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MC-19-114
Location Address Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 lul Issue Date: 01/16/2019 Parcel Number 70 NE 99TH ST, Miami Shores, FL 33138 1132060131050 Contacts Permit NO.: MC -01-19-114 Permit Type ,,:Mechanical - Residential Work Classification: Pool Heater Permit status: Approved Expiration: 07/15/2019 JAY YAGODA Owner ESSIG POOLS INC Contractor 70 NE 99 ST, MIAMI SHORES, FL 33138 DANIEL ESSIG Other: 3056577859 10111 Business DR, MIRAMAR, FL 33025 Business: 3059490000 Description: NEW POOL HEATER Valuation: $ 500.00 Inspection Requests: 5-7'l2-4 Total Sq Feet: 342.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $110.30 Building Department Copy Payments Date Paid Amt Paid Total Fees $110.30 Check # 2806 01/16/2019 $110.30 Amount Due: $0.00 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: 0 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulatin"nstruction 4d zoning. Futhermore, I authorize the above named contractor to do the work stated. Owner / Contractor / Agent Date January 16, 2019 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305)!762-4949 BUILDING PERMIT APPLICATION ❑BUILDING' ❑ ELECTRIC ❑ ROOFING P..0 lY�� JAN 16219 BY: FBC 20 Master Permit No. M1 Sub Permit No. M L B-1 ❑ REVISION ❑ EXTENSION ❑RENEWAL [--]PLUMBING D4rECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Cit Miami Shores County: Miami Dade Zip: Folio/Parcel#: i " 3 ZD (e 013 - M'd Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 7K f c7� h _Phone#: Address: li) City: : A-^ %o -It State: 1 Zlp: 3313Si Tenant/Lessee Name: Phone#: 3V r -11O Email: CONTRACTOR: Company Name: ESSIG POOLS, INC Phone#: 305-949-0000 Address: 10111 BUSINESS DR City: MIRAMAR State: FL Zip: 33025 Qualifier Name: DANIEL ESSIG Phone#: State Certification or Registration #: CPC052505 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ YDD Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Qbd\ i ku f Specify color of color th u tile: 9 Submittal Fee $ Permit Fee $ �7 CCF $ . b () CO/CC $ Scanning Fee $ Radon Fee $ G. DBPR $ �) Notary Technology Fee $ SD Training/Education Fee $ lam/ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ _ (Revlsed02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 tb 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 such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OW or AGENT The foregoing nstrument was acknowledged before me this day of 20 f!7 by who is personally known +^ me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: 0 .-'.NOTARY •' •, 9� Signature CONTRA TO The foregoing instrument was acknowledged before me this day of 120 by DANIEL ESSIG who is personally known to me or who has produced PERSONALLY KNOWN as identification and who did take an oath. NOTARY PUBLIC: Print: . Tz i? II r �, E Print b — v M m : /11 L Sit+ f7 (,� 'vJ*w��•' •• • Corofl R�T^PI �� • A • Seal: _ • EXPIRES co : PDQ L C • S • - QQ Seal: , I% J�•.,1110112021•,• _ :REG # GG 157200' "" ..•O� �� ; U : MY COMMISSION:, rN ........ OF •FL �`� ` EXPIRES *************�:* i ********** r:*****��dkkw�k� **s<****a:*** n*m*gym*�:*:k*•***** r*•** r*�*•**�:W Nom•' 1110112021,:'�j APPROVED BY Plans Examiner ,F/0 FV Zoning Structural Review (Revised02/24/2014) Clerk FOUND y" IRON PIPE Lot 5 Block 8 P„rZ.- a� N.E. ,,99TH STREET 75' TOTAL R/W (PER PB 10-PG.70) -t- ASPHALT PAVEMENT (ten SIGN i PARKWAY 9.52' j- 11 { 23.44' a 9.25' OO 10 W X /0 34.8' Ui15.3' F F ELEV = 10.56 U' 7 4' x x q. N ONE STORY RESIDENCE N0. 70 F.F ELEV.= I11.95 = SEPTIC TANK Ni p 34.5' x l JJ A/C 40, 117.3' X /O S• q 0h ql�j ('WEST IRON IPE _ ~ Ui // Z / C�4 O Lot 19 Block 8 A/C X K, -D X \\o 3.0 1.6' X /0 tS 6.3' N \0� Lot 4 X Block 8 X /O/O X 13.4' 22.66' IS, , >.I Ln qo \o. 80.67' M. 80.92' P: .1FOUND Y2" IRON PIPE S S90 90 09 > ', cq �c 3' WEST a Lot 2 Block 8 100 00 W 0 Z Q LEGAL DESCRIPTION: Lots 3 and 4, Block 8, AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1, according to the map thereof, as recorded in Plat Book 10, Page 70 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. 5. Only above ground improvements are shown herein. Foundations, underground features and utilities have not 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 perimeter 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 unnamed individual, entity or assignee. 9. FLOOD PLAIN INFORMATION: As scaled from Federal Insurance Rate Map (FIRM) of Community No. 120652 (City of Miami Shores), Panel 0302, Suffix L, revised on Sept 11th, 2009, this real property falls in Zone ' X'. 10.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. 11.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 Mark N-390, Elevation = 8.91 feet FOUND 0 IRON PIPE ' @PC W aLot I 100. 09, M. X\ 100.001, P. 5' CONCRETE SIDEWALK S90 /0 50.00' 50.00' Block 8 _ BLSS> d o / x 'sem S>, w Q w W it CJ cy U X I • • • 1 0 Qp �y C W Lu Z u M ,off qp 00' HO LLJ :5b. at: c y ' u 9.52' j- 11 { 23.44' a 9.25' OO 10 W X /0 34.8' Ui15.3' F F ELEV = 10.56 U' 7 4' x x q. N ONE STORY RESIDENCE N0. 70 F.F ELEV.= I11.95 = SEPTIC TANK Ni p 34.5' x l JJ A/C 40, 117.3' X /O S• q 0h ql�j ('WEST IRON IPE _ ~ Ui // Z / C�4 O Lot 19 Block 8 A/C X K, -D X \\o 3.0 1.6' X /0 tS 6.3' N \0� Lot 4 X Block 8 X /O/O X 13.4' 22.66' IS, , >.I Ln qo \o. 80.67' M. 80.92' P: .1FOUND Y2" IRON PIPE S S90 90 09 > ', cq �c 3' WEST a Lot 2 Block 8 100 00 W 0 Z Q LEGAL DESCRIPTION: Lots 3 and 4, Block 8, AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1, according to the map thereof, as recorded in Plat Book 10, Page 70 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. 5. Only above ground improvements are shown herein. Foundations, underground features and utilities have not 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 perimeter 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 unnamed individual, entity or assignee. 9. FLOOD PLAIN INFORMATION: As scaled from Federal Insurance Rate Map (FIRM) of Community No. 120652 (City of Miami Shores), Panel 0302, Suffix L, revised on Sept 11th, 2009, this real property falls in Zone ' X'. 10.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. 11.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 Mark N-390, Elevation = 8.91 feet FOUND 0 IRON PIPE ' @PC W aLot I 3 Lu > Block 8 _ d o / Il) /0 S90 & /O w p8• CJ S OS 6 ��"• U X I • • • • • • • • • X • • • • • . . • S X . • >. s. 0.9'WEST Z .•cy� 00' HO :5b. at: c ' 15' AL1X=X o FDUNDy• X • ASPHALT PAVEMENT • • • • •X • • 0/p • • • • o o x IRON PIPE /0 Lot 20 I Lot 21 I Lot 22 Block 8 I ... • • • • . •• • *Block6e •• • • • • • • • • • 0I •• •• • • Block 8 1 MAP OF BOUNDARY SURVEY Property Address: 70 N.E. 99th Street, Miami, Florida 33138 Project No. 18669 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. CD V co rn C0 C I LLL N 2 3 N Q rn LO M 0 J r � N ' N N CL � o M 0 0.u_ o U J C0 j o W �w(0 o W LO M M N 0 U) 0 ch J o Z ce) c m W N L E m � a m LEGEND B ABBREVIATIONS CONCRETE (COW.) CONC. BLOCK WALL W000 DECK = COVERED AREA O = ASPHALT --X-X-= CHAIN LINK FENCE (CLF) WOOD FENCE (WF) -o---{} IRON METAL BARS FENCE (IF) -OHV -= OVERHEAD WIRE5 pQ = WATER VALVE (WV) POWER POLE (PP) GUY ANCHOR ® WATER METER I-) Q + CONC LIGHT POLE (LP) ® + WELL STREET SIGN O = SANITARY MANHOLE O = DRAINAGE MANHOLE O = MANHOLE = FIRE HYDRANT . = CABLE BOX (CAM T% = FPL TRANSFORMER Illi = CATCH BASIN OR INLET ' e EXISTING ELEVATION ® = PERMANENT REFERENCE MONIMENT(PRM) • =PROPERTY CORNER 0 = PERMANENT CONTROL POINT (PCP) P.T : POINT OF TANGENCY P.0 = POINT OF CLRVA iLIRE P.0 C = POINT OF COMPOViD CLRVE li P.R C = POINT OF REVERSE CLRVE B.M = BENCH MARK B.R : BEARING REFERENCE T.B M = TEMPORARY BENCH MARK It = PROPERTY LIN -c : CENTER LINE = MONUMENT LINE CALC. = CALCLLATEO MEAS. = FIELD MEASLRED P = PER PLAT PSM = PROFESSIONAL SURVEYOR AND MAPPER AIC = AQ CONO TIONER PAD ENCR < ENCROACWHENT F F ELEV : FINISHED FLOOR ELEVATION P B - PIAT BOOR Pc -PAGE ORB = OFFICIAL RECORD BOOK CBS = CONCRETE BLOCK STRUCTURE R/ a RIGHT OF WAY ELE V. = ELEVATION SEC. = SECTION T = TOWNSHIP R : RANGE 11[•11*0 SCALE: I" = 20' SoI?-IE21'�BY CERiriPw -M: • •Jay.s4 �ajode:: - : • .' 'fhai this Sdrve?Confdr?M to Ift Standards of Practice as set forth by the Florida Board of Profess' al Surveyors and Mappers in applicable provisions of chapter 5J-17, Florida • it ruin' trativecode pursuant to Section 472.027 Florida Statutes. This Survey is accurate • r to the best of �q kAd*ledge and belief. • • • • • • • • • • • • • • • • • • / Odalys C. Bello-Iznaga • ProfewAonaLSwv%yor apd ylapper LS6169. State of Florida : Fie:d work d$W: 00/25/2p18 : • • • • • • • • • • • • • • • • • • • • • • 0 0 000 0 • . .. . Permit # Residential'S wimming Pool, S pa and Hot Tub Safe ty Act Notice of Requirements I (We) Acknowledge that a new swimming pool, sp a or hot tub will be constructed or installed at and hereby affirm 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 R4501.17 **** Please initial the method(s) to be used for your pool or spa **** The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346-91. (Submit Manufacturer's Specifications). A continuous,one-piece (child) barrier meeting the requirements of Florida Building Code 84501.17.1.13 will'protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools.' (Submit Manufacturer's Specifications). A combination. of non -dwelling walls and fences (screen enclosure, child fence,masonry fence walis,chain link or wood fence, etc.) will protect the pool perimeter. The plans mast specify the type and location of all non -dwelling walls. 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, 84501.17.1.9 (S ubmit Manufacturer's S pecifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self -latching device with positive mechanical latching/locking installed a min. 54" above the threshold. If this option is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and type of all op enings,and the hardware type for each location. (Submit Manufacturer's S pecifications). A swimming pool alarm that, when placed in a pool, sounds an alarm upon detection of an accidental or unauthorized entrance.into the water. Such pool alarm must meet and be independently certified to ASTM Standard F2208, titled "Standard Safety Specification for Residential Pool Alarms," which includes surface motion, pressure, sonar, laser, and infrared alarms. For purposes of this paragraph, the term "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 the child exceeds a certain distance or becomes submerged in water In accordance with the Code, a final Inspection of the pool project will not be approved 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 (raving one of the above installed will constitute a violation of Chapter 515, F.S., and will be considered as committing a misdemeanor of the second degree, punishable as provided in Section 775.082 or Section 775.083 F.S. This form must be signeg by the owner/agent and the prime contractor. Ow r'sSignatfkandDate Owne 's Nay (pleas rint) /1/_1 2- Noiary/Si ature & Date Q' �1Z 00.;157200 ; m a :, OMMISSION : ►� = y alp -EXPIRES Q >sjr�are51;11011202) :Q.4 OF •• ••• • • • • •• rime Contractor's Si nd D ate ' D6NLEI, ESSW / RSSIG-.V() �yS, I�0����uttrHr��. • ,O1 CHAS • •Pri�re Cpnjracto s:• •iame ipl• • ea�e P,'W, NQZPY• `�1.q�,' • • • • • •. "TP' i 2 '� �/� = ER : REO # 0 MIS504 ota Si atur:Pgte . Conam%srf xpi��§?IRES • • • • • • • • • • s 11101242. N ` "F� ( OF'F `•'•c*i1/119tt"y MANUALOPERATING INSTRUCTIONS • • • • • • • . • . • •• ••• •• • • • •• This product has been designed to aid in the detection of unwanted intrusions into unsupervised pools. P001 -GUARD IS A SAFETY 4kARM SY1WfFK ANQ•NOT A LIFE SAVING DEVICE. "This device is not Intendedty raplacs•anF bther:satei� consideration - i.e., adult supervision, lifeguards, fenoas, gates;-iool covens, locks, etc., and some devices may not detect gradual entry." .... ....... . . ..... . ... . ...... . .... .... . . .... . �S' r 7 3 MO®EL PGRM - 2 85dB Horn at 10 Feet • • • • • • • . • . • •• ••• •• • • • •• This product has been designed to aid in the detection of unwanted intrusions into unsupervised pools. P001 -GUARD IS A SAFETY 4kARM SY1WfFK ANQ•NOT A LIFE SAVING DEVICE. "This device is not Intendedty raplacs•anF bther:satei� consideration - i.e., adult supervision, lifeguards, fenoas, gates;-iool covens, locks, etc., and some devices may not detect gradual entry." .... ....... . . ..... . ... . ...... . .... .... . . .... . POOLGUARD is the result of quality design and manufacturing techniques that are a standard at PBM Industries, Inc.; a company dedicated to high quality products. POOLGUARD is a result of that dedication and we guarantee and, stand behind' the POOLGUARD alarm system. POOLGUARD pool alarms are verified by ETL to the ASTM safety and performance stan- dard for pool alarms, ASTM F2208. POOLGUARD is an electronic monitoring system that automatically sounds an alarm when children or pets fail into your unsupervised pool. POOLGUARD is a .portable., self-contained, lightweight unit that is safe and simple to operate. Entry into the pool will be detected by the unit's electronic sensor, triggering a loud pulsating alarm and an internal RF transmitter. The remote receiver will receive the transmitted signal and sound an alarm within the home. INSPECTION POOLGUARD is packaged in a shipping carton of damage due to handling. Check for damage tents of the carton include the following items: . POOLGUARD Unit o Handle ®Remote -Receiver and Power Supply • Operating Instructions Manual . Warranty and Registration Card that minimizes the chance and confirm that the con - If an item is missing, contact either the place of purchase or PBM Industries, Inc. for replacement. POOLGUARD is constructed from sturdy plastic to withstand the adverse moisture environment of a swimming pool. Care needs to be taken when handling to ensure against being dropped, kicked, etc. Also, be sure to remove the pool unit and set it away from activity in the upright .position when the pool Is being used. (See figure 1) If the pool unit accidentally falls into your pool, remove it immediately and drain the water from it. Take the unit apart as indicated in the Battery Replacement Procedure and remove the battjty.'jp;Ane ;sbjk�*unit and remove all excess water from inside the unit aQd,t WVa- tt6rV,:q4d the circuit board area with a paper towel or cloth. Completely test unit before each use as described- in, manual to, ensure. proper.operation-. (Remember- to always remove the pool unit from the poat:wfiile S;iWrming iand set it aside away from pool activity). . ..... . ... . ...... . .... .... . . .... . ATTACHING HANDLE The two handle screws are located in the top of the alarm, remove them and attach the handle, (See Figure 1) RESET/SLEEP SWITCH (SEE- FIGURE jJ RESET: When the pool unit is installed in the pool and the horn is sound- ing; press the reset/sleep switch once to silence the alarm. SLEEP (MODE: When the pool unit is removed from the pool and the horn is sounding; press and hold the reset/sleep switch for 3 seconds to silence the alarm. The pool unit will -automatically wake yup when -it is installed into the pool. THE POOL UNIT WILL NOT GO INTO SLEEP MODE ONCE IT IS INSTALLED IN THE POOL! BATTERY INSTALLATION / REPLACEMENT (Battery not included) POOLGUARD is powered by a standard 9 -volt alkaline battery. To install or replace the battery: ® Remove the screw from the bottom of the unit, refer to Figure 1. Carefully slide out electronics assembly; do not pull or jerk on internal hook up cable. (If necessary, gently shake unit to remove assembly.) Remove old battery and check for leakage or corrosion. (Remove any leakage or corrosion if present before installing new battery.) IMPORTANT: WHEN A 9V BATTERY IS FIRST INSTALLED IN THE POOL UNIT, THE HORN WILL SOUND. TO SILENCE THE ALARM PRESS AND HOLD THE RESET/SLEEP SWITCH FOR 3 SECONDS. THIS PLACES THE POOL UNIT IN SLEEP MODE. THE POOL UNIT WILL AUTOMATICALLY WAKE UP WHEN IT IS INSTALLED INTO THE POOL. ® Install new battery by attaching snap connection and sliding into battery holder. Slide electronics assembly into -pool unit, do not pinch internal hookup cable. .... ® Replace the screw, hand tighten until scre�r .is..all:WE:. uyay;.ir�. bnd flush . ......... . against the pool unit. ••' ••� '•' ••' To prevent possible damage, battery should 49 removed whenever storing the alarm, for an extended period of time. , ,•' ; ; , .. .. .... .... .... ....... . . ..... . ... . ...... . .... .... . . .... . LOW BATTERY FUNCTION The POOL UNIT AND THE REMOTE RECEIVER will beep once approximately every 20 seconds to alert you that the battery is low in the pool unit. and, needs to be replaced.. I4ANDLE SCREWS ELECTRONICS ASSEMBLY�- 1 �• �� ASPS HORN� � 850 at td feet T INTERNAL SCREW BATTERY HOOKUP RESET/SLEEP HOLDER CABLE SWITCH UPRIGHT POSITION Figure 2 illustrates locations best suited for detecting intrusions from any area of the pool. If your pool is larger than 800 square feet, if you have more than 2 return lines, any concerns about the size, or if you have an irregular shaped pool, please call customer service to clarify the recommended number of alarms and locations for alarms: 1-800-242-7163. Poolguard pool alarms have been tested and certified by ETL in a 16'x 32' pool. Figure 2••' ••• •• • • •• .. ... ... . ..• . Pools 800 Square Feed and SID4jer.:, (Cont. on next page) . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . ill 1117111 11119111171 1111111 1 q !11111 POOLGUARD automatically compensates for variations in pool levels within the unit's operating range. The unit utilizes a sensing throat which projects into the. water and is designed. to operate in. most pools with an - in -wall skimmer. The sensing throat cannot be less than 2 inches, (See Figure 3), and not more than 7 inches into the water, POOLGUARD recommends that the sensing throat be approximately 4" in the water POOLGUARD can be used with SOLAR BLANKETS on the pool. POOLGUARD can also be used in spas. SENSING THROAT CANNOT BE LESS THAN 2" IN a OCK� THE WATER, POOLGUARD RECOMMENDS THAT THE SENSING THROAT RE APPROXIMATELY 4" IN --Ia Figure 3 THE WATER IMPORTANT P001 -GUARD may not function properly if your pool's water level is not maintained within the required levels of your alarm. Also, the unit may not operate effectively while certain types of automatic pool cleaners are in operation. Some irregular shaped decks may not provide a level foundation for the unit by the pool's edge. This minor problem can be overcome by appropriately supporting the unit (See Figure 3). STABILIZING YOUR POOL ALARM The Alarm Stabilizing Pin (ASP) is factory installed onto your pool alarm. Tools needed to install your alarm are; One 5/16" masonry drill bit that can be found at your local hardware store, a drill, a pencil, a tape measure or yard stick. 1. Position your pool alarm so that the sensing throat is in the water and the ASP is touching the deck, (Be sure to le,�ve,a small space between the sensing throat and the edge of your deck), Ryer to: F:.Igue 4. 2. Mark with a pencil the spot where you wish to:A iht;:hb0ofor the ASP. 3. With the 5/16" masonry drill bit, drill a hole 2 1/4" inches deep, as *00 ... . ... . straight as possible. V. ' ' • • • . . .. ... . . •. • : • •. • • • • ; • (tont. on next page) . ..... . ... . ...: . .... .... . .... . �� mo, � � '�°■ f � " t Egg P 1AIN I ; E -, •?, �11 1, 4. Clean off the debris and install the alarm by placing the ASP into the 5/16" diameter by 2 1/4" deep hole. 5. Your Pool Alarm is now ready for use. If you have any questions or need help with installation, please give us a call at 'l-300.242-7163. 6. Be sure to keep your ASP hole clean from debris and dirt so that your alarm will always lay flat on the pool deck when installed. REMEMBER THAT THE POOL UNIT MUST BE REMOVED FROM POOL BEFORE SWIMMING! ALARMS STABILIZING PIN,MARK LOCATION FOR 5116" DIAMETER & 2 1/4" DEEP HOLE IN DECK 21 /4" SMALL SPACE, NO MORE SENSING THAN 3/8" WATER LEVEL POOL DECK Sensing throat cannot be less than 2" In the water, POOLGUARD recommends that the sensing throat be approximately 4" in the water. TEST BEFORE USING POOLGUARD has an automatic wake-up and self -test feature built in to the unit. To ensure effectiveness, TEST POOLGUARD EACH TIME YOU PLACE IT INTO THE POOL by performing the following simple procedure. • Place the unit in the pool resting it on a solid foundation at the edge of the pool. The alarm should sound loud and sharp. If the alarm is weak or irregular, the battery may require replacement. • Press the reset/sleep switch, the alarm should stop sounding. Unit is now armed and operating. ® POOLGUARD includes a timer function vyliich-auto matically resets the unit after the alarm has sounded for appMximaieEy 5: r�,ih6jes. ® POOLGUARD will alarm when removed Morfr th6'pool; ib -silence the alarm out of the pool, press and hold, the reset/sleep switch for 3 seconds, this places the pool unit in sleep mode. PCCLUUARFbwe ill d�IcIN3atically wake up when the pool unit is re -Installed Iran the OQoF.,• ' ;• To ensure the placement of the alarm provides adequate coverage in the pool, perform the following simple test: • Place POOLGUARD at your selected location in the pool-. Push an object of appropriate volume and weight off the deck edge furthest from the alarm. A four (4) gallon jug of water or 3 one (1) gallon jugs of water tied together are ideal for testing. The alarm should sound when the water action caused by the intrusion reaches the unit. It may take a few seconds for the alarm to react to the water action. After resetting the alarm and allowing time for the water action to settle, repeat the procedure from another point in the pool until you are confident of detection performance. . Proper selection of a location is important. If possible, this location should be used everytime. 11 A{t 11111 The POOLGUARD unit should not be placed too close to a return line from the filter area. Water turbulence may be too strong and falsely set the alarm off. If you have more than 2 return lines please gall customer service at 1-800-242-7163. It is very important in pool:, to adjust all the -eyeball fittings ,onyour return lines so they -will -not interfere with your pool alarm. It is not necessary to point your eyeball up for your pool to circulate properly. If the water is swirling on top of the pool this makes the pool to turbulent for your alarm to work properly. Point the eyeball down and your pool will still circulate properly and allow your alarm to function properly. If you point the eyeball fitting up, your alarm may not function properly. (See Figure 5) 010 6:0 !�g . •. . . . . .. . • : . . . CORRECT INCORRECT AM .... . . ... . . ..... . ... . .. .. . . . .. .. .... . . .... . 001 The POOLGUARD REMOTE RECEIVER has been integrated with the standard POOLGUARD unit to provide a wireless remote alert operating at distances of up to 200 feet. The POOLGUARD REMOTE RECEIVER sounds an alarm in the house when the POOLGUARD unit is activated at the pool.The remote system consists of the following functional elements: ®.A .coded pulse ,receiver .(.Remote -Receiver)..Figure 6 ® A standard wall outlet power supply. Figure 6 The REMOTE RECEIVER is a compact unit powered by a UL and CSA approved AC/DG power supply. The. REMOTE RECEIVER. can be placed on a table or a counter top inside the house. The pulse coded radio frequency signal is transmitted from the pool unit and is received and decoded to sound the remote receiver. The remote receiver will sound for an additional 3 seconds after the pool unit has been silenced. If the -REMOTE RECEIVER beeps once approximately every -20 seconds, it is indicating that the 9v. battery in the pool unit is low and -needs to be replaced. After you have purchased your POOLGUARD alarm and you wish to add another remote receiver to your alarm system you can acquire one from PBM Industries, Inc. Contact PBM by phone or mail or contact your place of purchase. POWER SUPPLY 85dE Horn at 10 feet ® / , • • Y • • • • • • • • TIE F i'g u re 6' •' : • :.... .... ....... . . ..... . ... , ...... . .... .... . . .... . t 111 A C--- Jimlot f�. #.. Try to locate your REMOTE RECEIVER in a convenient part of your house close to the pool. Avoid steel walls or any other large metal objects or obstructions that might interfere with the signal reception. The REMOTE RECEIVER has to be placed on the same level or a level above the pool in the house (do not place receiver in an underground basement). The ideal location for your REMOTE RECEIVER would be by a window overlooking your pool. Test your REMOTE RECEIVER in different locations in your house to find the best working place for your receiver. Connect the power supply to any 120V, electrical outlet and insert the jack into the receiver. Check that indicator light is on. Your REMOTE RECEIVER unit is now ready to receive a transmission from your POOLGUARD unit. DO NOT USE YOUR (REMOTE RECEIVER OUTDOORS. • •• •• ••• • • •• • • ••• • • • • •• • •• ••• • • • ••• • • • • • ••• • • • • • _ e • • • • •• •• ••• • • • • • • 41 • • • • ••• • • • •• •• • • 11 11-11 €x'14 I • Supervise children at all times. • Never permit swimming alone. Never leave a child alone, even to answer the telephoned • Always remove the entire solar cover from a .pool before swimming. • Remember that alcohol and water safety do not mix. • Have your pool area fenced and the gate locked to prevent unauthorized entry to the pool, and install a gate alarm. • Lock and secure all doors in the house which permit easy access to the pool, and -install .a -door alarm. •Have a responsible adult teach swimming and water safety to your children. • Maintain clean, clear water in the pool. • Do not swim during electrical storms. • Do not permit bottles,, glass,. or sharp objects to be used around the pool. • Ask your pool dealer how you can improve your pool safety -- they will be glad to assist you. • Above all: remember that common sense, awareness, and caution will allow you to enjoy your pool. POOLGUARD is sold with a limited warranty to cover defects in parts and workmanship for three years from date of purchase, (retain proof of purchase). If POOLGUARD exhibits a defect, please call, Customer Service at 1-800-242-7163. Unauthorized returns will not be accepted. Proper repair is only ensured when the unit is returned to the manufacturer. PBM INDUSTRIES, INC. ROI 658, NORTH VERNON, IN 47265 800-242-7163 This product has been designed to aid in the detection of unwanted 41n.W4n% Ill gnsu�ervised pools. POOLGUARD IS A SAFETY ALARM SYSTEM AND NOT A LIFE LAVING dkvl(:E:"phis **vice is not intended • 1• to replace an other safetyconsideration - .e., adult supervision, Iifegilf04e ;, A tg s.*oo.•covers, locks, ec and some devices may not detect gradual entry." Poolquard• MEMO q' n ••• • • ••• • V. PBM INDUSTRIES, INC. • • •• • • • • • •• • • • • .wn°��.° in°s�� REV. 10/2003 ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Power Supply. _001guard sx `tfrY }f 4•rk'� � � �1 Peolside Unit ` -r FALSEALARMS Homme Receiver All pool alarms will false alarm on occasion for different reasons. False alarms can be minimized; however, it is important to remember that a false alarm is better than no alarm at all. WEATHER & WIND—POOLGUARD sets stationary on the deck of the pool so the wind will not effect the alarm unit itself. Wind may trigger a false alarm if it is strong enough or steady enough that it causes the water in the pool to rock or bounce up and down the pool wall. When the water in the pool moves up and down the POOLGUARD sensing throat, it may finally cause the alarm to sound. On extremely windy days when the pool water is rocking it is advised to remove the POOLGUARD from the pool. Light wind or wain will not effect the POOLGUARD alarm. Another false alarm -occurs when the pool owner tries toinstall the -alarm too soon after swimming. After swimming, the water in the pool will rock or bounce up and down the pool wall for some time depending on the size of the pool and the type of swimming activity. Before installing the alarm, after swimming, the pool must be given time to calm, Time will vary (around 10 to 30 minutes); once the pool owner sees that the pool water is no longer rocking up and down the pool- wall, it is time, to install- the- alarm. Installing the alarm can be confusing to some pool owners. To install POOLGUARD set the unit on the deck and into the pool, the alarm will sound, this is our self test feature which lets the pool owner know that the battery is good and the sensor is working, press the reset/sleep switch and the alarm should stop sounding; it is now armed and ready to use. Certain automatic cleaners may set the POOLGUARD unit off in some cases. If the cleaner head or the cleaner hose hits the POOLGUARD alarm it may cause it to false alarm. Solutions to this -problem are,tQ Qqe your cleaner at night and your alarm during the day. Another 601ipm jVp91d be to find a place around the pool where the cleanerdoes•AotlrstEMare with the alarm. see 000 :0 t v The alarm should be on a flat, solid surface for best results. The throat of the unit is designed to work in most pools with an in -wall skimmer. The water level up on the throat is important and should be checked-. The sensing throat cannot be less than'2 inches in the water, and not more than 7 inches into the water. POOLGUARD recommends that the sensing throat be approximately 4 inches in the water. POOLGUARD can be used with a solar cover; however, before removing the cover, the alarm should ,be taken out so -it -does-not 'get pulled -into-the pool. ALARM TESTING Drop something of approximate size, weight and volume of the families smallest child, the farthest point away from the alarm. A four (4) gallon jug of water or 3 one (1) gallon jugs- of wafter tied- together are ideal for testing. Remember, when testing you must wait about 15 minutes between tests for the pool to calm. 000 Be sure that a 9 volt battery has been installed properly. If you are testing and POOLGUARD does not alarm, be sure you are testing properly -- putting your feet in. the. pool, splashing. with. your hands, making. waves with a leaf skimmer, or dropping something into the pool that. does- not have the proper size, weight and volume will not set the POOLGUARD alarm off! Testing is very important and should be done correctly. CARE AND HANDLING POOLGUARD is made of sturdy, rigid vinyl PVC - UV rated. Because the alarm is electronic and mechanical great care should be taken not to drop the unit; like any other appliance, it may break. Sun and rain will not hurt the alarm. POOLGUARD is water resistant but not waterproof. Great care should be taken, not to- knock the alarm into- the- pool. If the alarm goes into the pool there are directions in the manual on how to dry it out, but more than likely it will have to be returned to the factory for service. Always remember to remove the alarm before using the pool. When the unit at the pool alarms, the remote receiver will sound. Maximum Range for the remote is 200 feet from the poolside unit. Avoid, placing remote in basements or close to metal* walls. Be sure that the red light on the remote is on. Remember the poolside unit must be beeping (alarming) for the remote to work. If your remote receiver is not getting a clear signal or no signal from the poolside unit, try the following: Before plugging in the power supply, be sure to stretch out the cord; do not leave it tied in a bow as packaged. When you first plug in the remote it will give one short loud beep then stop. Your Remote Receiver is similar to, a small portable radio. If your remote is not sounding when the poolside unit is sounding -move the remote to different locations and- stand back for a few seconds for the remote to pick up the signal. You may only have 'to move your remote a little to the left or right to bring in the signal --in some cases you might have to move the remote to a different location or another room. If you are still having trouble, move the pool alarm to a different location in the pool according to Figure 2.7his will change the transmission angle of .the pool alarm and may give your remote receiver a clearer signal. if you cannot get a signal on your remote receiver CALL CUSTOMER SERVICE AT 1-000-24.2-7163 r e DO read ; DO hold on- oyour ; edu o , I service card - with DON'T 1eF3 your alarm. immdef after 0 M swim j t I j g DON'T use y alarm on windy days extremely • •• •• ••• • • •• • • ••• • • • • •• •• ••• • • • • • • •• ••• • • • • • • • • • ••• • • • •• • • • ••• • • • • • • • • • • • •• •• • • ••• • • • ••• • • ••• • • • • • •• •• • • � t � � i ❑'1 • •• •• • • • •• •• MAXIMIZE THE ENJOYMENT OF YOUR SWIMMING POOL INVESTMEN`� by heating your pool with an AquaCah"' heat pump. Free heat is taken from outside air and transferred to the pool water. HE XI' PUMP DOE SNT t3fiRN ENE=TICiIs' TO ('RE'WiT, I IE 41. It only uses a small amount of energy to transfer i RFF heat from the air to the pool. 0 Heat a pool for about 25% of the cost of heating it with gas Heat pumps are green and have virtually no effect on your carbon footprint No other heat pump in its class is quieter The only heat pump that allows you to maximize the potential savings of a variable speed pump is an AquaCal®, which utilizes our patented Tliermol-ink'' technology with its unique flow characteristics. • Patented hydraulic design adds only 1 PSI at 30 gpm, increasing compatibility with two -speed & variable speed pumps. I---�-- 1 a � • Saves money when using a variable speed pump by reducing the RPM needed to achieve the same flow rate. • Save money in a single speed pump application by reducing the run time needed to achieve the same turnover rate of the pool. Hovi the therTWork freon • • • �einpctattge • ira`uilr • • '"4fT • i • • • • • t N• • • • • • • • • • • • • •• •• • • • •• •• water in �q watei out cold water hot water freon • • • �einpctattge • ira`uilr • • '"4fT • i • • • • • t N• • • • • • • • • • • • • •• •• • • • •• •• ICEBREAKER' Heat & Cool Models • Extends swimming season longer than any other heat pump on the market • Continue to heat at freezing temperatures to minimize heat loss • Cool your pool to a refreshing temperature • Set to heat, cool or autotemp Corrosion Proof Cabinet • Louvered side panels protect evaporator coil while ensuring efficient air flow • Rust and fade proof • Impact resistant • Built-in drain pan provides condensate management AquaTop • Air Flow Vectoring Top protects internal components from weather and debris while ensuring optimal air flow Microprocessor Controlled with Digital Display • Flip -out control panel is out of sight, protected against sun and weather • Lockable panel provides security from others changing the temperature • Accurate and easy -to -read bright blue display • On -board self diagnostics • Microprocessor controlled defrost cycle ThermoLinV Titanium Heat Exchanger • Patented counter -flow water management system • Patented hydraulic design adds only 1 PSI at 30 gpm, increasing compatibility with two -speed & variable speed pumps • Impervious to chemical corrosion • Durability without sacrificing performance • Lifetime warranty AquaCal® has been producing quality heat pumps since 1981 * / Setting the, standard for excellence in the industry for over 35 years Over 275,000 happy .. ... . �€ . cpstgrpers worldwide I1 Unit Specifications SQ125 SQ145 BTUs 80/80/80 101,000 119,000 143,000 110,000 126,000 (waler temp/amblent girl 80/80/63 95,000 112,000 134,000 103,000 120,000 relative humidity) 80/50/63 62,000 75,000 90,000 72,000 82,000 C.O.P. 80/80/80 6.5 6.8 6.5 5.5 5.6 Coefficient of Performance 80/80/63 6.1 6.4 6.1 5.3 5.3 {water lemp!ambient alt/ relative humidity) 80/50/63 4.0 4.2 4.0 4.0 4.0 Refrigerant R41 OA R41 OA R41 OA R41 OA R41 OA Electrical Heat or Heat & Cool H H H H& C H& C kW Input 4.6 5.1 6.4 5.9 6.6 A - 208-230/60/1 Voltage/Hz/Phase A A, B & G A, B, E & G A & B A, B, E & G B - 200-230/60/3 Max. Fuse Size A - 60 A - 60 A - 60 A - 60 A - 60 E - 380-415/60/3 B - 50 B - 50 B - 50 B-50 G - 460/60/3 G - 20 E - 30 E - 30 G-25 G-25 Min. Circuit Ampacity A - 40.5 A - 42.1 A - 42.1 A - 38.5 A - 42.1 B-31.0 B-33.3 B-31.0 B-33.3 G-14.2 E-18.4 E-18.4 G-16.2 G-16.2 Water Flow Min./Max. (gpm) 30/70 30/70 30/70 30/70 30/70 A Heater Bypass Kit is required when flow rates exceed the maximum Physical Weight (Ibs) 268 328 328 268 328 Length x Width x Height (in) 34" x 34" x 44" 34" x 34" x 44" 34"04'x44" 34" x 34" x 44" 34" x 34" x 44" Shipping Weight (Ibs) 329 390 390 329 390 Length x Width x Height (in) 38" x 36" x 49" 38"06"x49" 38" x 36" x 49" 38" x 36" x 49" 38" x 36" x 49" Rated in accordance with ARI standard 1160 water temptambient airlreiaflve humidity Specifications subject to change •• ••• •• see so 0 0 0 .0 *0 rIT9• • • s • • • • •, • •s• 0 • • ••• • s •• ••• •• • see so 0 0 0 .0 *0 rIT9• • • s • • • • •, • •s• 0 • • ••• • s T U.. 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: Jay A. Yagoda A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 70 N.E. 99th Street City State ZIP Code Miami Shores Florida 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Folio # 11-3206-013-1050 Lots 3 & 4, Block 8, AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1, PB 10, PG 70 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 25051'57.02"N Long. 80°11'46.17"W Horizontal Datum: ❑ NAD 1927 © NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 8 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1030.44 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 6 c) Total net area of flood openings in A8.b 768.00 sq in d) Engineered flood openings? ❑ Yes R 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 85. 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 0ijlered altgrn:99, : : .: •. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: ..� ..: •.. 0.0 ; ; ... B11. Indicate elevation datum used for BFE in Item B9: ❑x NGVD 1929 ❑ NAVD,1,98$, �❑ Qher/4ource:,, B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or:01e4ise1ritected Qrea (OP.A)? ] Yes © 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: 70 N.E. 99th 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-567 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) 10.46 feet ❑ meters b) Top of the next higher floor 10.56 feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A Z feet ❑ meters d) Attached garage (top of slab) N/A ❑X feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 11.07 feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 10.46 ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 11.35 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 10.46 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? Z Yes ❑ No ❑ C eck here if attachments. Certifier's Name License Number Odalys C. Bello Iznaga LS 6169 Title Professional Land Surveyor and Mapper Place Company Name Bello & Bello Land Surveying Corp. Seal Here Address 12230 SW 131 Avenue, Suite 201 City State ZIP Code Miami Florida 33186 Siatu Pate Telephone Ext. <;:*Pz.,.S &C (305) 2$'i 9666 • : .0. : : ... Co all pages of this Elevation Certificate and all attachm nts for 1) community official, (2) i curahi a 3g&4otp5hj anIJ43) building owner. .. ... .. . . . .. Comments (including type of equipment and location, per C2(e), if applicable) For A5: Long. and Lat. determined by GNSS RTK GPS • 0 • • • Survey No. 18669. 06: • • • 0 . C2 e) Denotes Elevation of A/C Units located on the South side adjacent to the existi� g etru�tu ra. 0 • 0 0 . 0 0 0 Highest Crown of Road Elev.= 11.10' Next F.F.E. = 11.95' Highest F.F.E.= 12.89' ... . . . . ... . . FEMA Form 086-0-33 (7/15) Replaces all previous editions. ; : • ' • : * o : :. .: 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: 70 N.E. 99th 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 ❑x feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is x❑ 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 ❑x 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 Z 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 Owners Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments .. ... . . . . . .. . ......... . .. ... .. . . . .. .. ... ... . ... . . . . . . . . . . . . . . .. . . . . .. . . OCllegc here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. 0 • • 00 % : : :. •.: 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: 70 N.E. 99th 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) .. ... . . . . . .. . .. . . . . ... . .. ... .. . . . .. .. ... ... . ... . . . . . . . . . . . . . . .. . . . . .. . . • ; • :D 4hTk heore if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. •• • • • • • . .. .. Form Page 4 of 6 ... . . . ... . . ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS OMB No. 1660-0008 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: 70 N.E. 99th 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. 1 6 y� �l l ,;x 'aa ,"y •s C'.m +�_ yam' as on E : x r Photo One Photo One Caption Front View: 06/25/2018 Clear Photo One L is � x �L 14 Zti '*.sasx yanymwp3ymrowpan T 4e ... s A •r" a d,» F ._w. _ ♦ i a 1 i • t • i i •• km". - r • • • i • 6• • • • • Photo Two Photo Two Caption Rear View: 06/25/2018 "' ' • • • • • • Clear Photo Two FEMA Form 086-0-33 (7/15) • Replaces all previous editions. : ; .' ! ; ; ; ; ; • : Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS OMB No. 1660-0008 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 70 N.E. 99th 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. n 4„ d Photo Three Photo Three Caption Side View: 06/25/2018 Clear Photo Three p � 71W 1 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • •• • • Photo Four Photo Four Caption Side View: 06/25/2018 ' ; ° ; ; ; ; • • Clear Photo Four FEMA Form 086-0-33 (7/15) Replaces all previous editions • " • • • • • *' ••! Form Page 6 of 6 . •• •• . • . •• •