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BPP-17-1087Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit NO. BPP-4-17-1087 ■ Permit Type: Pools/Whirlpools/Hot Tubs MA � , Work Cla siiieation: New Permit Status: APPROVED Issue Date:.5/1912017 Expiration: 11/15/2017 Parcel Number Applicant 9300 BISCAYNE Boulevard Miami Shores, FL 33138- 1132060141640 Block: Lot: GABRIEL COSENTINO Owner Information Address Phone Cell GABRIEL COSENTINO 9300 BISCAYNE Boulevard MAIMI SHORES FL 33138- (305)962-1893 9300 BISCAYNE Boulevard MAIMI SHORES FL 33138- Contractor(s) SUNSET POOL AND SPA Phone (305)804-1068 Cell Phone Valuation: $ 25,000.00 Total Sq Feet: 290 Approved: In Review Comments: Date Approved:: In Review Date Denied: Type of Work: Swimming Pool Additional Info: NEW POOL DECK PAVERS Classification: Residential Occupancy: Private Bond Return : Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Plan Review Fee (Engineer) Scanning Fee Technology Fee Total: Amount $15.00 $11.25 $11.25 $5.00 $750.00 $80.00 $9.00 $20.00 $901.50 Pay Date Pay Type Invoice # BPP-4-17-63747 04/19/2017 Cash 05/19/2017 Credit Card 05/19/2017 Cash Amt Paid Amt Due $ 50.00 $ 851.50 $ 3.00 $ 848.50 $ 848.50 $ 0.00 Available Inspections: Inspection Type: Fence Final Pool Deck Wall Steel Review Planning Review Structural Review Electrical Review Building Review Plumbing 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. 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 zoning. Futhermore, I authorize the above-na e n ctor to do the work stated. May 19, 2017 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date May 19, 2017 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number. INSP-311185 Scheduled Inspection Date: August 28, 2018 Inspector Naranjo, Ismael Owner: COSENTINO, GABRIEL Job Address: 9300 BISCAYNE Boulevard Miami Shores, FL 33138- Project: <NONE> Contractor: SUNSET POOL AND SPA Permit Number: BPP-4-17-1087 Permit Type: Pools/Whiripools/Hot Tubs Inspection Type: Final Work Classification: New Phone Number (305)962:1893 Parcel Number 1132060141640 Phone: (305)804-1068 Building Department Comments NEW POOL DECK PAVERS Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Aunust 27. 2018 For Inspections please call: (305)762.4949 OWNER: Name (Fee Simple Titleholder): 60L rg -/ Ca9A.1' / h C) Phone#: n300 Ais(_c,(,) ive 8 City: /,l . l e S\e‘. GVO-S State: Tenant/Lessee Name: Phone#: Email: Zip: 3 i38 CONTRACTOR: Company Name: SLJ _- 't- PO et-ti ecr 5 Phone#: Address: 5 S S (,t) B,33 0-- Gl City: �,t i1M, r State: FL Qualifier Name: 0 A-, (h Z-qz �' /��Phone#: 30S` ©q' -/O//? Certificate of Competency #: �j Phone#: - & 2-61©-Z1 Address: - l2 1 S S c . (. 15U t ke- It \ City: IM \eut't, i State: Value of Work for this Permit: $ oZJ; 0 Q D -- Square/Linear Footage of Work: State Certification or Registration #: C \ C 0 L-t L t Qgj DESIGNER: Architect/Engineer: �C_ C-- \‘c\ 2e' V2) BUILDING PERMIT APPLICATION BUILDING PLUMBING JOB ADDRESS: ELECTRIC ❑ MECHANICAL 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 Master Permit No. Sub Permit No. ❑ ROOFING 0 REVISION PUBLIC WORKS ❑ CHANGE OF CONTRACTOR 9300 6&-q3 he 81( City: Miami Shores ) County: Miami Dade Folio/Parcel#: 1 t .J l{� l0 i�l `I " Is the Building Historically Designated: Yes Occupancy Type: Fie- Load: JC BFE: FFE: RECEIVED APR 1 9 Eli Wyk FBC 0 1� SpP tom- t08�' ❑ EXTENSION E RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS Zip: 33138- NO Construction Type: Flood Zone: Address: Type of Work: ❑ Addition ❑ Alteratiov Description of Work: ew ❑ R air/Replace M 0 ` - Dec,( V6V--3 3(0 S ¥{ 1 b 8- Zip: y;-- 1 7 Zip: 3•-•-)0��i1c�.. J; 3..1 m ❑ Demolition Specify c Submittal Fe Scanning Fee �PScCt;�t P.9 Ir4e7 Technology Fee $ Structural Reviews $ CCF $ Ra • on Fee $ DBPR $ Training/Education Fee $ ra W pY.r x�.+iYi'erxYiR.t.+Ra.^�.tl.'++�w+wriYt'.�W NM 23i•Siuti ,,,;.w;: roS .L" nat. MS VON Itowzi' ••.v.CO/CC $ Notary $ Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ 1' 1 Bonding Company's Name (if applicable) C+it' rtz. BondingCompany's Address City State Zip ..° Mortgage Lender's Name. (if applicable) Mortgage Lender's Address City_ t t ` State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement.. and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issue In the absence of such posted notice, the inspection will not be approved and . einspection fee will be charged. Signature OWNER or AGENT . The foregoing instrument was acknowledged before me this by 4 day of a day of 41j'/11C'Ae4!thi ,whoa ersonally kno o cS-710_,Crc.)krz... aec , who is me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Signature CONTRACTOR The fore ;r' g instrument was acknowledged before me this 20 I,'% , by to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: 7 - Print: '''+ • f►�y ��1 Print: ,,, ,,,, M BULNES Seal:' , `�. Notary Public -.State O1 Florida Seal: My COMM F'Dues Jun 23, Mtmoo; Cnmm,sson # FF 030252 TOs !:t c�� pNNbb R7'!^i:(]ThroughNationalNotaryMiw ****** i t>' W ' ii o./ v ♦ �1►..A ******************** APPROVED BY (7 Plans Examiner ti if/1/6 Structural Review ,A, r /3 cy' ev My_P!. Expires Ccininiision,#► FF•0* ** : , 1, Zoning Clerk (Revised02/24/2014) Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation .insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction, project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum I0 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation eor limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: e State of Florida County of Miami -Dade The foregoing was acknowledge before me this By - - -f / Gt9 biS° 1cie Owner M MANES Notary Publtc - Sly of florid* •J My Comm. Expires Jun 23, 2017 0 Commission M FF 030252 Bonded Through National Notary Assn. ♦-..- as identification. or has produced SUNSET POOLS AND SPAS, INC. 5355 S.W. 133 COURT MIAMI, FL 33175 LIC#CPC044089 (305)804-1068 March 6, 2017 State of Florida County of Miami-dade Before me this day personally appeared MO c v- zel,\� who being sworn, despises and says: P Y That he or she � gill be the only person working on the project located at: 9 i6 4 Yl blue( 33(3� Sworn to (or affirmed) and subscribed before me this 1 day of l . 20/ 7 , by Personally known OR Produced Identification Type of Identification Produced Print, Type or Stamp Name of Notary �►IWO Notary Public - Spte 01 Florida Comm. Expires Jun 23, 2017 mission N FF 030252 'bough National Notary Assn. JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 1/20/2017 EXPIRATION DATE: 1/20/2019 PERSON: GONZALEZ JORGE A FEIN: 650051038 BUSINESS NAME AND ADDRESS: SUNSET POOLS AND SPAS INC 5355 S.W. 133 COURT MIAMI FL 33175 SCOPES OF BUSINESS OR TRADE: LICENSED POOL CONTRACTOR Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt.. apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 Aft IVI iami 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 c2 Dr r I (€D E v ' -1f ✓t 0 is/are the fee simple owner(s) of the following described property situated and being in Miami%�Shores Village, Florida: Address: 93DC7 pfts_czt,Ille Blvd. vo. . Whereas, the undersigned owner(s) C'7 000 v" t✓ 1 (CS Psi.. �-"Vk 6 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 c•ncerning the use, enjoyment and title to the above property and shall constitute a covenant runninh the land and shall be binding upon the undersigned, his/her successors and assigns and may off' :e -lleased by Miami Shores Village, or its successors, in accordance of said Village then in effect. NER SIGN & PRINT OWNER SIGN & PRINT I Hereby Certify that on this day person ap red before me 61a/7-rCo n $41--6 and has produced ID #,uwv► ro as identification and he/she acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there in expressed. ,,�J SWORN TO AND SUBSCRIBED before me on this t day of , 7 ' i , 20 /7 (Revised 05/22 M BULNEE Notary Public - State of Fiatii s •1 My Comm. Expires Jun 23, 201 Cornmission # FF 030252 _ wr AMa NOTARY PUBLIC STATE OF FLORIDA 4I FIRACTOR'S SIG04 '-• . If ' Please initial the method(s) to be used: e pool will be equipped with an approved safety pool cover that complies with ASTM F1346-91. (�SrGbmit 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 link 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 Code, the pool may not be filled with water without compliance with the Private Swimming Pool Safety Requirements, and upon expiration of the permit, the pool shall be presumed to be unsafe. I understand that not having one of the above installed will constitute a violati •. of Chapter 515, F.S ., an d will be considered as committing a misd. . eanor of the second depunishable as • • ided in Section 775.082 or Section 775 j F,, . his form must be signed by wn gent : prime contractor. c CONTRA a Or ware ' ' C M 1!t7LNES yP�; Pu Ilc - State of Florida �s Notary �1 • •� a My Comm: Explicit Jun 23, 2017 Commission # FF 030252 •,,, , t••` Bonded Through NCI 2-� 7 RE AND DATE R'S NAME (PLEASE PRINT) 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 njoiv swimming pool, spa or hgtItpb, be constructed or installed at 00 t. S C 4..4 p p 1.11 IBC Miami Shores, FL, and hereby affirm that one of the following methods wig be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. OWN S SIGNATURE AND DATE OWNER'S E (PLEASE P BULNES Notary Public - State of Florida My Comm. Expires Jun 23, 2017 ��s Commission N FF 030252 Bonded Through National Notary A sn. Miami Shores Viiiage Building Department �l RiDA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Date £'I-2-- 17 Miami Shores Village Building & Zoning Department Attention: Building Official _I certify that I am the legal owner of Sf6etAcatedat the property described as Loy— - S � r 020 (6 f LOII36 7360 61,__Yc_a1/45 tiR In accordance with Section 33-12(f), 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 to final inspection and r:e of the pool. Legal Own Note: This certification is to be submitted with a swimming pool permit application in duplicate. t LOT 7 LOT 6 BLOCK 65 BLOCK 65 8 •• .11 i ASPHALT PAVEMENT •••• UPOO UP F.I.P. 1/2' 9 LB# 761 REMAINDER OF is LOT 30 `'"st M BLOCK 65 • � aci 01 2.44" P4 n PND. NAIL F.LP. 1/2'c 1.47' 20.80' (R&M) wu iF.I.P. 1/2' 9.27' (R&M) CONC 30.87• 3. 5' CSWs't; , 21.0' PARKWAY ONE STORY CBS RESIDENCE # 9300 3.94,' (R&&M 75' RIGHT—OF—WAY (BY PLAT) • • • • • • •20f ASPHALT PAVEMENT. • ite 9;3ra'�SET� GRASS GRASS LOT 4 BLOCK 65 0' 15' 30' 1 inch = 30' ft. • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • •••• • • • • • • • • • • •• • • • • • •• •• • • • • • • . • • • • • • • • • . •• • ••• • • • •• • B.C. F.I.P. 1/2' • • • • • •• • • • • POINTS OF INTEREST: NO VISIBLE ENCROACHMENTS ON THIS PROPERTY. MAP OF BOUNDARY SURVEY Property Address: 9300 BISCAYNE BLVD MIAMI SHORES, FL 33138 nlineLand SURVEYORS, INC. 15271 NW 60 AVE, Suite 208 Miami Lakes, FL 33014 www.OnlineLandSurveyors.Com ,SURVEYOR'S CERTIFICATION: I HEREBY CERTIFY THAT THIS 'BOUNDARY SURVEY" IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY PREPARED UNDER MY DIRECTION. THIS COMPLIES WITH THE MINI STANDARDS, AS SET FORTH BY THE STATE OF FLORIDA BOARD OF P - SIONAL SU' �•,,'RS AND MAPPER IN CHAPTER 5J-17.051, FLORIDA ADMINISTRATIVE COr:P''U'SUANT TO SEC 'dtr. 472.027, FLOIRDA STATUTES. i9.1IFI CJf SIGNED MIGUEL ESPINO STATE OF FLORIDA FOR THE FIRM P.S.M. No. 5101 NOT VALID WITHOUT AN AUTHENTIC ELECTRONIC SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL AND/OR THIS MAP JS NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A LICENSE SURVEYOR AND MAPPER. Survey Date:7/3/2014 Survey Code:O-12044 Page 1 of 2 Not valid without all pages. ri � f 2014 Goodie I,. . . Map data gnat4 Goodie LOCATION MAP N.T.S. • • •• • • •'• •• 4 • • • • • • • • • •• •• •••• • • • • • • • • • • • • • • • • • • • • • • • PROPERTY FRONT VIEW CERTIFIED TO: ,4RLENE CEDRON & GABRIEL COSENTINO FIRST AMERICAN TITLE (DORAL) FIRST AMERICAN TITLE INSURANCE KEYES TITLE SERVICES CAPITAL PARTNERS MORTGAGE, LLC. ITS'SUCCESSORS AND/OR ASSIGNS AS THEIR INTEREST MAY APPEAR. L FLOOD INFORMATION: Community Number: Panel Number: Suffix: Date of Firm Index: Flood Zone: Base Flood Elevation: Date of Survey: •• • •• • • • VILLAGE OF MIAMI SHORES 120652 12086C0306L L 9/11/2009 X N/A 7/3/2014 LEGAL DESCRIPTION: LOT 5 AND EAST 20 FEET OF LOT 30, BLOCK 65, OF SUBDIVISION MIAMI SHORES SECTION 3, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE 37, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA • PROPERTY LINE 0=1 STRUCTURE CONC. BLOCK WALL CHAIN —LINK or WIRE FENCE WOOD FENCE o o o IRON FENCE — — — — EASEMENT — CENTER LINE / / Y/,/ WOOD DECK CONCRETE ASPHALT BRICK/TILE WATER APPROXIMATE EDGE OF WATER COVERED AREA 7 P.P. ®C.B. C.U.E. I.E/EE U.E. FND. OR F LB# LS# CALC SET A ■ ELEV P.T. P.C. P.R.M. P.C.C. P.R.C. P.O.B. P.O.C. P.C.P. M P D C Surveyor's Legend TREE POWER POLE CATCH BASIN COUNTY UTIUTY ESMT. INGRESS/ EGRESS ESMT. UTIUTY EASEMENT FOUND IRON PIPE/ PIN AS NOTED ON PLAT UCENSE # — BUSINESS LICENSE # — SURVEYOR CALCULATED POINT SET MONUMENT CONTROL POINT CONCRETE MONUMENT ELEVATION POINT OF TANGENCY POINT OF CURVATURE PERMANENT REFERENCE MONUMENT POINT OF COMPOUND CURVATURE POINT OF REVERSE CURVATURE POINT OF BEGINNING POINT OF COMMENCEMENT PERMANENT CONTROL POINT FIELD MEASURED PLATTED MEASURMENT DEED CALCULATED GENERAL NOTES: 1) LEGAL DESCRIPTION PROVIDED BY OTHERS. 2) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING PROPERTY. 3) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT. 4) THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING AND SHOULD NOT BE USED FOR CONSTRUCTION, PERMITTING DESIGN, OR ANY OTHER PURPOSE WITHOUT THE WRITTEN CONSENT OF ONLINE LAND SURVEYORS INC. 5) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 6) ONLY VISIBLE AND ABOVE GROUND ENCROACHMENTS LOCATED. 7) FENCE OWNERSHIP NOT DETERMINED. 8) WALL TIES ARE TO THE FACE OF THE WALL. 9) BEARINGS ARE BASE ON AN ASSUMED MERIDIAN. 10) 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. 11) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. 12) NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYORS EMBOSSED OR ELECTONIC SEAL. 13) DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. 14) ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS OTHERWISE NOTED. 15) THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED. 16) THIS BOUNDARY SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON, THE CERTIFICATIONS DO NOT EXTEND TO ANY UNNAMED PARTIES. L.M.E. R.O.E. P.P. PL I.D. B.C. B.R. R RAD. N.R. LAKE or LANDSCAPE MAINT. ESMT. ROOF OVERHANG EASEMENT POOL PUMP PLANTER OR PROPERTY LINE IDENTIFICATION BLOCK CORNER BEARING REFERENCE CENTRAL ANGLE or DELTA RECORD OR RADIUS RADIAL NON RADIAL TYP. TYPICAL I.R. IRON ROD I.P. IRON PIPE N&D NAIL & DISK PK NAIL PARKER—KALON NAIL D.H. DRILL HOLE ® WELL l7 FIRE HYDRANT U.H. MAN HOLE 0.H.L. OVERHEAD LINES TX TRANSFORMER CAN CABLE TV. RISER WATER METER POOL EQUIPMENT CONCRETE SLAB W.M. P/E CONC F LTA ESMT. D.E. LB.E LA.E TEL U.P. E.U.B. SEP. D.F. AC CSW DWY SCR. GAR. ENCL N.T.S. F.F. T.O.B. E.O.W. EASEMENT DRAINAGE EASEMENT LANDSCAPE BUFFER ESMT. LIMITED ACCESS EASEMENT TELEPHONE FACILITIES UTILITY POLE ELECTRIC UTIUTY BOX SEPTIC TANK DRAIN FIELD AIR CONDITIONER CONC SIDEWALK DRIVEWAY SCREEN GARAGE ENCLOSURE NOT TO SCALE FINISHED FLOOR TOP OF BANK EDGE OF WATER E/P 0R E.O.P. EDGE OF PAVEMENT C.V.G. CONCRETE VALLEY GUTTER B.S.L. S.T.L. R/W R.O.E. C.M.E. A.E BUILDING SETBACK UNE SURVEY TIE UNE CENTER UNE RIGHT OF WAY PUBUC UTIUTY EASEMENT CANAL MAINTENANCE EASEMENT ANCHOR FA.SFucNT P Florida Land Title Association Printing to Scale: 1. Select"None"from Page Scaling 2. Deselect Auto -Rotate and Center" 3. Select "Choose paper source by PDF page size" IELD WORK: RAWN BY: NECKED BY: /NAL REVISION: OMPLETED: 6/17/2014 C.S. F.V.G. 04/21/2016 7/3/2014 CALE: 1"-30' URVEY CODE: 0-12044 Affi Page Handing Cops: 1 Page S g ®qK—.._._—. O Auto-otate and Center O °voSe paper soxce DP POP page ste A ce- o ss1 3. SURVEYS 04 nlineLand SURVEYORS, INC. 15271 NW 60 AVE, Suite 208 Miami Lakes, FL 33014 Phone: (305) 910-0123 Fax: (305) 675-0999 www.OnlineLandSurveyors.Com Survey Date:7/3/2014 Survey Code:O-12044 Page 2 of 2 Not valid without all pages. U;S."DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program Important: Read the instructions on pages 1-9. ELEVATION CERTIFICATE OMB No. 166•J-000r :Expiration Date: Ju' 31, 2015 • •• • •• •• • • • SECTION A - PROPERTY INFORMATION '♦ VInlNSURAN'(,'E'ttMPANY tIlt•• Al ARLENE CEDRON & GABRIEL COSENTINO policyNumber: .••. •. • A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 9300 BISCAYNE BLVD Company NAIC 'Number: • •• • City State ZIP Code MIAMI SHORES FLORIDA 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Folio #:11-3206-014-1640 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: LaN25°51'419 W80°10'54.63"Horizontal Datum: A6. Attach at least 2 photographs of the building if the Certificate is being used A7. Building Diagram Number 8 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b d) Engineered flood openings? 0 Yes ® No 3 456N/A sq in Residential ❑ NAD 1927 ® NAD 1983 to obtain flood insurance. •••• • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • A9. For a building with an attached garage: a) Square footage of attached garage 200 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes IN No • SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number VILLAGE OF MIAMI SHORES 120652 B2. County Name MIAMI-DADE COUNTY B3. State FLORIDA B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Effective/Revised Date Zone(s) AO, use base flood depth) 12086C0306L L 9/11/2009 9/11/2009 X N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. 0 FIS Profile IN FIRM 0 Community Determined 0 Other/Source: B11. Indicate elevation datum used for BFE in Item B9: NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: N/A ❑ CBRS ❑ OPA ❑ Yes ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings* ❑ Building Under Construction* f& 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:#A-400 Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a) through h) below. BSI NGVD 1929 Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support NAVD 1988 ❑ Other/Source: N/A 8-52 Check the measurement used. El feet IZ feet ® feet ® feet J feet NI feet ® feet RJ feet ❑ meters ❑ meters ❑ meters ❑ meters ❑ meters 0 meters ❑ meters ❑ meters SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, cc architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a 0 Check here if attachments. Certifiers Name Miguel Espinosa licensed land surveyor? Igj Yes 0 No TitOFESSIONAL SURVEYOR & MAPPER Company Name Espinosa Acif NW 60 ANE Signature City Miami Lakes License Number 5101 StgLe ZIP Cod 014 Date 7/3/2014 Telephone(305) 910-0123 FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATIOIyRTIFICATE, page 2 •: •MMFORTANY I these speces,copy the corresponding information from Section A. •Building Street Mdress (incltdinefitpt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 9300 BISC'A1TIE BLVD FOR INSURANCE COMPANY'USE Policy Number: •� v • kvIAMI ShIORE$ • • • • State 0 38 de ;Company NAIC Number: •• • SB&1MON D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) ••Z�• • •• • Cosy both sides sf tMis Elevation Eertificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. •••• •••• •• •• • •Comments LATITUDE LONq-cjit E PER GOOGLE, ATTACHMENTS = BUILDING PICTURES • Ci(E) DiVNOTe6 PO AIR CONDITIONER PAD • • • • • • • • • • •••/./ • •• 7/3/2014 Signature Date SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) • ci For Zones AO and A (without BFE), complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. 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 0 above or 0 below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ® feet ❑ meters ❑ above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is El feet ❑ meters 0 above or 0 below the HAG. E3. Attached garage (top of slab) is [�! feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is feet 0 meters 0 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 J Unknown. 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's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8-G10. In Puerto Rico only, enter meters. Gi. 0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized bylaw to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. 0 The following information (Items G4-G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: 0 New Construction 0 Substantial Imp ovement G8. Elevation of as -built lowest floor (including basement) of the building G9. BFE or (in Zone AO) depth of flooding at the building site: G10. Community's design flood elevation: al feet 0 meters Datum CiZJ feet 0 meters Datum Ri feet 0 meters Datum Local Official's Name Title Community Name Teleph one Signature Date Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions.