MC-17-25291
•
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. MC -10-17-2529
Permit Type: Mechanical - Residential
Work Classification: Pool Heater
Permit Status: APPROVED
Issue Date: 111212017
Expiration: 05/01/2018
Parcel Number
Applicant
1201 NE 102 Street
Miami Shores, FL 33138-
1132050250160
Block: Lot:
MacDAM & DENISE GLINN
Owner Information
Address
Phone
Cell
MacDAM & DENISE GLINN
1201 NE 102 Street
MIAMI SHORES FL 33138-2600
Contractor(s)
HAVANA AIR CONDITIONING, INC
Phone
(305)558-9136
CeII Phone
Valuation:
Total Sq Feet:
$ 2,000.00
0
Tons:
Additional Info: POOL HEATER INSTALLATION
Classification: Residential
Approved: In Review
Comments:
Date Denied:
Scanning: 3
Date Approved:: In Review
Type of Work: POOL HEATER INSTALLATION
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.10
$2.00
$0.40
$5.00
$140.00
$9.00
$1.60
$161.30
Pay Date
Invoice #
11/02/2017
10/24/2017
Pay Type
MC -10-17-65443
Credit Card
Credit Card
Amt Paid Amt Due
$ 111.30 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Review Planning
Review Mechanical
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.
OWNE"S FIDAVIT: _ certify ha all e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction zoning. Futhe o, -, 1 thorize the above-named contractor to do the work stated.
November 02, 2017
Aut orized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
November 02, 2017 1
Miami Shores
g
V Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION UNE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
RECEIVED
OCT 2 4 7017
41
Sh
Fsc io y
Master Permit No. MC ` 25Z9
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ba -O/ &E LO
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#: I\ -2 OS 005 O1(p0 Is the Building Historically Designated: Yes NO.
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): i\-'\Ctc C,daM C01 \('t,
Address: '0.0) (�,�� L0.3- 34 •
City: \G (61 S\-10C€b State: FL_ Zip: 8e.) ag
Phone#:�
Tenant/Lessee Name:
Email:
Phone#: A/
/14
CONTRACTOR: Company Name: / 1Viy(Y ' l' .)411 ) Phone#:.moi J -55'e
Address: 7S--7 tA-9 - 34 S
City: '')) Gl EG4-Th State: •L- Zip: . OI Q..,
Qualifier Name: 64dp laCcr ,1 Phone#: a6- ::.8 f /a(v
State Certification or Registration #: CSE! J(_.pLoM Certificate of Competency #:
DESIGNER: Architect/Engineer: i -r r b(p ((jr(ltc,6 , -,E. Phone#: j- D)- Com)
Address:2 15 S •L-9-.° , Li . LD 4E )) 1 City: M iCrfl State: L_ Zip: 33) .'
Value of Work for this Permit: �' - �� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration Q ew ❑ Repair/Replace n Demolition
Description of Work: l 1,---Ec � CAC4i c
Specify color of color thru tile:
Submittal Fee $ -=Permit Fee$1 CCF $ (• 2' CO/CC $Perd
Scanning Fee $ G Radon Fee $ DBPR Z �$ • ‘C)
O Notary $ NerKi Jr
6
Technology Fee $ • (I)LI0 Training/Education Fee $ . O Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 11 1 • 3a
(RevisedO7/24/7n141
Bonding Company's Name (if applicable)
Bondilrg 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 sot be approved and a reinspection (e will be charged.
Signature
/9
OWNER or AGENT
The foregoingry
instrument was acknowledged before me this
``-/ day of C �-0 , 20 17 by
n to
yallow
,who is
me or who has produced 3.)lZ.n I t rt r` as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 696,61 , 20 17 , by
c J1 kk , who is personally known to
..,_,tr010 1 t korado as
identification and who did take an oath.
NOTARY PUBLIC:
me or who has produced
Sign.
Print:
Seal:
coLo�ey1
40:;►;t, LUZ HELENA ARAGON
#�; * ',, MY COMMISSION # GG 095917
EXPIRES: May 19, 2021
LiEOelgiP� Bonded Thru Notary Public Underwriters
******************************************* **************************
APPROVED BY
V
PI ns Extfminer
Structural Review
*****************
,vr-)
Zoning
Clerk
PREPARED BY:
risat *0.
Land urveyors, Inc.
1201 MarYnnal
www.exactaland.com
Toll Free 866-735-1916 F 866-744-2882
PROPERTY ADDRESS: 1201 NE 102 STREET MIAMI SHORES, FLORIDA 33138
FIELD WORK DATE: 10/18/2016 REVISION DATE(S): (REV.0 10/21/2016)
16101887
BOUNDARY SURVEY
MIAMI-DADE COUNTY
SURVEY NUMBER: 1610.1887
1/2' OR
@ PLAT BOUNDARY
C- /
12= 25.00'(P M)
L= 48.37(P) 47.87'(M)
= 110°51'151(P) /09°42'42'(M)
N 34°34'23' W, 4 / . / 7'(P)
N 34°50'02' W, 40.89'(M)
LOT 7
BLK 18C
B.R. (ASSUMED)
N 90°00100' E 129.71' (M)
N 90°00'00" E 130.00' (P)
61 v
RES #1 201
0
U 39.0'
PLANTER
Lora
BLK 186
•I"!M
N 89°51'42' W 93.85'
5' CONC. 5/W
TO LOT CORNER
I herby certify
hereon descri7
my direction
and belief,
of a surge
set forth b
Surveyors &
Florida Adrn/ni
;Pope"i#34,
nundary Survey of the
s been made under
of my know/edge
curate representation
andards of Practice
of Professional
ter 5J-17 of the
nd ts47tlhe des
a ue d
NOTES:
SETBACK INFORMATION PROVIDED BY OTHERS, NOT VERIFIED
LOT APPEARS TO BE SERVICED BY CITY WATER AND SEWER
FENCE OWNERSHIP NOT DETERMINED
SURVE
RONALD W. WALLING
State of Florida Professional Surveyor and Mapper
License No. 6473
GRAPHIC SCALE (In Feet)
1 inch = 40' ft.
Use of This Survey for Purposes other than Intended, Without Written Verification, will be at the User's Sole Risk and Without Liability to the Surveyor.
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
FLOOD INFORMATION:
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING
MUNICIPALITY OR WWW.FEMA.GOV, THE PROPERTY APPEARS TO BE
LOCATED IN ZONE X SHADED. THIS PROPERTY WAS FOUND IN THE
VILLAGE OF MIAMI SHORES, COMMUNITY NUMBER 120652, DATED
09/11/09.
POINTS OF INTEREST
1. RESIDENCE OVER 15' SET BACK LINE
CLIENT NUMBER:
DATE: 10/21/2016
Florida Land
Title Association MEMBERS
BUYER: MACADAM GLINN
SELLER:
AFFILIATE
CERTIFIED TO: MACADAM GLINN
This is page 1 of 2 and is not valid without all pages.
www.exactalandcom
8866-735-1916 • F.866-744-2882
LB# 7337 11940 Fairway Lakes Drive, Suite 1. Ft. Myers. FL 33913
REPORT OF SURVEY 1610.1887
This is page 2 of 2 and is not valid without all pages.
LEGAL DESCRIPTION:
LOT 8, BLOCK 186, BAY BREEZE SECTION, CITY OF MIAMI SHORES, ACCORDING TO THE MAP OR PLAT THEREOF AS RECORDED IN PLAT
BOOK 42, PAGE 25, PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. F
JOB SPECIFIC SURVEYOR NOTES:
THE ASSUMED BEARING REFERENCE OF NORTH 90 DEGREES 00 MINUTES 00 SECONDS EAST IS BASED ON THE NORTHERLY PROPERTY
LINE OF LOT 8, BLOCK 186, LOCATED WITHIN BAY BREEZE SECTION, CITY OF MIAMI SHORES, ACCORDING TO THE PLAT THEREOF, AS
RECORDED IN PLAT BOOK 42, PAGE 25, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
GENERAL SURVEYOR NOTES:
1. The Legal Description used to perform this survey was supplied by others. This survey does not determine or imply ownership.
2. This survey only shows improvements found above ground. Underground footings, utilities and encroachments are not located on this survey map.
3. If there is a septic tank, or drain field shown on this survey, the location is approximate as the location was either shown to Exacta by a third party or it was estimated by metal detection,
probing rods, and visual above ground inspection only. No excavation was performed in order to determine the exact and accurate location.
4. This survey is exclusively for the use of the parties to whom it is certified.
5. Additions or deletions to this survey map and report by other than the signing party or parties is prohibited without written consent of the signing party or parties.
6. Dimensions are in feet and decimals thereof.
7. Due to varying construction standards, house dimensions are approximate.
8. Any FEMA flood zone data contained on this survey is for informational purposes only. Research to obtain such data was performed at www.fema.gov.
9. All corners marked as set are at a minimum a Wdiameter, 18" iron rebar with a cap stamped LB#7337.
10. If you are reading this survey in an electronic format, the information contained on this document is only valid if this document is electronically signed as specified in
Chapter 5J-17.062 (3) of the Florida Administrative Code and Florida Statute 472.025. The Electronic Signature File related to this document is prominently displayed on the invoice for this survey which is
sent under separate cover. Manually signed and sealed logs of all survey signature files are kept in the office of the performing surveyor. If this document is in paper format,
it is not valid without the signature and original raised seal of a Florida Licensed Surveyor.
11. Unless otherwise noted, an examination of the abstract of title was NOT performed by the signing surveyor to determine which instruments, if any, are affecting this property.
12. The symbols reflected in the legend and on this survey may have been enlarged or reduced for clarity. The symbols have been plotted at the center of the field
location, and may not represent the actual shape or size of the feature.
13. Points of Interest (POI's) are selected above -ground improvements which may be in conflict with boundary, building setback or easement lines,
as defined by the parameters of this survey. There may be additional POI's which are not shown, not called -out as POI's, or which are otherwise
unknown to the surveyor. These POl's may not represent all Items of interest to the viewer.
14. Utilities shown on the subject property may or may not Indicate the existence of recorded or unrecorded utility easements.
15. The information contained on this survey has been performed exclusively, and is the sole responsibility, of Exacta Surveyors. Additional logo or references to third party firms are for
informational purposes only.
16. Pursuant to F.S. 558.0035, an individual employee or agent may not be held Individually liable for negligence.
17. House measurements should not be used for new construction or planning. Measurements should be verified prior to such activity.
LEGEND:
LJNETYPES, (muss 0(10..15 rolm,
I BOUNDARY UNE 1
Smucr JRr
CENTERLINE
OWN -LINK or WIRE r1NCL
EASEMENT
EDGE OF WATER
IRON PENCE
OVERHEAD UNES
SURVEY TE UNE
WAU, OR PARTY WALL
MOOD FENCE
VINYL FENCE
SURFACE TYPES:
�1-w-a� 01te.. %wmz
l
ASPHALT L / ; I IXRICK
I��..I TILE
CONCRETE
WATER
1D.1
COVERED
AREA
WOOD EM
SYMBOLS: nurse mei.00 Noma
® BENCH MARK
•
•
■
11111111
tY
•
0
CO
CENTERLINE
CENTRAL ANGLE or DELTA
COMMON OWNERSHIP
CONTROL POINT
CONCRETE MONUMENT
CATCH BASIN
ELEVATION
FIRE HYDRANT
PND OR SET MONUMENT
GUYNIRE OR ANCHOR
MANHOLE
TRE_
UTILITY OR LIGHT POLE
WEIL
SURVEYOR'S LEGEND
NC AIR CONDrT1ONING
B.R. BEARING REFERENCE
B.C. BLOCK CORNER
B.P.P. BACKFLOW PREVENTOR
BIO. BLOCK
BLDG. BUILDING
BM BENCHMARK
B.R.L BUILDING RESTRICTION UNE
BSMT. BASEMENT
B/W BAYA3OX WINDOW
(C) CALCULATED
C CURVE
CATV CABLE TV. RISER
C.B. CONCRETE BLOCK
CHIN. CHIMNEY
C.L.F. CHAIN UNK FENCE
C.O. CLEAN OUT
CONC. CONCRETE
coR. CORNER
C5W CONCRETE SIDEWALK
L.V.G. CONCRETE VALLEY GUTTER
01. CENTER LINE
CP
C/5
co)
COVERED PORCH
CONCRETE SUB
DEED
D.P. DRAIN FIELD
DAV DRIVEWAY
ELN. ELEVATION
CNC. ENCLOSURE
ENT. ENTRANCE
CM ELECTRIC METER
C.O.P. EDGE Or PAVEMENT
E.O.W. EDGE or WATER
CUB ELECTRIC UTILITY BOX
R) FIELD
PCM END. CONCRETE MONUMENT
mil POUND DRILL HOLE
r.r. FINISHED FLOOR
FIP FOUND IRON PIPE
11PC POUND IRON PIPE 6 CAP
nix POUND IRON ROD
PIRG FOUND IRON ROD ♦ CAP
1N POUND NAIL
1540 POUND NAIL R DISC
END. FOUND
rPKN FOUND PARKER-KALON NAIL
PPKN6D POUND PK NAL 6 DISK
PRR51K FOUND RAILROAD 9.1E
GAR. GARAGE
GM GA5 METER
ID.
LUL
INET.
INT.
LEW
(M)
M.B.
M.I.S.
M.F.
N.R.
N.T.5.
0.0.5.
O.G.
Off
OH.
0111
ON
O.R.B.
O.R.V.
CYA
Coe
(P)
P.B.
P.C.
P.C.C.
P.C.P.
PEE
PG.
P.I.
FIS
PLT
P.O.B.
P.O.C.
P.P.
P.R.C.
P.R.M.
P5M
P.T.
(w
REE.
RES.
RAV
(5)
5.5.1
5.C.L
SCR.
IDENTIFICATION
ILLEGIBLE
INSTRUMENT
INTEROECTON
LENGTH
LICENSE i - BUSINESS
LICENSE • - SURVEYOR
MEASURED
MAP BOOK
MITERED END SECTION
METAL FENCE
NON RADIAL
NOT TO SCALE
ON CONCRETE 51AB
ON GROUND
OUTSIDE OF SUBJECT PARCEL
OVERHANG
OVERHEAD LINES
INSIDE OP SUBJECT PARCEL
OFFICIAL RECORD BOOK
OFFICIAL RECORD VOWME
OVERALL
OFFSET
PIAT
PIAT BOOK
POINT 01 CURVATURE
POINT OF COMPOUND CURVATURE
PERMANENT CONTROL POINT
POOL EQUIPMENT
PAGE
POINT OF INTERSECTION
PROFESSIONAL LAND SURVEYOR
PLANTER
POINT Or BEGINNING
POINT OP COMMENCEMENT
PINCHED PIPE
POINT OF REVERSE CURVATURE
PERMANENT REFERENCE MONUMENT
PROFESSIONAL SURVEYOR
AND MAPPER
POINT OF TANGENCY
RADIUS or RADIAL
RECORD
RANGE
RESIDENCE
RIGHT OF WAY
SURVEY
SETBACK UNE
SURVEY CLOSURE UNE
SCREEN
SEC.
SEW.
.i'GD
51RC
5N40
50.11
5T'.
S.T.L
5V
5'W
5.W.
TBM
TEL.
T.O.B.
TW?.
iX
IYP.
U.K
W/C
W/F
W.F.
TMM
YN
V.P.
AE.
AN.E.
C.M.E.
C.U.E.
D.E.
D.U.E.
[SMT.
I.EJE.t.
IRK!.
LAE.
L.B.E.
L.E.
L.M.E.
M.E.
P.U.E.
R.O.E.
s.w.e.
5.W.M.E
T.U.E.
U.E.
•• •
• • •
•
• •
•• • •
• •
• •
••• •
• •
IO •
SEPTICTANKSECTN • • • 0 •
SEWER • • I •
SET GLUE DISC
SET IRON ROD rt:*• • • 4
SET NAIL $ DISC •
SQUARE FEET
5TORY • • •
SURVEY TIE UNEP • •
sewer, 'Awe •
SIDEWALK
SEAWALL
TEMPORARY BENCHMARK
TELEPHONE FACIUTIES
TOP OF BANK
TOWNSHIP
TRANSFORMER
TYPICAL
UTILITY RISER
WITNESS CORNER
WATER PILTER
WOODEN PENCE
WATER METERIVALVE BOX
WATER VALVE
VINYL FENCE
arm mn EASEMENT
ANCHOR EASEMENT
CANAL MAINTENANCE 15MT.
COUNTY UTLU1Y EOMI.
DRAINAGE EASEMENT-
DRAINAGE
ASEMENTDRAINAGE AND UTI6TY CWT.
EASEMENT
INGRLS/1GRE55 ESMT.
IRRIGATION EASEMENT
UM!T11D ACCESS ESMT.
LANDSCAPE BUPPER E5MT.
LANT.'5CAPE ISMT.
LAKE OR LANDSCAPE
MNN.'TINANCE EASEMENT
MAINTENANCE EASEMENT
PUBLIC UTILITY EASEMENT
ROOF OVERHANG ESMT.
SIDEWALK EASEMENT
STORM WATER
MANAGEMENT ESMT.
TECHNOLOGICAL UTILRY !SMT.
unuTY EASEMENT
•
•
•
••••
•
••••
0 ••
• • •
•• •
•
• • • •
• •
• • • •
•
•
•
•
•
•
•
•
•
•
••
ELECTRONIC SIGNATURE:
In complete accordance with Florida Statute 472.025 and Pursuant to
the Electronic Signature Act of 1996 or Florida Statute TITLE XXXIX,
Chapter 668, if this document was received electronically via PDF,
then it has been lawfully Electronically Signed. Therefore, this survey
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PRINTING INSTRUCTIONS:
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2. Select a printer with legal sized paper.
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Exacta Land Surveyors, Inc.
LSI 7337
OFFER VALID ONLY FOR:
MACADAM GLINN
25
I
25%off;
(UP TO$500)
FUTURE
1 SURVEYING SERVICES 1
1 ON THIS PROPERTY* I
1 'Offer valid for fence stakeouts and addtlons to the existing structures only
J
www.exactaland.com
P.866-735-1916 • F.866-744-2882
11940 Fairway Lakes Drive, Suite 1 • Ft. Myers, FL 33913