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BPP-19-1866Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit No.: 63PP-t 8-19-1866 Permit Type: Pools/Whirlpools/Hat Tubs Work Classification. New Permit Status: Approved Issue Date:09/28/2019 I Expiration: 02/24/2020 Location Address Parcel Number 250 NW 93RD ST, Miami Shores, FL 33150 1131010331110 Contacts ASHLEE THOMAS Owner 25093 ESSIG POOLS INC Contractor DANIEL ESSIG 10111 Business DR, MIRAMAR, FL 33025 Business: 3059490000 permits@essigpools.com Description: NEW SWIMMING POOL, DECK & SPA Valuation: Inspection Requests: p $ 61,000.00 305-762-4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $200.00 CCF $36.60 Certificte of Completion for Single Fam $50.00 and Duplex DBPR Fee $27.45 DCA Fee $18.30 Education Surcharge $12.20 Permit Fee $1,630.00 Planning and Zoning Review Fee $35.00 Scanning Fee $15.00 Structural Review ($45) $45.00 Technology Fee $45.75 Total $2,115.30 Payments Date Paid Amt Paid Total Fees $2,115.30 Check # 3141 08/14/2019 $200.00 Credit Card 08/28/2019 $1,915.30 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 that all the foregoing information is accurate and that all regulating construction and zoning. Futhermore, I authorize the above named contractor to do A n_ 1 rk will be done in compliance with all applicable laws work stated. , Authorized Signature: Owner / Applicant / Contractor / Date August 28, 2019 Page 2 of 2 C IJ7I Miami Shores Village AUG14'I r f Building Department 10050 N.E.2r d Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 2017 b+ti BUILDING Master Permit No. - 186G PERMIT APPLICATION Sub Permit No. SiIB ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑'RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP �h . _ ` (� CONTRACTOR DRAWINGS JOB ADDRESS:? V N w 0l5 2 City: M)ami Shores County: Miami Dade Zip: 33 IS n Folio%Parcel#:.)l 3a��►103�3 t � t O Is.the Building Historically D'esignatod: Yes NO Occupancy Type:ppp_,L Load: Construction Type: t47tW Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder ):�, %G.'eV ��1 "�Ma 2 Phone#: Address: lJ A V VV `:j` 3 City:M\, oau�1..S)n0 state: Zip: Tenant/Lessee Name: Phone#: Email: _ CONTRACTOR: Company Name: ESSIG POOLS, INC Address: 10111 BUSINESS DR City: MIRAMAR state: FL Qualifier Name: DANIEL ESSIG State Certification or Registration M CPC052505 DESIGNER: Architect/Engineer: Ad Value of Work for this Permit: $ L.- Type of Work: ❑ Addition ❑ Alteration l honett: 305-949-0000 33025 Phone#: Certificate of Competency #: _ Phone#: City: State: Zip: Square/Linear Footage of Work: /d New ❑ Repair/Replace ❑ Demolition Description of Work: N QJ 1 [Y 1 iYi t n Q^ C.—JC—A [ Q PC, I It Specify color of color thru tile: Submittal Fee $ 200 yt--a I'd— Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Structural Reviews $ — Double Fee /$ Bond $ �1VM Q TOTAL FEE NOW DUE $ �,1 I �:—; - 30 (Revised02/24/2014) Z Bonding Company's Name (if applicable) Boinding Company's Address City State _ Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zi Application pis hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS .TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE,OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise In good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first ;inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this day Of. 20 J by It ic-'1n-i o is personally (mown to me or who has produced d tas identification and who di ake an oath. NOTARY PUBLIC: Sign: Print: Seal: ;; ��yvPri'•., KAREN RODRIGUEZ ?° Notary Public - State of Florida Commission GG 304504 ******** * ' ffiy.�omm..Expires Feb 21, 2023 APPROVED BY (Revised02/24/2014) `G Signa ure G CONTRACTOR The foregoing instrument was acknowledged befor e this t day of WAI20 J by DANIEL ESSIG Q who is personally known to me or who has produced PERSONALLY KNOWN as identification and who did take an oath. NOTARY PUBLIC: Sign:. Print: Seal: V Plans Examiner Structural Review Wt:; Notary Public - State of Florida �!, Commission # GG 304504 My Comm. Expires Feb 21, 2b23 Bonded through National Notary Assn. Zoning Clerk OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3101-033-1110 250 NW 93 ST Miami Shores, FL 33150-2236 Property Address: Owner ASHLEE THOMAS DEMIAN THOMAS Mailing Address 250 NW 93 ST MIAMI SHORES, FL 33150 USA 0800 SGL FAMILY - 1701-1900 SQ PA Primary Zone 0101 RESIDENTIAL- SINGLE FAMILY: 1 UNIT Primary Land Use Beds / Baths / Half 2/1/0 Floors 1 Living Units 1 1,634 Sq.Ft Actual Area 1,296 Sq.Ft Living Area Adjusted Area 1,465 Sq.Ft Lot Size 9,225 Sq.Ft Year Built 1948 Assessment Information Year 2018 2017 2016 Land Value $203,198 $203,198 $203,198 Building Value $109,875 $101,964 $101,964 XF Value $1,696 $1,712 $1,728 Market Value $314,769 $306,874 $306,890 Assessed Value $196,186 $192,151 $188,199 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Assessment $118,583 $114,723 $118,691 Cap Reduction Homestead Exemption $25,000 $25.000', S25,000 Second Exemption $25,000 $25,000 $25,000 Homestead Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 6 PB 10-39 LOT 9 & W112 LOT 8 BLK 135 LOT SIZE 75.000 X 123 OR 20843-3059 09 2002 4 COC 25195-3577 12 2006 1 Generated On : 5/7/2019 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $146,186 $142,151 $138,199 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $171,186 $167,151 $163,199 City Exemption Value $50,000 $50,000 $50,000 Taxable Value 1 $146,186 $142,151 $138,199 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $146,186 $142,1511 $138,199 Sales Information Previous OR Book - Price Description Sale PageQualification _ 07/10/2018 $500,000 Qual by exam of deed 2871 871 25195- 12/01/2006 $496,000 Sales which are qualified 3577 23243- 03/01/2005 $283,000 Sales which are qualified 1332 20843- Sales which are disqualified as a result 09/01/2002 $0 3059 of examination of the deed 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 UserAgreement at http://www.miamidade.gov/info/disciaimer.asp Version: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF (FLORIDA) COUNTY OF (DADE) The undersigned Affiant, Dew" l tiv1 " ^ - \ , does hereby attest that (Property owner) The attached survey, performed by 13 -M\Ae- Lu�� r v� UK-, (Name of surveyor's company) For address: Z b /U t,J Ct 3 Performed on 1,7 Z L (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands .that the existence of any such structures may affect final inspections as a licable to this or other permits. F ffia sa e Property Owner Signature Property Owner Print:Name SWORN TO AND BSCRIBED before me this 3O day of I�\ Affiant.is personally known to me, produced as identification. Revised on 5122/20091 Revised on 6/12109 MICHgF� NOTARY PUBLIC REG # GG 157200 : 2 U : MY COMMISSION. em EXPIRES cPjX ,11I0112021,- \,o UNoP Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 79&2204 Fax: (305) 75618972 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned u /k : 0 1 S is/are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: ZS-Z' 0 W o(� 5-►' Whereas, the undersigned owner(s) n t ✓�, i ur "�� w f desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: I. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pooliis located. III. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our/my property shall fail to meet code requirements for pool barriers, we, as owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. IV. That, I/we, as owner(s) hold Miami Shores Village harmless for any negligence or injury that results from not having the enclosure, V. If enclosure belongs to said property, I agree to maintain & or replace said enclosure in the event that is damaged or removed by any case. NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is Intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall'be binding upon the underst ned his/her successors and assigns and may only be released by Miami Shores Village, or its successor cetS ante of Od Villagejlea.�.—] SIGN & PRINT OWNER'SING & PRINT I Hereby Certify that on this day personally appeared before me \� caw. i� and has produced ID # as identification and he/she acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there in expressed. SWORN TO AND SUBSCRIBED before me on this ?Z) day of �v 20 e `��.��M1CHAe� .•� .Z� . • • • • • • �j •••, NOTARY PUB C S ATE OF FLORIDA (Revised 05/2209 : pQ ; 'NOTARY''•. 9� PUBLIC '• CO ' 157200 : m REG # GG v : MY COMMISSION : N EXPIRES ' SWIMMING POOL OWNER'S CERTIFICATION Date: 70/_1_� Re: Property Address: 2 �, • 5 To whom it may concern, I certify that I am the 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 SignatureX� ` Property Owner (print name): VAeL,r ,A 1 NOTE: IF, AT THE TIME OF FINAL INSPECTION OF THE POOL, THE REQUIRED SAFETY BARRIER HAS NOT BEEN INSTALLED AND INSPECTED, THE PROPERTY OWNER WILL BE CITED WITH A VIOLATION. go Ili ka.A-" q Licensed& Insured State: CPC052505 Ddde:2035160 ILIL V �i v Broward: 188-246797 --T -+O (}C 1800 NE 151st Street I North Miami, FI. 33162 k49-9�171 (0North Dade (305) 949-0000 1 South Dade (305) 253-4673 1 Broward (954) 438-62511 Fax (305) www.EssigPools.com I Email: Sales@EssigPools.com NEON Aaquatech. . ....-.�Po� ,�,,��.Aw W—.,. M. AY 1 2019 THIS IS YOUR SWIMMING POOL CONSTRUCTION CONTRACT. Date 4/19/2019 ESSIG POOLS, INC (ESSIG POOLS) agrees to construct for and sell to Demian Thomas Whose residence is 250 NW 93 St City Miami Shores State FL Mr. Cell (239) 404-1527 Mrs. Cell Other E-mail Address demianfthomas@gmail.com Zip 33150 The swimming pool and related equipment described below (herein collectively called the "work") to be installed at 250 NW 93 St City Miami Shores Lot No 9 Block 135 Subdivision Sect 6 County Miami -Dade ("Buyer"). State FL zip Plat Book 10 Page 39 ("Property"). The buyer hereby acknowledges that he/she is the owner or legal representative of the property. Pool Size 15 & 19 Water Surface area 493 feet x 30 PLANS AND SPECIFICI�ITIONS feet Depth 3 sq. ft. Style custom Perimeter 99.00 feetto 5 ESSIG POOLS GENERAL CONSTRUCTION SPECIFICATIONS feet linearfeet 1. Essig Pools to supply pool layout plans and structural engineering plans for pool ------------------------_Included 2. Essigto obtain the swimming pool construction permits for Buyer, which includes permit costs up to $1,000 or $ . Any amount above this allowance will be billed to the Buyer at actual permit cost. Any Bonds required by the City will be billed to the Buyer; Buyer can apply forthe Bond refund, from the City, after the work is complete. 3. Essig pools to lay out pool for approval by Buyer --------------------------------------------------Included 4. Access wall or fence to be removed by Essig Pools Buyer x Reg Machine Note: Access wall or fenceto be replaced by Buyer. S. Essig Pools to excavate pool and remove excess soil on day of excavation only --------------------------- Included 6. Trees in access and pool site areas to be cut down so that the stump will be 4 feet in height or less .......... By Others 7. Essig Pools to uproot stumps and shrubs in access and pool sites areas. Buyer to transplant Yes ❑ No W 8. Essig pools to remove from pool site on day of excavation only: Stumps Yes ❑ No ■ Cut trunks & limbs Yes ❑ No Concrete Yes ❑ No ■ Uprooted shrubs Yes ❑ No W Asphalt Yes ❑ No ■ Otherdebris Yes ❑ No W 9. Sanitation and water supply systems, and utilities (overhead and underground to be rerouted where required By Others 10. Essig Pools to use engineered steel reinforcing per code throughout the pool structure -------------------- Included 11. Essig Pools to construct steel reinforced concrete structure to meet applicable code requirements unless Included otherwise noted Additions: 6" Walls & Floor Steel 9" o.c., Shotcrete 12. Essig Pools to install one set of deluxe shallow end steps, custom -formed to include 30 linearfeet,._Included 13. Essig Pools to install coping ----------------------------------------------------------- Yes ■ No D Type Artistic Bullnose Size 8x16 Color tbs 14. Essig Poolsto install cantilevered overpour -------------------------------------------- Yes ❑ No ME15. Essig Pools to install a6"band of water -line tile. Style STANDARD SELECTIONS Included Additions: TRIM TILE ON STEPS AND BENCHES 16. Essig Pools to finish the pool interior using: Marcite Included Exposed aggregate Quartz-5W Essig Labor Warranty per Polished aggregate Contract, 10 yr Manuf Warranty OtherMaterial Only Buyer's name: Demian Thomas Rev. 6/9/2017 Buyer's Initials Page 1 of 7 ESSIG POOLS HYDRAULIC AND FILTERING SPECIFICATIONS 17. Deluxe skimmer including self-adjusting weir and large basket: Type TURBO WITH JET RETURN Quantity 1 Yes N No ❑ 18. Dual main drains complying withthe Virginia Graeme Baker Safety Act2008_________________ Yes N No ❑ 19. Waterfall: Type Size 20. Pool equipment to be installed within 30' feet of the POOL ------------------------------ Included 21. Concrete or pre -fabricated pads for equipment included ---------------------------------------------------- 22. 20' of flexible backwash hose Included Additions: 23. Deluxe filter -------------------------------------------------------------------------------- Included Manufacturer PENTAIR Size 150 Model Type CARTRIDGE 24. Pump with motor, hair and lint strainer______________________________________Yp---_____--__---__ Included Manufacturer PENTAIR Size 2HP Model WHISPERFLOW Type 2 SPEED 25. Adjustable eyeball inlets. Quantity 3 wall, 2 floor, 6 total ____________________Included 26. Essig Pools'exclusiveenergy efficient solar recirculating systerrL-------------------------------------- Included DECK AND DECK EQUIPMENT 27. Decking installed within pool site per specifications below: New deck: Type Artistic on rock base Sq. ft. 707 Color tbs Yes N No ❑ Existing deck topping: Type steps & risers Sq. ft. Color Yes N No ❑ 28. Sub -surface drainage: Type Deco Drain Feet 37 Yes ❑ No ■ 29. Swimout: yes Dimensions 10' Yes ■ No ❑ 30. Hand Rail: Type Model Yes ❑ No ■ 31. Ladder: Model Yes ❑ No ■ AUTOMATIC POOL EQUIPMENT 32. Approved Pool Heater ___________________ [�Q --------------- Yes ❑ No 0 Type Future Date Manufacturer Select Manufacturer / ��° Yes ❑ No ❑ -------------- Model Select model Yes ❑ No ❑ 33. Gassupply line to heaterand requires drawings, permitsand inspections ------------------------------- By Others 34. Prepare for f uture Automatic Cleaner ________________________________________________ Yes N No ❑ 35. Automatic Pool Cleaner: Type Yes ❑ No N 36. Automatic Chlorinator: Model SALT CHLORINE GENERATOR Yes N No ❑ 37. Electrical Hook Up (including upto 50' feet of rigid of conduitL_____________ Yes RE No El 38. Electrical panel changes, additional conduit footage, reroutes, new fence or screen bonging, or By Others extra receptacles by Local Code----------------------------------------------------------------. 39. Light: Yes ■ No ❑ Type Intellibrite5G Manufacturer Pentair Numberof lights 2 40. Waterproof time clock for filter: Model 2 SPEED SYSTEM Yes ■ No ❑ 41. Specialized Systems Controls: Yes ❑ No ❑ Type'Smart" app Manufacturer JANDY Model PS-4 THERAPY SPA 42. Spa constructed of Shotcrete Size 7.5 x 5.5 Watersurface area 41 Sq. Ft. Perimeter 26 Depth 3' 43. Spa to be elevated 12" with a tiled dam wall between the pool and spa. The spillway will be constructed of marble to allow for a cascading effect Yes ■ No ❑ 44. Pedestal spa--------------------------------------------------------------------- Yes N No ❑ 45. 360 Degree Wet Edge Spa elevated feet above pool water Yes ❑ No N 46. Essig Pools to install coping: Type Artistic ------------------ Size 16x16 Color tbs Yes ❑■ No ❑ 47. Essig Poolsto install a cantilevered overpour -------------------------------------------- Yes ❑ No ■ 48. Essig Pools to install a 6" band of water -line tile: Style standard selection Yes ■ No ❑ 49. Plexi-glass spillway optional: Dimensions Yes ❑ NOR 50. Dual main drains complying withthe Virginia Baker Safety Act 2008------------------------- Yes No El 51. Filtering jet (s): Number of jets 2 Yes N No ❑ 52. Therapy jet design: Number of jets 4-Twirley 2.5" Type Yes N No ❑ 53. Venturi aircontrolsIncluded Buyers name: Demian Thomas Rev.6/9/2017 Buyers Initials Page 2 of 7 THERAPY SPA (Continued) 54. *Jet pump Yes ❑ No ■ ----------------------------------------------------------------------- Manufacturer Type Size 55. Heater----------------------- ------------------------------------------------ Yes El No El None Type Future Date Size Select model 56. Spa light--------------- ------------------- - ---------------- Yes ■ No ❑ Manufacturer Pentair Type Intellibrite 5G Size Spa 57. Spa side controls: Type Manufacturer Yes ❑ No ■ OTHER FEATURES 58. Deluxe cleaning tools: wall brush, hand leaf skimmer, thermometer, pole and test kit ---------------------Included 59. High speed vacuum with 30 foot hose ------------ included 60. Initial startup service and instructions ------------------------------------------------------------ Included 61. State, county and city sales taxes_______________________________________________________________Included 62. Guarantees and Warranties (see section in these included in Contract)--------------------------------- Included 63. Miscellaneous: 1. Low profile light in sunledge - $785 value included 2. Future Heater Electrical Included 3. Build new steps per design 4. Umbrella sleeve in sumledge included Overhead electric drop by others; Elevation certificate needed for engineering; Post -pool survev required for final inspections (bv others) PAYMENT TERMS Buyer hereby agrees to purchase the work for cash price, payable as listed below: TOTAL PRE $ 54,000.00 10% Deposit $ 5,400.00 Plvf /// ?eo /10ifL400t,"+ 30% at Excavation $16,200.00 Note: It is the homeowner's responsibility to install an approved 25% at Shotcrete $13,500.00 fence or screen enclosures and any required safety barriers in 25% at Deck $13,500.00 compliance with the Florida Building Code Pool Barriers prior to 10% at Start of Surfacing $ 5,400.00 the pool being surfaced. Buyer acknowledges that he/she has read and received a complete legible is contract�jsaven-pages) including terms and conditions contain therein. Demian Thomas 4/19/2019 ER'S SIGNATURE PRINT NAME AND TITLE DATE DATE BU 'S SIGNATURE Pj PRINT NAME AND TITLE I t ,, 4/19/2019 E RESENTATIV F SIG POOLS,INC PRINT NAME DATE Notice of Cancellation Either Buyer or Essig Pools may cancel this transaction without 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 no later than midnight of the third day after the above signed date. I hereby cancel this transaction. DATE BUYER'S SIGNATURE PRINT NAME AND TITLE Buyer's name: Demian Thomas Rev.6/9/2017 Buyer's Initials: Page 3 of 7 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: Rinaldo Damian A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 250 NW 93rd Street City State ZIP Code Miami Shores Florida 33150-2236 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Property Folio 11-3101-033-1110 Miami Dade County - Our job 18-06-030 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 25' 51' 35.99" N Long. 80' 12' 10.27" 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. A7. Building Diagram Number I A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosures) NIA 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 0 No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings In the attached garage within 1.0 foot above adjacent grade NIA 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 89. 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 WA B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE In Item B9: ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 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: 250 NW 93rd Street City State ZIP Code Company NAIC Number Miami Shores Florida 33150-2236 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, ARIA, AR/AE, AR/Al—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: residential Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in Items a) through h) below. 0 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) 7.30 ❑ feet ❑ meters b) Top of the next higher floor WA ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) WA ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 5.35 ❑x feet C] meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5.10 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5.30 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ feet ❑ meters N/A structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the Information on this Certificate represents my best efforts to Interpret the data available. I understand that any false statement 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? N Yes ❑ No ❑ Check here If attachments. Certi ier's Name License Number John E.Kuhar 6711 Title Professional Surveyor and Mapper ce #^ Company Name Baseline Land Survey LLC Seal H e re Address 1400 NW 1st Court City State ZIP Code Boca Raton Florida 33432 Signature Date Telephone Ext. C , K�= 05-01-2019 (561) 417-0700 Copy all ties of this levation Certificate and all attachments for (1) community official, (2) Insurance agent/company, and (3) building owner. Comment (including type of equipment and location, per C2(e), if applicable) A 5) Google Earth C 2 e) A/C pad benchmark used = Miami Dade county benchmark # B-52-R elevation = 4.20' NGVD 1929 average crown of road elevation = 5.05' NGVD 1929 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 250 NW 93rd Street City State ZIP Code Company NAIC Number Miami Shores Florida 33150-2236 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodpiain 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 community4ssued 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 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: 250 NW 93rd Street City State ZIP Code Company NAIC Number Miami Shores Florida 33150-2236 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 Rem(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 CompliancelOccupancy 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 BUILDING PHOTOGRAPHS OMB No. 1660-0008 FI _FVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 250 NW 93rd Street City State ZIP Code Company NAIC Number Miami Shores Florida 33150-2236 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. ^b'n Photo One Photo One Caption rear view 5/1/2019 Clear Photo One r � Y 4 Photo Two Photo Two Caption front view 5/1/2019 Clear Photo Two FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 Permit # Residential *S wimming Pool, S pa and Hot Tub Safe ty Act Notice of Realrements I (We) Acknowled a that a new swimming pool, sp a or hot tub will be constructed or installed at 2�1J W (Please Print Job Address) and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statute and Florida Building Code Section R4501.17 **** Please initial the metltod(s) to be used for vour Wool or s �a **** 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 R4501.17.1.13 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 ten ces (screen enclosure, child fence,masonry fence walls,chain link or wood fence, etc.) will protect the pool perimeter. The plans must sp ecify 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, R4501.17.1.9 (S ubmit Manufacturer's S pecifications). Any combination of protection which incorporates dwelling walls with openings directly into the p ool 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 p lans showingall 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 Specifications). 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 having 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 signer ner/a ei nd the ntractor. w Owner's Signature and Date , Prime Con actor's Signattw and DANIEL ESSIG / ESSIG OLS, INC Owner's Name (please print) ; P•• Prime Contractor's N KAREN ROORIGUEZ r ou •• KAItEN RODRIGUEZ +y`a� Notary Public .State of Florida �a -- Public state of Florida Commission k GG 304504 _ Notary Commission GG 304504 "'JOf f`• ' My Comm. Expires Feb Zt, 20 h National Notary As 7 '' W My Comm. Expires Feb Notary Assn. re & Date Com u ota ture & ate at Notary Com�A41�$ AMD@ r SAFE POOL ALARM S187D SAFE POOL ALARM UPC: 014575187011 One unit per single entry/opening (and/or with its screen by using the second set of sensors). Can Not be used for 2 windows next to each other. Magnetic Sensor Entry Alarm "Always On" Alarm Protection Adult Pass -Through Auto Reset Button Additional Pass -Through Button For Delayed Entry From Either side Door or Fence High Output-110-115 db Alarm Water/Weather resistant Housing Intended For Interior or Exterior Use Magnetic Sensor For Additional Door/ Screen Door 9V Battery Operation (Not included) Low Battery LED Display Pool Guard Alarm USA Patent No. 5,473,310 and 6,727,819 provedUnder . Lv2�tanvs Unit Size: 4.75 x 1.625 x 1.75 " Pcs./20Ft.: 9,600 Pcs./ 40 Ft.: 19,680 Pcs./ 40 Ft. Hq.: 22,896 S0126 Sam SO225 S0120R S0166R BTUs 80/080 101,000 119,000 143,W0 110.000 126,OW i..mn.mor.me"m.rr 8OY80163 95,000 112,OW 134,000 103,000 120,000 ,•°'"°""'"'""� 80/50M 62,W0 75,010 90,W0 72,01XI 82,W0 C.O.P. 80/80/80 6.5 6.8 6.5 5.5 5.6 =�^="m�"•n•""^_• 80/8(v63 6.1 6.4 &1 5.3 5.3 ...,...mai -." e^� 80/50/63 4.0 4.2 4.0 4.0 4.0 Refrigerant R410A R410A R410A R410A R410A Electrical Heat or Heat & Cool H H H H&C H& C kW Input 4.6 5.1 6.4 5.9 6.8 A- 208-230/60/1 Voltage/Hz/Phase A A, B & G A, B, E & G A & B A, B, E & G 8-200-230/60/3 Max. Fuse Size A-50 A-W A-60 A-60 A-60 E - 380415/6013 8-50 B-50 B-50 B-50 G - 460/60/3 G - 20 E - 30 E - 30 G-25 G-25 Min, Circuit Ampaclty A-40.5 A-42.1 A-42.1 A-38.5 A-42.1 8-31.0 8-33.3 8.31.0 B-33.3 G-14.2 E-18.4 E-18.4 G -16.2 G -16.2 Water Flow R Haemr.-IOlm mQ MinJMax. mom) .-Oox,-arsee"m.- 30/70 30170 30/70 30170 30/70 Physical Weight 0e.) 268 328 328 268 328 Length x Width x Height 0^) 34' x 34' x 44' 34' x 34' x 44' 34' x 34" x 44" 34' x 34" x 44' 34' x 34' x 44' Shipping Weight (m) 329 390 390 329 390 Length x Width x Height on) 38' x 36' x 49" 38" x 36" x 49' 38' x 36" x 49" 38' x 36' x 49' 38' x 36' x 49' ere h.mo-ewa w'm oni rneea t)ea wafer mmd.ma.m w4eiume mimwM 9palAatbro euoion io chermo HEAxwAYE kl 1UPEAQUIET HeatWave SuperQuiete LEGEND A/C = AIR CONDITIONER P = PLAT C.B.S. = CONCRETE BLOCK STRUCTURE P.B.C. = PALM BEACH COUNTY C = CALCULATED P.B. = PLAT BOOK CH = CHORD P.C. = POINT OF CURVATURE j = CENTERLINE P.K. = PARKER KALON COMPANY C/S = CONCRETE SLAB D= DEED CONC. = CONCRETE 0.00'x= SPOT ELEVATION D.E. = DRAINAGE EASEMENT P.R.C. = POINT OF REVERSE CURVATURE A = DELTA (CENTRAL ANGLE) PG. = PAGE EL. = ELEVATION P.S.M. = PROFESSIONAL SURVEYOR AND MAPPER F.I.P. = FOUND IRON PIPE R = RADIUS F.I.R. = FOUND IRON ROD R/W = RIGHT OF WAY L = ARC DISTANCE U.E. = UTILITY EASEMENT L.B. = LICENSED SURVEY BUSINESS C.L.F.= CHAINLINK FENCE M = MEASURED ISAOA = ITS SUCCESSORS AND/OR ASSIGNS NO I.D. = NO IDENTIFICATION ATIMA = AS THEIR INTEREST MAY APPEAR N/A = NOT APPLICABLE NAVD'88 = NORTH AMERICAN VERTICAL DATUM OF 1988 NGVD'29 = NATIONAL GEODETIC VERTICAL DATUM OF 1929 SYMBOL IN CATCH BASIN ® WATER METER � UTILITY POLE LIGHT POLE «+• OVERHEAD WIRE LINE (OHW) —'—x— FIRE HYDRANT CHAIN LINK FENCE (C.LF) WOOD FENCE ( ® CABLE BOX o METAL FENCE (M.F) ® ELECTRIC BOX_ PLASTIC FENCE (P.F) TELEPHONE BOXY WIRE FENCE (W.F) WATER VALVE SURVEY NOTES: LOCATIONS ARE LIMITED TO VISIBLE IMPROVEMENTS ONLY AS SHOWN HEREON. LANDS SHOWN HEREON WERE NOT ABSTRACTED BY THE SURVEYOR FOR EASEMENTS, RIGHT—OF—WAYS OF RECORD, OTHER RESTRICTIONS OR RESERVATIONS. DESCRIPTIONS PROVIDED BY CLIENT, OR THEIR REPRESENTATIVE. ALL DOCUMENTS ARE RECORDED IN SAME COUNTY AS PROPERTY LOCATION UNLESS OTHERWISE NOTED. ROOF OVERHANGS NOT LOCATED. SURVEY MEETS ACCURACY STANDARD FOR SUBURBAN SURVEYS (1 FOOT IN 7500 FEET). ELEVATIONS SHOWN HEREON ARE REFERENCED TO NGVD'29, UNLESS OTHERWISE NOTED. CERTIFIED TO: Demian and Ashlee 7homos LendUS, LLC 'a Marlyn J. ifener, P.A. Old Republic National Title Insurance Company 0 10 20 40 1 inch = 20 ft. :..........................................................123.35'.......................................................... REMAINDER OF LOT 8 BLOCK 135 g 8 (NOT INCLUDED) N 1/2• F.I.R. = 5? Mv 37.50' NO I.D. 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A NP•I 0 • LOT 10 ' • BLOCK 135 • • LEGAL DESCRIPTION: LOT 9 AND THE WEST ONE HALF (112) OF LOT 8, IN BLOCK 135 OF M/AM/ SHORES SECT/ON 6, ACCORDING TO THE PLA T THEREOF, AS RECORDED IN PLA T BOOK 10, PAGE 39, OF THE PUBLIC RECORDS OF MIAMI—DADE COUNTY, FLORIDA. TI TLE.• MAP OF BOUNDARY SURVEY SCALE: I" = 20' COMMUNITY PANEL# FLOOD ZONE • BASE FLOOD EL.: DRAWN BY SG 120652 41 03025 H X N/A CHECKED BY J.K. DA 7F OF. FIRM.• BA57S CF BEARING. S RI If LINE CF NW 93RD STREET, SAID 911112009 LINE HA VNG AN ASSUMED BEARING CF N90V0100'E PROPERTY ADDRESS- 250 NW 9JRD STREET, MIAMI SHORES, FLORIDA JJ150 NO ® BLOCK CORNER THIS SURVEY' MEETS Tf:E STANDARD OF PRAC77CE AS SET FG BY NE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 5J-17, FLORIDA ADMINISTRA77VE CODE. L , Date. • 6122118 J E. KUH R, PSM, STATE OF FLORIDA FESSIONAL SURVEYOR AND MAPPER LS 6711 PARTY CHIEF- ARNULFO V VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SURVEY DA 1E. 6 122118 SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 1/Y F.I.P. NO I.D. I 3 � I I I s�= I 3 I I I tv `.P� •• SHEET 1 OF 1 A9 BASELINE LAND SURVEY LLC 1400 N. W. 1st COURT BOCA RA TON, FLORIDA 33432 (561) 417-0700 LB-8229 JOB NO.: 18-06-030 r•