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BPP-18-938Fri Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit NO. BPP-4-18-938 Permit Type: PoolsJWhiripools/Hot Tubs er it Work Classification: New Permit Status: APPROVED Parcel Number Issue Date: 5/1512018 1 Expiration: 11/1 V2018 Applicant 639 NE 97 Street 1132060171880 Miami Shores, FL 33138-2470 Block: Lot: JUAN DIAZ Owner Information Address Phone Cell JUAN DIAZ 639 NE 97 ST MIAMI SHORES FL 33138-2470 Contractor(s) Phone Cell Phone FLORIDA POOL PATIO CORP (305)815-0181 In Review Date Approved:: In Review Date Denied: Type of Work: Swimming Pool Occupancy: Private Additional Info: NEW SWIMMING POOL AND SPA Bond Return Classification: Residential Scanning: 4 Fees Due Amount Bond Type - Contractors Bond $500.00 CCF $12.00 CO/CC Fee $15.00 DBPR Fee $9.00 DCA Fee $6.00 Education Surcharge $4.00 P&Z Review Fee $35.00 Permit Fee $600.00 Plan Review Fee (Engineer) $45.00 Scanning Fee $12.00 Technology Fee $16.00 Total: $1,254.00 Valuation: $ 20,000.00 Total Sq Feet: 566 Pay Date Pay Type Amt Paid Amt Due Invoice # BPP-4-18-67118 05/15/2018 Credit Card $ 1,054.00 $ 200.00 04/10/2018 Credit Card $ 200.00 $ 0.00 Bond #: 3759 Available Inspections: Inspection Type: Fence Final Pool Deck Wall Steel Review Electrical Review Building Review Structural Review Planning 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 an4_-oVKA. Futhermore, I authorize the above -named contractor to do the work stated. May 15, 2018 Authoriz'6d Signature: Owner / Applicant / Contractor / Agent Building Department Copy May 15, 2018 Miami Shores Village A R 10 2M Building Department By: �\\ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 r _ FBC 2017v' �BUILDING Master Permit No. P 38 PE APPLICATION Sub Permit No. UILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL [--]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑.Cf ANGE OF [:]CANCELLATION [:]SHOP CONTRACTOR DRAWINGS JOB ADDRESS: �--3!S Aj t q-1 �,-7 City: Miami Shores County: Miami Dade Zip: 3 3 1 3 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: n Flood Zone: BFE: FFE: OWNER: Name/(Fee Simple Titleholder): V p r`� i' (11�'2 Phone#: 3c3�- Address: CT' � St City: State: Zip: Tenant/Lessee Name: Phone#: Email: �0iaZ 1'kScck GjhA,L - tom CONTRACTOR: Company Name: FloC wl �00( Pam+ V &XP Phone#: Address: 1 ?1L[ ( `i ` Y City: tavpl 't (_State: �U�C�G1 Zip: ��� 0 Qualifier Name: C owC1c7 aLe- -0 Phone#: State Certification or Registration #: Q 10 ',�MCertificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: ,l City: State: Zip: Value of Work for this Permit: $ 2n • `� '1 ,l v V Square/Linear Footage of Work: 5 bG Type of Work: ❑ Addittio'n,,_ _❑ Alteration I I New ElRepair/Replacccee ❑ Demolition Description of Work: NCI Xl rz).Qj }�',, (1'YI WI (+7 ;�" 'D Specify color of color thru tile: Submittal Fee $ Permit Fee $ tDW, CCF $ C� CO/CC $ Scanning Fee $ Radon Fee $ 6� DBPR $ r t Notary $ Technology Fee $ Structural Reviews $c (Revised02/24/2014) Training/Education Fee $ Double Fee$ Bond $ �d.J • 00 TOTAL FEE NOW DUE $ • 00 I, 0S;14. _` Bonding Company's Name (if applicable) Bonding Company's Address City _ State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS. FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of_s e ice, the inspection will not be approved and a reinspection fee will be charged. Signature _ A - OWNER or AGENT / The foregoing instrument was acknowledged before me this day of i +Yr►+ I 20 L by �ulayi C D f� l who is personally known to me or who has produced L1 C-C—l. identification and who did take an oath. PGV Gg9°a01 0 NOTARY PUBLIC:\0 ,L02� Sign: 4 Print: Seal: ..s:*s*****�.�*****.:sir**:**ss■:::sus* APPROVED BY CONTRACTOR T e foregoing instrument was acknowledged beforemethis 41 day of qVl I 20 I 0 , by 6LCWdt 6 kfC4(-CV'0 , who is personally known to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: E P6VAo�oa°i Sign: �1p'OMaS\Otk 20?.1 Print: 1 '� of Sea I: as s*sssssssssssss**sss::**.ss*ss***ss*ss**s*ssss * *ssss *s:*s***: Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 1 OFFICNE OF THE PROnERTY APPRAISER Summary Report Property Information Folio: 11-3206-017-1880 Property Address: 639 NE 97 ST Miami Shores, FL 33138-2470 Owner JUAN C DIAZ &W JENNIFER Mailing Address 639 NE 97 ST MIAMI SHORES, FL 33138-2470 PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/2/0 Floors 1 Living Units 1 Actual Area �� 1,612 Sq.Ft Living Area 1,248 Sq.Ft Adjusted Area 1,430 Sq.Ft Lot Size 9,750 Sq.Ft Year Built 11949 Assessment Information Year 2017 2016 2015 Land Value $292,215 $243,639 $233,772 Building Value $99,528 $99,528 $99,528 XF Value $1,892 $1,910 $1,589 Market Value $393,635 $345,077 $334,889 Assessed Value $167,114 $163,677 $162,540 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Assessment Cap Reduction $226,521 $181,400 $172,349 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 4 AMD PB 15-14 LOT 17 & E1/2 LOT 16 BLK 101 LOT SIZE 75.000 X 130 OR 18122-4889 0598 1 Generated On : 4/10/2018 Taxable Value Information 2017' 2016i 2015 County Exemption Value $50,0006 $50,000 $50,000 Taxable Value $117,114 $113,677 $112,540 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value _ $142,114 $138,677 µ $137,540 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $117,114 $113,677 $112,540 Regional -._.._®._..._.__ Exemption Value 1 $50,000 Taxable Value $117,114 $50,000 $113,677 $50,000 $112,540 Sales Information Previous OR Book- ` Price Qualification Description Sale Page 05/01/1998 $142,500 18122 Sales which are qualified 4889 15444- 03/01/1992 $93,500 Sales which are qualified 0390 08/01/1990 $0 00000- ... _.... _.-.-T_......... ...... Sales which are disqualified as a result 00000 of examination of the deed 12549- 06/01/1985 $70,000 �Saleshich are qualified 174 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: https://www.miamidade.gov/propertysearch/ 4/10/2018 Miami hores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Date A ill Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as wav\ C located at 35 tj-E, S-7 t-1 In accordance with Section 33-12(o, 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 use of the pool. Legal Owner ,,1.` c Note: This certification is to be submitted with a swimming pool permit application in duplicate. Miami shores V illage Building Department 10050 N.E'.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at Miami Shores, FL; and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that complies with AS T MI F1346-91. (Submit Manufacturer's Specifications) i\�_ A continuous, one-piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 wi!I 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 Manufacturers 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 ir.tc 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 violation of Chapter 515, F.S ., an d will be considered as committing a misdemeanor of the second degree, punishable a in Section 775.082 or Section 775.083 F.S . This form must be signed by the own n the prime contractor. A/ r TRACTOR'S SIGNATURE AND DATE OW SIGNATURE AND DATE CONTRACTOR'S NAME (PLEASE PRINT) OWNER'S NAME (PLEASE PRINT) O U Z NOTARY PUBLIC NOTARY PUBLIC �.: NADINE AGUAS MAP MY COMMISSION # GG090407 ;'ta EXPIRES Apnt 04. 2021 /y3SUFtl .S ' Miami hores illage 1-on',,� 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 Jv,A n, C A�Z isiare the fee simple owner(s) ofthefollowing described property situated and being in Miami Shores Village Florida. Address G 3 \--_tJ + ��1 5'/ T �A.�; �l 3 3 \3 Y Whereas, the undersigned owner(s) desire to utilize said Lot(s) as a single budding 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. Il. 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. Ill. 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 vJill 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 havinc the enclosure V If enclosure beionas to said property. I agree to maintain & or replace said enclosure in the event that is damaaed or removed by any case NOW.. THEREOF. for good and valuable consideration. the undersigned do(es) hereby declare that he/she will not convev or cause to be conveyed the title to the above property without requ:rmg 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 corst:tute a restrictive covenant concerning the use, enjoyment and title to the above property and sha'.1 const:tute a covenant running with the land and shall be bind'ng upon the undersigned his/her successors and assigns and may only be released by Miami Shores Village; or its successors; in accordance of said Village then in effect 1 JPy�o 0 SIGN"& PRINT OWNER SIGN & PRINT ��►�'�tiq�c�o° I4ereby Certify that on this day personally appeared before me __ ¢ and has produced ID #'___ _ _ _ as identification and he/she acknow age tot he executed the foregoing, freely and voluntarily, for purposes there in expressed.1 t'4 SWORN TO AND SUBSCRIBED before me on this day of �__, v NOTARY PUBLIC STATE OF FLORIDA (Revised 05 2209 FOU Dy" _ �._ IRO PIPE � o No 1ID, '\ N n f: ply, o I I M 3 O O `�'tIiIT #: 1 110, Mlam; Shcr s�✓ 11�rJe Z - - ' '.nyED BY DATE DEFT I 3A I 2. 'WEST r _ DS DEPT SUBJECT "O CCMPI_IfNCE WI jj:1 ALL FEDERAL STATE ANO CCIit4- iLLS Ar;� REGULATIONS 111-WEST I o w LOT - 15 I W O Z F- BLOCK - 101I F � Of I I FOUNDy" IRON PIPE @ SW CORNER LOT 15 BLOCK IOI - - - S89°44'05"W I7 BR 75.00' W 7 Z W RECEIVED Q JAN 2 4 '9'019 _ 0 W Z FOUND JZ" IRON PIPE No IDS A 25' 25' (P) I I THE EAST 112 OF LOT 16 -- 15' ALLEY 0 8.60' ASPHALT PAVEMENT BEING OCCUPIED BY ADJACENT---' PROPERTY q x LOT - 17 BLOCK -101 32.0' POOL N I 14.9' N 7' 1 110.2' Dx `x� max. 7.0' I � HEATER Pool ` ' C. PUMP 9.6fP 6.0' 16.6' o A/C T-fl 13.2' N1 ONE STORY BUILDING No. 639 FF ELEV= 11.56' u CIA �p6 Q� " J` 9.7 14. 1' J �: _ a 3 W O � I N = r n Q 25` (P) 0. S89?44. 05" 19.4' rn 16 21.38' Ni 3.8 10.15' DUND & ON PIPE 0 ID - LOT - 18 BLOCK - 101 O O O M 3 s O O N 0 O Z WEST 21.8' - P H J 15.5' k.yry x � 6 N1 4 L0 N FOUND Y" IRON PIPE 50' (P) �� NO ID N !7 5 C Q 0 'e 'S', COIdC. SIDEWALK - 23' PARKWAY 5ti 75' TOTAL RIW' (PER PB ES- PG 14) N. E. 97TH STREET- 18.76' ASPHALT PAVEMENT MAP OF BOUNDARY SURVEY Property Address: 639 N.E. 97th Street, Miami Shores, Florida 33138 Project No. 19233 Page 1 of 1 Additions and deletions to this Survey Map are prohibited. This Survey Map and Report are not • valid without the signature and original raised seal or without the authenticated electronic • • •�• • • signature and seal of the undersigning Florida licensed Surveyor and Mapper. • • • • • O • • 00 • U 0 "1Q0• 20 .J01 •••••• i(•••• • •• '• CNO r • • • • CV ar•••tOn SCA .Et....20 •• ti Z. c � � m LEGAL DESCRIPTION: v e r : - �. LID iq Lot 17 and the East 1/2 of Lot 16, Block 101, AMENDED PLAT OF MIAMI SHORES SECTION NO. 4, •• o• ••• d LV LO according to the plat thereof, as recorded in Plat Book 15, Page 14 of the Public Records of Miami -Dada • .. County, Florida. • • • • . m .•� .LL SURVEYOR'S REPORT AND GENERAL NOTES J (D w - (Not valid without the attached Survey Map) J Z Z m 2 1. Legal Description has been furnished by the client. UJ } UJ m o 2. References to "Deed", "Record" or "Plat" refer to documents and instruments of record as part of the Cal LLI Q o? a) pertinent information used for this survey work. Measured distances, directions and angles along > - - -0 boundary lines are in consistency with corresponding values from records, unless otherwise shown. CO N 3. These lands are subject to additional restrictions of record that were not furnished to the undersigning 0 o registered surveyor. A title search has not been performed. J CD LIJ0 U)) `.. '- 4. North arrow direction is based on an assumed Meridian. Bearings are based on an assumed meridian J Z M c m on a well -established line, said line is being noted as BR on the Survey Map. en Q N � E 5. Only above ground improvements are shown herein. Foundations, underground features and utilities m J have not been located. LEGEND B ABBREVIATIONS 6. Fence ownership has not been determined. Distances from existing fences to boundary lines are -•_`-CONCRETE(GONG) approximate. Fence/walls width and conditions must be considered to determine true location. Lands = GONG BLOCWALL K `.:zJYi = W000 DECK located beyond perimeter fences might or might not be being used b ad'oiners. Adjoining parcels COVERED AREA Y P 9 9 9 Y J 1 9 P �= 45PH4LT have not been investigated. �( �( CHAIN LINK FENCE (CLF) WOOD FENCE (WF) 7. This Survey Map is intended to be displayed at the scale shown hereon. Data is expressed in U.S. -o-o--= IRON METAL BARS FENCE (IF) -OHL = OVERHE40 WIRES Survey Foot. lid = WATER VALVE (WV) 8. This SurveyMa is being prepared for the use of theparty/parties that it is certified to and does not rQj = POWER POLE (PP) P 9 P P GUY ANCHOR extend to any unnamed individual, entity or assignee. ®= WATER METER (WM) 9. FLOOD PLAIN INFORMATION: As scaled from Federal Insurance Rate Map (FIRM) of Community o =CONIC LIGHT POLE(LP) ® = WELL No. 120652 (Village of Miami Shores), Panel 0306, Suffix L, revised on Sept 11th, 2009, this real Tr=STREET SIGN property falls in Zone "X". ( SANITARY MANHOLE 10.HORIZONTAL ACCURACY: Accuracy obtained thru measurements and calculations meets and O = DRAINAGE MANHOLE exceeds the minimum horizontal feature accuracy for a Suburban area being equal to 1 foot in 7, 500 O =MANHOLE =FIRE HYDRANT feet. . = CABLE BOX (CAN) 11.VERTICAL CONTROL AND ACCURACY: The elevations as shown are referred to the National TX =FPL TRANSFORMER Geodetic Vertical Datum of 1929 (NGVD 1929). The closure in feet, as computed, meets the standard ® = CATCH BASIN OR INLET of plus or minus 0.05 feet times the squared root of the loop distance in miles. Elevation are based on =EXISTING ELEVATION Q =PERMANENT REFERENCE a level loop from and to the following official Bench Marks: MONUMENT (PRM) Bench Mark # 1: Miami -Dade County Public Works Department Bench Mark N-603-R, ® = PROPERTY CORNER =PERMANENT CONTROL Elevation = 8.06 feet (NGVD 1929). POINT (PCP) Bench Mark # 2: Miami -Dade County Public Works Department Bench Mark N-802, P T = POINT OF TANGENCY Elevation = 8.98 feet (NGVD 1929) P C = POINT OF CURVATURE = P C C POINT OF COMPOUND D CURVE PR C = POINT OF REVERSE CURVE B M. = BENCH MARK. BR = BEARING REFERENCE T.B.M - TEMPORARY BENCH MARK I HEREBY CERTIFY TO: R PROPERTY LINE Juan C. Diaz; Jennifer Diaz. ( `ENTER LINE I�1 = MONUMENT LINE That this Survey conforms to the Standards of Practice as set forth by the Florida Board of CALC = CALCULATED Professional Surveyors and Mappers in applicable provisions of chapter 5J-17, Florida administrative MEAS = FIELD MEASURED = cod P PER PLAT ur ant to Section 472.027 Florida Statutes. This Survey is accurate and correct to the best of PSM = PROFESSIONAL SURVEYOR AND kno a and belief. MAPPER A/C = AIR CONDITIONER PAD ENCR.=ENCR04CHEMENT F.F ELEV. = FINISHED FLOOR ELEVATION P B = PLAT BOOK dalys C. Bello-Iznaga Pc =PAGE ORB =OFFICIAL RECORD BOOK Professional Surveyor and Mapper LS6169 . State of Florida COS =CONCRETE BLOCK STRUCTURE Field work date: 03/06/2018 R/W = RIGHT OF WAY Survey Update: 11/21/2018 E EV =ELEVATION SEC = SECTION T = TOWNSHIP R RANGE Fence Sections • Removable fence sections roll up for easy storage • 4 & 5 foot heights (custom heights available) • 33 & 36 inch pole spacing (customizable) • 14 & 15 foot section lengths (customized to any length) • Multiple color options and combinations including black, brown, tan & green Support Poles • 1' Aluminum & 1/2" Stainless Steel Pole Bottom • Twin I -Beam & Tri-Core Reinforced Support Poles • 6063-T6 Marine Grade Aluminum Poles • Exterior Grade, UV Resistant Powder Coating • 6-stage Pre-treatment with Epoxy Primer and Polyester Coating • Rigid Square Corner Posts to hold mesh tight at turns • 1-1/4 inch Rectangular Terminating Posts • 1-5/8 inch Round Terminating Posts • 6, 7 & 8 foot high step poles for large elevation changes Mesh Fabric • Transparent Mesh allows clear view of pool area • Two different styles of Vinyl Coated Polyester Mesh Top & Bottom Border • Bonded, Monofilament, 100% Polyester Thread • PVC Coated Polyester Border • Triple & Quadruple Stitched Self -Closing Gate • Self -closing, self -latching, key -lockable gate for easy access • Magnetic, self -latching, key -lockable Gate Latch • Self -closing, tension adjustable gate hinges Hardware • Nylon Deck Sleeves and Plugs • Self -drilling, Self -tapping, Square Drive Fasteners • EZ-Close Handles for Access Openings • Black Oxide Coated Stainless Steel Section Latches • Locking Deck Sleeve for permanent applications • Brass Padlocks for Section latches • Angled Raised Panels for elevations changes .... . 000* .. . .... • 000 .0009 ...... 0. .... ...... • ...... .... . ..... .. .. .• ... ...... ...... • '0 a ....:. • • ..... . . . . • • .. .. . ...... .. JA 01 ;11 ». e 1 1 CLIENT: Sunwest Industries, Inc. 648 E. Eckhoff Street Orange, CA 92868 Attn: Marsh Hauge 8385 White Oak Avenue Rancho Cucamonga, CA 91730 909.483.0250 ph. 1909.483.0336 fx. 11 Test Report No: RJ2450P-01 Date: July 8, 2013 SAMPLE ID: Sunwest/AII-Safe Pool Safety Barrier SAMPLING DETAIL: Test samples were submitted to the laboratory directly by toe clienl*'IVo special ... ....... sampling conditions or sample preparation were observed blaAI.: •��• ...... .... DATE OF RECEIPT: Samples were received on April 23, 2013. .... ...... TESTING PERIOD: April 26 through June 7, 2013. ••�' AUTHORIZATION: Signed QAI Test Proposal PA031313-2 dated March 13, 20429... ••,• TEST PROCEDURE: ASTM F2286-05(2013), Standard Design and Performance Spe IMatiori for. Removable Mesh Fencing for Swimming Pools, Hot Tubes,'and Spa4.-AAtiona; %si: procedures and methods are provided on pages 2 through 6 of this report. ' TEST RESULTS: See pages 2 through 6 for detailed test results. FINDINGS: The Sunwest/AII-Safe Pool Safety Barrier System complied with the design and performance requirements of Sections 4.1 through 4.4, Sections 4.6 through 4.16 and Section 5 of ASTM F2286-05(2013), Standard Design and Performance Specification for Removable Mesh Fencing for Swimming Pools, Hot Tubes, and Spas. Prepared By Larry Burmer Project Leader -Physical testing Signed for and on behalf of QAI Laboratories Inc. Chris Scoville, M. Sc. Operations Manager THIS REPORT IS THE CONFIDENTIAL PROPERTY OF THE CLIENT ADDRESSED. THE REPORT MAY ONLY BE REPRODUCED IN FULL. PUBLICATION OF EXTRACTS FROM THIS REPORT IS NOT PERMITTED WITHOUT WRITTEN APPROVAL FROM QAI. ANY LIABILITY ATTACHED THERETO IS LIMITED TO THE FEE CHARGED FOR THE INDIVIDUAL PROJECT FILE REFERENCED. THE RESULTS OF THIS REPORT PERTAIN ONLY TO THE SPECIFIC SAMPLE(S) EVALUATED. WWW.QAI.ORG info @gai. org Client: Sunwest Industries, Inc. Report No: RJ245OP-01 Date: July 8, 2013 Page 2 of 6 Page 1 of 6 DESIGN AND PERFORMANCE EVALUATION PER SECTION 4 OF ASTM F2286-05 Section No. Test Procedure Test Requirements Test Results Pass/Fail The top of a fence or wall used as a The top of the The height of the fence was barrier shall be a minimum of 48 fence was 61 4.1* measured from the top to above inches (1.2 m) above the grade inches above the Pass the grade. adjacent to the exterior side of the grade. barrier. Distances between vertical support poles and mesh fencing Distance between vertical support The barrier • • sysferr6fts • • • were examined to determine if the poles and attached mesh along with .. designed and : 0.0 4.2* product was designed and other manufactured factors, shall be fabreiMi!ed to so** Pass, . • fabricated to hinder children's so designed and fabricated to hinder • • • • hind�� � iildren'� ; • ability to climb. children's ability to climb. abill climb. ••• .. ' The barrier system was examined Decorative details, if provided or No.dewptive detailt art • • 4.3* to determine if any decorative added, shall not afford the ability of provided on the � � Pass • � details would allow children to children to climb the mesh safety mesh safety climb on the mesh safety barrier. barrier. barrier. • When a hinged gate is used in Theagate-was salt ;' • • addition to, or as part of the mesh closing and self• • • safety barrier, the gate shall be self- latching and accommodated a closing, self -latching, accommodate a locking device The hinged gate and locking locking device and open outward from and opened. device were operated and the the pool, spa, or hot tub. The self- outward The 4.4* height of the locking device latching and lockable devices for locking device Pass recorded. gates shall be located at a minimum was located 64 height of 54 inches (1.37 m) above inches (1.62 m) grade and be mounted on the outside above grade and of the gate. An additional support or was mounted on plate may be necessary to raise the the outside of the device to 54 inches (1.37 m). ate. There shall be a clear zone of at least Not 4.5* Not Applicable- 20 inches (50 cm) between the barrier Not Applicable- Applicable and pool/spa/hot tub. The fence The visibility through the barrier The fence shall have at least 40 % provided 100% visibility from the 4.6* system from outside to inside was open space to allow visibility from outside to the Pass evaluated and noted. outside to inside of the pool area. inside of the pool area. The mesh safety 4.7* The mesh safety barrier was The mesh safety barrier shall be barrier can be Pass examined for removability. removable when desired. removed when desired. THIS REPORT IS THE CONFIDENTIAL PROPERTY OF THE CLIENT ADDRESSED. THE REPORT MAY ONLY BE REPRODUCED IN FULL. PUBLICATION OF EXTRACTS FROM THIS REPORT IS NOT PERMITTED WITHOUT WRITTEN APPROVAL FROM DAL ANY LIABILITY ATTACHED THERETO IS LIMITED TO THE FEE CHARGED FOR THE INDIVIDUAL PROJECT FILE REFERENCED. THE RESULTS OF THIS REPORT PERTAIN ONLY TO THE SPECIFIC SAMPLE(S) EVALUATED. WWW.QAI.ORD kdbQ9a•wV Client: Sunwest Industries, Inc. Report No: RJ2450P-01 Date: July 8, 2013 Page 3 of 6 DESIGN AND PERFORMANCE EVALUATION PER SECTION 4 OF ASTM F2286-05 (CONT.) Section No. Test Procedure Test Requirements Test Results Pass/Fail The removable mesh safety barrier, The removable mesh safety when properly installed, shall provide barrier provides The removable mesh safety continuous and constant protection of continuous and barrier was examined to the pool/hot tub/spa. When used on constant determine if it can provide an outdoor or unenclosed pool, the prot;ectior of then •. • continuous and constant mesh safety barrier may provide • pool..TMe• • • • protection of the pool. The complete 3600 protection or may be terroiry Qf the terminus of the mesh safety attached to another existing property0000 �;, mesbaV@ty 4.8* barrier was examined to see if it or perimeter fence in such a manner barrier was Pas$... was fastened to the vertical as to prevent unsupervised access to ; fasterx)dto an ; • member of the enclosure and the pool. When used in a screen enclosure, the terminus of the mesh upri *Ngrtical �.. ..;. installed in such a way as to safety barrier shall fastened to an memberand at a• .' .... prevent unsupervised access to upright or vertical me a mber of the Iocati0p•t�at • the pool. p enclosure and installed in such a woGld r2vent • p • • • unlupeNsed • • •� ;00access location that the barrier prevents • • td the • • unsupervised access to the pool. . pool. " • The vertical posts of the mesh Vertical posts of the mesh safety The vertical posts extended 4 safety barrier were examined to barrier shall extend a minimum of 3 inches (10 cm) 4.9* determine the depth they extended below grade and at inches (7.5 cm) below grade level and below grade level Pass what distance they were spaced shall be spaced no greater than 40 and were spaced apart. inches (1.016 m) apart. 32 inches (0.813 m) apart. The Tensile Strength of the mesh The mesh used in the barrier system Test results are 4.10.1 used in the barrier system was shall have a minimum tensile strength provided in Table Pass determined in accordance with of 100 Ibf (449 N) when tested in 1 on page 5 of ASTM D 5034. accordance with ASTM D 5034. this report. The Burst Strength of the mesh The mesh used in the barrier system Test results are 4.10.2 used in the barrier system was shall have a minimum burst strength provided in Table Pass determined in accordance with of 150 Ibf (667 N) when tested in 2 on page 5 of ASTM D 3787. accordance with ASTM D 3787. this report. THIS REPORT IS THE CONFIDENTIAL PROPERTY OF THE CLIENT ADDRESSED. THE REPORT MAY ONLY BE REPRODUCED IN FULL. PUBLICATION OF EXTRACTS FROM THIS REPORT IS NOT PERMITTED WITHOUT WRITTEN APPROVAL FROM QAI. ANY LIABILITY ATTACHED THERETO IS LIMITED TO THE FEE CHARGED FOR THE INDIVIDUAL PROJECT FILE REFERENCED. THE RESULTS OF THIS REPORT PERTAIN ONLY TO THE SPECIFIC SAMPLE(S) EVALUATED. WWWAALORG ilIfOAQBi.mv Client: Sunwest Industries, Inc. Report No: RJ2450P-01 Date: July 8, 2013 Page 4 of 6 DESIGN AND PERFORMANCE EVALUATION PER SECTION 4 OF ASTM F2286-05 (CONT.) Section No. Test Procedure Test Requirements Test Results Pass/Fail The mesh shall receive a descriptive performance rating of no less than Both sides of the mesh used in "trace discoloration" or no greater the barrier system were subjected than "slight discoloration" or arical The mesh had a 4.11 to 1,000 hours of accelerated numerical rating of 4 or 5 on a scale rating of 5 (no • • • Pass weathering in accordance with of 1 5 indicating a severe color • colon c4d%e) • • • • • • Cycle 1 of ASTM G 154. change and 5 indicating no color 0 * • • • change) when tested for • • • • • • • • • • • • weatherability in accordance ASTM • • • 0.0 • G154 for 1000 hours. 0 0 The Mounting .... striplMto ••• •• •.:. When using a molding strip to attach attcl& tFfe mesh • • to tt Scdical • • • • • the mesh to the vertical posts, this posttss wasp .• .. • • • • The barrier system was examined strip shall contain, at a minimum, #8 x seoured'aot the ' . • • 4.12* to determine how the mesh '/2' screws with a minimum of two top and bottom••' '. PasS••• molding strip was attached to screws at the top and two at the , ,• • with two #8 x /2 . vertical posts. bottom with the remaining screws screws with the spaced a maximum of 6 inches (15 cm) apart on center. remaining screws spaced 6 inches (15 cm) apart on center. The barrier system was examined Patio deck sleeves (vertical post The deck sleeves to determine if the vertical post receptacles) placed inside the patio were constructed 4.13* receptacles placed into the surface shall be of a nonconductive from a Pass concrete slab were of a material. nonconductive nonconductive material. material. Each barrier The barrier system was examined section incorporated to determine if each barrier A latching device shall attach each spring -actuated 4.14* section incorporated a latching barrier section at a height no lower latching devices Pass device and if so, the height of the than 45 inches (1.14 m) above grade. located 57/2 device. inches above grade. The distance The distance from the bottom of The bottom of the mesh safety barrier from the bottom of the mesh 4.15* the mesh safety barrier to the top shall not be more than 1 inch (25 mm) safety barrier to Pass of the installed surface (grade) above the deck or installed surface the top of the was measured and recorded. (grade). grade was %-inch 6 mm THIS REPORT IS THE CONFIDENTIAL PROPERTY OF THE CLIENT ADDRESSED. THE REPORT MAY ONLY BE REPRODUCED IN FULL. PUBLICATION OF EXTRACTS FROM THIS REPORT IS NOT PERMITTED WITHOUT WRITTEN APPROVAL FROM QAI. ANY LIABILITY ATTACHED THERETO IS LIMITED TO THE FEE CHARGED FOR THE INDIVIDUAL PROJECT FILE REFERENCED. THE RESULTS OF THIS REPORT PERTAIN ONLY TO THE SPECIFIC SAMPLE(S) EVALUATED. TrTT�T •7, � �`. Client: Sunwest Industries, Inc. Report No: RJ2450P-01 Date: July 8, 2013 Page 5 of 6 DESIGN AND PERFORMANCE EVALUATION PER SECTION 4 OF ASTM F2286-05 (CONT.) Section No. Test Procedure Test Requirements Test Results Pass/Fail The mesh safety The mesh safety barrier was The mesh safety barrier shall be barrier prohibited examined to see if it was constructed to prohibit the free the free passage constructed to prohibit the free passage of a 4.0-in. (102-mm) of a.4.0-in. (102.9, 4.16* Passage of a 4.0 inch (102 mm) diameter rigid sphere at any point, mmj dOnVter •o -Pass diameter rigid sphere at any point after testing in accordance with rigidrophete at .• after being subjected to testing in Section 5 when the fence is installed anypaiclit after • accordance with Section 5 of in accordance with the manufacturer's testing ire • • • ASTM F2286-05. instructions. accordance with""' Sect 5• ••.. ..:. .• .. "Note: Testing was conducted on a full Sunwest/AII-Safe Pool Safety Barrier Sys ;rN*w*hich latching and lockable gate. The barrier system was installed by the Client pn a. Tevel surface prior to testing. : Table 1 Specimen No. Tensile Stren th Ibf Warp Direction Fill Direction 1 175 176 2 183 183 3 173 177 4 185 178 5 181 179 - - 171 - - 174 - - 185 Average 179 178 included a self; Via& con Mt2'- Table 2 Specimen No. Burst Strength Ibf 1 320 2 30 3 290 4 275 5 310 Average 299 THIS REPORT IS THE CONFIDENTIAL PROPERTY OF THE CLIENT ADDRESSED. THE REPORT MAY ONLY BE REPRODUCED IN FULL. PUBLICATION OF EXTRACTS FROM THIS REPORT IS NOT PERMITTED WITHOUT WRITTEN APPROVAL FROM DAL ANY LIABILITY ATTACHED THERETO IS LIMITED TO THE FEE CHARGED FOR THE INDIVIDUAL PROJECT FILE REFERENCED. THE RESULTS OF THIS REPORT PERTAIN ONLY TO THE SPECIFIC SAMPLE(S) EVALUATED. WWW.QAI.ORO kdbAvw•om Client: Sunwest Industries, Inc. Report No: RJ2450P-01 Date: July 8, 2013 Page 6 of 6 PERFORMANCE TESTS PER SECTION 5 OF ASTM F2286-05 Vertical Load Test Test Procedure A %8-inch diameter steel wire was looped through the mesh at a height of 36 inches above grac�-. Using a calibrated force gage, a steady vertical force of 20 lbs. was applied to the steel wire fVr a. period •o#•orn6 minute... The mesh safety barrier was tested at 5 foot increments around the perimeter includ111g the gate•After each•• load was removed, the mesh safety barrier was inspected to determine that no openi DMtsts tlfaMould altow :- passage of a 4.0 inch diameter rigid sphere. The latching and locking device was Q checked to see 3f A.: remained engaged after testing. •....• ••••�• ...... • • Test Results .. • • • • • • ...... No openings that would allow passage of a 4.0 inch diameter rigid sphere occurred: The'latching Jhd Iockh % device remained engaged after testing. '„•• •' :....: Impact Test Test Procedure An impactor weighing 52 pounds was attached to a 12 inch long cable and positioned within 2 inches from the fence when at rest at a height of 36 inches from above grade. The impactor was swung sideways and upward from the mesh safety barrier from a distance of 6 inches above the "at rest" position measured from the bottom of the impactor. Once the impactor was in position, the impactor was released and allowed to impact once into the mesh safety barrier. The mesh safety barrier was impacted at 5 foot increments around the perimeter including the gate. After each impact, the mesh safety barrier was inspected to determine that no opening exists that would allow passage of a 4.0 inch diameter rigid sphere. The latching and locking device was also checked to see if it remained engaged after testing. Test Results No openings that would allow passage of a 4.0 inch diameter rigid sphere occurred. The latching and locking device remained engaged after testing. ****End of Report**** THIS REPORT IS THE CONFIDENTIAL PROPERTY OF THE CLIENT ADDRESSED. THE REPORT MAY ONLY BE REPRODUCED IN FULL. PUBLICATION OF EXTRACTS FROM THIS REPORT IS NOT PERMITTED WITHOUT WRITTEN APPROVAL FROM CAL ANY LIABILITY ATTACHED THERETO IS LIMITED TO THE FEE CHARGED FOR THE INDIVIDUAL PROJECT FILE REFERENCED. THE RESULTS OF THIS REPORT PERTAIN ONLY TO THE SPECIFIC SAMPLE(S) EVALUATED. W W W.QAI.ORD Nd0&W-Mv f 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: Juan C. Diaz; Jennifer Diaz A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 639 N.E. 97th Street City State ZIP Code Miami Shores Florida 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Folio # 11-3206-017-1880 Lot 17 & the East 1/2 of Lot 16, Block 101, AMD PLAT OF MIAMI SHORES SECTION NO 4, PB 15, PG 14 •••• A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential • '+•�•• A5. Latitude/Longitude: Lat. 25'51'54.05"N Long. 8001 1'04.75'W Horizontal Datum: C1 Nam• 1927 ICAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance* • • • • , A7. Building Diagram Number 8 •••. + A8. For a building with a crawlspace or enclosure(s): • • • •: • "• • • • •: • a) Square footage of crawlspace or enclosure(s) 1258.00 sq ft •.+•. • • • • • b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjicentirade g • •„• Osseo c) Total net area of flood openings in A8.b 1261.00 sq in • • • • • . ; • • • d) Engineered flood openings? ❑ Yes 0 No • • • A9. For a building with an attached garage: a) Square footage of attached garage N/A 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 nx, No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State Village of Miami Shores 120652 Miami -Dade Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12086C 0306 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 FX� FIRM ❑ Community Determined ❑ Other/Source: 1311. Indicate elevation datum used for BFE in Item 69: ❑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 FX] No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 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: 639 N.E. 97th Street 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/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: M-DCo. BM # N-603-R 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. 6000 ••• a) t o bottomsIdbt jillcluding basement, crawlspace, or enclosure floor) Check the measurement used. 9.30 ❑x feet ❑meters • • • • • b) Topoi: the nextl�QFtt� floor 11.56 x feet meters ❑ ❑ • • ' •'"' • c) Bottom of the IoYvg§thorizontal structural member (V Zones only) N/A x feet meters ❑ ❑ • • d) Att8&4 garago Stop of slab) 9.34 ❑x feet ❑ meters • • :.. e) �dVO�t elevation ohm chinery or equipment servicing the building 9.73 ❑x feet ❑ meters •... ( eeribe type d!bq�;�ment and location in Comments) • "• • • • f) Lowest adjacerj( (11nis0ed) grade next to building (LAG) 9.30 x feet meters ❑ ❑ • • • . g) Ffigtiesl edjaceg?(Pnisted) grade next to building (HAG) 11.24 ❑ feet ❑ meters 0 of • • •' h) Lowest adjacent grade at lowest elevation of deck or stairs, including strdcAbi support 9.30 ❑x feet ❑ meters 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? 0 Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number Odalys C. Bello lznaga LS 6169 ti Title Professional Land Surveyor and Mapper Company Name Bello & Bello Land Surveying Corp.!Seal Heris Address 12230 SW 131 Avenue, Suite 201 City State ZIP Code Miami Florida 33186 Signat a Pate Telephone Ext. OG 20/8 . (305) 251-9606 Copy all ges of this Elevation Certificate and all attach ents fo (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) For A5: Long. and Lat. determined by GNSS RTK GPS Survey No. 18196 C2 e) Denotes Elevation of A/C Unit located adjacent to the existing structure. Highest Crown of Road Elev.=10.32' FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 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: 639 N.E. 97th Street 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 El—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 Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is © feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑X feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment 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 cpMMdgity's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify tl im Wormatiolilrt Section 6r.. •• • .... SECTION F —PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIftCATI N "" • • • • The property owner or owner's authorized representative who completes Sections A, B, and E for Zone ,%('VOif iOpt a FBMA-issued or; • • • community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct too #v)ebest of MVhftledge. • • • Property Owner or Owner's Authorized Representative's Name ..' • • • • "' • Address City State ' • : • � & Code • • ; Signature Date Telephone . • Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 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: 639 N.E. 97th Street City State ZIP Code Company NAIC Number Miami Shores Florida 33138 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. G1. ❑ 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 by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ 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. ❑ 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 pefpythas been issued for: ❑ New Construction ❑ Substantial Improvement 0 • 0 00 0 . G$. Elevation pf as-builCo�i�rQst floor (including basement) • of thebuildin�q: E] feet E] meters Datum ....•. 99.:BFE orsin Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum ..see":. .... • 9d1d.•CommVjty'g design.floodQievation: ❑ feet ❑ meters Datum Vocal Official's L4ame • • • • • • Title .CppAunity Name • • • • Telephone • •. Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. 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: 639 N.E. 97th Street City State ZIP Code Company NAIC Number Miami Shores Florida 33138 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View" and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. x 639 j1 I seer j • 00*0 r • f i • rrr• aeee • r • rr•a e e Piers,: ' ee•a r•rr•r ears ' '� a•re Pei** Photo One • • • * • Photo One Caption Front View: 03/06/2018 •' e • •C1ear Photp One r. . IN,... i ' yy1'�iKR .``Nw X N.' P 'xf tit rig"'+}-.%�y � 1�•}M�a^M1��� vyt � �� I� y.� 4' �'r:A"' . .f '.4f��y✓.�Y� Y�ISj'(vW� + .� ''lt�' Sm aL�^�3HJ Photo Two Photo Two Caption Rear View: 03/06/2018 Clear Photo Two FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page 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: 639 N.E. 97th Street City State ZIP Code Company NAIC Number Miami Shores Florida 33138 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and 'Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. i t• •s•• •saa•• • • • • • *tog* 1••• •f •• • • • • • • Photo Three Photo.Three aption Side �Aqw: (13/06/2018 Clear Photo Three . . • a , 00 F • � �qk �''`�',�`^' 'pro_, f' �`�+� or. ..�. ! T r � 3.ws- a •4 i w"8"k�. �'r 3=a. rs+K�W Y �'�T'Fx1y ' �` ie �,c�_y a .�;•s 1 K¢ ��" '4.b i^' _d� kj cc" �,f�i-�*..fy;t, Photo Fcur Photo Four Caption Side View: 03/06/2018 Clear Photo Four FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 T I LOT - 15 BLOCK - 1011 I Fou dye _ 15 IRO PIPE'. _�" : j 8.60' Asp No `1 a czA00Z.,1_.-t 25' WEST L, 0 ir .o W z o a � LU O LU O M 3 0 0 O N 0 O Z WEST 25' (P) I au trl BEING OCCUPIED BY ADJACENT PROPERTY I I THE EAST 112 I LOT - 17 OF LOT 16 ! BLOCK - 101 I C f I � I 5 6.0' 13.2' ONE STORY BUILDING No. 639 FF ELEV= H.56' 16.6' 1� 19.4' ,6 " Al! 9.7 14.1' s r a o FOUNDYFOUND y" LO" IRON PIPE IRON PIPE N = @ SW CORNER I ( NO ID Q LOT 15 BLOCK 101 25 4 25' (P) — — — S8�°44'05°W 7 .OQ c X S89�44� 05`'W BR 75.00' M� 10 P761 a 15.5' c Zo t OUND y" RON PIPE No ID 1.0' WEST k 0,9 LOT - 18 BLOCK - 101 M 3.8 10.15' x N) CV 50' (P) 5. 00•. 5' CONC.'S IDEWALK W 3 Z r i 23' PARKWAY W > 75' TOTAL R/W (PER PB 15- PG 14) = x�° N.E. 97a H STREET -^ 18.70' ASPHALT PAVEMENT �— FOUND Yz' IRON PIPE No ID — — MAP OF BOUNDARY SURVEY IN Property Address: 639 N.E. 97th Street, Miami Shores, Florida 33138 Project No. 18196 ` — Page 1 of 1 Additions and deletions to this Survey Map are prohibited. This Survey Map and Report are not valid without the signature and original raised seal or without the authenticated electronic E signature and seal of the undersigning Florida licensed Surveyor and Mapper. 00 p ,^ U y co C 0 10 20 N LJL .W (o 2 SCAt�; # • 20' ��• • �`� • • •cu go400 •me co LEGAL DESCRIPTION: • , • • • • 0 . ; .� • Lot 17 and the East 1/2 of Lot 16, Block 101, AMENDED PLAT OF MIAMI SHORES SECTION NO'4• • • • • • •Z A according to the plat thereof, as recorded in Plat Book 15, Page 14 of the Public Records of Miami -Dade County, Florida. �. O+� �•E •••••• SURVEYOR'S REPORT AND GENERAL NOTES • • � U we Y (Not valid without the attached Survey Map) • • • +� ( Z .% -a • • 1. Legal Description has been furnished by the client. • • 2. References to "Deed", "Record" "Plat" :' X W o or refer to documents and instruments of record as part of the. • •. m LLM,— pertinent information used for this survey work. Measured distances, directions and angles along •, •' N boundary lines are in consistency with corresponding values from records, unless otherwise shown. M 3. These lands are subject to additional restrictions of record that were not furnished to the undersigning O o c registered surveyor. A title search has not been performed. J U) 4. North arrow direction is based on an assumed Meridian. Bearings are based on an assumed meridian J 0 C)c on a well -established line, said line is being noted as BR on the Survey Map. W QZ N E 5. Only above ground improvements are shown herein. Foundations, underground features and utilities m have not been located. LEGEND & ABBREVIATIONS 6. Fence ownership has not been determined. Distances from existing fences to boundary lines are ;; , , , = 0°NCRETE (CONC.)approximate. Fence/walls width and conditions must be considered to determine true location. Lands - = = COOD BLOCK WALL it.�'r = W0DE K located beyond perimeter fences might or might not be being used by adjoiners. Adjoining parcels �s = COVERED AREA have not been investigated. =ASPHALT -X X—= CHAIN LINK FENCE (CLF) 7. This Survey Map is intended to be displayed at the scale shown hereon. Data is expressed in U.S. —/H/—= WOOD FENCE (WF) - --0--0-= IRON METAL BARS FENCE (IF) Survey Foot. —OHL= OVERHEAD WIRES M = WATER VALVE (WV) 8. This Survey Map is being prepared for the use of the party/parties that it is certified to and does not � = P extend to any unnamed individual, entity or assignee. GUY ANCHOR ® = WATER METER (WM) 9. FLOOD PLAIN INFORMATION: As scaled from Federal Insurance Rate Map (FIRM) of Community = CONIC LIGHT POE (P) ® =WELL No. 120652 (Village of Miami Shores), Panel 0306, Suffix L, revised on Sept 11th, 2009, this real T = STREET SIGN property falls in Zone "X". O = SANITARY MANHOLE 10.HORIZONTAL ACCURACY: Accuracy obtained thru measurements and calculations meets and = DRAINAGE MANHOLE exceeds the minimum horizontal feature accuracy for a Suburban area being equal to 1 foot in 7, 500 O MANHOLE feet. =FIRE HYDRANT . = CABLE BOX (CATV) 11.VERTICAL CONTROL AND ACCURACY: The elevations as shown are referred to the National TX =FPL TRANSFORMER Geodetic Vertical Datum of 1929 (NGVD 1929). The closure in feet, as computed, meets the standard ® = CATCH BASIN OR INLET of plus or minus 0.05 feet times the squared root of the loop distance in miles. Elevation are based on f =EXISTING ELEVATION =PERMANENT REFERENCE a level loop from and to the following official Bench Marks: Q MONUMENT (FIRM) — _ Bench Mark# 1`: Miami -Dade County Public Works Department Bench Mark N-603-R, ® =PROPERTY CORNER Elevation = 8.06 feet (NGVD 1929). = PERMANENT CONTROL NT Bench Mark # 2: Miami -Dade County Public Works Department Bench Mark N-802, I P.T = PONT OF TANGENCY Elevation = 8.98 feet (NGVD 1929) P C = POINT IF CURVATURE PCC -P = 0 T OF COMPOUND CURVE P R C = POINT OF REVERSE CURVE B M = BENCH MARK B R. = BEARING REFERENCE Un I HEREBY CERTIFY TO: T.B M = TEMPORARY BENCH MARK It =PROPERTY LINE Juan C. Diaz; Jennifer Diaz. That this Survey conforms to the Standards of Practice as set forth by the Florida Board of ( CENTER LINE IC = MONUMENT LINE CALL=CALCULATED Profe ional Surveyors and Mappers in applicable provisions of chapter 5J-17, Florida administrative cod suant to Sectionppp 472.027 Florida Statutes. This Survey is accurate and correct to the best of no I ge and b l MEAS ' FIELD MEASURED P. = PER PLAT PSM PROFESSIONAL SURVEYOR AND MAPPER A/C = 41R CONDITIONER Pap \O. 7( ENCR = ENCROACHEMENT F F ELEV. = FINISHED FLOOR ELEVATION P B = PLAT BOOK Odalys C. Bello-Iznaga PA =PAGE Professional Surveyor and Mapper LS6169 • State of Florida Field work date: 03/06/2018 ORB = OFFICIAL RECORD BOOK CBS = CONCRETE BLOCK STRUCTURE R/W = RIGHT OF WAY EL = ELEVATION SEC = SECTION T = TOWNSHIP R = RANGE