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BPP-16-2679Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Pe Permit NO. BPP -9-16-2679 I■ Permit Type: Pools/Whirlpools/Hot Tubs Work Classirrcation: New Permit Status: APPROVED MI Issue Date: 10/28/2016 Expiration: 04/26/2017 Parcel Number Applicant 253 NE 101 Street Miami Shores, FL 33138-2422 1132060134800 Block: Lot: RICARDO J POL JTRS BERNARI Owner Information Address Phone Cell RICARDO J POL JTRS BERNARDO J 253 NE 101 Street MIAMI SHORES FL 33138- 253 NE 101 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone FLORIDA POOL PATIO CORP (305)815-0181 Valuation: Total Sq Feet: $ 23,500.00 392 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Work: Swimming Pool Additional Info: NEW SWIMMING POOL & SPA Classification: Residential Occupancy: Private Bond Return : YES Scanning: 5 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Plan Review Fee (Engineer) Scanning Fee Technology Fee Amount $14.40 $10.58 $10.58 $4.80 $705.00 $120.00 $15.00 $19.20 Total: $899.56 Pay Date Pay Type Invoice # BPP -9-16-61524 09/29/2016 Credit Card 10/28/2016 Check #: 7566 Amt Paid Amt Due $ 50.00 $ 849.56 $ 849.56 $ 0.00 Available Inspections: Inspection Type: Fence Final Pool Deck Wall Steel Review Planning Review Planning Review Building Review Building Review Electrical Review Plumbing Review Plumbing Review Structural 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 .ermit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for E-�LRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AF I r Ie . I r chat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a d .4(/. ° ermore, I authorize the above-named contractor to do the work stated. October 28, 2016 Au/,�. Bu in d Signature: Owner / Applicant / Contractor / Agent Department Copy Date October 28, 2016 1 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 BUILDING PERMIT APPLICATION ®BUILDING ❑ ELECTRIC ❑ ROOFING RECEIVED SE„ P 2� 0� FBC 201L1 Master Permit No. 7PP 1(.0 - Z(59-61 • Sub Permit No. ❑ REVISION ❑ EXTENSION 0PLUMBING ❑ MECHANICAL 0PUBLIC WORKS ❑ CHANGE OF n) f CONTRACTOR JOB ADDRESS: c253 ' v E l r 0` S+i�ee ❑RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores �County: / Folio/Parcel#: / 32 a/3 6o % 0G Occupancy Type: Load: Miami Dade Zip: 33138 No Is the Building Historically Designated: Yes Construction Type: Flood Zone: 'T-2)....„ OWNER: Name (Fee Simple Titleholder)1 r L!Q Address: ckc 3 ME. _101 S ( City: maim im i Shore,s State: f G. r I Q Co..1 Tenant/Lessee Name: r /0/4 - Email: POLe,&L4hQ {iC:ko iioiC& 4, oral a"-ek CONTRACTOR: Company Name: A/sold Address: 5Z6 / 5Y -c) BFE: FFE: Phone#: 30S -60A -O Zip: 3) V e Phone#: Phone#:0/1/ City: �J /j� , / , ,,/� / State: Qualifier Name: �'�CCI�"C G%!l2'/�0 Phone#: Zip: /S State Certification or Registration #: d/'C / T" 5 .S 3 Z Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ - 50? . dD Square/Linear Footage of Work: '312 - Type of Work: ❑ Addition ❑ Alteration cR New ❑ Repair/Replace ❑ Demolition r Description of Work: 442 .c(>/rn�i, foo/ S g Q Specify color of color thru tile: Submittal Fee $ 50 PAI D Permit Fee $ 0 5 CCF $ Iy • u O CO/CC $ n0 Scanning Fee $ 1 5 Radon Fee $ Id • 58 DBPR $ 10' r$ Notary $ Technology Fee $ i ci . ZO Training/Education Fee $ y • 25°Double Fee $ Structural Reviews $ 120 Bond $ c��O TOTAL FEE NOW DUE $ D q 5@ 39 9 (Revised02/24/2014) 5Q7 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 - person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must b : •sted at job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence • " such po -d notice, the inspection will . :.proved and a reinspect will be charged. OWNER or AGENT The foregoing instrument was acknowledged before me this Z� day of / /&,C4 , 20 /0 , by , who is personally known to CONTRACTOR The f, :oing instrument was acknowledged before me this day of , 20 , by 1-6,e,'04- 2/ , who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: identification and who did take an oath. NOTARY PUBLIC: Sign:l Print r , dk rough National Notary Assn Seal: — - - s Jae..._,� ZOE SALGUEIRO ary Public - State of Florida Courmissloa # F 245484 i un 30, 2019 Sign: Print: Seal: ‘7r.";,, ZOE SALGUEIRO .��o= Notary Public - St - "y' - - `CdD��omission FF 245464 ��rr.• r,..K..o nrcrTi ded through National Notary Assn ********************************** **k***************************************************************** APPROVED BY (Revised02/24/2014) Plans Examiner CD /0(20 Zoning Structural Review Clerk -STATEOFFLORIDA- - .:„ -w ..• - ;_."DEPARTMENrCirBUSINESSAND = . F ;„-PF ESSIONAL.RE6UL-ATION �._I - RC1458,182 ,; ISSUED 07/28/20 1 CERT. COMMERICAL POOUSPA-CONTR.._ I Vi4L�ERO;'6LAUDIO SEBASTIAN!_ z,„- -- -- �-. FL'ORIDAPOOL-PATIO;CORP• r .rIS C EU un 't ie-provisi ns,ot.C•h- ” 489,FS 1 8cpr"�at ate"AUG3Y2016 -.""� tttlI80002063 RICK SCOTT, GOVERNOR r» _- STATOF FLORIDA'‘ �'� `° = "` E "DEPARTMENTOF•BUSINESS.AND;PROFESSIONAL°REGULATION, CONSTROCTION: INDUSTRtLICENSING"BOAR iZscN:\, a KEN LAWSON, SECRETARY LICENSE NUMBER ..--"'......`'•"a*.` ; W":"'.w %..., - . " tNN: i"\ "y. \,+.'" . . . - •... v- ^,� CPC1458182 _... �" ...._•'"._�.- "'"*-1 - °�+ "ti�•^:. `+� � �^ ....-._ The'COMMERCIAI'POOLJSPA CONTRACTOR'"` -- -Named,below•IS CERTIFIED---r--``y= .- . `t. C Under -the provisions of Chapter;489'FS. ••r•..--e,„,_-,e4"-,.- - -„:.-:,..:-..- Expiraattion'date .. - , {+.i „�^ ALJG31,,=2018'--•...._.-�-�•..., �� t r w #VALERO, CLAUDIO•SEBASTIAN..- .._. .d4,4_. ,•� LORIDA FOOL PATIQC ORP`�.1. 5201'SW'i32'AVE - jw".-4 .� MIAMt _FL 33;17.5'•'�,*�``'r,��`��-.�� ISSUED: 07/28/2016 DISPLAY AS REQUIRED BY LAW SEQ # L1607280002063 De: PATIO FLORIDA POOL floridapoolpatio@gmail.com Asunto: LBT Fecha: 15 de septiembre de 2016, 1:54 PM Para: Castro Regia regia castro@yahoo.es, zoesalcu@hotmail.com Zoesalcu@hotmail.com 014267 Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7165914 BUSINESS NAME/LOCATION RECEIPT NO. FLORIDA POOL PATIO CORP RENEWAL 12241 SW 99 ST 7444335 MIAMI FL 33186 OWNER n ORIDA POOL PATIO CORP 0 CLAUDIO VALERO QUALIFIER Worker(s) 1 LBT EXPIRES SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. TYPE OF BUSINESS 196 GENERAL BUILDING CONTRACTOR CGC1521726 PAYMENT RECEIVED BY TAX COLLECTOR S75.00 07/14/2016 CREDITCARD-16-040902 This Local Business Tax Receipt only confirms payment of the local Business Tax, The Receipt is not a license permit or a certification of the holders qualifications, to do business Holder must comply with any goveromomal or nongovermteetal regulatory laws and regairemems which apply to the business. The RECEIPT N0. above must be displayed on all commercial vehicles - Miami-14C:tiCe n.5fc to -276. For more information, visit NnYw. :49 OCAC:g..-Y' 012900 Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A E:LL -DO NOT PAY 6994850 BUSINESS NAME/LOCATION RECEIPT NO. FLORIDA POOL PATIO CORP RENEWAL 12241 SW 99 ST 7270440 MIAMI FL 33186 OWNER FLORIDA POOL PATIO CORP Worker(s) LBT EXPIRES SEPTEMBER 30, 2017 Must ae dsplayed at place of bus.ness Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. TYPE OF BUSINESS 196 SPECIALTY PLUMBING CONTRACTOR PAYMENT RECEIVED CPC 145$182 BY TAX COLLECTOR 575.00 07/14/2016 CREDITCARD-l6-040902 This local Business Tax Receipt only confines payment of the local Business Tan. The Receipt is note license. permit ora certification of the holders qualifications. to do business, Holder must comply with airy governmental or nongovernmental regulatory laws and requirmnems which apply to the business. The RECEIPT N0. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 11-276. For more inhumation, visit www.miamidade.nov/texo. Leeci E IMMIDONYYY)AC.. OR f7�y >�. CERTIFICATE OF LIABILITY INSURANCE DAT09/2912016 THIS CERTIFICATE IS ISSUED ASA 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(ies) must have ADDITIONAL INSURED provisions or 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). I CONTACT PRODUCER _NAME: _ PHONE ,(NC No, Ext) E-MAIL ADDRESS:_ Chaplan & Castro Insurance 2552 NW 7 Street Miami, FL 33125 — i Phone (305)541-4009 _Fax (305)649-1513 . INSURER A: INSURED INSURER B : FLORIDA POOL PATIO CORP DBA: FPP CONSTRUCTION INSURER C: 9285 SW 125 AVE # V 303 _INSURER D . _ INSURER E MIAMI FLORIDA33186 _ __ _ - 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. LINTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �AODLSUBR POLICY EFF POLICY EXP INTR TYPE OF INSURANCE _.INSR,_WVD� POLICY NUMBER �(MMIDDIYYYYI.(MM!DD1YYYY)„— LIMITS V COMMERCIAL GENERAL LIABILTY EACH OCCURRENCE _ $ 1.000.000 CLAWS -MADE d OCCUR �DAMAGETOREPITED 100,000 PREMISES (Ea occurrence)_-! S I I MANUEL CASTRO (30:)541-4009 c hci ns@ be l Iso ut h.n el FAX (NC, No): (305)649-1513 INSURER(S) AFFORDING COVERAGE_ NAIC # WESTERN HERITAGE INSURANCE CO. 37150 MER ',URY INSURANCE CO. 11201 A B GE;(L AGGREGATE !Jul' APPLIES PER ._ POLICY , PRO — LOC P JECT OTHER AUTOMOBILE LIABILITY ANY AUTO ()MED AUTOS ONLY HIRED AUTOS ONLY UMBRELLA LIAB - EXCESS LIAR SCHEDULED • AUTOS NOU.O'.'R IED AUTO_ ONLY OCCUR CLAi7,1S-MADE . _ OED RETENTION Si WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE 3FFICERIMEr.10ER EXCLUDED' (Mandatory in NH) I: yes. cesc'te under DESCRIPTION OF OPERATIONS be:ow NIA SCP 1508248-01 01/29/2016 01/29/2017 8A090000007459 12/19:2015 12/19/2016 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule. if more space is required) 'GENERAL CONTRACTOR - SWIMMING POOLS - INSTALLATION SERVICING OR REPAIR CERTIFICATE HOLDER VILLAGE OF MIAMI SHORESS 10050 NE 2nd AVE MIAMI BEACH , FLORIDA 33138 j ACORD 25 (2016/03) OF CANCELLATION MED EXP (Any one person) I S 5,000 PERSONAL Si ADV INJURY S 1,000.000 GENERAL AGGREGATE $ 2.000,00_0 LPRODUCTS - COMP/OP AGC I S 1,000,000 COMBINED SINGLE LIMIT S 1.000.000 (Ea accident)_ BODILY INJURY (Per person) S BODILY IIIJURY (Per acciden:)J S PROPERTY DAMAGE _(Per accident) _ EACH OCCURRENCE AGGREGATE $ -PER i OTH- STATUTE - ER E L EACH ACCIDENT IS c L DISEASE - EA EMPLOYE S E L DISEASE - POLICY LIMIT S 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 ENTATIVE W _ _ ID 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Date Miami Shores Vinage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as av5 3 tJ E to I , located at (a vV) hoes &3 138. In accordance with Section 33-12(0, Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting and approved barrier prior t• pection and use o pool. Legal Owner doi Note: This certification is to be submitted with a swimming pool permit application in duplicate. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned �/Q('t S (9�� is/are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: X53 A)E 10 ! STr'ee+ Whereas, the undersigned owner(s) 1 CGL rth) j • desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. III. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our/my property shall fail to meet code requirements for pool barriers, we, as owners will immediately installs a protective enclosure to meet code requirements and will obtain a permit for such fence. IV. That, I/we, as owner(s) hold Miami Shores Village harmless for any negligence or injury that results from not having the enclosure. V. If enclosure belongs to said property, I agree to maintain & or replace said enclosure in the event that is damaged or removed by any case. NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon unde •igned, his/her successors and assigns and may only be released by Miami Shores Village, o ' s successo s, in accordance of sal 'liege then in WNER SIGN & PRINT OWNER SIGN & PJJ NT I Hereby Certify that on this day personally appeared befo e me /�&2 /t04 Vie. and has produced ID # as identification and he/she acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there in expressed. SWORN TO AND SUBSCRIBED before me on this day of (Revised 05/2209 Grp ,A (: UBS y,� NOTA 20/ ZOE SALGUEIRO Public - State of Florida ■�j%�\n� TTAlert>iRsgMORIOE 45464 9 ' Poc My Comm. Expires Jun 30, 2019 '%%l,„ Bonded through National Notary Assn. iuilaing Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new sv4pfning pool, spa or hot tub will be constructed or installed at S Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please initial the method(s) to be used: C.o The pool will be equipped with an approved safety pool cover that complies with ASTM F1346-91.. (Submit Manufacturer's Specifications). V A continuous, one-piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). (t 4/ A combination of non -dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain Zink or wood fence, etc.) will protect the pool perimeter. The plans must specify the type and location of all non dwelling walls. Florida Building Code, R4101.17.1 'I/ Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). 10 - V ' Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self -latching device with positive mechanical latching/locking installed a min. 54" above the threshold. If this option is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Cod Private Swimming Po presumed to be afe. I un violation of ChajAer 515 degree, putfiShable a by the oner/a • and pool may not be filled with water without compliance with the afety R= • uirements, and upon expiration of the permit, the pool shall be tand that not having one of the above installed will constitute a ., an d will be considered as committing a ' isde : anor of the se, • d rovided in Section 775.082 or Section 775! j . F.S . orm must b s i ned the • rime contractor. CTOR'S SIGNATURE AND DATE Cr7(A/Ok %/- CO NAME (PLEASE PRINT) Z0E SALGUEIRO Misty Public - State of Florida QVIIMIt <lon • FF 245464 c,cgixtv tones Jun 30, 2019 Yrt tkiroughNational;Notary'Assn. OWN 'S SIGNAT "E AND DATE OWNER'S NA iE (P EASE PRINT) / J OE SALGUEIRO >•� == t Notary Public - State of Florida Commission # FF 245464 a/ My Comm. Expires Jun 30, 2019 Bonded through National Notary Assn r Inspection Number: INSP-271918 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 -71 11NL7 Permit Number: BPP -9-16-2679 Scheduled Inspection Date: December 01, 2016 Inspector: Naranjo, Ismael Owner: BERNARDO J FAVOLE JTRS, RICARDO 1 TDC Job Address: 253 Dr NIEI101 Street Miami Shores, FL 33138-2422 Project: <NONE> Contractor: FLORIDA POOL PATIO CORP Permit Type: Pools/Whirlpools/Hot Tubs Inspection Type: Wall Steel Work Classification: New Phone Number Parcel Number 1132060134800 Phone: (305)815-0181 Building Department Comments NEW SWIMMING POOL & SPA Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP-271893. CREATED AS REINSPECTION FOR INSP-268183. 11/22/2016 - NEED TO"PROGIDE N.O.C. - NEED TO PROVIDE SOIL STATEMENT. -NEED TO PROVIDE SHORING AS REFLECTED ON THE PLANS AND A CERTIFICATION FROM THE ENGINEER OF RECORD. - POOL WALL WITH IN 5' OF BUILDING SHOULD BE REINFORCE WITH#3 @ 6" O -C EACH WAY. November 30, 2016 For Inspections please call: (305)762-4949 Page 22 of 33 Vicente Franco, PE 10776 NW 84 LN #5 MIAMI, FL. 33178 INSPECTION LOG Address: 253 NE 101 Street Permit #: BPP9162679 According to visual inspection at site, I hereby attest that to best of my knowledge and professional judgment that the actual shoring and reshoring at new pool excavation and existing wall at house are in compliance with the pool plans and FBC. See pictures attached Should you have any question please don't hesitate to contact our office, respectfully submitted, 0101110 AW:111"FIZIA , 62531 .ems' �} * 1*= � ® ATE OF i ..//55-:"F S 411) 0 P'24•71 .c. . 1 & •e 5 0\ 11/30/1 vfranco9876@gmail.com Vicente Franco, PE 10776 NW 84 LN #5 MIAMI, FL. 33178 INSPECTION LOG Address: 253 NE 101 Street Permit #: BPP9162679 According to visual inspection at field site, I hereby attest that to best of my knowledge and professional judgment that the existing soil conditions are in compliance with the pool allowable bearing pressure of 2000 PSF. See pictures attached Should you have any question please don't hesitate to contact our office, respectfully submitted, -- __ 6ot, n 7P" Mgr Nv F // M ° 0 r 1 • 62531 x 730 EOF /ift:: °io• IR s-aNAI ENG��`` vkilhkel1 co, PE Lic. No. 62531 11/30/16 vfranco9876@gmail.com FLORIDA POOL PATIO P. 0. BOX 161491 FL 33116 US (305) 815-0181 flpoolpatio@gmail.com www.floridapoolpatio.com :ST'L1ATE # 1032 AODR=SS PETER GOL , T 141 nw 96th . miami, fi 07 SH P TO MR. PETER GOLDSMITH 141 nw 96th st fl miami, FL Estimate AcTAI v on/ RATE 1\ MOUNT NEW SWIMMING POOL CONSTRUCTION 15'X23' 1 23,500.00 23,500.00 SPECIFICATIONS: DEPTH 3'-0" - 3'-6" 1 EFFICIENT PUMP, 1 FILTER, 1 LED POOL LIGHT WHITE PENTAIR MANUFACTURER. 1 CONCRETE BENCH 18" WIDE AND 10" DEEP AROUND POOL. 1 BENCH AROUND SWIMMING POOL. 3 STAIRS AT SHALLOW AREA INCLUDED: PLANS, PERMITS EXCAVATION, STEEL FORMS, PLUMBING, ELECTRICAL BACKFILL, CONCRETE, DIAMOND BRITE(COLOR: SUPER BLUE, BLUE, OR WHITE) TILE, COPING, MAINDRAIN 1, VACUUM LINE 1, 2 SKIMMERS, 3 POOL JETS 1 SHEER DESCENT 36" POOL AUTOFILLER TILE ALLOWANCE $5.00/SQFT 1 0.00 0.00 COPING ALLOWANCE $2.50/SQFT 1 0.00 0.00 WEBPAGE FOR TILE SELECTION AND FINISHES 1 0.00 0.00 http://www.nptpool.com/ CONCRETE COPING WEBPAGE http://www.gempavers.com/ 1 0.00 0.00 TRAVERTINE COPING WEBPAGE 1 0.00 0.00 http://www.stonelinegroup.com/ ' • "' ' • ' • ' • FPL underground installation • . • . 1 4,200.00 4,200.00 Sheer descent 2 ft material and installation 1 450.00 450.00 Sheer descent upgrade to 4 ft width • • • • • • • • • • • • 1 350.00 350.00 . .• . • . . .. .• .• . . Reducing pool ledge from 18" to 16" ;. ' : : ; . °°°°° : : : 1 -400.00 -400.00 .. . • ... • • • • ... • • • • •• •• •• • • •• •• • ... • • • • • • • • • •• • • • • • .. .. • • • .. .. 000 • • • 000 • • Acc kgea 2/4„,,,a TOTAL Accepted Date 00 00. . . . . . .. . • •1111.. • ............ • .00 .. 000 08 • 11.11 • • • • .. • .. • • 400 • • • • • 11 . 0 . . • 00 • • • • • • • • 00 • • • • • 1100 •• • • • • • • 1111 111111 .. • • • 000 • • 111111111111 111111 • 00 00 • • 00 00 000 • • • • • • • $28,100.00 ME LAND jr; NV.1 ^"h St NW 104thSi NE 1C"1h`•t NF10411,SI �G H+l 103rd St m I E N.990161 Goo iy1981h31 NE 980.51 Nr. me Alcon Google Proudly Serving the Florida Real ME LAND . Estate Community for Over 20 Years W W W.MELANDSERV ICES.COM (1 10' ASPHALT ALL /00.00'(R)(M) 6) i F. 1. P.1/2' 1 --ice 0.38' 0.38' } 5.5' 4.0' K ii "-1 - i ii iii -4/y- F.I.P. //2' mo-•- 0.37' 28.90' n y n SO 03.5' 0 .% DDI P 2.4 BRICK PAVERS PATIO 39.12' 25.55' 20.55' 6.90' LCIT is 31_QCSC 35 F.1.P.1/2' r BLOCK CORNER .40 F.I. P. 1/2' 4D • . 100.00'(M) ' • • ' •.• Accepted By: 6.3 0 4.0' -3 "i 9.00' N 28.80' ONE STORY RESIDENCE #253 i 6.53' _ 0 00 l.50 �j CO N 0.37' i 23.70' 4.9' it . ' - v11.6'-IL39. - 6.70' •�18• 1.6' LQT 19 SLICK 3S f •.IQO.flO "R)(M}' e9 S 5.03' (4. F.1.P.1/2" • • • • 5"CONC: WALK '. 22.5' PARKWAY`� Q deo '71m�� o 14.60' 15.90' 13.80' 20' ASPHALT PA-VEMENT N. E. 101st S T R Property Address: 253 N.E. 101 Street Miami Shores, FLORIDA 33138 }-- M.ial-i-Shores Village TT— -IP'ROVED BY DATE ZONING DEPT BLDG DEPT SUBJECT TO COMPLIANCE WITH ALL FEDERAL STAFF AND COUNTY RULES AND REGULATIONS 6-P—P 1 (0 VO 44 Notes: NO NOTES SURVEYOR'S CERTIFICATION: I HERBY CORRECT REPRESENTATION OF. WITH THE M INIMUM TECHNIC PROFESSIONAL LAND SUR ADMINISTRATIVE CODE PUR SIGNED EFRAIN LOP STATE OF FL i THAT THIS BOUNDARY SURVEY ISA TRUE AND ED UNDER MY DIRECTION. THIS COM PUES C,FORTH BY THE STATE OF FLORIDA BOARD OF 74 9 THROUGH 5J -I7 --0E2, FLORIDA %STATUES. FOR THE FIRM P.S.M. No. 6792 NOT VAUDWITHOUTAND AUTH -- IC SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL AND/OR THIS MAP IS N. VAUO-WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A UCENSED SURVEYOR AND M.I. M.E. Land Surveying, Inc. 10665 SW 190th Street Suite 3110 Miami, FL 33157 Phone: (305) 740-3319 Fax: (305) 669-3190 LB#: 7989 ME LAND Vry Survey #:B-24861 Client File #: Pae 1 of 2 Not valid without all ones PROPERTY UNE Surveyor's Legend , B.R. BEARING REFERENCE TEL TELEPHONE FACIUTIES FND FOUND IRON PIPE / PIN AS NOTED ON PLAT A CENTRAL ANGLE OR DELTA U.P. UTILITY POLE LB# UCENSE # - BUSINESS R RADIUS OR RADIAL E.U.B. ELECTRIC UTILITY BOX LS# UCENSE # - SURVEYOR RAD. RADIAL TIE SEP. SEPTIC TANK CALC CALCULATED POINT N.R. NON RADIAL D.F. DRAINFIELD SET SET PIN TYp. TYPICAL A/C AIR 'CONDITIONER • CONTROL POINT I.R. IRON ROD S/W SIDEWALK .11 CONCRETE MONUMENT I.P. IRON PIPE Dyn, DRIVEWAY BENCHMARK Nk0 NAIL k DISK SCR. SCREEN !. t ELEV , ELEVATIOli PK HAIL PARKER-KALON NAIL GAR GARAGE P.T. POINT OF TANGENCY D.H. DRILL HOLE ENCL. ENC LOSURE P.C. • "`•. POINT •OF:CURVATURE ® WELL N.T.S. NOT TO SCALE l r , P.R.Y. PERMANENT-REFERENCE MONUMENT 12 FIRE HYDRANT F.F. FINNISHED FLOOR 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 P.O.B. POINT OF BEGINNING TX TRANSFORMER E.O.P EDGE OF PAVEMENT P.D.C. POINT OF COMMENCEMENT CAN CABLE TV RISER C.V.G. CONCRETE VALLEY GUTTER P.C.P. PERMANENT CONTROL POINT W.Y. WATER METER B.S.L BUILDING SETBACK UNE M FIELD MEASURED P/E POOL EOUIPMENT S.T.L SURVEY TIE UNE P PLATTED MEASUREMENT CONC. CONCRETE SLAB CENTER UNE 0 DEED ESMT EASEMENT R/W RIGHT-OF-WAY C CALCULATED D.E. DRAINAGE EASEMENTP.U.E. PUBLIC UTIUTY EASEMENT LM.E. LAKE OR LANDSCAPE MAINT. ESMT. LB.E. LANDSCAPE BUFFER EASEMENTCANAL MAINTENANCE EASEMENT C.M.E. R.O.E. ROOF OVERHANG EASEMENT LA.E. LIMITED ACCESS EASEMENTA.E. ANCHOR EASEMENT STRUCTURE •c..z-.. •• 4 CONC. BLOCK WALL —X—x— CHAIN-UNK FENCE OR WIRE FENCE —//—/ /— W000 FENCE —0-0-- IRON FENCE — — — — EASEMENT — - — CENTER LINE �/ U��lV W000 DECK /l� • CONCRETE I 7////// ASPHALT %.%n BRICK /TILEI 1?;•%/0/701 WATERt .-:1 /�.i— APPROXIMATE EDGE OF WATER l COVERED AREA Q TREE POWER POLE 1111 CATCH BASIN C.U.E. COUNTY UTILITY EASEMENT I.E./E.E. INGRESS / EGRESS EASEMENT U.E. UTIUTY EASEMENT Property Address: 253 N.E. 101 Street Miami Shores, FLORIDA 33138 General Notes: 1.) The Legal Description used to perform this survey was supplied by others. This survey does not determine or is not to imply ownership 2.) This survey only shows above ground improvements. Underground utilities, footings, or encroachments are not located on this survey map 3.) If there is a septic tank, well, or drain field on this survey, 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 instruments, if any, effect this prop erty.The lands shown herein were not abstracted for easement or other recorded encumbrances not shown on the pi at 5.) Wall ties are done to the face of the wall. 6.) Fence ownership is not determined. 7.) Bearings referenced to line noted B.R 8.) Dimensions shown are platted and measured unless otherwise shown. 9.) No identification found on property comers unless noted. 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, coul d be drawn at a shown scale and/or not to scale 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 u nnamed 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. Flood Information: Community Number: 120652 Panel Number: 12086C0302L Suffix: L Date of Firm Index: 09/11/2009 Flood Zone: X Base Flood Elevation: Date of Field Work: 02/14/2017 Date of Completion: 02/15/2017 Legal Description: Lot 17 and 18, of Block 35, of AMENDED PLAT OF MIAMI SHORES SECTION NO. 1, according to the plat thereof, as recorded in Plat Book 10, Page 70, of the public records of Miami-Dade County, FLORIDA Printing Instructions: While viewing the survey in any PDF Reader, select the File Drop-down and select "Print". Select a color printer, if available; or at least one with 8.5" x 14" (legal) paper. Select ALL for Print Range, and the # of copies you would like to print out. Under the "Page Scaling" please make sure you have selected "None". Do not check the "Auto-rotate and Center" box. Check the "Choose Paper size by PDF" checkbox, then click OK to print. Certified To: Ricardo Pol and Bernardo Favole Self its successors and/or assigns as their interest may appear. Please copy below for policy preparation purposes only: This policy does not insure against loss or damage by reason of the following exceptions: Any rights, easements, interests, or claims which may exist by reason of, or reflected by, the following facts shown on the survey prepared by _ EFRAIN LOPEZ dated 02/15/2017 bearing Job # B-24861 : a. NO NOTES �..•~ M:6!_ rveying,iInc. MELAND 10665 SW 190th Street, Suite 3110 Miami, FL 33157 ME LAND Phone: (305) 740-3319 r 7 Fax: (305) 669-3190 -. .;' LB#: 7989 SLuvev #:B-24861 Client File #: Page 2 of 2 Not valid without all Danes ordered By: • z NE 1CTm Si - I f NS, ,, Si m :m �; i 7 NE•C6m St 2 1 i - a !Iv KC 132h5m 51 _ 4 NE 1h5mS 9 9 (, NW 103d SI la NE 103rd�u.YN]7— 'A kr ft2MumS1 9 g, f nate z Ti; NE rCLb9. n in. I gecremnn- K101tl2 Ns1 (W a NE lob u n NE lamSi } i +a'99m SManhattan' N9YYITxnteCtriNE 990 St {c r9. - 1.) SaN9am-.'.zMepu020140ogjANw9mA NE9TPY We need to take every opportunity possible to thank o u r amazing cl iion.ts for their- s uppor-t.... Thank You!!! 10' ASPHALT ALLEY 100.00'(R)(M) a �.:. A , n --1--0.27' of - el F F.LP.1/2 F.I.P.1/2' BLOCK rCORNER 1.�A►1 F.LP.1/2 _9do- 5:00' AI n /---/41.70 n h 22.5' PARKWAY 20' ASPHA L T PA VEMEN T N.E. 101st STREET Accepted By: Property Address: 253 N.E. 101 STREET MIAMI SHORES, FL 33138 NOTES: NO NOTES SURVEYOR'SENTT ON CERTIFICATION; TIONSURVEY' IS A TRUE AND IMUMECT REPRESENTATION OF A SU REPARED R MY DIRECTION. THIS COMPLIES HATH THE MINIMUM TECHNICAL STANDARDS, ET FORTH BY THE TE OF FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTE- •3-17. WtIZIA?pMINIST TIVE CODE PURSUANT TO 472.027, FLORIDA STATUTES. Li A� Ai . th7�//<� FOR THE FIRM 79.10" A 'STATE OF ,r; �a E q' P.S.M. No. 5101 e1-. , . Romo ,4''' ,. NOT VA O A e e'"-.• ELECTROW 7' NATURE AND AUTHENTICATED ELECTRONIC SEAL AND/OR THIS MAP IS NOT VALID WR Es§AGNAt AND THE ORIGINAL RAISED SEAL OF A LICENSED SURVEYOR AND MAPPER. SIGNED •MIGUEL S M.E. Land Services, Inc. 10665 SW 190TH STREET SUITE 3110 MIAMI, FL 33157 PHONE: (305) 740-3319 FAX: (305) 669-3190 LB#: 6463 ittiE Te3. Survey:A-48340 Client File #: Page 1 of 2 Not valid without all pages. Surveyor's Legend PROPERTY UNE • STRUCTURE B.R. BEARING REFERENCE TEL. TELEPHONE FACIUTIES FND FOUND IRON PIPE / PLAT v.....,. .a CONC. BLOCK WALL PIN AS NOTED ON 0 CENTRAL ANGLE OR DELTA U.P. UTIUTY POLE —X—X— CHAIN—UNK FENCE OR WIRE FENCE LB# LICENSE # — BUSINESS R RADIUS OR RADIAL E.U.B. ELECTRIC UTIUTY BOX —//—//— WOOD FENCE LS# LICENSE # — SURVEYOR RAD. RADIAL 11E SEP. SEPTIC TANK CALC POINT 0 o IRON FENCE CALCULATED N.R. NON RADIAL D.F. DRAINFIELD — — — — EASEMENT SET SET PIN TYP. TYPICAL A/C AIR CONDITIONER — — — CENTER UNE A CONTROL POINT I.R. IRON ROO S/W SIDEWALK • CONCRETE MONUMENT I.P. IRON PIPE DWY DRIVEWAY 7 A/ WOOD DECK 41, BENCHMARK N&D NAIL & DISK SCR. SCREEN h: _ .• CONCRETE ELEV ELEVATION PK NAIL PARKER—KALON NAIL GAR GARAGE P.T. POINT OF TANGENCY . D.H. DRILL HOLE ENCL ENCLOSURE ////// ASPHALT P.C. POINT OF CURVATURE ® WELL N.T.S. NOT TO SCALE -t;;;.Z. �Z.v BRICK / TILE P.R.M. PERMANENT REFERENCE MONUMENT : FIRE HYDRANT F.F. FINNISH ED FLOOR P.C.C. POINT OF COMPOUND CURVATURE ® M.H. MANHOLE T.O.B. TOP OF BANK j/jj WATER P.R.C. POINT OF REVERSE CURVATUREEDGE O.H.L OVERHEAD ONES E.O.W. OF WATER �`.---- APPROXIMATE EDGE OF WATER P.O.B. POINT OF BEGINNING TX TRANSFORMER E.O.P EDGE OF PAVEMENT POINT OF COMMENCEMENT CATV CABLE TV RISER CONCRETE VALLEY GUTTER NOP-P.O.C. C.V.G. COVERED AREA P.C.P. POINT PERMANENT CONTROL W.M. WATER METER B.S.L. BUILDING SETBACK UNE 0 TREE M FIELD MEASURED P/E POOL EQUIPMENT S.T.L. SURVEY TIE UNE XX POWER POLE P PLATTED MEASUREMENT CONC. CONCRETE SLAB q CENTER UNE 1111 CATCH BASIN D DEED ESMT EASEMENT R/W RIGHT—OF—WAY C.U.E. COUNTY UTIUTY EASEMENT C CALCULATED O.E. DRAINAGE EASEMENTP.0.E. PUBLIC UTILITY EASEMENT I.E./E.E. INGRESS / EGRESS EASEMENT L.M.E. LAKE OR LANDSCAPE MAINT. ESMT. L.B.E. LANDSCAPE BUFFER EASEMENTC.M.E. CANAL MAINTENANCE EASEMENT U.E. UTILITY EASEMENT R.O.E. ROOF OVERHANG EASEMENT L.A.E. UNITED ACCESS EASEMENTA.E. ANCHOR EASEMENT Property Address: 253 N.E. 101 STREET MIAMI SHORES, FL 33138 General Notes: 1. The Legal Description used to perform this survey was supplied by others. This survey does not determine or is not to imply ownership. 2. This survey only shows above ground improvements. Underground utilities, footings, or encroachments are not located on this survey map. 3. If there is a septic tank, well, or drain field on this survey, the location of such Flood Information: Community Number: 120652 Panel Number: 12086C0302 Suffix: L Date of Firm Index: 9/11/2009 Flood Zone: X Base Flood Elevation: N/A Date of Field Work: 5/1/2014 Date of Completion: 5/2/2014 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 instruments, if any, effect this property. The lands shown herein were not abstracted for easement or other recorded encumbrances not shown on the plat. 5. Wall ties are done to the face of the wall. 6. Fence ownership is not determined. 7. Bearings referenced to line noted B.R. 8. Dimensions shown are platted and measured unless otherwise shown. 9. No identification found on property comers unless noted. 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 be drawn at a shown scale and/or not to scale. 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 unnamed parties. 15. This survey shall not be used for construction/permitting purposes without written consent from Miguel Espinosa. Legal Description: LOTS 17 AND 18, BLOCK 35, OF SUBDIVISION AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1„ ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE 70, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA PRINTING INSTRUCTIONS: ertlle• -0: - '-9• .•0 ..a :-•\.-t• .-'Y• ; T Ye TITLE SERVICES, LLC; FIRST AMERICAN TITLE INSURANCE COMPANY; BANK OF AMERICA, N.A.; . Its'successors and/or assigns as their interest may appear. While viewing the survey in any Acrobat Reader, select the File Drop-down and select "Print" Select a color printer, if available, or at least one with 8.5" x 14" paper. Select ALL for Print Range, and the # of copies you would like to print out. Under the "Page Scaling" please make sure you have selected "None." Do not check the "AutoRotate and Center" button. Check the "Choose Paper size by PDF"checkbox. Click OK to Print. Please Copy below for Policy Preparation Purposes only: This policy does not insure against loss or damage by reason of the following exceptions: Any rights, easements, interests or claims which may exist by reason of, or reflected by, the following facts shown on the survey prepared by MIGUEL ESPINOSA dated • 0502,2014 bearing Job # A-48340 : ) NO NOTES c) M.E. Land Services, Inc. IIIP 10665 SW 190TH Street, Suite 3110 MIAMI, FL 33157 _ PHONE:(305) 740-3319 FAX #:(305) 669-3190 LB # 6463 It 6 WWW.MELANDSERVICES.COM I' Survey:A-48340 Client File #: age 2 o.._ Not valid without all pages. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at a53 AE /0) S-F-r'ee+ ` Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that complies with ASTM F1346-91. (Submit Manufacturer's Specifications). A continuous, one-piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non -dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain Zink or wood fence, etc.) will protect the pool perimeter. The plans must specify the type and location of all non dwelling walls. Florida Building Code, R4101.17.1 Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self -latching device with positive mechanical latching/locking installed a min. 54" above the threshold. If this option is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Co Private Swimming Po presumed to be u violation of Cha degree, punis by the owne � afe. 1 un er 515, F able . s age e pool may not be filled with water without compliance with the equirements, and upon expiration of the permit, the pool shall be rstand that not having one of the above installed will constitute a ., an d will be considered as committing a misdemeanor of the second •vided in Section 775.082 or Section 775.083 -S--- his form must be signed d the prime contractor. afety CONTRA '-•R'S SIGNATURE AND DATE I' /Gj/6ry CT 0;v 1 f • ', • ME EASE PR r ublic - State of Florida m ission # FF 245464 =Rpm. Expires Jun 30, 2 Bonded through National Notary Assn. • r ism02a/i,6. R4VNER'S SIGNATII NER S SIGNATU /cask OWN DAT ND ND DAT „NOT ' OE SALG EIRO 1: ry Public - State of Florida ' 1" 'n ' 45464 . Expires Jun 30, 2019 Bonded through National Notary Assn. U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program ELEVATION CERTIFICATE OMB Control Number. 1660-0008 IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 8-15 Expiration: 11/30/2018 s of this Elevation Certificate and all attachments for (1) community official, (2) Insurance agent/company, and (3) building owner. SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owners Name RICARDO POL AND BERNARDO FAVOLE Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 253 NE 101 STREET Company NAIC Number: City MIAMI SHORES State FLORIDA Zip Code 33138 A3. Property Description FOLIO 6 11-3206-013-4800 A4. Building Use (e.g., Residential, A5. Latitude/Longitude: A6. Attach at least 2 photographs A7. Building Diagram Number A8. For a building with a a) Square footage of b) Number of permanent crawlspace or enclosure(s) above adjacent grade c) Total net area of flood d) Engineered flood (Lot and Block Numbers, Tax Parcel Number, Legal Description, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL Lat. N25°52'06.02" Long. W080°11'33,52" Horizontal Datum: etc.) ONAD 1927 insurance. with an attached of attached garage of permanent flood openings garage within 1.0 grade area of flood openings flood openings? QNAD 1983 garage: N.A. sq ft of the building if the Certificate is being used to obtain flood 8 crawlspace crawlspace flood openings within openings openings? or enclosure(s): A9. For a building or enclosure(s) 1295+1- sq ft a) Square footage in the b) Number 1.0 foot in the attached 8 above adjacent foot N.A. in A6.b 1280+/- sq in c) Total net in A9.b N.A. sq in °Yes ONo d) Engineered °Yes 0No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number VILLAGE OF MIAMI SHORES 120652 82. County Name MIAMI-DADE 83. State FLORIDA B4. Map/Panel Number 12086C0302 B5. Suffix L B6. FIRM Index Date 9/11/09 B7. FIRM Panel Effective/ Revised Date 9/11/09 BB. Flood Zone(s) X B9. Base Flood Elevation(s) (Zone AO, use base flood depth N.A. B10. Indicate the source of the Base Flood Elevation (BFE) data or 0 FIS Profile OFIRM 0 Community Determined OOther/Source: B11. Indicate elevation datum used for BFE in Item B9: O NGVD B12. Is the building located in a Coastal Barrier Resources System Designation Date: OCBRS DOPA base flood depth entered in Item 89: 1929 ONAVD 1988 °Other/Source: (CBRS) area or Otherwise Protected Area (OPA)? °Yes QNo SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: °Construction Drawings* 0 Building Under Construction* 0 Finished Construction * A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations: Zones A1 -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: MDBM#N-802 ELEV. 8.98' Vertical Datum: NGVD 1929 Indicate elevation datum used for the 0 Other/Source: Datum used for building elevations must a) Top of bottom floor (including basement, b) Top of the next higher floor c) Bottom of the lowest horizontal structural d) Attached garage (top of slab) e) Lowest elevation of machinery or (Describe type of equipment and location f) Lowest adjacent (finished) grade g) Highest adjacent (finished) grade h) Lowest adjacent grade at lowest elevation structural support elevations in items a) through h) below. ONGVD 1929 ONAVD 1988 Check the measurement used. e feet C meters 0 feet C meters 0 feet (' meters 0 feet (' meters feet ( meters 0 feet ( meters I feet (- meters ° feet (' meters be the same as that used crawlspace, or enclosure member (V Zones only) equipment servicing the building in Comments) next to building (LAG) next to building (HAG) of deck or stairs, including for the BFE. floor) 11 6 N A N A N A 10 2 9 . 7 9 8 N A FEMA Form 086-0-33 (7/15) Replaces all previous editions. Page 3 of 15 ELEVATION CERTIFICATE, page 2 OMB Control Number: 1660-0008 Expiration: 11/30/2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 253 NE 101 STREET Policy Number: City MIAMI SHORES State t FLLORIDA Zip Code 33138 CompaCompany NAIC SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A 0 Check here if attachments. provided by a licensed land surveyor? D Yes C No Certifiers Name HENRY JOHNSTON License Number LS6843 r L -*- Title LAND SURVEYOR Company Name JOHNSTON & JOHNSTON LAND SURVEYING SERVICES, INC. LB7689 • I Address 7081 TAFT STREET #160 City HOLLYWOOD State FL Zip Code 33024 Signature Date 8/23/16 Telephone 954-296-9516 Copy all pa es of Elevation Certificate Certificate for (1 community official, (2) insurance agenticompany, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) A5). LATITUDE AND LONGITUDE WERE OBTAINED THROUGH USE OF GOGGLE EARTH C2.e) IS AN A/C SLAB Signature • Date 8/23/16 SECTION E - B IN ATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (' t BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, Deet (' meters or II LOMR-F request, Rico only, is above above or enter or complete meters. below the below the HAG. or enclosure) is b) Top of bottom floor (including basement, crawlspace, U feet C meters 4 above or • below the LAG. or enclosure) is E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A higher floor (elevation C2.b in the diagrams) of the building is Items 1 8 and/or 9 (see feet i meters page 0 8 of Instructions), above or • the next below the HAG. E3. Attached garage (top of slab) is feet (' meters II above or • below the HAG. E4. Top of platform of machinery and /or equipment servicing the building is • • feet C' meters II above or • below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes ONo OUnknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments al Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces aU previous editions. Page 4 of 15