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DS-16-1120 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)795-2204 Fax:(305)7564972 Inspection Number: INSP-257554 Permit Number. DS-4-16-1120 Scheduled Inspection Date:June 09,2016 Permit Type: Driveways/Sidewalks/Slabs Inspector: Mesa,Michel Inspection Type: Final Owner. LLC,CID 1050 Work Classification: Addition/Alteration Job Address:1050 NE 91 Terrace Miami Shores,FL Phone Number (30586-6050 Parcel Number 1132050010340 Project: <NONE> Contractor: SPECIAL T PAVERS INC Phone:(954)531-0007 Building Depertmen-Comments INSTALLING TRAVERTING PAVERS OVER EXISTING Iniffactlo mme nts POOL DECK. INSPECTOR COMMENTS False Inspector Comments Passed �--P-' Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspectlon fee is paid J 1" June 08,2016 For Inspections please call:(305)762-4949 Page 16 of 45 c "r^Z �� ,�� �F sus ��' �� �, �• s �� �° s * y Miami Shores Village4 \k kMF 10050 N.E.2nd Avenue NE k Miami Shores,FL 33138-0000 •` �, Phone: (305)795-2204 ; fl ' Expiration: 11/0712016 331x. �.�'i2 •��.:•. Project Address Parcel Number Applicant 1050 NE 91 Terrace 1132050010340 CID 1050 LLC Miami Shores, FL Block: Lot: Owner Information Address Phone Cell CID 1050 LLC 10 NW 2 Street (305)586-6050 MIAMI FL 33128- 10 NW 2 Street MIAMI FL 33128- Contractor(s) Phone Cell Phone $ 15,700.00 00 SPECIAL,r PAVERS INC (954)531-07 Valuation: -..._.._.......... ��..._..�_ __._..�_ ......_ Total Sq Feet: 1275 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:INSTALLING TRAVERTING PAVERS OVEF Additional Info: Review Planning Bond Retum: Classification:Residential Review Building Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# DS-4-16.59540 CCF $9.60 05/11/2016 Check#:3127 $500.00 $189.10 DBPR Fee $2.25 DCA Fee $2.25 04/26/2016 Check#:4156 $50.00 $139.10 Education Surcharge $3.20 05/11/2016 Check#:4217 $139.10 $0.00 Permit Fee $150.00 Bond#:3083 Scanning Fee $9.00 Technology Fee $12.80 Total: $689.10 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and t II rk will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contract d ork tated. May 11,2016 Authorized Signature:Owner / Applicant / Contract Date Building Department Copy May 11,2016 1 Miami Shores Village - Building Department 7M,2.1 ots 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20l`-t SDA BUILDING Master Permit No-D'S I (to--1 12� PERMIT APPLICATION Sub Permit No. 524UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I)C- qL�k Ir City: Mia!3)1 Shores County: Miami Dade zip: Folio/Parcel#: 0 -W '034 () Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: eTNv OWNER:Name(Fee Simple Titleholder): (11 Phone#: Address: bso )r-� Qpbd nkA.-_�0 CIty:M1AYYik State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRA R: a e: ` Phone#: Address: • City: State: Zip: Qualifier Name: eew . Phon (q State Certification or Registr on#: Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: cZip: Value of Work for this Permit:$ ,S 1(o)o. o o Square/Linear Footage of Work: I Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition �+ , +' Description of Wo k: 0� .e ac s cVLJ��k e6,,- Specify color of icolor thru tile: Submittal Fee$ Permit Fee$ so ` CCF$ ®/b 1_.'M .CO/CC& Scanning Fee$CP . CK) Radon Fee$ DBPR$ a Notary$ ex Technology Fee$ 1 OZ •<5�') Training/Education Fee$ Double Fee$-::p Structural Reviews$ Bond$ X00 . Q TOTAL FEE NOW DUE$ 139, (C) (Revised02/24/2014) C f 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 Signatur O ER or AGENT CONTRACTOR The foregoing Instru nt was ack led ed before me this The foregoing instrument was ac owledged before me this day of 20_1W .by day of 20 ,by who is personally known to e.,who is personally known to me or who as produced as me or uQh has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: • Si Sign: W�' • w Pri 1 Print: Seal: A Seal: "''� �9FFO myWN WCM@AW#FF9W69 EXPIRES:Nw&-d x29.2019 Fk16k XPIRE8:Nmember29,2019 RowedTbriv&dTWulWwMWM ******** **O******************* ************************** **** ** ******** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) r Miami shores Village $MEQ U„ Building Department 10050 N.E.2nd Avenue y�N Miami Shores, Florida 33138 LORIUp' Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF(FLORIDA) COUNTY OF(DADE) The undersigned Affiant, Q44 does hereby attest that ( rty owner The attached survey,performed by A 19C " 11 ( me of surveyor's company) 2 For address: iosc J l 'ef- � c VC 331300 Performed onIllk ) (date of survey)is an accurate representation of the existing conditions and locations of all structures n 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. Further,A Rt y 5?gh K) a rope er SignatureProperty Owne rint Name SWORN TO AND SUBSCRIBED before me this day of 2,, Affiant is._personally known to me,produced . _ as identification. rr y m(�#016 a EXPIRES:November 29,2019 eo�a>~wanP�ro Notary Revised on 5/72120091 Revised on 6&11 2M t , i Special T Pavers,inc. Uc#CBC036355 20 SE 9th Street-Suite A Deerfield Beach,FL 33441 Proposal Office:954-531-0007 Fax:954-531-0242 WWW.SPECIALTPA iERS.COM Date: 4/1,5/T6— Email:support@speciaitpavers.com Prepared by: Nick Licensed&Insured Phone Number: 954 654-0161 Customer information: Job Site Information: Name: Miguel Portocarrero M Check here If same as Customer infonnatim Address: 1050 NE 91 Terrace Job Name: City,State,Zip: Miami Shores Job Address: Phone Number: Fax Number: Email: I MPortonEM! •LC--o--M--------1 Paver Order Details: Estimated start date: AREA SQUARE FOOTAGE SHAPE COLOR Pool Deck Approx 1,275 JT�—BDTBD TBD We hereby submit specifications and estimate for: Labor and material to chip off and haul away masting Pool deck,copmg and stairs. Re de and replace deck with new sand set material and install new 1co ' . Install new drain nunnin the length of the deck e)dtirtg on the west side. Material 2glLon 1 Standard Concrete Pavers$4495.00 Material Option 2 French Pattern Ivory Select Travertine$15,700.00 Tamageto waterline the May occur when removm Coping. *If mud set is desired price to be ad' d. *Permit fees not included in pLoppsaL We propose hereby to furnish material and labor-complete in accordance with the above specifications for the sum of. Dollars($): 1 5-,7&V.OC) "This proposal may be withdrawn by us If not accepted within 30 days. Payments to be made as follows: 3%discount applied but void if paid by credit card B Permit fee plus permit cost will be added to final invoice Down payment upon signing: 30% 7 fy Dsub grade 3 i/2°bebw final grade by others When pavers are delivered: 30% `i ? ❑�Measure Pius 7%Cuts&wastes Balance due upon completion: 40% Acceptance of Proposal The above prices,specifications and conditions are satisfactory and hereby accepted.You are authorized to do work as specified. I agree to the terms and conditions on the second page of this Proposal/Sales Agreement and payment will be made as outlined. Date of Acceptance: -;;t2 - . - Printed Name: --- - Signature: If contra is cancelled for any reason by either the a vers, nC. ;gn re "Purchaser' or"Seller"30% of the deposit will be forfeited. Terms and Conditions Customer(owners of the premises)described in this proposal,hereafter referred to as"Purchaser"offer to contract with Special T Pavers,Inc hereinafter referred to as "Contractor",to deliver and arrange for Installation of all materials necessary to improve the premises of the property above indicated according to specifications herein Indicated. The general conditions together with all handwritten and printed material contained in this document form the complete contract and there are no representations or warranties or conditions,expressed or implied,affecting this contract other than as expressed herein. This sales contract shag constitute a binding contract of installation in accordance with the following Terms and Conditions. L Inspection-Purchaser is responsible to inspect materials and certify that the shape and color of their choice before Installation.This applies to both field and border. 2.Change of order Purchaser understands that once this shape and mor has been ordered,they cannot be changed without Purchaser being charged both restocking& re-freight fees.This may also cause additional wait time for new materials.Purchaser hereby authorize Contractor to verify and review credit record with an Independent credit reporting agency and release Contractor from all liability incunei from inadvertent admissions or errors.NO WORK IS TO BE DONE OTHER THAN THAT SPECIFIED IN THIS CONTRACT WITHOUT ADDITIONAL CHARGES. 3.Utilities-Sprinkler systems,utility line and/or any underground lines not specifically mentioned in above contract will be the responsibility of the Purchaser. 4.Warranty-AN workmanship H warranted for one(1)year.However,Contractor Is not responsible for any settlement around pool dock and/or spa. S.Original stone sizes are of metric design.All dimensions and wveights are nominal and will vary within accepted standards for concrete products.Square footage quantities vary from shape to shape and are calculated on mold manufacturer's blue prints with an allowance for sand joints of 3mm.This metric calculation is then soft converted to U.S.Measurements. 6.With respects to materials returned for credit due to change in contract after delivery of material.Purchaser will be charged trucking plus 10%handling cost. 7.The contract is subject to acceptance within 30 days,and Is void thereafter at the option of Contractor. 8.All materials Is guaranteed to be as specified.All work performed by Contractor or assigns,wig be completed in a workmanlike manner according to the standard practice.Any alterations,devlations,changes or delays involving extra cost to Contractor or assigns which are caused by the Purchaser,directly or Indirectly will become an extra charge over and above the original contract Which shall be presented to Purchaser in the form of a change order and shall be executed and funded prior to any additional work. 9.Any dispute with respect to the contract its terms,conditions and enforcement shall be governed by the laws of the State of Florida. 30.AN sales are made In accordance with the contractors samples which Purchaser covenants that he has seen and approved.No guarantee of exact color or shade Is made. 11.Approximate time of installation must be requested by the Purchaser at the time of signing contract 12.Contractor does not accept responsibility for delays in deliveries due to fire,floods,strikes,acts of God,or any other conditions or contingencies beyond Its control. 13.Any broken or defective paving stones installed wig be replaced free to charge ff a claim In writing is made to the Contractor within five days from the date of Installation Any such claim will not constitute a reason for delaying payment 14.A 30%deposit must be made at the time of signing contract which shall be considered a condition precedent to place material orders. 15.Ali accounts are due upon final billing after completion of contract.If account Is not paid when due,interest will accrue at the rate of 1.5%per month(18%per annum). If after due dates the account is placed in the hands of an attorney or collection agency for collection of all or part of the amount of Invoice voice or invoices,the Purchaser shag be liable for all costs of collection,Including reasonable attorney's fee and costs,to include trials and/or appeals,or collection charges in an amount not less than 15%of the balance due. 16.All material will be the property of Contractor until final payment has been received,and shall be subject to Florida mechanic's lien law. 17.If Purchaser shag fail to accept delivery hereunder,make payments when due,or in any other respect default under or repudiate or breach this agreement,Contractor shall be entitled to all remedies In law or equity,including the rights of specific performance.Purchaser agrees to indemnify Contractor for all loss or damage Incurred by Contractor as a remit of Purchaser's failure or refusal to perform under this contract,including reasonable attorneys fees and costs Incurred by Contractor in the potion of any claim or legal actiorn against Purchaser. 18.AN payments due to Contractor from purchaser are to be paid to Contractor at its place of business In Deerfield Beach, Florida. 19.Contractor makes no warranty of any kind expressed or Implied,except that the goods sold under this contract shall be of the standard quality of Contractor,and Purchaser assumes an ds k and liability resulting from the use and/or installation of goods.Contractor neither assumes nor authorizes any person or entity to assume for Contractor arty liability In connection with the sale or use of the goods sold,and there are no ore[agreements or warranties collateral to or affecting this contract other than as specifically set forth herein. 20.On default by Purchaser of any of the provisions of this contract seller shall have the option of refusing to perform further under this and any other existing contract between the parties that Contractor may elect,and Contractor may rescind any agreements between parties and hold Purchaser liable for all damages and losses occasioned thereby, or of reselibhg,at public or private sale,undellvered goods covered by this and any other existing agreement between parties that seller may elect Contractor shall not be liable to Purchaser for any pmt on any re-sale,but Purchaser shall remain liable to Contractor for the difference between(1)the contract price of goads,plus all expenses and charges for the account of purchaser specified in this agreement and all expenses of storage and resale,and(2)the resale price of the goods. 21.Customer or property owner to provide survey.Note:If preexisting conditions are deemed unacceptable to the city inspector(Le.Sub-base/stdewaiks/rat ings)and are not quoted above,customer and/or property owner is responsible for additional costs required to meet city code. 22.If work is being performed on pool patio,customer and/or property owner Is responsible for dean-up of any dust or debris that may get into pool from the above scope of work. 23.If excavation work Is required for installation,any damage to sprinkler pipes,electrical wires,sod,tile,septic tanks,or any other objects from such excavation is the responsibility of the customer and/or property owner,and not that of Special T Pavers,Inc i have read,understand and accept the above terms and conditions of contract. A(2/ Special T Pavers Inc.Initials Purchaser's nitials If contract/proposal Is cancelled for any reason by either the"Purchaser"or"Seller"30%of the deposit will be forfeited. RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD csco3s3� The BUILDING CONTRACTOR Named below IS CERTIFIED Under the provisions of Char 488 FS. Expiration date: AUG 31,2016 STEELE,GREGORY P SPECIAL-17 PAVERS INC 4161 JUNIPER TER ' BOYNTON BEACH --"FL 33436 ISSUED_ 0711312014 DISPLAY AS REQUIRED BY LAW SEQ# L1407130M1142 I I i i ti i I BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S.Andrews Ave.,Rm.A-100.Ft.Lauderdale,FL 33301-1895—854-831-4000 VALID OCTOBER 1,2015 THROUGH SEPTEMBER 30,2016 55 DBA;SPECIAL T PAVERS,INC. RAC81pt#°x880-2365cONTRACTOR i Business Nam. Business Type:C()jjMCT0Rl Owner Name:(iRBC?ORY P. sTEBLR Business Opened:lo/11/2010 Business Looatlon:20 SE 9TH STREET-SUITE A StaWC0Unty1CetUReg:CBC036355 DERRFIELD BEACH Exemptlon Code: Business Phone:954-531-0007 Roams seats Employees AAachutee Prote"kMals 1 For Vendho Ntsnber of AA�hi Vamling Type: Tax MWft Transfer Fee NSF Fee y Prior Years I Collects Cost Tial Pall 27.00 0.001 0.00 1 0.00 1 0.001 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax Is levied for the privilege of doing business within Broward County and is non-reguletory.In nature.You must meet all County andfor Munidpailty planning WHEN VALIDATED and zoning requirements.This Business Tax Receipt must be bwtsferred when the business is sold, business name has changed or you have moved the business location.This receipt does not indicate that the business Is legal or that It is In compliance with State or local laws and regulations. MaUing Address: SPECIAL T PAVERS,INC. Receipt #WWW-14-00123427 20 SE 9TH STREET-SUITE A Paid 07/16/2015 27.00 DEERFIELD BEACH, DL 33441 2015 2016 CERTIFICATE OF LIABILITY INSURANCE DATEWNIDDIYYYYI 04/2512016 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. H SUBROGATION 18 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 endorsoment(s). PRODUCER CONTACT PAULO LOPES Express Service Insurance Agency MME (954)943-7900 F No; (91%)943-1810 900 E.Atlantic Blvd.#10 L paulo@express4u.net Pompano Beach,FL 33060 INSURER(S)AFFORDING COVERAGE MAIC 0 Phone 954)943-7900 Fax 954)943-1810 INSURER A: Western Heritage insurance INSURED INSURERS: Special T Pavers,Inc INSURER C: Commerce and Industry Insurance Co 20 SE 9th Street A INSURER D: Normandy Insurance INSURER E: Deerfield Beall FL 33441 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. IN TYPE OF INSURANCE ADD UIvalk POLICY NUMBER POLI�Y EFF POLI pY EXP LIMITS T� Q COMMERCIAL GENERAL LIABA riYEACH OCCURRENCE $ 1,000,000.00 ❑ CLAMS-MADE © OCCUR pR ML Es a RENTED0=11 e $ 100,000.00 A Al&W OS BLANKET Y Y SCP1037794 09/12/2015 09/12/2016 MED EXP(Any one person $ 5,000.00 ❑ PERSONAL&ADV INJURY $ 1,000,000.00 GEN'LAGGREGATE LIMn•APPLES PER: GENERAL AGGREGATE $ 2,000,000.00 ❑ POLICY © JPERCOT- ❑ LOC PRODUCTS-comp/op AGG $ 2,000,000.00 ❑ OTHER $ AUTOMOBILE LUMLI Y C0,180"ESD SINGLE LIMB ❑ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ ❑ AUTOS ❑ AUTOS ❑ HIRED AUTOS ❑ NAiUTT gwNED P,oaP9dTy AMAGE $ ❑ ❑ $ ❑ UMBRELLA LIAB ©OCCUR EACH OCCURRENCE $ 4,000,000.00 C © EXCESS LIAB ❑CLAIMS-MADE EBU011414669 09112/2015 09/12/2016 AGGREGATE $ 4,000,000.00 ® DED ❑ RETENTION$ 0.00 $ WORKER$COMPENSATION ©PER _ ElOTH- AND EMPLOYERS'LIABILITY Y I N ATuTE ER ANY PROPRETORIPARTNER/EXE E.L.EACH ACCIDENT $ 500,000.00 D OFFICER/MEMSEREXCLUDED? CLrnt/� NIA Y NHFL0032452016 01/25/2016 01/25/2017 (ttandah"In NH) E.L.DISEASE-EA EMPLOYE $ 500,000.00 if yes,describe under DESCRIPTION OF OPERATx)NS below E.L.DISEASE-POLICY LIMB $ �Q�,OQ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is required) This policy has Blanket Additional Insured Owners,Lessees or Contractors—Including Primary/Non-Contributory and Walver of Subrogation. License#CBC036355 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Building Department 10050 NE 2nd Ave AUTHORED REPRESENTATIVE �✓ Miami Shores,FL 33138 ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101)QF The ACORD name and logo are registered marks of ACORD JOHN OBARR SOCIATES. INC. TIOL Professional Land Surveyors & mappers W W W.1 BARRALANDSU R V EYORS.COM Vic' 777 N.W.72nd AVENUE 2604 DEL PRADO BLVD SOUTH SUITE 3025 SUITE NO.202 UNIT 1 MIAMI,FLORIDA 33126 CAPE CORAL,FL 33904 PH: (305)262-0400 PH: (239)640-2660 FAX:(306)262-0401 FAX.(239)540-26" Y I ✓ NE4tM TelraCe NE 91 ,t ler:acc - x" ry 3 4 ; l NE91s { p a n s iy - LOCATION SKETCH VIEW OF SUBJECT PROPERTY SCALE-AMS, 1050 NE 915t TERRACE,MIAMI 5hORE5,FL 33138 AAVREV/A770NS A -ARC. E.T.P. -BFCTHC TRM AL PAD ORS •ancmRECORDSSOOK T -MNCTBVr AC -ALROOAa7KWERPAD HEV. -AWVArXW O WL :0m5W KW TB •rELEPNOWBOOM A.E -AAWAWAASISMEW AAM 9ACIMMOICIAMEW P MW.. PAVFZ9W ra&-n3W2CRARYLi9?AZ%IARX M j AR -AUA WROOF Ama WREHYLWOAr PL -PLANTER W.E.•?ECWOLOBV UTOJrYA4S8WSV? 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E OF STATEF CERT/F/CAT/ON.• •• ••• •• • • • •• FIELD DATE: 12/18/2014 ¢:� 0P J OD 10W,T/RE LLCOR'DAUM/TEN DUWILl.COMPAY OR1 '.... ...•''` ••• • SURVEY NO: 14-004326-1 oLDAtEPueUCNArioNAL nTtEANSr ANS'. /TAL6IANK/NTERNATION�IL./NC.ANJV=3TO AGENT/1AfKclRciwxfctt� L.B. 78Q� SEAL AND ER 77NG UNDER 7NElE LAWS OF*IM C f MMO •�QFA?iEkr(=R�/SAGA. SHEET: 2 OF 2 ••• • • • • ••• • • • • • • • • • • • • ••• • •• •• • • • •• •• • • • ••• • •