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DS-16-1431 (2) Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone. (305)795-2204 Fax: (305)75&8972 Inspection Number. INSP-263565 Permit Number: DS-5-16-1431 Scheduled Inspection Date:July 22,2016 Permit Type: Driveways/SidewalksiSlabs Inspector: Mesa,Michel Inspection Type: Final Owner SAUVEUR,KERLINE SAINT Work Classification: Addition/Alteration Job Address:571 NW 113 Stet Miami Shores,FL 33168- Phone Number Parcel Number 1121360211140 Project: <NONE> Contractor: LEVY CONTRACTORS CORP Phone:(786)853-2618 Building Department Comments DRIVEWAY AND APPROACH ° Pawed MM—Ments INSPECTOR COMM1rNTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP 263105.CREATED AS REINSPECTION FOR INSP 259623. 1. Need to finish landscaping. 7-18-16 Failed need plans and permit card on site at time of inspection. person on site could not locate them Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid July 21,2016 For Inspections please call: (305)762-4949 Page 15 of 29 Miami Shores Village 10050 N.E.2nd Avenue NW Miami Shores,FL 33138-0000 Phone: (305)795-2204 � .X Expiration: 12/25/2016 Project Address Parcel Number Applicant 571 NW 113 Street 1121360211140 Miami Shores, FL 33168- Block: Lot: KERLINE SAINT SAUVEUR Owner Information Address Phone Cell KERLINE SAINT SAUVEUR 571 NW 113 Street MIAMI SHORES FL 33168- 571 NW 113 Street MIAMI SHORES FL 33168- Contractor(s) Phone Cell Phone Valuation: $ 5,000.00 LEVY CONTRACTORS CORP (786)853-2618 --�-~��- - • Total Sq Feet: 1800 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:DRIVEWAY AND APPROACH Additional Info: Review Planning Bond Retum: Classification:Residential Review Building Scanning:3 1 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# DS-5-16-59908 CCF $3.00 06/28/2016 Credit Card $697.26 $0.00 DBPR Fee $2.63 DCA Fee $2.63 Bond#:3124 Education Surcharge $1.00 Permit Fee $175.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $697.26 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 y eith myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDO S,D RS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing informati 1.a a urate and that all one in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-nam t ct r rk stated. June 28,2016 Authorized Signature:Owner / Applicant / Cdbinect& / Agent Date Building Department Copy June 28,2016 1 • Miami Shores Village T? Building p De artment UN 1 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BIY Tel:(305)795-2204 Fax:(305)756-8972 CN 12� f1 1 b INSPECTION LINE PHONE NUMBER:(305)762-4949 T= FBC 20 ( BUILDING Master Permit No1)SC_ PERMIT APPLICATION Sub Permit No. dBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS OCHANGEOF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 52 1 Al,\,-/ 1 15 City: Miami Shores County: Miami Dade Zip: -21316s Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone:._ BFE: N FFE: OWNER:Name(Fee Simple Titleholder): K.er ji in 5r4i n l S Q u)Je to P Phone#: 4 Address: .5171 /V ,-\/ 1135+ City: M'�en; ' Yharas State: Zip:_ 33)6/2 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: ('Dnica Ao« rn Phone#: 7/ �5`�- ?-Cis Address: ?:�S S Q /VN✓ 1 5i O City: Al;n Mr State: 't -L Zip: f Z Qualifier Name: I-�.�^�/ Phone#: State Certification or Registration M. Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: _ n^ City: State: Zip: Value of Work for this Permit:$ ;. Square/linear Footage of Work: 1 Type of Work: ❑ Addition ❑ Alteration 0 New ❑ Repair/Replace ❑ Demolition Description of Work: r_'cP_- -r_ f �/f.'\/✓�� I� Specify color of color thru tile: Submittal Fee$ Permit Fee$ I�6—CCF$ 3 CO/CC$ 0 Scanning Fee$ Radon Fee$ 2 - (OS DBPR$ 2- 63 Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ _ Structural Reviews$ Bond$ 5oO TOTAL FEE NOW DUE$ , (Revised02/24/2014) - 9 t 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 Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ( _day of J (' { ,20 1 ( ,by Ii LA day of � )kAA'-SI ,20 t- ,by Y�f�11�1P �a fnt is personally known to 7Z-A1 Gt 5 ,who isCmmonally know o me or who has produced �. (�L as me or who has produced L 'D as identification and who did take an oath. identification and who did take an oath. NOTARY PU IC: NOTARY PU C: Si n: Sign: Print: Print: Seal: Seal: ',top STEPHANIE BABANI f''" N; STEPHANIE BABANI s ; f MY COMMISSION#FF100768 i 3 MY COMMISSION#FF1007M :c r';F7EXPIRES March 16,2018 a .?o:aEXPIRES March 16,2018 aa!:•'' ..,...«. *XIII,,, ss**s* ssx**ea * * ttL `*a * x*w**w* APPROVED BY r Plans Examiner 117116 Zoning Structural Review Clerk (Revised02/24/2014) S�oeFs t�93a Cf .... o...� Miami Shores Village Building Department �l-ORtDp� 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. J COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form anda�G IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 Certificate must specify the description of operations or contractor license number. BUSINESS NAME: Cow BUSINESS ADDRESS: �SSQ AAV 1 �zE CITY Aloes i STATE-jLL:--ZIP 3)2 BUSINESS PHONE: ( 7BL ) 05 5- ZGO$ FAX NUMBER CELL PHONE( r ) QUALIFIER'S NAME: EI/O5 L e±y QUALIFIER'S LIC NUMBER: (�KC. 1 5 �) 1 L, Z� Local Business Tax Recet Miami Da. County,Statd of Fivrrda v ; -:THIS IS NOT A BIL a 7202852 SUSI", W NAWIEEi.00Ak IC N IMC6IPT NO. AAi 4i ' ,CONTRACTOR$CORP NEW$UStNESS` ' * EM R!02616 " SW 162 Ci 7A$548Q M11�M1, L 33196 Mist be 1spiayed at place of business Pursuanty Contv Cabe Chapter BA-Art 9&�0 OWNER SEC.TYPE OF BUSINESS PAYMENT{#QCEIVEp- LEYY,CONTRACTORS CORP 196 SUB- IblNC3 ` sx TAX coI I Ecraa. 13 C/O ISIL3 S LEVY CONTtiAC OR ; . 75.E 06/07/2016 Workers) 1 CRCI 1424 0225-16-001906 This Local Business Tax Rsoelpt only conRmns payment e!the Local Business Tax:T&o Receipt is ad a liceose, permit ore certification o!tLebolder s qualiffcatfops,1646'. businew Holder most comply witb any governmental or nongovermeental repliloglaws and ratpdremenSiicb apply to the husinasa. The RECEIPT N0.abo" t be displayed oa all comp.iorclal vebicles-MkmWWe Code Sao Sa-276. MIAM For nore frdom don,visit iknoll :r CERTIFICATE OF LIABILITY INSURANCE 06J08118 THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,WffEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF IINSLI RANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER _ IMPORTANT: M Ute certiftaft holder is an ADDITIONAL INSURED,the poloyoes)must be endosad. N SUBROGATION IS WANED,subject to the form wal contillionsof the popsy,certain poems nW eeqube oneaftmineft Astellernenten Oft cerllttcats doss not confer dila to the parliftelie toiler In Neu of such andorssawltie PRODUCER Amerman Quality Assurance 10250 S.W.58 Street SM.D-102 Miaml,FL 33138 &L Phone (305)273-3377 Fax (305)273-7333 COVERAGE NAlcr RIsuRED : Granada Ins Levy Contractor Corp 3550 NW 15,Mrset Cz Mleml,FL.13125• BeSUNeERDz 305 tNewRett E: _ w F: _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:- THIS UMBER:THIS IS TO CERTIFY THAT THE POLIOS OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIRIMBIT,TERM OR COMMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WMICH 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 POLICE$ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADM IRM TYPEOFIRANCE INSR POLICYtRIR LIMeT8 GENERAL 1.11481LITY EACH OCCUNsEN8 1000 000. ® COMMERCULLt wu LWILITY a 100,000. E) ElCLA ms 0 Oast 0185FLO0083934 MED Exa o_e�^ s 51000. A ❑ N 10/3112015 10131 18 PERSONAL B ADV NAM s 1,000,000. ❑ GEWJM AGGREGATE IS 2,000,000. GEHT.At GATE t ITAPPL"PER: PRODUCT$•COWMP AGG $ 2,000 000. ® PM= ❑ M ❑ Loc $ AMO .E LIABB.rIY C ISSs31 E LsIIT a ❑ ANY NITO SOWLY WAXY Iw pmw) a ❑ ALL 00"AUTOS BODILY"TRY(PW az:wra $ ❑ SCruE uLw ALITOD PROPERTY DAMM ❑ HIREDAUTOS — ❑ N AUTO$ i ❑ UMBRINAA LIAR p OccuR EiMrH OCCURRENCE a n RY L(AB p wwsmwE Cl DEmTI w a a aEas $ATR>rtLAMS� A�arPioY�er LUlmtm � A °PST EXCLUDED? NIA EL EACH ACCIDEW a _ (Monle"to 1114) E.1-D •EA EMPLOYEE $ MVSPERAMWbWE.L.DOMSE-POLICYLis s OP OPEaAT r LOCAtxx�lVEEecL�(ate�h ACORD ao,. R sage.I mos apaos b reqs Cerdfld Residential OoI'Eoctor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLIOS BE CANCELLED AFORE ACTHEREOF,NOTICE BE DELIVERED� Miami Shor"V�ae Su WhV Deprtment ACCORDANCE��POPRooNS. 10x50 NE 2nd Ave Mini Shy,FL 33138 AUTH17EPREBENTATNE V 0 INS-2009 Aar CORP N. All Ligtft rlwfwd. ACORD 26(2009109)OF The ACORD name arill Igo are registered melt of ACORD 6j8/2016 Report Viewer 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 CONSTRUCTION INDUSTRY EXEMPTION This certfies thatthe individual listed below has elected to be exemptfrom Florida Workers'Compensation law. EFFECTIVE DATE: 204/2016 EXPIRATION DATE: 2/23/2018 PERSON: LEVY ELIAS FEIN: 471786964 BUSINESS NAME AND ADDRESS: LEVY CONTRACTORS CORP 3550 NW 15TH ST MIAMI FL 33125 SCOPES OF BUSINESS OR TRADE: LICENSED RESIDENTIAL CONTRACTR RasuenttoCFmpier410.05(14).F.3.endficardacorporadmwhoeiecffiaxamptlmframtHacha� fllirgacertlflceDodalecllanwderiFdssacdan ffi..;- nefltsaape dthe btsit�named m hie tgflce or cartlflceta ro longer made the retpdremerde dflds aecflan far iseuerrs da certlflcffie.The dapartrnant shell ravdcea DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 httpsl/apps8.fldfs.com/Crreportviewer/reportV ewer.aspx?data=kdvpginc9D7Q3gH6TER6ePl IOAZ%2fSz5bXKYfBxkrekeESoP\Iylv4NPOPN42XeirDRGXVW I... 1/2 SgoRF„s '{1iC.Y93d , Miami shores Village ones 8-"'N Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption 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 BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this L day of1-0-11P ,20 . By 11.2 f l 1 r�C SQ 11(1+ S 0 Uyr LL r . who is personally known tome or has produced . to as identification. Notary: ?:• SlMPHANIE BABANI a ' J�r MY COMMISSION#FF100768 SEAL: ',!o. ... EX IBES March 16,2018 (4271398-0153 FtoddallotarySerWcexom c Levy Contractors Corp Date: 06/26/2016 State of Florida County of Miami Shores Before me this day personally appeared Elias Levy who being duty sworn, deposes and says: That he will be the only person working on the project located 571 n.w 113th st Sworn to (or affirmed) and subscribed before me this June day of 16.2016 by Elias Levy Personally know Produced identification -- . 17'2J VIE-e- UI.ax-N Sm. t or stamp notary :o °velE Public State of Florida Alvarezmission FF 158750 09/03/2018 Miami Shores Village ••• R pm� Building Department C N 2131680351231 OR 9K 30115 P9 4277 QP9s) ^-- ►� 10050 N.E.2nd Avenue RECORDED 06/16/2016 l 9:04:19 i�RIDp Miami Shores, Florida 33138 ilAR+EY RUVIN9 CLERK OF COURT Tel: (305) 795.2204 MIAMI-DADE COUNTYP FLORIDA Fax: (305) 756.8972 S7 {)F FLORlD�1,GOJtM OF DADS COVENANT OF CONSTRUCTION WITHIN RIGHT OF arrFYnr� e�t,•copr dWof Whereas, (owner)�('It c Ste:vt+ �I/rev A D hereinafter referred to as the owner of the following describe n ,e c� property (address): si I /Vw j/3, 54 "a vIt000000rlsaN, D.C. Legal Description: Lot 18 Block Subdivision �' ag Folio# RRA B Requests permission to install (describe work): �,� 2SH �� rt✓�v>r� Within the public right of way of(address) 01 IVE l IN CONSIDERATION 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). Signature Owner or Agent State of Florida County of Miami Dade --� Thome foregoing instrument was acknowledged before me this day ofy C& , 20 , by V '%f),I &i%yH SQ4vf .r who is personally known tome or who has produced DL- as identificati NOTARY PUBLIC. Sign: 1►pY tv9'u., STEPHANIE BABANI Print: MY COMMISSION#FF100768 EXPIRES March 16,2018 (407)398-0153 FloridallotaryServlcemom ••i• Miami Shores Village Building Department 'R'1pR�pA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 RECEIPT PERMIT#: 25 I,4 jT� / DATE: cy 66ntractor (Nme) 0 owner a Architect Picked up 2 sets of plans and(other) Address:_521 /i/w //�Z-2 From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village B din epartment to continue permitting process. Signa (SIGNATURE) PERMIT CLERK INITIAL: -� RESUBMITTED DATE: PERMIT CLERK INITIAL: A C4 $ PEOaq , o Z D tD -- Ile :ra Q• Miami ShrresVillage 2 o �, `< APPROVED BY DATE � � •tom• �°',, ZONING DEPT 7 `W' a G BLDG DEPT C $ SUBJECTi A GGMIPWNCE WITH ALL FEDERAL 9 � a a a STATE ANo C;GUN'i f AULLS AND REGULATfONS `•4i M--3 't.-; I W ,gLOT 19 rOp w BLOCK 6 ( oNA CD --r Oro 140.00' P)(AI) N r a E ( ,, N v D vZ u ( ci O Q 5 g y < v 68.22' o P CO c� n�i2 o tl W — � �_ 8.95' t"!"1 CA) — anCt�l9 AnN -- ruA 01 z cn =rM Z = � � c � rnZ 3 .56'' 62.27' 6 b � 3 m� owp � G O mco N. i N W p v fD s f.I9• Q m° -► (� c w cc n y 2 A f 40.00'(PXM)1 12A co Er 11 CL zn 55 a , LOT 17 o BLOCK 6 rn � Z mO rn , '" `D o Z W Old SEEM r Z ••••• •i• •••i• i• i• i••i• ••• r0 l•, P. 060 n O A� CD z - � rn ••• . . . . ••• ••• • • • ••• • • Surveyor's Legend PROPERTY LINE STRUCTURE FND FOUND IRON PIPE / B.R. BEARING REFEItCE TEL TELEPHONE FACIUTIES ® CONC. BLOCK WALL PIN AS NOTED ON PLAT & CENTRAL ANGLE OR DELTA U.P. UTILITY POLE —X—X— CHAIN-LWK FENCE OR MORE FENCE LBO LICENSE / - BUSINESS R RADIUS OR RADU1l E.U.B. ELECTRIC UTILITY BOX —/Hf— WOOD FENCE LS/ LICENSE 0 - SURVEYOR RAD. RADIAL TIE SEP. SEPTI TANK —0 0 PION FENCE CALL CALCULATED POINT N.R. NON RADIAL D.F. GRAINFIELD ———— EASEMENT SET SET PIN TYP. TYPICAL A/C AIR CONDITIONER -— CENTER UNE A CONTROL POIWT I.R. IRON ROD S/W SIDEWALK ® WOOD DECK E CONCRETE MONUMENT I.P. IRCH PIPE (BEY DRIVEWAY 10 BENCHMARK NICD NAIL & DISK SCR. SEN CONCRETE ELEV ELEVATION PK NAIL PARKER-KAM NAIL GAR GARAGE ® ASPHALT P.T. POINT OF TANGENCY D.N. DRILL HOLE ENOL. ENCLOSURE P.C. POINT OF CURVATURE ® WELL N.T.S. NOT TO SCALE avm / TILE P.R.M. PERMANENT REFERENCE MONUMENT ® FIS HYDRANT F.F. nNNISMED FLOOR WATER P.C.C. POINT OF COMPOUND CURVATURE ® M.H. MANHOLE T.O.B. TOP OF BANK P.R.C. POINT OF REVERSE CURVATURE O.H.L OVERHEAD LINES E.O.W. EDGE OF WATER APPROXIMATE EDGE OF WATER P.0.L POINT OF BEGINNING TX TRANSFORMER E.O.P EDGE OF PAVEMENT ® COVERED AMP.O.C. POINT OF COMMENCEMENT CATV CABLE TV RIM C.V.G. CONCRETE VALLEY CUTTER P.C.P. PERMANENT CONTROL POINT W.M. WATER PETER B.S.L BURRING SETBACK LINE el� TREE M FIELD MEASURED P/E POOL EQUIPMENT S.T.L SURVEY TIE LINE POWER POLE P PLATTED MEASUREMENT CONC. CONCRETE SLAB 1Z CENTER UNE ® CATCH BASIN 0 DEED ESMT EASEMENT R/W RIGHT-OF-WAY C.U.E. COUNTY UTILITY EASEMENT C CALCULATED D.E. DRAINAGE EASEMENT P.U.E. PUBLIC UTILITY EASEMENT LE./E.E. DIGRESS / EOIESS EASEMENT LM.E. LAKE OR LANDSCAPE MAINT. ESMT. LB.E. LANDSCAPE BUFFER EASEMENTC.Y.E. CANAL MAINTENANCE EASEMENT U.E. UTILITY EASEMENT R.O.E. ROOF OVERHANG EASEMENT L.A.E. LIMITED ACCESS EASEMENT A.E. ANCHOR EASEMENT Property Address: General Notes: #00.09 1.)The Legal Description used to perform this survey was supplied by others. . • •••• ••• • 571-573 N.W. 113 Street This survey does not determine or is not to imply ownership ••• 6 ,000* 2.)This survey only shows above ground improvements. 000000 66 • "' ' Miami Shores, Florida 33168 Underground utilities,footings,or encroachments are not located on this survey map 0.0.00 ' 000 3.)If there is a septic tank,well,or drain field on this survey, 00.0'. :069:0 ' Flood Information: the location of such items was shown to us by others and the information was not verified"' ' ' • 4. Examination of the abstract of title will have to be made to determine recorded instrufM'S01*if any,el#&this rope Community Number: 120635 rty.The lands shown herein were not abstracted for easement or other recorded encumdran ces not sAowp on the plat • Panel Number: 12086C0139L 5.)Wall ties are done to the face of the wall. 9 8.)Fence ownership is not determined. •••••6 Suffix: L • 7. Bearings referenced to line noted B.R60:00 9 '.6' : 6 • Date of Firm Index: 09/11/2009 8.)Dimensions shown are platted and measured unless otherwise shown. • Flood Zone: X 9.)No identification found on property comers unless rioted. Base Flood Elevation: NIA 10.) Not valid unless sealed with the signing surveyors embossed seal. 11.) Boundary survey means a drawing and/or graphic representation of the survey work performed in the field,could Date of Field Work: 12/23/2015 be drawn at a shown scale and/or not to scale Date of Completion: 12/24/2015 12.)Elevations if shown are based upon NGVD 1929 unless otherwise noted 13.)This is a BOUNDARY SURVEY unless otherwise noted. 14.)This survey is exclusive for the use of the parties to whom it is certified.The certifications do not extend to any un named parties. 15.)This survey shall not be used for construction/permitting purposes without written consent from the land surveyor who has signed and sealed this survey. Legal Description: Lot 18, of Block 6, of West Shores, according to the plat thereof, as recorded in Plat Book 42, Page 18, of the public records of Miami-Dade County, Florida Printing Instructions: Certified To: While viewing the survey in any PDF Reader, select the File Kerline-Saint Sauveur Drop-down and select"Print". Select a color printer, if Bay City Title Partners, LLC available; or at least one with 8.5" x 14" (legal) paper. WFG National Title Insurance Company Select ALL for Print Range, and the #of copies you would its successors and/or assigns as their interest may appear. like to print out. Under the "Page Scaling" please make sure you have Please copy below for policy preparation purposes selected "None". OTh s policy does not insure against loss or damage by reason of the following Do not check the "Auto-rotate and Center" box. exceptions.Any rights, easements,interests, or claims which may exist by reason Check the "Choose Paper size by PDF" checkbox, then of,or reflected by, the following facts shown on the survey prepared by_ click OK to print. EFRA/N LOPEZ dated 12/24/2015 bearing Job# B-13233 : a. FENCES ENCROACH INTO EASEMENT ALONG REAR LOT LINE. FENCES ENCROACH REAR LOT LINE. M.E. Land Surveying, Inc. 10665 SW 190th Street, Suite 3110 Miami, FL 33157 Phone: (305) 740-3319 - Fax: (305) 669-3190 .p, LB* 7989 Survey#:B-13233 Client File#:912 Page 2 of 2 Not valid without all pages ••�. u�. Miami Shores Village - �� Building Department filpR6► 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305) 756.8972 RECEIPT PERMIT#: J I C- 1 G 31 DATE: al/a/1� 1, C l L .a-i✓ontractor ❑Owner ❑Architect Picked up 2 sets of plans and(other) Address: �S '? I /1-, ✓ /1 From the building department on this date in order to have corrections done to plans And/or get County st mps. I understand that the plans need to be brought back to Miami Shores Village Bui ng D pa a to continue permitting process. Signature: (SIGNATURE) PERMIT CLERK INITIAL: ` CN1(.P✓G RESUBMITTED DATE: PERMIT CLERK INITIAL: s ' ♦yt1 193 li .�, MINIM Miami shores Village Building Department �toRivA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT#: �� `7 3I, DATE: Z 9/1./ I, KavI Kvb9 C) contractor ❑ Owner kWG ❑Architect icked up 2 sets of plans nd (other) Address: S!2 i AlW 113 S j From the building department on this date in order to have corrections done to plans And/or get County stam . I u derstand that the plans need to be brought back to Miami Shores Village Buildin a rtment to continue permitting process. Acknowledged b PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT6ERK INITIAL: