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BPP-17-1137 ' NOTICE OF COMMENCEMENT ` N^A=UU"N§=U|11=N A RECOPY MUST DEPOSTED 0VTHE JOB SREATTIME 0FF0ST|NSPECT0N 111111111 U�WQU|UlU�| !0R} CFN 2017RID63-331 PERMIT.," NO. OK BK 30753 Ps 4384 (IP-3s) PERMITRECORDED 11/13/2017 15:49^53 ` HARVEY RUVIN, CLERK OF COURT ' COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certui WPU DAUE property,and in accordance with Chapter 713, Florida Statutig,'d0ollow pAgrim-919p, ft 7 is provided in this Notice of Commencement. th n — original filed in this office 20 ERY r"V By b9ye reserved for use of recording office 1. Legal description of property and streeUaddress: at 3�=1?TA4Z18 41911 DA 2. Description of improvement: N. Ne Cl 3. Owner(s) name and address: C-4, Y t Interest in property: Name and address of fee simple titleholder: 4. Contractor's name, address and phone umber- 5� Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amount ofbond 0. Lender's name and address: 7. Persons within the State ofFlorida designated oyOwner upon whom notices v, other documents may "eserved .~ provided~/ / Section 71813(1)(a)7, Florida Statutes, Name, address and phone number: ided in Section 8' In addition to himself,Owners designates the following person(s)to receive a copy of the Lienor's Notice as prov 713.13(1)(b). Florida Statutes. ^ Name, address and phone number: ' S. Expiration date of this Notice of Commencement: (the expiration date is i year from the date of recording unless a different date Is specified) WARNING nOOVVNsR`ANY PAYMENTS MADE 8YTnEOWNER AFTERTHEsxp|nxr0w0FTHEN0nCs0pCOMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS' UNDER CHAPTER 71n PART |. SECTION 713.1n. FLORIDA STATUTES, AND CAN RESULT |NYOUR PAYING 7vV|CEFOR IMPROVEMENTS TO YOUR pRopEnTYAN--`|CE0FCOMMENCEMENT MUST osRECORDED AND POSTED oNTHE JOB SITE BEFORE THE FIRST INSPECTION. | YOU INTEND TOOBTAIN ' FINANCING,CONSULT WITH YOUR LENDER ORANATTORNEY BEFORE COMMENCING WORK ORRECORDING YOUR NOTICE 0rCOMMENCEMENT Signotum(s)ofOwnor(s)orOwnor(s)' Authorized Offioer/Dieuhnr/Padnor/Wonngar Prepared 8Pepan,dBy Print Namo Print Name ______ Title/Office Title/Office STATE OF FLORIDA COUNTY OFMiAK4|'DADE led before me this day of *individually, or 0 as for '42,Personally known, or J produced the following type of identification: IF Signature of Notary Public: Print Name: VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES Flo Ido le of fl 07 Under penalties of perjury, I declare that I have read the foregoing and Notary Public State 61 Flofid* that the facts stated in it are true, to the best of my knowledge and belief. Comm SSi07n1t#FF 2452711 y comm.Expires Jun . Signa lo"&V* 123 PAGE3 6/1 -r"tZ (__ �� 4 � 1 ` U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages 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 Owner's Name Policy Number: CHRISTOPHER DISSAUX A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and •••• Box No. Company MAIC Nuwber: • 9341 NE9AVE •••� : ... • •• City State Z P C3&6; •• Sol•o• MIAMI SHORES Florida 33138•••••• • •••• •� ••• A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) •..• •• • • •• •• LOT 5, MARILYN HGTS , PB 41, PG 8, MIAMI-DADE, FLORIDA •••.•• ,�•� • •• . ... •• A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL ...•.• • • A5. Latitude/Longitude: Lat.26°05'25.22" Long.80°10'44.61" Horizontal Datum: [�NAD 1927 �.�Q 1983••• :. A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance•.••: see • ::09 •: A7. Building Diagram Number 1 •• A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 0 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? ❑Yes Z No A9. For a building with an attached garage: a) Square footage of attached garage 79 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 sq in d),Engineered flood openings? ❑ Yes x❑ No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2. County Name B3. State MIAMI 120652 MIAMI-DADE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12086CO306 L 09/11/2009 09/11/2009 X N/A B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 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. Policy Number: 9341 NE 9 AVE City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33138 SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building'elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. • • • •421 Elevatlb?tg-Zones.91.-AA,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO. Complete+Ite ns C22—hboelow according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. • •••• Bendlfiark Utilized*KV05• Vertical Datum:NGVD 1929 .••:Indicat%jl yation datyrr.ijS�d for the elevations in items a)through h)below. ••• •[X3 N�/D 1919`�NAVD 1988 ❑ Other/Source: • •;.. Datum w%&J-for builcliVtIttations must be the same as that used for the BFE. •• .• .. Check the measurement used. :00 •, a) Top o4 bottom flotillRltring basement, crawlspace,or enclosure floor) 15. 0 ❑x feet ❑ meters *:600:b) Topaf#o4next h gh er floor NSA. ❑x feet ❑ meters ••••;c) Bo4omathe lowest horizontal structural member(V Zones only) NSA. ❑x feet ❑ meters d) Attached garage(top of slab) 13 17 ❑X feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 13 34 ❑x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building (LAG) 12 56 ❑x feet ❑ meters g) ?Highest adjacent(finished)grade next to building(HAG) 12 87 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 12 56 ❑x feet ❑ meters structural support 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 maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? x❑Yes ❑No ❑Check here if attachments. Certifier's Name License Number GEORGE IBARRA 2534 VGE..• !Bq Title 0.��5 i Ft 'Q LAND SURVEYOR NO.253 d Company Name A W NOVA SURVEYORS INC -n aa.. a Address s TATE OF Z 1355 NW 97 AVE#200 OR10, .•off City State ZIP Code qND suRL-4 MIAMI Florida 33172 3 Signature Date Telephone 01/13/2017 (305)264-2660 Copy all p es of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company,and(3)building owner. Comments(including type of equipment and location,per C2(e), if applicable) SECTION C 2(E)LOWEST ELEV MACHINERY IS A/C PAD. LATITUDE AND LONGITUDE IS PROVIDED BY GOOGLE EARTH. CROWN OF ROAD ELEVATION= 11.39 FT FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 i OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 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. Policy Number: 9341 NE 9 AVE City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33138 SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puertorctf'Ny, enter meters. ; 0.0 0000 Sao ••• E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is abold#%bQow s the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). see:** 00 •• •:• a) Top of bottom floor(including basement, "sees e + • crawlspace,or enclosure)is ❑feet [I meters C396dJ%or ❑pClbMt�a HA • ••� b) Top of bottom floor(including basement, 0000 000• 006** crawlspace,or enclosure)is ❑feet ❑meters [:It j&t;or [:],Peq#the LAG-0 so.•' as •• as E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(seapag%%1-2 of Instjuctions), 0000•• • the next higher floor(elevation C2.b in s s s • the diagrams)of the building is ❑feet ❑meters [ above or the HAW •• • • • • • E3. Attached garage to of slab is ee •• 9 9 (top )� ❑feet ❑meters ❑s�ov�or ❑�bei�w she HA E4. Top of platform of machinery and/or equipment s: servicing the building is ❑feet ❑meters ❑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? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners 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 CHRISTOPHER DISSAUX Address City State ZIP Code 9341 NE 9 AVE MIAMI SHORES Florida 33138 Signature Date Telephone Comments ❑Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 3 of 6 1355 NW 97TH AVE,1617E 200 Mc. 16-0001273-1 MIAMI,FL 3317:+ Nova Surveyors, SURVEY NO TELEPHONE:(305)764-2660 � I _ FAX:(305)264-0229 ! of DRAWN BY: LANCE'SURVEYORS SHEET NO 1 0l 2 SURVEY OF LOT 5, OF MARILYN HGTS,ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 41, PAGE 8,OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. PROPERTY ADDRESS: 9341 NE 9 AVE,MIAMI SHORES, FL 33138 FOR: CHRISTOPHE DISSAUX A MARRIED MAN LOCATION SKETCH Scale 1" = NT.S. L±p'3 14 ` ... .. f�E_ _fry_ — a - 4 • . • c SU JECTV / ••••a• s ............ PRCPERTY s • •• •s• c • b ••►• •••• **Vo W • • • • .. of •• •• • :e••••• ABBREVIATION AND MEANING • LEGEND TYPICAL ' • A=ARC FNIP.=FEDERAL NATIONAL INSURANCE RAD.=RADIUS OF RADIAL —OH— OVERHEAD UTILITY LINES A/C=AIR CONDITIONER PAD PROGRAM RGE.=RANGE A.E.=ANCHOR EASEMENT IN.BEG.=INGRESS AND EGRESS R.P.=RADIUS POINT C.B.S.=WALL fCBWI A/R=ALUMINIUM ROOF EASEMENT R.O.E.=ROOF OVERHANG C.L.F.=CHAIN LINK FENCE A/S=ALUMINIUM SHED L.F.E.=LOWEST FLOOR ELEVATION EASEMENT ASPH.=ASPHALT L.M.E.=LAKE MAINTENANCE EASEMENT R/W=RIGHT-OF-WAY —0—� I.F.=IRON FENCE B.C.=BLOCK CORNER L.P.=LIGHT POLE SEC.=SECTION B.C.R.=BROWARD COUNTY RECORDS M.='MEASURED DISTANCE S.I P =SET!P.C%l PI^E L.G.#6044 sr—r W.F.=WOOD FENCE E.P...=BENCH MARK MIH=MANHOLE SWK.=SIDEWALK B.O.B.=BASIS OF BEARINGS N.A.P.=NOT APART OF T=TANGENT +0.00 =EXISTING ELEVATIONS C=CALCULATED NGVD=NATIONAL GEODETIC VERTICAL TWP=TOWNSHIP C.B.=CATCH BASIN DATUM U.E.=UTILITY EASEMENT C.B.W.=CONCRETE BLOCK WALL N.T.S.=NOT TO SCALE U.P.=UTILITY POLE SURVEYOR'S NOTES CH=CHORD O.H.L.=OVERHEAD UTILITY LINES W.M.=WATER METER 1)IF SHOWN,BEARINGS ARE REFERRED TO AN ASSUMED CH.B.=CHORD BEARING O.R.B.=OFFICIAL RECORD BOOK W.R.=WOOD ROOF MERIDIAN,BY SAID PLAT IN THE DESCRIPTION A THE CL=CLEAR O/S=OFFSET W.S.=WOOD SHED C.L.F.=CHAIN LINK FENCE OVH.=OVERHANG PROPERTY.IF NOT,THEN BEARINGS ARE REFERRED TO C.M.E.=CANAL MAINTENANCE P.B.=PLAT BOOK =ANGLE COUNTY,TOWNSHIP MAPS. 2)THIS IS A SPECIFIC PURPOSE SURVEY. EASEMENTS P.C.=POINT OF CURVE =CENTRAL ANGLE 3)THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE CONC.=CONCRETE P.C.C.=POINT OF COMPOUND CURVE T =CENTER LINE 1:7500 FT. C.P.=CONCRETE PORCH PL.=PLANTER C.S.=CONCRETE SLABP.L.S.=PROFESSIONAL LAND =MONUMENT LINE 4)IF SHOWN,ELEVATIONS ARE REFERRED TO MIAMI-DADE COUNTY. D.E.=DRAINAGE EASEMENT SURVEYOR D.M.E.=DRAINAGE MAINTENANCE P.O.B..=POINT OF BEGINNING EASEMENTS P.O.0.=POiN'; j)-COMfAENGEMuIENT DRIVE=DRIVEWAY P.P.=POWER POLE ENCR.=ENCROACHMENT P.P.S..=POOL PUMP SLAB E.T.P.=ELECTRIC TRANSFORMER PAD P.R.C.=POINT OF REVERSE CURVE F.F.E.=FINISHED FLOOR ELEVATION PRM=PERMANENT REFERENCE F.H.=FIRE HYDRANT MONUMENT F.I.P.=FOUND IRON PIPE PT.=POINT OF TANGENCY SURVEYOR'S CERTIFICATION F.I.R.=FOUND IRON ROD PVMT.=PAVEMENT F.N.=FOUND NAIL PWY=PARKWAY I HEREBY CERTIFY:THAT THIS"BOUNDARY SURVEY"OF F.N.D.=FOUND NAIL 8 DISK R.=RECORD DISTANCE THE PROPERTY DESCRIBED HEREON,AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY I"SURVEY"1• COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY. PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17-6, THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING,AND SHOULD NOT BE FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027, USED FOR CONSTRUCTION PURPOSES. FLORIDA STATUTES. EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS,IF ANY, AFFECTING THE PROPERTY.THIS SURVEY IS SUBJECT TO DEDICATIONS,LIMITATIONS,RESTRICTIONS,RESERVATIONS OR EASEMENTS OF RECORD,AND LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY, BOUNDARY SURVEY MEANS A DRAWING AND/OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD,COULD BE DRAWN AT A SHOWN SCALE AND/OR NOT TO SCALE. EASEMENTS AS SHOWN ARE PER PLAT BOOK,UNLESS OTHERWISE SHOWN. By. v cv THE TERM"ENCROACHMENT"MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. E R I AR ( ATE I L W RK) ARCHITECTS SHALL VERIFY ZONING REGULATIONS,RESTRICTIONS AND SETBACKS,AND THEY WILL BE RESPONSIBLE FOR SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN NEW CONSTRUCTIONS,UNLESS OTHERWISE NOTED.THIS FIRM HAS NOT ATTEMPTED TO LOCATE PROFESSIONAL:LAND SURVEYOR ND. 2534 FOOTING AND/OR FOUNDATIONS. STATE OF FLORIDA(VALID COPIES OF THIS SURVEY WILL FENCE OWNERSHIP NOT DETERMINED. BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED. SURVEYOR). HEREON,THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. THE SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION BELOW.THE LOCAL F.E.M.A. AGENT SHOULD BE CONTACTED FOR VERIFICATION.THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED REVISED ON: LAND TO BE SITUATED IN ZONE:X COMMUNITY/PANEUSUFFIX:120652 0306 L DATE OF FIRM:09/11/2009 BASE FLOOD ELEVATION:N/A. %# REVISED ON: S CERTIFIED TO:CHRISTOPHE DISSAUX A MARRIED MAN ° N PINNACLE TITLE GROUP,LLC ONO.2534 e,1 i FIRST AMERICAN TITLE INSURANCE COMPANY Rgr,COLUMBUS CAPITAL LENDING, LLC, ISAOA/ATIMA C F2M F .#34 stN E a ,OF .Fb0..-.. yRU� SURVEYOR'S SEAL S 1355 NW 97 AV SUITE 200 SURVEY No. 16-0001273-1 MIAMI,FLORIDA 33172 TELEPHONE:(305)264-2666 No U a �U I-U Cat r n r. FAX.-(305)264-0229 I LAND SURVEYORS SHEET No. 2 OF 2 DRAWN BY: LG. BOUNDARY SURVEY SCALE =I"=20' W- 5'A SPHAL `-4 P MW., T 7 :N' N H' 17.5'PWY 75.00' W.M. fa Ar. F.I.P 3/4" too 90-OP*I� ,1610" F.I.V3/4" 90*44 0"' NO CAP 00 •tV(!AP & *sees* @fee F 'a 5. &-4 C. 000- • • 01 o 'CT C' 5 *too** 7 t oe* • oo i• QIP 10.00, .01 9.90, 00 17.00' --k 28.00' NE I Ci X X TWO STORY 0.601�CL RES. #9341 C' LOT-5 ;LLOT-4 t Zr LOT-6 ON PL 40.35' Pon D 0 "ne DEC 9.96' 14.75' 10N 00 RICK- 35.53' X. 18.00, 01 0.25'CL 89°16'0" 90*4 y X RIP 3/4" 75.00' F.I.P 3/4" Q NO CAP P NO CAP LIMIT OF PLAT (N-A.P.) SURVEYOR'S NOTE: A)Asphalt Return Encroaching onto Right-of-way on the West side of Property. SURVEYORS NOTE: There may be Easements recorded in the Public Records not shown on this Survey. The purpose of this Survey is for use in obtaining Title Insurance and Financing and should not be used for Construction purposes. /J.VV PROPERTY LINE EXISTING v, CHAIN-LINK FENCE 12.5' 50.66' DETACHED GARAGE SECOND SELF-CLOSING/SELF LATCHING ELECTRIC GATES WITH RELEASE LOCATED PANEL 54" ABOVE FINISHED GRADE (TYP. FOR BOTH GATES) NOTE: FENCE PICKETS SHALL HAVE' MAX SPACING TO REJECT 4" SPHERE AS WELL AS BOTT RAIL TO GRADE W z o W J Z � N ONE STORY W W RESIDENCE w a n. O a a rn CD 1(200 AMP MAIN ELECTRICAL PANEL ,IS LOCATED IN GARAGE. SUB PANEL & .DISCONNECT ARE LOCATED AT THE POOL EQUIPMENT 'LOCATION) EXISTING 1050 GALLON EXISTING EXIST WATER SEPTIC TANK 400 SQ. FT. LINE (V.I.F.) DRAINFIELD { I PROPERTY LINE 0000.. WATER MAIN i . 0000.. 0000.. .. . .. 00 00 . . 0 .. 000.00 00000 00 0000 000000 0 00 0000 0 0 000000 000006 0000 0 0 0 0000.. 0 .. 0 0 0.0000 0000 0 0 0000 CONTRACTOR: FLORIDA POOL & SPA SITE PLAN CONTRACTOR, LLC SHEET 1 THIEBAUT RESIDENCE SEP 21 yp» 9341 N.E. 9TH AVENUE LFox;: (994); nMmage"ft » MIAMI (94 64—089 4 33138 LEGAL: LOT 5 BRADLEY JAY CASH.PE X51320 MARILYN H J O B NO. e ' J � 1� IAOMiarn1 Daae COU y �► tjo6da H�s1th & 11 program a ��y °� o.s.�.D.s 12 .o z / T ,�Glicat�o ' PROPERTY LINE EXISTING CHAIN—LINK FENCE 10, 44.50' a DETACHED GARAGE SECOND SELF—CLOSING/SELF LATCHING ELECTRIC GATES WITH RELEASE LOCATED PANEL 54" ABOVE FINISHED GRADE (TYP. FOR BOTH GATES) NOTE: FENCE PICKETS SHALL HAVE MAX SPACING. TO REJECT 4" SPHERE AS WELL AS BOTT RAIL TO GRADE W z J W Z ONE STORY a W RESIDENCE a a 0 a a (200 AMP MAIN ELECTRICAL PANEL IS LOCATED IN GARAGE. SUB PANEL & DISCONNECT ARE LOCATED AT THE POOL EQUIPMENT , I LOCATION) EXISTING EXISTING EXIST WATER LINE 1050 GALLON 400 SQ. FT. (V.I.F.) SEPTIC TANK DRAINFIELD a a .... • . 0 .... .... . • . • ... 06: ...... . .... . ELECTRICALE .�� OPERTY LINE APPROVED WATER MAIN LA;E •••• • • • ' .... . Miami Shores Village APPROVED <MY DATE r ZONING DEPT �/ 1. '` RECEIVED BLDG DEPT ' ; , ' JUL 0 6 1017 17 _ILPPJE TO COMPLIA� E WITH ALL FEDERAL STATF AND COUNTY RULES AND REGULATIONS i SITE PLAN CONTRACTOR: FLORIDA POOL 101 , LLC SHEET 1 17 THIEBAUT RESIDENCE 9341 N.E. 9TH AVENUE MIAMI LEGAL: LOT 5 33138 MARILYN HGTS JOB NO. V OTE: SPECIFICATIONS DIMENSIONS TO POOL SIZE: 12'x 24' POOL DEPTH: 3'x4'-ll" :OM STRUCTURE )NLY SCALE' PERIMETER: . 72' VOLUME(GALLONS): 8646 1/8" = 1' TURNOVER RATE: 6.0 HR St SURFACE AREA SQ.FT.: 289 - - - - - POOL PUMP: PENTAIR 1.5HP/1 SPEED POOL EQUIPMENT PENTAIRIC40 1E OVERFLOW LINE SKIMMER:I 1 SALT GENERATOR: YES 3 7'-6" WALL INLETS:1 3— 1 SUCTION LINE WNAC LOCK YES OL CMP 2.5" LARGE OUTLET EXISTING 12 12,-6" PUMP FILTER:PENTAIR CART-C-100 FINISH ITEMS POOL LIGHTS: 1 / IAPMO LISTED VGB COVERS CHAIN—LINK MINIMUM 3' APART OR ON SEPARATE PLANES. - Ty �� TI N THRU S BY OTHERS i ON -RESIDENTIAL R4101.17• 2.5" I TILE. - S. AND WINDOWS PROVIDING CCESS FROM THE HOME TO / EXPOSED FINISH: DIAMOND BRITE _ � � ,_,;;1'�°�' L SHALL BE EQUIPPED WITHSPECIAL NOTES ALARM COMPLYING WITH UL l% EQUIP. " / �\\ 2 VAC / & PAD \\ LINE PILING POOL: NO POOL ENCLOSURE:1EXISTING FENCE POOL EQUIPMENT PAD TO BE LANDSCAPED PER CODE. / / 24' I EQUIPMENT TO BE AT OR / / 100W ABOVE 7' BASE FLOOD LEVEL. / 50'-6" / I 31 s TR b DETACHED j I APpw' 4"'l '`---�� GARAGE 10"x24" (240 S.I.) / TYPICAL 14'-4" _ I I SHALL BE IN ACCORDANCE WITH 3UILDING CODE 5th EDITIONS 2014 I r - ------- — . ( ) r — — � RE DATE DESCRIPTION MAL-CHAPTER 45 PRIVATE SWIMMING POOLS SELF—CLOSING/ WOOD DECK I I 2'-5'_' 1 3/21/17 REVISED DRAIN FIELD AND SEPTIC NOTES—KS SELF—LATCHING I I I GATE I I I I 2 ' 5/31/17 REVISED DRAIN FIELD AND§SEPTIC NOTES—KS :ONSERVATION CHAPTER 4 I I I I I 3 8 28 17 RE—DESIGN 'IAL ENERGY EFFICIENCY SECTION R403.9 I I I I 4 921 17 ADDED CROSS SECTION POOLS,INGROUND SPAS AND PORTABLE SPAS I I I - I ••• ••: : : :t;ptjTI;AGTOR: FLORIDA POOL _& SPA DRAWN BY: KS_ r---------------- ---------- ---------� I • . • : : : : :•: *FONTRACTOR, LLC DATE: 02/07/17 - -------------- - .. .. _ I I - - � -4 - - pl�N �� - - - - SHEET 2 - I I RESIDENCE ... • . ... .. . eri' DRAIN gee • . • • • R i I SEP 21 ZO11 `..o`6-tw :• : . • : : : ••• • THIEBAUT RESIDENCE 40I L21O�SOW•fr "000" a� 9341 N.E. 9TH AVENUE Phone: (954) 564-6214 MIAMI A LINE I I Fax: (954) 564-1066 . EGAZ`. COT :5 33138 BRADLEY JAY CASH, PE 1320 NLET j I � � �•.•� I,IARILYN��•IGTS .loe No. .. .. . . . .. .. SCALE• •.• ' • • ••• • •• •� INLETS " PROPERTY U • •NE • • • • • : : i'• ' i • POOL - - - - - - - - - - - - - - - - --- • i i • - ••• �� M.D.s TYP. (BACK TO PROVIDE OVERFLOW LINE • 2" TEE) NOTES I "' • e •• ; SKIMMER 2%"DUAL POOL CMP 2.5" LARGE OUTLET ('• •• ' DRAIN W/ IAPMO-LISTED VGB COVERS 1 • •'• ' ' "' 2" VACUUM AND LOCATED A MINIMUM 3 APART OR 1 LOCATED ON SEPARATE PLANES. 2.5" 2" I PER FBC—RESIDENTIAL R4101.17: _ I _ _ _ _ r _ _ _ ?" 3 WAY ALL DOORS AND WINDOWS PROVIDING ` r HAIR do LINT VALVE AIR RELIEF I DIRECT ACCESS FROM THE HOME TO / Y� a� . ,; I f 2" STRAINER TYP, FILTER PRESSURE GAUGE THE POOL SHALL ,BE EQUIPPED WITH / ,_.A� w ANEXITALARM,, COMPLYING WITH UL / / 2" VAC PUMP / / EQUIP. " / LINE 1 BALL J ! & PAD t OOW 10?W VALVE POOL EQUIPMENT PAD TO BE T7` \ I / \�/ ( TO WASTE LANDSCAPED PER CODE. / / w / ! EQUIPMENT TO BE AT OR p / / ABOVE 7' BASE FLOOD / ! a % LEVEL. 3'2 t'�" POOL PIPING DIAGRAM CMP 2.5" LARGE OUTLET DRAIN DETACHED / 0 with IAPMO Listed VGB Cover / MAXIMUM MAIN DRAIN FLOOR FLOW RATE = 150 GPM m 39 S., MIN. SUCTIO ._.`'-�..`�..�,ti 4` / ! FLOW VEL ITTYlDOES NOT EXCEED NSURE THAT, 6`4-i'/ / ! FPS, SEE ING DIAGRAM FOR SIZES) J/ I I — I I ALL WORK SHALL BE IN ACCORDANCE WITH FLORIDA BUILDING CODE 5th EDITIONS(2014) I i F i i iZ MAIN DRAINS—(GRATES COMPLIES W/ANSI/ASME Al 12.19.8M) I I RESIDENTIAL-CHAPTER 45 PRIVATE SWIMMING POOLS I WOOD DECK i I I ( NOTE: THE DRAINS CAN BE PLACED IN THE SIDE WALL I IENERGY CONSERVATION CHAPTER 4 I I I I I MAIN DRAIN DETAIL S RESIDENTIAL ENERGY EFFICIENCY SECTION R403.9 SWIMMING POOLS, INGROUND SPAS AND PORTABLE SPAS i I N.T.S. r--------------------------1---------I I CONTRACTOR: FLORIDA POOL 101, LLC SHEET c3 Ir-------------------------------------I LEGEND I I o t, PLUMBING RESIDENCE _ ® _FLOOR DRAIN _ LIGHT Vb SKIMMER I I THIEBAUT RESIDENCE .a.K.,,. ,•A.. �ti�. MAR 2 2 Phone: (954) 564-6214 9341 N.EMIAMI AVENUE T VACUUM LINE I I 1017 Fax: (954) 564-1059 33138 WALL INLET I I LEGAL: LOT 5 BRADLEY JAY CASH, PE #51320 MARILYN HGTS JOB NO IN GARAGE EQUIPOTENTIAL BONDING DETAIL XISTING PANEL 200 AMP •" A MINIMUM SLOPE FOR DECKING N.T.S. 2P 30A BREAKER W/ #10 OF%8 INCH PER LINEAR FOOT CONDUCTOR FEEDING POOL SHALL BE PROVIDED PER WALKING •• • ANSI/NSPI-5 SECTION 7.2.2.1 • SURFACE SINGLE #8 AWG WIRE PVC GOND.W/ ° ' '• ' • • •'• ` • •' 18" TO 24" TO BE RUN HORIZONTALLY - • • AROUND ENTIRE PERIMETER GRND61 HOT. O NEUTRAL •'• ' ''• •`• ••• PRECAST OR OF POOL OR SPA -- `�'` EXISTING '•r 4"MIN.6" ; ,`�. METER BRICK COPING ZOO ••• as Q •• • • �• • • • • TILE INSIDE WALL POOL PANEL '• 131EQK;s• • ' OF POOL ;, 18" TO 24",, F.P.L POOL TRANS. • ' WP GFI�1) JUNCT.BOX " ' ' ' ' '0 ` 3" 6 TO 12' WATER LINE • 1 NOTE. Pool SHAPE FROM WATER p00L POOL PUMP 3 If 12-1 WILL VARY PER PLAN 8�IN . # 12 GRND. 20A GFF .;•;- �8 AWG SOLID COPPER , DECK (2)#3 IN 6"x 6"BEAM BONDING JUMPER � _ LEVEL SALT GENERATOR(JUMPER SHALL-BE INSTALLED . IN A MIN. OF 4 LOCATIONS `, �� •. .: 6" 77 EQUALLY SPACED AROUND THE - PLASTER PERIMETER OF THE POOL OR -- _� 2 X12 1 12 GRND. ��) --- #3 @ 12"O.C.EACH WAY THROUGHOUT NOTE: • FOR COVE'AREAS'DEEPER THAN 6'ADD#3 PERIMETER SURFACES AND EQUIPOTENTIAL BONDING GRID 1" NON-CORROSIVE CONDUIT 6"O.C.EACH WAY BOTTOM&3'UP (SINGLE X18 AWG WIRE) INCLUDES UNPAVED SURFACES AS WELL (2) 12V 100W LIGHT (POOL) �% ON WALLS.(STEEL TO BE AT CENTER OF CONCRETE) AS POURED CONCRETE AND OTHER TYPES OF PAVERS. POOL ELECTRICAL DIAGRAM ANTI-VORTEX MAIN DRAIN NOTE: _ MIN.8"SECURE WITH POOL LIGHT TO HAVE METAL NICHE TO PROVIDE ALL ELECTRICAL WORK SHALL CONFORM TO: 2 STAINLESS STEEL SCREWS National Electric Code 2014, Article 680(Swimming '� MIN. 9 SQ.IN. POOL WATER BOND PER N.E.C. 6803.26 �• Pools, Hot Tubs, Fountains, and Similar Installation). STEEL TFCC FORM e: : (OR EQUIVALENT) �-�• .�: • 6" POOL MOTORS SHALL COMPLY WITH ART 403.9.4 DOWN TO SOIL LINE :•. - CONSTRUCTION NOTES: P�O IDE GFCI PROTECTION N FOR PUMP. MOTOR(S), PER MANUFACTURERS'_ 1. ALL WORK SHALL BE IN ACCORDANCE WITH FLORIDA BUILDING CODE 2014. CONFORMANCE STANDARD, INSTRUCTION-NEC 2011110.3.B I� DESIGN, CONSTRUCTION AND WORKMANSHIP SHALL BE IN CONFORMITY WITH THE REQUIREMENTS OF �I ANSI/NSPI 3,ANSI/NSPI 4,ANSI/NSP15,ANSI/NSPI 6 AND ANSI/ASPI-7. ENERGY CONSERVATION POOL FILTRATION PUMPS SHALL NOT II REQUIREMENTS SHALL BE IN ACCORDANCE WITH 2010 FLORIDA BUILDING CODE CHAPTER 4-ENERGY BE SPLIT-PHASE, SHADED POLE OR CAPACITER START-INDUCTION; 1 HP 1.5"THREADED PVC PLUG o 0 _ CONSERVATION SECTIONS 403.9.1 THROUGH 403.9.4 AND ANSI/APSP-15 2011. OR GREATER PUMPS SHALL BE 2 2. UPON RATIONAL ANALYSIS,THE PREVAILING SOILS IN THE AREA SURROUNDING THIS SWIMMING POOL SPEED OR GREATER PER CONSTRUCTION WILL PROVIDE ADEQUATE SUPPORT NEEDED FOR THE POOL FOUNDATION. PERFORATED WELL POINT IN 3/4"ROCK BED 2"P.V.C.TO PUMP 3. POOL CONSTRUCTION SHALL BEAR ON CLEAN SANDS OR ROCK WITH A BEARING CAPACITY 2,000 P.S.F. ANSI/APSP/ICC-15 20114.1 4. SWIMMING POOL TO HAVE PNEUMATICALLY PLACED CONCRETE FLOOR,WALL AND BOND BEAM. ..,._. CONCRETE TO HAVE 28 DAY COMPRESSIVE STRENGTH OF 2,800 P.S.I. b i f ;L:,; ;_; �. . --�. 5. ALL REINFORCED STEEL SHALL BE GRADE 60 DEFORMED BARS OF NEW BILLET STEEL: CONFORMING TO -4� �°",J'C�t�/ G� TYPICAL WA SE- ION AND WELL.POINT ASTM A-615. STEEL TO BE BENT, LAPPED AND PLACED IN ACCORDANCE WITH A.C.I. STANDARDS ANDN:T.S. v IL �``` ✓ SPECS. APPR��' " _/Ep / 6. IN AREA OF SKIMMER, 243 BARS IN BOND BEAM MAY BE PLACED EITHER BELOW OR BEHIND SKIMMER. 7. ALL PIPING SHALL BE N.S.F.APPROVED AND SHALL BE SCHEDULE 40 PVC. - . 8. MAIN DRAIN TO HAVE A FREE AREA OF 4 TIMES THE AREA OF THE SUCTION LINE. ..�,,,,�-• 9. WATER SUPPLY AND DISPOSAL TO BE ARRANGED SO THAT THERE IS NO CROSS-CONNECTION WITH A CONTRACTOR: FLORIDA POOL DOMESTIC WATER SUPPLY. 101, LLC SHEET 4 10. IF REQUIRED, UNSCREENED POOLS SHALL HAVE A MINIMUM 4 FT. FENCE WITH SELF-CLOSING AND LATCHING GATE. ELECTRICAL SC STRUCTURAL e 11. ALL METALLIC POOL FITTINGS WITHIN 5 FEET OF THE INSIDE WALL AND THE DECK REINPMUM BE BONDED TO THE POOL REINFORCING STEEL WITHA NO. 8 AWG COPPER WIRE. THE POOL _ plard� -REINFORCING STEEL SHALL BE BONDED TO THE POOL LIGHT NICHE WITH(NO. 8 AWG COPPER WIRE. TWO NO. 8 AWG COPPER GROUND WIRES SHALL BE RUN WITH N.E.C.APPROVED CONDUIT, ONE THIEBAUT RESIDENCE INTERNALLY, FROM THE LIGHT NICHE TO THE JUNCTION BOX. COMPLETION OF THE POOL GROUNDING MAR IIL ISI"""'"°°°MLIL ' 9341 N.E. 9TH AVENUE 2 2 2011 Phones (954) 564-6214 MIAMI SYSTEM TO THE PANEL BOARD BY ELECTRICIAN. Fax: (954) 564-1059 LEGAL: LOT 5 33138 BRADLEY JAY CASH. PE #51320 MARILYN HGTS JOB NO. WATER LINE T MIN. 240 SO IN. ONE ROW OF TILE SURFACE AREA —I 12" MAX I SECTION s^RADIus I (TYP) THRU C (MAX) I 3' J I L SLOPE I 4'-11" 1 9.91' J 12" MAIN DRAIN _— " I _ I MIN. I 11° 6" SECTION ------_ MAX 12" THRU CL I #3@ 12"O.C. 5' 19' 24 TYPICAL SECTION THRU STEPS TYPICAL SECTION FOR TYPE O POOL CROSS SECTION OF POOL PER ANSUNSPI-2003 6.2.2: N.T.S. (DIVING EQUIPMENT PROHIBITED) ALL RISERS AT THE CENTERLINE SHALL HAVE A N.T.S. MAX.UNIFORM HEIGHT OF 12",EXCEPT THE TOP N.T.S. OR BOTTOM RISER,WHICH MAY VARY IN HEIGHT,BUT SHALL NOT EXCEED 12". .L cv" t . 5Y2 •�Ln. Ii ' .. 5 93%6" 6" 2 x TOP ' '�� J� ' ✓� BEAM !� ' TO BE CUT FLUSH UNTIL AFTER PLASTER 2" PIPE CUT OARD FLUSH WITH TILE 1TOP OF POOL BEAM AFTER PLASTER 4-6"-10" MAX* 16" u I I 2" PVC —2" PVC — _ I I " SCH 40 90' SCH 40 —�— II3j 3 _ 6 ..: '. r •..•• 8 " SAFETY GRATE INSERT W/'1}" MALE THREAD -- 6" 6" (SP #1026) IT IS BY DES GN THAT HAT THE SKIMMER BOXES INCLUDE ALL PIPING POOL POOL AND FITTINGS. UNDER SKIMMER TO BE EMBEDDED IN CONCRETE :-.BEAM/WALL. SIDE VIEW 2 BEAM/WALL� 2" STIP FITTING (PVC) PVC W/ 11" FEMALE THREAD TOP of POOL BEAM SKIMMER DIAGRAM N.T.S. 2" PVC %• ':. SCH 40 •• ••• • • •: �� .•O'cONTRACTOR, LLW FLORIDA OC L & SPA SHEET 5 DETAILS ED W SA 2" PVC SCH 40 r—) I.D. 21" / O.D. 21" • ••• • • r••• ••.. • • • r •r• UNDERDRAIN/OVERFLOW " ' N.T.S. FRONT VIE •••�+.b.. ... 'Io '.' '.' '•' THIEBAUT RESIDENCE SEP 21 "m' ;0. 9341 N.E. 9TH AVENUE 1011 Phone: (954) 564-6214 MIAMI Fox: (954) 564-1Os9 • • •+ 33138 • • tE��l:• LbT BRADLEY JAY CASH, PE #51320 • • • •I VARILYN+ NGS JOB NO. 1 WATER LINE WITH MIN. 240 SQ IN. ONE ROW OF TILE SURFACE AREA --I I I I 12" MAX 6"RADIUS I SECTION I (TYP) THRU C (MAX) I 3 I L SLOPE I I j 4'-11" 1 9.91' 12" P.•.:. / UPLFT CALCLIL.ATKM • ••s••• 1 �� t�q• • MAIN DRAIN TOP of POOL WALL ELEV (A) 1x.75 12" 12" 12" - IdIN!• • I +r•+• DISTANCE FROM TOP/DECK TO POOL BOTT(C) —6.08 r a s• • 11, BOTTOM OF POOL SLAB ELEV (X) 7.75 •+• • ••••• so:**•••• + MAX ———— SECTIOf� s+••• MAX FLOOD CRITERIAN ELEV (B) 5.10 12" TH RU • POOL IN FLOOD (D) .90 •• • 1 • •• • • HYDROSTATIC RELIEF VALVE —2.0 11 s•••ter/ • • •s+•• --------- -i • 5. 19. NET HEAD 1.10 • • �••••• iris• • SLAB THICKNESS 6" •••• • •• • • s a 24' (ALL ELEVATIONS SHOWN ARE NM AND ARE N FEED TYPICAL SECTION THRU STEPS TYPICAL SECTION FOR TYPE O POOL _ PER ANSIINSPI-2003 6.2.2: N.T.S. (DIVING EQUIPMENT PROHIBITED) B—X=D ALL RISERS AT THE CENTERLINE SHALL HAVE A N.T.S. D-2.00=U MAX.UNIFORM HEIGHT OF 12",EXCEPT THE TOP Rf C _ OR BOTTOM RISER,WHICH MAY VARY IN C V�`O REVIEW HEIGHT,BUT SHALL NOT EXCEED 12". OCT AT -FltrJJE-D F�DECK—(-A- 5�97�" 6" om 0�1 2 AM BOP FLOOD BEAM BOARD NOT TO BE CUT FLUSH UNTIL AFTER PLASTER 2` PIPE CUT FLUSH WITH TILE " CRITERIAN 1" TOP OF POOL BEAM AFTER PLASTER (B) 0 6"-10" MAX, ® 0 16" • A 2. II 2' PVC —2" PVC _ — 2" I I .. Z _ 90. I I SCH 40 90' SCH 40 I I _j 3 SAFETY GRATE INSERT N t W/ 1}' MALE THREAD 6` g" (SP #1026) IT IS BY DES GN THAT-THE� SKIMMER BOXES INCLUDE ALL PIPING .••: POOL ,•_ POOL I, BOTTOM OF POOL (X) AND FITTINGS. UNDER SKIMMER TO BE EMBEDDED IN CONCRETE PVC :j:BEAM/WALLs SIDE VIEW 2" BEAM/WALLS 2" STIP FITTING (PVC) a PVCW/ 11- FEMALE THREAD TOP of POOL BEAM SKIMMER DIAGRAM UNDERDRAIN/ f+. �� " . N.T.S. OVERFLOW ��••� r`�. 2" PVC . f " •.:'^;`: "•:'�� . SCH 40 ,; � CONTRACTOR: FLORIDA POOL & SPA SHEET 5 2}` CONTRACTOR, LLC eo DETAILS o e - 2" PVC SCH 40 I.D. 2j" / O.D. 2j" OWBfd � UNDERDRAIN/OVERFLOW T ..� ft N.T.S. FRONT VIEW �1.! rz1v 9 THIEBAUT RESIDENCE OKLL WMW•FM'&COMM.Kms. 9341 N.E. 9TH AVENUE AUG 2 g 2017 Phone: (954) 564-6214 MIAMI Fax: (954) 564-1059 LEGAL• LOT 5 33138 _ BRADLEY JAY CASH. PE_#51320_ _ _ _ MARILYN- HGTS JOB NO. — Permit No. BPP-7-17-1737 ,SeoRJ, Miami Shores Village Permit Type:Pools/WhiripoolsiNot Tubs 10050 N.E.2nd Avenue NE Work Classification:Addition/Afteratiorl 0 Miami Shores,FL 33138-0000 PC) r sioulfti, N1 t Permit Status:APPROVED ti s— Phone: (305)795-2204 Issue ate: 111612017 [ ExpaoA iration: 05/05/2018 D Project Address Parcel Number Applicant 9341 NE 9 Avenue 1132060010050 ANOUK THIEBAUT Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell ANOUK THIEBAUT 9341 NE 9 Avenue (786)768-0854 MIAMI SHORES FL 33138- 9341 NE 9 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 15,000.00 AQUARAMA POOL INC (305)934--4226 Total Sq Feet: 300 Approved: In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Fence Date Denied: Final Type of Woik:Swimming Pool Occupancy:Private Pool Deck Additional Info:NEW POOL Bond Return Wall Steel Classification:Residential Scanning:4 Review Electrical Review Planning Review Building Review Building Review Building Review Structural Review Structural Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Structural Bond Type-Owners Bond $500.00 Review Plumbing Invoice# BPP-7-17-64496 Review Planning CCF Fee $50.00$9.00 10/19/2017 Credit Card $50.00 $ 1,237.25 CC DBPR Fee $6.75 11/06/2017 Credit Card $ 1,137.25 $ 100.00 DCA Fee $4.50 07/06/2017 Check#:355 $50.00 $50.00 Education Surcharge $3.00 10/19/2017 Credit Card $50.00 $0.00 Permit Fee $450.00 Bond#:3548 Plan Review Fee(Engineer) $80.00 Plan Review Fee(Engineer) $80.00 Plan Review Fee(Engineer) $80.00 Scanning Fed $12.00 Technology Fee $12.00 Total: $1,287.25 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. I OWNERS 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 zoningre,I authorize the above-named contractor to do the work stated. ;P9 November 06, 2017 Authorize gSidnarure:Owner / Applicant / Contractor / Agent Date Building Department Copy November 06,2017 1 Miami Shores Village .�� Building Department 7 �� -"� � \� JUL 6 2017 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 ---•-•- FBC 20 Sth BUILDING Master Permit No. 9)9p n — � 131 PE , -IT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CON,+T�RACTOR DRAWINGS 23q� JOB ADDRESS: �� '/1' City: Miami SShoresCounty: Miami Dade Zi :-313 Folio/Parcel#..-`/—,3 210 6 -00/—QW r��O Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Tyf� Flood Zone: BFE: 7 FIFE:J OWNER: Na a FeeSp im le Titleholder): i�d�� d Phone#: Address: 1H L4 � A City:/44 1114 A/1-51//0 State: Zip: Tenant/Lessee Name: Phone#: Email: �; 4 CONTRACTOR:Company Name: le/ / -1��f/� l�'� Phone#: Address: �✓ �� / f�� City: State: Zip: Qualifier Name: 4e, ��`u//��n� Phone#: State Certification or Registration#:LY�(� f S,)LJ 71 //7 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work forthis;Permit:$ / Square/Linear,Footage of.Workc, Type of Work ❑ Addition" ,' '' ❑ New �.- �*y",�' ;.❑ Alteration ❑ Repair/Replace. q ❑ Demolition Description of work . �/T�t/ V Specify color of color thru tile: Submittal Fee$ 5QQ i d Permit Fee$ CCF$'-:) - CO/CC$ L'A Scanning Fee$ Radon Fee$ �b DBPR$ ': Notary$ Technology Fee$ Training/Education Fee$ t Double Fee'$ Structural Reviews$ CEJ Bond$ � TOTAL FEE NOW DUE$ (Revised02/24/2014) A _ ' Bonding Company's Name(if applicable) Bonding Company's Address City + State Zip MortgagesLe der's Name(if applicable) Mortgage Lender's Address t ~ 11 City : "' r 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 perZissued. eabsencesuch posted notice, the inspection will not be approved nd a reinspection fee will be charged. Signature Signatur OWNER or AGENT CONTRACTOR The foregoing instrumen as acknowledged before me this The foregoing instrument was acknowledged before me this ay of 20 by 4O day of J n=Cr 20 _bar �/!!7 who is ersonally kn�to, e. AS Q 1 ,who is ersonally know o me or who has produced as me or who has produced as identification and who did k n oath identification and who did take an oath. �" PEDRO ERIGOYEN '��P ),a�':;°�% P€DFS ERIGOYEN NOTARY PUBLIC: MY COMMISSION#FF 108420 NOTARY PU L�: * MY COMMISSION#FF 108420 .o EXPIRES:July 29,2018 * -EXPIRES:July 29,2018 Bonded N c�-- F ,/J) + F��` Bonded ThruBudget Notary Services Sign: Sign: �lU Print: br �" 1 c'J Print: ,0 c7"'7 Seal: Seal: APPROVED BY w r ' L Plans Examiner Structural Review Clerk (Revised02/24/2014) / RrCK SCOTT, GOVERNOR, KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION'INDUSTRY LICENSING BOARD r' CGC1522747 The GENERAL CONTRACTOR. Named below IS-CERTIFIED, ,� ? Under the provisions of Chapter 489 FS. " Expiration date` AUG 31, 2018, °1. ,,max•;,• - GERARDANDRES,�'� PASANTES, ARTIFEX CONSTRUCTION-CORPORATION ', 5 13133 SW 191 ST TERRACE, ,' MIAMI FL 33.177 I w rfxr U ISSUED: 09/04/2016 DISPLAY AS REQUIRED BY LAW SEQ# L1609040002331 i 004917 g 'Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOTA BILL-DO NOT PAY 7181322. LB.T BUSINESS NARMIOCATION RECEIPT NO. EXPIRES ARTIFEX CONSTRUCTION CORPORATION RENEWAL SEPTEMBER 30' 2017 13133 SW 191 TER 7461768 Must be displayed at place of business MIAMI FL 33177 Pursuant to County Code i Chapter 8A-Art.9&10, i OWNER SEC.TYPE OF BUSINESS ARTIFEX CONSTRUCTION CORPORATION196 GENERAL BUILDING CONTRACTOR PAYMENT RECEIVED C/O'PASANTES GERARD ANDRES CGC1522747 BY TAX COLLECTOR Worker(s) 1 $75.00 08/25/2016 CREDITCARD-16-049259 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 holder's qualifications.to do business.Halder must comply with any.govemmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles'-Miami-Dade Code Sec im-276. For more information,visit www miamidede oov/texcollector N �+ DRIVER LlICErlsE class E d " r, ,_ P2Ci3-28"1-7142" � te1� R� `P >! 1 �31133 svv IVI rI:R x{� �, DOS;Q9�4s»TE7f,SFIf;, FA 7 i j€ ......... _._... ..... ....... $ I ARTIF-1 OP ID:AM ACG►R17� CERTIFICATE OF LIABILITY INSURANCE DATE F /29120Y 03/29/207 17 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(ies) must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Gina Larrez,CPCU,AAI,CRIS Tanenbaum Harber of Florida NAME: 2900 SW 149th Avenue PHCN o .954-883-2900 ac No):954517-7400 Miramar,FL 33027-6605 E-MAIL alarraz@thfiorida.com Alina Larraz,CPCU,AAt,CRIS ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:FCCI Insurance Co 10178 INSURED Artifex Construction Corp INSURER B: Mr.Gerard PasaQies 13133 SW 191 Terrace INSURER C: Miami,FL 33177 INSURER D: INSURER E: INSURER F: r 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. _1LTR DL TYPE OF INSURANCE WVD POLICY NUMBER MM DDY/YYYY MM DDEFF Y EXP LIMITS A X. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE r_x1 OCCUR GL60157934 08/16/2016 08/16/2017 DAMAGE TO PREMISES RENTED ENT Dnce $ 100,00 re MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY JET LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS _ Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $' WORKERS COMPENSATION ST X AT UTE EOR H ' AND EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 001 WC16A75314 08/16/2016 08/16/2017 E.L.EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 500,011 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) ----------------1 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BLDG DEPT. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIF91MON DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 N.E.2ND AVENUE AUTHORIZED REPRESENTATIVE MIAMI SHORES,FL.33138 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) - The ACORD name and logo are registered marks of ACORD Property Search Application - Miami-Dade County Page 1 of 1 e' 0FFIUAftEUmF THE PROPERl"AY APPRAISER Summary Report Generated On:7/6/2017 Property Information Folio: 11-3206-001-0050 , i • 9341 NE 9 AVE Property Address: Miami Shores,FL 33138-2903 + Owner CHRISTOPHE DISSAUX ANOUK THIEBAUT 9341 NE 9 AVE Mailing Address MIAMI SHORES,FL 33138 USA » PA Primary Zone 1400 SGL FAMILY-3001-3250 SQ 0101 RESIDENTIAL-SINGLE Primary Land Use FAMILY: 1 UNIT Beds I Baths/Half 4/2/0 Floors 2 '" Living Units 1 Actual Area 2,790 Sq.Ft ner k Living Area 2,236 Sq.Ft Adjusted Area 2,468 Sq.Ft Taxable Value Information Cot Size 9,600 Sq.Ft 1 2017 2016 2015 Year Built 1949 County Exemption Value $0 $50,000 $50,000 Assessment Information ' Taxable Value $418,476 $95,819 $94,806 Year 2017 2016 2015 School Board Land Value $259,102 $268,922 $293,095 Exemption Value $0 $25,000 $25,000 Building Value $159,374 $159,374 $159,374 Taxable Value $418,4761. $120,819 $119,806 XF Value $0 $0 $0 City Market Value $418,476 $428,296 $452,469 Exemption Value $0 $50,000 $50,000 Assessed Value $418,476 $145,819 $144,8061 Taxable Value $418,476 $95,819 $94,806 Regional Benefits Information Exemption Value $0 $50,000 $50,000 Benefit Type 2017 2016 2015 Taxable Value $418,476 $95,819 $94,806 Save Our Homes Assessment Cap Reduction $282,477 $307,663 Sales Information Homestead Exemption $25,000 $25,000 Previous Sale Price OR Book-Page Qualification Description Second Homestead Exemption $25,000 $25,000 01/06/2017 $600,000 30382-2273 Qual by exam of deed Note:Not all benefits are applicable to all Taxable Values(i.e.County, 12/01/1987 $78,000 13528-3787 Sales which are qualified School Board,City, Regional). Short Legal Description MARILYN HGTS PB 41-8 LOT 5 LOT SIZE 75.000 X 128 OR 13528-3787 1287 1 The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at hftp://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 7/6/2017 VM `7- 1--1 �3 7 mardi 17 octobre 2017 3:09 PM Subject: Check Date: mardi 17 octobre 2017 15:08 From:Anouk Thiebaut<athiebaut@meetingaffairs.com> To:Anouk Thiebaut <athiebaut@meetingaffairs.com> e. ANOUK THIEBAUT 11p735 356 •- 405 DEAN STREET, APT. 1A 92026629 _ BROOKLYN, NY USA 11217-4628 Pay- C to the order of r Jh( rl1lF.- Citibank" CITIBANK,N.A.BR.#735 785 FIFTH AVENUE NEW YORK,NY 10022 ` Meme... � "0210000891: 92026629li' 0356 .,.,. .».___..-.:.'Wlerww.�rvs4�uc::—�...^a�l+'w...ar -- i _. .,.i..,.waM•-..... ., Allal y Sent from my iPhone 620 Dhl,261,) �� - October 16, 2017 Mr. Daniel Degrave Florida Pool & Spa Contractor LLC. 7525 E. Treasure drive #112 North Bay Village, FL 33141 Dear Mr. Degrave, This e-mail is to inform you that we have decided to terminate the agreement we signed on February 2, 2017 with Florida Pool 101 and updated on October 10, 2017 with Florida Pool and Spa Contractor LLC. More than 8 months after approving your initial quote, the work has not started and we believe your company is not able to perform this job. Therefore, we would be very grateful to you if you could inform the various contractors working on your behalf that they will not be authorized to enter our property starting October 17. Given that nothing has been done in the 8 month period since the deposit was paid, we expect it to be refunded immediately. Please feel free to contact us should you have any questions. i Sincerely, Anouk Thiebaut and Christophe Dissaux f 9431 NE 9th Avenue Miami, FL 33138 4 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages 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 Owner's Name Policy Number: CHRISTOPHER DISSAUX A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number: 9341 NE 9 AVE City State ZIP Code MIAMI SHORES Florida 33138 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 5, MARILYN HGTS, PB 41, PG 8, MIAMI-DADE, FLORIDA A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL • A5. Latitude/Longitude: Lat.26°05'25.22" Long.80°10'44.61" Horizontal Datum: [I NAV 1927 ©•IEA;1983•.. •• A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance...... •.: ... :. ...... A7. Building Diagram Number 1 �� • .... .... . . A8. For a building with a crawlspace or enclosure(s): �.... �.... ... ...... .... . a) Square footage of crawlspace or enclosure(s) 0 sq ft . . . ... . .. .. .. . ... .. b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjaoeni grade . 0 • c) Total net area of flood openings in A8.b 0 sq in :...:. • d) Engineered flood openings? ❑ Yes El No •• • ••• • • A9. For a building with an attached garage: a) Square footage of attached garage 79 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑Yes ❑x No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2. County Name B3. State w MIAMI 120652 1 MIAMI-DADE Florida B4. Map/Panel 65. Suffix ' B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Efevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12086CO306 L 09/11/2009 09/11/2009 X N/A B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 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.j Policy Number: 9341 NE 9 AVE City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33138 SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building'elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones Al—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/Al—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: N-800 Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a)through h)below. ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Topofbottom floor(including basement, crawlspace,or enclosure floor) 15. 0 ❑x feet ❑ meters . .... .... . . b) Top of the next higher floor NSA. Xfeet E] meters ... • •• ....c) Bottom of the lowesto4wiEontal structural member(V Zones only) NSA. ❑x feet ❑ meters :660�;d) Attacned garage 14t-df%lab) 13 17 feet " ❑ meters e) LoVvV§� Ievationbj��1linery or equipment servicing the building 13 34 ❑x feet ❑ meters "' (Desch a type of equ�ment and location in Comments) ..... . .. ... .. f) Lo$:eit adjacent(fwi wd)grade next to building(LAG) 12 56 ❑x feet ❑ meters • g) Highe%t adjacent:1r:s"E2J)grade next to building(HAG) 12 87 ❑x feet ❑ meters h) Lo5t dt acent grpde aS lowest elevation of deck or stairs, including 12 56 .d dv2 ❑x feet ❑ meters ...... structural support• • • ... .o •• 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 provided by a licensed land surveyor? Z Yes ❑No ❑Check here if attachments. Certifier's Name License Number GEORGE IBARRA 2534 EiE.... IB Title OG... SIFt LAND SURVEYOR NO. 3 d Company Name A �v NOVA SURVEYORS INC * a Address TE OF Z 1355 NW 97 AVE#200PORI& .•oma City State ZIP Code �q N o.su�`l* 4 MIAMI Florida 33172 Signature Date Telephone k* 01/13/2017 (305)264-2660 Copy all ges of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner. Comments(including type of equipment and location, per C2(e), if applicable) SECTION C 2(E)LOWEST ELEV MACHINERY IS A/C PAD. LATITUDE AND LONGITUDE IS PROVIDED BY GOOGLE EARTH. CROWN OF ROAD ELEVATION = 11.39 FT FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 t OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 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. Policy Number: 9341 NE 9 AVE City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33138 SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4,use natural grade,if available.Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a) Top of bottom floor(including basement, crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG. b) Top of bottom floor(including basement, crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of 6vtryctions), the next higher floor(elevation C2.b in �,.. . • the diagrams)of the building is E]feet E]meters 'u above or [/below the HAV• :• .. E3. Attached garage(top of slab)is ❑feet ❑meters E*Atpe or ❑beloMthe HAO.• • E4. Top of platform of machinery and/or equipment ••• •• servicing the building is F1 feet ❑meters Q.abova or [fib eIo the HAG• •• E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordamewi*the com"mity's •.: .• floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify.this�iAtormatior►im 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�yjtMogt a FERIA-issued or ••• •• community-issued BFE)or Zone AO must sign here.The statements in Sections A, B,and E are correct to he best of my knowledge. Property Owner or Owner's Authorized Representative's Name CHRISTOPHER DISSAUX Address City State ZIP Code 9341 NE 9 AVE MIAMI SHORES Florida 33138 Signature Date Telephone Comments - 5 ❑Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 3 of 6 Building Photographs 16-0001273-2 See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit,Suite and/or Bldg. No.)or P.O. Route and Box No. Policy Number 9341 NE 9 AVE City State ZIP Code Company NAIC Number MIAMI SHORES FL 33138 111 i1 / tf,3p Bit rte_. 1[!I L a ' - 0000 • Tad IN ••• •••• • ,�. ,�t2�„� ;•• } •• 000000 •00.00 4000 sees N jv • • W 0 ,'Y 0. .iY• ' •W• 00000 i"" 0�-•••� 000 0••0• 7-a3 Deese�• �� • •' •:,�+ 0000•.• bee •• Front View Date of Photograph: 01/13/2017 m r-_____ Rear View Date of Photograph: 01/13/2017 t Building Photographs 16-0001273-2 Continuation Page For Insurance Company Use: Building Street Address(including Apt., Unit, Suite and/or Bldg. No.)or P.O. Route and Box No. Policy Number 9341 NE 9 AVE City State ZIP Code Company NAIC Number MIAMI SHORES FL 33138 Y " ... �;,�r� 0000 • �.;:�'' ••• 0000 �Y�- ••• 0000• J • w 0090•0 ,i < • • vi.4 !� • • 'y ~ • • Left Side View Date of Photograph: 01/13/2017 oil ;II 4 ! ,�„ ,.� � �R•v, i7�•° +. tom, �° t •.a yr rpa ".� t 4 r Right Side View Date of Photograph: 01/13/2017 R DEC DYNATECH ENGINEERING CORP, WWW.DYNATECHENGINEERING.COM Miami, January 12, 2017 , Ms. Anouk Thiebaut rm Mm WE 9341 North East 91" Avenue Miami Shores, FL 33138 .t� : .... ?w • Re: Proposed Pool 9341 North East 9t" Avenueo; ••; •••••• Miami Shores FL `�+' •... •••••• Dear Ms. Thiebaut: •••••• •••• • Pursuant to your request, DYNATECH ENGINEERING CORP. (DEC) complited a Subsoil Investigation on January 12,2017 for the above referenced project. The purpo;e of our inv1St Afttion was to help determine the subsoil conditions relative to the proposed pool. " #600 • .: A total of(2) standard penetration boring tests,were performed according to ASTM D-1586 down to an average depth of 15' below existing ground surface at the locations shown on the attached sketch only. The following graph was developed as a general condition below existing ground surface at the , time of drilling for the subject site (Subsoil conditions are non-homogenous, refer to field boring logs for exact locations and soil description. Average depths are approximate and will vary in the field): Average Depth From -To Description 0'-0" 0'-6" Topsoil and grass 0'-6" 1'-0" Dark brown medium sand w/organic stain 1'-0" 2'-0" Light tan medium sand 21-0"' 3'-0" Tan medium sand w/rock fragments 3'-0" 6'-0" Tan very sandy limerock 6'-0" 15'-0" Tan sandy limerock Groundwater was measured immediately at the completion of each boring and was found at an average depth of approximately 10'-6" below existing ground surface at the time of drilling. Existing ground surface elevation was not provided to us at the time of drilling. Design engineers must verify existing ground elevations as well as FEMA Flood and County highest and lowest groundwater elevation for their design. Fluctuation in water level is anticipated due to seasonal variations and run off as well as varying ground elevations construction dewatering and pumping activities in the area and global warming. Site contractor must familiarize himself with site conditions in the event groundwater controls and dewatering is needed during construction. Surface flooding may result under hurricane conditions and should be taken into consideration in the design of the project. The contractor shall monitor and make sure that groundwater levels on adjacent r° properties are not adversely impacted due to the contractors dewatering activities. Specialty groundwater and water proofing contractors shall be consulted for all work below the groundwater level. 1 750 WEST 84TH STREET.HIALEAH.FL 33014 PHONE(305)828-7499 FAX(305)828-9598 EMAIL:INFOODYNATECHENGINEERING.COM E� VM `7- 1--1 �3 7 mardi 17 octobre 2017 3:09 PM Subject: Check Date: mardi 17 octobre 2017 15:08 From:Anouk Thiebaut<athiebaut@meetingaffairs.com> To:Anouk Thiebaut <athiebaut@meetingaffairs.com> e. ANOUK THIEBAUT 11p735 356 •- 405 DEAN STREET, APT. 1A 92026629 _ BROOKLYN, NY USA 11217-4628 Pay- C to the order of r Jh( rl1lF.- Citibank" CITIBANK,N.A.BR.#735 785 FIFTH AVENUE NEW YORK,NY 10022 ` Meme... � "0210000891: 92026629li' 0356 .,.,. .».___..-.:.'Wlerww.�rvs4�uc::—�...^a�l+'w...ar -- i _. .,.i..,.waM•-..... ., Allal y Sent from my iPhone 620 Dhl,261,) �� - Re: 9341 North East 91h Avenue, Miami Shores, FL Based on our understanding of the proposed pool and our field boring logs; the following are our recommendations for foundations design: A- Excavate the entire area of the proposed pool to proper depth. B- Compact excavated area to a minimum of 95% of ASTM D-1557. C- Verify compaction efforts by taking field density tests. D- Any additional fill below ground water shall consist of compacted gravel up to 12" above groundwater. The above recommendation being achieved and verified;it is our opinion that tli&proposed1pZ1 by design...• for a shallow foundation system with a permissible soil bearing pressure not tb'2tC0ed 2,000•99F. ....:. Design computations for thickness shall utilize a modulus of subgrade reaction-;qol pof 300Yc'i'slabs Must be provided with proper expansion and control joints.All slabs areas must be st> aed of all.tpl�soil pr�o> fo• construction. •• ••' • The following soil parameters shall be used for retaining wall designs: .. •••.:. • .... - Soil unit weight moist: 130 pcf. Submerged: 70 Pcf. - Angle of internal friction: 30 • - Earth pressure coefficient Ka: 0.33; Kp: 3.0 - Angle of wall friction: 30'for steel piles, 20 for concrete or brick walls; 15° uncoated steel. Excavations shall not extend within 1 foot of the angle of repose next to existing footings or structures, unless underpinned. All excavation shoring must be designed and inspected by a Florida licensed professional engineer. Excavation contractor must make provisions for hard excavation conditions. All trenching,work shall be in compliance with Florida Building Code, OSHA, and Trench Safety Act. Provisions shall be made by the architect,engineer of record and contractor to address vibration/dynamic loading; differential settlements when tying in new to existing structures. Mixing of different foundation types shall not be used unless provided with expansion joints to address differential settlements and vibration transfer. Also note that as a common engineering practice for existing and new construction;outside ground surfaces must be sloped away from the structure as to avoid water accumulation and ponding. Rain gutters shall be installed and all rain water shall be discharged over splash guards a minimum of 5 feet away from building foundations. Verify all water,sewer,plumbing,sprinkler and drainage lines are properly functioning with no leaks in the vicinity of the foundations. An arborist must be consulted prior to any land clearing to verify compliance with local codes. Detailed settlement analysis was beyond the scope of this report. However,we have compared the field test data obtained in this exploration with our experience with structures similar to those proposed for this report. The estimated magnitude of these settlements is less than % inch differential and less than 1 inch total settlements. Due to the granular nature of the subsurface materials, the foundation settlements should occur as the loads are applied and should be virtually negligible by the end of the building shell completion. If dynamic loading is proposed (ie: parking garage, etc...) this condition MUST be brought to our attention to re-evaluate the applicability of our recommendations. 2 750 WEST 84TH STREET.HIALEAH,FL 33014 PHONE(305)828-7499 FAX(305)828-9598 EMAIL:INFOODYNATECHENGINEERING.COM l DEC Re: 9341 North East 9th Avenue, Miami Shores, FL This report was prepared in compliance with the 2014 Florida Building Code, 5th edition. Site elevations were not provided to us for the test locations. Depths reported on the field boring logs represent the depth below existing ground surface as they existed on the date of drilling. In the event of subsequent filling, excavations or site work, the reported depths must be adjusted to represent proper depths. The boring log(s)attached present(s)a detailed description of the soils encountered at test location(s).*•The'• soil stratification shown on the boring log(s)is based on the examination of the fe(Wered soil s'amplei ands- interpretation of the driller's field log(s). It indicates only the approximate bougies bei�,yj n soil tipec.: The actual transitions between adjacent soil types may be gradual. Regardless-of the thbrougbnes,%pf a• geotechnical exploration there is always the possibility that conditions may be dif V6i:t froruft%of the teo• locations; therefore, DYNATECH ENGINEERING CORP. does not guarapte�q.�jiy subsU condilf(W• between the bore test holes. In accepting and using this report the client understands and accepts that alj M4. from the borings are strictly for foundation analysis only and are not to be used forrAcavati*on or hack f llin�: estimates and pricing. Owner and site contractor must familiarize themselves with ;ite coriditians prior too bidding. Client recognizes that actual conditions in areas not tested by DEC may differ from those anticipated in DEC's report. Client understands and accepts that this can significantly increase the cost of construction for its future projects. Client agrees that DEC shall not be responsible or liable for any variations in the actual conditions of areas not tested by DEC. For Environmental due diligence; a Phase l and/or Phase II Environmental Site Assessments is recommended. As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. The scope of services performed in the execution of this investigation may not be appropriate to satisfy the needs of other users, and use or re-use of this document or the findings, ' conclusions,or recommendations is at the risk of said user. Said user must contact DEC in writing to verify applicability of this report for their use. All work must be conducted under the supervision of our geotechnical engineer. The discovery of any site or subsurface conditions during construction which deviate from the information obtained from our subsoil investigation is always likely and should be reported to us for our evaluation. All work shall be conducted in compliance with the Florida Building Code FBC and OSHA workers protection rules and all applicable Feddral, State, County and City rules and regulations. It has been a pleasure working with you and look forward to do so.in the near future. Sincerely yours, Wiss Naamani P.E. �.• �SSP__S,q140 DYNATECH ENGINEERING CORP. F'�''•'�' Florida Reg. No. 39584 ;" &0. Special Inspector No. 757 Certificate of Authorization No.: CA 5491 ;�,o`�rFC1 N -X0 . cs�®• ,R/pA_ 3 750 WEST 84TH STREET.HIALEAH,FL 33014 PHONE(305)828-7499 FAX(305)828-9598 EMAIL:INFOCDDYNATECHENGINEERING.COM DEC DYNATECH ENGINEERING CORP. TEST BORING FIELD LOG CLIENT : MS. ANOUK THIEBAUT DATE: January 12, 2017 PROJECT : Proposed Pool @ HOLE NO.: B-1 ADDRESS : 9341 North East 9th Avenue, Miami Shores, FL. DRILLER: A. S. LOCATION : See attached sketch a , AMPLW " 'HAMMER DESCRIPTION OF-MATERIALS Depth BLOW03V "N" • '••• 2 ••• *Hand H • 4 5 •�... 6 • ... 2 2 • 0'-0"to 0'-8" TOPSOIL AND GRASS AND ROOT'S 6` •• 2 01'875 to 1'-6" LIGHT GRAYISH MEDIUM SAND '* •:3 6 - 8 '8 6 :.�.:. ]0....:. 1'16"to 2'-0" TAN MEDIUM SAND : 5 5 10 9 6*•: 14 2'-0"to 3'-0" LIGHT TAN MEDIUM SAND W/ROCK FRAGMENTS 8 8 12 16 20 33 3'=0"to 6'-0" TAN MEDIUM SAND 13 12 14 15 19 37 6'-0" to 9'-0" TAN MEDIUM SAND W/ROCK FRAGMENTS 18 18 16 16 18 9'-0" to 15'-0" TAN SANDY LIMEROCK 18 I 20 r. 22 24 26 28 30 32 34 36 38 Water Level: 10'-6" Below Existing Land Surface at time of drilling Asa mutual protection to clients,the public and ourselves,all reports are submitted as the confidential property of clients,and authorization for publication of statement conclusions or extracts from or regarding our reports is reserved pending on our written approval.. H.A.:HAND AUGER;A:HOLLOW STEM AUGER;R:REFUSAL 4 750 WEST 84TH STREET,HIALEAH,FL 33014 PHONE(305)828-7499 FAX(305)828-9598 EMAIL:INFO@DYNATECHENGINEERING.COM l E� ` 1 DYNATECH ENGINEERING CORP. TEST BORING FIELD LOG CLIENT : MS. ANOUK THIEBAUT DATE: January 12, 2017 PROJECT : Proposed Pool @ HOLE NO.: B-2 ADDRESS : 9341 North East 91h Avenue, Miami Shores, FL. DRILLER: A. S. LOCATION : See attached sketch HAMMER DESCRIPTION OF MATERIALS Depth BLOWS"No «N„ • SAMPLER ••.• 2 ....414and • H •. • . .... 4 •.3 S•.. 7 ...� 0'-0" to 0'-6" TOPSOIL AND GRASS 4 4 ' • ;• ... 6 •• 4 7 0'-6" to V-0" DARK BROWN MEDIUM SAND W/ORGANIC STAIN ..4 , 6 . •• 8 0 9 :.6.:. 13....:. 1'-0" to 2'-0" LIGHT TAN MEDIUM SAND •! - • ... 10 9 8'.; 19� 2'-0"to 3'-0" TAN MEDIUM SAND W/ROCK FRAGMENTS 11 10 12 13 15 33- 3'-0" to 6'-0" TAN VERY SANDY LIMEROCK 18 16 14 17 15 27 6'70"to 15'-0" TAN SANDY LIMEROCK 12 11 16 12 15 18 20 22 24 . 26 28 30 32 34 36 38 r Water Level: 10'-6" Below Existing Land Surface at time of drilling As a mutual protection to clients,the public and ourselves,all reports are submitted as the confidential property of clients,and authorization for publication of statement conclusions or extracts from or regarding our reports is reserved pending on our written approval-H.A.:HAND AUGER;.A:HOLLOW STEM AUGER:R:REFUSAL 5 750 WEST 84TH STREET,HIALEAH,FL 33014 PHONE(305)828-7499 FAX(305)828-9598 EMAIL:INFOODYNATECHENGINEERING.COM ` - EC' Boring Test Location N 0000 . . . 0000 0000. 0000.. .. . 0000. B1 B AV DYNATECH ENGINEERING CORP. Client: Mr. Anouk Thiebaut Scale: N.T.S. Project: 9341 Northeast 9th Avenue, Miami Shores,FL 33138 Date: January 11,2017 • f GENERAL NOTES Soil borings on unmarked vacant property should be considered preliminary with further boring(s)to be drilled after building pad(s) are staked out. Soil borings on existing structures that are to be demolished should be considered prelimip aryand addiliondLboring would need to be performed after the structure(s)has been demolished and proposed new•buildMg staked 0"U1. •••• 660.06 . . • •• 6666.. As a mutual protection to clients,the public and ourselves, all reports are submitted-as confIlIftial property of clier�t�,and 6 authorization for publication of statements, conclusions, extracts from or regarding our rep6ort66;is reservedpending our • written approval. ••• 0000* 6666.. 6666 6666. 6666 • • .. 6666.. 6666.. KEY CLASSIFICATION & SYMB ' S 6666.. f •• • #666666666 • • 0 '00 Correlation of Penetration Resistance With Particle Relative Density and Consistency Boulders > 12 in. I Cone Penetration Standard.' Cobble 3 in.to 1 in. Tests Penetration Relative Gravel 4.76 mm to 3in. Tests 3 letrati. DensitySand 0.07 mm to 4.67 mm. Silt 0.005 mm.to 0.074 mm Sands 0-16 0-4 Very Loose Clay <0.005 mm 17-40 5-10 Loose 41-80 11-20 Firm 81-120 21-30 Very Firm Modifiers Over 120 31-50 Dense 5% - 10 % Slightly Silty or Clayey 10%.- 30% Silty or Clayey Silts & 0-3 0-2 Very Loose 30% - 50% Very Silty or Very Clayey Clay 4-9 3-4 Soft 0% _ 5% Slightly Trace 10-17 5-8 Firm 6% - 10% Trace 18-31 9-15 Stiff 11% - 20% Little 32-60 16-30 Very Stiff 21% - 35% Some Over 60 31-50 Hard > 35% And C Rock Hardness Description Soft Rock core crumbles when handled Medium Can break with your hands. Moderate Hard Thin edges or rock core can be broken with fingers Hard Thin edges or rock core cannot be broken with fingers' Very Hard Rock core rings when struck with hammer(cherts) t r Miami Shores Village -Building Department � -�t�,. r REGEiVEo � 10050 N.E' nd Avenue,Miami Shores,Florida 33138 OCT 1 9 101 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION,LINE PHONE NUMBER:.(305)762-4949 }'' C.1- FBC'201LJ!'z�j r. BUILDING. -•-Master Permit No.-9M 7.t 1-13.7 PERMIT APPLICATION p Sub Permit No. t .',-i •. r,,:.r,, •: UILDING" E-7 M- ELECTRIC ROOFING `r REVISION'1' = EXTENSION ' RENEWAL�`�' ' ,' th a •t + �.'.i i•. i_['; a'S ^t;�{ ".j a'3, PLUMBING MECHANICAL PUBLIC WORKS CHANGEi IAT ii OF CANCEL ON 10 SHOP FIA;.? ., (CONTRACTOR: ' 1 DRAWINGS' JOB ADDRESS: City:-,t. -7t&-,n-Miami Shores+^' n i "--"I.CounW.T4 Miami'Dade", _,;'(,,"1V .70n '.+t' Folio/Parcel#.kr"1 1:3320(P=•60�� - OOsc7.)-r s r ._fas the Building,Historically Designated:yes NO * - OccupancyType:l 1TC3;•.Load'-,V- v4V Construction Type•': GoodZ I PRIFlone!ticW_ �')BFE'-1°''•l/ , 'FFEY'�ATe'o OWNER:Name(Fee Simple Titleholder): dvk- 4� txU4 v� 1•p Phone#: '7 ,551 Addres :7) t 1 t f:.�s�,.. •r_ ,. 1:�4 3 t2 " S:+ i' 1.!q] ^:� }c,'� " t.C:bti t� P,.{ • • 1 } , LL t•1 A 't.� ,.. • 1.1:...1, 1.{J1 � ti1V 14t .,. . Ati, , r.'-•'� ��' »t ..� •1 . J['t c 1 'J I' `• .^' 't r Com '. �.. _�. State: 'w ip:_'55 Tenant/Lessdb N2me'-R * to t :t t. ; }1 Ph ne#:AY s. Email: CONTRACTOR:Company Na e: U M 4 Phone#: 5• Address:— 304 City: Vl/�eSTW\ State: Zip:73 3?/,(/ / t -- Qualifier Name: 6S� lJ� c7 _ Phone#: I 3A 6M4 -�'Z�(� State Certification or Registration#: ,SQL ��S(08 I i. g 1 Certificate of Competency#: IF DESIGNER:Architect/Engineer: 1 Phone#• Address: City: -State: Zip Value of Work for this Permit:$ ��. �� - Square/Linear Footage of Work: Type of Work: Dv ~.• •-Addition ';*Alteration.�+.�.,��; • New Repair/Replace-•h� `, , ,Demolition' >' v t !l4 ,4''1 �• � .yi•t i �^�'�.�,y`H�•b >t�q r�� Description of Work: .. If ._w -�'-_ _�.:� � ,`rc"c,t./' �m-r'.r/F��x{�r- ��,��/� /' _.._ _ _ �f�'t..,��?��i«c rr�G.7 fir: �ti :c,�-�^• •w '� C%'��/fl�V C.Tr7 '1»�»(�'� �.(��'y��"`—''• ta�_S\SS`s D.,9tlt{,�� '�J9a�t '� t . _ y..._ _ +.,i 4'"�{�!��,,M� l4{'1,xtw' @�it�•��.yp�.�.�y_. ... ......y �:1h'.Ix'{F"��•'��`h~•�•.P"Yer:.i".W�.h".. .r. Specify color`of color thru tile: �[ \ Submittal Fee$�`,% »oz) • -Permit Fee$ `l W 4'�** • CCF SCO/CC$ � . Scanning Fee$ L'• CAD Radon Fee$ �/ • ` )� DBPR$c0.�� ? °Notary$� Technology Fee$ 2 P ¢�(�Training/Education Fee$ 3 - G� Double Fee$ Structural Reviews$3-� CN'aN Bond$ s _ TOTAL FEE NOW DUE$� ' (Revised02/24/2014) jk BoribjneCiJrfipany's Name(if applicable) Bonding Company's Addresst 1�3 City State Zip ,Mortgage Lender's Name(if applicable) PK -,,r pn�'� 'lip. 1" I!j ni, %_1 'Mortgage Lender's Ad&eis City;' -.State- Zip a .K Application is hereby made-to obtain Sp6rmit to do the work and installations as indicated. Itcertify that no work or installation has commenced prior to the issuance of a,,-permit and that all work will be performed,to-f6eet the standards of all laws 1fe&at!,'Q construction in this jurisdiction. I understand that that a se'para'te permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC.....__ ..1:8r,",IIJ IC kj :% 'Y OWNER'S AFFIDAVIT: I certify that all the foreg6i n__Wciirmatioiln' is accurate and that all work will be done in compliance with all g in applicable laws regulating construction and zoning. "WARNING TO-OWNER:.- YOUR FAILURE TO .RECORD.A -NOTICE OF-COMMENCEMENT MAY.' RESULT--,-IN-YOUR PAYING,:TWICE.tFOR�;IMPROVEMENTS.T6--fOUR-P'ROPEkTY �IF YOU 'INTEND1 TO OBTAIN FINANCING-CONSULTWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. r-- �,7 Notice a Applicant., As a condition to the issuance af a building permit with an esiirridtid value exceeding$2500,-the�qpplicant must -promise in-good faith,th a t a copy of the-notice of commencement and consiruai6n HOF law biFch u4 will-6-e delivered to the person whose property is subject fo attachment. Ais6,,a certified,copy of the reciroidedhoti6e of commencement must tie posted at the job sFte) for the first inspection which occurs seven (7) days after the building permit.is issued. in the absen of such,posted.,notice,'the- inspection will not be approved'and o"reinspection fee will be charged. 1Q Signatur Signature OWNER or AGENT CO R The foregoing instrument was knowledged before,me this- - The foregoing instrument)was kif6-wj' ged before me this 'r- (I ' I C! /T—clay&A s20- by da of'_- 20, by �ZOOk -1z AA-R�k,) who' is'personav kh'o"Wrii) wh6 is p'ler.s'o"h-al'l'y'ikjno'wiln-t'o' me or who has produced- — --f!4- _ .- I I .."I -as--as_ m r who has pro as i A., identification and Who did take ah,oath:-- V - identfii ication anclvh6did take an oath. i '- Zt�j� I ass Jj A:NOTARY PUBLIC: NOTARY PUBUQ. - ov,I 1111411,1114,100111k State Of FloridaNotary Publics�of Florida Ur. W_ .0.. r= _Not3ry?Lbljc State of Flodda #W P,� Notary Public State of Florida �p Zi Sign: R69ino Betanc.ourt Regino Betancourt Sign: lb MyCarrimissionG6023377 -y%0UMM1153jorl U%7 vz""'I Print: dO Expires 0812212020 APrint: LIZ - Expires 08/2212020 77_w 7 77 Seal:-, Seal: ki ******Oi*U y t ot APPROVED BY Plans EiaFhi6e__F_-_ Zoning 0 711 Lill V .;2 Stiffitfabr-al Rdview Clerk (Revised02/24/2014) r A AQUARAMA POOLS ~h November 17, 2017 State of Florida County of Dade Before me this day personally appeared Jose Yzquierdo, who,being duly sworn, deposes and says: That he will be the only person working on the project located at: 9341 NE 9h ave Miami Shores, F . ontracto 's a e Sworn to and subscribed before me this day of ' 2017 By Jose Yzquierdo. Personally known /v OR produced identification Type of identification provided R No"Pubsc State d FloridaReglno Betancourt My Commissim OO 023377 Expires 08122/2020 Print,type or stamp of Notary 304 Indian Trace#503,Weston,FL 33326,Ph:305-9344226.Fax: 954-337-6426 I 115S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 - 954-831-4000 VALID OCTOBER 1, 2017 THROUGH SEPTEMBER 30, 2018 DBA: Receipt#:188-1072 Business Name: Business Type: AQUARAMA POOLS INC POOL/MARINE CONTRACTOR I (COMMERCI:AL POOL/SPA CONTRACTOR) Owner Name: JOSE J YZQUIERDO/QUAL Business Opened:04/15/2006 Business Location: 304 INDIAN TRACE #503 State/County/Cert/Reg:CPC1456811 WESTON Exemption Code: Business Phone: 954-529-4552 Rooms Seats Employees Machines Professionals 2 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27 . 00 0 . 00 0 . 00 0.00 0 . 00 0 .00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS I THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. I Mailing Address: l AQUARAMA POOLS INC Receipt #03A-16-00008959 304 INDIAN TRACE #503 Paid 09/22/2017 27.00 WESTON, FL 33326 I , ' 2017 - 2018 P r ♦5 °RES Gr Miami Shores Village - y� Building Department ORIDp' 10050 N.E.2nd Avenue Miami Shores, Florida 33138 r Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage,under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of t State,Division of Corporations. y - No more than three corporate officers per corporation or limited liability companymembers are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. r Signature: Own State of Florida County of Miami-Dade The foregoing was acknowledge before me this ( day of 20 1'7. r BY who is<r=sonallyknowno me or has produced ysr Notary Public State of FWda +° Reglno Eaton rt asmy%ou fication. p scores 0812212020 Not SEAL: