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BPP-10-1141Inspection Number: INSP- 150671 Permit Number: BPP -6 -10 -1141 Scheduled Inspection Date: September 21, 2010 Inspector: Bruhn, Norman Owner: STEAD, MARC Job Address: 825 NE 97 Street Miami Shores, FL 33138- Project: <NONE> Contractor: MARS POOLS Building Department Comments INGROUND SWIMMING POOL, SPA & PAVER DECK AND POOL NET Passe Failed Correction Needed Re- Inspection Fee September 20, 2010 No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments CREATED AS REINSPECTION FOR INSP- 146648. Final survey was rejected, resubmit. Fence around yard a minimum of 4' high is required. Repair fence at access NB C'G For Inspections please call: (305)762 -4949 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060142600 Phone: (954)214 -2844 Page 16 of 33 Inspection Date: August 23, 2010 Inspector: Dacquisto, David Owner: Job Address:8 Project: Contractor: MiS POOLS Building Department Comments August 23, 2010 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 150304 Permit Number: BPP -6 -10 -1141 1 For Inspections please call: (305)762 -4949 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132060142600 Phone: (954)214 -2844 INGROUND SWIMMING POOL, SPA & PAVER DECK AND POOL NET Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 1 of 1 Legal Description: The East 1/2 of Lot 15 & Lot 16, Block 73, of MIAMI SHORES SECTION NO. 3, according to the plat thereof as recorded in Plat Book 10, Page 37, of the Public Records of Miami -Dade County, Florida. F.I.P.1 /2" BLOCK CORNER F.I.P.1 /2" 0.10' 5.00 5.0 b O h . LON o J 0 Ln N M in ONE STORY in ° o GARAGE 00 N ELEV =9.27 N 9.60' 20.1 8.00' b 0 5.70' st u) U5 6.80' 12.50' M O M co M N D' 'st 11.50' 5.3' 29.15' 11.15' o- 't 17.30' 0 M m M CONCRETE �-- DRIVEWAY 9.3' ASPHALT PAVEMENT 75.00'(R)(M) In CD 0 N t O 0 a 10.70' 0 U) Co w J 1= 0 In 0 rn o 00 9.60' 13.40' W co 39.40' ONE STORY RESIDENCE #825 F.F.E. =12.12 24.00' CONCRETE WALL 5.60' 0 n to 8.00' P O O L 26.70' M U) 20.70' POOL PUMP HEATER 21.20' 0 ` �1 � y � F.I.P.1 /2" ) 14.50' r "' V 3 0 rn 0 0 9.10' L- 12.50' 0 0 - CD N- 0 U, re; 7.20' 12.00' cb h N 8.00' A/C SLAB ELV =10.12 M o 14.70' 191.2' // J I Iz - I I ce .7t ,9 L a - o N J 0 CD 0 U, AVtRS, : DRIVEWAY 17i ©0 19.3' ASPHALT PAVEMENT N. E. 97th STREET F.I.P.1 /2" O I� M ON PL N- APPROXIMATE LOCATION OF SEPTIC TANK J F.I.P.1 2" a r 0 cV I I ° C°ON•C WALK APPROVED ZONING DEPT SLOG DEPT l DA gib SUBJECT 1 CCIVIPLIANCE WITH ALL FEDERAL STA I L AND CGIMi V r1ULES AND REGULATIONS Survey No. S -8924 Certified to: Marc H. Stead Dianne B. Stead A u 2 ,1010 Flood Zone: Community Number: 120652 Community Name: Village of Miami Shoes Panel: 0306 Suffix: L Date of Firm Index: 9/11/2009 Firm Zone: X Base Flood Elevation: N/A BENCHMARK INFORMATION Benchmark No. N -800 Elevation: 9.33' Property Address: 825 N.E. 97 STREET MIAMI SHORES, FL 33138 Folio No. 11- 3206 - 014 -2600 TOPOGRAPHIC SURVEY Date of Field Work: 4/26/2010 Date of Completion: 4/30/2010 UPDATE SURVEY Date of Field Work: 8/12/2010 Date of Completion: 8/17/2010 ., ______GENERAL NOTES: TRUE AND CORRE - THIS COMPUES STATE OF FLORID 61G17 -6, SIGNE MIGUE ESPINOS NOT UD WITH ELEC ONIC SEA THE ORIGINAL -- - T - 7 T kI i 1 I i is I I j. I T E UI ThJ - , vieYH ST ,x e I rr LOCATION SKETCH NOT TO SCALE _.„ NE 99T4+ • _ Ne98F4 ST.�s .. i i T ff J i ! a"� - LEGAL DESCRIPTION PROVIDED BY OTHE ,gg a - EXAMINATION OF. THE ABSTRACT OF .TITTLL WAVE TV FIE M TO DETERMINE RECORDED INSTRUMENTS. IF ANY, AFFECS THIS PRI 'ERTI' - THE LANDS SHOWN HEREON WERE NOT STRACTEA FOR k'B E OR OTHER RECORDED ENCUMBERINCES NOT SHOWN ON THE PIA . . - UNDERGROUND PORTIONS OF FOOTINGS, FoUtilari OR OTHER - ; R.! MENTS WERE NOT LOCATED. -ONLY VISIBLE AND ABOVE GROUND ENCF4eRIA - WALL TIES ARE TO THE FACE OF THE •3 -FENCE OWNERSHIP NOT DETERMINED. - BEARINGS REFERENCED TO UNE NOTED 4113. � - BOUNDARY SURVEY MEANS A DRAWING AI�(t!OR)G $ REPRESENTATION OF THE SURVEY RE - D PERFORMED IN THE FIELD, COULD 'D WN AT A SHOWN SCALE AND /OR NOT TO SCALE. -NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. - NOT VAUD UNLESS SEALED WITH THE SIGNING SURVEYOR'S EMBOSSED SEAL. - DIMENSIONS SHOW ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. - ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS OTHERWISE NOTED. - THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED. -THIS BOUNDARY -SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON. THE CERTIFICATIONS DO NOT EXCEED TO ANY UNNAMED PARTIES. TIE 9TFH SURVEYOR'S CERTIFICATION: HER CERTIFY THAT THIS TOPOGRAPHIC SURVEY IS A T REPRES NTAT N OF A SUR PREPARED UNDER MY DIRECTION. THE M IMU.i TECHNICAL DARDS. AS SET FORTH BY THE BOARD ': P ! FESSIONA URV ORS AND MAPPERS IN CHAPTER ADMINIS (('A COD RSUANT 0 427.027 FLORIDA STATUES. FOR THE FIRM P.S.M. No.5101 STATE OF FLORIDA T AN AUTHENTIC T TRONIC SIGNATURE AND AUTHENTICATED AND /OR THIS MAP NOT VALID WITHOUT THE SIGNATURE AND ED SEAL OF A UC SED SURVEYOR AND MAPPER. MIGUEL ESPINOSA LAND SURVEYING, INC. 10665 S.W. 190th STREET SUITE 3210 MIAMI, FLORIDA 33157 PHONE: (305) 262 -2992 FAX: (305) 971 -8383 www.espinosalandsurveying.com L.B. 6463 A A/C ADD ADJ AE ALUM. ASPH B/C ECR BLDG BLK. BM BNDY B/W C CB C55 CD CJB CLF CM CMP CONC. COR. COY. D DB DCR D.E. DOT E/F E/P MAN ELEC. ELEV. ENCL EM ESMT F/C F/L FF FH FIP FIR FN END FN&D FN&T FP&L GAR GAIN HW ID INV IR IP L LB LC LD LFF LP L5 ARC LENGTH AIR CONDITIONER ADDITION ADJACENT OR ADJOINING ANCHOR EASEMENT ALUMINUM ASPHALT BUILDING CORNER BROWARD COUNTY RECORDS BUILDING BLOCK BENCHMARK BOUNDARY BACK OF WALK CALCULATED CATCH BASIN CONCRETE BLOCK STRUCTURE CHORD DIRECTION CABLE JUNCTION BOX CHAIN UNK FENCE CONCRETE MONUMENT CORRUGATED METAL PIPE CONCRETE CORNER COVERED DEED DEED BOOK DADE COUNTY RECORDS DRAINAGE EASEMENT DEPARTMENT OF TRANSPORTATION END OF FENCE EDGE OF PAVEMENT EDGE OF WATER ELECTRIC ELEVATION ENCLOSURE ELECTRIC METER EASEMENT FENCE CORNER FENCE LINE FINISHED FLOOR FIRE HYDRANT FOUND IRON PIPE FOUND IRON ROD FOUND NAIL FOUND FOUND NAIL & DISC FOUND NAIL & TAB FLORIDA POWER & LIGHT GARAGE GUY WIRE HEAD WALL IDENTIFY, IDENTITY INVERT IRON ROD IRON PIPE LENGTH LICENSED BUSINESS CHORD DISTANCE LEGAL DESCRIPTION LOWEST FINISHED FLOOR LIGHT POLE LAND SURVEYOR LEGEND OF SURVEY ABBREVIATIONS M MAINT MH NO. N.T.5. 0/H OP. D.R.B. 0/5 O/W P PAR PB PC • PCC PCP PG PI PK POD POC PP PRM PRC Pr PVMT K REC RCP RES RET RNG RN SAN SST SCN SE SEC SEW 5N&D SP SP&C SR SRC STA STM STY 5UDO TB TBM TRANS STWP TYP UE UGD WD WM WV MEASURED MAINTENANCE MANHOLE NUMBER NOT TO SCALE OVERHANG OPEN PORCH OFFICIAL RECORDS BOOK OFFSET OVERHEAD WIRES PLAT PARCEL PLAT BOOK POINT OF CURVATURE POINT OF COMPOUND CURVATURE PERMANENT CONTROL POINT PAGE POINT OF INTERSECTION PARKER KALON POINT OF BEGINNING POINT OF COMMENCEMENT POWER POLE PERMANENT REFERENCE MONUMENT POINT OR REVERSE CURVE POINT CIF TANGENCY PAVEMENT RADIUS OR RECORD RECORD . REINFORCED CONCRETE PIPE RESIDENCE RETENTION / RETAINING RANGE RIGHT - OF - WAY SANITARY SOUTHERN BELL TELEPHONE SCREEN SOUTHEAST SECTION SEWER SET NAIL & DISC LB #6463 SCREEN PORCH SET I/2" PIN & CAP LB #6463 STATE ROAD SEIT REFERENCE CORNER STATION STORM STORY SUBDMSION TANGENT TOP OF BANK TEMPORARY BENCH MARK TRANSFORMER TOWNSHIP TYPICAL UTILITY EASEMENT UNDERGROUND WOOD WATER METER WATER VALVE NSA - 1111101 NNE. .i \1M • t\SRS •rqsil A. MIS , . // MIGUEL ESPINOSA LAND SURVEYING, INC. LAND PLANNERS - SURVEYORS a. B1. NFIP Community Name & Community Number B2. County Name B3. State VILLAGE OF MIAMI SHORES 120652 MIAMI -DADE FLORIDA B4. Map /Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9 Base Flood Elevation(s) (Zone 12086CO306 L Date Effective /Revised Date Zone(s) AO, use base flood depth) 9/11/2009 9/11/2009 X N/A U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program For Insurance Company Use: Policy Number Company NAIC Number SECTION A - PROPERTY INFORMATION Al. Building Owner's Name MARC H. STEAD & DIANNE B. STEAD A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 825 N.E. 97 STREET City MIAMI SHORES State FL ZIP Code 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) FOLIO 11- 3206 - 014 -2600 / THE E 1/2 OF LOT 15 & LOT 16 MIAMI SHORES SEC. NO. 3 PB 10 -37 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) A5. Latitude /Longitude: Lat. 25 °51.897' Long. 80 ° 10.843' A6. Attach at least 2 photographs of the building if the Certificate is being used A7. Building Diagram Number 8 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1980 sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 10 c) Total net area of flood openings in A8.b 1620 sq in d) Engineered flood openings? ❑ Yes .1 No ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -9. RESIDENTIAL Horizontal Datum: to obtain flood insurance. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) No. 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? El Yes El No Indicate the source of he Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date N/A ❑ CBRS ❑ OPA C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction` ® Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones 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 C2.a -h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized BM #N- 800Vertical Datum N.G.V.D.1929 Conversion /Comments NONE f) 9) h) sovnmrtnwna�� sr - FEM F.!n 81,c ' r e ar 09 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 9.71 b) Top of the next higher floor 12.12 c) Bottom of the lowest horizontal structural member (V Zones only) N /A. d) Attached garage (top of slab) 9 e) Lowest elevation of machinery or equipment servicing the building 10.12 (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) Highest adjacent (finished) grade next to building (HAG) Lowest adjacent grade at lowest elevation of deck or stairs, including structural su .ort A 9.42 9.71 9.42 ® feet ® feet ❑ feet E j feet ® feet feet ® feet ® feet .`• S. i -1 if/ / r • Ll� i �lr��� FM 111���i/ 190S Certifier's Na me MIGUEL E Title P.S.M. Address Signatu SECTION D SURVEYOR, ITE 3210 Date 8/13/2010 Telephone 305 -262 -2992 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. / 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. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No License Number 5101 Company Name MIGUEL ESPINOSA LAND SURVEYING, INC. City MIAMI State FL Check the measurement used. ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) OMB No. 1660 -0008 Expires March 31, 2012 ❑ NAD 1927 ® NAD 1983 ❑ Yes ® No See reverse side for continuation. R+Splaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 825 N.E. 97 STREET City MIAMI SHORESState FL ZIP Code 33138 Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments HIGHEST CROWN OF ROAD = 9.47' C2. (e) LOWES ELEVATION OF EQUIP' NT / M A5. OBTAINED • ITE WITH GP1�S E. ePMEN ING PH ATTACHM Ol`O e + PH Date 8113/2010 ® Check here if attachments For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is El feet El 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 8 -9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is . El feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is . ❑ feet El meters El above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment servicing the building is . ❑ feet ❑ meters El 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. 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's or Owner's Authorized Representative's Name Address Signature Comments 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 and G9. G1. El 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. El 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 -G9) 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) of the building: ❑ feet El meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Community Name Signature Comments SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) SECTION E - BUILDING ELEVA ION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) FEMA Form 81 -31, Mar 09 INERY SERVICING THE BUILDING (AIR CONDITIONER) = 10.12' SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION City Date Telephone SECTION G - COMMUNITY INFORMATION (OPTIONAL) Title Telephone Date For Insurance Company Use: Policy Number Company NAIC Number State ZIP Code El Check here if attachments ❑ Check here if attachments Replaces all previous editions Building Photographs See Instructions for Item A6. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 825 N.E. 57 STREET City MIAMI SHORES State FL ZIP Code 33138 For Insurance Company Use: Policy Number Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. FRONT VIEW 8/13/2010 REAR VIEW 8/13/2010 Building Photographs Continuation Page Building Street Address (including Apt, Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 825 N.E. 97 STREET City MIAMI SHORES State FL ZIP Code 33138 For Insurance Company Use: Policy Number Company NAIC Number 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." GARAGE VIEW 8/13/2010 RIGHT / A/C VIEW 8/13/2010 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): ( Building Roofing Owner's Name (Fee Sim • le Titleholder) Owner' ddress I Gi al, S ores State Zip 3 3 / 3 � City Phone # Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Villa e County iami -Dade Zip 3 313 FOLIO / PARCEL # l J " 070 / r �� aC Is Building Historically Designated YES NO X Qualifier Name Value of Work For this Permit $ Type of Work: ❑Addition Describe ork: * a) 1 n �� Sth) ttak Fee $ iv 11' Notary $ Scanning $ Itc CC Bond $50000 Structural Review. $ Contractor's Company Name OIpi C POO 1s r , Contras is Address 6- L1 OS /{(L ( / OR iQ City 1 1 % State I L- Phone # State Certificate or Registration No. 'j T7 9 Z Cert of Competency No. Architect/Engineer's Name (if applicable) Phone # d 1 ❑Alteration S ees Permit Fee $ Training/Education Fee $ Code Enforcement $ Miami Shores Village Building Department 10050 N E 2nd Avenue Miami Shores Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 10 ` 141 Phone # ) i6 -3 75 $ �1 6 /7 ' fee. " Phone # Square / Linear Footage Of Work: Master Permit No. Zip Radon $ DPBR $ q�Y 33351 Double Fee $ Total Fee Now Due $ I i gt3l •LJT J See Reverse side —> is BY: ..1 • " 2,41 -2 gcf / ❑ Repair /Replace ❑ Demolition VOo 1 SPA 1 Paver Dec K e/� O� CCF $ 1(Q • I CO /C( I ScJ•OO i_tV Technology Fee $ ?A&GO Zoning $ 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. Owner or Age �J V, The fore ing instrument / ackno ledged before me this c� day of C� 20 by ore J'/('QI d , who is personally known to me or who has produced 33J0 —T / /f'1 s identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission * * * * * * * * * * * ** APPLICATION APPROVED BY: 1 1te llksmoris (Revised 07/10/07) h. i ,APT • r. MY COMMISSION N DD961 86 % EXPIRES: c , t April l� � �, 4 ** *thee* c4 i I. ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** The foregoing instrument was acknowldged efore me this day of , 20 , by IC q `/ , 5/(tc) who is personally known to me or who has produced NOTARY PUBLIC: Sign' 7ti Print: My Commission Expires: Contractor as identification a 3As dew W IRMA N OCAS,0 MY COMMISSION #00787884 EXPIRES: MAY 12, 2012 Bonded through 1st State Insurance �Pc U th Plans Examiner Engineer Zoning PERMIT # OP P 10 — 114 CONTRACTOR: tviAgs POOL SUBMITTAL DATE: 3Ok ADDRESS: NAME: RESUBMITAL DATES: PROJECT TY-E: \ .er C QQQ ZONING STRUCTURAL ELECTRIC PLUMBING G/yr,d. G- A MECHANICAL FIRE NOC BLD IMPACT FEES HRS /DERM W-10 Permit # NOTICE OF COMMENCEMENT CFN 2010R037145Z OR 8k 27306 Ps 0301; (les; RECORDED 06/03/2010 12.28 :333 HARM - AME -DARE COUNTY. p C- ✓ V' V V � " (7tA0 BADE COU F .. The undersigned hereby gives notice that Improvement 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: Subdivision / Condominium: Street Address If available:: c2S M ei7 S /_ 11 2. General description of Improvement: Tosrot»nd .1; Stan- poO 1 . spit lecx, r4- Sep+it. .. 3. a. Owner name and address: � S rG ead f b. Interest In property: CiWrt c , Name and address of fee simple titleholder (if other than Owner): 4. a. Contractor name and address: b. Contractor's phone number: 5. a. Surety name and address: b. Surety's phone number. c. Amount of bond: $ 6. a. Lender name and address: b. Lender's phone number: 7. a. 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 Statutes: Name: Address: b. Phone number: 8. a. In addition to himself or herself, the Owner designates MjLL4 R. 51£t.J4/` T ` to receive a copy of Llenor's Notice per Section 713.13(1)(b), Florida b. Phone number of person or entity •designated by owner /5 tfrUg 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER:. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, •PART• I, SECTION 713.13, FLORIDA STATUTES; AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. • A NOTICE OF COMMENCEMENT. MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. •IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMEN . ENT. Signatures) of er(s) or Owner( horized 0 cer /Director /P ner/Manager By , a-s -► By 12d at Name - Title /Office P n Name Title /Office STATE OF FLORIDA ;� COUNTY OFD DAD6 The foregoi; instrumen w . s ack By Q Individually or f as Q Personally known, or. [ured the following type. ofidentificatlon: VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foreQoing and that the facts stated in it are true, to the best of my knowledge and belief. Signature(s) of Owner(s) or Owns s)' Autho ed Officer /Director/ 1HERES CERTIFY that tis /3 8_ ciEl orfgir>/ fh .:'C® • r + r,e A0 O WIT rd and 'fdal at mug pal_ ® • its owiedged before . e this ' - gnature of Notary Public: Print Name. (SEAL) rrepteed ELI f4 4A. i r 1 ;014et tc. Detewe7r 7 MdS tf > rr /t6 Lave ok r4 77061 this space reserved for recorder, Lot.1..,Wb Block 73 Unit #. Bldg # ELengthy legal attached flI;4 ac Shores $e'c4t ` Z lar ;0 L ‹rte Alto (ozAvE #235 Sl tti 951 f 12tgl g:lrecordinglformslnoc - notice of commencement revised 7.3.07.doc