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PL-15-1216 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-252489 Permit Number: PL-5-15-1216 Scheduled Inspection Date: February 10,2016 Permit Type: Plumbing- Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: MICHELLE,DANILO DI Work Classification: Sprinkler System Job Address:9145 NE 4 Avenue Miami Shores,FL 33138 Phone Number Parcel Number 1132060140080 Project: <NONE> Contractor: DESMAR PC INC Phone:(305)876-6761 Building Department Comments LAWN SPRINKLER SYSTEM Inhactlo Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-235155. MISSING BACK Dn FLOW. Failed Correction Needed ❑ Re-inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee Is paid. February 09,2016 For Inspections please call:(305)762-4949 Page 25 of 44 Miami Shores Village � 1 MAY 2.1.2015 1?j Building Department 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 BY. Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 1® BUILDING Master Permit No.] � Q � 12 11 7PE IT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL J�JPLLIMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: -1( 1 S E. im a J f. City: Miami Shores County: Miami Dade Zip: 53\sq, Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): ll A10 L ► �iPhone#: Address: OI l GAJ e City: ;` i %4.m i State: Zip: 3313�Q Tenant/Lessee Name: hone#: Email: cA pie CONTRACTOR:Company Name:(2s Ixc ( Phone#: -4 w':4 3y-•So40 Address: �`f'® `7 '� � City: State: 1'�` Zip: r 1 ® —, Qualifier Name: c�4U(.k kA (3,r Phone#: V State Certification or Registration#: CC T 1j Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ e Square/Linear Footage of Work: Type of Work: ❑ Addition eration, ElNew ❑ Repair/Replace ❑ Demolition Description of Work: '-A't'"� 5iV-t V Od�lQ-1 Specify color of color thru tile: Submittal Fee$ ^® ` Permit Fee$ / �`'y CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ PPS yrs- 9 TOTAL FEE NOW DUE$ 19 (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 valug exceedirtg$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 certifiedcopy of the recorded notice of commencement must belposted 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. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of20 1 by �U day of 20 �� by kAwc who is personally known to � �/> r ho 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 PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: SAJtty. (� iILTiL Print: Seal: Seal: v6. JAVIER ORTIZ f."w" JAVIER ORTIZ MY COMMISSION#EE132253 ' : : = MY COMMISSION#EE132253 EXPIRES September 21,2015 ���,� EXPIRES September 21,2015 ******* 4u►pcs6tl�s�s* *�ba�nyaewrbb * ** **** ************ **�x APPROVED BY C 5'2 6�l S Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 012802 Local Business Tax, Receipt Miami-Dade County, State of Florida -THIS IS NOTA.-BILL - DO NOT PAY 6076483 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES DESMaR Pc INC RENEWAL SEPTEMBER 30, 2015 6405 NW 36 ST 124 6338768 Must be displayed at place of business VIRGINIA GARDENS FL 33166 Pursuant to County Code Chapter 8A—Art.9&10 OWNER SEC.TYPE OF BUSINESS DFSMAR PC INC 196 PLUMBING CONTRACTOR PAYMENT RECEIVED CFC1427442' 13Y TAX COLLECTOR Worker(s) 2 $45.00 07/16/2014 CREDITCARD-14-027860 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 NO.above must be displayed on all commercial vehicles—Miami—Dade Code Sec 8a-276. For more information,visit mm miatuidade govhexcollecwt STATE OF FLORIDA DEPARTME1T OF BUSINESS AND PROFE �bNAA .iECULATION CFC1427442 r l �-�, 07/01/2014 CERTIFIED P_ FIJ 1IE�LY� TC1R ANGEL,EDUI�F� x DES_MAR PC I h IS.CERTIFIED under the provisions of Ch.489 FS. Ekpiration date"(AUG'31,•2016 L1 40701 00011 88 RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION,INDUSTRY LICENSING BOARD CFC1427442 The PLUMBING CONTRACTOR 7 Named below IS CERTIFIED Under the provisions.of Chapter 489 FS: Expiration date: AUG 31;2016 r jam` ANGEL, EDUARDO F " °F DESMAR PC INC­ 6405 6405 NW 36 ST SUITEA2 .., � r MIAMI 1=L 33'166` N� i bxd+di '" i� • .rte 't' i"*" � �� r�,*� a� `� ���-0" `,�'a�' v w„c K ■ o ISSUED: 07/01/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1407010001188 AC40 CERTIFICATE OF LIABILITY INSURANCEDATE(MWDD)YYYY) 05/20/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. 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: Pan Am Assurance Agency, Ina PHONE (305) 270-1424 FAX (305) 270-8997 ac No 9100 Sunset Drive EpAIE. Carlos@panamassurance.com INSURERS AFFORDING COVERAGE NAIC# Miami FL 33173-3433 INSURERA:WesCO Insurance Company 25011 INSURED Desmar PC, Inc INSURERB Ma Pre Insurance Company 34932 6405 NW 36 Street STE 124 INSURERC:BUSINESS FIRST INS CO 524210 Suite #124 INSURER D: INSURER E: Miami FL 33166- INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I�TRR TYPE OF INSURANCE DD BR POLIC1=2UL POLICY NUMBER MM/DDY EFF POLIMM/DD EXP LIMITS A GENERALLIABIUTY y y P1222391-00 01/05/201501/05/2016 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO REN 1 100 000 PREMISES Ea occurrence $ r CLAIMS-MADE F_x1 OCCUR / / / / MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: / / / / PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC / / / / NOWND $ B AUTOMOBILE LIABILITY 4150120005323 01/26/2015 01/26/2016 Ea all deD SINGLE LIMIT 100,000 ANY AUTO BODILY INJURY(Per person) $ X ALL OWNED X SCHEDULED / / / / BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED / / / / PROPERTY DAMAGE $ HIRED AUTOS AUTOS Paraccident / / / / $ UMBRELLA LIAR OCCUR / / / / EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE / / / / AGGREGATE $ DED I I RETENTION$ / / / / $ C WORKERS COMPENSATION 0521-03296-0 OB/16/2014 08/16/2015WC STATU- 0TH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N / / / / E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below / / / / E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,I more space Is required) Plumbing Contractors CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Villages Building Department AUTHORIZED REPRESENTATIVE 10050 NE 2nd Avenue Miami Shores FL 33138- ACORD 26(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD L N01/ 2015 40 l 121-6 14 1 (7 �P r I tl/" 9.99•• . 0000.. 00 9000.• • 9909.• • 9990.• • 980.0• . • • •6090. ;ot�pr^ue Notary Public State o4 Florida "" '0 0 0 0 Sindia Alvarez •••• . " ":0 c� My Commission FF 156750 • o or F`o� Expires 09/03/2018 0 0 0 0 0• :0•• .•.•0 .• •. 09•• 9000.• • •.9.9. . • • • • • •0000• • • • 90900. Perm t VaLA 4 -1216 Miami Shores Village Pe T 7yj,(4 PllU i�'tljli (�+�1' I 10050 N.E.2nd Avenue NE INorfc Clr?S�#L' ## ; .. as Sial�liier System ' Miami Shores,FL 33138-0000 er PerTr7/l #ah;1 IPPROVED Phone: (305)795-2204 ° �`20Rtt1p' Issue gate:6/2812016 Expiration: 11/24/2015 Project Address Parcel Number Applicant 9145 NE 4 Avenue 1132060140080 DANILO DI MICHELLE Miami Shores, FL 33138 Block: Lot: Owner Information Address Phone Cell DANILO DI MICHELLE 9145 NE 4 Avenue MIAMI SHORES FL 33138- 9145 NE 4 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 DESMAR PC INC (786)242-4930 Total Sq Feet: 00 Type of Work:LAWN SPRINKLER SYSTEM Available Inspections: Type of Piping: Inspection Type: Additional Info: Final Bond Return: Underground Sprinkler Classification:Residential Scanning:3 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# PL-5-15-55661 DBPR Fee $2.25 05/21/2015 Cash $50.00 $116.70 DCA Fee $2.25 Education Surcharge $0.40 05/28/2015 Credit Card $ 116.70 $0.00 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $166.70 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 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 AFFIDA T: I certify at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and z Hing. Futhe ore,I authorize the above-named contractor to do the work stated. May 28, 2015 Auth rized Si n ure:Owner / Applicant / Contractor / Agent Date Buildi g Department Copy May 28,2015 1 • r s PREPARED BY: • ••• • • • . . ;) �s�«�y , . ll�y • • • • •.a.•• «.•fid• i Land Surveyors, Inc. • .:. • • www.exactaland.COM " ; •• •• • • ,u� = Z. Toll Free 866-735-t916 F866-744-2882 • �...t•• «•_ • - �z;Y�----b PROPERTY ADDRESS:9145 NORTHEAST 4TH AVENUE MIAMI,FLORIDA 33138 SURVEY NUMBER: 1501.2755 FIELD WORK DATE:2/3/2ols II s/lois) 15012755 � -R'T�D BOUNDARYSURI/EI' M/AMl-0ADECOUNTY MAY 21. 2015 BY: N RTHEA5 T 92ND 5 TREET (75' TABLE: L 1 25.00'(P) _ N 0°07142'W 25.01'(M) - - L2 25.00'(P) s• ), 5 89°3711 T E 25.01'(M)P) L3 110.00 N 90°0000°E 85.00'(P) ' I z N 89°4955'W 110.00'(M) 0 p m 1/2°FIP b FND.NAIL C I I/2°FIP s:.t:•..i•:s;�:••' "� :'.,�': NO ID R=25.00'(P*M) NO ID 2 B.C. 40.00'(D) L=39.27'(P)39.06(M) .a @ �'�\ I - I .7'ON D =90000100r)69033022•(M) LOT I I O.R.B. 29479 N 450001001 E 35.22W FIP 24.9' ®) BLK 49 I c i PAGE 2177 NO N 45 07'33 F 35.22'(M) NOTES. _ @ PI 37.a I THE W. I O'OF LOT9 FENCE OWNERSHIP NOT DETERMINED 's• a LOT / 0 BILK 49.,BLK 49 4.1 ZD I� a I ZD n 4.7 43.3' 0.. 0 oW 3� .• 2.6' I 3 I Cq No • I = I I o LOT 12 I 3. p BLK 49 I 21.11 10.4' N z I REMAINDER OF 21Zo o LOT 10 BLK 49 N I J (NOT INCLUDED) a; 0.7'OFF v2°FI;- - `t N 40.00'(D) NO ID v L51PIC $ — — — z — zo z L5k7337 m NO R/1 N N� N l hereby certify t undary Survey of the hereon describ ebeen made under my direction, d'to y#l/ b of my know/edge and belief, it t e and urate representation of a survey a / /mum technical 40 0 20 40 standards se ,,orth by the da Board of Professional eyo Mo rs in Chapter 5J—17 of the a Ad ' ' rotive Code. GRAPHIC SCALE (In Feet) AL SURVE1 inch = 40' ft. �N� RONALD W. WALLING State of Florida Professional Surveyor and Mapper License No. 6473 Use ofihis Survey for Purposes outer than Intended,Withoutwmen vermadon,vai beat the User's Sole Risk and Without Uabihyto the surveyor. Nodit hereon shall be Construed to Give ANY Rights or Benefits to Anyone Miter than those Certmed. FLOOD INFORMATION: POINTS OF INTEREST BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING NONE VISIBLE MUNICIPALITY OR WWW.FEMA.GOV,THE PROPERTY APPEARS TO BE LOCATED IN ZONE X(SHADED).THIS PROPERTY WAS FOUND IN THE VILLAGE OF MIAMI SHORES,COMMUNITY NUMBER 120652,DATED 09/11/09. CLIENT NUMBER: DATE: 2/3/2015 0 ' ' • • AFFILIATE BUYER:DANILO DI MICHELE � ow-N MEMBERS • • • ••• •• SELLER:FNMA : ; • • • • • CERTIFIED TO:DANILO DI MICHELE;TITLE&ABSTRACT AGENL'�dF ' '��"•• • ` AMERICA,INC. T A Ita mvl 5 utygyo rs Inc. www.exa ulantixom This is page 1 of 2 and is not valid without all ages' • • • 7 P.B-73s-1916•F.Bt�744-� P 9 P 4 • •• • %7337• • • • 11940 Fairway Latex Drive,Suite 1•Ft Myers,FL 33913 9 goo ♦• •• • • ••• • • ••• • • • • ••• • • • • • • • • % •• • • • % •• • • REPORT OF SURVEY • • T110I.J4 • TAi,%;Mg.2 of 2 and is not valid without all pages. LEGAL DESCRIPTION: • ••• LOTS 11 AND 12,AND THE WEST 10 FEET OF LOT 10,BLOCK 4!1MIk110•SHC�ES J Cqf N 2,A&OIMIRIG TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 10,PAGE 37,OF THE PUBLIC RECORpS4�Mi•AN7f1-D C UN?Y,FtORID%. P • •••• •••• ••• • ••• •• • • • •• ••• •• • f•• • • • • •• • JOB SPECIFIC SURVEYOR NOTES: • ••• •• THE ASSUMED BEARING REFERENCE OF NORTH 90 DEGREES 00 MINUTES 00 SECONDS EAST IS BASED ON THE SOUTHERLY PROPERTY LINE OF NORTHEAST 92ND STREET,LOCATED WITHIN MIAMI SHORES,SECTION 2,ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 10,PAGE 37,OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,FLORIDA. GENERAL SURVEYOR NOTES: 1. The Legal Description used to perform this survey was supplied byothemThissurvey does not determine orImply ownership. 2. This survey only shows Improvements found above ground Underground footings,utilities and encroachments are not located on this survey map. 3. If there is aseptic tank,or drain field shown on this survey,the location is approximate as the location was either shown to Exacta by a third party or K was estimated by metal detection, probing rods,and visual above ground inspection only.No excavation was performed in order to determine the exact and accurate location. 4. This survey is exclusively for the use of the parties to whom it is certified 5. Additions or deletions to this survey map and report by other than the signing parry or parties Is prohibited without written consent of the signing party or parties. 6. Dimensions are in feet and decimals thereof. 7. Due to varying construction standards,house dimensions are approximate. 8. Any FEMA flood zone data contained on this survey is for informational purposes only.Research to obtain such data was performed at www.fema.gov. 9. All comers marked as set are at a minimum a'h diameter,I B'Iron repair with a cap stamped LB97337. 10.Ifyou are reading this survey in an electronic format the Information contained on this document Is only valid ifthis document Is electronically signed as spectfied in Chapter 5.1-17.062(3)of the Florida Administrative Code and Florida Statute 472.025.The Electronic Signature File related to this document is prominently displayed on the Invoice for this survey which Is sent under separate cover.Manually signed and sealed logs of all survey signature files are kept in the office of the performing surveyor.If this document Is in paper format, it is not valid without the signature and original raised seal ofa Florida Licensed Surveyor. 11.Unless otherwise noted,an examination of the abstract oftitle was NOT performed by the signing surveyor to determine which Instruments,If any,are affecting this property. 12.The symbols reflected In the legend and on this survey may have been enlarged or reduced for clarity.The symbols have been plotted at the center of the field location,and may not represent the actual shape or size of the feature 13.Points of Interest(POPS)are selected above-ground Improvements which may be in conflict with boundary,building setback or easement lines, as defined by the parameters of this survey.There may be additional POI's which are not shown,not called-out as Pors,or which are otherwise unknown to the surveyor.These POPS may not represent all items of interest to the viewer. 14.Utilities shown on the subject property may or may not indicate the existence of recorded or unrecorded utility easements. 15.The Information contained on this survey has been performed exclusively,and Is the sole responsibility,of Exacta Surveyors.Additional logo or references to third parry firms are for informational purposes only. 16.Pursuant to F.S.558.0035,an individual employee or agent may not be held individually liable for negligence 17.House measurements should not be used for new construction or planning.Measurements should be verified prior to such activity. LEGEND: SURVEYORIS LEGEND UNETYrM:­wrm, AIL AIR CONDITIONING ID. IDENTIFICATION SEC. SECTION BOUNDARY UNE B.R. SPARING REFERENCE ILL ILLEGIBLE SEP. SEPTxi TANK B.C. BLOCK CORNER :NST. INSTRUMENT Sew. SEWER B.P.P. BACKFLOW PREVENTOR INT. INTERSECTION 5/GD SET GLUE DISC CENRRIIME am BLOCK L LENGTH 51RC SET IRON ROD 4 CAP BLDG. 13UILMNG LSB LICENSE i-BUSINESS 5N4D SET NAIL 4 DSC CHAW41NK a WIRE PENCE BM BENCHMARK L5# 000V3E i-SURVEYOR 50.1T. SQUARE FEET B.R.L BUILDING RESTRICTION UNE MN) MEASURED ST. STORY 9TP! NT__------ HIV B9MT. BASEMENT M.B. MAP BOOK BAYADOX WINDOW M. MITERED END SECTION SUNM VALVE UNE EWE OF WATER E.S. 5Sv V SEWER VALVE (C CALCULATE) M.F. METAL PENCE SAV SIDEWALK IRON FENCE C CURVE N.R. RON RADIAL S.W. SEAWALL CATV GABLE Tv.RISER N.T.S. NOT TO SCAN Tam TEMPORARY BENCHMARK OVERHEAD LINES C.B. CONCRETE BLOCK O.C.S. ON CONCRETE SLAB TEL TELEPHONE FACILITIES chm. CHIMNEY O.G. ON GROUND SURVEY TIE LINET.O.B. TOP OF BANK C.L.F. OWN LINK PENCE OFF OUTSIDE OP SUBTEEN PARCEL TWD, TOWNSHIP =6.0K PARTY WALL C.O. CLEAN OUT OH. OVERHANG TX TRANSFORMER CONIC. CONCRETE DHL ovOtHew UN15 Tyr. TYPICAL WOOD FENCE COR CORNER ON INSIDE DP 9UBIELT PARCEL U.R. UTILITY RISER vim PENCE CSW CONCRETE SIDEWALK O.R.B. OPPICALRECORD BOOK W/C WTKeSS CORNER C.V.G. CONCRETE VALLEY GUTTER O.RV. OFFICIAL RECORD VOLUME w1r WATER FILTER CL com uNE CIA OVERALL W.P. WOODEN PENCE SURFACE TYPM:ruomon®.wm"wm, or cc%1RED PORCH CONCRETE STAB (05 PLAT WM WATER METERNALVE BOX ® BRIO ASPHALT a•TINCK CisN) CON P.B. PLAT BOOK V P. WATER VALVFVENYL PENCE .�y�. D.P. DRAINFIELD P.C. POINT OF CURVATURE CONCRETE AREA DIW DRIVEWAY P.L.L. POINT OF COMPOUND CURVATURE WATER ® WOOD® ELEV. ELEVATION P.C.P. PERMANENT CONTROL POINT 0.E, AC1155 EASEMENT ENOL ENCLOSURE PIE FOOL EQUIPMENT ANT. ANCHOR EASEMENT SYMBOIS:tuam m,mrreeemmi ENT. ENTRANCE PG. PAGE C.M.E. CANAL MAINTENANCE ESMi. BENCH MARX EM ELECTRIC METER P.I. POINT OP INTmrcnON ® E.O.P. EDGE OF PAVEMENT FL9 PROFESSIONAL LAND SURVEYOR C.U.E. COUNUTILITY ET. ��� E.O.W. EDGE OF WATER PLT PLANTER D.C. DRAINAGE EASEMENT A CENTRA.ANGLE cam DELTA EUB ELECOX RIe UTILITY BD.U.E. OFANAGE AND Un V ESM. P.O.B. POF BEGINNING E9MT. EASEMENT COMMON OWNEt9HIP (H) FIELD P.O.C. POINTory OP LOMMENCEAENT I.eR.e. INGRE99/EGRE99 E9MT, • CONTROL POINT PCM FND.CONCRETE MONUMENT P.P. PINCHED PRE IRR.E. IRRIGATION EASEMENT ■ CONCRETE MONUMENT ""' FOUND DRILL HOLE P.RC. POINT OF REVER5E CURVATURELA.E. UMTIED ACCESS e5MT. CATCH P.F. FINISHED FLOOR P.R.M. PERMANENT REFERENCE MONUMENT WINLE..E. LANDSCAPE BUFFER ESMi. ELEVATION FlP POUND IRON PIPE PSM PROPB9IONAL SURVEYOR LE. WNDS(APE E9MT. PIPC FOUND IRON FIFE 4 CAP AND MAPPER tf EIRE HYDRANT FIR FOUND IRON ROD P.T. POINT TANGENCY LM.E. MAINTENANCE PLAKE OR �A5EMEm • PND OR SET MONUMENT PRO POUNDIRON ROD 4 CAP R RADIUS a RADIAL M.E. MAINTENANCE EASEMENT �- GUYW IM OR ANCHOR IN POUND NAIL (R RECORD O MANHOLE FN4D FOUND NAIL 4 DSC RCE. RANGE P.U.E. PUBLIC UnUrY EASEMENT PND, FOUND RLSJB • RESIDENCE RO.E. ROOF OVERHANG E9MT. TREE FPKN FOUND PARKER K/LLON NAIL RILE RIGHT OF WAY S.W.E. SIDEWALK EASEMENT # UTILIM OR LIGHT POLY PPKN4D FOUND PK NAIL 4 DSK (5) 5URVrf 9.W.M.E.STORM WATER © WELL �FOUND RAILROAD SPIKE S.B.L. SETBACK LINE MANAGEMENT E5MT. GM GAR WEER 54-1- SURVEY CIDSURP LINE T.U.E. TECHNOLOGICAL UnInY t5MT. SCR. SCREEN u.e. UnUTY EASEMENT ELECTRONIC SIGNATURE: PRINTING INSTRUCTIONS: OFFER VALID ONLY FOR: In complete accordance with Florida Statute 472.025 and Pursuant to 1.While viewing the survey in Adobe Reader,select the DANILO DI MICHELE the Electronic Signature Act of 1996 or Florida Statute TIRE XXXIX, Chapter 668,If this document was received electronically via PDF, "Print"button under the"File"tab. then It has been lawfully Electronically Signed.Therefore,this survey 2.Select a printer with legal sized paper. PDF,If authentic,Is completely official and Insurable In order to validate the-Electronicsignaturecf PDF surveys sent via ww .sur evstas.com, 3.Under"Print Range,dick select the"ATI"toggle. you must use a hash calculator.A free hash calculator is available for download at 4.Under the"Page Handling"section,select the number wwv._io�weaa._omiye sncemiri=-Ma�a�eTemr�as_e�icmam�_n_ n.cnimi ( I In order to validate the Electronic Signature ofany survey PDF sent via ofcopies the you would like toprint wwwsurveystaricam: 5.Under the"Page Scaling"selection drop down menu, 1.Download the Hash Calculate available at select"None." i 25% off 1.Dow load the ash psi t rile M�em.�n�/IizsM1 Calcu z�or N�rili.;ni mi 2.Save the Survey PDF onto your computer from wwwsurveystars.com 6. Uncheck the"Auto Rotate and Center"checkbox or from the email sent from www.surveystarscom. (UP TO$500) 3.Click the square Browse button in the upper right hand corner ofthe 7.Check the"Choose Paper size by PDF"checkbox. Hash Calculator to find and select the saved Survey PDF document and dick 8.Click OK to print I ANY FUTURE the COMPUTE rethe40digit the gofchright hand the SHA-the Hash Calculator.4. T0PlWTINBLACK+WHITE I SURVEYING SERVICES I SHA-Icarethes forth sMveyInt elOb sin the wsuIvinetrscom, hickigit I ON THIS PROPERTY I SHA-1 charted on Invoice for that survey. 5. wwwsurveystarscom which 1. In the main print screen,choose"Properties". Is also printed on the invoice for that survey. 5.Ifthe40 digit string of SHA-I characters are exactly the same on the invoice 2. Choose"(Aft"Tm:he o t nsi i o•• •• __ (or in thewrseyfile atwwwwrveystarscom)as dwyare in the Hash Calnilate. I ® L = FuIIrE•lor"!B tip/ )I• then this PDF is authentic lfthe40 digit string 3. Change from")4utdColbr"Cr string of characters donot match ••• •• I ;'_,�, oo;;"• - I exactly,then this PDF has been tampered With and it Is not authentic "Gray Scale*. • • • • • • • • --_-----__--� •• • • • •• Exacta Land Surveyors,Inc www.exactaland Com o ` L ••• ••• ••• •.• •.• • P.866-735-1916•FM6-744-2882 LBO 7337 • • • • • • 11�40�airway Lakes Drive,Suite 1•Ft.Myers,FL 33913 • o • • ••• • • • • ••• ! • • • • • • • � Miami Shores Village Building Department A1-6\ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JAN 26 )016 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 r F C 20 Q'JI BUILDING Master Permit No. \�;-1 2�tj� PERMIT APPLICATION Sub Permit No. \j 1�- 17� BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [—]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP _ CONTRACTOR DRAWINGS JOB ADDRESS: oql 4� tie CT City: Miami Shores Countv: Miami Dade Zip: 3 l Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: NV16 /0 ConstructType: Flood Zone: BFE: FFFE:OWNER: Name(Fee Simple Titleholder): �� /"l�Cl^�c le Phone#: Address: �I' l � �" L{ 1I /'e- City: rGtWl r S�Co,r,es State: rrC- Zip: 33 139- Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: bic • Phone#: r� Address: City: Stat Zip: � Qualifier Name: Phone#: Ye) ®e State Certification or Registration#: �� ��Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 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$ �) e (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 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. Signature l Signature ll OWNER r AGENT CONTRACTOR The foregoing instru-m�ent was acknowledged before me this The foregoing instrument was acknowledged before me this day of1{firN'��t����� 20 ,by day of 04 �1 20 by cV�,n�i� :wito is personally known to , who is personally known to r me or who has produced as me or who has pro a/ as ��.�► MAREST iER VALDES identification and who did take an oath. identification and _tom e�anCa t MISSbN#EE875185 NOTARY P IC: NOTARY PUBLIC: EXPIRES EXPIRES February 14.2017 (s07"3g8.Ots3 Fbrl"N servim.coro Sign: Sign: Print: �t C� �f� �s��c Print: "e44� -X0., Seal: a `�,'°,� ��r`° '��� .s Seal: FP1 Ncatt ry pohlic State of Florida °. ' Sindia Alvarez tpA :e kgjy commission FF 156750 APPROVED BY lr2-?16 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) FLICK SCOL,PaD'JERNt]R KEN LAV4'N,SECRETARY en c STATE OF FLORIDA m DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION °' CONSTRUCTION_INDUSTRY LICENSING BOARD a c CFCf427442 The PLUMBING CONTRACTOR :01 N>arned belGw IS CERTIFIED ° Under the provisions of Chapter 499 FS v _ - - �, o c Expiration date: AUG 31,2016 = 0 y w o r r CD _ C'" co 3 ANGEL,EDUARDO FNMI mi��- o 0 DESMAR PC INC �. 6`' _ _ . m 6408 NW 36 ►T SUM&.w MIAN A 3311 MUM aa&IM14� m DISPLAY AS REOLII RED BY LAW GEMS 1_140701 188 I 3 Local Business Tax Receipt Miami—Dade County, Stlato of Florlda -W9- r5 NOT AMU DO NOT PAY 60764433 LBT f STATE OF FLORIDA RUMNEDS w NLIOL .A M nam""401 EXPIRES DEPARTTE , OF BUSINESS AND DEFAM K 1100 IMMAL ®FES.V11MAL 11EGULATrON 640 IAV 36 Sr 124 SM768 SEPTEMBER 30, 2016 1 iU�141 fliROEfIS FL 33166 F?vu cw dhp rfAd at + o of t41rl:-dys CFC1427442 ,.f U1ED:_--07/002014 Putsuamtuca„nw*oft CERTIFIED PLUMBINDCkWer 04,-A.9 h 18, i1i4TlACTEkR ANDEL,EDUAR06F DESMAR PC[RIG;; OWNER els,s rPs OF wewptoe � DESMAR Ff Ir+lC 06 fI4IM800 C01MACrCR PAVMUIR arCMvee my TAX Coufa"M S+ta,�0 @�'F9G{Fti) r J�F�a7raic�unary ane P+o�is�on4 al Chu 400 15 DITC ARI- IS-03wI r n3c-aJ0-.A4, auM31 An i w LTi"Ilsek��t�c r�u�q�rad6�l�tllao�a�tax ftftr "i*4M&""n. of ah"fon a"fawn-mm WwAswroaq TM Ron No.0-mmmto "ka" M��kSla4ie4 Il1otam Farwtnel�'obvssl! tf�ultrealhc�e ACID CERTIFICATE OF LIABILITY INSURANCE DATE �;y� 09/01/2001515 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les) must be endorsed. 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: Pan Am Assurance Agency, Inc PHONE (3O5) 270-1424 FA7(AIC( N :(305) 270-3997 9100 Sunset Drive 'AMORESS,carlos@panamassurance.com INSURERS AFFORDING COVERAGE NAIC# Miami FL 33173-3433 INSURERA:Wesco Insurance Company 25011 INSURED Desmar PC, Inc INSURERB:Ma fre Insurance Company 34932 6405 NW 36 Street STE 124 INSURERC:BUSINESS FIRST INS CO 524210 Suite #124 INSURERD: INSURER E: Miami FL 33166- INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDD/EFF MMIDD EXP LIMITS A GENERAL LIABILITY WPP1222391 00 01/05/2015 01/05/2016 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY / / / / GE TO RENTED PREMISES Ea occurrence $ 100,000 CLAIMS-MADE ®OCCUR / / / / MED EXP(Any one person) $ 5,000 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 / / / / NOWND $ JFCTB AUTOMOBILE LIABILITY 4150120005323 01/26/2015 01/26/2016 Ea BIKED SINGLE LIMIT 100,000 ANY AUTO / / / / BODILY INJURY(Per person) $ ALL OWNEDX, SCHEDULED / / / / BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED / / / / PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB HOCCUR / / / / EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE / / / / AGGREGATE $ DED I I RETENTION$ / / / / $ C WORKERS COMPENSATION 0521-03296-0 08/16/2015 08/16/2016WCSTATU- OTH- AND EMPLOYERS'LIABILITY I JORY LIMITS ER ANY PROPRIETOR/PARTNER(EXECUTIVE YIN N / / / / E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) / / / / E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below / / / / E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Plumbing Contractors CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Villages Building Department AUTHORIZED REPRESENTA 10050 NE 2nd Avenue Miami Shores FL 33138- ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD