 The GENERAL CONTRACTOR Named below IS CERTIFIED "Atis Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 0� •0 FLEISCHER, SAMUEL F&S CONTRACTORS LLC 21006 WEST DIXIE HWY MIAMI FL 33180 ISSUED: 06/16/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1406160000957 JOHN cif AR A ._Ii ASSOCIATES, INC. dam? • - - `_ Professional Land Surveyors & Mappers 4 a LOCATION SKETCH VIEW OF SU®JECT PROPERTY 5CetF=v r 5 f - bio. ISL�+H�E�fd/�Te�'7vS a�:Lt..-t-.:i i s_ n :�fL2 K0.:*+�F"f.4`�..¢ e..-fir," Z+O�W: uv':�,Ai➢F. ➢ 6 llG.23:i r --cRcw r N:h`^'1. ':C. .1I'f' ..]Cis ®�Y I ~ ➢ —1"L.. 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MCH UNDERWRITER •: :• • •• :• • :• •: :• ••• • ••• • ®NORM'' DATE DRAWN WA 71-2012 AMERICAN • C• • ••• • • 0 �� • • • T. �i-- JOB NO 12-002914-1i.LAW ® � �: : • : �' `J •,a��8®� e.°' to • •• •• C9 ra SHE E F. 7 OF d SEAL L-&#7806 JOHN- IBAR, RA,-& ASSOCIATES, INC. Professional Land Surveyors & Mappers MAP OF BOUNDARY SURVEY L -�TRF tA&1j FL 3-, tot 5 MALLEY(N.A P) 100.00' -j-T_- W a '4 it TWO STORY C' CL 9t 4, 0 100.00, 3W 10'(M) 300.00'(R) N.E. 97th STREET 7 :-Of 5' TOT4,1. PIGP4 see GRA 14W BY.' j 'WCH LOTS 19 AND 20 SLOCK 4; C F A14 A?K_P?I V SEC114DN No I A-CCORUiNC TO TNF" PLAT t4ERfsrk A5 PLAI SCALE, ii.='W' C4 BOOK 10 PACE 13 OF F�4E PUOLhC f--,F kl'AkAi 0 : DATE DRA WW 1011712012 %: CgR nRCA 170N. * 0 0 ro .�+WFSf 0'0*: JOB NO: 12-002974-1 L LAW EXCLUSIVE Tfff-U.CDMPANr V % NORI 14 AWR4A TM F �NSURA-NCE r-1-4PAN4, L.B.#7806 SEAL SHEET: 2 OF 2