FW-16-118 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-250979 Permit Number: FW-1-16-118
Scheduled Inspection Date: March 29,2016 Permit Type: Fence/Wall
Inspector. Rodriguez,Jorge Inspection Type: Final
Owner: BELLOSO, DEANNA Work Classification: Wood Fence
Job Address:325 NE 93 Street
Miami Shores,FL Phone Number
Parcel Number 1132060136250
Project: <NONE>
Contractor: AA RELIABLE CONSTRUCTION INC Phone: (305)804-3933
Building Department Comments
210 LN FT 6' HIGH WOOD PRIVACY FENCE BOARD ON Infractio Passed Comments
BOARD INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection The is paid.
March 28,2016 For Inspections please call: (305)762-4949 Page 8 of 27
a
Miami Shores Village '
10050 N.E.2nd Avenue NE A r
Miami Shores,FL 33138-0000
Phone: (305)785-2204
Expiration: 08130/2016
Project Address Parcel Number Applicant
325 NE 93 Street 1132060136250
DEANNA BELLOSO
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
DEANNA BELLOSO 325 NE 93 ST
MIAMI SHORES FL 33138-2854
Contractor(s) Phone Cell Phone Valuation: $ 5,990.00
AA RELIABLE CONSTRUCTION INC (305)804-3933
Total Sq Feet: 210
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Final
Date Denied: Foundation
Type of Construction:Wood Fence Additional Info:210 LN FT V HIGH WOOD PRIVACY Review Building
Classification:Residential Scanning:3 Review Building
Review Planning
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.60 Invoice# FW-1-16-58346
DBPR Fee $3.15 01/14/2016 Check*6433 $50.00 $184.90
DCA Fee $3.15
Education Surcharge $1.20 03/03/2016 Check#:6693 $184.90 $0.00
Permit Fee-Wire&Wood $210.00
Scanning Fee $9.00
Technology Fee $4.80
Total: $234.90
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermors,I authorize the above-named contractor to do the work stated.
March 03,2016
A orized Signature:Owner / Applicant / ntractor Agent ate
Building Department Copy
March 03,2016 1
Miami Shores Villa e
g
7JAN714
16Building Department 0
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20 IV
BUILDING Permit No. FW /6'— //g'
PERMIT APPLICATION Master Permit No.
Permit Type: UILDING ROOFING
JOB ADDRESS: 3�LS' )46- 13
City: Miami Shores County:? Miami Dade Zip: 3-313
Folio/Parcel#: H-5--WG- 013-&aS-'b /
Is the Building Historically Designated:Yes NO ✓ Flood Zone:
OWNER:Name(Fee Simple Titleholder): -DeGnA", & 1)0.50 Phone#:
Address: &'�S 1-46-' 013 S�-
City: rn I G/'N i S or e-5 State:
Tenant/Lessee Name: Phone#:
Email:
fiA
CONTRACTOR:Company Name: JqI'a /Z e-4-q - S I--Z7 e.• Phone#: 63 0 S)6-'0
Address: /G 7 17 ^/& /7 -- S 7-
City: ✓/H /-3 State: P'/ Zip: 33/ 6 2
Qualifier Name: b.1-1 4/1 &-e A"" Phone#:
State Certification or Registration#: C G / S/ -71 V Z Certificate of Competency#:
Contact Phone#. 3 V S, o?®If 3 4 33 4'4 re If e-� 4 c�-iS 7�r�c t-t"='1��'o/G�
Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work fors Permit:$ Square/Linear Footage of Work:
Type of Work:+Addition ❑Alteration ONew ORepair/Replace ODemolition
i �
Description of Work: .11 C7 L^
�- l (a A �c V-\ L-)tru � r-1 ✓Gz L, I�`C_2
1()G� cry-)cry-) v^G!
lj ,> U Ccl a S
Color thru tyle:
Submittal Fee$ 00 0'a Permit Fee$ I0.0D CCF$ -1 CO/CC$
Scanning Fee$ • OCT Radon Fee$ . 15 rD�BPR$3 - Bond$
Notary.p /°' Training/Education Fee$ Technology Fee$ q„90
Double Fee$ Structural Review$
TT TOTAL FEE NOW DUE$
Bonding Company's Name(if applicable)
•, Y
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 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 delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commence t musl be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In a bsence f 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 '7 The foregoing instrument was acknowledged before me this
day of /'�'` ,2d 1r ,by Reap,nY— &I 1 day of 20 I�-,by a Ar
r
who is personally known to me or who
has
produced who is personally kno
a MIpC� i �' o� � tf�� c�F�7o4ai.
".oP..... EXPIRES January 4,2018
NOTARY PUBLIC: �'( Q) My COMMISSION#FF07741 s NOTARY Pu. 0163 Floridallota Service.com
� A goP`O` EXPIRES January 4.201
(407 388-0163 C2 CAS_
Sign: Sign:
Print: Print:
My Commission pines: 1 �. My Commission xpires:
APPROVED BY Plans Examiner ` " Zoning
Structural Review Clerk
(Revised 5/2/2012)(Revised 3/122012XRevised 07/10/07XRevised 06/10/2009XRevised 3/15/09)
'OMiami shores Village
UNIX' Building Department
` 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
lORiDA Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF(DADE)
The undersigned Affiant, .bJE'A))Ak BF/.L050,does hereby attest that
(Property owner)
The attached survey,performed by Ft r:c.- ' F�i^G-%ct J Sv
(Name of surveyor's company)
For address: 3as 7111 C q 3 S f
Performed on (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.
Furthec Affiant say eth naught.
DCA nny— 6e 1 Use—
Property
se—
Property Owner Signature Property Owner Print Name
SWORN TO AND SUBSCRIBED before me ,l�°"""°° 0ay OT
:..20: = b®FSI HORT
Affiant is_personally known to me, `• rcrttuca as identification.
,, ..........;�:a,.
EXPIRES January 4,2018
(407)39 -0153 FlorldalloteryService com
Notary
Revised on 5/22/2009/Revised on 6/12109
it
r �
JEFF ATWATER
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
CONSTRUCTIONINDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law.
EFFECTIVE DATE: 10272015 EXPIRATION DATE: 10262017
PERSON: ALMAGUER ABEL
FEIN: 208158558
BUSINESS NAME AND ADDRESS:
A A RELIABLE CONSTRUCTION,INC.
1679 NE 174 ST
NORTH MIAMI BEACH FL 33162
SCOPES OF BUSINESS OR TRADE:
LICENSED GENERAL CONCRETE OR CEMENT
CONTRACTOR WORK-FLOO
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 perm named on the notice or certificate no longer meets the requirements of this section for issuance of a cerifficate.The department shall revoke a
DFS-172-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 06-13 QUESTIONS?(850)413-1609
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Local Business Tax Receipt
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11805 S.W.26,Street
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Standard - 0 miamtdade.gov
Section 2328 FBC
W-M Maximum
Address:
Fence Height: FT Fence Length: FT
*** IMPORTANT FOR USE AS A POOL BARRIER'""
Outdoor swimming pools shall be provided with a barrier complying with Florida Building
Code Sections 424.2.17.1.1 through 424.2.17.1.14.
Access gates shall be equipped with a self-closing self-latching locking device located no
less than 64 inches from the bottom of the gate.The device release mechanism shall be located on
the pool side of the gate and so placed
that that provide it cannot be reached by a access to the swimmingung poolilust oped over nho tutuward
op or
through any opening or gap. G
away from the pool.
The top of the barrier shall be at least 48 inches above grade measured on the side of the
barrier which faces away from the swimming pool.
The maximum vertical clearance between grade and the bottom of the barrier shall be 2
inches measured on the side of the barrier which faces away from the swimming pool.
• '.:.•' .. o WOOD RAILS ATTACHED TO POST
•••••• • • • 1 WITH FOUR 1 Qct NAILS (NEIN)
• • • • •
•••••• • • ALL NAILS AND CONNECTORS S�
• •••••• BE HQ7 DIPPED GALVANIZED
...... .... .. ..
. ..... .... ...... .
••• •• • •••• I 4x4 No.2 So. PINE PT
• • '�•••: '•...' t SPACED AS FOLLOWS
• • • •••••Q ID FENCE: HEIGHT POST
•••••• ••:•• I s ABOVE GRADE SPACING
• ..iD — " 4'-0" O.C.
5'-0"
••..•. •.•..• . • a 6 5'-0" O.C.
.... 4'-0" 6'-0" O.C.
iV
WOOD PICKETS s/s"MIN THICKNESS
a ATTACHED TO EACH RAIL WITH
1 TWO 16 Ga.STAPLES 1-
T.O. GRADE
gt a
�= FINISHED SIDE OF WOOD FENCE
10" DIAMETER MUST FACE OUTWARD TOWARD
CONCRETE NEIGHBORING PROPERTY OR STREET
` ' FILLED HOLE pE ZONING CODE 33-11
WOMFENCE REQUIREMENTS AS PER.FBC.2014
Land Development Code Sec.22-141.14:The safety barrier shall be erected either around the swimming pool or around the premises on which the swimming pool is erected,in
either event, it shall enclose the area entirely,prohibiting unrestrained admittance to the enclosed area.
FBC 2014 Section 2328:HIGH VELOCITY HURRICANE ZONES:WOOD FENCES
2328.1 Wood fences,so located on a property that by zoning regulations they cannot be used as a wall of a building,shall be constructed to meet the minimum specifications in
2328.2 and 2328.3.
2328.2 Fences not exceeding 6 feet(1829 mm)In height,shall be constructed to meet the following minimum requirements from nominal X 4 X 8 posts No.2 grade or better
spaced 4 feet(1219mm)on center,and embedded 2 feet(610 mm)into a concrete footing 10 inches(254 mm)in diameter and 2 feet(610 mm)deep.
2328.3 Fences not exceeding 5 feet(1524 mm)or 4 feet(1219 mm)in height shall constructed as provided In 2328.2 except that the spacing of posts maybe increased to 5 feet
(1524 mm)and 6 feet(1829 mm)on center for those heights respectively.
Woad fences not exceeding 6'-0"in height may be constructed to meet the following minimum requirements:.
(1) Vertical post of nominal 04 spaced a maximum of 4'o%for 6'high fences,5'%for 5'high fences, 6'%for 4'high fence.
(2) Post shall be embedded 2'0"into concrete footing 10"in diameter and 2'0"deep.
(3) 2x4 material shall be fastened according to Chapter 23 with(2)#16D golv.nails at each attachment.
(4) All lumber shall be a minimum of#2 grade or better. EW
(5) All fasteners shall be corrosion resistant. TOM
(6) Fence boards less than 8"wide shall be fastened with(2)#8 D gaiv.nails at each connection point.
4x4'
' N j
Fzont
Net
F
4x4
{ b Ur apace .
" 84"
•• ••• 1191
• • • • • i + �
0 900 VIM 01;00AM
FOR FENCE USED AS POOL BARRIER,THE FOLLOWING CODE SECTIONS SHALL BETAKEN INTO CONSIDERATION.,
FBC 454.2.17.1.5. Where the barrier Is composed of horizontal and vertical members and the distapce jjweep th t ps of•trig ho rs is 45 Inches (1143 mm) or
more, spacing between vertical members shall not exceed 4 inches (102 mm). Where there are $ecbrafve cufquts rQtt n v c 41embers, spacing within the cuts shall not
.. • . . . • • • . .
exceed 1%Inches(44 mm)in width, . .• •• •• •
. .. . . . .. . .
FBC 454.2.17.1.8 Access gates, when provided,shall be self-closing and shall comply with the requirements of Sections 4S4.2.17.1.1 through 454.2.17.1.7 and shall be equipped
with a self-latching locking device located on the pool side of the gate. Where the device release Is lQggtepi no jest tpag,,�4�ichej(1372 mm)from the bottom of the gate, the
device release mechanism may be located on either side of the gate and so placed that It cannot be rearhe4 by t y4W cib/d Over toe top or through any opening or gap from the
outside. Gates that provide access to the swimming pool must open outward away from the pool. The g&elAdbdrrietshb^4e no opening greater than Y inch (12.7 mm)
_within 18 inches(457 mm)of the release mechanism.
... . . . ... . .
Wood Fence Rev 6-7.21,
e mss`
Miami shores Village
"' a...I"
Building Department
. u 9 p
10050 N.E.2nd Avenue
LORU�
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305)756.8972
WOOD FENCE DETAIL
❑ Shadow Box
❑ Vertical Picket
❑ Board on Board
Fences < = 6' high posts spaced at 4' on center maximum
Fences < = 5' high posts spaced at 5' on center maximum
Fences < =4' high posts spaced at 6' on center maximum
Fence must not exceed 6' in height
1x pickets fastened
with two corrosion
resistant fasteners per
connection
•• • •••• 2X4 horizontal
•••••• •••• •• • pressuretr£ated
••••• •••: •:• wood members
•"•• with two corrosion
• • • • .•• resistant fasteners
• • • ••. 00 per connection
••••
4x4 pressure treated
posts embedded Tin
concrete footing 10"
diameterx2 deep
ALL wood must be pressure treated
All fasteners must be corrosion resistant
No less than two fasteners in any connection
Fences Good Side Out.The vertical and horizontal I - BOUNDARY S
a, a
members of?a fence shall face the ` `f : I 1 , .; ' Jj
~
supporting
plot on ^•!jici the ien�e is located
10' A S P H A - ROAD A D ;hface tr,e adjoining 1
UTILITY POLE and the nished side �
fie k p' �L �
75.00' (D) 75.02' ��) Or any•eucul� ,;yl t o1 wf��: I 1 r
i CENTRAL ANGLE/DEL TA
U', (b FENCE
r'+ WRE FENCE D B DffD BOOK
N NAIL
Ili I 0 DfSCRrPTrpN OR DfED
F
'
PROPER CORNER O H DRILL HOLE
• L R RECORD D/K DRIVEWAY
CD M FIELD MEASURED ESMT EASEMENT
t -. '`1.; I C CALCULATED E L ELEVATION
CLEAR FF FINISHED FLOOR
�( ((� •� �j�i 7 1 J, .t,'l� 'I ,9 ��.«� ' ENCR ENCROACHMENT F.C.M. FOUND CONCRETE MONUMENT
_ //#� CEONCRELTr L P.K FOUND PARKER-KAL LW NAk
�-1 14_.�t�1 L LENGTH
d/ +L �. 3 r t'-� �kr 4 +ji4' r1 J� PROPERTY LINE L.A1 LIMITED ACCESS EASEMENT
x '�/ '♦� .I 1 1 ! , i,I. { C . CONCRETE MONUMENT M.M. MANHOLE
QF'I'R FOUND IRON ROD N.T S NOT 7p SCALE
rt f cP FOUND IRON PIPE O.R OFFICIAL RECORDS
�`j Z - S_I t ✓w'�'tA' p I R/W RIGHT OF WAY ORB OFFICIAL RECORDS BOOK
O I 1 :• li "17"
17i i",1'.lJ NMC Ar DISC PCP PERMANENT CONTROL POINT
tjO REFERENCE MCN
PERMANENT
UMEN'Nei DRAINAGE E .R .D.E.
.( ? •i i Z `� t i 1 FD FOUND EASEMENT PC PACE
Y PVMT PAVEMENT
P PLAT P.B. PLAT BOOK
aroINNINC
ASPHALT
OVCRIICAD U17LITICS POB PONT OF CavA4rNC
P.O C POINT or C�M.M£INCEMEN r
_._- �.-- n•..+n nn,.o •,�� n P.P. PONCR PALE PD.L. POINT ON LINE
Q 1 C g• } M P C. POINT OF CURVATURE
00 J C`4 MIAMI SNORES CA
TRANSFORMER
T P.R.C. POINT OF R£VFRSE CURVE
crr ION W� W.M. WATER METER
P.T. POINT OF TANGENCY
( _.,.-... T[L, TELEPHONE FACILITIES R. RADIUS(RADUL)
LL i0 12 15 2 �� f`- i L _ :il'1:':'S:` R.O.E. ROOF OVERHANG EASEMENT
® COvfREO AREA
ty &R. BEARING REFERENCE SLR. SFT IRON ROD CAP
O N X ��a dN CHORD S/W SIDEWALK
LOCATION MAP NOT TO SCALE RAD RADIAL TSM TEMPORARY BENCH MARK
_ 2 9' A/C AIR CONDITIONER TRADIAL ip TB. T Y°PPTCAL BANK
a O Stu- co B.M. BENCH MARK WC.
f 7Nr5SrfN0 CORN RON
`•LFI Property address: C.B. CATCH BASIN
0 LLE � � 2$' � N C. CALCULATED
LQ ONE STORYN RESIDENCE J I 325 N.E. 93 Street CENERAL NOTES:
_1 Z .-{ Florida 33138 T) LEGAL DESCRIPTION PROVIDED BY OTHERS
Miami Shores,
/ # 325 z s' f ?} THE LANDS SHOWN HEREON M£Rf NOT ABSTRACTED FOR E PLA NTS
V OR OTHER RECORDED £NCUNBERANCES NOT SHOWN ON THE PLAT.
I Flood zone: X 3) UNDERGROUND PORTIONS OF FOOTINGS FOUNDATIONS OR OTHER
Panel: one: IMPROVEMENTS WERE NOT LOCATED.
�) WALL Af5 ARE TO THE EAC£ OF THE WALL. j
+ L ''✓Y _/1 I W N C S) NOT VALID UNLESS SEALED WITH THE EMBOSSED SURVEYORS SEAL.
LIZ) ` + Date of field work: 10/21/98 6) ONLY wq&E ENCROACHAIENTS LOCATED.
ry 7) NO ID£N1IFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED.
Z Completion date: 10/22/98 B) DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE
o
Q w Surveynumber: G-17754 �"0NN'
1S 2' J 9) FfNC£ OWNERSHIP NOT DETERMINED.
• •• Y . r) BEARINGS REFERENCED TO LISHOWN ARE NE NOTED S B.R.D. UNLESS 0 Hf WISE NOTE-.
tie ,f / lto) ELEVATIONS T R
:a
. . .
115' Q cn rPE R �T••e• - _. Miami Shcres Village I HEREBY CERTIFY THAT THIS 9"DARY SURVEY IS A TRUE AND CORRECT
L REPRESENTATION O'A SURVEY PREPARED LAVLCR MYDIRECTIONW•••••• ewF�iO�ED oT DATE I �pvEO STArE OF t1�RJDA
•• •• Z
•••• • • • F RALPH SWfRDt OFF REGSTERED LAND SURVEYOR N0. 3471
•••• •••••• `v ZONINGDEPT I /���
• • U
*••e • 1••• r A
• BLDG DEPT
•••• • • *age• A� M 8935 ! - /` AGNfD C MICNA£� SMITH GSTERED LAND SURVEYOR NO. 3762
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• ••:•• p1 �O ' F.LP 112" J i P 14" 1 (.
I P 3/d" 0D l SrATE of FLORIDA
*:a** • •,*^T--• 400.10 (M) SUBJECT TO COMPLIANCE WITH ALL FEDERAL SIGNED
••••••
• , , , •• 5 CONE dVALK 75.00
• • • • ACUILAR RfGSTEREO LAND SURVEYOR N0. 5571
...., „•• • - - Legal Description: STATE AND CCUNTY RULES AND REGULATIONS
• r , THISv£Y/S INTENDED FOR MORTGAGE OR REFINANCE PURPOSES ONLY. EXCLUSIVELY
FOR TWS USE BY THOSE TO WHOM/T IS CCR71FiE0. THIS SURVEY IS Nor TO BE USED FOR
0000
r1 I CO SMUC170m. INC.SSURVEYORS.
1/2 ANY OTHER USE WTIHCUI INC WRITTEN CONSENT
air
FIRST
Lot 20 and the East of Lot 19, Block 46, of AN AMENDED
Ii
24' PARKWAY PLAT OF M14MI SHORES SECTION NO.1, according to the Y700 North Ktndell Dri,,*
M plat thereof, as recorded in Plat Book 10, Page 70, of the Public quite •0 Florida 3325e
Q
F-- (305) 271-3655
o Records of Miami Dade County, Florida. re: (305) 271-6499
365 Auhn Avnu*
suite 3
22' ASPHALT ROAD Certified to: Florida(407) rrr-7o10 o'"7 -701 ��°°
-- - - -- _
---- Deanna Belloso- Panther Title, Inc.- Old Republic National Title rex (+07) 977-7020
------
•157 Vultet 8oult•ard
Insurance Company, its successors and/or assigns. Nt,hnllt, Tenn*"" 37217
AND AF'F'ILIATED COMPANIES r 368-9432"-
N. E. 93 STREET ACCO tj d By:— L.B. 8387 'Ax� `615> 3a6-e`n
Nationwide. 1-800-227-2686 rex 1-800-227-2860
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