BPP-19-647U.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:
Tomas Gaviria (JTRS); Chrsitian Gaviria and Michelle Gaviria
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Company NAIC Number:
Box No.
136 N. E. 91 st Street
City State ZIP Code
Miami Shores Florida 33138
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Folio # 11-3101-019-0040 Lot 5, Block 7, EL PORTAL SECTION 2, PB 9, PG 115
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 25051'30.18"N Long. 80°11'39.97"W Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1A
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 N/A
c) Total net area of flood openings in A8.b N/A sq in
d) Engineered flood openings? ❑ Yes ❑x 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 ❑x 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 0302
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 B9:
❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 139: ❑x NGVD 1929 p 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
ELEVATION CERTIFICATE
OMB No. 1660-0008 J.
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:
136 N.E. 91st 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-568 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) Top of bottom floor (including basement, crawlspace, or enclosure floor) 11.90 Q feet ❑ meters
b) Top of the next higher floor N/A Z feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) N/A 0 feet ❑ meters
d) Attached garage (top of slab) N/A feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 9.90 feet meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 10.00 ❑X feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 10.40 N feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ 10.00 )C 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.
/ 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.
Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑ No ❑ Chck here if attachments.
Certifier's Name License Number
Odalys C. Bello Iznaga LS 6169
Title
Professional Land Surveyor and Mapper
Pc
Mime
Seal
Company Name
Bello & Bello Land Surveying Corp.
re
Address
12230 SW 131 Avenue, Suite 201
City State ZIP Code
Miami Florida 33186
Sgnat ate Telephone Ext.
f 2G� (305) 251-9606
Cy a pages of this Elevation Certificate and all attach nt for (1) community official, (2) insurance agent/company, and (3) building owner.
mments (including type of equipment and location, per C2(e), if applicable)
For A5: Long. and Lat. determined by GNSS RTK GPS
Survey No. 19480 .
C2 e) Denotes Elevation of A/C Unit located on the West side and adjacent to the existing structure.
Highest Crown of Road Elev.= 10.81'
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
MPORTANT: 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:
136 N. E. 91st 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 permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement)
of the building: ❑ feet ❑ meters Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum
G10. Community's design flood elevation: ❑ feet ❑ meters Datum
Local Official's Name Title
Community 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
ELEVATION CERTIFICATE
OMB No. 1660-0008 1
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:
136 N.E. 91st 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 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 0 feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement,
crawlspace, or enclosure) is 0 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 0 feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is 0 feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment
servicing the building is 0 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 owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or
community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 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:
136 N.E. 91st 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.
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Photo Three
Photo Three Caption Side View: 02/14/2019
Clear Photo Three
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Photo Four
Photo Four Caption Side View: 02/14/2019
Clear Photo Four
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6
BUILDING PHOTOGRAPHS
ELEVATION CERTIFICATE See Instructions for Item A6.
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:
136 N. E. 91st 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.
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Photo Two Caption Rear View: 02/14/2019 Clear Photo Two
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6
Permit N
Residential S winlming Pool, Spa and Hot Tub Safety Act
11511 1 it?►
I (Ne) Acknowled a that Gaha a �r Cw�swimming ol, s a or ho b will be constructed or installed at ;)l(� w `1 � and hereby atiirm That one of the following methods will
(Please Print Job Address)
be used to meet the requirements of Chapter 515, Florida Statute and Florida Building Code Section 84501.17
**** Please Initial the methods) to be used for your nool or spa ****
The pool will be equipped with an approved safety pool cover that complies with ASTM F1346-91.
(Submit Afnnufneturer's Specifications).
A conlinuous,one-piece (child) barrier meeting the requirements of Florida Building Code R4501.17.1.13 will'prolect
the pool perimeter. The plans shall show the fence location and method of atinchn►ent, including one end (lint shall not be
removable without the aid of tools. (Submit Alnnufacturer's Specifications).
A combination of non -dwelling walls and fences (screen enclosure, child fence,n►asonry fencewalls,cl►nin link
or wood fence, etc.) will prot eel the pool perimeter. The plans must specify the type and location of all non -dwelling
walls.
Any combination of protection which incorporates dwelling walls with openings direell; the
• • •
• •
into pool penmcele
and all windows and doors will be equipped with exit alarms complying with Florida Btlj00(rode, •..'.;
•
114501.17.1.9 (S ubt»It Aianufncturer's S peciflcntions). ......
....:.
•
Any combination of protection which incorporates dwelling walls with openings directly ini'odie
• • • •
pool perimeter
and all doors will be equipped.... ....
with oself-latch(ng device with positive mechanical latc�ti�.lw;ektng iAtijglhd3t
•
.....
......
min. 54" above the threshold. if this option is selected, submit plans showingall types and leen ar •
• •
of all perimeter protection. The plans must also show the location and type of all openings,andt:►e Il;jware lydd!lbt tsflch
location. Atanufacturer's
. • .
(S ubn►it
S pecifieations). : V .it
..... •
swimming pool alarm that, ►vhcn placed in it pool, sounds an alarm upon detection of ownceidentol or
unnnihorized entrance Into file water. Such pool olorm must meet and be independently certified to AST&I Standard
F2208, titled "Standard Safety Specification for Residential Pool Alarms," which includes surface motion, pressure, sonar,
laser, and infrnred alarms. For purposes of this paragraph, file Tenn "swimming pool alarm" does not include any swimming
protection alarm device designed for individual use, such as an alarm attached to a child that sounds when file child exceeds
a certain distance or becomes submerged in water
In accordance with the Code, it final inspection of the pool project vvill not be approved nithout cmnplinmce 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., and will be considered as
commit ig a misdemeanor of the second degree, punishable as provided in Section 775,082 or Section 775.083 R.S. This form
must b gned by the owner/ogentand the prime contractor.
e1' :.
Owner's Signature and Date ��urrr�►� Prime Contractor's Signature and Date
Owner's Name (please print) : �d ' NOTARY•''
co : PUBLIC ;
ii� : REG # GG 157200 : m
L) ; MY COMMISSION : ti
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No ry igna re & Date Comrifi s
,/' ,. • .•oma ,,
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DANIEL ESSIG / ESSIG POOLS, INC .•���RMI�HgF(
Prin ontractor's ame (please print) : �OQ� •NOTARY'
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REG # GG 157200:
v ; MY COMMISSION : n
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SCALE: I" = 20'
MAP OF BOUNDARY SURVEY
Property Address:
136 N.E 91st Street, Miami Shores, Florida 33138
Project No. 19480 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.
LEGAL DESCRIPTION:
Lot 5, Block 7, EL PORTAL SECTION 2 according to the plat thereof, as recorded in Plat Book 9, Page 115 of the
Public Records of Miami -Dade County, Florida.
SURVEYOR'S REPORT AND GENERAL NOTES
(Not valid without the attached Survey Map)
1. Legal Description has been furnished by the client.
2. References to "Deed", "Record" or "Plat" refer to documents and instruments of record as part of the pertinent
information used for this survey work. Measured distances, directions and angles along boundary lines are in
consistency with corresponding values from records, unless otherwise shown.
3. These lands are subject to additional restrictions of record that were not furnished to the undersigning registered
surveyor. A title search has not been performed.
4. North arrow direction is based on an assumed Meridian. Bearings are based on an assumed meridian oft a • • •
well-established line, said line is being noted as BR on the Survey Map. • • •
5. Only above ground improvements are shown herein. Foundations, underground features and utilities have"?:**
been located.• •
6. Fence ownership has not been determined. Distances from existing fences to boundary lines are approximate• • •
Fence/walls width and conditions must be considered to determine true location. Lands located beyond perimiattgr. o o
fences might or might not be being used by adjoiners. Adjoining parcels have not been investigated.
7. This Survey Map is intended to be displayed at the scale shown hereon. Data is expressed in U.S. Survey Foot • • • •
8. This Survey Map is being prepared for the use of the party/parties that it is certified to and does not extend to any 0
unnamed individual, entity or assignee. • • 0***
9. FLOOD PLAIN INFORMATION: As scaled from Federal Insurance Rate Map (FIRM) of Community No. 120;52 • •
(Village of Miami Shores), Panel 0302, Suffix L, revised on Sept 11th, 2009, this real property falls in Zone 7". • • �
HORIZONTAL ACCURACY: Accuracy obtained thru measurements and calculations meets and exceeds the, •
minimum horizontal feature accuracy for a Suburban area being equal to 1 foot in 7, 500 feet.
10.VERTICAL CONTROL AND ACCURACY: The elevations as shown are referred to the National Geodetic Vertical
Datum of 1929 (NGVD 1929). The closure in feet, as computed, meets the standard of plus or minus 0.05 feet
times the squared root of the loop distance in miles. Elevation are based on a level loop from and to the following
official Bench Marks:
Bench Mark # 1: Miami -Dade County Public Works Department Bench Mark N-568,
Elevation = 9.65 feet
Bench Mark # 2: Miami -Dade County Public Works Department Bench MarkL-24,
Elevation = 9.45 feet
I HEREBY CERTIFY TO: Tomas Gaviria (JTRS); Chrsitian Gaviria and Michelle Gaviria.
That this Survey conforms to the Standards of Practice as set forth by the Florida Board of Professional Surveyors and
Mappers in applicable provisions of chapter 5J-17, Florida administrative code pursuant to Section 472.027 Florida
Sta . This Survey is accurate and correct to the best of my knowledge and belief.
dalys C. Bello-Iznaga
Professional Surveyor and Mapper LS6169 . State of Florida
Field Work Date: 02/14/2019
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SCALE: I" = 20'
MAP OF BOUNDARY SURVEY
Property Address:
136 N.E 91st Street, Miami Shores, Florida 33138
Project No. 19480 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.
LEGAL DESCRIPTION:
Lot 5, Block 7, EL PORTAL SECTION 2 according to the plat thereof, as recorded in Plat Book 9, Page 115 of the
Public Records of Miami -Dade County, Florida.
SURVEYOR'S REPORT AND GENERAL NOTES
(Not valid without the attached Survey Map)
1. Legal Description has been furnished by the client.
2. References to "Deed", "Record" or "Plat" refer to documents and instruments of record as part of the pertinent
information used for this survey work. Measured distances, directions and angles along boundary lines are in
consistency with corresponding values from records, unless otherwise shown.
3. These lands are subject to additional restrictions of record that were not furnished to the undersigning registered
surveyor. A title search has not been performed.
4. North arrow direction is based on an assumed Meridian. Bearings are based on an assumed meridian oft a • • •
well-established line, said line is being noted as BR on the Survey Map. • • •
5. Only above ground improvements are shown herein. Foundations, underground features and utilities have"?:**
been located.• •
6. Fence ownership has not been determined. Distances from existing fences to boundary lines are approximate• • •
Fence/walls width and conditions must be considered to determine true location. Lands located beyond perimiattgr. o o
fences might or might not be being used by adjoiners. Adjoining parcels have not been investigated.
7. This Survey Map is intended to be displayed at the scale shown hereon. Data is expressed in U.S. Survey Foot • • • •
8. This Survey Map is being prepared for the use of the party/parties that it is certified to and does not extend to any 0
unnamed individual, entity or assignee. • • 0***
9. FLOOD PLAIN INFORMATION: As scaled from Federal Insurance Rate Map (FIRM) of Community No. 120;52 • •
(Village of Miami Shores), Panel 0302, Suffix L, revised on Sept 11th, 2009, this real property falls in Zone 7". • • �
HORIZONTAL ACCURACY: Accuracy obtained thru measurements and calculations meets and exceeds the, •
minimum horizontal feature accuracy for a Suburban area being equal to 1 foot in 7, 500 feet.
10.VERTICAL CONTROL AND ACCURACY: The elevations as shown are referred to the National Geodetic Vertical
Datum of 1929 (NGVD 1929). The closure in feet, as computed, meets the standard of plus or minus 0.05 feet
times the squared root of the loop distance in miles. Elevation are based on a level loop from and to the following
official Bench Marks:
Bench Mark # 1: Miami -Dade County Public Works Department Bench Mark N-568,
Elevation = 9.65 feet
Bench Mark # 2: Miami -Dade County Public Works Department Bench MarkL-24,
Elevation = 9.45 feet
I HEREBY CERTIFY TO: Tomas Gaviria (JTRS); Chrsitian Gaviria and Michelle Gaviria.
That this Survey conforms to the Standards of Practice as set forth by the Florida Board of Professional Surveyors and
Mappers in applicable provisions of chapter 5J-17, Florida administrative code pursuant to Section 472.027 Florida
Sta . This Survey is accurate and correct to the best of my knowledge and belief.
dalys C. Bello-Iznaga
Professional Surveyor and Mapper LS6169 . State of Florida
Field Work Date: 02/14/2019
.. WO
*COVERS
AREA REA
�'h = ARIILT 00900
-CHAIN LINK FENCE (CLF) •
--1HH •A•0• FENCE (WF) 99000
--{r= IRIN MWAL BARS FENCE (IF)
-UrtL-94OVERHESD WIRES 00000 ••••
D< -WATER VALVE (WV) •
SQA . P&ER POLE (PP) •
GUY ANCHOR • • 0 • •
0-40V tyETER(WM)
16 = CONIC LIGHT POLE (Lo)0
®
-WELL • • • •
1f4TREET.'IGN • N
0401ZRY MANHOLE
O = DRAINAGE MANHOLE
O ' MANHOLE
= FIRE HYDRANT
. CABLE BOX (CATV)
O = FPL TRANSFORMER
® = CATCH BASIN OR INLET
= EXISTING ELEVATION
® ' PERMANENT REFERENCE
MONUMENT (PRM)
• = PROPERTY COKER
• ' PERMANENT CONTROL
POINT (PCP)
P T = POINT OF TANGENCY
P.C. = POINT OF CURVATURE
P.C.0 = POINT OF COMPOUND CURVE
P.R.0 ' POINT OF REVERSE CURVE
B M = 9E NCH MARK
B.R. = BEARING REFERENCE
T.B.M = TEMPORARY BENCH MARK
L = PROPERTY UNE
[ ' CENTER LINE
>C = MONUMENT LINE
CALC= CALCULATED
MEAS ' FIELD MEASURED
P. = PER PLAT
PSM ' PROFESSIONAL SURVEYOR AND
MAPPER
A/C = AIR CONDITIONER PAD
ENCR. = ENCROACHEMENT
F F. ELEV. = FINISHED FLOOR ELEVATION
P.B. - PLAT BOOK
Po. -PAGE
ORB = OFFICIAL RECORD BOOK
CBS = CONCRETE BLOCK STRUCTURE
R/W = RIGHT OF WAY
ELEV. = ELEVATION
SEC. = SECTION
T = TOWNSHIP
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*COVERS
AREA REA
�'h = ARIILT 00900
-CHAIN LINK FENCE (CLF) •
--1HH •A•0• FENCE (WF) 99000
--{r= IRIN MWAL BARS FENCE (IF)
-UrtL-94OVERHESD WIRES 00000 ••••
D< -WATER VALVE (WV) •
SQA . P&ER POLE (PP) •
GUY ANCHOR • • 0 • •
0-40V tyETER(WM)
16 = CONIC LIGHT POLE (Lo)0
®
-WELL • • • •
1f4TREET.'IGN • N
0401ZRY MANHOLE
O = DRAINAGE MANHOLE
O ' MANHOLE
= FIRE HYDRANT
. CABLE BOX (CATV)
O = FPL TRANSFORMER
® = CATCH BASIN OR INLET
= EXISTING ELEVATION
® ' PERMANENT REFERENCE
MONUMENT (PRM)
• = PROPERTY COKER
• ' PERMANENT CONTROL
POINT (PCP)
P T = POINT OF TANGENCY
P.C. = POINT OF CURVATURE
P.C.0 = POINT OF COMPOUND CURVE
P.R.0 ' POINT OF REVERSE CURVE
B M = 9E NCH MARK
B.R. = BEARING REFERENCE
T.B.M = TEMPORARY BENCH MARK
L = PROPERTY UNE
[ ' CENTER LINE
>C = MONUMENT LINE
CALC= CALCULATED
MEAS ' FIELD MEASURED
P. = PER PLAT
PSM ' PROFESSIONAL SURVEYOR AND
MAPPER
A/C = AIR CONDITIONER PAD
ENCR. = ENCROACHEMENT
F F. ELEV. = FINISHED FLOOR ELEVATION
P.B. - PLAT BOOK
Po. -PAGE
ORB = OFFICIAL RECORD BOOK
CBS = CONCRETE BLOCK STRUCTURE
R/W = RIGHT OF WAY
ELEV. = ELEVATION
SEC. = SECTION
T = TOWNSHIP
Miami Shores Village
g
' � ®
Building Department RECEIVE
10050 N.E.2nd Avenue, Miami Shores, Florida 331381�1 6 2019
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 2014
BUILDING Master Permit No.bep -o,;- IQ -(P,4
PERMIT APPLICATION Sub Permit No.
4BUILDiNG [l ELECTRIC 0 ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
(]PLUMBING ❑ MECHANICAL [PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION F] SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I �u I.) C q I I
Folio/Parcel#: Is the Building Historically Designatedi Yes _ NO
Occupancy Type: to g Load: Construction Type: Q t40U0Llki od Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): x \V.l� f a 1(1 �QaV `��honelJ:s 1J��
r' _
D
Address;. .. . . l
City:.State:
Tenant/Lessee Name: "--� Phoned:
Email: _ . _—
13
CONTRACTOR: Company Name: ESSIG POOLS, INC Phone#: 305-949-0000
Address: 10111 BUSINESS DR
City: MIRAMAR State: FL Zip: 33025
Qualifier NameDANIEL ESSIG: Phone#:
State Certification or Registration M CPCO52505 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address:_ City: —State: Zip:
Value of Work for this Permit: $CZ Vy Square/Llnear Footage of Work:
Tvne of Work: ❑ Addition ❑ Alteration ❑ New _ %Repalr/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ 9v '
TOTAL FEE NOW DUE $ 0 qrO
(Revisedo2/24/2014) (I -396.90
i
Bonding Company's Name (If applicable)
Bonding Company's Pddress
City State
Mortgage Lender's dame (If applicable)
Mortgage Lender'ddress
i
City i State
Zip
ZI
Application is hereb' made to obtain a permit to do the work and installations as Indicated. I certify that no work or installation has
commenced prior t 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 AFFIDAVI�: I certify that all the foregoing Information is accurate and that all work will be done in compliance p nce with all
applicable laws regu sting construction and zoning,: •
"WARNING T6 OWNER: YOUR FAI4URE TO RECORD A:NOTICE :OF COMMENCEMENT MAY
RESULT IN YO�R PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT �WI►TH:YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE }}SOF COMMENCEMENT."
i.
Notice to Applicant: IAs a condition to the Issuance) of a building permit with an estimated value exceeding $2500, the applicant must
promise in good fait that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property Is supject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the Job site
for the first inspectil n which occurs seven (7) days after the building permit Is Issued. In the absence of such posted notice, the
Inspection will not 4 pproved and a reinspection fee will be charged.
iii.-
OWNER or AGENT
The foregoing inst,
A— day of
Civ iI;A-ictel a
me or who has produced
identification and
NOTARY PUBLIC:
Slgn.z2z-
Print: AM,
t was acknowledged before me this
200 , by
who is personally known to
sh nct, LIQ tv&�
o did take an oath.
Seal: ?a' Commission = GG 304504
pr��. My Comm. Expires Feb 21, 2023
Bonded through National Notary Assn,
APPROVED BY
Signature
CONTRACT
The -foregoing instrument was.acknowledged befor a this
day of ivo< r ` n -20 by
DANIEL ESSIG who is personally known to
mp or who has produced PERSONALLY KNOWN as
Identification and who did take an oath.
NOTARY PUBLIC:
Sign:.
Print:
(,• �`_ Notary Public LFtate of Florida
Seal: o`` Commission : GG 304504
orr� My Comm. Expires Feb 21, 2023
Bonded through National Notary Assn.
Plans Examiner
I
Structural Review
(Rev1sed02/24/2014)
Zoning
Clerk
3/26/2019 Property Search Application - Miami -Dade County
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3101-019-0040
Property Address:
136 NE 91 ST
Miami Shores, FL 33138-2810
Owner
TOMAS GAVIRIA (JTRS)
CHRISTIAN GAVIRIA &W MICHELLE
Mailing Address
136 NE 91 ST
MIAMI, FL 33138-2810
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
2,006 Sq. Ft
Living Area
1,930 Sq.Ft
Adjusted Area
1,949 Sq.Ft
Lot Size
6,750 Sq. Ft
Year Built
1960
Assessment Information
Benefit
Type
Year
2018
2017
2016
Land Value
$202,554
$202,554
$168,795
Building Value
$168,101
$157,128
$158,259
XF Value
$24,046
$24,241
$24,436
Market Value
$394,701
$383,923
$351,490
Assessed Value
$123,261
$120,726
$118,243
Benefits Information
Benefit
Type
2018
2017 2016
Save Our Homes
Cap
Assessment
Reduction
$271,440
$263,197 $233,247
Homestead
Exemption
$25,000
$25,000 $25,000
Second Homestead
Exemption
$25,000
$25,000 $25,000
Senior Homestead
Exemption
$50,000
$50,000 $50,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Short Legal Description
1 5341
EL PORTAL SEC 2 PB 9-115
LOT 5 BLK 7
LOT SIZE 50.000 X 135
OR 11441-1115 0582 1
Generated On : 3/26/2019
Taxable Value Information
Previous
OR Book-
2018
2017
2016
County
Qualification Description
Sale
Exemption Value
$100,000
$100,000
$100,000
Taxable Value
$23,261
$20,726
$18,243
School Board
examination of the deed
05/01/19821$82,000
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
1 $98,261
$95,726
$93,243
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
1 $73,261
$70,726
$68,243
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
1 $73,2611
$70,726
$68,243
Sales Information
Previous
OR Book-
Price
Qualification Description
Sale
Page
08/01/2005
$0
23661-
Sales which are disqualified as a result of
4161
examination of the deed
05/01/19821$82,000
11441
Sales which are qualified
1115
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 http://www.miamidade.gov/info/disclaimer.asp
Version:
SWIMMING POOL OWNER'S CERTIFICATION
Date: Z / 1l / Iq
Re: Property Address: 1314-, IVri `'1� T ��\�li \ �r r -X
To whom it may concern,
I certify that I am tite legal owner of the above referenced property.
In accordance with Section 33-12(e) and (f), Code of Miami -Dade County, Florida, I. hereby
certify that I understand and agree that the swimming pool to be constructed at the above address
will not be used or filled with water until a separate permit has been pulled for, and a final
inspection obtained, for the installation of an approved safety barrier. The barrier shall include a
spring -lock self-closing gate equipped with a safe lock. The gate shall remain in a closed and
locked position when the pool is not in use.
I further understand that this certification does not eliminate the need for obtaining a permit
and erecting an approved barrier prior to final inspection of the pool, and prior to use of the pool.
I have read and understand the safety barrier requirement.
Sincerely,
Property Owner Signature
Property Owner (print name):
NOTE; IF, AT THE TIME OF FINAL INSPECTION OF THE POOL, THE
REQUIRED SAFETY BARRIER HAS NOT BEEN INSTALLED AND INSPECTED,
TIE PROPERTY OWNER WILL BE CITED WITH A VIOLATION.
Licensed &Insured 5' �-
State: CPC052505
Dade: 2035160 (J v 2CP
Broward: 188-246797
N
10111 Business Dr. I Miramar, FI. 33025 7�5�.
Main (305) 949-0000 1 South Dade (305) 253-4673 1 Broward (954) 438-6251 Fax (305) 949-9171 7
www.EssigPooIs.com I Email: Sales@EssigPools.com
(
a tech. -
ua„jam MEMO c�, q �.�..� SPA �
THIS IS YOUR SWIMMING POOL RENOVATION CONTRACT. Date
PROPERTY OWNER INFORMATIO/N'� V JOB INFORMATION
Name: C�lS_,,`(�'( r I4 -Address:
Address: �3� JJ ��f l fr f/.� City & Zip Code:
City, State & Zip Code:: &/AL*t fft1 `j' Contact Person:
Phone Number: _ y os`—.1 /y — Contact Phone number:
Email address: Ott k0k1v7_JrA1 Z , C-0102 Contact email address:
EESSIGGPOOLS, INC (ESSIG POOLS) WILL BE RESPONSIBLE FOR THE FOLLOWING CHECKED ITEMS:
P111m, ptying of the pool water using our submersible pumps.
❑ Bond coat the pool walls and floor - Bond coating is needed to bond the new surface onto the existing old surface. Chopping out up
to 5% of delaminated areas in the pool is included. Additions:
❑ Acid Wash Pool - Acid washing is needed to clean and etch the surface. Note: This should not be done in place of bond coating or
s�andb�l ting.
kd'Pool ❑ Spa to be surfaced using: ❑ Marcite VExposed Aggregate ❑ Special Surface
Type 8A ac.'" Color.S1�S',_ Qlye .. Exposed aggregate surfaces and some special surfaces are slightly rougher, and have
shade variations, bu t are more durable. Essig Pools, Inc. Standard Guarantee includes the Manufacturer's Guarantee and one-year
labor.
❑ Tile - The previous tile line will be removed and a new 6" tile line will be installed around the interior perimeter of the pool.
Standard tile is included. Additions:
❑ Brick - The existing coping will be taken off and hauled away. The bricks will be installed perpendicular to the pool.
❑ Standard Bullnose bricks included. Additions:
Yd'Decking -Includes up to X19 sq.ft. Type: �'1�(/ $ 77 C
Piping - All piping work is done with schedule 40' P.V.C. All below -ground plumbing is guaranteed for 1 year.
❑ Initial Chlorination and pH adjustment of the new fill water.
❑ Other work or materials: V—.^
OFDONS: SUB TOTAL $ _D
andblast pool walls and floor -Sandblasting in lieu of Bond coating. This is a superior method
to prepare the old surface for re -plastering. The left -over sand will be spread on the premises unless
otherwise noted. Chopping out up to 5% of delaminated areas in the pool is included. This includes
our extended 5 -year Labor Guarantee on the new pool surface. This Guarantee extends the labor
port n of Essig Pool 's guarantee to cover years 2, 3, 4 & 5.
---------------------------------------
Pre -filter - To minimize staining caused by fill water. This is especially recommended if well water is
bein used to fill the pool, or if the Owner wants to reduce the possibility of staining from City water_
----------
Complete balancing of new water with: Muriatic Acid, Chlorine, Cyanuric Acid, Sodium Bicarbonate,
Calcium Chloride and Salt if there is a Chlorine Generator
-----------------------------------------
PERMIT FEES NOT INCLUDED (Once the permit is received we will send you a copy of the permit with ro
TOTAL $ J Y
an invoice of that amount plus permit runner fees, if applicable)
PAYMENT SCHEDULE
Surface Only: Surface/Coping/Tile:
33% Deposit $ 25% Deposit $
33% at Initial Surface Prep $ 20% At initial Surface Prep $_
34% Start of Surfacing $ 40% at tile $
15% Start of Surfacing $
Surface/Coping/Tile/Deck:
25% Deposit��-�
%
15% At initial Sur ace Prep $ kil ,3
30% At tile $ X, 70
25% At Deck $
5% At Start of Surf cing $
:::
tan o this proposal - The prices and conditions, including reverse of this contract are hereby accepted. Date of acceptance: _
P erty Owner: Sign and print name Representative of Essig Pools, Inc
Buyer acknowledges that he/she has read and received a copy of this contract, including terms and conditions contained therein on the reverse side of
this contract. You may cancel this transaction without any penalty or obligation within three (3) business days from the above date. To cancel this
transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice, to Essig Pools, Inc. no later than midnight of
the 3rd business day from the date of acceptance.
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
tie
Location Address Parcel Number
136 NE 91ST ST, Miami Shores, FL 33138 1131010190040
Contacts
Permit NO.: BPP -03-19-647
Permit Type: Pools/Whirlpoois/Hot Tubs
Work Classijica€ on: Addition/Alteration
Permit Status: Approved
119'1 Expiration: 10/08/2019
Description: RENOVATION OF EXISTING SWIMMING POOL Valuation: $ 25,000.00 Inspection Requests:
305-7624949
Total Sq Feet: 0.00
Fees
TOMAS GAVI RIA JTRS CHRISTIAN AND Owner,
ESSIG POOLS INC Contractor
MICHELLE GAVIRIA
DANIEL ESSIG
136 NE 91 ST, MIAMI SHORES, FL 331382810
10111 Business DR, MIRAMAR, FL 33025
$50.00
Business: 3059490000
Description: RENOVATION OF EXISTING SWIMMING POOL Valuation: $ 25,000.00 Inspection Requests:
305-7624949
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$15.00
Certificte of Completion for Single Fam
$50.00
and Duplex
$0.00
DBPR Fee
$11.25
DCA Fee
$7.50
Education Surcharge
$5.00
Permit Fee
$700.00
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Structural Review ($45)
$45.00
Technology Fee
$18.75
Total:
$946.50
Payments
Date Paid Amt Paid
Total Fees
$946.50
Check # 2944
03/26/2019 $50.00
Check # 2965
04/11/2019 $896.50
Amount Due:
$0.00
Building Department Copy
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 tha all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating consVQc:tigfi and zorpng. Fithermore, I authorize the above named contractor to do the work stated. l i
MWA
Authorized S gr} ture: Owne/ / Applicant / Contractor / Agent
Date
April 11, 2019 Page 2 of 2