Loading...
1147 NE 97 St (8)BUILDING PERMIT APPLICATION FBC 2001 Code Enforcement $ / Total Fee Now I)ue $ �� 0 (Continued on opposite side City 0ard01:8At2 n ,jf eQ elI State C-- Qualifier /Pi / G .!✓i ¢ pi� IC fito cra✓ $ Value of Work For this Permit 2. // S &D Miami -Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): / Building / Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simpl itle er) 6 4y �'e- /d f Owner's Address f/ 4 7 We 9 7 ,$,¢veep' City Ater , ' Q' /'l State Tenant/Lessee Name Phone # Job Address (where the work is being done) 1/ 1 7 't 7 SJ vee City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO <, Contractor's Company Name ,/ 5 e9 0 /1 Contractor's Address MOO t ,4 .�/ t,7 » ` G � % State Certificate or Registration No. oe/ L s zs5 075'0 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Type of Work: ['Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: /Y ,,✓ ..7 p eJ 1 ? 4/ "47 5 - 1. iv'tkr L4: , * **** * * * * * * * * * ** *** * ** * * * * ** F ees * *** : * * * ** *** * * * * * *** * * ** *** ** Submittal Fee $_ Permit Fee $ 1 F . CCF $ y Notary $ — Training /Education Fee $ p ' Zip Permit No. Master Permit No. Phone # 30.5 7 5 - — G 2 /] ;3//8' Zip Zip )1 d Square Footage Of Work: CO /CC Technology Fee $ • Scanning $ Radon $ f ; Zoning Bond $ Structural Plan Review. $ C its , s ; , ,c; 1 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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. i Signature Owner or Agent The foreg • g instrument was acknowledged 0 d befor me this day of W200‘ by ipc.. V L ' U who is personally known to me or who has produced tnn(1( + 111111 NOTA P :LIC: Sign: ' Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * APPLICATION APPROVED BY: chc 05/13/03 j l abs "a' sfgas , ,ics • fo't C om nission 1-)11211Q84 As identification and who did take an oath. gl * * * * * * * * * * * * * * * * * * * * * * * * ** ************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * APR 18 205 Signature Sign: Print: Contractor The foregoing instrument was acknowledged before me this La day of "leer U I , 20 F7S , by " G/td o is ersonally known to me or who has produced as identification and yykpdid t g oathi , � Y o n, GAR NOTARY PUBLIC: Commissiort # DD0103455 41812006 My Commission Expires: r'91'6rr Illans Examiner Engineer Zoning For Insurance Company Use: Policy Number Company NAIC Number IMPORTANT: In these spaces. copy the corresponding information from Section A. 5- 0002283 BUILDING STREET ADDRESS (Including Apt., Unit, Suite and /or Bldg. Number) OR P.O. ROUTE AND BOX NO. 1147 NE 97 ST CITY STATE MIAMI SHORES 11 FL Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.. COMMENTS SECTION C3 (E) LOWEST ELEVATION MACHINERY IS THE A/C PAD SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is 1 1 I ft.(m) I I I in.(cm) I I above or I (check one) the highest adjacent grade. (Use natural grade, if available.) E3. For Building Diagrams 6 -8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is I I I ft.(m) I I I in.(cm) above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. E4. The top of the platform of machinery and /or equipment servicing the building is I I 1 ft.(m) I I I in.(cm) I I above or (check one) the highest adjacent grade. (Use natural grade, if available.) E5. For 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? I I Yes I I No I I Unknown. The local official must certify this information in Section SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), 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, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME GAYLE PUMO ADDRESS 1147 NE 97 ST SIGNATURE COMMENTS G4. PERMIT NUMBER COMMENTS SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) CITY MIAMI SHORES DATE SECTION G - COMMUNITY INFORMATION (OPTIONAL) G5. DATE PERMIT ISSUED G7. This permit has been issued for: 1 1 New Construction 1 1 Substantial Improvement LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE ISSUED ZIP CODE 33138 STATE FL TELEPHONE 1-1 Check here if attachments ZIP CODE 33138 LI Check here if attachments 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. 01. I I The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer. or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. I 1 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. I 1 The following information (Items G4-G9) is provided for community floodplain management purposes. I below I below G6. DATE CERTIFICATE OR COMPLIANCE/OCCUPANCY G8. Elevation of as -built lowest floor (including basement) of the building is: ft.(m) Datum: G9. BFE or (in ZONE AO) depth of flooding at the building site is: ft.(m) Datum: I Check here if attachments FEMA Form 81 -31, JAN 2003 REPLACES ALL PREVIOUS EDITIONS B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 12025C0093 J 07/17/1995 03/02/1994 X FOLIO #: 1132050170040 C.O.R.: 9.48 FT 5- 0002283 BUILDING OWNER'S NAME , GAYLE PUMO FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION BUILDING STREET ADDRESS (Including Apt., Unit, Suite and /or Bldg. Number) OR P.O. ROUTE AND BOX NO. 1147 NE 97 ST CITY STATE MIAMI SHORES FL PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 4 Block 180 of REVISED PLAT OF MIAMI SHORES SECTION 8 according to the plat thereof as recorded in Plat Book 43 at Page 51 of the public records of MIAMI -DADE County, Florida. BUILDING USE (e.g. Residential, Non - residential, Addition, Accessory, etc. Use Comments section if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) ( ## - ## - ##.##" or ##.#####) HORIZONTAL DATUM: I I NAD 1927 1 I NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER MIAMI SHORES 120652 B2. COUNTY NAME MIAMI -DADE B3. STATE FL B10.Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. I I FIS Profile I X I FIRM I I Community Determined I I Other (Describe): 611.Indicate the elevation datum used for the BFE in B9: Ix NGVD 1929 1 1 NAVD 1988 I (Other (Describe): B12.Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? U Yes I XI No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: I I Construction Drawings* I I Building Under Construction* 1 X I Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones A1-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 C3.a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD 1929 Conversion /Comments N/A Elevation reference mark used 90 Does the elevation reference mark used appear on the FIRM? ▪ a) Top of bottom floor (including basement or enclosure) 11.32 ft.(m) ▪ b) Top of next higher floor N/A ft.(m) O c) Bottom of lowest horizontal structural member (V zones only) N/A ft.(m) • d) Attached garage (top of slab) 9.34 ft.(m) ▪ e) Lowest elevation of machinery and /or equipment servicing the building (Describe in a Comments area.) 9 ft.(m) • f) Lowest adjacent (finished) grade (LAG) 9 ft.(m) ❑ q) Highest adjacent (finished) grade (HAG) 9.54 ft.(m) • h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 19 ❑ i) Total area of all permanent openings (flood vents) in C3.h 2,569.00 sq. in. (sq. cm) 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 in Sections A, B, and C 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. CERTIFIER'S NAME LICENSE NUMBER Robert Ibarra 6437 TITLE COMPANY NAME Professional Land Surveyor NOVA SURVEYORS, INC. ADDRESS 5582 N.W. 7TH I2EE SUITE, 202 SIGNATURE FEMA Form 81 -31, J 2003 CITY MIAMI STATE FL O.M.B. No. 3067 -0077 Expires December 31, 2005 For In rance Company Use: Policy Number Company NAIC Number ZIP CODE 33138 SOURCE: I I GPS (Type): 1-1 USGS Quad Map IXI Other. NGVD 1929 VI Yes No No ZIP CODE 33126 DATE TELEPHONE 03/04/2005 (305) 264 -2660 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS BUILDING DEPARTMENT 10050 H.E. SECOND AVENUE MIAMI SHORES. FLORIOA 331382382 TELEPHONE (3051 795-2204 FAX (3051 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or nstalled at //Y 71 1 Sfovi Miami Shores,. Fl., and hereby affirm that one of he following methods will be used to meet the requirements of Chapter 515, Florida Statutes. 'please initial the method(s) to be used) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved safty cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equiped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with•release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $500 and /or up to 60 days in jail as established in Chapter 775, F.S. CONTRACTOR'S SIGNATURE & DATE A r e. i © v // s / �.y a/� pltltllll. ' 6f8P �^giOaH���s®os o � GARY ZILGORE CONTRACTOR'S NAME (PLEASE �' � # 13 009034 1 12P°4324254 threu OTARY • .= NOT • 'S SIGNATURE & DATE mission ices. J„ DD23 i r1 n ?i ed E A tIa LI • dir, ( �n 'u.,1, B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 12025C0093 J 07/17/1995 03/02/1994 X FOL10#: 1,132050170090 C.O.R.: 5- 0002283 CITY MIAMI SHORES 9.98 FT BUILDING OWNER'S NAME GAYLE PUMO LATITUDE/LONGITUDE (OPTIONAL) (## - ##' - ##.##" or ##.#fl###) FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: Policy Number Company NAIC Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite and /or Bldg. Number) OR P.O. ROUTE AND BOX NO. 1147 NE 97 ST STATE FL PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 4 Block 180 of REVISED PLAT OF MIAMI SHORES SECTION 8 according to the plat thereof as recorded in Plat Book 43 at Page 51 of the public records of MIAMI -DADE County, Florida. BUILDING USE (e.g. Residential, Non- residential, Addition, Accessory, etc. Use Comments section if necessary.) RESIDENTIAL HORIZONTAL DATUM: SOURCE: I I GPS (Type): I I NAD 1927 I I NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION O.M.B. No. 3067 -0077 Expires December 31, 2005 ZIP CODE 33138 I-I USGS Quad Map LI Other. NGVD 1929 B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER MIAMI SHORES 120652 B2. COUNTY NAME MIAMI -DADE B3. STATE FL B10.Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. I I FIS Profile I XI FIRM I I Community Determined I I Other (Describe): B11.Indicate the elevation datum used for the BFE in B9: IX I NGVD 1929 I I NAVD 1988 I (Other (Describe): B12.Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? IJ Yes Designation Date: C1. Building elevations are based on: I I Construction Drawings* I I Building Under Construction* 1 X I Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones A1-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 C3.a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD 1929 Conversion /Comments N/A Elevation reference mark used 90 Does the elevation reference mark used appear on the FIRM? IN Yes I_I No O a) Top of bottom floor (including basement or enclosure) 11.32 ft.(m) O b) Top of next higher floor N/A ft.(m) O c) Bottom of lowest horizontal structural member (V zones only) N/A ft.(m) m m O d) Attached garage (top of slab) 9 ft.(m) B o O e) Lowest elevation of machinery and /or equipment , servicing the building (Describe in a Comments area.) 9 ft.(m) a O f) Lowest adjacent (finished) grade (LAG) 9 ft.(m) z cp O g) Highest adjacent (finished) grade (HAG) 9.54 ft.(m) H �' O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 19 O i) Total area of all permanent openings (flood vents) in C3.h 2, 569.00 sq. in. (sq. cm) J This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C 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. CERTIFIER'S NAME LICENSE NUMBER Robert Ibarra 6437 TITLE COMPANY NAME Professional Land Surveyor NOVA SURVEYORS, INC. ADDRESS 5582 N.W. 7TH TR ET, S SIGNATURE FEMA Form 81 -31 JA 2003 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION al No CITY STATE ZIP CODE MIAMI FL 33126 DATE TELEPHONE 03/09/2005 (305) 264 -2660 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces. copy the corresponding information from Section A. 5- 0002283 BUILDING STREET ADDRESS (Including Apt., Unit, Suite and /or Bldg. Number) OR P.O. ROUTE AND BOX NO. 1147 NE 97 ST CITY STATE ZIP CODE MIAMI SHORES FL 33138 COMMENTS LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS FEMA Form 81 -31, JAN 2003 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner: COMMENTS SECTION C3 (E) LOWEST ELEVATION MACHINERY IS THE A/C PAD SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is 1 I I ft.(m) I I I in.(cm) I I above or I 1 below (check one) the highest adjacent grade. (Use natural grade, if available.) E3. For Building Diagrams 6 -8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is 1 I I ft.(m) I I I in.(cm) above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. E4. The top of the platform of machinery and /or equipment servicing the building is I I 1 ft.(m) I I I in.(cm) I I above or I I below (check one) the highest adjacent grade. (Use natural grade, if available.) E5. For 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? I I Yes I I No I I Unknown. The local official must certify this information in Section SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.1 only), 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, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME GAYLE PUMO ADDRESS CITY STATE ZIP CODE 1147 NE 97 ST MIAMI SHORES FL 33138 SIGNATURE DATE TELEPHONE 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. GI. 1 I The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, enqineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 1 I 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. 1 I The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OR COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: I I New Construction I I Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: G9. BFE or (in ZONE AO) depth of flooding at the building site is: TITLE TELEPHONE DATE For Insurance Company Use: Policy Number Company NAIC Number IJ Check here if attachments LI Check here if attachments ft.(m) Datum: ft.(m) Datum: I I Check here if attachments REPLACES ALL PREVIOUS EDITIONS PERMIT NO. . ' ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT • SECTION BY DATE ZONING' • ELECTRICAL • MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to compttanci with alt Federal, State. County.V111a0e Ades and tegulations. Wage man= . rktni., fir AP-AtIPill•V MIAt ffaesitte fenpn JOB ADDRESS APPLICANT PHONE # APPLICATION Cie? • SHEET OF MISCELLANEOUS UPI ( DATE MUG CRITIQUE SHEET 2 9 7 _57 COMMENTS lo 7J these ns. gr19/6-2 1 �'® - 776-W Fe _74/c6 Pti`gL, 1 kirL3,9 SELP-CLONKO/ 05 FENCr:',: MEJ* (WM.) AND NONI-GMMDL: Mr_:IGHOFA8 HERIJOVE VEN©L- WALL, OWNER R/JU81' ML WIlTH OWNER'S PROPERTY 2. Th14 copy of plans must bs available on building site at no Inspection will be concitnted. .0 ri)›et,t/6=-y () s ° 5,toix- 2,2 vo_ ° 7c3 Croa 6:6 - INITIALS Miami Shores Village Building Department 1) Aehlf-e_ z Permit No. Job Name BUILDING CRITIQUE SHEET 10050 N.E.2nd Avenue Miami Shores. Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 p 05-9E9 49) Date 3/2-a'/C9 1 Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as Pc,/'2 © eesfG E , located at //9-7 /v e9 7 .sfi.�Pf /41642i r'- x/ // 3Ple . In accordance with Section 33 -12(0, 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 a 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 an approved barrier prior to final inspection and use of the pool. Note: This certification is to be submitted with a swimming pool permit application in duplicate. RESTRICTIVE COVENANT DECLARATION OF USE PREPARED BY: DECLARATION OF USE KNOT ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned G /t lea' is/are the fee simple owner(s) of the following described property situated and being in Mimi Shores Village, Florida: Lot(s) Block of (Subdivision), A.K.A. (address) according to the plat thereof, as recorded. in the Plat Book Page of the Public Records of Miami -Dade County, Florida, and Whereas, the undersigned owner(s) desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: 1. 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. 2. That the property will be used for a single family residence only. 3. That the use of the property or building will be as follows: 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.successo r 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. IN WITNESS WHEREOF, the undersigned has/have caused hand(s) and seal(s) to be affixed hereto on this day of 20 WITNESS(ES) Signature and Print Signature and Print (A ) C k Per v ture and Print STATE OF FLORIDA): COUNTY OF MIAMI - DADE): I HEREBY CtRTIFY that on this day personally appeared before me T who is personally lcnown to me or has produced (type of identification) as identification and he/she acicnowledge that he/she executed the foregoing, ly and volunt. y, for purposes there in expressed. e . SWORN TO AND SUBSCRIBED before me on this l day of ; ,aotParP�% a: �F F LOP My commission expires Signature and Print orcr OS . STATE OF .• : J u Arlan R ded 7hn� 200 ?d, Q. fnc 5582 N.W. 7th STREET SUITE 202 MIAMI, FLORIDA 33126 TELEPHONE: (305) 220 -3171 FAX: (305) 264 -0229 1 DRAWN BY: E.M. Xovtt Purveyors Jnr. LAND SURVEYORS SURVEY No. 05 - 2283 SHEET No. 2 OF 2 LOT -5 BLOCK - 180 26.75' PWY F.LP 112" NO CAP 0.30'CL 0.40'CL CONC. DRIVE 20.40' 18.50' ONE STORY RES. # 1147 LOT -4 BLOCK - 180 F.F.E. = 11.3Z� 20.30' 16.00' 17.40' mimmommiwr � ---- 4 ____ j IMEN1111111=I I ra, mli -I 9.95' U 'v F.I.P 1/2" NO CAP 21.50' ASP BOUNDARY SURVEY SCALE = 1 ° : 20' `` 15'ALLEY (N.A.P.) m. /75.00 SURVEYORS NOTE: - There may be Easements recorded in the Public Records not shown on this SitrvPv x c " /' . IC.S. c ' A CD " O o v� 0 o X N Cn u J U NO CAP 9' ASPHALT PVMT. F.I.P 1/2" NO CAP 0.50'CL 0.15'CL F.I.P 1/2" LOT -3 BLOCK - 180 29� B/C F.I.P 1/2" NO CAP 'ib' / t O Im 1 O irr �s, 10 9 .5 Z1' ItP Q N 1 ! 1 ., �5, 3 1 1 tco' too. So' . 1.ei'3 I 4.35 f�'1. 5 c' Munn. it U YC.M. hr;.n �•S '8.4. 5582 N.W. 7th STREET SUITE 202 MIAMI, FLORIDA 33126 TELEPHONE: (305) 220 -3171 FAX : (305) 264 -0229 DRAWN BY: E.M. Mug PlIrtreljOrS ( 3nr. LAND SURVEYORS Survey of Lot: 4 Block: 180 Subdivision: REVISED PLAT OF MIAMI SHORES SECTION 8 According to the Plat thereof as recorded in the Plat Book No. 43 at Page No. 51 of the public records of MIAMI -DADE County, Florida. Property Address: 1147 NE 97 ST, MIAMI SHORES, FL 33138 For: GAYLE PUMO A.C.= A.E.= A.R.= A.S.= ASPH.= B.C.= BLDG. = B.M. B.C.R.= B.O.B.= (C) = C.B.= C.B.S.= C.B.W.= CH = CH. B . = CL.= C.L.F.= C. M.E = CONC.= C.P.= C.S.= D.E.= D.M.E.= DRIVE _ E.T.P.= A = ARC. LOCATION SKETCH NOT TO SCALE I4 15 12 11 ^ 4' I C) �z b -!= - -- I '° :''ll.l'v(e hN an'. $17oreSSec.'� io- i) 4 At . J;�� , Nlw+xS o.e�3eedi •/.1a�. ka T ACT 1 SO AN M.5. Snc. 8 R,cr.;;:(1 S 'Nock i&J • CI. 82 -M.S.3ec.3( - 31) 5 SUBJECT PROPERTY f 1 fl I 4 l T 180-C. / k i 1 u M.5 5e -.+.Ni 4k 1 . t,.;: 3,.5, 3!, %,/ 1 __4:/ • rs r5:::' / .:s..' _ l • : • �d Il { M N .1. 1 � / at :5 _ • ro STREET' AIR CONDITIONER PAD. ANCHOR EASEMENT. ALUMINUM ROOF. ALUMINUM SHED. ASPHALT. BLOCK CORNER. BUILDING. BENCH MARK BROWARD COUNTY RECORDS. BASIS OF BEARINGS CALCULATED. CATCH BASIN. CONCRETE BLOCK STRUCTURE. CONCRETE BLOCK WALL. CHORD. CHORD BEARING. CLEAR. CHAIN LINK FENCE. CANAL MAINTENANCE EASEMENTS. CONCRETE. CONC. PORCH,. CONCRETE SLAB. DRAINAGE EASEMENT. DRAINAGE MAINTENANCE EASEMENTS. DRIVEWAY. DEGREES. ELECTRIC TRANSFORMER PAD. ABBREVIATION AND MEANING = MINUTES. (M)= MEASURED DISTANCE. M.N.= MANHOLE. N.A.P.= NOT A PART OF. NGVD = NATIONAL GEODETIC VERTICAL DATUM. N.T.S. = NOT TO SCALE. # -NO. = NUMBER. 0/S = OFFSET. 0.H.= OVERHEAD O.H.L.= OVERHEAD UTILITY LINES. O.R.B.= ORIGINAL RECORDS BOOK. O.V.H.= OVERHANG. PVMT.= PAVEMENT. PL.= PLANTER. P/L = P.C.C. = P.C.= PT.= POC.= P.O.B.= P.R.C.= PRY = PRM = P. L. S. = P.P.= P.P.S.= (R) _ RR.= ELEV.= ELEVATION. ENCR.= ENCROACHMENT. F.H. = FIRE HYDRANT. F.I.P.= FOUND IRON PIPE. F.I.R.= FOUND IRON ROD F.F.E.= FINISHED FLOOR ELEVATION. F.N.D.= FOUND NAIL & DISK. FT.= FEET. FNIP .= FEDERAL NATIONAL INSURANCE PROGRAM. F.N. = FOUND NAIL. H. = HIGH (HEIGHT) IN. SEG.= INGRESS AND EGRESS EASEMENT. L.P.= LIGHT POLE. L.F.E. = LOWEST FLOOR ELEVATION. L.M.E.= LAKE MAINTENANCE EASEMENT. LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): • 1 r++rPF MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY. PROPERTY LINE. POINT OF COMPOUND CURVE. POINT OF CURVE. POINT OF TANGENCY. POINT OF COMMENCEMENT. POINT OF BEGINNING. POINT OF REVERSE CURVE. PARKWAY. PERMANENT REFERENCE MONUMENT. PROFESSIONAL LAND SURVEYOR. POWER POLE POOL PUMP SLAB RECORD DISTANCE. RAIL ROAD. RES.= RESIDENCE. R/W = RIGHT -OF -WAY. RAD.= RADIUS OR RADIAL. RGE.= RANGE. R.O.E.= ROOF OVERHANG EASEMENT. SEC.= SECTION. STY.= STORY. SWK.= SIDEWALK. S.I.P.= SET IRON PIPE L.B. #6044. S.= SOUTH. ' = SECONDS. T = TANGENT. TWP = TOWNSHIP. UTIL.= UTILITY. 3).EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY. 4).THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD. 5).LEGAL DESCRIPT IONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. 6).BOUNDARY SURVEY MEANS A DRAWING AND /OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND/OR NOT TO SCALE. 7).EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN. 8).THE TERM 'ENCROACHMENT' MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. 9). ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS, SETBACKS AND WILL BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTIONS. 10).UNLESS OTHERWISE NOTED, THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTING AND/OR FOUNDATIONS. 11).FENCE OWNERSHIP NOT DETERMINED. 12).THIS PLAN OF SURVEY, HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON, THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. 13). THE SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION BELOW, THE LOCAL F.E.MA. AGENT SHOULD BE CONTACTED FOR VERIFICATION. THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE: U.E.= UTILITY EASEMENT. U.P.= UTILITY POLE W.M.= WATER METER. W.F. = WOOD FENCE. W.S. a WOOD SHED. W.R.= WOOD ROOF. 1 = MONUMENT LINE. = CENTER LINE. = CENTRAL ANGLE. = ANGLE. LEGEND TYPICAL SURVEYOR'S CERTIFICATION: I HEREBY CERTIFY: THAT THIS 'BOUNDARY SURVEY' OF THE PROPERTY DESCRIBED HEREON, HAS RECENTLY BEEN SURVEYED AND DRAWN UNDER MY SUPERVISION, AND COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61017.6, FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027, FLORIDA STATUTES. d q PROFESSIONAL LAND SURVEYOR NO.: ✓ STATE OF FLORIDA (VALID COPIES OF THIS SURVEY WILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). � REVISED ON: 50 der 4 A P / I ed. 3 (I - REVISED ON :: REVISED ON: OVERHEAD UTILITY LINES C B S = WALL (CBW). C.L.F. = CHAIN LINK FENCE. I.F. = IRON FENCE. W.F. = WOOD FENCE. = EXISTING ELEVATIONS. Situated in Zone: X Community /Panel /Suffix: 120652 - 0093 -J Date of Firm: 07/17/1995 Base Flood Elevation: Certified to: GAYLE PUMO SURVEY No: 0002283 , SHEET No. / OF °1, Date: 03/03/2005 SURVEYOR' S NOTES: 1). IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY, IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY, TOWNSHIP MAPS. 2). THIS IS A SPECIFIC PURPOSE SURVEY. 3). THE CLOSURE IN THE BOUNDARY SURVEY IS ABOQg 1:7500 FT. 4). IF SHO W,�11, ELEVATIONS ARE REFERR TO 17 4d CO✓ • BM# /3 "" C. 2. ELEV. D .7 N / FEET. OF N. G. V.D. 0 1 929. IBARRA (DATE OF FIELD WORK) 3 -o NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. /I 3 O S7/ >00 (fro STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: //T 7 / 97 2. Description of improvement: /Var° 4 Z I . - gn , or 5�� r+r /? .4, / 111111111111111111111111111111111111111111111 CFEN9 2005R0355148 OR 8k 23256 P9 1989 °? (1PS) RECORDED 04/11 /2005 11:25:31 HARVEY RUVIN? CLERK OF COURT MIAMMI -DADE COUNTY? FLORIDA LAST PAGE 3. Owner(s) name and addres f, ��1. / � � • l / �/ ore ,�e ?�/7� �7 A/E l7 Interest in property: /DO r6 Name and address of fee simple titleholder: 4. Contractor's name and address: Ate A, , /s /oo o .E "I/eft/7e- # /4.e/ i%m /a io /,ersri� f C 1. a 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 4 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Stat�tes, Name and address: /4/e 4ge / �/ a-4.--i" /OOe .0 •9 4- frtJ /G 2 /c•41 Aaodt %o4.4o gtvg , i 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida St atutes. L Name and address: ' 2/ c' Ors el SXewmd/ /00 a e 4 7fr`c /mod ":"..y.04 v . Gi -- C fla ea 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a iff ent date is specified) Sign ure of Owner Print Owner's Name I �cL{ //�� ,�/y��,/� N Sworn to and sub 'bed before me this 16 day of 1 t �,1 t 1 1 , , 20 OS. Notary Public Print Notary's ame My commission expire_ Ex , ire ::JulI3,20 , 'P obi :P RondedThr " ' Atlant!C Bnndingo.. nc uNpt Or s of On Of f1.OF \0P`, C' S 5 a to c�P ��;, r `'`���gd CE tIFy toot ct,;c" °n PO !AP" WERE t� 21 fd�d I SE MI. original 11 d a n d Dtiic Circuit Sez c Prepared by Address: l V,`q fl. /2ti 7e" Davi / C- 3>'3L r y ®� Ow- SYSTEM DIAGRAM FOR TYPICAL INSTALLATION Fence or Enclosure 0 PE- OQAIarm Siren m Magnetic Contacts t 9v Connecting Wire PE-03 Alarm Siren Magnetic Contacts itndudes atm ' dips) Part 4/20110 24/case 48/case Pass Button Part #20115 24 /case 1,000 ft Spool of 9v Connecting Wire (not shown) Part #20120 DECIBEL LEVEL READINGS esm -"• slide atisce P Nit ft PE-o toh tah •Pace PE= 03'Atarru:siren. of • ,1nteCYals.to;achleve 85dB at 10 feet for -each opening. • Decibel readings taken in 14x20' room with 9' ceiling. - Resultsy vary with higher ceilings or larger rooms. Yanlguard Is a parented product of SmarlPod Inc. Lakewood. New Jersey a guar& col a-c 02. t M Page 1 of 1 • 'e: / /C: \WINDOWS \TEMP \YardGuardPE03 -2.jpg 2/1 1/02 PE -03 Gate and Door Alarm System ALARM SYSTEMS • Minimum 95dB at 10ft • Activates immediately upon opening • Continuous alarm • Always on as required by code • 7 second delay with pass button (beep count when opened) • Wire connections exceed 35 pound pull test • Power indicator light • Indoor /outdoor installation • Hard wired or plug -in design CERTIFICATIONS and APPROVALS The Yardguard Alarm/Monitoring System meets or exceeds the certification criteria and its' design and components have been tested and approved by the following agencies: • UL Listed transformer • Siren and system tested and certified by ETL to UL 2017 • Certified by ETL to CSA 22.2 #205 -M1983 (Canada) YARDGUARD TECHNICAL DATA TM External Components - Non corrosive ABS plastic used on all exposed surfaces. - Weatherproof compartments utilize EPDM gaskets. Internal Electrical Components - All copper current carrying parts. - Transformer UL Listed: input AC120v 60Hz / output DC 9v 300mA. - Color coded wire connections. Electrical Wiring - All wire rated: UL XTW 20AW, 105 °C, VW1, water resistant - Wire length: Siren to transformer 20 feet plus 3 feet transformer to plug. PE -03 Alarm with Siren and Pass Button. Accepts connections from 6 magnetic contacts and two additional pass buttons. Plug -in cover prevents removal by children or may be hard wired to house system. Miami Shores Village 10050 NE 2nd Avenue Plumbing Permit Phone: 305- 795 -2204 Permit Number: PL2005 -103 Printed: 4/18/2005 Applicant: GAYLE Owner: PUMO JOB ADDRESS: 1147 NE 97 Contractor MARS POOLS Local Phone: 954 - 214 -2844 Parcel # 1132050170040 Signed: (INSPECTOR) PUMO GAYLE ST Contractor's Address: 1000 E. ATLANTIC #11 Legal Description: REV PL MIAMI SHORES SEC 8 Permit Status: APPROVED Permit Expiration: 9/26/2005 Construction Value: $800.00 Work: POOL PIPING AND MAINDRAIN MASTER BP2005 -454 Page 1 of 1 PB 43 -51 LOT 4 Fees: Description Amount FEE2005 -5006 Building Fee $160.00 FEE2005 -5007 CCF $0.60 FEE2005 -5008 Training and Education Fee $0.20 FEE2005 -5009 Technology Fee $4.00 FEE2005 -5010 Submittal Fee ($50.00) Total Fees: $114.80 Total Fees: $114.80 Total Receipts: $0.00 ca �R 19 PAM \c 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BLK 180 LOT