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DGT-15-2432 Psimft nro:.DGT•9-15.2432 Miami Shores Village may;Doc l+«�� bc�' 10050 N.E.2nd Avenue NW oar Gtassffli�atrorr De-tk-Wood' "•a ms®" Miami Shores,FL 33138-0000 Phone: (305)795-2204 ,:. �.. "PezF 5tal i�Cy1/Irl �'toxt� 'Eissue, : 10127120 S .. Expiration: 4/24/2016 Project Address Parcel Number Applicant 10528 NW 2 Avenue 1121360020030 Miami Shores, FL 33150- Block: Lot: MARTA GAMALLO MARTINEZ Owner Information Address Phone Cell MARTA GAMALLO MARTINEZ 10528 NW 2 Avenue MIAMI SHORES FL 33150- 10528 NW 2 Avenue MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 400.00 MIAMI JGL DECO PAVERS CORP (786)286-5033 _.._. Total Sq Feet: 100 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Framing in Progress Type Const:Wood Deck Additional Info:DECKWOOD CHANGE Review Planning Classification:Residential Scanning:1 Review Building Scanning:1_ Review Building Review Structural Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# DGT-9-15-57197 $2.00 09/24/2015 Credit Card $50.00 $144.60 DCA Fee $2.00 Education Surcharge $0.20 10/27/2015 Credit Card $ 144.60 $0.00 Permit Fee $100.00 Plan Review Fee(Engineer) $80.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $194.60 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 ELECT ICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFF"gF hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction anore,I authorize the above-named contractor to do the work stated. October 27, 2015 Autho ' ed Stpartme n :Owne / Applicant / Contractor / Agent ate B u i I in D Copy October 27,2015 1 ,c, I s31 Miami Shores Village - ( W Building Department SE244 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 SQA FBC 201 q BUILDING Master Permit N4)G-r 15 PERMIT APPLICATION Sub Permit Nod ®BUILDING ❑ ELECTRIC ROOFING ❑ REVISION EXTENSION ❑RENEWAL r-jPLUMBING [:] MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP n. CONTRACTOR DRAWINGS JOB ADDRESS: 10516 NAV 1()C1 -AVenUe, City: Miami Shores County: Miami Dade Zip: 33150 Folio/Parcel#: I I )-I36-001 -fir Is the Building Historically Designate cl:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: ei OWNER:Name(Fee Simple Titleholder): e'I�C-T�lr��(� �� 1-I Phone#: �6� Address: ia!Q8 AIIAJ -0 City: 1. 14 M I a' 5A oL)ej, State: P1 10,414 bC d6 ----.Zip: Tenant/Lessee Name: -eJoeir-jo < IZ/i Phone#: -796 -iS;G-A— K84- Email: �. CONTRACTOR:Company Name: NII i'11e91 I Z&L DEXg PARS Phone : ✓If-fo' Address: IMf 30i C-1W !(OST City: M w l r State: Z L Zip: 33 14 Qualifier Name: ' /� � 9 �, Phone#: -116 ° 2-96'S-033 State Certification or Registration#: (A i3S� (il,,�.� Lfi Certificate of Competency#:_ 0 DESIGNER:Architect/Engineer: +7P^( Imo_ �&U-e.s Phone#: '186 --o�L96 -5� Address: `J Li-`�� � ���� r City: W4:± state: T�( Zip: 32��S' Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work:-(V!Jo-) C Specify color of color thru tile: 66 Submittal Fee$ icy Permit Fee$ CCF$ Cb/CC$ Scanning Fee$. Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ P TOTAL FEE NOW D E$ 1 V q CO (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 whic ccur seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appro d a d !ns ection fee will be charged. Signature C< Signature OWNER orAGEN CONT OR The foregoin ' stru ent was acknowledged before me this The foregoing instrument was acknowledged before me this 6 day of � 20 (� by _p'= day of by NAt� )i is personally known to ��V t G L���� ,who is personally known two me or who has produced - -1 jJ pr- as me or who has producedL- ��2 �-�► ��`- as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: Seal: , Seal: e No;AIvarez tate of Florida Sia�Y eve Notary Public State of Florida My n FF 158750 a� ^, Sindia Alvarez 018 y, 4 My commission FF 158750 �i s 0910312018 APPROVED BY Plans Examiner O Zoning Structural Review Clerk (Revised02/24/2014) Hollywood,Florida 33020 As a necaswy incident to the fulfillment of conditions contained in a title insurance commitment issued by it. File Number: 120088 Folio Number: 11 21360020030 LIMITED POWER OF ATTORNEY Know All Men By These Presents: That MARTA G. MARTINEZ has made, constituted and appointed, and by these presents do(es) make, constitute and appoint LEONARD MARTINEZ true and lawful attorney for and in name,place and stead,giving and granting onto said attorney full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done in and about the premises, including but not limited to the conveyancetencumbrance of said premises,execution of deed/mortgage,settlement statement and any related closing documents;said premises being limited to the following described real property: Lot 3, Shoreland Heights, according to the map or plat thereof, as recorded in Plat Book 43,Page(s) 85, of the Public Records of Miami-Dade County,Florida. As fully,to all intents and purposes,as might or could do if personally present,with full power of substitution and revocation,hereby ratifying and confirming all that said attorney or substitute shall lawfully do or cause to be done by virtue hereof. IN WITNESS WHEREOF,I/we have hereunto set my/our hand(s)and seal(s) DATE: 7 - z V- Z Sealed elivered in the presence of Witness Name Printed: ARTA G.MARTI 1 1A'itn�Namc Printed: 7/1/VAIJ / STATE OF Teoal PA COUNTY OF ' l The foregoing instrument was acknowledged before a this 7 " L Z by MARTA G.MARTINEZ who islare personally known to me or who has produced a ;' , as identification. Notary Pi lic Printed Name My Commission Ex :#EE (Notary Seal) p,`H,y N�� 0. MARCIAL A.P NA Notary Public e tFloridaMy Comm.Expa 3.2016 Commission 1 5509 CTQB Construction Trades QuaBf i BUSINESS CERTIFICATE OF COMPETENCY 09BS00624 MIAMI JGL DECO PAVERS CORP D.B.A.: L�JAVIER Is certified undecthe provisions of Chapter 10 of Miami-Dade County VALID F`;OWC04YTRACTINC UNTIL 091/30/2016 it obz�es Lo4al B6siness Tax Receipt Miami—Dad6 County, State of Florida THIS IS NOTA BILL - DO NOT PAY LBT 6582036 BUSINESS NAMEILOCATION RECEIPT NO. EXPIRES MIAMI JGL DECO PAVERS CORP RENEWAL SEPTEMBER 30, 2016 4485 SW 7 ST 6852678 Must be displayed at placelof business MIAMI FL 33134 Pursuant to County Code Chapter 11A-Art.9 10 BUSINESS SEC.TYPE OF B OWNERPAYMENT RECEIVED MIAMI SGL DECO PAVERS CORP 196 SPECIALTY BUILDING CONTRACTOR BY TAX COLLECT6R Worker(s) 1 09BS00624 $45.00 07/24/2015 CHECK21-15+103756 This Local Business Tax Receipt only cmdimm payment of tim Local Business Tax.The Receipt is not a license. permit or a dertificaton of tho hoWer s gnalificadoim to do huoiness.Holder most comply with any governmental or noagovenhnanidi regulatory laws and ragaire wars whioh apply to the busluess. The RECEIPT N0.above mast be displayed an all commercial vehicles-Miami-Dade Code Sec Ba-M For more information,visit www niamidade.aov/taxcotlector Municipal Contractor's Tax Receipt Miami—Dade County, State of Florida THIS IS NOT A BILL-DO NOT PAY i i CC NO: 09BS00624 BUSINESS NAMEILOCATION RECEIPT EXPIRES "851 JGL DECO PAVERS CORP SEPTEMBER 00, 2015 MIAMI,FL 33134 W 7 ST 7470 Pursuant to Cour4 y Code Sec 10-241 i OWNER TYPE OF BUSINESS MIAMI JGL DECO PAVERS CORP SPECIALTY BUILDING CONTRACTOR Y TAX COLLECTOR 18.75 88/26/2015 022415-065835 Restricted to City of Miami Shores for am infanaaff a,visit f � ® DATE(MMJ°DA-M) .4coav CERTIFICATE OF LIABILITY INSURANCE F8/26/2015 THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFI TE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE :FF BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IN (S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLIER. IMPORTANT, If the certificate holder Is an ADDITIONAL INSURED,the poBty(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the feels and ColufitlWlB Of the policy,certain Pommes nW regulTS an endorsernent. A statement on this certificate does not confer rights to the certfleate holder In Bou of such endorsement(s)- PRODUCER ANDYS ASSURANCE AGENCIES PHONE (305)642-8407 " 1441 N Flagler St oretAIC N,.(305)643-5969 Miami, FL 33135 ADDRESS la@and sassur ce.com B)AFtORDIItO NAC. _ INSURER A GRANADA INS CO INSURED MIAMI JGL DECO PAVERS CORP INSURER B INSURER C 4485 SW 7th Street INSURER Coral Gables, Fl 33134 INSURER E 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 7NE OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, D CONDITIONS OF S HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. am -PAX ICY MEFF LTE OF INSURANCE preA POLICY NUABIER LIMBS — ILm EACH CURRENCE S 1,00 O 000 uu GENERAL Luo T Ea aeasreecre S 100 000 a -war C1 OCCUR MEo oeepersm) s 5 000 A PERS eu►uRr s 1,000,000 0185FL00030051 10/03/14 10/03/15 GENERAL GATE s 2,000,000 ATE LUdIT APPLIE3 PER �� PRODUCT .C (OPAGG S 2,OOO,OOOPRO LOC g AUTOMOBILE LIABILITINGLE LIMIT Y Ea - -- =s S ANYAUTO BODILY (Per pew) S ALL OWNED I SCHEDULED AUTOS AUTOS BODILY i45iY(Per eewlemI S HIRED AUTOS AUTOS Pe R S s --- — �i UMBRELLA LIAB OCCUR EACH OC URRENCE S ---- EXCESS LIAR CLAIMS-MADE AGGREGA S OED RETENTIONS S -- WORKERS COMPENSATION ATU- TH- AND EMPLOYERS'LIABILITYYIN TO Y IWBTS ERANY PROPIMOR(PARTNERrEXECUTNE ^ i E L EACH CCIDENT S OFFICERtMEMBER E%CLUDED7(MandatN/A It Yes, Ory m E L OLS -EA EMPLOYE S DESCRIPTION O OPERATIONS below E L 013 -POLICY LIMIT S - I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(A�ACORD 101,AdQdimml Remarks Sohdule.d more space is remared) PAVING CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE SHOULD ANY OF THE ABOVE DESCRIBEDPOLICIES BE CANCELLED BEFORE BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, CE WILL BE DELIVERED IN 10050 NE 2ND AVE ACCORDANCE WITH THE POLICY PROM N MIAMI, FL. 33138 iftft Fax#(305)756-8972 ' D A ®1988- 10 ACO RATION. AM rights reserved. ACOR025(2010105) The ACORD name and logo are reg eyed marks of ACORD I 6/11/2014 ReportViewer ..111111110 i�/1 100% .g JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA W ORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies thatthe individual listed below has elected to be exemptfrom Florida Workers'Compensation law. EFFECTIVE DATE: 6/10/2014 EXPIRATION DATE: 6/9/2016 PERSON: LEYES JAVIER G FEIN: 270958838 BUSINESS NAME AND ADDRESS: MIAMI JGL DECO PAVERS CORP 4485 SW 7 STREET MIAMI FL 33134 SCOPES OF BUSINESS OR TRADE: CONCRETE OR CEMENT WORK-FLOG Pursued to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemplion from this chapter byflling a certificate,of election urhdm this section may not recover benefits or cnnpmeation order this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be senpt..applyohiywithin the scrape of the business ar trade listed on the recce of election to be e e VL Pursuant to Chmgdm 440.05(131,F.S.,NotCOs of election to be e e ryR=certificates of election to be e> t shell the aub)ect to rewc�tion H.c anytime after the filing Otte notice or the ssumce of the certificate,the person Warred on the notice or =—n.%1"=- ortlfleate ro Itngm rteets the requirements of this section fa Issuanoe of a cmtflcate.The depertmerd shall retdm a certificate at mrytme for failure of the person n.%1 on the cmtfleate to neat the requirements of this section DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE E)r=MPT REVISED 07-12 Qu STIONS7(850)413-1609 https://apps8.fldfs.com(crreporNew.er/reportV emr.aspx?data--kJM)g inc9D7Q3g H6TER6ePl KMZ°/`2fSz5bXKYf B*eksESoPVyl,.4N POPN42Xe!rDRGXVVVI)H... 1/2 6/11/2014 Report Viewer PLEASE CUTOUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE ---•--------------------------------------------------------•------------------------------------------------------------ ' IMPORTANT ; STATE OF FLORIDA PasLwd to Chapter 440.W 14).F.S..an officer of e corporation DEPARTMENT OFFlNANCIALSERVICE3 ei"�OaLyonee y�this chapter flli °mnncacea DIVISION OFWORKERS'COMPENSATION F ° ' Wfioh . Pursuard to Chapter 440.05(12),F.S..Certificates of election to ' CONSTRUCTIONINDUSTRYEX9NPTION ;� bai�o� y���n�s buehessortrade CERIIFlCAIE OF ELE"ON M BE EXEWTFROM FLORIDA ' WORKERS'COW ENSAIION LAW 'D Parsuard to Chapter 440.05(.F.S..Notices ofeiection bobs ' emnO and carfi sates of ei on to be exw*shell be ; EFFECTIVE DAIS: 6/102014 EXPIRAAON DATE: 61812018 ' eUbl6et t0 rewCadon If.at anytime after the filing of the notice r H ar issuarrce -tha certificate,the pmonhamsd fl a ' PERSON: LEYES dAVIER O E notice or certificate°atte no longer nthe regUlfe oftNe ' section for Issuance cf a carfiflcete.The deparbnent bhell rewie i FEW: 270958838 'R a certificate at argfirre for fallme of the person—, on the �E cwdflcatotDnwstftreqLArwffboftHsseoUom BUSINESS NAME AND ADDRESS: MIAMI JGL DECO PAVERS CORP 4485 SW 7 STREET r MIAMI FL 33134 r r ; SCOPES OF BUSINESS OR TRA 'CONCRETE OR CEMENT WORK-FLOO =------------------------------------------------------------------------------------------------------------------------- DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)113-1609 httpsJ/apps8.fldfs.com/crreporW war/reportViewer.aspx?data--kivpgiric9D7Q3gH6TER6eP1KMZ%2fSz5bXKYfB*ekaESoPVy1v4NPOPN42)(eirDRGXWVI)di... 1/2 i n nounami Miami Shores Village SVM -_* Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305) 756.8972 Notice �w to Owner— Workers' Compensation Insur nce Exemption s Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELO YO WLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: er State of Flor�d County of ami-Dade The foregoing was acknowledge before me this 02— day ofM`t�.�2_0 H&e_q((exp who is personally known tome or has produced R— as identification. Notary: SEAL: pubw arm d moo Miami JGL Deco Pavers 3432 sw 16 St Miami FI 33145 Date: 09/03/2015 State of Florida County of Miami Dade Before me this day personally appeared Javier G Lgyes who, being duly sworn, desposes and says: I will work personally in changing wood deck. That he or she will be the only person working on the project located at 10528 NW 2nd Ave Miami Shores 33150 Sworn to or affirmed and subscribed before me this-�Zy of/ September, 2015, by avierGLeyes Personally know Or Produced Identification Z z4v 0S3-O Type of Identification Produced ,-y YAIMI FERNAN®EZ MY COMMISSION#EE141705 7 0 EXPIRES October 26,2015 (407 39&01 b3 FloridallotaryServicexom Print, Type or Stamp Name otary MAP OF BOUNDARY SURVEY N.W. 10 STREET 10528 N.W. 2nd Avenue, Miami Shoe 6 4 w H � . 0 �� mi-Dade County, F 7 W SEP 2 4 2015 Folio # 11-2136-0 ° (45-35) 3 Q $ A (43-85) cv SURVEYOR' PORT: �� z 9 z 10 1. MAP OF BOUNDARY SURVEY, Dated May 7, 20 ~ This Survey Map and Report are not full and complete without the other. N.W. 105th STREET 2. LEGAL DESCRIPTION: LOCATION SKETCH Lot 3, of SHORELAND HEIGHTS, according to the plat thereof, as recorded NOT TO SCALE in Plat Book 43, at Page 85, of the Public Records of Miami—Dade County, Florida. 3.AREA: Containing 8,750 Square Feet, or 0.20 Acres more or less by calculations. 4.ACCURACY: The accuracy obtained by measurement and calculations of a closed geometric figure was found to exceed this requirement. 5. DATA OF SOURCES: HORIZONTAL CONTROL: —The Legal Description was furnished by client. —North Arrow and Bearings refer to an assumed value of N90°00'00"W, along the Easterly Boundary line of the Subject Property. VERTICAL CONTROL: Elevations are referred to N.G.V.D. 1929. Benchmark used: —Miami—Dade County Benchmark # N-567, Elevation 10.54'. 6. FLOOD INFORMATION: NAP Community Name: Village of Miami Shores and Community Number 120652 Map/Panel Number 12086C0302, Suffix: L, FIRM Panel Effective/Revised Date 09-11-2009, Flood Zone X. 7. LIMITATIONS: No research was made for other instruments than the existing in the plat and provided by client. No determination was made as to how the site can be served with utilities. 0000 SURVEYOR'S CERTIFICATION: s•e• • 0000 : . .. • .. 0000 000000 I certify. This Map of Boundary Survey m�ets_aiLappiirr S"`'' inimum Technical;....; Standards as contained Chapter 5J-17. Uhl IdiFcztd to the contrarlk, the e�,su ed distanc�•pntl directions ' shown on the Map of Boundary Survey are `the Game ° `' �°` S. •• ••••• No valid without the signature and the original, raised seal of Li en d Mapp¢�o:Additi8AA*8r deletions to Map of Boundary Survey by other th'd_:rr gran •withotAo Witten c8 ggdf of the signing party or parties. - — —� ••' .. • • 0000.• J 0000.. . . . 0000.. CT O,Cn ?f LI 1CF W711 ALL FCD-RAL ..I . • ••• • • EU NiA L. FORMOSO •• n1TI !\TInMS Professional Surveyor and Mapper State of Florida License No.LS 6660 2243 S.W. 153rd Path,Miami,Florida,33185 Phone: (786)443-0285 Email:eugeniallosas@gmail.com Date: 05-07-2013 SEAL Job. No. 13-0506 Page 1 of 2 Aft? - � MAP OF BOUNDARY SURVEY SCALE:1°=20' _ WEST MIA I SHORE P.B. 43, PG.85 SECTI N B LOT 8 (P.B. 46, 1 PG.35) LOT 7 Abbreviations FOUND I.R.01/2" N90°00'00"W PA 70.00' "=r FOUND I.R.01/2" A Arc (NO ID. NOID.) _ FND Found o 5' WOOD FENCE 0.3' U.E. Utility Easement :1.4 IP Iron Pipe I 12,0' 10.2' IR Rebar �y $ N&D Nail & Disc +ti0 O o n COL. Column +``Oz w N P.B. PLat Book _ a O`L Pg. Page _ 1 .0' 10.0' R W Right-of-Way Center Line � oe00 CL Clear r W Monument Line ' X44 bJ02, t✓ TBM Temporaryrk . 6e, Ory00 ,y Benchma � � �Y' W/P Water Pump O 10.8, LO �O. O PWY Parkway ^ O ' �t WOOD 0 CONCR TE +� Lj _ N N DECK O� PATI N (n Legend 00 �,�® �- ® Unknown Manhole N= C r G,jTE o 30.0 PL •� 1 W00 E Electric Box 0- rGAI o OUN J® 0.2' 11.6 GATE -17d ,�I-P Light Pole Z � d. TM 10.8' ® Property Corner OJ Q d ONE STORY I— o Fire Hydrant W m W A/C ,0 RESIDENCE N t W OJ Q `i o 1 a wM Catch basin 0O iQ M NO. 10528 a N W 0 ® Water Meter = 0 ,�.� F.F.E=12.75' LO wv m Water ValveN i� i 0.6' 1 'V O= rQ, Utility Pole 26.3' O O w C LPConcrete Light Pole Z n �j ri A '`� Z 0) - - -Chain Link Fence 15.0 •�'�' �' a Wood Fence Off' +�0A U -a—o-- Metal Fence —oUL—Overhead Utility line ,�0j CONCRETE Metal Fence DRIVEWAV04 C14 FOUND N&D. (NO ID.) FOUND I.P.01/2" �`ti h`L y`'a X00 O°�i0 •r4WO I.P.01/2" o BLOCK CORNER NO ID. ,�O .�O ,�O .�O 2 ..••.. C 141.99' N90°00'00 W R/ 70' ;ffj P60' SIDE wALt(, o 000000 41 ° ,O ' PARKWAY ;••..0 `oONCRETE CQNC t• •N"0* D RIVE SOD 00 P0 0 0000 0000• Or •'�00• 0000 00000 a 1 +Ei00• r � 0•0•0•0••••• 12.5ASPHALT PAVEMENT "00 • • ga o 0000•••« • 0 • ••OCC •O 1.6' MEDIAN GRASS 1ETRI y. _ SO N Oo TRANDate:05-07-2013 �ON°W° 2nd AVENUE ��`�� Job No.13-0506 �O �O Page 2of2 .......... g I-M J icipa - wc T4 IP tA M- 4- Vw pv A i 5,- AN, MF MT4,0" -­4"at�r� 61, Eo, ' 1 _0 �RF i .r 414. A ER Z 651 Agi NEW N 411 ,W- M i, ji STI-, ONtV7 1'1,�;z FS vn a", A ;ems,2 M If ca w vi"vi, M w HE P, N S AVITY UUDIN G .1 Co MOOOR AMMM I JG., L UM mco-p -JO all P, ---- a ID2- Al� 3' -W VZ' 4A4lr; A I' Ri 046d ,- iwi o-A i2 TB R tkl, A IK, 41 Aw 4co CERTIFICATE OF LIABILITY INSURANCE110/19/2015 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 WANED,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 ANDYS ASSURANCE AGENCIES PHONE (305) 642-8407 FAX ac No Ext: FAX ND:(305)643-5969 1441 W Flagler St -MAIL Miami, FL 33135 ADDRESS:loreta@andysassurance.com INSURER(S) APFORGINO COVERAGE NAICN INSURER A:GRANADA INS CO INSURED MIAMI JGL DECO PAVERS CORP INSURER B INSURER C: 4485 SW 7th Street INSURER D. Coral Gables, Fl 33134 INSURER E. 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. Y EXP LTR ADDL SMR TYPE OF INSURANCE DISR WVD POLICY NUMBER POLICY (M FFF LIMITS TRLIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea 001arML)WMI $ 100,000 CLAIMS-MADE CI OCCUR MED ECP(Any one person) $ 51000 A PERSONAL 8 ADV INJURY 5 1,000,000 0185FL00030051 10/03/15 10/03/16 GENERAL AGGREGATE s 2,000,000 1 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s 2,000,000 POLICY PRO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE L9MT--___ - Eaent $ a rlri ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 'AUTOS AUTOS BODILY INJURY(Per aomdent) $ HIRED AUTOS NON-OWNED PROPERTY $ AUTOS Per 'dent $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION I STATU- DTH - AND EMPLOYERS'LIABILITY ORYLpARS ER YIN ANY PROPRIETORMARTNER/EXECUTIVE ❑ N!A E.L.EACH ACCIDENT $ OFFICEPJUEMMR EXCLUDED'! (an�tay in Nm) E.L.DISEASE-EA EMPLOYE o describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) PAVING i i I CERTIFICATE HOLDER CANCELLATION 10050 NE 2ND AVE SHOULD ANY OF TH ABOVE DE IBED POLICIES B n&NCELL BEFORE MIAMI SHORES, FL 33138 THE EXPIRA_ TE THERE NOTICE WILD AE DEL RED IN ACCORDANCE WITH POLIG�Y P VISIONS. a 1 i AUTHORISED REPRESS TATIVE ©1988-2010 ACORD CORPORATE N. All rights reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD i