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BPP-12-20-2901,10151 NE 14th AveCITY • • •••• • • •• • •• • • ••• •• •• • • • • • • • • • • • B 1. s A RE IAISAND LEGEND a - 1faS M4 - I� •in. roc •` ¢ • • 1paTNam� m a : ��v,R`e0a m ime mad11R n am®a trxvm P/. Pa aapa wms¢ l-ucaeast wasa¢rz.yc - rx m•wac vn LtY. . hI� ham F1Eaam AZ a V " nvE almrxr '�' •• • • • •• ••• •• EYOR'S SURVNOTES: • • • • • • • • • • • 0 10 20 SECTION 1) DATE OF FIELD SURVEY' • • • • • • • • • \`� [� a • • • • • Last tlay of IiNd work w s performed On April 28, 2021. ••• •• SECTION 21 LEGAL DESCRIPTION: SCALE : 1"=20` Lot 2, Block 3, MIAMI SHORES BAY PARK ESTATES, according to the map or plat thereof as FOUND recorded �n Plot Book 55. Page 83. of the Public Records of Miami -Dade County. Florida. IRON PIPE (NO ID.) (POINT OF CURVATURE) VICINn•Y SLAP t SECTION O) ACCURACY: NOT TO SCALE lI 2� \ J _ _ -_ •,, ,- d The veto oig obtained by Held m of closetl mdards and Ellice calculations �. 0 _ — de the 'S Lan�n geomeh c figures meets and e d the 'Standards of Practice for Land Survey FWND O ' ........ ;; ) ... .. :' : '- ^% 1, the State o1 Florida". require 1 thisType of Survey as defined -n Rule SJ 17.051. �� P� Flordo Adm nstralive Code Well identified features as depcted on the 5—ey Map w ere N (ND ID.) o •'U't" - - - - o measured to an est mated Wort t position accuracy of 1/10 of a loot zz a N87'06'57"E 115.00' w FOUND IRON PIPE SECTION 4)SOURCES OFDATA S 25.0' 25.0• (NO ID.) W F� SOD POOL IGRE y°° ed N.E. 74es Avenue; with a n Bearings as shown hereon are hosed upon the a considered assumed beor�ng of NO2'57'03"W. saitl fne to t>e c nsidered a well established and F a0 yti° y,U PLANTER S o NRE FENCE M FENCE 4 0_6' SOD mon�menled Ine. yun 25J O SOD 35,4' This property is to be ocatea in Flooa Zane "AE'. Elev.=9 feel, as per Federal „U} _- Emergency Management Agency (FEMA) Community Number 12GB52 (Village of an, yy° •`v •: •• y: P .,j Shares). Map Panel No. 12086C0306, Sullia L. Map Revised Date. September 11. 2009 N /� •1 a `�gy Ms s', • SCUD y- O t Elevations a shown hereon are based on theber National Geodetic VerLcol Datum of 1929. Ben Dade Countys NumR 26-RA El—t on 17 23 feet < Nj m I ZL.•, OO1FTiET�' •,'• TIIOVEA7 Y:. a} WRE FEN(E O s per Mom chmark o Z 9 w w ' SECTION 5) IIAITATIQNS` W •^SODQ% 51nce no other information wfurnished other than what is cited in the Sources o1 a ,h 25.0 Data, the Client is hereby advised that there may be legal restrictions on the Subject Q ¢ y PLANTER ' 6- SOD 1•y 35.4' Property that are not s on the Map that may be found is the Public Records no,, Survey of 1.1—i-Dade County. 0 J s., Na,O , .. P I� M1 _ The Surveyor makes no representation a to ownership or possess,an of the Subject i- N Q y v 6 6-SOD / Property by any entity o individual no may appear of public records of this County. No eacavat;on or determ�nvlion was mode as to the Subject Property is served by w M I 1 Q r'X bs SOD o F0 y6 __ _ utilities No improvements wee located, other Inan those shown. No underground ' IJ.I ('7 y w O.4 _ foundations. improvements and/or utilities wee located o shown hereon. ere Z -6'0 ,. KFOF ATION: LL + •, SODSECTION ESTCIIENi j Lu r' 3 ih 500 • y `' 3 This Boand4ry s,ney was prepares at the request of and aeninea to }, Q LU e Q O 6tiy 6>> SOD O CRISTINA GIRAL AND JUAN MANUEL FEDERICO FASCETTO a O O u� Shy y q FENS tn I'n L0 a SOD PORCH SECTION 7) SURVEYORS CERTIFICATE: Z .-- 0~ 0y LO •Boundary W I w (V N 34'3 18.4• N I hereby certify That this Survey" and theS—" Map r sulting therefro m w o Z O p/� POOL SOD O perorm fed under my direction and is true and correct to the best of my knowledge antlwas "Boundary intent the O Z Z ` • 0y } _ belief and further. that said surrey" meets the of applicable "Standards Florida', Q m yry Z provisions of the of Practice for Land Su, -y' g in the State of to Rule SJ-17.051 through 5J-17052 of the Florido Administrative Code and its C g un 4ETAL y O ° y pursuant implementing low.Chapter 472.027 of the Florida Statutes. C y FEN(E ,'� Ut U f SOD y OX w BENNY SUAREZ SURVEYING IIL, a Florda Corporation DATE. yL Florida Cerlilicale of Authorization Number LBB104 b. SOD m SOD D N 'LM1' h Q9 ° EENCE o Digit*Si9�by 04/29/2021 25.0• 25.0' BENIGNOJ SUAREZ CD SCALE: N87'06'57"E 115.00IOUND �o�zz.o3.TaToaso9 FOUND �o UPON PIPE N o A DtCN PIPE By: _________ _ 1. 2D (NO ID.) — J ?' .. i...+" t - I (NO 10.) BeNBmJ.sumaz, PSM Date. SHEET ., an J Registered Surveyor d Mapper LS6587 Flor'Nv Licensed NOTI;E: Not vabtl Ahout the sig lureand original raised seal o a by o r Inan the signing M e S pn Miami Sh0%�`°r s�`L6� �i � pa or .g zoning ep . Building Dept. Date Subject to compliance with all Federal, State and Count�yy rules and regulations. oe..,,iF� (5,�P - i7- -Zo - ZRD Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit No.. BPP-12-20-2901 Permit Type: Pools/Whirlpools/Hot Tubs War* Gassijication: New Permit Status: Approved Issue Date: 06/02/2021 Expiration: 03/14/2022 Location Address Parcel Number 10151 NE 14TH AVE, Miami Shores, FL 33138 1132050230130 Contacts Cristina Giral Juan Manuel Federico Owner M R SANCHEZ CARPENTRY INC Contractor Fascetto VICTOR APOLINAR SANCHEZ 10151NE14AVE Business: 7863550212 Requests: Reo ctitin Description: NEW SWIMMING POOL Valuation: $ 30,750.00 Ins 305-see Re Total Sq Feet: 3 25.0 0 Fees Amount Application Fee - Other $200.00 CCF $18.60 Certificte of Completion for Single Fam $50.00 and Duplex Change of Contractor $110.00 DBPR Fee $13.84 DCA Fee $9.23 Education Surcharge $6.20 Permit Fee $722.50 Planning and Zoning Review Fee $35.00 Scanning Fee $12.00 Structural Review ($90) $90.00 Structural Review ($90) $90.00 Structural Review ($90) $90.00 Technology Fee $23.06 Total: $1,470.43 Payments Date Paid Amt Paid Total Fees $1,470.43 Check # 2104 12/17/2020 $200.00 Check # 1348 06/02/2021 $1,160.43 Credit Card 12/09/2021 $110.00 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 FI AV : I ce the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating u z ning. Futhermore, I authorize the above named contractor to do the work stated. ! Applicant / Contractor / Agent December 09, Date Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 3.3138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING , 9'r I � T U L'J �EC ©n8 2021 FBC 20 Master Permit No. 2-• 920 - 2_1 oo Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: l f'!f City: Miami Shores County: Miami Dade zip: Folio/Parcel#: I Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: r OWNER: Name (Fee Simple Titleholder): D PhoneM _q 01 zo Address: � City: Ter cant/Lesse Name: m r Eail: GACK/Go /V p CONTRACTOR: Company Name: � Address: City: Qualifier Name: State Certification or Registra n #: DESIGNER: Architect/Engineer: Address: Value of Work for this Permit: $_ Type of Work: ❑ Addition ❑ Alteration Description of Work: State: Zip: 3 3/3 e Phone#: il&so Cod 747L(/Phone#: o 3J d _— 0G/2, /_ Zip:514 Phone#: A&I.3.JY-0212— Certificate of Competency #: Phone#: City: State: Zip: Square/Linear Footage of Work: ❑ New ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee"$ Structural Reviews $ _ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ ,l TOTAL FEE NOW DUE $ 1 (y 00 (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zi Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the pe..;oa� whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the jo'b 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. z� Signature 0 NER/cknowledged GENT The foregoing instrument was before me this day of be c ein he v 20 Z 1 by 1 Signature CONTRACTOR The foregoing instrument was acknowledged before me this q day of PQ C&yY, b e K 20 Z ) by U lCU S r P tf d , who is personally known to gf3-- ho is ersonally known to me or who has produced as a or ho ha p® uced—y7lb e� as identification and who did take an oath. NOTARY PUBLIC: Sign: C��Z7 Print: ItfM ✓C-iq 19 Z e identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Af01P-PJ/1 41 Cl fi/ Seal: Seal: aJiYtnOu��-. KAREN MARIA SALA:FIori]da llotary Public • State ou' KAREN MARIA SAUZAR ` Notary Public - State of Florida �� Commission k GG f; • .•,o,Klt-` My Comm. Expires Jan � �.Commissien k GG 941lg43 w'w� &M ed through NitionaI Notary Assn. APPROVED BY Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk I i i i Ror. DeSan�s. Governor Halsey Besheam Secretary STATE OF FLORIDA DEP4-rMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 'HE GENERAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES M.R. SANCHEZ CARPENTRY, INC. j 13460 NW 5 AVE NORTH MIAMI FL 33168 i LICENSE NUMBER. CGCJSJ724o EXPIRATION DATE: AUGUST 3:L 2022 Always verify licenses online at MyFloridaUcense com Do not alter this document in any form. j Okt This is y�ur Ii sense. It is unlawful for anyone other than the licensee to use this document ,L®CC Miami —Dade County, State of Florida �. THIS IS NOTA BILL -DO NOT PAY 6995592 BUSR{1 SSRAEtFJ DCA7I01d BECElPTM E 201RES — _ M R SANCHEZ CARPENTRY INC RENEWAL SOMBER 00, 202 21 13460 NW 5TH AVE 7271190 Must be displayed at place of business NORTH MIAMI FL 33168 Pursuant to County Code E Chapter BA - Art 9 & 10 01M8t SEC TtPEOFBUSRIIESS MRSANGiECRRPOWINC 196 GENERALBUILDINGCONTRACTOR tAvMurneffla CGC1617240 BYTA$ CBLLECiOR S45.00 08/06/2021 Woricer(s) 1 CHECI:21-21-070415 This Local Business Taff Recelptonly confirms paymentof the local Business Tan. The Receipt is not a license, permit are cerfm6onofthe hakWegaelificatloos,todohudaess. Heldermust comply t,&b wrgovommsnia: or nongovernmental regulatory laws and requirements which apply to the budows. The RECEIPT N0. above must he displayed on all commercial vehicles- Miami -Dade Code Sac Qa-273S. Formoreimdormadoo.vM wvrmiemhdedogovRotteatlector 0=75 LmO Suensag VgTz no a Miami —Dade County, State of Florida -THIS IS NOTA BILL -DO NOT PAY 7032493 r w n tY. LJ m BUMSSrJA&7 "M-no RECEIPTi00. M R SANCHEZ CARPENTRY INC RENEWAL 13460 NW 5CH AVE 7308679 BEMUSE 3Q, 2@22 NORTH MIAMI FL 33168 Must be displayed at place of business 0o., Pursuant to County Code Chapter BA - Art 9 & 10 ® owam SEGTSTE MBUSRUESS MRSKNEZCARPEmWC 196 SPECIALTY BUILDING CONTRACTOR PAVMff BMIM CCC1329667 BVTautwU.EcraR Worker(s) 1 $45.00 08/06/2021 CHECK21 21-070415 This Local Basiaa=Tan Reeeiptoaly confirems payment of tke Leval Busbmse Tau. The Receipt hs nota license, permit or a cam6ficatton of the holder's gaaMbetiousto do budmism Holdermust comply vrltb any govemmeatei or oongoveromeotal regulatory Taws and regairemonts, which apply to the badness. The RECEIPT NO. above mast be displayed on all commercial vehicles - Miami -Dade Code San Ba-276. tvrmorehwformadoe.mr[sity u�w,miamtdadenevF)nvtollettter A� o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 12/01 /2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER CONTACT NAME: Adriana L Clavijo Mauri Excellence Insurance, LLC PNONE , (305) 226-3900 FAX No): (305) 226-3997 3801 SW 107th Ave E=L ; certificates@aaunderwriters.com INSURE S AFFORDING COVERAGE NAIC # Miami FL 33165 1 INSURER A: Western World Insurance Company 13196 INSURED I INSURER R M.R. Sanchez Carpentry, Inc. 13460 N.W. 5th Avenue North Miami, FL 33168 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MM/DDIYYYY OMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Blanket Additional Insured NPP8774333 11/15/2021 11/15/2022 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES(E. occu ence)$ 100,000 X MED EXP (Any one person) $ 5,000 X Waiver of Subrogation PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JE � 71 LOC X OTHER: Coverage Primary Non Cc GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 Deductible $ $ 1,000 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ H AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION IA AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- STAT UTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached I more space Is required) License#CCC1329667 and CGC1517240 T SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village Bldg Dept. 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE Miami Shores FL 33138 `©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD O JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAIN CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 3/26/2021 PERSON: VICTOR SANCHEZ FEIN: 571205691 BUSINESS NAME AND ADDRESS: M.R.SANCHEZ CARPENTRY,INC 13460 NW 5TH AVE MIAMI, FL 33168 SCOPE OF BUSINESS OR TRADE: Carpentry Installation Of Roofing - All Kinds and Cabinet Work or Interior Trim Drivers EXPIRATION DATE: 3/26/2023 EMAIL: MR.SANCHEZINC28@YMAIL.COM IMPORTANT. Pursuant to subsection 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05(12), F.S., Certificates of election to be exempt issued under subsection (3) shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to subsection 440.05(13). F.S., notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS.F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01309407 QUESTIONS? (850) 413-1609 JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 4/29/2021 PERSON: MERXIADES SANCHEZ FEIN: 571205691 BUSINESS NAME AND ADDRESS: M.R. SANCHEZ CARPENTRY, INC. 13460 N.W. 5TH AVE MIAMI, FL 33168 SCOPE OF BUSINESS OR TRADE: Carpentry Installation Of Roofing - Ali IGnds and Cabinet Work or Interior Trim Drivers EXPIRATION DATE: 4/29/2023 EMAIL: MR.SANCHEZINC28@YMAIL.COM IMPORTANT, Pursuant to subsection 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05(12), F.S., Certificates of election to be exempt issued under subsection (3) shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to subsection 440.05(13), F.S., notices of election to be exempt and certificates of election to be exempt shad be subject to revocation if, at any time after the Ming of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-172-13WC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01309398 QUESTIONS? (850) 413-1W9 JIMMY PATRONIS CHIEF FINANCIAL OFFICO STATE OF FLORIDA i DEPARTMENT OF FINANCIAL SERVICES L` 'S'SION OF WORKERS' COMPENSATION i * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAIN CONSTRUCTION INDU TRY EXEMPTION This Certifies that the in ividuai listed below has elected to be exempt from Florida Workers, Compensation law. EFFECTIVE DATE: 1/24/2020 EXPIRATION DATE: 1/23/2022 I PERSON: RAMON SMCHEZ EMAIL: MR.SANCHEZINC28@YMAIL.COM FEIN: 571205691 BUSINESS NAME AND �DDRESS: M.R. SANCHEZ CARPE%ITRY, INC. 13460 NW 5TH AVE MIAMI, FL 33168 SCOPE OF BUSINESS ®R TRADE: Carpentry NOC Roc*g - All IGnds and IMPORTANT. Pursuant to subsection l 0.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits c w compensation under this chapter. Pursuant to subsection 440.05(12), F.S., Certificates of election to be exempt issued under subsection (3) shall apply only the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed shall the notice of election to, be any If L Pursuant to subsection 440.0603), F.S., notices of election to be exempt and certificates of election to be exempt shall lx; subject to revocation if, at any ttme after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirement, of ttjis section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the rdquirements of this section. ]FS-F2-DWC-252 CERTIFICA-fdi OF ELECTION TO BE EXEMPT REVISED 08-13 E01107290 QUESTIONS? (850) 413-1609 ■ Complete Items 1, 2, and 3. A. ■ Print your name and address on the reverse X so that we can return the card to you. ■ Attach this card to the back of the mailplece, B. or on the front If space permits. sticle Addressed to: 0 Agent C. Dale of D. 7s delivery address different from Item 1? V Ye: If YES, enter delivery address below: 0 No 3. Service type ❑ Priority Mall Express® ❑ Adult Signature ❑ Reglatered Mall- ❑ Adult Signature Restricted Delivery ❑ Certified Mall® ❑ Mall Restricted Delivery ❑ Certified Mall Restricted Delivery ❑ =R=pt for ❑ Collect on Delivery 2. Article Number (Transfer from sarvirw laha4 ❑ Collect on Delivery Restricted Delivery ❑ Signature Confirmation", ° 7 0 21 19 7 0 0001 6625 9099 estricted Delivery acted Delivery —r--N-o.�r— PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPS TIRACMG#� IIIIII .9590 9402 4968 9063 0193 95 United States Postal Service First -Class Mail Postage & Fees Paid USPS Permit No.:, • Sender: Please print your name, address, and ZIP+4® in this box* Ome-hlv V/PA/4ve 1'!!illlij,i,y,iL�,II„l,i�i111,Illiitil'tI'IIIII"'I'li!'llll' Miami, November 11, 2021 Dear Jose E. Valdes, President, Sunshine Pools and Contracting Group Inc., "Sunshine Pools" Based on your continued delays, false statements, and variety of excuses to complete the swimming pool project for which I hired you on 10151 NE 14th Ave, Miami Shores, FL 33138 on October 20, 2020, 1 have decided to change contractors to complete the project, effective immediately. As stated in repeated friendly informal communications, your lack of commitment to our project has resulted in little to no progress since June of 2021, when permits were obtained. The unattended gigantic pile of dirt left behind since July, 2021, coupled with an open shell of a pool with no water and no progress made whatsoever over months, also poses an undue risk for my family member that I am no longer willing to tolerate. As I also opportunely informed you, I will seek legal remedies for the difference in price that this change of contractors has caused me plus any and all legal costs. Consider yourself duly notified. Juan Manuel Federico ascett Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to owner - worKers• t;omaensation insurance txemotion Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNQWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. _ 1114 // Signature: State of Florida County of Miami -Dade The foregoing was acknowledge before me this o H By N2J S rk NA C l 9-'4t— day of tO.F_MG;EJ02� 20 who is personally known to me or has produced �L _U?9�4 �2 %(.-CtJ S� as identification. Notary: SINDIA ALVAREZ SEAL: MY COMMISSION I# GG 238273 A W' EXPIRES: September 3, 2022 .FOP «ti4 Bonded Thru Notary Publlc UrtdelYrtitei Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. ........................................................................................... BUSINESS NAME: BUSINESS ADDRESS: BUSINESS PHONE: ( ) CELL PHONE ( ) CITY FAX NUMBER ( ) QUALIFIER'S NAME: STATE ZIP QUALIFIER'S LIC NUMBER: Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 10151 NE 14TH AVE, Miami Shores, FL 33138 Contaets Permit NO.: BPP-12-20-2901 Permit Type: Pools/Whirlpools/Hot Tubs Work Classification: New Permit Status: Approved Issue Date: 06/02/2021 Expiration: 12/02/2021 Parcel Number 1132050230130 Cristina Giral Juan Manuel Federico Owner Fascetto 10151 NE 14 AVE SUNSHINE POOLS AND CONTRACTING Contractor GROUP INC SIXTO MUNOZ 3140 SW 138, MIAMI , FL 38175 Business:3069869859 info.sunshinepoolscontracting@gm ail.com Description: NEW SWIMMING POOL Valuation: $ 30,750.00 Inspection Requests: 305-762-4949 TotalSq Feet: 325.00 Fees Amount Application Fee - Other $200.00 CCF $18.60 Certificte of Completion for Single Fam $50.00 and Duplex DBPR Fee $13.84 DCA Fee $9.23 Education Surcharge $6.20 Permit Fee $722.50 Planning and Zoning Review Fee $35.00 Scanning Fee $12.00 Structural Review ($90) $90.00 Structural Review ($90) $90.00 Structural Review ($90) $90.00 Technology Fee $23.06 Total $1,360.43 Payments Date Paid Amt Paid Total Fees $1,360.43 Check # 2104 12/17/2020 $200.00 Check # 1348 06/02/2021 $1,160.43 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 work will be done in compliance with all applicable laws r@gai co—ltustie zoning. Futhermore, I authorize the above named contractor to do the work stated. Owner / Applicant / Contractor / Agent Date June 02, 2021 Page 2 of 2 Miami Shores Village I 1 Building Department BY: 1 v 10050 N:E.2nd Avenue, Miami Shores, Florida 33138 .� Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 (^� i-ki, �n20 BUILDING Master Permit No.��S!t'� " 2D -:2qQ PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL UF'LUMI3INU ❑ MLLHANILAL DPUBLIL WUKKS (J LHANUL OF ❑ LANLELLAIIUN ❑ SHUT CONTRACTOR DRAWINGS JOB ADDRESS: `OAs\ hi.Q City: Miami ��Shores MM County: Miami Dade zip: 55 Folio/Parcel#:����►C_l _Cn " 0\\ko Is the Building Historically Designated: Yes NO % Occuoancv TVDe: Load: Construction Tvoe: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): V-1m &S& A" b Phone#:3ffi r�64iCo3 State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: ne#: Address: nn City: State: Zip: Value of Work for this Permit: $ V I95/ •00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition Specify color of color thru tile:, Submittal Fee $° Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $, CCF $ CO/CC $ DRPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (00 (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature \ V \ i Signature /!/ /�— OWNER or AGENT CONTRACTOR The foregoing instr men t was a knowledged before me this da of 20, by who is sonally know me or who has produced OW,Q ( as identification and who did take an oath. NOTARY The foregoing inst ment was ckncwledged before me this day of 20J by o is p onall to me or who has produced as identification and who did take an oath. NOTARY Print! Print: Male 0 :..�.�---,� Seal: .2 �: Comm. # GG 960479 Seal:?• �.,�q�:.��--,, :�= D Comm.#GG960479 Expires: Feb. 20, 2024 Expires: Feb. 20, 2024 Bonded Thru Aaron Notary Bonded Thru Aaron Notary P 4,13 o 2) S 2 LZoning APPROVED BY Plans Examiner /) Structural Review Clerk (Revised02/24/2014) nn: Q. U ■ ■ ■ ian d enures W liiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Date g — Miami Shores Village Buildina & Zanina Danartrnpnt Attention: Building Official I certify that I am the legal owner of the property described as _0 Inratckrl at 1q k Q In accordance with Section 33-12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until separate permit has been obtained for an aporoved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting and approved barrier prior to final inspection and use of the Legal Owner_ Note: This certification is to be submitted with a swimming pool permit application in duplicate. MiCtitii Chores IW ilia e 9 Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Miami Shores Village Buildina & Zoning Denartment Attention: Building Official i certify that I am the legal wner of the property described as .tad at In accordance with Section 33-12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the new for obtaining a permit and erecting and approved barrier prior to final inspection and use of the Legal Owner Note: This certification is to be submitted with a swimming pool permit application In duplicate. ,, Miami shores Village Building Department 10050 N.E.2nd Avenue RAi7mi Qhnrce MInrirlo '1'11'30 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I Mal ar•Irnnwlnrinn 4 3t w neui c imnlinn nnni nr kn4 f.h sari!! ion wwnnfw.wfnd wo 'nn6wllwd 8 �\ � ._��(Wyl�„ ~ vv' �Mv Miami Shores, FL,, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please Initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that complies with ASTM F1346-91. (Submit Manufacturer's Specifications). A continuous, one-piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non -dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain link or wood fence, etc.) will protect the pool perimeter. The plans must specify the type and location of all non dwelling walls. Florida Building Code, R4101.17.1 Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self -latching device with positive mechanical I..O..L:.... n.. _I.:...-:..../..11_J ...�:_ rAu _L_.._ u_ 1L-. _L_IJ II 1L:_ __i:-- __I. _t_J _..L—:1 ..1-__ _L -..__- _II lawlwly/lwnlny IIIJIallau a 111111. JY aUUVC UIC IIIICJIIUIu. II U11* upt"ill I* bulm CU, *UUI1111 j,/IGII* JIIUWIIIIV GII types and location of all perimeter protection. The plans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Code, the pool may not be filled with water without compliance with the Private Swimming Pool Safety Requirements, and upon expiration of the permit, the pool shall be presumed to be unsafe. I understand that not having one of the above installed will constitute a violation of Chapter 515, F.S ., an d will be considered as committing a misdemeanor of the second wlw wbwL.l.. .:J..J .. Section T7e An�'1 __ P..i:_� "r An•% r e. VI.:. t__.Y . .L I_ .J degres, Pu111a11aYKi as Provided 111 Sectio I I IJ.VY6 VI %MULIVll I Io/.WUJ F.J . IIII* IVI III 11MOL UV *I911VV by the owner/agent and the prime contractor. _-�^?o - 6JT2-, CONTRACTOR'S SIGNATURE AND DATE OWNER'S SIGNATURE AND DATE S NAME (PLEASE PRINT) 'PUBLIC Jenifer D Albelo Comm.#GG960479 Expires: Feb. 20, 2024 Bonded Thlu Aaron Notary NAME (PLEASE PRINT) NOTARY PUBLIC Jenifer D Albelo Comm.#GG960479 "•. �`= Expires: Feb. 20, 2024 nlHBonded Thru Aaron Notary .d Miami Shores Village Building Department 10050 N.E.2nd Avenue 11Aiomi Chnrcc Clnrirl� �'Zi'�t2 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT 1 IWal sr•knn_wlorinn th91 «now Yn minas n I cnn yr h—.t 1116, s�r!!1 bon n6o11n6nd 6w11cd 6 �• l .� `��. . ���� • •...• •• •......,•'.V , V'/Y V\ \YV • 11 VV VVIIY•IYV\VY VI IIIY\YIIVY Y\ '��S �zE Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that complies with ASTM F1346-91. (Submit Manufacturer's Specifications). A continuous, one-piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non -dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain link or wood fence, etc.) will protect the pool perimeter. The plans must specify the type and location of all non dwelling walls. Florida Building Code, R4101.17.1 Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self -latching device with positive mechanical lama ling p-j"f ill 111Jlallou a 111111. J-t auum 1It c l IICJ,IUIU. If Ulm ulit1Ull lb JCICVI u, JUU11 iit P8011`b JilwVi1ly Gii types and location of all perimeter protection. The plans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Code, the pool may not be filled with water without compliance with the Private Swimming Pool Safety Requirements, and upon expiration of the permit, the pool shall be presumed to be unsafe. I understand that not having one of the above installed will constitute a violation of Chapter 515, F.S ., an d will be considered as committing a misdemeanor of the second dcgrac, Punishable as prvilldad Ir1 Var.IIVII 77J.VUL VI OV4641Vrl f 1J.VUJ r.J . I llll IWO III OIIU*t UC blullau by the owneriagent and the prime contractor. R—� - _6;� CONTRACTOR'S SIGNATURE AND DATE OWNER'S SIGNATURE AND DATE NAME (PLEASE PRINT) OWNEFff NAME (PLEASE PRINT) NOTARY ti Jenaer u AID81® T - u6�1 #GG960479 Comm.#GG960479 ="•°= iris: p Feb. 20, 2024 Expires: Feb. 20, 2024 J ..• ;� ljF FI�Q��� Bonded Thru Aaron Notary 1 �11� Bonded Thru Aaron Notary /f 114 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: WHEREAS, the undersigned TLW_ o Q!z kk0 is/are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: Whereas, the undersigned owner(s) �,)U&n MSQg' = 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. Thai the property wiii 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 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 installs a protective enclosure to meet code requirements and will obtain a permit for such fence. Itf TL_1 If..._ _1 1 V. i hat, uwe, ds owmPtkb) nuid ivuami Siwres viiiage narmiess for any negiigence 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 undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordance of said Village then in effect. 7TUM SSQA�Q 0 SIGN & PRINT OWNER SIGN & PRINT I Hereby Certify that on this day personally appeared before me 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 15 d ofJeQQzMa��20?-C)--- n _��0¢ip�+ Comm. # GG 960479 ARY PUBLICS !z0 S. eb. 20.2024 (Revised 05/2209���°�� Bonded Thru Aaron Notary 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: WHEREAS, the undersigned_ simple owner(s) of the following Address: n RA,,-- R— 1 IU is/are the fee property situated and being in Miami Shores Village, Florida: Whereas, the undersigned owner(s) �lyjnn m5u 7-w 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 wiii 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 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 installs a protective enclosure to meet code requirements and will obtain a permit for such fence. !I . That, 111we, d5 UWI1V1(b) nuiU tAarni Silures '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 undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordance of said Village then in effect. r. OWNER SIGN & PRINT OWNER SIGN & PRINT I Hereby Certify that on this day personally appeared before me 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 __�5_di of 202Q Jender D Albeiu .x°• •�.__ Comm.#GG960476 TARY PUBL of 202a (Revised 05/2209o, 'ii�€�o..�° �on Aaron Not�;ri �%J1111N� Property Search Application - Miami -Dade County Page 1 of 1 OFFICEOF TIE APPRAISER Summary Report Property Information Folio: 11-3205-023-0130 Property Address: 10151 NE 14 AVE Miami Shores, FL 33138-2674 Owner CRISTINA GIRAL JUAN MANUEL FEDERICO FASCETTO Mailing Address 10151 NE 14 AVE MIAMI SHORES, FL 33138 USA PA Primary Zone 1400 SGL FAMILY - 3001-3250 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/2/1 Floors 1 Living Units 1 Actual Area 2,577 Sq.Ft Living Area 1,674 Sq.Ft Adjusted Area 2,118 Sq.Ft Lot Size 10,925 Sq.Ft Year Built 11954 Assessment Information Year 2020 2019 2018 Land Value $412,987 $412,987 $393,278 Building Value $172,088 $173,411 $174,735 XF Value $1,480 $1,500 $1,520 Market Value $586,555 $587,898 $569,533 Assessed Value $586,555 $587,898 $569,533 Benefits Information Benefit Type 2020 2019 2018 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 5 53 42 M SHORES BAY PK ESTS PB 55-83 LOT 2 BLK 3 LOT SIZE 95.000 X 115 OR 20192-4124 02 2002 1 Generated On : 12/17/2020 Taxable Value Information 2020 2019 2018 County Exemption Value $0 $0 $0 Taxable Value $586,555 $587,898 $569,533 School Board Exemption Value $0 $0 $0 Taxable Value $586,555 $587,898 $569,533 City -- Exemption Value $0 $0 $0 Taxable Value $586,555 $587,898 $569,533 Regional Exemption Value $0 $0 $0 Taxable Valu 1 $586,555 $587,898 $569,533 Sales Information Previous Price OR Book - Qualification Description Sale Page_ 05/08/2020 $925,000 31950-4943 Qual by exam of deed Corrective, tax or QCD; min 04/15/2015 $100 29579-1382 consideration Financial inst or "In Lieu of 08/19/2014 $481,900 29278-0125 Forclosure" stated 02/01/2002 $305,000 20192-4124 Sales which are qualified The Office of the Property Appraiser is continually editing and updating the tax roll This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer. asp Version https://www.miamidade.gov/Apps/PA/propertysearch/ 12/ 17/2020 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner —Workers" Compensation Insurance Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: I . The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; Z. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State. Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ T}IIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: _.— - - — ._..... .. er State of Florida County of Miami -Dade The fo ing was acknowledge before me this day of ,'Q� B who is personally known to me or has produced as identification. .,,:..: ;;,,aeoiter tJ Aloel0 L14�L1..-.........__..._- Comm.#GG960479 Expires: Feb. 20, 2024 i j,�rffiF FL��� Banded Thr i Aaron Noisry SEAL: nay Sunshine Pools May 26,2021 State of Florida County of Miami Dade Before me this day personally appeared Sixto Munoz who, being duly sworn, deposes and says: That he or she will a the only person working on the project located at 10151 NE 14th Ave, Miami Shores, FL 33138 Contractor Signature Sworn to (or affirmed) and subscribed before me this 26 day of May 2021, by Sixto Munoz Personally know Or Produced Identification Type of identification produce. type or stamp name of notary. Jaiver U Piom Comm.#GG960479 Expires: Feb. 20, 2024 Coiidpri Thni Aaron. Notary, E!R ne*elandfiaal@tl-- OF ?� o , FL01k o ijF8310Np,\\\�� lllllllt �►�° Miami Shores Village Building Department 10050 NE 2"d Ave. Miami Shores, FL 33138 306-795-2204 / Fax 305-756-8972 NOTICE TO MIAMI SHORES BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING CODE. I (We) have been retained by 5/!2514/%LP to perform special inspector ygder Florid Building Code 5th Edition (2014) and Miami Dade County Administrative Code at the2�/�! �,s 01 project on the below listed structure as of S 9— AM/ (date). I am a registered architecliprofessional engineer licensed in the State of Florida. Process Number: Special Inspector for Reinforced Masonry, Section 2122.4 of the FBC 51b Edition (2014) .' . • Miami Dade County Administrative Code, Article II Section B-22 Special Inspector for • • , 'g• *eggs* Trusses >35fLlong or6ft.high ••go �� :09000 _ Steel Framing and Connections welded or bolted .... •� of ev • Soil Compaction ...... Precast Attachments ..... • Roofin LL W t InsUI. Conc. • glications, ,Other 2 IYi \l9`(LS • • ...... Note: Only the marked boxes apply. The following individual(s) employed by this firm or me is authorized representative to perform inspec�• �I I. 1 ? 3. 4. *Special inspectors utilizing authorized representatives shall insure the authorized representative is qualified b) education or licensure to perform the duties assign by Special Inspector. The qualifications shrill include licensure as a professional engineer or architect: graduation from an engineering education program in civil or structural engineering: graduation from an architectural education program. successful completion of the NCEES I=undamenials Examination; or registratioif.�s building inspector or general contractor. i +y� (wei4ill notify the Miami Shores Building Department of any changes regarding authorized personnel z . perforrtfmg inspection services. I kwe), understand that a Special Inspector inspection log for each building must be displayed in a F ; ocation on the site for reference by the Miami Shores Building Depar cdnvenlent ltment Inspector. All mandatory inspections, as required by the Florida Building Code, must be performed by the Miami Shores Building Department .Inspections performed by the Special Inspector hired by the owner are in addition to the mandatory inspections performed by the department. Further, upon completion of work under each Building Permit, I will submit to the Building Inspector at the time of the final inspection the completed inspection log form and a sealed statement indicating that, to the best of my knowledge, belief and profession pse portions of the project outlined above meet the intent of the Florida Building Code - i j Apcordance with the approval plans. `\\N ;`p eN9 fttj` '�� Engineer/Architect ",: r --f �- i Name I/l Gyr S Print Address 11301 S-ti V, OPERATION When the batteries are loaded, a red LED light on the front of the unit will flash once and a single beep will sound. This Indicates the unit is set up and ready to work. ENTRY DELAY: After the unit Is set up, there will be an 8-12 second alarm delay with the red LED light flashing. After this, the alarm Is ready. 0000 The Safe Pool is designed to sound a loud alert when • • • children enter through a Safe Pool protected door / gate. ego* • • • • • • • • . . • • When properly Installed, the Safe Pool will allow adults to ' • • • • • • pass through the protected door / gate and Immediately shut • • • • • • • • • ; . • off the sounding alarm. • • • """ When powered, the Safe Pool is always In protected mode. • • • • • • • • • • • • The alarm will activate the Instant when the door / gate opens • • • • • ; • ... ; • ; • • by more than 1 Inch (when the magnetic sensors are apart • • by more than 1 Inch). Once the alarm activates, it will sound • • • • • . • .. • ; • • • • • • continuously until the BYPASS button is pressed. • • •'; • When passing through the door/gate from the opposite side, • • : • • • where the additional BYPASS option is Included (S189A does • • • "' • • ' • • • • • • • • • not Include the additional BYPASS button) and mounted, • • • : • .. press that outside mounted BYPASS button to temporarily ' • • • • disarm, open door, enter and close the door quickly. The unit • . • • • • will re -arm Itself within 8-12 seconds. MAINTENANCE When the alarm volume becomes low, or the unit does not produce normal alarm sound, the red light will illuminate. Replace with (3)1.5V AAA batteries. The Safe Pool's plastic resists ultraviolet rays from direct sunlight exposure. However, slight discoloration over time Is normal. WARNINGI THE SAFE POOL ALARM IS EXTREMELY LOUD WHEN ACTIVATED. FOR YOUR SAFETY, NEVER PLACE THE UNIT CLOSE TO YOUR EARS. TO TEST THE ALARM, ALWAYS USE EAR PROTECTION AND DIRECT THE UNIT AWAY BEFORE TESTING / ACTIVATING THE ALARM. IT IS PROHIBITED BY LAW TO REMOVE THE INSTALLED ALARM AFTER IT HAS PASSED INSPECTION I Important Warranty Information: A dated proof of purchase Is required for warranty service Customer Service: 1-88"TECHKO (1-888-883-2456) Websfte: www.tachkousa.com Mfg. By 7EUM0 9767 Research Drive Irvine, CA 92618-4626 MADE IN CHINA USA Patent: No. 5,473,310 No. 6,727,819 No. 7,187,280 NOTICE THIS PRODUCT 18 PROTECTED UNDER FEDERAL PATENT, TRADEMARK AND COPYRIGHT LAWS AND LAWS PREVENTING UNFAIR COMPETITION. NO DUPLICATION OR SIMULATION OF THIS PRODUCT IS PERMITTED EXCEPT BY WRITTEN AUTHORIZATION OF TECHKO, INC. TECHKO AND THE CONFIGURATION OF THIS PRODUCT ARE TRADEMARKS OF TECHKO INC. COPYRIGHT 1994 TECHKO, INC. ALL RIGHTS RESERVED MADE IN CHINA � Safe Pool Tm Model S189A / S189D Area Entry Alarm S189A UNIT S189D UNIT OPERATION MANUAL INTRODUCTION Vafalatons on your purchase of the TECHKO Safe A model S189A/ S189D as" alarm. The Safe Pool i be used to provide a high volume alarm alert when dren have entered a pool or spa area. The S189A / 39D can be used outdoors on wood doors / windows / FEATURES asy Installation for gate or door protection 'eather / Water resistant )1.5V AAA batteries (included) igh output 100-110 dB a elerfhsiren button banevj*rtO oPe • • Oisplay : 0000 ptiaral AddidonalllIBYPASS to tan for delayed entry • mn eitte6gJdA4*w or fl (81 A not I uded) ptlonal additional magnetic sensor Tor scree�dgpr A/ entry Q189A not hhcludedr 000000 IMIVORTANT WETY TIPS'-.- arm siren ' % loud; NtVER $I11ce the ON 8M m •0000 0666 sta0 thesunithigfl enough !b:A tOt reach tf cc�hh111drdh I89D - addilionaldelay button maybe mounte2ibri the her skWW the erfbance. When pressed, it wilNdeley • e alarm jP@VAWds be1bWjpIarrj is triggeA&,.g,1I j ing le to settee the door / gate. • • 189D - adl1iE�magnetic Aansa allows the unit4abe led on f#� with screens. Algrn will &%rfd onll ten troth magnetic sensors are apart. 3ep tits manual for future reference. e Safe Pool can provide valuable protection when ad correctly. However, it cannot guarantee complete 3tecdon against accidents or Injuries. Therefore, .CHKO cannot be held responsible for any loss, map, or Injury that may occur. INSTALLATION RNING: Read all Installation and operation tructions thoroughly before proceeding with tallation. Before Installing the battery, use a rubber hd to temporarily secure the two magnetic sensors ether with the arrows pointing toward each other to Id setting off the alarm unintentionally during the allation of the alarm. TALL811G THE BATTERY.• San ove the battery cover of the unit and Install the ew (3)1.5V AAA batteries (Included) (See Fig. 1) you are sensitive to loud sound, please wear ear rotedwn against the loud alarm siren before testing is alarm. Mos the battery is connected the unit Is now ON and working. To test the alarm siren, make sure you have ear protection before testing. After ear protection�"ry Is In place, separate the magnetic sensors apart by more than 1 Inch. The alarm should sound immediately Fig. r after the sensors are separated. Press the BYPASS button and Immediately secure the two magnet sensors together again to avoid the alarm sounding off unintentionally. MOUN77NG: WARNING: The alarm should be positioned close to the door high enough to be out of the reach of children. As each mounting application varies, TECHKO suggests testing the units Installation location and effectiveness before permanently mounting the S189A / S189D. Fig. 2 PARTS LIST 6189D NPT BYPASS s _ SCREW MOUN77NG INDOORS USING DOUBLE -SIDED TAPE Make sure that the mounting surfaces for the double -sided tapes are completely clean. Attach the double-slded tapes onto the rear of the unit, and then secure the unit onto the desired mounting surface. MOUN77MG INDOORS USING SCREW Using the provided mounting template printed In this manual, mark the position of the screw hole on the desired mounting surface. Drill the screw In to the mounting surface with approximately 0.125 Inch of three remaining. Slide the unit over the screw and secure the unit by pushing it downward as shown in Fig. 3. You may need to adjust the screw towards or away from the mounting surface to provide a more N. 3 secure fit. MOUNTING THE SENSORS INDOORS Make sure that the arrows of each sensor are pointed towards each other. Using either the double -sided tape or the screw provided, mount the sensors so that they are less than 1 Inch away from each other. Please make sure that the wired portion of the magnetic sensor Is mounted on the non-moving portion of the mounting surface and the standalone sensor is mounted on the door / gate (See Fig. 4 /Flg. 5). MOUNTING OUTDOORSrovided moundONWOODEN GATES l, mark the Using the of the screw h*le on the the dlateesired mounting sflnted In this urface. Drill the screw In to the mounting surface with approximately 0.125 Inch of thread remaining. Slide iha unit over the screw and secure the unit try pushing it downward as shown In Flg. 3. You may need to adjust the screw towards or away from the mounting surface to provide a more secure fit Make sure that the arrows of each sensor are facing each other. Fig. 4 MOUNTING INDOORS ON GATES Using the provided mounting tamplate printed In tits manual, mark the position of the screw hole on the desired mounting surface. S189D- Additional delay baton may be mounted on the other side of the entrance. When pressed it will delay the atern 8.12 seconds before alarm Is triggered, 03a4ng time to sea re the door I gate. S18813- Additional magnetic sensor all the unit to be used on sliding door with screens. Alarm will sound only when both magnetic sensors we al Fig. 6 'a - TEMPLATE MODEL S189A / S189D SCREW HOLE Ron DeSantis Mission: Governor To protect, promote & Improve the health of all people In Florida through integrated �i= i)_''IJ ! �?, �t Scott A. Rlvkees, MD state, county 9 community efforts. HEALTH C A LTH State Surgeon General Vision: To be the Healthiest, State in the Nation (ALC Excavator Inc.) 25525 SW 141 Avenue Homestead, FL 33032 RE: Contingency Letter Application Document No: AP1641336 Centrax Permit Number. 13-SC-2255882 OSTDS Number: 10151 NE 14 Ave Miami, FL 33138 Lot:2 Block:3 March 29, 2021 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 03/29/2021 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. Reviewed on 03/29/2021. No objection for New Swimming Pool construction as per your Site Plan. NO BEDROOM ADDITION. NO FLOW INCREASE. From a review of your completed application, it has been determined that your existing system appears to meet the minimum standards of F.A.C. 64E-6 for the proposed use. It is approved for use with the plans submitted to this office. If this system should fail, causing an unsanitary condition to exist, steps must be taken to bring the system into compliance immediately. Department approval of the system does not guarantee satisfactory performance for any specific period of time. Any change in material facts which served as a basis for issuance of this approval requires the applicant to modify the permit application. Such modification may result in this approval being made null and void. Issuance of this approval does not exempt the applicant from compliance with other Federal, State, or Local Permitting required for development of this property. If you have any questions on this matter, please call our office at (305) 623-3500. Sincerely, Ylia*Aa/ Serra. Yliana Sena, Engineering Specialist II Florida Department of Health www.FloridaHealth.gov in DADE COUNTY TWITTER:HealthyFLA 1725 NW 157 5t, Opa Locka, FL 33056 FACESOMFLDepartmentotlieann PHONE: (305) 623-3500 FAX: (305) 623-3645 1 YOUTUBE: fidoh - _ AOL' I� �0.pimN Shares l� CountV ry Club �/IE LAND �� - - r - ,l This survey shall not be used for construction/pormitting purposes without written consent from the land surveyor who has signed and sealed this survey. F. 1. P. 1/2 ` (NO. ID) M/AM/ SHORES BA Y PK ESTS AMD PB.56-PG.86 N 00009'06" W o 0 95.00' (P) I o � g 4' CHAIN LINK In FENCE 0.15' 11.00' 4' CHAIN i LINK FENCE LOT 2 BLOCK 3 20A ONE STORY RESIDENCE # 10151 .,1774.25 1. 11.ao' PL 4' S'� "' 15.80' ' . t CONIC c DRIVEWAY w M N . 6" WOOD FENCE 0 b h 4.6' 1 STEPS r' TIILTEL' 6 20.95' 15.80' in v 0 N 6.101In 15.80• W CONIC 22.0' I F.I.P. 1/2" (NO. ID) 6' WOOD - FENCE ).70' W QA Iri JO �00 m 2 70' A� ZZ F. 1. P. 112" t 4.10' 80.09'(P)��` P. C (NO. ID 95.00' (P) F.LP. 1/2" F.LP. 1/2" 1 N 00'09'06" W w/CAP (No.ID) 22.60' 15.0' PARKWAY o 50' RIGHT-OF-WAY (BY PLAT) ` e 20'1 ASPHALT PAVEMENT N.E. 14th AVENUE Accepted By: Property Address: 10151 N.E. 14 Avenue Miami Shores, FLORIDA 33138 NO NOTES aurcvcrur�-a..cn r rrra.hr run: r ncrton CORRECT REPRESENTATION OF A" •-^ r � r nrr r nia ovunur+nn aunvcr to n i nuc nrvu ED UNDER MY DIRECTION. THIS COMPLIES M.E. Land Surveying, Inc. -~=---, WITH THE MINIMUM TECHNICAL FORTH BY THE STATE OF FLORIDA BOARD OF V THROUGH SJ-17-052,FLORtDA 10665 SW 190th Street PROFESSIONAL LAND SURVEY ADMINISTRATIVE CODE FURS APP TUES. Suite 3110Miami, - SIGNED o FOR THE FIRM FL 33157 ME LAND EFRAIN LOP6 cl.oa A �v 305 740-3319 Phone: � � STATE OF FL G /15/ 2 P.S.M. No. 6792 0 Fax: (305) 669-31 90 NOT VAUD WITHOUT AND AUTHEN IC SIGNATURE AND AUTHENTICATED ELECTRONIC SFJLLANDIOR THIS MAP IS N VAUD WITHOUT THE SIGNATURE AND THE ORIGINAL LB#: 7989 AISED SEAL OF A LICENSED SURVEYOR AND MAPPER. Survey #:13-69989 Client File #: F20-02-16 Page 1 of 2 Not valid without all pages Surveyor's Legend PROPERTY LINE STRUCTURE FND FOUND IRON PIPE B.R. BEARING REFERENCE TEL. TELEPHONE FACCLITIES / f CONC. BLOCK WALL PIN AS NOTED ON PLAT �., CENTRAL ANGLE OR DELTA U.P. UTILITY POLE -x-x- CHAIN -LINK FENCE OR WIRE FENCE LBp LICENSE / - BUSINESS R RADIUS OR RADIAL E.U.B. ELECTRIC UTILITY BOX --�i--ai--- WOOD FENCE LS/ LICENSE 0 - SURVEYOR RAD. "DIAL TIE SEP SEPTIC TANK IRON FENCE CALL CALCULATED POINT N.R. NON RADIAL D.F. DRAINFIELD - -- --- - EASEMENT SET SET PIN TYP. TYPICAL A/C AIR CONDITIONER - - CENTER LINE A CONTROL POINT I.R. IRON ROD S/W SIDEWALK / WOOD DECK CONCRETE MONUMENT I.P- IRON PIPE DWY DRIVEWAY BENCHMARK N&D NAIL & DISK SCR. SCREEN _J CONCRETE ELEV ELEVATION PX NAIL PARKER-KALON NAIL GAR GARAGE � ASPHALT P.T. POINT OF TANGENCY D.M. DRILL HOLE ENCL ENCLOSURE P.C. POINT OF CURVATURE ® WELL N.T.S. NOT TO SCALE BRICK / TILE P.R.Y. PERMANENT REFERENCE MONUMENT FIRE HYDRANT r.F. FINNISHED FLOOR WATER P.C.C. POINT OF COMPOUND CURVATURE ® M.M. MANHOLE T.O.B. TOP OF BANK P.R.C. POINT OF REVERSE CURVATURE O.N.L. OVERHEAD LINES E.O.W. EDGE OF WATER APPROXIMATE EDGE OF WATER P.O.B, POINT OF BEGINNING TX TRANSFORMER E,O,P EDGE OF PAVEMENT - - COVERED AREA P.O.C. POINT OF COMMENCEMENT CATV CABLE TV RISER C.V.G. CONCRETE VALLEY GUTTER - - P.C.P. PERMANENT CONTROL POINT W.M. WATER METER B.S.L. BUILDING SETBACK LINE Q TREE M FIELD MEASURED P/E POOL EQUIPMENT S.T.L. SURVEY TIE LINE POWER POLE P PLATTED MEASUREMENT CONC. CONCRETE SLAB lF CENTER LINE �'�-7� L.l_L1.J CATCH BASIN D DEED ESMT EASEMENT R/W RIGHT-OF-WAY C.U.E. COUNTY UTILITY EASEMENT C CALCULATED D.E. DRAINAGE EASEMENT P.U.E. PUBLIC UTILITY EASEMENT I.E./E.E. +NGRESS / EGRESS EASEMENT L.M.E. LAKE OR LANDSCAPE MAINT. ESMT. LB.E. LANDSCAPE BUFFER EASEMENT C.M.E. CANAL MAINTENANCE EASEMENT U.E. UTILITY EASEMENT R.O.E. ROOr OVERHANG EASEMENT L.A.E. UNITED ACCESS EASEMENT A L. ANCHOR EASEMENT Property Address: General Notes: 1.) The Legal Description used to perform this survey was supplied by others. 10151 N.E. 14 Avenue This survey does not determine or Is not to imply ownership Miami Shores, FLORIDA 33138 2.) This survey only shows above ground improvements. Underground utilities, footings, or encroachments are not located on this survey map 3.) The minimum relative distance accuracy for this type of Survey is 1 foot in 10,000 feet. The accuracy obtained by Flood Information: measurement and calculation of closed geometric figures was found to exceed this requirement. Well -identified features as depicted on the Survey Map were measure to an estimated horizontal positional accuracy of 1/10 foot. Community Number: 120652 4.) If there is a septic tank, well, or drain field on this survey, Panel Number: 12086C0306L the location of such items was shown to us by others and the information was not verified. 5.) Examination of the abstract of title will have to be made to determine recorded Instruments, if any, affect this Suffix: L property. The lands shown herein were not abstracted for easement or other recorded Date of Firm Index: 09/11/2009 encumbrances not shown on the plat. Flood Zone: AE 6.) Wall ties are done to the face of the wall. 7.) Fence ownership is not determined. Base Flood Elevation: 9.0 8.) Bearings referenced to line noted B.R also are assumed. Date of Field Work' 03/12/2020 9•) Dimensions shown are platted and measured unless otherwise shown. Date of Completion: 03/13/2020 10.) No Identification found on property comers unless noted. 11.) Not valid unless sealed with the signing surveyors embossed seal. 12.) Boundary survey means a drawing and/or graphic representation of the survey work performed in the field, could be drawn at a shown scale and/or not to scale. 13.) Elevations if shown are based upon NGVD 1929 unless otherwise noted. 14.) This Is a BOUNDARY SURVEY unless otherwise noted. 15.) This survey is exclusive for the use of the parties to whom it Is certified. The certifications do not extend to any unnamed parties. 16.) This survey shall not be used for construction/permitting purposes without written consent from the land surveyor who has signed and sealed this survey. Legal Description: Lot 2, of Block 3, of MIAMI SHORES BAY PARK ESTATES, according to the plat thereof, as recorded in Plat Book 55, Page 83, of the public records of Miami -Dade County, FLORIDA Printing Instructions: Certified To: While viewing the survey in any PDF Reader, select the File Cristina Giral Drop -down and select "Print". Select a color printer, if available; Closing & Escrow Services, Inc. or at least one with 8.5" x 14" (legal) paper. Alliant National Title Insurance Company Select ALL for Print Range, and the # of copies you would like to LoanDepot.com LLC print out. Juan Manuel Francisco Fascetto Under the "Page Scaling" please make sure you have selected its successors and/or assigns as their interest may appear. "None". Do not check the "Auto -rotate and Center" box. Please copy below for policy preparation purposes only: Check the "Choose Paper size by PDF" checkbox, then click OK This policy does not insure against loss or damage by reason of the following to print. exceptions: Any rights, easements, interests, or claims which may exist by reason of, or reflected by, the following facts shown on the survey prepared by Efrain Lopez , for M.E. Land Surveying Inc., dated _0311312020 bearing Job # B-69989 : a. NO NOTES M.E. Land Surveying, Inc. Air► ME LAND 10665 SW 190th Street, Suite 3110 Miami, FL 33157 ME LAND f Phone: (305) 740-3319 - _ Fax: (305) 669-3190 - �- LB#: 7989_- Survey #:B-69989 Client File #: F20-02-16 Page 2 of 2 Not valid without all pages U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program OMB No. 1660-0008 Expiration Date: November 30, 2022 ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1)community of8cial,(2) insurance agent/company and (3)building owner. SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: Cristina Giral A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 10151 N.E. 14 Avenue City State ZIP Code Miami Shores FLORIDA 33138 A3. Property Description (Lot and Block numbers, Tax Parcel Number, Legal Description, etc.) TAX PARCEL ID: A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, Etc.) Residential A5. Lamtude/Longitude: Lat. N 25°527.56 Long. W 80°10'11.70 Horizontal Datum: Q NAD 1927 © NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance AT Building Diagram number 8 A8• For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1674 Sq. Ft. b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 9 c) Total net area of flood openings in A8.b 1344 Sq. in. d) Engineered flood openings? ❑ Yes © No A9. For a building with an attached garage: a) Square footage of attached garage 410 Sq. Ft. b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 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 120652 Miami -Dade County FLORIDA B4.Map/Panel Number B5.Sufflx B6.FIRM Index Date B7.FIRM Panel Effective B8.Flood Zone(s) B9.Base Flood elevation(s) (Zone AO, /Revised Date use base flood depth) 12086CO306L L 09/11/2009 09/11/2009 AE 9.0 B10.Indicate the source of the Base Flood Elevation (BFE) date or base flood depth entered in item B9: ❑ FIS Profile ® FIRM ❑ Community Determined n Other (Describe) B11. Indicate elevation datum used for BFE in Item 139: © NGVD 1929 nNAVD11988 0 Other (Describe) B12.ls the building located in a Costal Barrier Resources System (CBRS) area or Otherwise protected Area (OPA)? ❑ Yes © No Designation Date N/A ❑ CBRS ❑ OPA ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022. 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: 10151 N.E. 14 Avenue City State ZIP Code Company NAIC Number: Miami Shores FLORIDA 33138 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl- Building elevations are based on: 0 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: GPS ELEV: 5.03' Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a) through h) below. © 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) 65 © feet meters b)Top of the next highest floor 7 64 ® feet meters c)Bottom of the lowest horizontal structural member (V Zones only) N/A feet meters d)Attached Garage (top of slab) 5 87 © feet meters e)Lowest elevation of machinery or equipment servicing the building 8 05 © feet meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5 55 ® feet ❑ meters g)Highest adjacent (finished) grade next to building (HAG) 5 65 © feet 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 land surveyor, engineer, or architect authorized by law to certify elevation Information. 1 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? ❑ Yes © No © Check here if attachments. Certifier's Name License number EFRAIN LOPEZ 6792 `° :� Title `.�►" PROFESSIONAL SURVEYOR & MAPPER o 7 t STA. O Company Name ME LAND SURVEYING .6 Address 10665 SW 190th STREET SUITE 3110 City State ZIP Code MIAMI FL 33157 Signature Date Telephone 03/1312020 (305) 740-3319 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2)insurance agent/company, (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) LATITUDE LONGITUDE PER GOGGLE, ATTACHMENTS = BUILDING PICTURES C2E= AC UNIT This elevation certificate is for flood insurance rating purposes only and may not be used for building permitting purposes due to measurement precision issues. ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 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: 10151 N.E. 14 Avenue City State ZIP Code Company NAIC Number: Miami Shores FLORIDA 33138 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1— E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. 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, feet meters ❑ above or ❑ below the HAG crawlspace, or enclosure) is b) Top of bottom floor (Including basement, feet meters ❑ above or EJ below the LAG crawlspace, or enclosure) is E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of instructions), the next higher floor (elevation C2.15 ❑ feet ❑ meters ❑ above or below the HAG in the diagrams) of the building is E3. Attached garage (top of slab) is feet meters ❑ above or below the HAG E4. Top of platform of machinery and/or equipment feet ❑ meters ❑ above or ❑ below the HAG servicing the building is E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? Yes Q No ® Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) or Zone AO must sign here. The statements in sections A, B, abd E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022, 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: 10151 N.E.14 Avenue City State ZIP Code Company NAIC Number: Miami Shores FLORIDA 33138 SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who Is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the applicable items) and sign below. Check 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. Q 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. Q The following information (Items G4-G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Complicance/Occupancy Issued G7. This permit has been issued New Construction ❑ Substantial Improvement for. 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 1310. Community's design flood elevation feet meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments. ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS OMB No. 1660-0008 See Instructions for Item A6. Expiration Date: November 30, 2022 IMP TANT: 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: 10151 N.E. 14 Avenue city State ZIP Code Company NAIC Number: Miami Shores FLORIDA 33138 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and 'Rear View"; and, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. x . Photo One Photo One Caption Photo Taken 03/12/2020 "Front View" Photo Two Photo Two Caption Photo Taken 03/12/2020 'Rear View" ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS OMB No. 1660-0008 Continuation Page Expiration Date: November 30, 2022 FOR INSURANCE COMPANY USE IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 10151 N.E.14 Avenue 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. r ` r Photo One Photo One Caption Photo Taken 03/12/2020 "Left View" 4 Fhoko two Photo Two Caption Photo Taken 03/12/2020 "Right View" �i American Testing Materials Engineering, LLC TESTING LABORATORIES -ENGINEERING -INSPECTION SERVICES -DRILLING ENVIRONMENTAL SERVICES. 1950 West 84th Street, Hialeah, Florida 33014/Phone: 305-646-1888/Fax: 305-646-1887 July 24, 2020 Federico Fascetto 10151 NE 14th Avenue Miami Shores, FL 33138 RE: Subsurface Investigation for Proposed Swimming Pool Located at:10151 NE 14th avenue, Miami Shores, FL 33138 Dear Sir: Pursuant to your authorization, American Testing Materials Engineering, LLC. (ATM), conducted a subsurface investigation at the above referenced project. The investigation was performed on 712312020. The purpose of the investigation was to develop preliminary information about the site and the subsurface conditions existing in the vicinity of the proposed swimming pool location in order to evaluate site preparation procedure and foundation design criteria. To achieve the desired objective one (1) standard penetration test boring was performed and the logs are enclosed with this report. TEST METHOD: The borings were conducted in accordance with procedures outlined Gar standard penetrations test and split spoon sampling of sails by ASTIR 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 far visual examirna i n and dassiticattion of the retained soil samples. The number of blows m quired for one (t) foot penetration of the sampler is designated as "N" (known as the standard penetration mesistance value). The "N" value provides an indication of the relative density of non - cohesive soils and ft consistency of cohesive soils. Suitable cwTecwns am applied to this number in arder to include tfne effects of soil avetumdern pressure and aftr factors. A general evaluation of sails is made fmm the established coneletio n between iV" and the re Wths density oT consistency of soils. (CT01 American Testing Materials Engineering, LLC TESTING LABORATORIES-ENGINEEMNG INSPECTION SERVICES -DMWNG ENVIRONMENTAL SERVICES. 1950 West 84th Street, Hialeah, Florida 33014/Phone: 305-646-1888/Fax: 305-646-1887 Page 2 of 4 July 24, 2020 Federico Fascetto 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 average ground water level at the site was found at four (4) feet, six (6) 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. RECOMMENDATIONS FOR SWIMMING POOL: Based on the sub -surface conditions encountered AMERMAN TESTING MATERIALS ENGINEERING, LLC. I(AThQ have evaluated a number of foundation systems for providing support to the proposed structure. Special consideration in the analysis was given to the following: The presence of layers of very loose silt and organic material of varied thickness, which makes the site less appropriate for construction using regular spread footings and single column pads at the existing grade. 2. Length to width ratio of the proposed structure with special emphasis on differential settlement and column spacing. 3. The coastal location of the property. Given the above, the following foundation systems were selected. ALTERNAVVE I: AUGERCAST (Pressure aroutedl PILES: Augercast (pressure grouted) piles are a feasible foundation alternative. The capacity of these piles is essentially developed in tip bearing and side friction. When these piles are installed or socketed into place, they mill "lock onto" the roc and sand strata thereby providing adequate bearing capacity. The melationship obtained is as Vows: Size Proposed Latemll Tension Compresske is Load capacft seadwo 14"0 20' 2 tons 15 tons 35 tons f 2"0 20' f ton 6 toms 25 bans Laige volumes, pmibly up to Wbe (or more) of ft fteorefictl poi volarne, Way be Mquired for Proper auger t pile installation. A mmlMnimrramrri of throe 0) piles s` mu'ld onititll be driten (linste'llad) at s"ic ftations in omdier to Verifq the s,uggesled pile ilengt+h. The entire pule d ing (installation) opemtbn s'hrowid be frronlitord and PeTftmned in a=Tdance ft a me'levemit loce'I and state megauitemrents. 2 ;1 P"T. g a American Testing Materials Engineering, LLC TESTING LABORATORIES -ENGINEERING -INSPECTION SERVICES -DRILLING ENVIRONMENTAL SERVICES. 1950 West 84th Street, Hialeah, Florida 33014/Phone: 305-646-1888/Fax: 305-646-1887 Page 3 of 4 July 24, 2020 Federico Fascetto ALTERNATIVE II: TYPE 8 HELIX PIER: HELICAL PILES: Helical piles are another feasible alternative. The capacity of these piles is essentially developed in tip bearing and side friction. When these piles are installed or socketed into place, they will "lock into" the rock and sand strata thereby providing adequate bearing capacity. The analysis for this foundation altemative consisted of determining a pile capacity for specific size and depth of installation. Size Proposed ®ia Len ft Type S. Pier 3.5" 20' Tension Compressive CaRIcity Bearing Camcit� 5 tons 25 tons A minimum of three (3) indicator piles should initially be driven (installed) at strategic locations in order to verify the suggested pile length. The entire pile driving (installation) operation should be properly monitored and performed in ac oordance with the relevant local and state requirements. ALTERNATIVE UI. PIN PILES. Pin piles are another feasible altemative. The capacity of these piles is essentially developed in tip bearing. The analysis for this foundation system consisted of determining a pile capacity for specific pile size and depth of installation. The relabonship obtained is as follows: SSE PROPOSE® LENGTH ALLOWABLE BEARING CAPACY 3" 20' 5 tms A minimum of theme (3) indizaalor pules should initially be driven (installed) at straw bcations in order to verify the suggested pile length. The entire pile driving (installation) operation should be mmanitored and per% med in a TdW'-amt I local and state mq uff e,Gs. Ries pmpowd ileg a Ps based on the em�istP4 surface at ft timme of drilling. 31UIaga American Testing Materials Engineering, LLC TESTING LABORATORIES -ENGINEERING -INSPECTION SERVICES-DRIWNG ENVIRONMENTAL SERVICES. 1950 West 84th Street, Hialeah, Florida 33014/Phone: 305-646-1888/Fax: 305-646-1887 Page 4 of 4 July 24, 2020 Federico Fascetto CONCLUSION: 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. (ATM), is not responsible for any sub -soil conditions different from those reported in our boring logs. This report was prepared exclusively for the use Federico Fascetto. The conclusions provided by American Testing Materials Engineering, LLC. (ATM), 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 pertaining to this report. Sincerely yours,oueco����a,��., de Special InspecUR ! President gs T ca _ 39 years of exper`niit4-7�echni Civil, Structural an' rdah rigipeeringll American Testing Ma%g, LLC VWQ/ak:fed 411 �, T: g e A _ y T", ar AMERICAN TESTING MATERIALS ENGINEERING, LLC. Testing Laboratories - Engineering Inspection Services - Chemist - Drilling - Environmental Services 1950 West 84th Street, Hialeah FL 33014 - Phone: 305-646-1888 Fax: 305-646-1887 SOIL BORING LOG CLIENT Federico Fascetto Order No 20-0723 ADDRESS 10151 NE 14th Avenue, Miami Shores, FL 33138 Report No. 1 PROJECT Proposed Swimming Pool Boring No. B-1 ADDRESS 10151 NE 14th Avenue, Miami Shores, FL 33138 Date 7/23/2020 LOCATION Isoutheast side of the Property Driller I AG Sample Hammer „N„ Depth DESCRIPTION OF MATERIALS N0' blows on "N" Curve (feet) sampler 1 0'-0" to 0'-2" Top soil 0'-2' 8 + - 18 2 0'-2" to 0'-6" Backfill - Dark brown medium sand with some rocks and roots 9 1 10 3 2'-4 8 6 -- I 3 4 4 0'-6" to 5'-4" Backfill - Brown medium sand mixed with grey sand and some rocks � 4'-6 3 4 6 5 6 2 2 7 5'-4" to 10'-6" Grey silt 6'-8 1 1 — 2 8 1 i 8'-10 1 1 - 2 9 10 1 6 10'-12' 3 12 — - 12 15 24 11 12 12'-14' 14 12 — 28 10'-6" to 18'-0" Grey medium lime sand and lime rocks 13 14 16 18 14'-16' 17 16 -- 15 20 31 15 16 16'-18' 19 22 -- — 26 28 48 17 18 19 18'-20' 29 31 -- - 36 41 67 20'-22 43 42 — f — 465 90 21 22 22'-24 45 43 ---- r 56 48 99 18'-0" to 30'-0" Tan mediunn lime sand and lime rocks 23 24 24'-26' 41 46 -- 43 41 89 25 26 2628' 40 43 — 88 27 28 45 63 28'-30' &R . .. ILi.4T •ram Water Level: Sample Tom: At Date: (W) 4--t" Split spazin �Ss) 712312®20 VlCD�!LlCL.WH vnv�r�/�'wrw vw�a�.cv�� nresflold Sui'ldli �, m aY Asa mutual protection to clients, the. public and ourselves, all reports are submitted as the confidential property of clierris, and authorization for �of4�tl9j or extract from or regarding our reports is reserved pending our written approval.