REV-16-782 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone:(305)795.2204 Fax:(305)7564872
Inspection Number: INSP-252222 Permit Number: DS-2-16-313
Scheduled Inspection Date: March 2S,2016 Permit Type: Driveways/SldewaikslSiabs
Inspector Rodriguez,Jorge
Inspection Type: Final
Owner: WONG,BRUIN&MARILYN Work Classification: Addition/Alteration
Job Address:1236 NE 93 Street
Miami Shores,FL 33138-
Phone Number (305)I42-8884
Parcel Number 1132050270180
Project <NONE>
Contractor. ARTISTIC CONCRETE GROUP INC Phone:(305)88849095
Building Department Comments
CUSTOM CONCRETE SQUARES FOR EXISTING INSPECTOR COMMENTS Fade
DRIVEWAY AND APPROACH(PAIN CONCRETE)
0=412016-COVENANT OF CONSTRUCTION WITH IN
RIGHT OF WAY MUST BE RECORDED BEFORE FINAL
03, W016-SUBMITTED
Inspector Comments
Passed �1 / gh� ' 2104W�2l q /W .A
Failed El
Correction
Needed
Re-inspection
Fee
No AWWonal irspedbrni can be adieduled unit
re-inspecdon The Is paid
March 2a.2016 For Inspections please calk(305)7624949
Page Sof28
Miami Shores Village IP '
Building Department MAR " 2016
10050 N.E.2nd Avenue,Miami Shores,,Florida 33138
Tei:(305)79S-2204 Few(305)7S6-8972
INSPECTION UNE PHONE NUMBER:(305)762-4949
FBC 20
BUILDING MasterPermit ft•
PERMIT APPLICATION Sub Permit No ,C62-VZ
❑.BUILDING 0 ELECTRIC ❑ ROOFING [KEVISION ❑EXTENSION [-]RENEWAL'
❑PLUMBING E]MECHANICAL OPUBL(C WORIQS F] CHANGE OF n CANCELLATION ❑SHOP
CONTRACTOR P..RAWINGS
APPro
JOBADDRESL-
qtv: M"S= County. M mt j Rwe ZIw,
P41b/Paroe10: i the Bq H :yes NO
Oc cupancyType: _ _ Load: Construction Type: Food Zone: BFE FFE:
OWNER:Name(Fee Simple Titleholder): &A"4 WON Phone#:
Address: 1 Z3 r-JIT • t 3 —t
aty;r`1 t +Qrif`'t i �H f cL,Z ! State: 23p:
Tenent/Lessee Name: Phone#: •
Email:
CONTRACTOR:Company Name: ''" 7�• ie � �r Ptwne#: 30X- If"•-S��4'�
Address: 69 .5 *lel 60 Ab r4.C�4 zdr-
7Jp:
Qualifier Name: Phone#:
State Certification or Registration M Z�f 40 % � Certificate of Competency#:
DESI NNER:Architect/Engineer: Phone#:
Address• qty: —State: Zip:
Val of Work for this Permit»$ 3j 0• —Square/Linear Foote of Woric 41GO O
T
Type of Work ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Wo'k •Y�S t cry►
sw*color of color thru tlle:
Sul crdttl l Fae$ Permit Fee•$, ,A5 CCS$- •n '•.y CO/CC$
Scanner Fee$ 3 Radon Fee$ DBPR$ I Notary$
Tedusology Fee$ TreAnkWEducation Fee$ Double Fee$
Structural Re+rMws$ Bob$ Q
TOTAL.FEE NOW DUE$ 3 O m
(Revts MA4/so14)
Bonding Company's Name(if applicable)
Bonding Company's Address
city State Zip
More Lender's Name(If applicable)
Mortgage Lendees-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 Infbrmatlon is accurate and that all mark 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$250,the opplicant must
promise in good Iih that a copy of the notke of commencement and construction lien low brochure.will be delhwW to the person
for the first ins which occurs seven (7)days after the building permit Is issued. In the absence of such pasted natke, the
Inspection will dot be a and a reinspection fee w111 be charged.
Signature Signature
OWNER or AG CON'fi RA R
The foregdng instrument was edged beforema this The foregoing instrument was acknowledged before me this
Cr
2Z day of -��'"� 20 k T .by 22 day of 20 /Jr .by
IM4 4r-4 WC1S0- ,who is personally known toV-"_W who is personally known to
me or who has produced 4=(, as me or who has produced PfhAWA�' as
identiftcation and who did take an oath. Identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIQ
Sign: Sign:
Print: •• SOY•• Print:
Seal: *: s• Seal:
. '• ,� •.• iF
EWAMLFAMMY1062M
sssssssssass:sssssss#ssssss s • �lisssssssssssssss sssssssssssssss
APPROVED BY Pians Examiner Zoning
Structural Review Clerk
(Rerzn4/2014)
PREPARED BY:
Nl•mlr 5• Ni IUIr•:.l'
A C T A
M �•
Y
Surveyors, Inc.
i
MAR 2'4 �0�� www.exactaland.com
of ree 8 6-735-1916 • F 866-744-2882
PROPERTY ADDRE ORTHEAST 93RD STREET MIAMI SHORES,FLORIDA 33138 SU
FIELDWORK DATE: 12/24/2014 REVISION DATE(S):(REV.0 12/24/2014)
1412.2642
BOUNDARYSURVEY
'AM E , t/NY s
U - T
f' a T TIME-,, N (
o 5 E 1 ) N 2°FIP /A889'22'45"
9°B2°45,EE FLAT i'(M)
NO ID E 100.00' (D)
. _ 50.00'
NO ID 1i WM I 1/2"FIP PVW
@ P.C. I P AL D NO ID
N I
I kS�n� T1 I 0--s
.. 22.9'1 •
j LOT 7
` ) -7 •� I N ON LINE BLK 2
N
J I ,J 1 71 O.I'ON N i 37.3
.._ .. co
MIANDER OF v I 14.3• O—
LOT 5 I LOT 6In
I ;w 4:;: BLK 2 I N In
N
!• • OT INCLUDED} BLK 2 0.2' --
'
10. I RES S 236 37.3'
(Ti !1 J O.I'ON 22.1'1 In
�O p z m 0 0
—O I N N
LQ Ln EAST 25' OFI
NN
w
w
LOT 5 I 21.4'
BLK 2
6' (y)
0o I
zZ
0.2'ON
NOTES:
50.00' I 4'C.L.F. 0.6'ON
LOT APPEARS TO BE SERVICED BY CITY WATER AND SEWER 1/2"FIR 89°22'45"1/\/ 100.0&(D) R
FENCE OWNERSHIP NOT DETERMINED NO ID o N 89°25'05'W 100.15'(M) I/2"FI
NO ID
o LOT 2 1 0
l hereby certify tho dory Survey of theBLK 2 LOT 20 N
hereon described yN een made under BLK 2 - ° LOT 19
my direction, an t25� t/47pesmy knowledge BLK 2
and belief, it Arue,. and ac ate representation
of a survey th t ' um technical
30 0 15 30
standards set by the Fl Board of
Professional Sur. ors FWEfflopp ` in Chapter
5J-17 of the Flo Adm ini tive Code. GRAPHIC SCALE (In Feet) ^I
N9C SIIR1 inch = 30' ft.
RONALD W.. WA WALLING
State of Florida Professional Surveyor and Mapper
License No. 6473
Use of This Survey for Purposes other than Intended,Without Written Verification,will beat the User's Sole Risk and Without Liability to the Surveyor.
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
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 AE(WITH A BASE FLOOD ELEVATION OF 8).THIS
PROPERTY WAS FOUND IN THE VILLAGE OF MIAMI SHORES,
COMMUNITY NUMBER 120652,DATED 09/11/09. • : •♦;
CLIENT NUMBER:CE1409-FL-2097732 DATE: 12/24/2014 �
AFFILIATE
' MEMBERS
BUYER:Brian W.Wong and Marilyn C.Wong FL:��r . + „ � •vs
so �• ... •
SELLER: OCWEN LOAN SERVICING,LLC *•• •' ♦ • • +
CERTIFIED TO:BRIAN W.WONG AND MARILYN C.WONG;PREMIUM .►
TITLE SERVICES,INC.;WESTCOR LAND TITLE �" • ••T
INSURANCE COMPANY __& ;
Land Sup: rtj(;rfi I r•••«• 1716W actaland2corn
882
f• • i ♦ P.866735-1916•F.866-744 2682
This is page 1 of 2 and is not valid without all pages. LB#7337 11940 Fairway Lakes Drive,Suite 1.Ft.Myers,FL 33913
4 R[9MM
PREPARED BY:.. _
ASIL
ACT 'A
..
Land Surveyors, Inc. W..=,
2� www.exactaland.com u
Free 66-735-1916 • F866-744-2882
AORERTY ADDRESS:-fn6-NORTHEAST 93RD STREET MIAMI SHORES,FLORIDA 33138 S B 1412. 2
FIELD WORK DATE: 12/24/2014 REVISION DATE(S):(REV.0 12/24/2014)
1412.2642
BOUNDARYSURVEY
MIAMI-DADE COUNTY
_ T �
S 89°221440 E 315.89'(M) N /r'FIP80'15-K.2
B.R. (PER PLAT)
S 69'22'45' E 315.93' (P) NO ID 89°22°45•E 100.I I'
89'22'45" E 100.00' ((D)
1/2"FIR 50.00'
NO ID WM 112"FIP
I
@ P.C. I P AL D NO ID
In
� I
y—el
N I e
I mo_ ✓n4D Arl(QS
_ 22.9'1 e!/
j C1J I N ..
Ii LOT 7
7 _ j BLK 2
•, I N ON LINE
(0 I O.I'ON
i 1 0 m r n I 15W
0 f-� I I 1 U REMIANNDESR OF v j 14.3'
LOT 6 N
��
BLK 2 N
r (NOT INCLUDED) BLK 2 10 2'
' lo. I sTY. 7.3'
RES#1236 3
0.1,ON22.1'1 Ln
I
00
p NN EAST 25' OF
- LOT 5 21.4'
�LU� BLK 2
m I
ZZ
I
0.2'ON I
50.00' I 4'C.L.F. 0.6'ON
NOTES:
LOT APPEARS TO BE SERVICED BY CITY WATER AND 5EWER 1/2"FIR 89°22'451 W 100.00'(D) 2"FIR
FENCE OWNER5111P NOT DETERMINED NO ID o N 89°25'05•W 100.15'(M) NO ID
o LOT 2 1 0
l hereby certify tho dory Survey of theBLK 2 LOT 20 N
hereon described yN een made under BLK 2 LOT 19
my direction, a t?S, t/WP smy knowledge BLK 2
and belief, it hrueA. and ac ate representation
of a survey th t to um technical 30 0 15 30
standards set by the Fl Board of
Professional Sur ors WENopp 4 in Chapter
5J-17 of the Fl Admin" tive Code. GRAPHIC SCALE (In Feet) n
NqC SUR1 inch = 30' ft.
RONALD W.. WALLING
State of Florida Professional Surveyor and Mapper
license No. 6473
Use of This Survey for Purposes other than Intended,Without Written verification,will beat the User's Sole Risk and Without Liability to the Surveyor.
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
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 AE(WITH A BASE FLOOD ELEVATION OF 8).THIS
PROPERTY WAS FOUND IN THE VILLAGE OF MIAMI SHORES, • • • •
COMMUNITY NUMBER 120652,DATED 09/11/09. : . •o•• •
CLIENT NUMBER:CE1409-FL-2097732 DATE: 12/24/2014 AFFILIATE
� t 1
BUYER:Brian W.Wong and Marilyn C.Wong goMEMBERS
SELLER: OCWEN LOAN SERVICING,LLC • •' • • • • •• • '
CERTIFIED TO:BRIAN W.WONG AND MARILYN C.WONG;PREMIUM
TITLE SERVICES,INC.;WESTCOR LAND TITLE AC INSURANCE COMPANY A
d fi4- '
a n V �$ n • • www.exactaland.com
-2882
This is page 1 of 2 and is not valid without all pages. iJ 1•• • " P.866-735-1916.Ft.Myers.F 33913
P 9 LB#7337 11940 airway Lakes Drive,Suite i•Ft.Myers,FL 33913
l
Miami Shores Village
Building �
d g Department FM
10050 N.E.2nd Avenue,Miami S1res,Florida 33138 $Y;
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FSC 20
BUILDING Permit No. t 6
PERMIT APPLICATION Master Permit No.
Permit Type: BUILDING �- ROOFING
JOB ADDRESS: /;L36 N 3� T&T/.
city: _Uiami Shores county: MiamiDadc dip:
FolioParrcew:
Is the Building Historically Designated:Yes Na Flood Zone:
F
OWNER:Name(Fee Simple Titleholder):-14l WN— t&6.§_Phone0-. 6 '39 J 0-y
Address• /234!2 Nc 23'1o' S-r
city: dl x&m j 5 40_&___T Staff: 1b.4 .�;h: 3313 9
Tenant/Lessee Name• IVJ 4 PhoaW.
Fail: bww 15A. _ luring-r c,.Corn
CONTRACTOR:Company Nasty: #4eA tAd � .� j3. phone#:Mg-Cr
Address: . 4&41S 111W _57.5eftt
city: Z.&aA�& Stater -... -.,,. Zip. tea/ _
Qualifier Name: ec&e- Phi:
State Certification or Ramon#: ficate of compeftnncy#:
contact Phone#:
DESIGNER:ArchitwVEn&eer:
Value of work for the Permit..$ 131DOO.4W SquaredJnear Footage of work:_ �� C 00
Type of work: QAddition UAltmdon ONew Mapair/Replace ODemolition
Description of Works e � � �
//�� •«; r
L1�.�1s. �✓ AVL WA C`f v\� OUPZ
... i .�+..�.�....
Color&M
i ■�•��i n�rwrun u�i ��n r
Submittal Fee$ Permit Fee$_ /qtra D• CCF$ 7-.xo- _ MCC$
Scanning Fee$ k,&Okadou Fee$ 2.63 DBPR$ 2.A 3, Bond$ C(��
Notary$ TrainhgJFdncation Fee$��Technology Fee$�6• (/�--'
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ �W
Bonding Company's Nature(if applicable) Or
Bonding Company's-Address
City State Zip
Mortgage Lendees Name(if applicable)
Mortgage Leer'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
commend 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 an
applicable laws regulating cion 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 esdmaied value exceeding$2500, the applicant must
promise in good faith that a cqpy 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 cmumencemimt must be posted at theJob site
for the first inspection which occurs seven (7) days iter the building permit is issued In the absence of such posted notice, the
inion will not be 4Vraved and a reinspection fee will be charged
- --
Signature Signature
Owner or Agent �j Contractor
The '' instrument ackmowledg before me this ( The foneg ' instrument was acknowledged before me ftm
dayof J'7AV` ,20 instrument
_ J��t�Yl day of tJo1,V� .2E)�L by
who is personally known to me or who has prWucedF Dz-- who is personally known to me or who has producedV.,
As identification and who did take an oadm. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Primo Ja Print
My Expires: AWRaqMy commission PLUM NWARYPUBW
STATE OF RAM" STATE OF RAFVPA
�e *
IMM
Ue
APPROVED BY I to Plans Examines Zoning
Structural Review Clerk
(Revised 5/2/Z012XAr4iwd3/1212012)OWvised 06/10V2MXRevi9ed 3/15MXRevised 7/10/2007)
.�s
1
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
R Tel:(305) 795.2204
Fax: (305)756.8972
SURVEYAFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF(DADE)
The undersigned Affiant, two does hereby attest that
(ProPeffy owner)
The attached survey,perforrned by_6;A<TA I-AvJIN C2*—Li0'2S mac`
(Name of surveyor's company)
Foraddress: 1 Z3 6
I
Perbmed on IIJ3Ar 4 (date of surrey)is an accurate representation of the existing conditions and
locations of d 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-surrey less than seven(7)years old old.The Affirort, 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 my affect final Inspections as applicable to this or other permits.
F ant th naught.
-- 4 wo --
Property Ownature �y� ` �� �/�Property Owner Print Name
21)
SWORN TO SUBSCRIBED before me this J
Affiant Is personally turban to me,�✓ oduced Ea _ as�tenti8c ion.
John PACPM
14OTMY PUSIX
STATE OF FLORIDA
. Cwm#FF9*106 Notary
Rem on 5r�1M! on 6/92W Expires 4/17/20'20
Miami Shores Village
a. Building Department
10050 N.E.2nd Avenue
a Miami Shores, Florida 33138
Tel: (305)795.2204
Fax: (305)756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
.
Whereas, (owner) g4_1
4,&4 .N hereinafter referred to as the
owner of the following described property(address): 123.4
Legal Description Lot Block Subdivision
Folio# ,
Requests permission to install (describe work): oma►lR r
Within the public right of way of(address) 12 zn
IN CONSIDERATION of the approval of this pennit by the Village, the owner agrees as follows:
1. To maintain and repair, when necessary, the above-mentioned item(s) Installed within the
dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County
to make repairs or maintain said items within public right of way including restoration of
street by reason of the Owner's failure to do so, such expense shall be paid by the Owner
or shall constitute a lien against the above described property until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade
County harmless from any and all liability, which may rise by virtue of permitting the
installation of these items within the public right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense,
within 60 days notice by the Village to do so. Failure to comply with this notice will result
in the Village causing the Item(s) to be removed and a lien being placed on the property
and/or assessed against the Owner for all costs incurred in the removal and disposal of
the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant
running with the land and shall remain in full force and effect and be binding on the
undersigned, their heirs and assigns, until such time as this obligations has been
canceled by an affidavit filed in the Public Records of Dade County, Florida by the
Village Ma ager of Mi mi Shores Village(or his fully authorized representative).
Signature .07I
Owner or Agent
The foregoing instrument was ac Wedged before me this I day of d , 201by
IiAA—& Kfoa�- who is personally known tome or who has produced ift- t'2,v2
►„►ulr
as identification and who did take an oath. `\, e��g Si►v�;.',,%�',�
NOTARY PUBLIC: •' ptfes'•°'
= 3l06#2416
Sign: -
Print: a -
My Commission Expires: ':, om o
AWMI Shores Vide
10050 N.E.2nd Avenue NE
19 Miami Shores,FL 3313OMW
Phone: (305)795.2204
Expiration:06102/2016
Project Address Parcel Nuanber Applicant
1236 NE 83 Street 1132050270180
BRIAN 8 MARILYN WONG
Miami Shores, FL 33138- B1001C. Lot:
omm bdarmomn Adm Plane Cep
BRIAN&MARILYN WONG 1238 NE 83 Street (305)4424884
MIAMI SHORES FL 33138-
1238 NE 83 Street
MIAMI SHORES FL 33138-
Contracbowr(s Phone Ceti Phone Valuation: $ 13,000.00
ARTISTIC CONCRETE GROUP INC (30588-9095 Thi Sq Feet: 1600
Approved:in Review Available inspection:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Worc CUSTOM CONCRETE SQUARES FOR EXI Additional Info: Review Planning
Bond Return: Classification:Residential Review Building
Scanning:2
Feet Due Amount Pa Date T Amt Paid Amt Due
Bond Type-CWftc3ors lona $Woo Invoice# DS-2-160M
CCF $7.80 02AW2018 Check#:201 $707.08 $0.00
DBPR Fee $283
DCA Fee $2.83 Bond# 2980
F.d mation Swdow $2.80
Perna t Fee $175.00
Seng Fee $8.00
Techrwiogy Fee $10.40
Total $707.06
i
I
In consideratlan of the Issuance to me of this permit, I agree to perform the walk covered hereunder In compliance with all ordinances and regulations j
pertaining thereto and In sift confonnity with the pians,drawings,state heft or specifications submitted to the proper authorities of Miami Shores Village. in j
accepting this permit I assume responsFaft fbr all work done by ektw 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 information Is accurate and that all work will be dome In compliance with all applicable laws regulating
oonstrucdon and zones. Futhenrwre,Iabove-named contractor to do the work stated.
rp".) - February 04,2016
Audwrtind :OwnerOtQja�nt / Contractor / AgentDeb
Building Department Copy
Feb wry 04,2016 1
.T% 16- 313
OATE(MMDOtNYY)
CERTIFICATE OF LIABILITY INSURANCE 2/25/2016
THIS CERTIFICATE 6 ISSUED AS A MATTER OF WOFW4TKM ONLY AND CONFERS NO MGM UPON THE CERTIFICATE HOLDER.THE
CERTIFICATE DOES NOT AFtemmATNELY OR NEwTivety AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF WSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE W&MG NSU , AUTHORIZED
RENTATNE OR PRODUCER,AND THE CERTIFICATE HOLDER.
MPORTANT: a the aert>nne-e holder ban ADDITIONAL.INSURED,the polloy(be)must be endorsed. If SUBROGATION IS WANED,subjeot to
On tenne and cordlitions of the policy, II potholes may require an ondorsonieft A stt Innentt on this awdftole does not confer rights to the
certillowle holder In Neu of suoh
PRODUOM GASLBS INSUPJkNCZ A�iCY CORE ATaael Hoadle
4206 Laguna St, Stec ( Os)446-430s ,�: 30s 982-8294
Coral Gables, TL 33146 •info ablesinsurance com
AffUM to RAIN
INSURER A:Et88e8 Insurance Co.
NSURED Artistic Concrete Group Inc. INSURER S:
6945 Nil 53 Terrace INSURER C:
Miami, TL 33166 INSURER D:
(305)888-9095 INSURER E:
(786)426-0979 cell ItaRF:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERS
INDICATED. NOTWITHSTANDING ANY REOUI REMEN)•,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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIM.
ADM
LTB wim
BOB TYPE OF INSURANCE POLICY NUMBER LNAITS
7C LtatatrY EACH OCCURRENCE $ 1,000,000
q ANAS MADE OCCtAi PREAAISES Ewa $......„ 100,000�
3EC4163 /20/2016 /20/2017 MED EXPWWone $ g 000
A x Y PERSONAL AADV INJURY $ 1,000,000
GEWL P AGATE U ITAPPLES PER: GENERAL AGGREGATE $ 2,000,005
RxY❑Ji• F1 LOC PRODUCTS-COMPIOP AM $ 1,000,000
OTHER: It
AUTOMOBILE LIAMM aaNd�n $
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LICENSE NUMBER 209000064
CERTIFICATE HOLDER CANCELLATION
Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE
loaso NE and Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Miami Shores, rL 33138
AUTHORM
®1888-2014 ACORD CORPORATION. Ail dghts reserved.
ACORD25(2014/01) The ACORD nacre and logo are registered marks of ACORD
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PROPERTN&THEAS193RD STREET MIAMI SHORES,FLORIDA 33138 SURVEY NUMBER: 1412.2642
FIELD WORK DATE: 12124/2014 REVISION DATE(S):(REV.0 12/24/2014) :1
1412.26421�7"
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5 89°221440 E 315,89'(M) N B2R'45EER PLAT
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NOTES:
LOT APPEARS TO BE SERVICED BY CITY WATER AND SEWER I/2'FIR 89°22'45"W NO IqN#V100.00(D)
I/2"FIR
FENCE OWNERSHIP NOT DETERMINED O NO ID
l hereby certify tho dory Survey BLK 2 iami Sh . Illage o
hereon described y een made oder LOT 19
my direction, an t?S tttq73bes my knowl,�djeP901/"ED BY DATE BLK 2
and belief, it i rue and ac ate repre3enfaion
of a survey th t um technicrcgf�.IING DEFT o v 15 30
standards set by the Fl Board of--
Professional Su ors ';t�app ` in Chapter
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5J-17 of the Flo Adm ini five Code. SCALE I F4et)ALL N
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RONALD W. WALLING i SUEJECT i0 CC IvIPL1A"NCE WrrH �ERAL 30 t.
State of Florida Professional Surveyor and Mapper,._,-
cense No. 6473 . E ANL)CC,[-JNIY rlbL.ES AND REGULATIONS
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Use of This Survey for Purposes other than Intended,Without Written Verification,will beat the User's Sole Risk and Without Liability to the Surveyor.
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
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 AE •• ••• • • •
(WITH A BASE FLOOD ELEVATION OF 8).THIS ;
PROPERTY WAS FOUND IN THE VILLAGE OF MIAMI SHORES,
COMMUNITY NUMBER 120652,DATED 09/11/09. • •• • • • • :•: ••
AFFILIATE
CLIENT NUMBER:CE1409-FL-2097732 DATE: 12/24/2014 M � Y
, BUYER:Brian W.Wong and Marilyn C.Wong • • � � � � �•
MEMBERS
SELLER: OCWEN LOAN SERVICING,LLC
i CERTIFIED TO:BRIAN W.WONG AND MARILYN C.WONG;PREMIUM ;
` TITLE SERVICES,INC.;WESTCOR LAND TITLE �' A C•�•A
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This is page 1 of 2 and is not valid wit rages. LB#7337 11940 Fairway Lakes Drive,Suite 1,Ft.Myers,FL 33913
ORES
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Miami Shores Village
logo Building Department CF
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10050 N.E.2nd Avenue
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Miami Shores, Florida 33138 j
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Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) 07�(l U)D1q0
hereinafter referred to as the o er of thea described
property (address): A , r".
Legal Description: Lot 5 Block -2— Subdivision '24
Folio #
Requests permission to install (describe work):_ CoACfetb &�
Within the p i way of dress)
rp Al L jj Af 5
�,bfic right
I CAMI rkf�. . -�?
INCONSIDERATION of the approval of this permit by the Village, the owner agrees as follows:
1. To maintain and repair, when necessary, the above-mentioned item(s) installed within the
dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to
make repairs or maintain said items within public right of way including restoration of street by
reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall
constitute a lien against the above described property until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade County
harmless from any and all liability, which may rise by virtue of permitting the installation of
these items within the public right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense,
within 60 days notice by the Village to do so. Failure to comply with this notice will result in the
Village causing the item(s) to be removed and a lien being placed on the property and/or
assessed against the Owner for all costs incurred in the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant running
with the land and shall remain in full force and effect and be binding on the undersigned, their
heirs and assigns, until such time as this obligations has been canceled by an affidavit filed in
the Public Records of Dade County, Florida by the Village Manager of Miami Shores Village
(or his fully authorized representative). STATE OF FLORIDA,COUNT OF DADE NoCOU
/HEREBY CERTIFY that this is a e copy of the Jar
C112K *'0
original filed in this office on day of w Op
AD 2
Signature MAR 2 2 2 — 0— Lo
W1 I Nt:S�i my hand an7d on
Seal. VS
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ner r "eZ! t HARVEY RUVA CLER irc and County Courts 11
0 C-1 B1. —ff.� ��, D.C. Coto
State of Florida TAMSHIAARNOLD#201144
County of Miami Dade
The foregoing instrument was acknowledged before me this a l day of M- A/ZC" , 20 by
I' L who is personally known to me or Hyp,,o has produced
t (,OU-J(P ffill I///,/,
as identification. a V1,vll,
NOTARY PU IC:
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