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FW-15-2645Protect Address Miami Shores Village 10050 N.E. 2nd Avenue N Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number Expiration: 04/26/2016 Applicant 9125 N BAYSHORE Drive Miami Shores, FL 33150- 1132050010590 Block: Lot: MARK & DARLENE HUTCHINSO Owner Information Address Phone Cell MARK & DARLENE HUTCHINSON 9125 N BAYSHORE Drive MIAMI SHORES FL 33138- (786)712-2347 Contractor(s) GOMEZ & SON FENCE Phone CeII Phone (305)471-8922 Valuation: Total Sq Feet: $ 1,000.00 18 Approved: Comments: Date Approved: : Date Denied: Type of Construction: Wood Fence Classification: Residential Additional Info: REPAIRS (2) WOOD GATES (EXISTI Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Wire & Wood Scanning Fee Technology Fee Total: Amount $0.60 $2.00 $2.00 $0.20 $100.00 $9.00 $0.80 $114.60 Pay Date Pay Type Amt Paid Amt Due Invoice # FW -10-15-57462 10/19/2015 Check #: 24746 $ 50.00 $ 64.60 10/29/2015 Credit Card $ 64.60 $ 0.00 Available Inspections: Inspection Type: Final Review Planning Review Building 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 b - my If, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDO 'S, DO• -OOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing informati construction and zoning. Futhermore, I authorize the above-na Authorized Signature: Owner / Applican Building Department Cop October 29, 2015 to an or to that all work will be done in compliance with all applicable laws regulating o the work stated. actor Agent October 29, 2015 Date 1 C\ \IA\\\IL° BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 OCT 19 215 or. FBC 201g / Master Permit No. F. -1,J- 1 S � - 26 4 J ❑ ROOF Li ❑ REVISION 119 Sub Permit No. ❑ EXTENSION El RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP JOB ADDRESS: C119.3 /y • BAiShore_ Drc UQ City: Miami Shores (� County: Folio/Parcel#: 1k 0 1`"ODI -0 1 Occupancy Type: Load: Construction Type: CONTRACTOR DRAWINGS Miami Dade Zip: 33!,5 Is the Building Historically Designated: Yes NO Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): HarL Gr' bliOn-e i -l- c i,hS4n Phone#: %to -70 a-.3 Y.') Address: q S - e/4ishore ebri 1 L City: 1 ti ern i res State: F( • Tenant/Lessee Name: Email: /�► rv�� Son �p CONTRACTOR: Company Name: UDI i eL �; Son ince Address: t /0 gPS r (i) 2. NTH— City: —City: rn am 1 State: FL a is d Goma Certification or Registration #: 0 Qualifier Name: Zip: 33 (3&a Phone#: Gorp , Phone#:(,35)L1 1- CP2L Zip: 3-,-)A12 Phone#:Cj�0bL4]L f22 Certificate of Competency #: 0 11Ui 1C)l Phone#: DESIGNER: Architect/Engineer: Address: AVA 'v/4 pG Value of Work for this Permit: $ (0 a Od " City: State: Zip: Square/Linear Footage of Work: Ir Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: '&A4 -12J 70 (z.) U.,000 c(47.0s reXAS 7 '4 pQ4.D 771 C/) / F7 4 L C -147—C (EX( s-ri n("v'"') Specify color of --color thru tile: Submittal Fee $ SV 0 Permit Fee $ 00 . CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ 4 • (E�° (Revised02/24/2014) Bon Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Bonding Company's Name (if applicable) d i A 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved nd a reinspection fee will be charged. Signature GENT Signature The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this by day of 03tIcer , 20 by Ga iciC d Gomez , who is personally known to day of rC',itrJn art ,, , who is personally known to ALA 19-ar,20 1`� me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: sithtfed,"..8(//(1/--r4 Print: /��/���� �✓� �Pn� as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Seal: zo`:..',t, BRENDA E. FERNANDEZ * , f MY COMMISSION 8 EE 168039 ip[i:10, FXF'FIE S: February 8, 2016 9jP p�CP Roftried Tin Budget Notary •****************************** APPROVED BY (Revised02/24/2014) ****11$* Sign: kIF) ,Pa'refttL) Print: T.Sjakd U ui:91 EE.218755 rt1-1FEi',111Y 23, 2016 °e; Y�= AV WWW.AARONNOTARY.com eamcsa *************************************************************** Plans Examiner Structural Review lam%)4(#5--- Zoning Clerk From:3054718925 10/13/2015 10:23 #139 P.001/002 CT Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY, OOMEZ CARIDAD ' is Qprtifie4 un ®fir 111e ®rovisions of Chapter 10 of. Miami . 1 From:3054718925 - - A 10/13/2015 10:23 #139 P.002/002 QUALIFYING TRADE(S) 0018 FENCE Juliana H. Sales P.E. idierZo.c,7 Secretary of the Board Miami -Dade County retains all property rights herein. www.miamidade.govieconomy From:3054718925 1 . 000592 10/19/2015 10:35 #141 P.001/001 7 OWNFT, PP 44.0N FENCE CO 0,0 10 SEC. TIME OF 1:770, 196 SP1 ALTy BUJ G: VO00165,Ety ,. 4. ThinteAti.BusinesiTitHBeceipt o inns payojniALV0t.' 4.44..?‘. Business Tax. The Be ::1-7,A-;111franient0,008tDri temp carat:00'0f the ho requirentObithih ..! , i ljj to the b lifiCa ,tr4140,4111hyss. Hold d on all etionneretai vahleles - M For ittorp,htletmation, viejt tevvvextiamidade.nalklananiNtt,•'''.'' .tiniRECEMT No. ahinfainust be d -• r*, pAYMErstf•RECEIVE,,:,.... ,,.BY TAX Rpt.LBC'T\triq.n.::U 5.o0 07/28/2.61 tHECK2-15-19U21 . . is nota license, any governmental 811-276. • OWNER Q91.VIEZ & SON FENCkgORP CAR1DAD GES •• • • . • • •• :•• TYPO;OF Busimms, SPE9ALTY BUIWINctoNtitAsefoit 175.00 10/15/k Mb! we* is eat valid le the following ithath4olltles:Aventent Hotel, Hialeah, Hey Biscayne. Miami Genius, htlaort,Lakeu. Potrero Bay, Phtearest, SUMP/t!!iti!i!ch.TIon al Cutter Bay. For mare information, vishmataiamidadzommatut2r Acciec, �/""��►► CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/14/2015 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 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 endorsement(s). PRODUCER Gil, Garden, Avetrani Insurance GroupcNNo CONTACT Martha Salazar NAME: Est)* (305) 630-4777 Fax No): (305)279-3022 10689 N. Kendall Drive Suite 208 Miami FL 33176 ARES$:msalazar@ggaig.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A Bridgefield Employers Ins . Co . 10701 INSURED Gomez & Son Fence Corp 10805 N.W. 22nd St. Miami FL 33172 INSURER B : INSURER C : EACH OCCURRENCE INSURER D : GE TO RENTED PRREM SES (Ea occurrence) INSURERE: INSURER F : CLAIMS -MADE COVERAGES CERTIFICATE NUMBER:CL154106688 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ GE TO RENTED PRREM SES (Ea occurrence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GE 'L AGGREGATE POLICY OTHER: LIMIT APPLIES PECOT- PER: LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ A WORKERS COMPENSATIONTH- AND EMPLOYERS' LABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N / A 0830-15681 4/1/2015 4/1/2016 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space is required) CONTRACTOR'S LICENSE CTQB # 000016587 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 N.E. 2ND AVENUE MIAMI SHORES, FL. 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Frank Gil/SUSIE ieefir ACORD 25 (2014/01) INS02S ren+ami © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy Number: 3Dx2325 Date Entered: 08 /27 /2015 ACOROr `� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/ 9/2015 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 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 endorsement(s). PRODUCER KEY KNOWLEDGE INSURANCE, INC. 9101-C S. W. 19TH. PLACE FORT LAUDERDALE, FL. 33324 NAMEACT Maria, Ryals PHONE o. Ext): (954)382-5259 FAX No): (954)382-0080 E-MAIL als@ke knowledgeins . com ADDRESS:Y y "y INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: ESSEX INSURANCE COMPANY COMMERCIAL GENERAL LIABILITY INSURED Gomez & Son Fence Corp. 10805 NW 22 ST MIAMI , FL 33172 INSURER B :BURLINGTON INSURANCE COMPANY 3DX2325 INSURER C : 05/14/2016 INSURER D : $ 1 000, 000 $ 100,000 INSURER E INSURER F : TO RENTED PREMISES (Ea occurrence) 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. INSR LTR TYPE OF INSURANCE ADDL SD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A COMMERCIAL GENERAL LIABILITY 3DX2325 05/14/2015 05/14/2016 EACH OCCURRENCE $ 1 000, 000 $ 100,000 CLAIMS -MADE OCCUR TO RENTED PREMISES (Ea occurrence) 1000 DEDUCTIBLEDAMAGE MED EXP (Any one person) $ 5� 000 $ 1.000,000 $ 2, 000 , 000 $ 1,000 , OOO 1000 DEDUCTIBLE PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES POLICY X PRO- JECT OTHER: PER: LOC GENERAL AGGREGATE PRODUCTS-COMPIOP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS N/A COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B XEXCESS UMBRELLA LIAB LIAB (/ OCCUR CLAIMS -MADE HFF0002588 05/14/2015 05/14/2016 EACH OCCURRENCE $ 5,000,000 $ 5 000 000 AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N /A N/A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached U more space Is required) 14-029R Supply, Install and Repair Chain Link Fencing " This policy contains blanket additional insured and waiver of subrogation " CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2 Avenue Miami Shores Village, FL. 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MARIA A. RYALS, AGED El- ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Producedusing Forms Boss Plus software.www.FormsBoss.comimpressivePublishing 800-208-1977 Property Search Application - Miami -Dade County Page 1 of 8 Address Owner Name Folio SEARCH: 9125 N BAYSHORE DRIVE Back to Search Results PROPERTY INFORMATION Folio: 11-3205-001-0590 Sub -Division: WATERSEDGE Property Address 9125 N BAYSHORE DR Miami Shores , FL 33138-3407 Owner MARK HUTCHINSON DARLENE HUTCHINSON Mailing Address 1041 NE 96 ST MIAMI SHORES , FL 33138 Primary Zone 1700 SGL FAMILY - 4001 SQFT & Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 3/2 / 0 Floors 1 Suite http://www.miamidade.gov/propertysearch/ 10/19/2015 chr N� ,frev res Jrdared ey OCT 192015 Fences Godd Side Out. The vertic.l supporting members of a f and horion t interior yof The i ence shall face and ripf+ pot on whigb�.:file-,dree n*snis #, ed side shalt face the adjoining lot or any a, BlSBAYNE : IN 00175'36" W 50.00' • N 8954'24" E 18' ASPHALT PAVEMENT Miami Shores Village iitN L SUE3JECT TO COMPLIANCE WITH ALL FEDERAL TATE AND COt 1NTY RULES AND REGULATIONS APPROVED 1— n. 12J 0 Z 0 Ps 1 BLDG DEPT 6)1 illaokotag4" PLia-4+ ��,�, ilk �t4 d. t 75.01' 15 (.631)(1° 77 PARKWAY r£P N. BAYSHORE DRIVE Accepted By: Property Address: 9126 N. BAYSHORE DRIVE MIAMI, FL 33138 • • • • • • • • • • • • . . NOT'�•S: NVNOES • ' • ' •••• •••• • •• •• • 1.•• • • TWINS 3 ATRUEANDGORREA. MY DIREONON.nee commas vAnnus MINORUM •• Te or MAR= BOARD OF PRO NAL LAND • TAM CODE PURSUANT TO 472927, RLORIIL^. STATIONS • FOR THE FIRM P.S.M. No. 5161 • • TORE ARO AUTHENTIOATOD 0U1OTROATQ SEAL AND= • AMINE OAISSIAL RAISED SEAL OF A LtOTIOND SURVEYOR • •• ••• • ••• 1 • • • a • a -•--- -.-•-Q—�—s — my— • 8WdeaTHNtREEEf • • • • SUITE 3110 1 MIAMI, FL 33157 le PliONE: �1( li 119 _• • • • LEA: 84811 • • • • • • • • • • • • • • • •• •• • • • •• •• Survey:A-60631 Client File*: 15-06-03 Page 1 of 2 Not valid without all pages. • Pagelofl 6`H X 4'W STRONGHOLD IRON ARCHED WALK GATE — RESIDENTIAL GRADE 5 4 3 NO. MATERIAL QTY 1 CAST IRON CAP 2 .-moo IBON•FENCE SHOP vnindrenfenceshop.con COON ES14729 2 1'X1/2'X1/8' 1 3 4 5 1/2'X1/2'X18ga CAST IRON FINIAL 1-1/2'X1-1/2"X14ga 10 10 3 3.87° SPACING 48' TP0604—RGA ,D„b1 14/1' f/tJ/% // .. ... . . . . . .. . p. . .. ... .. . . . .. • • • • . .. • ... /(') /,(3 Mk -d —/-10 hc e" • .. ... •01/0.. • • • ..• • . • • • • • •• • • • • • • .. • • .. • • • •• •• • s• ••• • httpil-/www:fronfenceshop.com/sites/default/files/pictures/products/PDFs/images/TP0604... 10/12/2015 60s /M si 6 4x4 1x6 2x4 2-3°di:t bacl£11 Solid Dog Ear ®max. post spacing FRONT VIEW 1-2e space 3 —» 10" Page 1 of 1 n. --4x4 r2a4 n 2 TOP VIEW 16 I REAR VIEW Copyright 1887 Hower Fenoe Co. Apdghtsresetved douL coo 2 �a) sks 4/ 0 Grp • • .. . •• •.. •• . • • •• iW `tu le_5 •. ••• • • • • • .• • • •••• •• ••. • ••• • • • • • • • • • • •• • • • • •• • • •• • • • •• • * • • •• • • •• • • •• ••• • • • • • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• http://www.hooverfence.com/wood/images/dog-ear-solid/dog-ear-solid-specs.gif 10/12/2015 u.s. crEPARYammr oF HOWLAND tiEtnMiTY ELEVATION CERTIFICATE FEDERAL EfY rawAelereater AEtCY &Swat Plead krantatte Program Important Read the Instructions on pages 1-9. SECTION A- PROPERTY INFORMATION OMB No. 1880-0008 Expiration Date: July 31, 2015 FOR INSURANCE COMPANY USE Al. 17U t CON AND DARLENE HUTCHINSON A2. 13uiidin9 Street Address (Including Apt., Unit, Sufe, andlor Bldg. No.) or P.O. Rade and Box No. 9125 N. BAYSHORE DRIVE MIAMI FLORIDA ® Z1 331 38 Polley Number Company t C Number A3. F� ere ien (Lot and Block Numb, Tax Parcel Number, Legal Description, eta) A4. Ealing Usera (e.g.. Residential, Nan-Readential, Md2Ia n. Assay, da.) Residential A5. Letitude1Langgude: Lst. _ Lang. Horizontal Datum: 0 NAD 1927 ® NAD 1983 AB. Meeh at least 2 photographs of the banding ng If the Cerdcote Is being used tu attain flood Insurance. A7. Bulking Diagram Number 1 A AB. Fora building with a crawtapace or enclosure(s): a) Square footage of craw/Waco or enclosure(s) N/A sq ft b) Number of permanent tem opanings to the crawlspace orendi s) within 1.0 fad above adjacent grade NIA c) Trial net area offlood openings In At.b WA sq In d) Engineered flood openings? ❑ Yes ® No A9. For a building with an attached garage: e) Square footage of attached garage 400 win b) Number of permenehd toad evenings In the attached garage within 1.0 foot above adjacent grade 0 c) Total net eros of food openings In A9.b 0 sq In d) Engineered toad openings? 0 Yes ' No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Convnunity Name & Community Number 120882 B2. County Name MIAMI-DADE COUNTY 83. State FLORIDA 84. Map!Penel Number 120880308 85. Suffix L BB. FIRM Index Date 9111/2009 87. FIRM Panel Effective/Revised Date 9/11/2009 B& Rood Zone(s) VE 89. Base FIood eevation(s) (Zane AO, use base flood depth) 10.0 810. Indicate the source of he Base Flood Elevation (BFE) data or base flood depth entered In item 89. ❑ FIS Prete ® FIRM ❑ Community Determined ❑ Ot herl8ource' 811. Indicate elevation datum used for BFE In Item BD Q4 NGVD 1929 0 NAVD 1985 0 Other/Source: 1312. Is the Landing located In a Coastal Berner Resources System (C_BR8) area or Otherwise Protected Area (OPA)? 0 Yes neslgnatan tie: N/A ❑ CBRS ❑ OPA jjp No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Bonding elevations are based on: 0 Construction Orewings• 0 Building Under Construction' gg Finished Construction A naw Elevation Certificate will be required when construe eo n of the bonding Is complete. C2. Elevations -Zones Al -A30, AE, AH, A(with BRE), VE, V1 -V30, V(with BFE), AR, AR/A, ARAE, AR/A1-130, AR/AH, AR/AO. Canplete RCM CZa-h below according to the building diagram speclfed In Rem A7. In Puerto Rico only, enter meters. Benchmark Utilized: Vertical Datum: NOV01929 Indicate elevation datum used ffrthe elevations In items a) through h) below. xl NGVD 1929 ❑ NAVD 1988 0 Other/Source: Datum used for bulldog elevations must be the sane asthat used for the BFE Check the measurement used. a) Top of bottom flow (Including basement, creedspaoe, or enclosure floor) b) Top of the nest Maher Voce e) Batton of the knsest haizantai sbunturel member (V Zees only) d) Attached garage (tap of slab) e) Lowest elevation of machinery or orpiment servicing the building (Describe type ofequipment and location In Comments) f) Lowest a4adent (aid) grade nerd to building (LAG) g) Highest adjacent (finished) grade net to building (HAG) h) Lowest west adjacent grade at lowest elevation of deck a stats, Including structural ®fed feet ® feet ® feet ®feet feet ® fed ® fed ❑ meters ❑ meters ❑ meters ❑ meters ❑ maters ❑ meters ❑ meters ❑ maters SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This cewtteeton le to be signed and sealed by a land swveya, engineer, or eros@eat authorized by law to certify elevation hdarmation.1 car* that fee Worrretbur on this ctEfcate reressnfs my hese efforts to Interpret the data available. I understand tfrat any Noe currentracybe punishable byline or Imprisonment under 18 U.S. Cade, Salon n 1001. ▪ Check bete If canments are proved on back of fan. Were latitude and Iongnude in Section Aprovided by a O Check here R attachments. maned land surveya7 ill Yes 0 No cerB®e?e Nemo MIGUEL ESPINOSA TVR1OFESSIONAL SURVEYOR & MAPPERCempany Name Espinosa AclanS SW 190 ?: U 3110 CitY MIAMI License Number 5101 Stpi? ZIP Cade. Signature Date612212015 Telephone 17404319 FEMA Form 088.0-33 (7/12) See reverse side for continuation. • •• ••• • • • • • •• • • • • • • •• • • ••• •• • • • •• • ••• • • • • • •• • • •• ••• • Replaces all previous editions. •• ••• • •t• • • • • • •• • 4 • • • • • • • e • • • • •4 • • •• • J •• • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • s ELEVATION CERTIFICATE, pass 2 IMPORTANT: hi those spaces, copy the corresponding information from Section A. Sul Ming Street Address (Including Rpt., Utlt, Sae, ander Maj. No.) a P.O. Route and Sac No. 9128 N. BAYSHORE DRNE FOR INSURANCE COMPANY USE Policy Number. City steMIAMI FL 331Rd Company NAIC Number. SECTION D - SURVEYOR, ENGINES i, OR ARCHITECT CERTIFICATION (CONTINUED) Copy bo8i Sit169 dthis Gavoti Ceretmete for (1) community decal, (2) Insurance agent/company, end (3) bulking owner. Comments LATITUDE LONGTITUDE PER GOGGLE ATTACHMENTS = BUILDING PICTURES C2E= AC UNIT ../174". 6122/2016 Date SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REWIRED) POR ZONE AO AND ZONE A (WITHOUT BEE) For Zones AO end A (without BFE), complete Items El -E5. dere Certificate Is intended tosupport a LOMA or LOMR-F request, complete Seddlotrs A. 9, and C. Fa Items E1 -E4, use natural grade. d available. Check the measurement used. In Puerto Rico only, eider meters. El. Provide elevation Information for the foaming and check the appropriate bares to show whether the eleven is above or below the highest e4)acent grade (HAG) and the lowest adjacent trade (LAG). a) Top a/bottom tbor (Including basement, aawlssace, orendosure) is I feet 0 meters D above or ❑ below the HAG. b) Top of bottom Boor (including browned, oewlspece, orenclosure) te . III feet ❑ maters D above or 13 brew the LA0. E2. For Beetling Diagrams 6-9 vdth permanent goad openings provided In Section A Items B anther 9 (seepages 8-9 of Instrurtons). the nett higher Boor (elevation CU In the diagrams) of Bre building Is RI feet 13 meters O above or 0 beim the tom. E3. Attached gage (top of side) Is Oa feet ❑ maters D above a ❑ below the HAG. E4. Tcp of pleHam ofmachinery and/or equipment servicing the building Is . ® feet ❑ angers 0 above or 0 below Bre HAG. E5. Zone AO only: dna flood depth cumber is available. lathe top of the button flow elevated in accordance with the community's floodplain management ordnance? 0 Yes 0 No SCI Unknown. The local areal worst certify this Information U SeGlon G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative veto completes Santana A 9, and E for Zone A (without a FEMA-isseed or community -Issued BFE) or Zane AO must sign here. The statements In Sections A 9, end E ere correct to the best otne knowledge. Property Owner's or Owner's Authorized Representative's Neme Address City State ZIP Code Signature Date Telephone Comments it Check hero f ettechments. SECTION 0 -COMMUNITY INFORMATION (OPTIONAL) The local cede) who Is authorizer) by We orordinance to administer Bre c ora ntys floodplain management canner =can complete Sections A,13, C (or E), endG of this Sweden Certificate. Complete the epptcabte item(s) end sign below. Check the measurement used in Items 08-010.1n Puerto Rico arty, enter meters. 01. D The Information In Section C was taken tram other dowementaBon that has been signed and sealed bye llc need surveyor, engineer, or erchlect who Is authorized by taw to certify elevation information. (Indicate the source and date calla elevation data In the Commurds area below.) G2. ❑ A cammwdty otddai completed Section E fore budding located In Zone A(withaut a FEMA4ssued a carummty-Ssued BEE) or Zone AO. G3. ❑ The fdlowtng lnfureatian (Items 04-010) Is prodded for community tooddaln management purposes. G4. Permit Number 05. Date Pam* Issued G6. Date Certificate Of CcmpdancelOccnpan y Issued 07. This permit has been Issued for: 0 New Constructer ❑ Substantial Improvement 08. Elevation of as -built lowest floor (including basement) of the bearing: _ ® feet ❑ meters Datum T (39. PEE or (in Zona AO) depth of fovdng atthe bulking site: ® test ❑ meters Dakin 010. Conoramays design Good elevation: ® fed 0 meters Datum Local Oakdars Name Tile Community Neme Telephone Signature Date Comments Jl Check here if attachments, FEMA Form 088-0-33 (7/12) • • •• •• • • • • • •• • • • • • • • • •• ••• •• • • • •• • ••••• ••• • ••• • • • • • • • • • • •• • • • • •• • • • • • • • • • • •• • • •• • • •• ••• • • • • • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Replaces all previous edtTwns. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (Including Apt.. Unit, Sule. endkfr Bldg, No.) or P.O. Route and Box No. 9125 N. BAYSHORE DRIVE Policy Number. aty MIAMI Slate ZIP Code FL 33138 Company NAIC Number - If using the Elevation Certificate to obtain NFIP flood Insurance, affix at least 2 building photographs below according to the instructions for Item A8. Identify all photographs with date taken; °Front View" and 'Rear Vie./; and, if required, "Right Side View/' and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Front View FEMA Form 088-0-33 (7/12) Replaces all previous editions. •• ••• • • • • • •• • • •• • • • • • •• ••• •• • • • •• • • • • • •• • ••• • •• ••• • ••• • • • • •• • • • • • • • • • • • • • • • •• • • •• • • • • ••• • • • • ••• • • • • • • • • • ••• • • • • • • • • • •• •• • • • ••• • • • ••• • • • • • • •• • ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (Including Apt., Unit, Sine, and/or BIdg. No.) or P.O. Route and Box No. 9125 N. BAYSHORE DRIVE Policy Number City MIAMI State ZIP Code FL 33138 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View and "Rear VierP; and, if required, 'Right Side Vievit and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. FEMA Form 086-1133 (7/12) • • • • • • • v • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Replaces all previous editions • Off. a PROPERTY NAE STRUCTURE ODN0. BLOCK WALL pudic-uNK PENCE 00 RARE FENCE WOOD FENCE CION PENCE EASEUINI CENTER INC WOOD ONIC CONCRETE ASPHALT NICK / TILE WATER APPROXIMATE 01TIE OF WATER COVETED AREA I:i" TREE POWER POLE ® CATCH BASIN C.UL COUNTY UTILITY MUM LE/E.E. SOROS / EGRESS EASEMENT U.L 1113Itt EASEMENT Property Address: 9125 N. BAYSHORE DRiVE MIAMI, FL 33138 PN• LS/ CNC SET A ■ ELLV P.T. P.C. PARI. P.C.C. P.R.C. PAIL PALS. P.C.P. M LIL 5.0.0. Surveyor's Legend FOUND / PIN AS NUN OR PUT LICENSE L/ - BUS mons / - SURVEYOR CALCULUS° PORN SET PCN CONTROL PORN CDNR•0E MINIO NT BorcIENARE ELEVATION POINT OT TATODCY POOH OF CURVATURE PERRANQNT REFERENCE IDIEUME NT POINT OF 00IIPOUNO CURVATURE POINT OF REVERE CURVATURE POUT OF SECONFIC POINT or OOSSENCIII6Nr PERMANENT CO NROE POINT MID 50*0 N0D PLATTED 5ASUREMENT CALCULATED RAVE OR LANDSCAPE MALVT. EMr. ROW' OVERMANS usurer Flood Information: Community Number: Panel Number. Suffix Date of Finn Index Flood Zone: Base Flood Elevation: Date of Field Work Date of Completion: 120652 12086C0306 L 9/11/2009 VE 10.0 6116/2015 6/22/2015 SR. BPANTO DEFEBLNcE TEL. A CENTRAL AISLE OR DELTA U.P. H RADIUS Oa RADIAL RAD. RADIAL TE SEP. NR NON RADIAL 0.P. TAR, TYPICAL A/0 LR. IRON ROD E/p LP. IRON PPE OWE MS0 METE k DISI SCR. PK NAD. PARK0A-EATON HAS OAR RAI. DRILL HOLE ENCL. ® BELL H.T.S. •• 010 HYDRANT F3. ® M.H. StA1010LE T.O.O. OWU. OVERHEAD I9NES E.O.M. 1E TRANSFORMER 0.0.0 CATV CABLE TV RAE C.V.5. PICU WMIF METER RSA, P/E POOLE 005014T S.T.I. 0000. CONCRETE SAB EENT EARNEST R/W D.E. DRAWN EAfIDKpT P.U.E. L.R.E. LANDSCAPE DUFFER WNW C.M.E. L.A.E. HIDED ACCESS EASEMENT AE MOTOR EASEMENT TELEPHONE FACILITIES UTILITY POLE ELECTRO UMW DR SEPTIC TA NN DRA N TELO AIA CONDITIONER EIDL7GLE WBYEWAY SORER OARAO[ EI0550IDE NOT TO SCALE 111111311E0 FLOOR 190 Or HANK ENE 0r WATER EDGE OF PAVEMENT CONCRETE VALLEY OUTTEN DOLMA SMARR AMC SURVEY 1E USE CENTER UNE RICHT-Cl-WAY POEN =UTY EASEMENT CANAL NMNTULANCE EASEMENT IIThGeneral Notes; 1. The Legal Description used to perform fids survey %ves supplied by others. Is survey does not determine or Is not to imply ownership. 2. This survey only shows above ground Improvements. Underground unties, fwtiltga, or encroachments are not Ionated on this survey trap. 3. tither" is a septic tank, TOUR, or drain field on this survey, the location of such Berns was *therm to us by others and the bllblmadon was not verified. 4. Examination of the abstract of tib will have to be made to determine record instruments, a any, effect this property. The lands shown herein were not abstracted for easement or other recorded encumbrances not shown on the plat 5. Wal ties ere done to the face of the wall.. 0. Fence ownership Is not determined. 7. Bearings referenced to line toted BR. 8. Dimensions shown aro platted and measured artless otherwise shown. 9. No kkEdification found on property Comers amass noted. 10. Not valid unless sealed with the signing surveyors embossed seal. 11. Boundary survey means a dancing and/or graphic representation of the survey work performed in the field, could be drawn at a shown scale and/or not to 12. Elevations if shown are based upon NGVD 1929 uniace otherwise noted. 13. This Is a BOUNDARY SURVEY unless otherwise noted. 14. This survey is exclusive for the use of the pates to whom it is certified. The ortiMcations do not extend to any unnamed parties. 15. This survey shall not be used for construction/permitting purposes without written consent from Miguel Espinosa. Legal Description: LOT "C" LESS THE WEST 25 FEET THEREOF AND LESS THE SOUTH 12.6 FEET THEREOF, OF SUBDIVISION WATERSEDGE , ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 9, PAGE 141, OF THE PUBUC RECORDS OF MiAMI-DADE COUNTY, FLORIDA pRINTING INSTRUCTIONS: While viewing the survey in any Acrobat Reader, select the File Drop-down and select °Print° r Select a color printer, if available, or at least one with 8.5° x 14° paper. I Select ALL for Print Range, and the # of copies you would like to print out. Under the °Page Scaling" please make sure yoy?o. va' selected "None." • Do not check the °AutoRotate and Center° button • Check the °Choose Paper size by PDF°checkbdx! • Click OK to Print. • • ••• • • • •• • t{Certified To: MARK HUTCHiNSON AND DARLENE HUTCHiNSON ; TRANSFER TITLE SERVICES, INC.; OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY; ; . Its'suoessors and/or assigns as their interest may appear. e® "ropy b or�'+�o icy P``%repaPalion"`{�u`-rposes only: ;MI s iotr' dot* not i1'su a ss or damage by reason of the Mowing ing exceptions: 124 in or claims which may exist by reason of, or reflected by, tho • pt o miry prepared by MIOUEL ESPINOSA dated obQZa(t1a b•ret19 r0T # 440631 • a) tnl*JOTE•S • • • • b) •• •• ••• •• • • • • • • • ••• • • • • • • • • • - Su rtc.y.r.,-60•i _—�..._ `WE. tand terthces, inc.. 10665 SW 190TH Street, Suite 3110 MiAMI, FL 33157 PHONE:(305??•40-319 PVC#:=305j6843190; LB # 6463 rot ;� i Lp,• R 19 � l.ithr.11i rlarrrc