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BPP-19-2105 (2)
Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit No.: BPP-09-19-2106 -1 Permit Type: Pools/Whiripools/Hot Tubs LIJ]��0'-L� Work Classification: New PermitStattas: Approved Issue Date:10/10/2019 Expiration: 04/07/2020 Location Address Parcel Number 1041 NE 96TH ST, Miami Shores, FL 33138 1132060143720 Cnntacts VALERIE GREENBERG Owner ESSIG POOLS INC Contractor DANIEL ESSIG 10111 Business DR, MIRAMAR, FL 33025 Business: 3059490000 permits@essigpools.com Inspection Requests: Description: swimming pool, deck and heater Valuation: $ 53,000.00 305-76 4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $31.80 Certificte of Completion for Single Fam $50.00 and Duplex DBPR Fee $23.85 DCA Fee $15.90 Education Surcharge $10.60 Permit Fee $1,540.00 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Structural Review ($45) $45.00 Technology Fee $39.75 Total: $1,850.90 Building Department Copy Payments Date Paid Amt Paid Total Fees $1,850.90 Check # 100 09/11/2019 $50.00 Check # 3702 10/10/2019 $1,800.90 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: I certi th all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constr io nd zoni g. thermore, I authorize the above named contractor to do the work stated. �° to Authorized ignat e: Owne / Applicant / Cont4ctol Agent Date October 10, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores Village RECEIVED Building Department SEP 112019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20P Master Permit No. —acl - 19 U5 Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING M MECHANICAL PUBLIC WORKS CHANGE OF CONTRACTOR ❑ CANCELLATION ❑ SHOP DRAWINGS the Building Historically Designated: Yes Occupancy Type: ��� Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): `ly► \�V ��� �b J � . Address: 5 4 Ld IS* City: W 01yu !2:An State: V" e Zip: Tenant/Lessee Name: Email: ne#: 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 #: CPCO52505 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 00D Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration 9New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: - Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ DBPR $ Notary $ Double Fee $ Bond $ 5QQQ 0 0 TOTAL FEE NOW DUE $ (Revised02/24/2014) Vo; 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 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 comm cement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certi d copy of the recorded notice of commencement must be posted at the job site for the first inspection whit ccurs seve after the building permit is issued. In the absence of such posted notice, the inspection will not be appr ed and a nspectl a will be charged. OWNER or The foregoing instrument was ;�no edged before me this �.� day of 20 WIT, by who is personally known to me or who has produced �i"CJY 7a0`I identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: APPROVED BY KAREN RODRIGUEZ Notary Public - State of Florida Commission r GG 304504 Bonded through as Signature / CONTRACTORS The foregoing instrument was acknowledged befo a this r. day of 20 , 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: Sign: Print: A Ali Seal: KAREN RODRNomublc IGUEZ Cmtate of F R**M lori "61* Bided through Nxpational Notary Assn, ires Feb 21, 1023 Plans Examiner Zoning (RevisedO2/24/2014) Structural Review Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PRESENTS: d WHEREAS, the undersi nea\t4\R . CQ i LJ �Z1�.y — 1 9 is/are the fee .... simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: " • • Address: ► 0 qk N � Qco g� .... ...... Whereas, the undersigned owner(s) • ...... • � � • ...00 desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree *s f@IIow s: .0090. I. That the property will not be used in violation of any ordinances of Miami Shores Village or Miam*11184 • County now in effect or hereinafter enacted. Il. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pocl whefrl�e • • • •' required enclosure is not on the subject property where the pool is located. • • • . .. III. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our/my property shall fail to meet code requirements for pool barriers, we, as owners will immediately 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. FURT R, the u g d declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning th e, enjo ent and ti e t he above property and shall constitute a covenant running with the land and shall be binding u e un signed, his/h r ccessors and assigns and may only be released by Miami Shores Village, or its succes rs n ac rdance of said aqe then in effect. SIGN & PRINT OWNER SING & PRINT Nf I r b ertify th t is d personally appeared before meJaAC� a roduced ID rS�llrcaa n and he/she acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there in ex ssed. SWORN TO AND SUBSCRIBED before me on this 22-day of NPIq 20 NOTARY PRI ATE OF FLORIDA (Revised 0512209 r i •..• KAREN ROORIGUEZ Notary Public • State of FloridA \ Cnrr,rissior GG 304$OA4Z3 Comm'.:xra`es'-ems ' ?a Ay ..... � tiGSi(WL',hotzry W,. 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.V``'' �i�,lr1 b,(i \u k. hereby attest that .'. •••. .... • • (Property owner) • • •... • The attached survey, performed by • • • •"" (Name of surveyor's company) • •""' ' For j0 �4k N � q, to gk ...... address: �_ � � • � � � • � � • Performed on (date of survey)'is an accurate representation of the existing conditions and • • �' • locations of all structures on the property s of this date. ... The py Affid is to induce Miami Shores Village to issue a building permit for the property without first pre ess than seven (7) years old old. The Affiant, as property owner, further agrees to remove or o any structures which now may exist on the property which are not permitted or which may v' at zing code regulations. The Affiant further understands that the existence of any such cture maypections as applicable to this or other permits. F rth , s eth ught. .7f- Coo tLjrX)trC_1 jxrty Ow/igaurePro ert Owner Print Name SWORNTOSCRIBED before me this _day of Affiant is/ —personally known to me, produced as identification. Revised on 5/22/2009/ Revised on 6/12/09 KAREN RODRIGUEZ �P Commission .; GG 304504 F� My Comrt14DtWFeb 21, 2023 Bonded through National Notary Assn. SWIMMING POOL OWNER'S CERTIFICATION Date: I I zz/119 Re: Property Address: 10 LA' 1yG—) 4 U (�� 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.JfQreby 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 fiNa1"• inspection obtained, for the installation of an approved safety barrier. The barrier shall Wk& a spring -lock self -closing gate equipped with a safe lock. The gate shall remain in a clbged apd •• .•i locked position when the pool is not in use. I further understand that this certification does not eliminate the and erecting an approved barrier prior to final inspection of the I have read and understand the safety bagW requirement. Sincerely, Property Owner Signature Property Owner (print • • or obtaining a' }permit prior to use of the pool.: • . NOTE: IF, AT THE TIM5 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. Licensed& Insured State: CPC052505 � Q Dade:2035160 Broward: 188-246797 1800 NE 151st Street I North Miami, Fl.33162 North Dade (305) 949-0000 1 South Dade (305) 253-4673 1 Broward (954) 438-6251 1 Fax (305) 949-9171 — www.EssigPools.com I Email: Sales@EssigPools.com AIM UN(T A 4,pi uatech. -A � UM A Ji P Px a sa+frtnomY THIS IS YOUR SWIMMING POOL CONSTRUCTION CONTRACT. Date 8/1/2019 ESSIG POOLS, INC (ESSIG POOLS) agrees to construct for and sell to Valerie Greenberg Whose residence is 1041 NE 96th St City Miami Shores Mr. Cell ("Buyer"). ••.• State FL 3313%...• •••••• Mrs. Cell (305) 318-8027 Other • • •... • valerie. reenber E-mail Address g g@akerman.com The swimming pool and related equipment described below (herein collectively called the "work") to be installed'at ..... 1041 NE 96 St City Miami Shores County Miami -Dade • • State FL '.7jp. • '� ...... • . Lot No Block Subdivision Plat Book 0 : Page '. "P Th b h • ( rupeity' ). a uyer ereby acknowledges that he/she is the owner or legal representative of tr%PFOperty. Pool Size 13'6 & 16.6 Water Surface area 390 feet x 26.5 PLANS AND SPECIFICATIONS feet Depth 3 feetto 6 feet sq. ft. Style rectangle Perimeter 86.00 linearfeet ESSIG POOLS GENERAL CONSTRUCTION SPECIFICATIONS 1. Essig Pools to supply pool layout plans and structural engineering plans for pool ------------------------_Included 2. Essig to 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 applyforthe Bond refund, from the City, after the work is complete. 3. Essig pools to lay out pool for a pproval by Buyer -------------------------------------------------- Included 4. Access wall orfence to be removed by Essig Pools na Buyer Note: Access wall orfence to be replaced by Buyer. 5. Essig Pools to excavate pool and remove excess soil on day of excavation only --------------------------Included 6. Trees in access and pool site areasto 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 Yesk No El 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 ❑■ Asphalt Yes ❑ No ■ Other debris Yes ❑ No ❑0 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 otherwisenoted------------------------------------- ------------------------------------- Additions: 6" Walls & Floor, Steel 9" o.c., Shotcrete - Engineer to confirm floor thickness 12. Essig Pools to install one set of deluxe shallow end steps, custom -formed to include20 linearfeet.___.included 13. Essig Pools to install coping ....................................... Yes N No El---------------------------------- Type Artistic Size 8x16 Color tbs --------------- 14. Essig Pools to install a cantilevered overpour-_----_ Yes ❑ No X -------------------------------------- 15. Essig Pools to install a 6" band of water -line tile. Style$14 upgrade included Included Additions: TRIM TILE ON STEPS AND BENCHES $8 upgrade included 16. Essig Pools to finish the pool interior using: Marcite Included Exposed aggregate Quartz-5Yr Essig Labor Warranty per Polished aggregate Contract, 10 yr Manuf Warranty OtherMaterial Only Buyer's name: Valerie Greenberg Buyer's Initials: Page 1 of 7 Rev. 6/9/2017 ESSIG POOLS HYDRAULIC AND FILTERING SPECIFICATIONS 17. Deluxe skimmer including self-adjusting weir and large basket: Type TURBO WITH JET RETURN Quantity 1 Yes ® No ❑ 18. Dual main drains complying withthe Virginia Graeme Baker Safety Act 2008 Yes N No ❑ ------------------ 19. Waterfall: Type 2 deck jets with automation per design Size 20. Pool equipment to be installed within 30 on Rack feet of the Poo l ------------------------------- Included 21. Concrete or pre -fabricated pads for equipment Included 22. 20' of flexible backwash hose Included Additions: 23. Deluxefilter-------------------------------------------------------------------------------.Included Manufacturer PENTAIR Size 100 sgft Model Type CARTRIDGE 24. Pump with motor, hair and lint strainer ________------------------------ _------------------------ Included Manufacturer PENTAIR Size 1HP Model WHISPERFLOW Type 2 SPEED 25. Adjustable eyeball inlets. Quantity 3 will, 2 To -or Included ------------------ **be 26. Essig Pools'exclusiveenergyefficientsolar recirculating system- ----------------- _________%,jrlduded DECK AND DECK EQUIPMENT • • ...... .... 066 27. Decking installed within pool site per specifications below: • • • • • • • • • • New deck: Type Artistic on rock base Sq. ft. 378 color tbs "`Yes © No ❑ •+••• Existing deck topping: Type Sq. ft. ❑ ••••t1e AN Color .•040000 •"'• 28. Sub -surface drainage: Type ••Yps Feet •••-Xes■ .No❑ 29. Swimout: in deep end Dimensions N;s ■ • 12 ❑ •• 0•-0% 30. Hand Rail: Type Model •e0es ❑ • No ■ ;.•.•; 31. Ladder: Model _ _ Yes ❑ •_0_7Nc ■ • AUTOMATIC POOL EQUIPMENT 32. Approved Pool Heater ----------------------------------------- Yes ■ No ❑ _ - Type Heater/Chiller B.T.U. None Manufacturer AquaCal HeatWave SuperQuiet Propane Gas Yes ❑ No ❑ Model SQ120R South Beach Natural Gas --------------------- Yes ❑ No ❑ 33. Gas supply lineto heaterand requires drawings, permits and inspections______________________________ By Others 34. Prepare forfuture Automatic Cleaner ------------------------------------------------ Yes 0 No ❑ 35. Automatic Pool Cleaner: Type Yes ❑ No 36. Automatic Chlorinator: Model SALT CHLORINE GENERATOR Yes N No ❑ 37. Electrical Hook Up (Including upto 50' feet of rigid of conduit).------------- Yes No El 38. Electrical panel changes, additional conduit footage, reroutes, new fence orscreen bonging, or By Others extra receptacles by Local Code_________________________________________________________ 39. Light: Yes ■ No ❑ Type Intellibrite 5G Yp Manufacturer Pentair Number of lights 1 40. Waterproof time clock for filter: Model 2 SPEED SYSTEM Yes ■ No ❑ 41. Specialized Systems Controls: Yes ■ No ❑ TypeSmart device Manufacturer JANDY Model P-4 THERAPY SPA 42. Spa constructed of -0- Size Water surface area Sq. Ft. Perimeter Depth 43. Spa to be elevated with a tiled dam wall between the pool and spa. The spillway will be constructed of to allow for a cascading effect Yes ❑ No ❑ 44. Pedestal spa------------------------ - Yes ❑ No ❑ 45. 360 Degree Wet Edge Spa elevated feet above pool water Yes ❑ No ❑ 46. ------------------ Essig Poolsto install coping: Type Size Color Yes ❑ No ❑ 47. Essig Pools to install a cantilevered overpour--------------- ---------------------------- Yes ❑ No ■ 48. Essig Pools to install a 6" ba nd of water -line tile: Style Yes ❑ No ❑ 49. Plexi-glass spillway optional: Dimensions Yes ❑ No ❑ 50. Dual main drains complying with the Virginia Baker Safety Act2008 ------------------------- Yes ❑ No ❑ 51. Filtering jet (s): Number of jets Yes ❑ No El 52. Therapyjet design: Number of jets Type Yes ❑ No ❑ 53. Venturi air controls _____________________Included Buyer's name: Valerie Greenberg Buyer's Initials: Rev. 6/9/2017 Page 2 of 7 THERAPY SPA (Continued) 54. Jet pump----------------------------------------------------------------------- Yes ElNo ❑ Manufacturer Type Size 55. Heater------------------------------------------------------------------------- Yes ❑ No ❑ Manufacturer None Type Heater/Chiller Size SQ120R South Bei 56. Spa light------------------------------------------------------------------------- Yes ❑ No ❑ Manufacturer Select Manul Type Select type Size 57. Spa side controls: Type Manufacturer Yes ❑ No ❑ CITHERFEATURES 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 � jlielpded -------------------------------------------------- 62. Guarantees and Warranties (see section in these included in ----,----- • ...... Contract)_____________________«__•____ _ Included 1. 7' Demuck included '- • 63. Miscellaneous: per soil test. Water at 6 . ....•• • • 2. Engineer to confirm floor thickness which could add cost to pool. Elev. cert rewired to confirm. • 3. Finish existing 18" concrete riser with stucco included - $1020 •••• ;••••� plus fill in hole, R side steps, straighten out and top with client's tile; •••• • Notes: .�;••• 2 Inspection during excavation Client responsibility ••••.. 0/H Elect relocation responsibility of Client •• Permit Info on septic relocation required ••••.. •'••• Elevation Cert Pending .....: PAYMENT TERMS Buyer hereby agrees to purchase the work for cash price, payable as listed below: TOTAL PRICE $ 57,540.00 10% Deposit $ 5,754.00 30% at Excavation $17,262.00 Note: It is the homeowner's responsibility to install an approved 25% at Shotcrete $14,385.00 fence or screen enclosures and any required safety barriers in 25% at Deck $ 14,385.OV compliance with the Florida Building Code Pool Barriers prior to 10%at Start urfacing $ 5,754A the pool being surfaced. Buyer a nowledges that he/she has read and received a complete legible c y of t s contract (seven pages) Including terms and conditions contain therein. Valerie Greenberg 8/1/2019 OWER'S SIGNATUR PRINT NAME AND TITLE DATE _z/ B ER'S SIGNA PRINT NAME AND TITLE DATE TIL4 8/1/2019 PRESENTA I OF ESSIG 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. BUYER'S SIGNATURE PRINT NAME AND TITLE DATE Buyer's name: Valerie Greenberg Buyer's Initials: Rev. 6/9/2017 Page 3 of 7 Permit # Residential S wimming Pool, S pa and Hot Tub Safe ty Act Notice of Requirements I (W,. LA�o ledge tl t a new swimming pool, sp a or hot tub will be constructed or installed at I v )q � 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 complies with ASTM F1346-91. (Submit Manufacturer's Specifications). A continuous,one-pie child) barrier meeting the requirements of Florida Building Code R4501.17.1.13 will protect the pool perimete a plans shall show the fence location and method of attachment, including one end that shall not be removable w' out the aid of tools. (Submit Manufacturer's Specifications). •••• ation of non -dwelling walls and fences (screen enclosure, child fence,masonry fence walls,chaifl lil��• • ... • • • ence, etc.) will protect the pool perimeter. The plans must specify the type and loca4si of all non•dwW4ing • • • ..•• •••••• • •.•.•• ination of protection which incorporates dwelling walls with openings directly ipt'b CIE.Dool peli"Ar. YR4501.17.1.9 • • ndows and doors will be equipped with exit alarms complying with Florida Building ode, •••••• • • •,;..' (S ubmit Manufacturer's S pecifications). • • • • • • • • • • • "; • Any combination of protection which incorporates dwelling walls with openings directly into the pool perijigT: • • • •� • • and all doors will be equipped with a self -latching device with positive mechanical latching/locking installed: • • • •; • min. 54" above the threshold. If this option is selected, submit plans showing all types and location • * • • • of all perimeter p rot ection. The p lans 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 i spection of the pool project will not be approved without compliance with the Private Swimming Pool Safety Require men , and upon expiration of the permit, the pool shall be presumed to be unsafe. I understand that not having one f the above installed will constitute a violation of Chapter 515, F.S., and will be considered as committing a misdemeanor of a second degree, punishable as provided in Section 775.082 or Section 775.083 F.S. This form must be d by the owner/ n t prime contractor. w is Signature and^D e Owner's Name (please print) o •., KAREN RODRIGUEZ Notary Public State of Florida q Commission .." GG 304504 Feb 21 . 2023 ,2 . . mm. e & ate �F...• or } RAbtary Assn. Bone ro Prime Contractor's Signature an 7 DANIEL ESSIG / ESS OOLS, INC ,: ti Y Pir•, KAREN RODRIGUEZ _°i ,��': Notary Public State of Florida o' Commission ; GG 30a50a Febt 23 it Date BondeQMsmih{4tigna }ry..qlssn SAFE POOL ALARM •••• . . •••• •••••• ...... .... ...... ..•.•. •..... .... . ..... • • • • • • . .. .. . ...... .. . . . . •••••• .. .. S 187D 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 ETL Approved,Under UL fO 1 f Standards 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 r . I pslinA�i i American Testing Materials Engineering, LLC TESTING LABORATORIES -ENGINEERING -INSPECTION SERVICES -DRILLING ENVIRONMENTAL SERVICES. August 31, 2015 Gables Pool & Spa Inc. 4754 SW. 74th Ave. Miami, Florida 33155 • • • • . . .... .. *0*0:0 .. RE: Subsurface investigation for Proposed Swimming Pool • • • • • • • • • • • • • • • • to be located at: 1041 NE. 96 Street,North Miami Florida """ • ...... .... . Dear Sir: ..... �•.��� •�:�.. Pursuant to your authorization, American Testing Materials Engineering, LLC. (ATMC),`�96 f icted a subsurface Investigation at the above referenced project. The investigation was performed on August 28, 201 S, %015. • The purpose of the Investigation was to develop preliminary information about the site andlpo'subsurfare conditions ; • • • •; existing In the vicinity of the proposed swimming pool location in order to evaluate site preparation pr5oiJxr3 and foundation design criteria. To achieve the desired objective three (3) standard penetration test borings were performed and the logs are enclosed in this report. TEST METHOD: The borings were conducted in accordance with procedures outlined for standard penetrations test and split spoon sampling of soils by ASTM Method D-1586. A two (2) feet two (2) inches O.D. Split Spoon Sampler was driven into the ground by successive blows with 140 lb, Hammer dropping thirty (30) inches. The soil sampler was driven two (2) feet at a time then extracted for visual examination and classification of the retained soil samples. The number of blows required for one (1) foot penetration of the sampler is designated as "N" (known as the standard penetration resistance value). The "N" value provides an indication of the relative density of non -cohesive soils and the consistency of cohesive soils. Suitable corrections are applied to this number in order to include the effects of soil overburden pressure and other factors. A general evaluation of soils is made from the established correlation between "N" and the relative density or consistency of soils. This dynamic method of soil testing has been widely accepted by foundation engineers and architects to conservatively evaluate the bearing capacity of soils. A continuous drilling and sampling procedures was used therefore, the samples were taken at Intervals of two (2) feet or at every change in soil characteristics. The types of foundation material encountered have been visually classified and are described in detail in the boring logs. The results of the field penetration tests are presented in the boring logs in numerical forms. The average ground water level at the site was found at six (6) feet, one (1) inches, below the existing surface (see logs). Fluctuation in the observed ground water level should be expected due to seasonal climatic changes rainfall variation, surface.water run-off and other, specific factors related to the site in question. 1950 West 84th Street, Hialeah, Florida 33014/Phone: 305-646-1888/Fax: 305-646.1887 {eUlns ' m American Testing Materials Engineering, LLC TESTING LABORATORIES -ENGINEERING -INSPECTION SERVICES -DRILLING ENVIRONMENTAL SERVICES. Page 2 — August 31, 2015 Gables Pool &'Spa Inc. RECOMMENDATIONS FOR SWIMMING POOL: Our recommendations are based on the information as provided from the client as to the type of structure planned and on our subsurface Investigation performed on the proposed site. Our recommendations are as follows: 1. Excavate entire swimming pool area and remove all top soil, unsuitable surface material and existingsubsatface soil material to the required bottom of pool elevation. We anticipate an average •excavatiT depth of approximately six (6) feet zero (0) inches. • • •: • • . • • • • 2. Compact excavated area to a minimum compaction of 98% of the optimum dry densii� A? Jer AAS M 7.180, Verify densification procedures by taking an adequate number of field density compacggr tepjs. • . ...... 3. Care should be taken prior to any excavation work to protect adjoining foundation..lt is imperative That our engineer should be retained to monitor excavation operation. : • : DESIGN RECOMMENDATIONS: The above foundation recommendation having been achieved and verified, we anticipate that the foundation and footings for the swimming pool may be appropriately proportioned for a safe soil bearing capacity not to exceed 3000 pounds per square foot. LIKUKKII-Im Regardless of the thoroughness of our Geotechnical exploration there is always a possibility that conditions on the subject property (site) may be different from those at the test locations. Therefore, American Testing Materials Engineering, LLC. (ATMC), is not responsible for any sub -soil conditions different from those reported in our boring logs. This report was prepared exclusively for the use of Gables Pool & Spa Inc. The conclusions provided by American Testing Materials Engineering, LLC. (ATMC), Inc. is based solely on the information presented in this report. As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. We appreciate the opportunity to have been of service to your company. Please feel free to contact us if there are any questions or comments pftMiaiagryq this report. Sincerely yours, �4`•� �- 'ifdh'r aseem CRra8ci, P.E. &*.I. #514Q1 Special Inspac,r - h3dA President .t�'•• F/� ,•�� 32 years of expari6j��l3 Geb=1 �,; • ��• Civil, Structural anl,n r ental'�eh�ll American Testir'fgrWffFa{Ar ineering, LLC wgr«.wu.�sr.P. 1950 West 84th Street, Hialeah, Florida 33014/Phone: 305-646-1888/Fax: 305-646-1887 ""� AMERICAN TESTING MATERIALS ENGINEERING, LLC. NA Testing laboratories - Engineering Inspection Services - Chemist - Drilling - Environmental Services 1950 West 84th Street, Hialeah FL 33014 -Phone: 954-587-2479 Fax: 954-791-6998 SOIL BORING LOG I Ga es Poo Spa Inc. Order No 15-1104 ADDRESS 4754 SW. 74th Ave, Miami, FI. 33155 Report No. 1 PROJECT Proposed swimming pool Boring No. B- ADDR1554 _10CATION 1041 NE. 96tht, N. Miami Florida Date 8/28/2015 at the center of pool 8 north of the patio. DR ler AL 23,86Z44 LONGITUDE---80.17639 1 Helper Depth DESCRIPTION OF MATERIALS Sample aer •• bIQu (rt „ ' • N • • • • • "N" • • (feet) No. sa?rTdlpr' • Curve • 1 0'-to-2' Dark brown fine to medium sand. 1 4 90•3b 4 • • • •3 • • • •16 • 7•`r[ •• { i• • • /•• 2 3 2'-to-3' Grey fine to medium sand. 2 0 k 0 _ ••{•••• 2, , •2 2 • I I 'E I 4 T-to-7' Dark grey very silty muck. 5 3 1• � 1 — • — • -+ 1 •i• 00 •• • 2 • • • i• ! • 6 7 4 1 1 3 � 5 •• 4 • ' k 8 T-to-10' Gray fine to medium sand. 9 5 9 11 25 i I 10 14 10 11 10'-to- 20' Lime rock with light gray fine to medium sand. End of boring dp 20'-0" 6 29 —38 j 0 333 68 I i i 12 13 7 30 28 57 14 29 30 15 8 33 33 33 38 66 I t ( i 16 17 9 33 27 ( '28 26 55 I i I } 18 19 10 20 J24 26 30 50 I I I 20 21 11 -- —i i 22 23 12 �- I f 24 25 (.� 13 I( 26 27 14 28 29 i0H Water Level: Sample Type: At Date: (V) 6'-1" Split Spoon (SS) 8/28/2015 Resiectfdlly "1 Thresho18,DWFie- As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorizat(dilfyj fwBM*&s (FtWments, conclusions or extract from or re,ording our reports Is reserved pending our written approval. rt t t e i r t s % �•�"`'� AMERICAN TESTING MATERIALS ENGINEERING, LLC. Testing Laboratories - Engineering Inspection Services - Chemist - Drilling - Environmental Services 1950 West 84th Street, Hialeah FL 33014 -Phone: 954-587-2479 Fax: 954-791-6998 SOIL BORING LOG C Gables Pool & Spa Inc. Order No 15-1104 ABDRISS 4754 SW. 74th Ave, Miami, F . 33155 Report No. 1 PROJECT Propose swimming pool Boring No: ADDRESS 1041 NE. 96t St, N. Miami Florida Date ERATION at t e center of pool & 12 north of the patio. Driller AL LATITUDE 25.86447 1 LONGITUDE-80.17644 Helper ...MA Depth (feet) DESCRIPTION OF MATERIALS Sample No. blgW Haggler:�* •5. P:",.,CI';NI' Dark brown fine to medium sand. 1 6•0'-to-2' 6•..•6. 2 3 2'-to-3' Grey fine to medium sand. 2 7• •i • i ��� • 14 i • 4 3'-to-7' Dark grey very silty (muck) with organics. 7• i •6• i 5 3 1 0 —1• • 1• ... 3, '. • 6 7 4 1 1 4•• •j E. it s 71-to-10' Gray fine to medium sand. 3 8 9 5 9 10 10 ( 10 _ 20 I f 10 11 6 19 23 1 24 28 47 I I I 12 13 7 29 39 30 35 69 i 14 10'-to- 20' Lime rock with light gray fine to medium sand. -0 End of boring 0 20'" 15 8 _ 33 29 30 28 59 I 16 17 9 30 29 57 i 18 28 28 19 10 2— is 34 20 i4— 21 11 i 22 23 12 24 25 13 tI { 26 7 14 — 2 29 L I Water Level: (V) 6'-1" RespectfLA subtnifadL "` e s Sample Type: Split Spoon (SS)$1 At Date: 8/28/2015 ✓ I J J aseem Qt i4lEPP.E. 8fAA L#R481 Threshold B, Spe)i I Ins tor. 4�;` OW At a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization 'P 4tVe \\ Slons or , extract from or regarding our reports Is reserved pending our written approval. /1111 ++rfijt�r\\ AMERICAN TESTING MATERIALS ENGINEERING, LLC. Testing Laboratories - Engineering Inspection Services - Chemist - Drilling - Environmental Services 1950 West 84th Street, Hialeah FL 33014 -Phone: 954-587-2479 Fax: 954-791-6998 SOIL BORING LOG CLIENTa es Pool & Spa Inc. Order No 15-11 4 AD R 4 SW. 74th Ave, Miami, F . 33155 Report No. 1 PROJECT 'Proposed swl mming poo -Boring No. __ B-3' ARAM 1041 E. 96th St, N. Miami Florida Date 8 28 2015 LF)CITION at t e center of pool 16 north of tie patio. Driller AL —WIT051 7 25.89492 1 LONGITUDE-80.17647 Helper .e.NAA Dept DESCRIPTION OF MATERIALS Sample rge• • bIq.%%s q" • "N. 11r e f • N'1 (feat) No. • s • • • • Curvejo 1 0'-to-2' Brown fine to medium sand. i •e 1P M e e 4• i s• — ----� •-•— s • 2 6.i.6700 e A 3 2'-to-3' Grey fine to medium sand with traces of lime rock. 2 8 •: .i •e 4 •' • 4 2•f..r. T-to-7' Dark grey very silty muck. IV 5 3 1 —• 1•0..00• 1 —•— 1 • I •� e '• 6 7 4 0 0 3� 2 •. .�• 8 7'-to-10' Gray fine to medium sand. 2 9 5 4 10 19 } 14 29 10 11 6 is 16 46 12 30 28 13 27-6 14 10'-to- 20' Lime rock with light gray fine to medium sand. End of boring 4) 20'-0" 7 - 25 24 51 ' 19 8 20 20 26 24 46 4 I ti 16 17 9 23 31 30 38 61 ( i 18 19 10 29 31A 1 30 32 61 i 20 21 11 2223 12 24 25 13 26 27 14 + 28 29 15 �� .� P•. 30 Water Level: (W) 6'-V Sample Type: Split Spoon (SS) At Date: 8/28/2015 Respectful submit C, �vr 81 aseem Qujd4*P..E. F6 T 81 Threshold BuilvAl *sppcjgi 6%r,.• , `e A! a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization ions or extract from or regarding our reports Is reserved pending our written approval. �41111,1,U i' f!~116,' �N�! SQ125 SO145 SO225 S0120R SQ166R BTUs 80/80/BO 101AII) 119,000 143,000 110,000 126,000 L,m•,,,,,y,,,•,•"•,� 80/80/63 95,000 112,000 134,000 103,000 120,000 "'•°`• ""'"'°"� 80I50/63 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 eaMe°'••'°'^"•'""d 80/8083 6.1 6.4 6.1 5.3 5.3 • •^+"an°•"••� numani 80/50/63 4C 4.2 4.0 4.0 4.0 Rehigerent R410A R410A R410A P410A R410A Electrical Heat or Heat 8 Cool H H H H 8 G H 8 C kW Input 4.6 5.1 6.4 5.9 6.6 A- 208 230/60/1 Voitage/Hz/Phase A A, B 8 G A, B, E 8 G A 8 B A, B, E 8 G B - 200-230/60/3 Max. Fuse Size A - W 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 6-25 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 8-31.0 8-33.3 G-14.2 E-184 E-18.4 G-16.2 G-162 �rerar riew w�nvmax. tewot ero rcn.rea.,n.n iw, reb•euwain. m.,�m�m avYe owxv uwiv uw,v uwry Phi Welghtul 268 328 328 268 328 Length x Wlotnx Helpnt oil 34'x 34'x44' 34'x34'x 44' 34'x 34'x44' 34'x 34'x 44' 34'x 34'x 44' Shipping Wel 1a1 329 390 390 329 390 Length x Width x Helpht in, neltl naomNvwr.NMIYMeN 38'x 36'x49' Spe�lom 38'x36'x 49' llee wbxYmplemAeM euejW btMnpe 3136'x49" UYNr:H humiMy 313149' 38'x 36'x 49' HFAiWAVEt$UPERlIET HeatWave SuperQuieti) MAXIMIZE THE ENJOYMENT OF YOUR SWIMMING POOL INVESTMENT by heating your pool with an AquaCal® heat pump. Free heat is taken from outside air and transferred to the pool water. A HEAT PUMP DOESN'T BURN ENERGYTO CREATE HEAT. It only uses a small amount of energy to transfer FREE heat from the air to the pool. © 19 0 Heat a pool for about 25 % of the Heat pumps are green and No other heat pump cost of heating it with gas have virtually no effect on in its class is quieter your carbon footprint The only heat pump that allows you to maximize the potential savings of a variable speed pump is an AquaCal•, which utilizes our patented ThermoLink' technology with its unique now characteristics. • Patented hydraulic design adds only 1 PSI at 30 gpm, increasing compatibility with two -speed & variable speed pumps. • 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. How the therWW Works 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 whild • ensuring efficient air flow • • • • • Rust and fade proof • • Impact resistant • • • • • Built-in drain pan provides condensate managemltt• • • AquaTop • • • • • Air Flow Vectoring Top protects internal composeets. • • • from weather and debris while ensuring optimal air f%w • •• •• Microprocessor Controlled with Digital Dispi•r • • • • Flip -out control panel is out of sight, protected 4ainst • sun and weather • Lockable panel provides security from others chInging • the temperature • • • • Accurate and easy -to -read bright blue display • • • • On -board self diagnostics • Microprocessor controlled defrost cycle ThermoLink® 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 • r• • t • F •c 4.� • • • 0 AquCals has been producing• •q•dity heat pumps since 1981 + Setting the standard for excellence in the industry for over 35 years 0 happy customers worldwide 1 49 CON'. TRASH ENCLOSURE . II ` I 0 4(0' c I ` 4 LOT - 16 --BLOCK - 82 1 I u c I n I ' c I � 10.00, 0.10' THE WEST 112 �-OF LOT - 15 - BLOCK - 82 BLOCK F. l.P. CgRIII N�O__/I FOUND NAIL 175. X-' &1 NO1D. CERTIFIED TO, RAPID TITLE SERVICES COMPANY, OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY, VALERIE GREENBERG, WELLS FARGO BANK N.A., ITS SUCCESSORS AND/OR ASSIGNS AS THEIR INTERESTS MAY APPEAR PROPERTY OF: VALERIE GREENBERG COMMUNITY No.: 120652 1041 N.E. 96th STREET, SUFFIX. L MIAMI SHORES, FLORIDA 33138 DATE OF FIRM: 09-11-2009 74 j 11 W. U. P. LOT - /3 BLOCK - 82 F. I. P. %z" F. 1. P. %z' NO ID. NO ID. 662.5T'�R) _ BLOCK 662.61'/MJ CORNER NOT VALID WITHOUT THE SIGNATURE AND THE )R/GINAL RAISED SEAL OF A FLORIDA LICENSE[ SURVEYOR AND MAPPER. nnWWAAAA� AAOyAdAA� onaao������ nm� �oo� �ooa�aatoo'a� ��oaa�aaaaoa�l� ���' ��`IIII�11111- IOIIIIIIAAIIIII�. ��00�01�. ,�11dC10 1000�101n014011�101�1111.� LEGAL DESCRIPTION: LOT 14 AND THE EAST 1/2 OF LOT 15, BLOCK 82, 'MIAMI SHORES SECTION NO. 3" ACCORDING TO THE PLAT THEREOFAS RECORDED IN PLAT BOOK 10, PAGE 37, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. SURVEYOR'S NOTES: 1) NOT VALID UNLESS SIGNATURE IS EMBOSSED WITH THE REGISTERED LAND SURVEYOR'S SEAL. 2) LEGAL DESCRIPTION PROVIDED BY OTHERS. 3) PROPERTIES SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PROPERTY PLAT OF RECORD. 4) MEASUREMENTS TO WOOD FENCES ARE TO OUTSIDE OF WOOD. 5) UNDERGROUND UTILITIES, FOUNDATIONS, OR OTHER IMPROVEMENTS, IF ANY, WERE NOT LOCATED. 6) ELEVATIONS, IF SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM 1929. 7) FENCE OWNERSHIP NOT DETERMINED UNLESS OTHERWISE NOTED. 8) MEASUREMENTS TO WIRE FENCES ARE TO CENTER OF WIRE. 9) WALL MEASUREMENTS ARE TO/FROM FACE OF WALL. 10) DRAWING DISTANCE BETWEEN WALLS AND/OR FENCES AND PROPERTY LINES MAY BE EXAGGERATED FOR CLARITY. 11) FLOOD ZONE INFORMATION WAS DERIVED FROM FEDERAL EMERGENCY M ANAK. --MENT AGENCY FLOOD INFORMATION RATE MAPS • • • • • r • • , , , 12) BEARINGS IF ANY SHOWN ARE BASED ON ASSUMED PLAT AgOAIQAT.N04RTH�JLY RIGHT OF. WAY OF N. E. 96th STREET (WEST) , , , , , , • , , • LEGEND I.C.V. IRRIGATION CONTROL VALVE PLS PROFESSIONAL LAND SURVEYOR • • • OVIVO WATER VALME A/C AIR CONDITIONER I.P. /RONPIPE PSM PROFESSIONAL SURVEYORANDMAPPER, , ,P. WOOD UTILITYPOLE • • • • • AVE AVENUE FPL FLORIDA POWER & LIGHT PL PROPERTY LINE • • ♦ • • • , ° • BLVD. BOULEVARD F.LA FOUND IRON PIPE P.O.B. POINT OFBEGINN/NG • • • • • + • s • . BM BENCHMARK F.I.R. FOUND IRON ROD P.O.C. POINT OF COMMENCEMENT _ , , , , , , , , • y • • CAN CABLE TELEVISION BOX FND. FOUND P.R.C. POINT OF REVERSE CURVATURE • • A • „ • • C.B. CATCH BASIN L ARCLENG771 P.R.M. PERMANENT REFERENCE MONUMENT • ' MBOLJ CBS CONCRETEBLOCKSTRUCTURE (L) LEGAL. P.T. POINT OF TANGENCY CONCRETE s • • • • - • OVERHEAD UTILITY LINES • CHB CHORD BEARING L.P. LIGHT POLE R RADIUS • s , CH CHORD DISTANCE LB LICENSED BUSINESS (R) RECORD •— WIRE FENCE .4 , r • , CDR CORNER LS LAND SURVEYOR R.E. R/MELEVATION • —— WC<JDf1F/�01E CT COURT (M) MEASURED RAN RIGHT-OF-WAY+ • PR6PERTYCORNER • • • • • • • • • + �� WATER R-,PW CENTERLINE NGVD NATIONAL GEODETIC VERTICAL DATUM SAN SANITARY 9 60 EKXTING GRADE ELEVATION • CL. CLEAR NO ID. NOT IDENTIFIABLE SIP. SETIRONPIPE CONIC CONCRETE NO. NUMBER S.I.R. SET IRON ROD-� PROPCTS�D GRADE ELEVATION C.O. CLEAN OUT NTS NOT TO SCALE ST. STREET N WATER VALVE E.B. ELECTRIC BOX O.R.B OFFICIAL RECORD BOOK T TANGENT SIGN ELEV. ELEVATION OAIONPROPERTYLINE T.B.M TEMPORARYBENCH MARK DRAINAGE MANHOLE ENCR. ENCROACHMENT O.UL OVERHEADUTILITYLINES TEL. TELEPHONE SANITARYMANNOLE E.R.P. ELEVATION REFERENCE POINT PC. POINT OF CURVATURE TYP. TYPICAL FIRE HYDRANT F.F. FINISHFLOOR P.C.C. POINT OF COMPOUND CURVATURE U.E. UTZLITYEASEMENT LIGHTING FIXTURE 9714 cIQC MVnanMr P.C.P. PERMANENT CONTROL POINT W.M. WATER METER la FIRE DEPARMENT CONNECTION A BOUNDARY SURVEY I HEREBY CERTIFY THAT THIS SURVEY CONFORMS TO THE MINIMUM TECHNICAL STANDARDS OF LAND SURVEYING IN THE STATE OF FLORIDA, AS OUTLINED IN RULES 5J-17, (FLORIDA ADMINISTRATIVE CODE), AS ADOPTED BY THE DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES, BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN SEPTEMBER, 1981, AS AMENDED, PURSUANT TO CHAPTER 472.027 OF THE FLORIDA STATUTES, AND IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. FRANCISCO F. FAJARDO FLORIDA PROFESSIONAL SURVEYOR AND MAPPER REGISTRATION NO. 4767. PROFESSIONAL SURVEYING AND MAPPING LANNES & GARC/A, INC. LB # 2098 FRANCISCO F. FAJARDO PSM # 4767 (QUALIFIER) 385 ALHAMBRA CIRCLE - SUITE C, CORAL GABLES, FLORIDA 33134 PH (305) 666-7909 FAX (305) 442-2530 DATE.06/26120151 SCALE: 1" = 30' 1 DRAWN BY.- JONELLE I DWG. No.: 258367 U.S DEFIARTME14T OF HOMELAND SECURITY OMB No.1660-0008 Federal Emergency Management Agency 258367-A 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 agent1company, and (3) building owner. SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number. VALERIE GREENBERG A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1041 NE 96TH STREET City State ZIP Code MIAMI SHORES, Florida 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 14 AND THE EAST 1/2 OF LOT 15, MIAMI SHORES SECTION NO.3, PB.10, PG.37, MIAMI-DADE COUNTY,. INU)A. . . A4. Building Use (e.g.. Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL ' A5. Latitude/Longitude: Lat. 25.86414°N Long. 80.17646°W Horizontal Datum:.[ IVAA 1927 © NAD 19P3 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance"''. :...:. ' A7. Building Diagram Number 8 • • • • • • • • • • .. .. . ..... A8. For a building with a crawlspace or enclosure(s): • a) Square footage of crawlspace or enclosure(s) 2541.00 sq ..... 1.0 foot above a;1N*rCgrade 18 • • • • b) Number of permanent flood openings in the crawlspace or enclosure(s) wkhin • • • : c) Total net area of flood openings in A8.b 1987.00 sq in d) Engineered flood openings? ❑ Yes ® No A9. For a building with an attached garage: a) Square footage of attached garage 406.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 32 c) Total net area of flood openings in A9.b 553.00 sq in d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State MIAMI SHORES/ 120652 MIAMI-DADE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12086CO306 L 09-11-2009 09-11-2009 X NOT APPLICABLE 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 69: ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Q No Designation Date: N/A ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions: Form Page 1 of 6 258367-A OMB No. 1660-0008 ELEVATION CERTIFICATE 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: 1041 NE 96TH 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' 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: B-62 (MIAMI-DADE COUNTY) Vertical Datum: N.G.V.D. 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. C4 ft the momt cement used! • a) Top of bottom floor (including basement, crawlspece, or enclosure floor) 9.16 ® feet; .n jneters • • ... .... ...... b) Top of the next higher floor 1 LQ� ; . ® feet E] meters• c) Bottom of the lowest horizontal structural member (V Zones only) U1A • •[] feet; meters • • d) Attached garage (top of slab) 0 0 • • 0 9.21� feet [� meters . . 00000 e) Lowest elevation of machinery or equipment -servicing the building • • • • • • • • • • $$1 feet �] meters • (Describe type of equipment and location in Comments) �.§g • f) Lowest adjacent (finished) grade next to building (L AG) 9.10 f feel; ..Q peters • • • : - g) Highest adjacent (finished) grade next to building (HAG) g•54' fee; meters • • • • h) Lowest adjacent grade at lowest elevation of deck or stairs, including "" N/A ❑ feet ❑ meters structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a tend surveyor, engineer, or architect authorized by law'to certify elevation information. I cerrfty drat the information bh this eerljlicate nepresentfs my best etrbris fo Intetpret the data available. I understand that any false statement may be punishable byline orimprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? x❑ Yes ❑ No ❑ Check here if attachments. Certifiers Name License Number FRANCISCO F. FAJARDO #4767 Title PROFESSIONAL SURVEYOR AND MAPPER Place Company Name LANNES AND GARCIA, INC. Address 4967 SW 75TH AVENUE City State ZIP Code MIAMI, Florida 33155 Signature Date Telephone Ext. 08-12-2019 (305)666-7909 Copy all phges of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) C2-E= A/C PAD (EAST SIDE OF THE HOUSE) CROWN OF ROAD= 9.46 GPS UNIT USED (GARMIN ETREX H) FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE 258367-A 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: 1041 NE 96TH 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 E7—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, crawlspaoe, or enclosure) is ❑ feet ❑ meters ❑ above or pbetow the LAG. . . .... ..... E2. For Building Diagrams " with permanent flood openings provided in Section A Items 8 and/or 9 (seepages 1-2.of Ipgtructions), • • the next higher floor (elevation C2.b in • • • • • •ve or • below the RAW the diagrams) of the building is El feet ❑ meters .Q pW • E3. Attached garage (top of slab) is ❑ feet ❑ meters or] bNve or [JApitiw the NAG. .... . ..... E4. seryof icing clngl the buiatform lding is Inery and/or equipment El feet ❑ meters . © g8ve orJDtftDw the HAG • ..... E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accorbAAiVs +fth the corflmunity's • floodplain management ordinance? ❑ Yes [] No ❑ Unknown. The local official must cerflfy thislnformitlor is Sectioiv $t•: SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTI"CATION • • • • The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 3 of 6 .258367-A OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November30, 2018 IMP.OPMANT00 thsso.spaces. copy. the corresportding_information ftom.Sectlon 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: 1041 NE 96TH STREET City State ZIP Code Company NAIC Number MIAMI SHORES, Florida 33138 SECTION G. --COMMUNITY INFORMATION (OPTIO,NAL) 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—G 10) is provided for community floodplain managemerg pugpos es. • • • • • • ...... G4. Permit Number G7. This permit has been issued for: G5. Date Permit Issued G6. Die ❑ New Construction ❑ Substantial Improvement G8. Elevation of es -built lowest floor (including basement) of the building: G9. BFE or (in Zone AO) depth of flooding at the building site: G10. Community's design flood elevation: Telephone Comments (including type of equipment and location, per C2(e), if applicable) or* •• • 0000 •• •• •••..• • • • ❑ feet ® meters ❑ feet ❑ meters ,cupan'cy Issued; • % .... • • . ••••.• cCatJr�" . •••••• •• • Dattrw•' ❑ feet ❑ meters Datum ❑ 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 FVATIBN CERTIFICATE See Instructions for Item A6. 258367-A 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: 1041 NE 96TH 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. " yIlk I. \ • �� • • • a: • f • • f • Photo one Photo One Caption HOUSE VIEW 08-12-2019 Clear Photo One 4� Photo Two Photo Two Caption HOUSE VIEW 08-12-2019 Clear Photo Two FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Nage 6 of 6 BUILDING PHOTOGRAPHS OMB No. 166M008 ELEVATION CERTIFICATE Continuation Page 258367-A 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: 1041 NE 96TH 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. o•o• • t • • •••• ••••• • • • • • • • • • • • • • • • • • • • • • • • • •• •• • •••••• IA Photo Three Photo Three Caption HOUSE VIEW 08-12-2019 Clear Photo Three I Photo Four I Photo Four Caption HOUSE VIEW 08-12-2019 Clear Photo Four I FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 6 of 6