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BPP-12-19-2980, 830 NE 92 St (2)RECEIVED PERMIT APPLICATION 1, Miami Shores Village 1VOV 0 2020 Building Department BY: 10050 N.C,2nd Aventie, Miami Shores, Florida 33138 Tel: (305) 795 2204 Fax: (305)'756 8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 1-3- Utk- Master Permit No. BPP-12-19-2980 Sub Permit No . Pe-,j - 1 --2:;-o _-'25; � kv [-]BUILDING [-I ELECTRIC [--I ROOFING nx REVISION Ej EXTENSION r7 RENEWAL []PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS [] CHANGE OF ❑ CANCELLATION [] SHOP CONTRACTOR DRAWINGS JOB ADDRFSS:.830 NE 92 St. Miami Shores, Fl. 33138 Q1 y_._ Miami Shores County: — Miami Dade zip:33138 Folio/Parcelfl: 11-3206-005-0160 Is the Building Historically Designated: Yes NO X Occupancy Type: Load. Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder),.�C(& U tco�ci_i Phone#:I(, - 36 1 Cq-) Address: o C) City: "Lumc state: 1 04 zip: _'-3 -3 1 Tenant/Lessee Name: —Phone#: Email: CONTRACTOR. Company Name: Selenis Technologies LLC —Phone#: 786-620-3936 Address; 2000 PONCE DE LEON BLVD. SUITE 600 City: CORAL GABLES State. FL zip: 33134 Qualifier Narne:. Valerio Cerron Phone#: 786-620-3936 State Certification or Registration 0: CGC #1524512 —Certificate of competency N: DESIGNER: Architect/Engineer, Phonen: Address: City: State: __ Zip: Value of Work for this Permit: $ 9V Q Square/Linear Footage of Work: Type of Work: E-1 Addition 0 Alteration C.X. New M Repair/Replace ❑ Demolition Description of Work: Swimming Pool Construction _— I A 61R2 I OV-1 I &_ Die k= 0 ( I Specify color of color thru tile: Subrhittal Fee $ Permit Fee CCF $ CO/CC $ — Scanning Fee $ Radon Fee $ Technology Fee $ Training/ Education Fee $ Structural Reviews $ DBPR $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ fJ.A,,�. (Revlsed02/24/20141 �-z B.C. F.I.P 1 /2" 50.00' � o I "Oo CL O 10 Z2 + 25.00' I PL 34.98' I I a k in I. 4, 4G, LSSS4, In O� I. ry GRW Q � � wM I I oh 25.00' I I N 50.00' p in I a o 50.00' TOTAL R/W P13.6-13G.130 36.33' PL 6o O 0 coLUMN Tl'P. 6� 10;3 MAP OF BOUNDARY SURVEY 830 NE 92 STREET, MIAMI SHORES, FL 33138 LOT 5 BLOCK 2 PLAT BOOK 6-130 GOLDEN GATE PARK ADDITION CHK. `FENCE 140.00' 0 O O � _4 O � 11.50' 7.30' 45.45' M C14 In 10.30' '1t ONE STORY 00 O iN _ J- r' CBS BUILDING 6.30' No. 830 �X'J'J' .. 15 30i� I . J J F.F.E=13.00' (NGVD) _ I �4 O I J V�jJJ J Q1 ;.6 > j -I� ww,JJ.J N ,/f iJJUJ O_ N J 6.65' S 6.30' b O N J 00 28.60' J 3.00' In N N 23.40' �13. WALL OR 1-41o�h o CONC. o — 140.00' LOT 8 BLOCK 2 S PER PLAT PLAT BOOK 6-130 B� 6- TY 30 OF MIAMI D DE GOLDEN GATE PARK ADDITION COUNTY RECORDS ABBREVIATIONS, LEGEND ASPH. - ASPHALT SLOG. =BUILDING F.N. =FOUND NAIL —i7— =WOOD FENCE -c- =TRAFFIC SIGN F.F.E.. - FINISHED FLOOR ELEVATION B.M. - BENCHMARK (M) =MEASURED — — =CHAIN LINK FENCE wM =WATER METER B/C - BLOCK CORNER METAL FENCE ML =MONUMENT LINE CONIC. - CONCRETE N.G.V.D. = NATIONAL GEODETIC VERTICAL DATUM C.B.S. WALL � =GUY WIRE C.B.S. - CONC. BLOCK STRUCTURE µAV.D. - NATIONAL AMERICAN VERTICAL DATUM �� UTILITY POWER POLE C.L.F. - CHAIN UNIX FENCE P.B. - PLAT BOOK WV (C) CALCULATED WATER VALVE PL PLANTER IN ® -AIR CONDITIONER CL - CENTER LINE P/L =PROPERTY LINE = FIRE HYDRANT C.G. - CURB & GUTTER P.G. - PAGE LP - LIGHT POLE y`Y'b DRW DRIVEWAY (R) - RECORDED # ® CATCH BASIN = IRON PIPE IRON R/W - RIB OF WAY O - SEINER MANHOLE F.R. FOUND S.I.P. - SET IRON PIPE F.I.R. - FOUND IRON ROD S.I.R. - SET IRON ROD F.N.D. - FOUND NAIL & DISK SWK - SIDEWALK OUL - OVERHEAD UTILITY LINE U P - UTILITY POLE AV I � � o I a O ------------- mr PL . 3 0 0.1' O 40.77' p N OM a V O oYG j m p I N m a a 1i O Z i T a LU I 0 f O O Ln u-i I a. fh (7% (r4 15.00' �14.7& CHK GRASS FENCE 51.43' WOODEN FENCE PL in N AS PER PROVIDED SURVEY No. 13-0001042-3 (NOVA SUVEYORS INC) 0.7' c" c. j i z _i s. N "' a Y Y _1 0 CL Ja O c0 Q F- O 0Zw O 0 !I�---------- I ° I � I I 00!#" SCALE 1" = 20' SURVEYOR'S NOTES: 1. FIELD WORK COMPLETED ON: 01-28-2021 2. TYPE OF SURVEY: BOUNDARY SURVEY. THE ELEVATIONS SHOWN HEREON ARE REFERRED TO NGVD 1929 VERTICAL DATUM. USED BM: A-400 ELEV= 14.75' (NGVD 1929) 3. LEGAL DESCRIPTION: LOT 6 & LOT 7, IN BLOCK 2, OF GOLDEN GATE PARK ADDITION, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 6, PAGE 130 OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. CONTAINING: 14,000.00 SQUARE FEET, MORE OR LESS, BY CALCULATIONS. 4. THE ABOVE CAPTIONED PROPERTY WAS SURVEYED AND DESCRIBED BASED ON THE ABOVE LEGAL DESCRIPTION: PROVIDED BY CLIENT. L_ NE 9217d ST NE 92nd ST SITE e a a m LOCATION MAP FOLIO: 11-3206-005-0160 PROPERTY ADDRESS: 830NE 92 STREET, MIAMI SHORES, FL 33138. 5. THIS CERTIFICATION IS ONLY FOR THE LANDS AS DESCRIBED. IT IS NOT A CERTIFICATION OF TITLE, ZONING, EASEMENTS, OR FREEDOM OF ENCUMBRANCES. ABSTRACT NOT REVIEWED. 6. THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN ON THIS SURVEY"*T+MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY, EXAMINATI N OF AAyBSTRACT Ur TITLE MLL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF QlY A�FEVNG THIS Ill • • • • • • 7. EASEMENTS AS SHOWN ARE PER PLAT BOOKS, UNLESS OTH?RWISE N(�% ° • • • 8. NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL QAISED SEAL OF A•FLORIDA UC�J�E�• • • SURVEYOR AND MAPPER. ADDITIONS OR DELETIONS@_?0*%AMEY MAPS OR R'sPORTS BY O;HER • THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED WITHOUT WRITTEN CONSENT OF THj • • • • • SIGNING PARTY OR PARTIES. as***, • • • • • • 9. CONTACT THE APPROPRIATE AUTHORITY PRIOR TO AA1• QESIGN WORK OR OrALS HEREIN-OFAR IDES PARCEL FOR BUILDING AND ZONING INFORMATION. • e • • • • • • • �. • • 10. VISIBLE INDICATORS OF UTILITIES ARE SHOWN HERWW.'haVER, NO�TT%P•T'6S BEF IJADF•• TO LOCATE UNDERGROUND ITEMS. • 11. THE SURVEYOR DOES NOT DETERMINE FENCE AND}bR WALL•OWNERSHIP. • • • • •• • •••••• 12. OWNERSHIP SUBJECTS TO OPINION OF TITLE. • • • • • • 13. IF SHOWN, BEARINGS ARE REFEREED TO AN ASSUMFJ)•M*ERIJAN, BY SET PL IN DESCFtP 16lf e O THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY j%*W MAPS, • 14. THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT 15. NORTH ARROW DIRECTION IS BASED ON AN ASSUMED MERIDIAN. THIS PROPERTY APPEARS TO BE LOCATED IN FLOOD ZONE X, AS PER FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA) COMMUNITY -PANEL NUMBER 120652 VILLAGE OF MIAMI SHORES, MIAMI DADE COUNTY, FL MAP NO. 0306, SUFFIX L, EFFECTIVE DATE: SEPTEMBER 11, 2009. 16. THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON. THE CERTIFICATE DOES NOT EXTENDED TO ANY UNNAMED PARTY: - CAPITAL INTERNATIONAL FINANCIAL FUND LLC. SURVEYOR'S CERTIFICATE: I HEREBY CERTIFY THIS "BOUNDARY SURVEY" IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION AND DIRECTION. THIS SURVEY COMPLIES WITH THE STANDARDS OF PRg 3 I$E7r% RTH BY THE FLORIDA STATE BOARD OF PROFESSIONAL SURVEYORS AND M � 14$, C�{JITI�NE �C�HAPTER 5J-17, FLORIDA ADMINISTRATIVE CODE, PURSUANT TO 472.027, FL �)WrS < 'i PEGASUS LAND SURVEYOR I A FLORIDA COjt11oN �' F • O FLORIDA CERTIFICATE OF AUTHOR] TIO NUMBER LB 8b2,T 41• ' = � 0 No. LS6903 W rTi STATE OF �i • ��Q` BY: 02/01/2021 �'• P i Q Alfredo Diaz -- --- ---� /'i9: •••• OR \ Q •••� �S� Registered PSM. LS 6903 State of Florido 'i • • ■ ■ • • �(� %� 9 (qNp ■ RV� \\\ NOT VALID WITHOUT THE ADDITIONSSOR DELETIONS TOISURVEY M�f�61`�b 'THHANIDLICENSED THESIGNING PARTY ARE PROHIBITED WITHOUT THE WRITTEN CONSENT OF THE SIGNING PARTY. U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2022 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: CAPITAL INTERNATIONAL FINANCIAL FUND LLC A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 830 NE 92 ST City State ZIP Code Miami Shores Florida 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 6 & 7 BLK 2 GOLDEN GATE PARK ADDITION PB 6-130 FOLIO: 11-3260-005-0160 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 25°51'36.68" N Long. 80'10'48.32" W Horizontal Datum: ❑ NAD 1927 ❑X NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes © No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes FX� No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State Village of Miami Shores - 120652 Miami -Dade County Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12086CO306 L 09-11-2009 09-11-2009 X N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: © NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 0 No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6 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: 830 NE 92 ST City State ZIP Code Company NAIC Number Miami Shores Florida 33138 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑X Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: MDC BM: A 400 E= 14.75' 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) 13.0 Z feet ❑ meters b) Top of the next higher floor N/A ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) N/A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building �( 13.1 ❑ feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 10.4 ❑X feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 12.3 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ feet ❑ meters N/A structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑X Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number ALFREDO DIAZ LS # 6903 ®`►®� my %11 .. ��(1S ' p06 O 1y'"•?O,fif Title Sir PROFESSIONAL SURVEYORy s ff ' 3031 d P, Company Name PEGASUS LAND SURVEYORS, INC. > .9a ��6g5, . •' Address ff 801 MADRID ST # 209 ff, °•, rJ �' City State ZIP Code CORAL GABLES Florida 33134 Signature Date Telephone Ext. 02-01-2021 (305) 310-3942 Copy all pages of this Elevation Ce t cate anII attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) 1- C-2 e) Refers to the Elevation of the concrete Base of the A/C Unit located on the south side of the Building. 3- Highest Crown of Road: 11.55' 4- Latitude and Longitude obtained from Google Earth. 5- One Story Residential Building. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 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: 830 NE 92 ST 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 El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is [:]feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of 6 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: 830 NE 92 ST City State ZIP Code Company NAIC Number Miami Shores Florida 33138 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) ❑ feet ❑ meters of the building: Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. 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: 830 NE 92 ST ICity State ZIP Code I Company NAIC Number I 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. Photo One Photo One Caption FRONT VIEW (01-28-2021) Clear Photo One Photo Two Photo Two Caption REAR VIEW (01-28-2021) Clear Photo Two FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page 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: 830 NE 92 ST City State ZIP Code I 1 Company NAIC Number J 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. Photo Three Photo Three Caption SIDE VIEW (01-28-2021) Clear Photo Three Photo Four Photo Four Caption SIDE VIEW (01-28-2021) Clear Photo Four FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6 B.C. F.I.P 1 /2" 50.00' _Io �o cl- O tL 1 I I N + h 25.00' I PL — 34.98' i I t� `tom J a E In ILn h GRASS Q O t� L1 ,w CDv1 O Q � wM 36.33' l I doh 25.00' PL - 50.00' I CL o a LLL 50.00' TOTAL R/W PB.6-PG.130 0 MAP OF BOUNDARY SURVEY 830 NE 92 STREET, MIAMI SHORES, FL 33138 LOT 5 BLOCK 2 PLAT BOOK 6-130 GOLDEN GATE PARK ADDITION CHK. FENCE 140,00' old o —,A 00 COLUMN TYP. 11.50' 7.30' En PL ti a I \� En I CL O 1� `---- - - - - - ------pr` -.�--"—., I Z 00.11 O 3 ti� N 40.77' p U 10 45.45' M N I -lla -<r T' f ° 10.30' ONE STORY ao 6.30' CBS BUILDING No.830 15.30' i 1 F.F.E=13.00' (NGVD) i O O? LD N \�"\ 6.65' $' .00P O N j -4 28.60' 3.00' Ln \ a N N\ 23.40' i iV In GO o F g" CBS �1h o CONC. o 3 WALL -4 140.00' / LOT 8 BLOCK 2 L PROPERTY LANE AS PER PLAT PLAT BOOK 6-130 BOOK C6-130 OF MIAMI DADE GOLDEN GATE PARK ADDITION ABBREVIATIONS. LEGEND ASPH. - ASPHALT F.N. - FOUND NAIL —ii— WOOD FENCE TRAFFIC SIGN BLDG. - BUILDING F.F.E.. - FINISHED FLOOR ELEVATION B.M. � BENCHMARK (M) - MEASURED —X— � CHAIN LANK FENCE WM � WATER METER B/C - BLOCK CORNER _ METAL FENCE ML - MONUMENT LINE CONC. . CONCRETE N.G.V.D. - NATIONAL GEODETIC VERTICAL DATUM m� C.B.S. WALL � � GUY WIRE C.B.S. - CONC. BLOCK STRUCTURE NAV.D. - NATIONAL AMERICAN VERTICAL DATUM �-� UTILITY POWER POLE C.L.F. - CHAIN LINK FENCE P.B. - PLAT BOOK (C) - CALCULATED DQ WATER VALVE PL- PLANTER ® AIR CONDITIONER CL - CENTER LINE P/L - PROPERTY LINE >• FIRE HYDRANT C.G. - CURB & GUTTER P.G. - PAGE LP - LIGHT POLE DRWY. DRIVEWAY WA (R) - RECORDED ® CATCH BASIN RIRON PIPE R/W - RIGHT OF WAY O e SEWER MANHOLE F.R. - FOUND REBAR S.I.P. - SET IRON PIPE F.I.R. . FOUND IRON ROD S.I.R. - SET IRON ROD F.N.D. . FOUND NAIL & DISK SWK - SIDEWALK OUL - OVERHEAD UTILITY LINE U.P. - UTILITY POLE Lnl M 15.00' 14.78' CHK GRASS FENCE 51.43' WOODEN 0 7, FENCE PL AS PER PROVIDED SURVEY No. N t3-0001042-3 (NOVA SUVEYORS INC) NE 92nd ST NE 92nd ST SITE a a N ¢ 1 = _7- LOCATION MAP � I NOT TO SCALE FOLIO: 11-3206-005-0160 ��► _... .._ __,; PROPERTY ADDRESS: 830NE 92 STREET, MIAMI SHORES, FL J° , Q `33138. I 5. THIS CERTIFICATION IS ONLY FOR THE LANDS AS DESCRIBED. IT IS NOT A CERTIFICATION OF I In ON TITLE, ZONING, EASEMENTS, OR FREEDOM OF ENCUMBRANCES.ABSTRACT NOT REVIEWED. t 6. THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN ON THIS SURe•I'ARr MAY BE FOUND IN •WILL I THE PUBLIC RECORDS OF THIS COUNTY, EXAMINAJION OF•ABSTRACT Cg TIT HA1g•Ti j9E • MADE TO DETERMINE RECORDED INSTRUMENTS, IF•ANY4AFFJCTING THIS NRO�ERTY. - - - - - - --- Ii • • • • • • _ - - - • • pp -7. EASEMENTS AS SHOWN ARE PER PLAT BOOKS, UNLESS OTHERWISE *OTBD. • • I p i E • • • • • • • • • 000000 8. NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL, RAISED SEAL OF A FLORIDA LICENSED . O SURVEYOR AND MAPPER. ADDITIONS OR DELETIONS• "RI'VEY MAPS OR REPORTS BY OTHER • THAN THE SIGNING PARTY OR PARTIES IS PROHIBIT" WTHOUT WRITTFj4•C•OUSENT OF -m C • • • z SIGNING PARTY OR PARTIES. • • • • ° '-' 9. CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK ON •T& HEREIN-El!�:dIB% .~ PARCEL FOR BUILDING AND ZONING INFORMATION* • • • • • • • • 00000 p OM 10. VISIBLE INDICATORS OF UTILITIES ARE SHOWN HERRON.M�9WEVER, NO ATTvwT HAS BEEmo Y4Gr• N Q TO LOCATE UNDERGROUND ITEMS. • • • • • • • • • Y �p U 11. THE SURVEYOR DOES NOT DETERMINE FENCE AN:/OR %AL: OWNER§t1f. : Y • • • • • • • 0 d 12. OWNERSHIP SUBJECTS TO OPINION OF TITLE. • • • 000 • • to ° w m 13. IF SHOWN, BEARINGS ARE REFEREED TO AN ASSUMES MERIDIAN, BY•SET PLAT IN DESCj2IPTI0N (Q d Q THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNT)*I0"9►IW MAPS. OJ 14. THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT w 15. NORTH ARROW DIRECTION IS BASED ON AN ASSUMED MERIDIAN. THIS PROPERTY APPEARS TO BE LOCATED IN FLOOD ZONE X, AS PER FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA) O COMMUNITY -PANEL NUMBER 120652 VILLAGE OF MIAMI SHORES, MIAMI DADE COUNTY, FL MAP Vr NO. 0306, SUFFIX L, EFFECTIVE DATE: SEPTEMBER 11, 2009. �- ---------- I A I � I I � 00!!!� SCALE 1" = 20' SURVEYOR'S NOTES: 1. FIELD WORK COMPLETED ON: 01-28-2021 2. TYPE OF SURVEY: BOUNDARY SURVEY. THE ELEVATIONS SHOWN HEREON ARE REFERRED TO NGVD 1929 VERTICAL DATUM. USED BM: A-400 ELEV= 14.75' (NGVD 1929) 3. LEGAL DESCRIPTION: LOT 6 & LOT 7, IN BLOCK 2, OF GOLDEN GATE PARK ADDITION, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 6, PAGE 130 OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. CONTAINING: 14,000.00 SQUARE FEET, MORE OR LESS, BY CALCULATIONS. 4. THE ABOVE CAPTIONED PROPERTY WAS SURVEYED AND DESCRIBED BASED ON THE ABOVE LEGAL DESCRIPTION: PROVIDED BY CLIENT. 16. THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON. THE CERTIFICATE DOES NOT EXTENDED TO ANY UNNAMED PARTY: - CAPITAL INTERNATIONAL FINANCIAL FUND LLC. SURVEYOR'S CERTIFICATE: I HEREBY CERTIFY THIS "BOUNDARY SURVEY" IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION AND DIRECTION. THIS SURVEY COMPLIES WITH THE STANDARDS OF PRA, jIRB3 ISETI j RTH BY THE FLORIDA STATE BOARD OF PROFESSIONAL SURVEYORS AND M � C�J� NFi �< QHAPTER 5J-17, FLORIDA ADMINISTRATIVE CODE, PURSUANT TO 472.027, FL b < F CEN 'L PEGASUS LAND SURVAN LORIDA Colei�f oN \' \ SF ••'CO FLORIDA CERTIFICATE OF ABER L8 80 •_ •• -, % No. LS6903 � w =o; ;a= -�1• * ■d- -179• •Q= =N• TATE OF ;0 �. 02/01 /2021- % O '•• P •i Q=: Alfredo Diaz --------- i ••4 O R 1 ••O�\`�� Registered PSM. LS 6903 State of Florida �i • • ■ ■ ■ • • • ��( /�� o/VD �� NOTICE: NOT VALID WITHOUT THE SIGNATURE AND ORIi[AL RAIS��bI�,F.Q.F x 41fLbi21DA LICENSED SURVEYOR AND MAPPER. ADDITIONS OR DELETIONS TOVEY MAPS 9V b THAN THE SIGNING PARTY ARE PROHIBITED WITHOUT THE WRITTEN CONSENTOF THE SIGNING PARTY. U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2022 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: CAPITAL INTERNATIONAL FINANCIAL FUND LLC A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 830 NE 92 ST City State ZIP Code Miami Shores Florida 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 6 & 7 BLK 2 GOLDEN GATE PARK ADDITION PB 6-130 FOLIO: 11-3260-005-0160 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 25°51'36.68" N Long. 80°10'48.32" W Horizontal Datum: ❑ NAD 1927 0 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes © No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? [:]Yes ❑X No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State Village of Miami Shores - 120652 Miami -Dade County Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12086CO306 L 09-11-2009 09-11-2009 X N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile Z FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: © NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Z No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6 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: 830 NE 92 ST City State ZIP Code Company NAIC Number Miami Shores Florida 33138 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* 0 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: MDC BM: A 400 E= 14.75' 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) 13.0 ❑X feet ❑ meters b) Top of the next higher floor N/A ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) N/A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 13.1 feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 10.4 [A feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 12.3 N feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ feet ❑ meters N/A structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 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? 0 Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number ALFREDO DIAZ LS # 6903 Title PROFESSIONAL SURVEYOR Place Company Name PEGASUS LAND SURVEYORS, INC. Seal Jr Her Address 801 MADRID ST # 209 City State ZIP Code CORAL GABLES Florida 33134 D�-- 01 Signature Date Telephone Ext. C-- � \ 02-01-2021 (305) 310-3942 Copy all pages of this Elevation Certif ate an attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equiilnent and location, per C2(e), if applicable) 1- C-2 e) Refers to yhe Elevation of the concrete Base of the A/C Unit located on the south side of the Building. 3- Highest Crown df Road: 11.55' 4- Latitude and Longitude obtained from Google Earth. 5- One Story Residential Building. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 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: 830 NE 92 ST City State ZIP Code Company NAIC Number Miami Shores Florida 33138 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet []meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of 6 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: 830 NE 92 ST City State ZIP Code Company NAIC Number Miami Shores Florida 33138 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) ❑ feet ❑ meters of the building: Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. 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: 830 NE 92 ST 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. r .,r r / I j r R rr � • ,��„ ,� ' `� a Photo Two Photo Two Caption REAR VIEW (01-28-2021) Clear Photo Two FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page 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: 830 NE 92 ST City State ZIP Code I Company NAIC Number I 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. Photo Three Photo Three Caption SIDE VIEW (01-28-2021) Clear Photo Three I Photo Four Photo Four Caption SIDE VIEW (01-28-2021) Clear Photo Four FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.: BPP-12-19-2980 Permit Type: Pools/Whirlpools/Hot Tubs Work Classification: New Permit Status: Approved Issue Date:06/15/2020 I Expiration: 12/14/2020 Parcel Number 830 NE 92ND ST, Miami Shores, F133138 1132060050160 Contacts CAPITAL INTERNATIONAL FANANCIAL Owner SELENIS TECHNOLOGIES LLC Contractor FUND LLC VALERIO CERRON 170 SE 14 ST 1002, MIAMI, FL 33131 30310 SW 152 AVE, HOMESTEAD, FL 33033 Business: 7864439590 ..lam-;•,^�. ..... �".'1'>"2... , Description: NEW POOL Valuation: $ 35' 000.00 Inspection Re uests: 305-762-4949 TotalSq Feet: 525.00 .j Fees Amount Application Fee - Other $200.00 CCF $21.00 Certificte of Completion for Single Fam $50.00 and Duplex DBPR Fee $15.75 DCA Fee $10.50 Education Surcharge $7.00 Permit Fee $850.00 Planning and Zoning Review Fee $35.00 Scanning Fee $12.00 Structural Review ($90) $90.00 Technology Fee $26.25 Total: $1,317.50 Building Department Copy Payments Date Paid Amt Paid Total Fees $1,317.50 Credit Card 12/19/2019 $200.00 Credit Card 06/12/2020 $1,117.50 Amount Due: $0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I 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. Futhermore, I authorize the above named contractor to do the work stated. CN t ID c ( I Authorized Signature: Owner / Applicant / Contractor / Agent Date June 15, 2020 Page 2 of 2 Miami Shores Village r BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 hi6 II, M_� FBC� 20 ~�q Master Permit No. �6 yt' - 1 G= 1 Ia - L 18O Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL 0 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: X 930 P1'� �`o S I City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:_ Is the Building Historically Designated: Yes NO Occupancy Type:. Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):S( ��t TfFL t I� rrJAi "j^', Phone#: Address:j'7'0 SC �� Si City: a is✓`a ° State: F Zip: 313131 Tenant/Lessee Name: lock Phone#: Email: f R oN T (9 k I L <&O else e 0!-�-<P r e55 k a (-d; j Alto CONTRACTOR: Company Name: S (f �1� Zr��c'��C�`A CCU Address: 3030 City: Qualifier Name: VA C'j-:-K4 0 G�gotj State Certification or Registration #: C-C (L 1-' Z- Z- State: �( Phone#: (30 Zip: 33 ©33 one#: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Y t�s'Square/Linear Footage of Work: 5urr Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: )( W Foot. Specify color of color thru We: Submittal Fee $_ j?LO :1�2 1 l fuPermit Fee $ Scanning Fee $ _ Radon Fee $ Technology Fee $_ Structural Reviews $ Training/Education Fee $ CCF $ DBPR $ CO/CC $ Notary Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of 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 Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this i day of 1K ( , 20 JIN by rix4L I� i toL.R, who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: _ RAUL NAVARRO Print; Gr ! _ =, t� My Commission Expires Seal: March 20 2020 The foregoing instrument was acknowledged before me this i 7 day of�20 1 <1 by V� L' r2,i -<a(L,) J as me or who has produced who is personally known to -------------- as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: RAUL NAVARR9 cmr Seal: duo Ivi Commission Expires y �4 March 20 2020 APPROVED BY , Plans Examiner Zoning Awb—,w- Structural Review (Revised02/24/2014) Clerk Property Search Application - Miami -Dade County Page 1 of 1 i OFFICE OF THE PROPERTY APPRAISER _; 1 Summary Report Property Information Folio: 11-3206-005-0160 Property Address: 830 NE 92 ST Miami Shores, FL 33138-2909 Owner CAPITAL INTERNATIONAL FINANCIAL FUND LLC Mailing Address 170 SE 14 ST #1002 MIAMI, FL 33131 USA PA Primary Zone 0900 SGL FAMILY - 1901-2100 SQ Primary Land Use 0081 VACANT RESIDENTIAL: VACANT LAND Beds / Baths / Half 0/0/0 Floors 0 Living Units 0 Actual Area 0 Sq.Ft Living Area 0 Sq.Ft Adjusted Area 0 Sq.Ft Lot Size 14,000 Sq.Ft Year Built 0 Assessment Information Year 2019 2018 2017 Land Value $377,776 $377,776 $308,430 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value $377,776 $377,776 $308,430 Assessed Value $307,611 $279,647 $254,225 Benefits Information Benefit Type 2019 2018 2017 Non -Homestead Assessment $70,165 $98,129 $54,205 Cap Reduction Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description GOLDEN GATE PARK ADDN PB 6-130 LOTS 6 & 7 BILK 2 LOT SIZE 14000 SQ FT 74R-19304 Generated On : 12/19/2019 Taxable Value Information 2019 2018 2017 County -�...._ _� ...�.._..®_..®�._. Exemption Value $0 $0 $0 Taxable Value $307,611 $279,647 $254,225 School Board Exemption Value $0 $0 $0 Taxable Value $377,776 $377,776 $308,430 City Exemption Value $0 $0 $0 Taxable Value $307,611 $279,647 $254,225 Regional Exemption Value $0 $0 $0 Taxable Value $307,611 $279,647 $254,225 Sales Information Previous Sale Price OR Book -Page Qualification Description 11/21/2014 $249,000 29419-3835 Qual by exam of deed 08/30/2013 $143,000 28805-0036 Qual on DOS, multi -parcel sale 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:/twww.miamidade.gov/info/disclaimer.asp Version https://www8.miamidade.gov/Apps/PA/propertysearch/ 12/ 19/2019 Detail by Entity Name Page 1 of 2 Denartmeni of Stale / Divi lion of Corporations / Search Records / Detail By Documeml Number / Detail by Entity Name Florida Limited Liability Company CAPITAL INTERNATIONAL FINANCIAL FUND LLC Filing Information Document Number L12000154669 FEI/EIN Number 80-0875842 Date Filed 12/11/2012 Effective Date 12/11/2012 State FL Status ACTIVE Principal Address 170 SE 14 TH STREET SUITE 1002 MIAMI, FL 33131 Mailing Address 170 SE 14 TH STREET SUITE 1002 MIAMI, FL 33131 Registered Agent Name & Address NICOLAI, PASCAL 170 SE 14 TH STREET SUITE 1002 MIAMI, FL 33131 Authorized Person(s) Detail Name & Address Title MGR NICOLAI, PASCAL 170 SE 14 TH STREET SUITE 1002, FL 33131 Annual Reports Report Year Filed Date 2018 03/15/2018 2019 04/30/2019 2019 10/03/2019 Dmsiot, 0= CORPORATIONS http://search. sunbiz. org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entit... 12/ 19/2019 Detail by Entity Name Page 2 of 2 Document Images 1010312019 -- AMENDED ANNUAL REPORT I View image in PDF format 04MI2019 -- ANNUAL REPORT View image in PDF format Q1.5,20 I.S.--.ANN.U.A.L REPORT .. .... .. ... .. ... ... .. . View image in PDF for€na4 04,12812017 --ANNUAL REPORT View image in PDF form 04/27/2016. ANNUAL REPORT PDF format 014/2712015 ANNUAL REPOR f View image inPDF format 04i2812014 ANNUAL REPORT View olage in ED format 04-'3012013 --ANNUAL REPOR I ...................... . ....................................................... View image in PC F format 12111/2012 -- Florida Urnited Liability View image in PDF for€not http://search.sunbiz.org/lnquiry/CorporationSearchISearchResultDetail?inquirytype=Entit... 12/19/2019 Departrtnenlll. Florida Law requires Workers' Compensation insurance coverage under Chapter 44, 0.1, allows corporate officers in the construction industry to exempt themselves from Chis rcqiiireyf)k_wk obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Vrarl- k:,r 1 ;10, Hr;, An employer in the construction industry who employs one or more part-m-Nc ir employees, including the owner, must obtain workers' compensation coverage- ( 4.,rpor_o�_ or members of a litnited liability company (LLC) in the construction indusir,, imr exempt if - I. The officer owns at least 10 percent of the stock of the corporation, or in ih an LLC, a statement attesting to the minimum 10 percent ownership, The officer is listed as an officer of the corporation in the records of the. F I, irw 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 ar,_) allowed to be exempt. Construction exemptions are valid for a period of two years or until 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 wi 11 be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of Nvorkerss' 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 THIS NOTICE AND UNDF-,RSTAND ITS C 0 NTEIN I S, .. ....... signalurt: State of Florida (_'aunty cli'Miarm-oDade 7.1 Nicolai Pasail Notary:_ SELENIS TECHNOLOGIES LLC 30310 SW 152 AVE, HOMESTEAD FL 33033 CGC1524512 (305)562-5691 valeriocc@selenis.co Date: 06/04/2020 State of Florida County of Miami -Dade Before me this day personally appeared Valerio Cerron who, being duly sworn, depose and says: That he will be the only person working on the project located at: 830 N.E. 92 ST, Miami Shores, FL 33131 Contractor Signature Sworn to (affirmed) and subscribed before me this Wh day of June, 2020, by Valerio Cerron Nots�Y Public Ste 0 Ficytd8 Rau4Nz"dROI+G'962853 ry'020 024 Personally knovin OR Produced Identification Type of Identification Produced Print, type or Stamp Name of Notary onDODR x..Rwo was mnrrn,cr,.r�.cs-un parr, sr,r.r„nunR.A�„,.. � MnOu4 [DePOrI KRTKIl T:J'at1, 1'�R fWal H CNael[ P ,E45,RaD . roaaN P y rgRgs (m n> P ,gel•?lu rose +eDR ro eaw¢ No ,e.aRRn l- W) ,OOe, NOK Pt.�a. ✓Ji Kai FMn P A OM.D Ks. svf n umttR 9,Ai1 nTO a , P a ao . 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Ana ., rTDm O.TUt• Is - ,row 67 rICT H. of root aA. W41 T— r,rd 1 a• Ar nc �...c. otl ro rx„ .ac aD •ac+c u aaa a«Pt� aaam J T�V G j MIME Rrr' ,Ax P rFP n AreDPOC N . 1• F»+ !AY D"- BY G,., aP•.P.cws or-.� nn T•r_w: raeto.r ¢wasp„•, �t SHEET NO 3 of 3 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at f�v CWS 1Z'" 5-7-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: G' 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 rl' 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). �' t-1 Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self -latching device with positive mechanical latching/locking installed a min. 54" above the threshold. If this option is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and type of all 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 degree, punishable as provided in Section 775.082 or Section 775.083 F.S . This form must be signed by the owner/agent and the prime contractor. CONTRkTOR'S SIGNATURE AND DATE OWNER'S SIGNATURE AND DATE CONTRACTOR'S NAME (PLEASE PRINT) NOTARY MUG. RAUL NAVARRO 1yt>� ` Cornmissicn #FF972714 My Commission Expires ',f \ta:. q ��f�� March 20 2020 OWNER'S NAME (PLEASE PRINT) i ti L �l,1VAR�U �= Ccmmissicn #FF972714� �� a" My Con�rr�ission Expire ��F��' March 2tp 2020 Miami Village Building / • 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_ PC,s"t/ vJ; %ate i is/are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: 130 ✓� 32_' S 7- rb 4me 5 313 d Whereas, the undersigned owner(s) Pa�,A4- 6- desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: I. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. Ill. 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. IV. That, I/we, as owner(s) hold Miami Shores Village harmless for any negligence or injury that results from not having the enclosure. V. If enclosure belongs to said property, I agree to maintain & or replace said enclosure in the event that is damaged or removed by any case. NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon the 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. OWNER SIGN & PRINT OWNER SIGN & PRINil 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 n day o 6", fTo �RA ARR0_ r1�_. Commission #FF9727", > r� My Commission Exp� March 20, 2020 _ .,, , NOTARY PUBLIC STATE OF FLORIDA (Revised 0512209 Miami V shores 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 Ilii Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as located at Sao r`e 5 Z." 11 . S i" �11r`aAi S iz In accordance with Section 33-12(f), Code of Metropolitan Dade County, 1 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 need for obtaining a permit and erecting and approved barrier prior to final inspection and use of the 3.. Legal Owner i " Note: This certification is to be submitted with a swimming pool permit application in duplicate.