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BPP-09-917Project Address 1266 101 Street Miami Shores, FL 33138- Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number 1132050080010 Block: Lot: Address Phone Mao= gamma,- MEMPAMOXPAVOIMNAMEMENVIWQMWMIMMENZAWIWINAWNAMWAISIMANAIMMISAIMPEREEW JOHN WESLEY HOLSTON 1266 101 Street MIAMI SHORES FL 33138 -2609 Valuation: Total Sq Feet: $ 20,000.00 390 Approved: No Comments: DECK MUST BE LOCATED NOT LESS THAN 10 FEET FROM SIDE LOT LINE. Date Approved: 6/11/2009: No Date Denied: Type of Work: Swimming Pool Additional Info: Classification: Residential Occupancy: Private Bond Retum : Fees Due Bond Type - Contractors Bond CCF CO /CC Fee Education Surcharge Permit Fee Plan Review Fee (Engineer) Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $300.00 $12.00 $150.00 $4.00 $600.00 $60.00 $18.00 $150.00 ($150.00) $15.00 $1,159.00 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Invoice # BPP -6-09 -34964 Check #: 1158 Total Amt Paid Amt Due $ 150.00 $ 150.00 $ 0.00 Bond #: 1869 BPP -6-09 -35054 $ 1,009.00 $ 1,009.00 $ 0.00 Check #: 198 Bond #: 1869 Applicant JOHN WESLEY HOLSTON CeII Inspection Type: Fence Final Pool Deck Wall Steel i 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. July 15, 2009 Date Expiration: 01/10/2010 For Inspections please call: (305)762 -4949 Available Inspections: July 15, 2009 1 Inspection Number: INSP - 118794 Scheduled Inspection Date: December 03, 2009 Inspector: Levrock, James Owner: HOLSTON, JOHN WESLEY Job Address: 1266 NE 101 Street Miami Shores, FL 33138- Project: <NONE> CIL* Contractor: NELMAR PLUMBING INC Building Department Comments December 02, 2009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, F Phone: (305)795 -2204 Fax: (305)756 -897 For Inspections please call: (305)762 -4949 Permit Number: PL -7 -09 -1132 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132050080010 Phone: (305) 261 -3942 11 PLUMBING FOR POOL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. ments Page 4 of 24 els Inspection Number: INSP- 122991 Scheduled Inspection Date: August 26, 2009 Inspector: Levrock, James Owner: HOLSTON, JOHN WESLEY Job Address: 1266 NE 101 Street Project <NONE> Contractor: NELMAR PLUMBING INC Building Department Comments PLUMBING FOR POOL Passed Failed Correction Needed Re- Inspection Fee August 25, 2009 Miami Shores, FL 33138- 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 Comments inspection re ted For Inspections please calf 105)762 -4949 2?QP- (0-o 9-q Permit Number: PL -7 -09 -1132 Permit Type: Plumbing - Residential Inspection Type: Piping Work Classification: Pool - Private Phone Number Parcel Number 1132050080010 Phone: (305) 261 -3942 Page 27 of 32 011.1110•1111 aw = m rMw yrs co ir mect rrrw^� MINIM ai — ,-t t`.! 1 C. W in1111.0 co Cs 111.10 r. 4.) AMONIIIM 132 ,4 en a • W 0.4 - st . ) r • - Cd Li Cr- fa Ce t C - . i Cs c o Ce This I nt Prep d B Admddress e // � 3 3 in3 A .4 Vf � A vf✓ .4 �I'•►Y Permit No. l STATE OF COUNTY OF 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. Description of property: (legal description of property, and street address if available) 2. General description of improvement -(-11te6Pes 461640 3. Owner information a. Name and address: b. Interest In property: c. Name and address of fee simple titleholder (if other than owner): 4. Contractor. 2 P Q.,PJ x �, a. Name and address: 4 Zd 5 w ! Ta- b. Phone number. 5. Surety a. Name and address: b. Amount of bond $ c. Phone number. 6. Lender a. Name and address: b. Phone number. 7. Persons within the State of Florida designated by Owner upon we •m notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address: b. Phone number. 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a. Name and address: b. Phone number. 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 BEFQQRE THE FiRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AATORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Th re in strument was acknowledged before me this AJ (name of person) as �nttrntllf► ..e.g. officer, trustee, attomey in fact) for behalf of whom ins gent was magi . a� ;c. ASi.AN r o MY COMMISSION #OD891882 30,r 8146 4/2,3 EXPIRES: June 20, 2013 Bonded Thrn Budget Nadir Sakes NOTICE OF COMMENCEMENT In. fv E tol ��. �a wt i S4,o - e� lo i r/ 33/ 2 r STATE OF FL I HEREBY C rtyinal filed WITNES HARVEY By E TAr the IDA, COUNTY OF DA Y that this isat ts ci al Seat. ¢ Circa C nt /1�wrtS ! D.C. Signature of Owner or Owner's Authorized Officer/Director Partner /Manager Signatory'sTttie /Office �lerc %tea kbt r l./I.I.IILr 'dav of �1 (,t' 1.� ':U0"1(year) by Megeele—r 1 � (type of (name of party on Signature of Notary Public — State of Florida Print, Type, or Stamp Commissioned Name of Notary Public Commission Number Tax Folio Nol. 205 --00 oolC). Signature of Natural Person Signing Above Personally Known _ or Produced Identification Verification Pursuant to Section 92.525. Florida Statutes Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. C9115itft BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): City State FL.. City Miami Shores Village Contractor's Company Name Contractor's Address City Qualifier Name State Certificate or Re stration No Architect/Engineer's Name (if applicable) Value of Work For this Permit $ ® 61R) 621 Type of Work: ❑Aition ['Alteration Describe Work: t Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit .lo.. , 011 01 1r[ Roofing W,..f ,r2 — Owner's Name (Fee Simple Titl older) Phone # .� q Owner' VAddress J Tenant/Lessee Name Phone # Job Address (where the work is being done) /N; County Miami -Dade Zip $1 ° - >&ny FOLIO / PARCEL # C ® ti i� � l' -,O ) Is Building Historically Designated YES NO i LU Radon $ Zip '!267 Phone # 0: m fir? 7 ZARA INCORPORATED 421 SW 18 TERRACE IAPII,S1e 33129 -1021 Zip < ‘ Q s Phone # Elm- Certificate of Competency No. ew DPBR $ Phone # 3C °° \S Square / Linear Footage Of Work: ' q o 5 ❑ Repair/Replace ❑ Demolition C lK 1((5t ******** ******** ************ *** ****** ** F *** ** *** * *** * * * **** ** ***** ** *** ***** Sub4fia' [ Fee $ , Permit Fee $ V t/ � N iCCF $ I R .00 Notary $ Training/Education Fee \ 4' 0 `Technology Fee $ 4 S -- ***Scanning $1 8'00 Bond $ 300 1 Code Enforcement $ Double Fee $ Structural Review. $3 64'. di. Total Fee Now Due Zoning $ See Reverse side -> Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City to 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 FI.FCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S :AFF.IDAYIT: 1.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 promise in good faith that a copy of the notice of commencement and construction lien law broc whose property is subject to attachment. Also, a certified copy of the recorded notice of co for the first inspection which occurs seven (7) days after the building permit is issued inspection will no be a proved and a reinspection fee will be charged. The foregoing instrument was ac day of , Mel, by who is personally known to m: who has produced Fbl My Commission Expires: (Revised 07/10/07) Owner or Agent d before me this As identification and who did take an oath. Signature Contractor The foregoing instrument was acknowledged before day LrArE , 20 ! , b ri< ._ t fir, is personally know to or who has produced as identification and who did take an oath. NOT UBL • Si amant a . c _ V aiVP—Il •= Commission # D0587078 S E . acpires August 22, 2010 my Pin • Insurance, Inc. 800.3854019 *•x*********** aye** ** **** *** * * *:x***** :: ****** ** ****** * ******* ***************** * * *** **** *** *** * * * * * * ** *** *** ** Print: My Commissi NOG APPLICATION APPROVED BY:die ,/ /f t:1 )2 z . Oh, 5i;-" i ceeding $2500, the applicant must ure will be delivered to the person ment must be posted at the job site bsence of such posted notice, the this Plans Examiner Engineer Zoning PERMIT # )l T V_l -c[r CONTF SUBMITTAL DATE: PROJ CT TYPE: 7,6 6 10 9' STRUCTURAL ELECTRI � ALl® 'e? P I Iromm 7 c' f�T ZONING PL c 3(o 7 ADDRESS: 1Z66 N 10 NAME: • 1& Io1517Th RESUBM AL DATES: ST NOC �rr FIRE IMPACT FEES HRS /DERM BLDG 7/14/09 NEW PLAN OK Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Owner's Name: JOHN WESLEY HOLSTON Job Address: 1266 101 Street Miami Shores, FL 33138- • .y, Total Job Valuation: $ 20,000.00 Contractor(s) Phone Primary Contractor ZARA INC 305-856-6123 Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: Comments: DECK MUST BE LOCATED NOT LESS THAN 10 FEET FROM SIDE LOT LINE. Folio Number:1132050080010 Owner's Phone: Total Square Feet: icif01 _ T uIII RECEIN JUN 0 3 2009 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 /� AJ �& J ® t:! Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues. Please ial the method(s) to be used: CONTRA TOR�_SIG TURE AND DATE ►:', ' n a C ann = Commission • DD887978 Expires August 22, 2010 Bonded Troy Red • Ina¢mroe. ina 000.385-1019 Meow Sidwitellaeie Vt4Defrastmeat 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305-756-8972 www.miamishoresvillage.com The pool will be isolated from access from the home by an enclosure that meets the pool Statute 515.29; equirements of Florida The pool will be equipped with an approved safety cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equipped 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 b considered as committing a misdemeanor of the second degree, punishable by fin s up to $500 and/or up to 60 days in jail as established in Chapter 775, F.S. ER'S SIG, ATURE AND A E MY MISSION # DD801882. EXPIRES• June 20, 2013 reoF ego '`' 8 71w Budget Natal Senn RESTRICTIVE COVENANTS PROTECTIVE POOL ENCLOSURE JUN 0.3 2009 KNOW ALL MEN BY TfTSE PRESENTS: WHEREAS, the W' undersigned 4� ° °' Is/are the fee simple owner (s) of the following deserib ed property situate and being In the Vittage Lot (s) Block of A.K.A. (address) / L 4, 6 A /al �� ` favaPe" 4 1a re , 0-4 1 {Subdivision }, according to the plat thereof, as recorded in Plat Book ofthePubl [ Page �a Florida, and g cRecordsofDadeCouajy, Whereas, the undersigned own (s) 1 ; "" 4.1 /40A1‘77,°"--5 desire to utimze. 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 need In violation of any ordinances of the Village . or Dade County now in effect or hereinafter enacted. 2. That the purpose of this covenant-Ls to Induce tht Village •o issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. 3. That if any of our adjoining neighbors remove any portion of their fence &wail, or If our /my property shall faii.to meet code requirements for pool barriers, we, as owners will immediately. Install a protective enclosure to nieet code requirements and will obtain a permit such fence. • 4. That, we, as owners, hold the Village harmless for any negligence or injury that results from not having the enclosure FURTHER, the undersigned declare (s) tbrat this covenant is Intended and shall constitutes 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 the wage , or Its successors, in accordance of said Village then in effect. affixed hereto IN on this da OF, -rugrc /? the undersigned hasfieave caused y hand (s) and seal {s) to be D BY: pp WX NESS(ES) Signature and Print Signature and Print DECLARATION OF RESTRICTIVE COVENANT aJ r . Signature and Print STATE OF FLORIDA ): COUNTY OF DATE ): I HEREBY =any that on this day personallysnppeared before me 0.'4.° li/ `f °-" �� _known to the or has produced who is personally eta e exeeat e oregofag, freely and volua ( oa rpurposes tt h e as in pr seed. and helshe aclmowledge tartly, far purposes there in ezpt+esscd. SWORN[ TO AND SUBSCRIBED before me on this 444 day of _ D.° 2 MY commission expires: d 6£09 - 628-90£ SerWOH PeeS AlA Notary Public State of Florida Rosaiea P Bailey 8' My Commission 00845305 a, of* Expires 02/06/2013 TARY PUBLIC STATE OF • RIDA Rey. 4/2. dOZ:ZO 60 ZO unr JUN 0 3 'in') SWIMMING POOL OWNER'S CERTIFICATION DATE (0 I f /j [ /W. MIAMI SHORES VILLAGE BUILDING AND ZONING DEPARTMENT ATTENTION: BUILDING OFFICIAL 7ffiami Simgatfiliage 7, 10050 NE 2 Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305.756 -8972 www. miamishoresvillage.com I certify that I am the legal owner of the property located at: tel a I nth E 4 ore � 53135 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 abbve 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. Legal Owner 67/5/01 Note: This certification is to be submitted with a swimming pool permit application in duplicate. � .' .�-, o ��..,— n n n tom"' w i i r 0, 3 009 STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant i k AP`fiO r , does hereby attest that ropertyer) The attached survey, performed by f ff [CArd. /� (n e of surveyor company) for address: 1 d.LQ [p E_ ID 1 . e2 l La INI �5 ( , 53136 performed onine' 21p ( WO?) (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. er, Affiant , y th nau ht. q . Property Owner Signature Property Owner Print Name �y SWORN TO AND SUBSCRIBED before me this day of 1"") ' F Affiant is ersonally known to produce: 411 Mead 5'4 Rif V 10050 NE 2 Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305-756-8972 www.miamishoresvillage.com as identification. P.. ••,;( o CARMEN * ,. I.) * MY COMMISSION DD 891882 !! ° EXPIRES: June 20, 2013 ° i o F p v s # 4 3e d Thni 8udgetN Sobs AFFIDAVIT John Vv , 1 lU (S I C).10-\ Notary Permit Applications (by Contractor) Permits Applied For Between Thursday, January 1, 2004 and Wednesday, June 10, 2009 Wednesday, June 10, 2009 Page 1 of 1 Y Y __La o t,. <6ffi.l k,tr ZARA INC 305 - 856 -6123 RF -4-06 -905 165 NW 94 Street 1 04/07/2006 1 2/13/2007 Roof I CLOSED ZARA INC 305 - 856 -6123 BPP -10 -06 -2614 25 NW 95 Street 10/19/2006 1 1/12/2008 Pools/Whirlpools/Hot I CLOSED ZARA INC I 305- 856 -6123 RF -2 -08 -193 1 1250 NE 95 Street 02/01/2008 9/7/2008 Roof CLOSED ZARA INC 305 - 856 -6123 RF- 3- 07-618 934 NE 98 Street 03/28/2007 10/17/2007 Roof CLOSED ZARA INC 305 - 856 -6123 BP2004 -1090 1625 NE 104 Street 08/11/2004 4/6/2005 Imported Permit CLOSED ZARA INC 305 - 856 -6123 RF -9 -08 -1618 1226 NE 93 Street 09/02/2008 3/3/2009 Roof EXPIRED ZARA INC 305 -856 -6123 WS -6 -07 -1276 214 NE 98 Street 06/19/2007 1/28/2008 Windows /Shutters CLOSED ZARA INC 305- 856 -6123 856 -6123 I RF -5 -07 -995 I PT -9 -07 -1894 1 875 NE 92 Street 1 05/15/2007 1 9723 NE 2 Avenue 09/07/2007 12/17/2007 3/17/2008 I Roof l Paint I CLOSED I CLOSED ZARA INC ZARA INC _305- 305- 856 -6123 RF -3 -09 -361 905 NE 95 Street 03/04/2009 9/14/2009 Roof APPROVED ZARA INC 305 -856 -6123 RF -12 -06 -2936 585 GRAND CONCOURSE 12/07/2006 1/14/2008 Roof CLOSED ZARA INC 305 - 856 -6123 RF -2 -07 -333 295 GRAND CONCOURSE 02/21/2007 11/13/2007 Roof CLOSED ZARA INC 305 -856 -6123 WS -6-07 -1275 212 NE 98 Street 06/19/2007 1/28/2008 Windows /Shutters I CLOSED PoolsNVhirlpools/HotI CLOSED ZARA INC 305 - 856 -6123 • BP2005 -1532 129 NW 96 Street 1 11/11/2005 5/13/2007 ZARA INC 305 - 856 -6123 CC -5 -07 -1069 212 NE 98 Street 05/24/2007 2/6/2008 Commercial Construcl Pools/Whirlpools/Hot CLOSED APPLIED ZARA INC 305 - 856 -6123 BPP -6-09 -917 1266 NE 101 Street 06/03/2009 Not Issued ZARA INC 305 -856 -6123 RF -2 -07 -332 123 NW 102 Street 02/21/2007 10/7/2007 Roof EXPIRED ZARA INC 305 - 856 -6123 RF -1 -08-59 1213 NE 94 Street 11/05/2007 10/8/2008 Roof CLOSED ZARA INC I 305- 856 -6123 BP2004 -1618 246 NW 93 Street 12/10/2004 12/17/2005 Imported Permit CLOSED Permit Applications (by Contractor) Permits Applied For Between Thursday, January 1, 2004 and Wednesday, June 10, 2009 Wednesday, June 10, 2009 Page 1 of 1 RECEIPT PERMIT ON GI 9) DATE: I, ( qv7 409,x., Contractor ❑ Owner ❑ Architect P Address: From the building department on this date in And/or get County stamps. I understand Shores Village Bui Acknowledged by: Miami Shores Village Building Department mg Dep at the plans nee ent continue permittin PERMIT CLEARK INITIAL: RESUBMITTED DATE: 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 PERMIT CLEARK INITIAL: Z30 �slo=r �O nak �Ic(q cenrec{ lagp d process. have corrections done to plans to be brought back to Miami Permit No: 09- q/7 Job Name: /, , 2009 O nt(J neaew 444/ 07 4,4 rieA fs. 6/ t F 6,4 44 ® P/�,eI (aio Ketr 4 11 e L Sri sties Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 Building Critique Sheet Miami Shores Vivage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Job Address: 1266 101 Street Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Owner's Name: JOHN WESLEY HOLSTON Issue Date: Not Issued Miami Shores, FL 33138- Total Job Valuation: $ 20,000.00 Contractor(s) Phone Primary Contractor ZARA INC 305- 856 -6123 Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: Comments: DECK MUST BE LOCATED NOT LESS THAN 10 FEET FROM SIDE LOT LINE. Expires:Not issued Folio Number:1132050080010 Owner's Phone: Total Square Feet: 390 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 1266 101 Street Miami Shores, FL 33138- 1132050080010 Block: Lot: JOHN WESLEY HOLSTON Owner Information Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $180.00 $3.00 $4.50 $188.30 Address JOHN WESLEY HOLSTON 1266 101 Street MIAMI SHORES FL 33138 -2609 Contractor(s) NELMAR PLUMBING INC Phone CeII Phone (305) 261 -3942 Type of Work: PLUMBING Type of Piping: POOL Additional Info: Bond Retum : Classification: Residential Invoice # PL -7 -09 -35371 Check #: 1198 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. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy rfasshiicatIon: P001 - Privy Peer E` S RO VE Phone Total Amt Paid Amt Due $ 188.30 $ 188.30 $ 0.00 Cell July 15, 2009 Date For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Final July 15, 2009 1 • Miami Shores Village BUILDING PERMIT APPLICATION FBC 2004 Job Address (where the work is being done) City FOLIO / PARCEL # Is Building Historically Designated Contractor's Company Name Contractor's Address Cit Value of Work For this Permit $ Type of Work: ['Addition ['Alteration Describe Work: Submittal Fee $ Permit Fee $ Notary $ Scanning $ 3. Radon $ Bond $ Code Enforcement $ Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No.1 l !i Permit Type: Plumbing / Owner's Name (Fee Simple Titleholder) -.+1./ l,�C/C SLR/ / 4 %s 74.x/ Phone # Owner's Address /2 4G. /iF /0 /ST City //44A./43//c7 State Zip Tenant/Lessee Name E -MAIL: Miami Shores Village County Miami -Dade Zip YES NO "V Phone # 3 6 2.4 ( ^3 Y L 5w 7.1 vE State Qualifier Name r� �J�+ 5 (-&-2- Phone # State Certificate or Registration No. IL 3t & Certificate of Competency No E- MAIL: Architect/Engineer's Name (if applicable) Phone # ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** *F * * * * ** Training /Education Fee $ Q DPBR $ Master Permit No. Phone # Double Fee $ Zip 3 3Cf�� 004900C Square / Linear Footage Of Work: D Repair /Replace 0 Demolition ***********************x*** WW * *x CCF $ 0 CO /CC Technology Fee $ 4•SO Zoning $ Structural Review. $ Total Fee Now Due $ See Reverse side -a Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City St 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 applicable be done in compliance with able laws regulating th all pp egulatmg construction and zoning. p "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." Signature State 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 issue In the absence such posted notice, the inspection will yCoybe a rove %.nd a reinspection fee will be charged (Revised 02/08/06) � � °� The fore in Ii tr men as acknowledged before me this day of � 200, , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: NOTARY P irel 'IRES:Ars125,2011 )4003•NOTARY FL NowyDiscaumt Assoc. CO. Sign: Print: My Commission Expires: ** **;********YS:**** ** "x,t,4 **********,f.ie** APPLICATION APPROVED Zip Signature Contractor The foregoing instrument was acknowledged before me this 2, .6 day of c7Lr , 20 by �/ t 5 F RAW, L ' who is personally known to me or who has produced Sign: Print: My Commi as identification and who did take an oath. Y *XXY % **** Plans Examiner Engineer Zoning Inspection Number: INSP- 120167 Permit Number: PL -7 -09 -1132 Scheduled Inspection Date: July 24, 2009 Inspector: Levrock, James Owner: HOLSTON, JOHN WESLEY Job Address: 1266 NE 101 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NELMAR PLUMBING INC Phone: (305) 261 -3942 Building Department Comments PLUMBING FOR POOL Passed Failed Correction Needed Re- Inspection Fee July 23, 2009 No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue M:ami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For 4raspectiotns please call: (305)762 -4949 Of (- 6 - o q 9-1 Permit Type: Plumbing - Residential Inspection Type: Main Drain Work Classification: Pool - Private Phone Number Parcel Number 1132050080010 Page 7 of 8 Project Address Owner Information JOHN WESLEY HOLSTON Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 1266 101 Street Miami Shores, FL 33138- 1132050080010 Block: Lot: JOHN WESLEY HOLSTON Parcel Number Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $225.00 $3.00 $5.62 $234.42 Address 1266 101 Street MIAMI SHORES FL 33138 -2609 Contractor(s) Phone F JIMENEZ ELECTRICAL CONTRACT( 305/556 - 5759 Cell Phone Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Phone Valuation: Total Sq Feet: mss MODISZVONNINEMBSOMENOMffeW Type of Work: ELECTRICAL Additional Info: POOL Classification: Residential Invoice # EL -7 -09 -35370 Check #: 1198 Total Amt Paid Amt Due $ 234.42 $ 234.42 $ 0.00 Expiration: 01/10/2010 Applicant Cell For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Final Light Niche Alarms Bonding 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. July 15, 2009 Date July 15, 2009 1 Inspection Number: INSP - 118798 Permit Number: EL -7 -09 -1133 Scheduled Inspection Date: December 03, 2009 Inspector: Devaney, Michael Owner: HOLSTON, JOHN WESLEY Job Address: 1266 NE 101 Street Miami Shores, FL 33138- Project: <NONE> Contractor: F JIMENEZ ELECTRICAL CONTRACTOR, INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132050080010 Phone: 305/556 -5759 Passed C� Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 02, 2009 For Inspections please call: (305)762 - 4949 Page 5 of 24 Miami Shores Village BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) ,./6 f/A/ . 5LCY T/OLSZIIione # Owner's Address /2,-6C )siE /O /$T City / 6Wit,/ J//0/t t✓ State f / Zip Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name r'• - // Contractor's Address / 2 4.40 I v.l CJ /GE GHO 6 et ? 4/9 City /4 /A.LeF1/4 6 t.1 State 7 Qualifier Name c6 J N6uf2 Phone # 3oJ= fl State Certificate or Registration No. EC- /30 o l ertificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addition ° ['Alteration Describe Work: Submittal Fee $ Notary $ Scanning $ on Bond $ Structural Review. $ Code Enforcement $ Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Radon $ DPBR $ Double Fee $ Permit No. £L - 1 09 - 1133 Master Permit No. Phone # - j g 6__ —'2, 20 Zip .R3 O/ g Phone # Square / Linear Footage Of Work: ❑ Repair /Replace ❑ Demolition &xx****x ww dcxx*xx &xxxxx &xx x*****x xxx Fees' P'P'P'"Qx'r'tw'4'4xx''xx'Y'tx'c x'cxxx'ex'°x'exxxxxW** xx**xx Permit Fee $ 2 .5 ' 4P CCF $ () COO CO /CC Training /Education Fee $ 0 Technology Fee $ 5 > 42. Zoning $ Total Fee Now Due $ X )4 .4-9. See Reverse side --- Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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: 1 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 . • approved . d a y inspection, fee will be charged. Signature ,,Owner or Agent The foregoing • s , ment was acknowledged before me this day of l( 2007 by who is per onally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: et► Pap Sign: Print: %tro t' TB1Y My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) The foregoing , day of who is perso ISSION#QD 7413 IludgetNotaryilanks x rxxxxxx xxxxw4c****x4cx,Yxticts***a: wxx,txux,Y**te A I I t)CC. Signature Sign: Print: Contractor S e o j " rument was acknowledged before me this 2O , by ally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: A tsI•'; t. MAMA JA #DD7 i r Decamber20,20ft My Commission Expires: xxxxxxxxxxxxxxxxxx xxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xx Plans Examiner Engineer Zoning v AWE A VENUE MSG.- BUILDING ML- HENCIDIARB C.- CURVE C.H.- CATCH RAM CHH - CONCCMSTE ffiOCfe MSUCTURA CIL - CHORD cHB.- CHORD REARM Q.- CLEAR C/L - cm= LINE CONC.- LT.- COMM DMZ DRAINAGE AND II O= SAHS<altiP: EAST ENC.- =ROACH FOUND DRILL �L ROIt MAY.- ELEVATION JLW.- FOmm NAIL ram robon NAH. & DID, FT.- MEM. OAS.- *ARUM IIMNUMEM UNE. W a ADM sago. No.- NUM1 R. O.SB.- OFFIMAL RECORDS ov.H.- OVERHANG. O.T.- OVERHEAD MBES. P B - PLAT BOOM P.C.- 1rotvg OF COSY P.O.B.- Pfr Or P.O.C. - ROT or cowman P.O.- rim PM.- POEMS. PL PIS. P.O.P. PEIMMEN1' CONTROL PONT. P.O.C.- PORT! OF C01O� R f 'd'. P S IL- PHBILMENT RVEMINCED R.- RADIOS. RAD.- RADIAL. Dll.- ROD. AM- B12.- HANca>s. ranas OF WAY. 8B G- C1ION. HIP.- HET MON PBS. MIKrAtic Twat- TM- • ...EM . •.- van 11/F. WOOD FENCE. A - CSNXBAL ANGIE. OF BOUNDARY $• 13,V •: • • SCALE: 1" =20 • • :• :• :: • • . • FOUND ORILL • HOLE CONC: ; 14.00' ROOF 4REL 9.92' 57.90' 23.6' PARKWAY • . 15.0 6' U.E. r0 d0 10 k 1/ 01 I/ H X %/ IO N LOT 2 CO O 0.50' 0.45' — F.I.P. 1/2' 0 (no cap) 100.00' LOT 7 • • ••• • • 5' U.E. 12' CURB & GUTTER 0.45' F.I.P. 1/2 0 (no cap) THIS SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITTE4 NAMED HEREON AND THE CERTT1CATE DOES NOT EXTEND TO ANY UNNAMED PARTY. LOCATION SKETCH SCALE: 1' LEGAL DESCRIPTION LOT 1 BLOCK 1 SUBDIVISION GORDON SHORES ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 45 AT PAGE 8 OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. F.N. NE 101st ST. 210.27' FOR: M ERC7IDES HOLSTON ORDER No.: 0608 -106 DATE: 8/28 /2006 DRAWN BY: V.B. / 0 /pi ,6°` e � � •P 4G. / / ,F ti N �r � �0 • N..° 1p Qi ` / 4� �o�C / �Y PLO * 179.33 I ��,5 .33 ∎ "%. 175.18' — NAO �S' / LOT 1 & 2, BLOCK 5 /1 / EARLETON SHORES (43 -80) DATE OF FIELD SURVEY: 8/24/2008 0 458.25' NE 100TH ST. EARLETON SHORES (43 -80) 0 40' 99.60° NORTH 100' LOTS BLOCK 184 -A AMD PLAT OF gn TR. 189 -A, SEC. 8' MIAMI SHORES o �,s (42.40) 4, 0 4 `. 100' 4 41 100' 100' O 3 W 5 � 100' 0 3 0 100' 2 oi 6 100' 0 0 cp 7 100' RES. #1286 NE 101st ST. MIAMI SHORES, FL 33138 FOLIO N• 11 -3205- 008 -0010 I FLOOD ZONELAL COMMUNITY Noatialga, PANEL4093_SUFRILL DATE OF FIRM: 7/17/95 BASE FLOOD:8.00I — — a LOT 3, BLOCK 5 LESS THE WEST 400' THEREOF o EARLETON SHORES (43 -80) ESAM NAMON OF THE ABSTRACT OF TITLE HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY AFFECTING THE PROPERTY. LOCATION AND IDENTIFICATION OF UTILITIES ON AND /OR ADJACENT TO THE PROPERTY WERE NOT SECURED AS SUCH INFORMATION WAS NOT REQUESTED. OWNERSHIP IS SUBJECT TO OPINION OF TITLE. UNDERGROUND FOUNDATION AND UTILITIES NOT LOCATED. AL E.v'EN A. PROFESSIONAL SURVEYOR AND MAPPER No.3106 STATE OF FLORIDA NOT VALID UNLESS SIGNED & EMBOSSED SEAL. / PREVIOUS REF.: 8407 -98 ORDER No DATE DESCRIPTION DEAN BY l CARIBBEAN LAND SURVEYORS, INC. 11865 SW 26th ST. BLDG. I, SUITE 13, MIAMI, FL 33175 TELEPHONE: (305) 227 -6967 FAX: (305) 227 -7142 E — MAIL: CARIBBEAN c,AOL. COM Inspection Number: INSP- 146551 Permit Number: BPP -6 -09 -917 Scheduled Inspection Date: June 24, 2010 Inspector: Bruhn, Norman Owner: HOLSTON, JOHN WESLEY Job Address: 1266 NE 101 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ZARA INC Building Department Comments NEW POOL Passed J 63 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 140286. CREATED AS REINSPECTION FOR INSP- 115715. Safety barrier must be secured at one end. A minimum 4' high fence is required at yard. NB June 23, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132050080010 Phone: 305 -856 -6123 Page 8 of 18 NEW POOL 1gi 3/,rD Pass /f� a�'/ mil 2j o Inspector Comments 44 Failed • • •••• . . • • eiiiiecti .. Need ..., • •• • c •:l '•• • LI) • 40° • • . • ... - .••. Re -1h e on t t ....t • ,,. • • • • No Additional Inspections can be scheduled until re- inspection fee is paid. I nspection Number: INSP - 138936 Permit Number: BPP -6 -09 -917 1 Inspection Date: March 25, 2010 Inspector: Bruhn, Norman Owner: HOLSTON, JOHN WESLEY Job Address: 1266 NE 101 Street Project <NONE> Miami Shores, FL 33138- Contractor: ZARA INC Building Department Comments March 25, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132050080010 Phone: 305 - 856 -6123 Page 1 of 1 PP Con 7- Property Address: 1266 NE 101 STREET, MIAMI SHORES, FLORIDA, 33138 LEGAL DESCRIPTION: Lot 1, Block 1, of "GORDON SHORES" according to the plat thereof as recorded in Plat Book 45 at Page 8 of the Public Records of Miami -Dade County, Florida. SURVEYOR'S NOTES: 1) The above captioned Property was surveyed and described based on the above Legal Description: Provided by Client. 2) 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. 3) There may be additional Restrictions not shown on this survey that may be found in the Public Records of this County, Examination of ABSTRACT OF TITLE will have to be made to determine recorded instruments, if any affecting this property. 4) Accuracy: The expected use of the land, as classified in the Minimum Technical Standards (61G17- 6FAC), is "Residential High Risk ". The minimum relative distance accuracy for this type of boundary survey is 1 foot in 10,000 feet. The accuracy obtained by measurement and calculation of a closed geometric figure was found to exceed this requirement. 5) Foundations and /or footings that may cross beyond the boundary lines of the parcel herein described are not shown hereon. 6) Not valid without the signature and the original raised seal of a Florida Licensed Surveyor and Mapper. Additions or deletions to survey maps or reports by other than the signing party or parties are prohibited without written consent of the signing party or parties. 7) Contact the appropriate authority prior to any design work on the herein - described parcel for Building and Zoning information. 8) Underground utilities are not depicted hereon, contact the appropriate authority prior to any design work or construction on the property herein described. Surveyor shall be notified as to any deviation from utilities shown hereon. 9) The surveyor does not determine fence and /or wall ownership. 10) Ownership subjects to OPINION OF TITLE. 11) Typed ,Survey: BOUNDARY SURVEY. :12).: Nor il direction and bearings are based on Recorded Plat Book 45 at Page 8 of the Public • Retirti%of Dade County, Florida. 12) Elevations arr•biased on the National Geodetic Vertical Datum of 1929. •44)•• BenCFt Mark USbd:'# B -26 -RA of Dade County, FL. * Elev. = 17.24 • 't5�:: Floocj'Zpne: '41Erase Flood Elev.: 8.00' as per Dade County, Florida. FEMA Panel Number: . . 12065Z40306-4..SEPTEMBER 11, 2009 :16j': This PLAN OP fikhRVEY has been prepared for the exclusive use of the entities named hereon. Tha'C ttificatVelb'e's not extend to any unnamed party: • •. • A.) JOFi1'LWESLtY H & MERCEDES SANDOVAL HOLSTON B.) l` -tiWLER WHITE BURNETT P.A. C.) OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY D.) USAA FEDERAL SAVINGS BANK Field Date: January 21, 2010 Job# RP -09 -597 F:\BOUNDARY- SURVEY - NOTES \1266 no 101 street FINAL SURVEY.doc FINAL SURVEY MIC=r1605k11. 'Mar u$ k1 Mile 2010 jili LAND 8URVEYDIRB, INC. 6175 NW 153 STREET, SUITE 321, MIAMI LAKES, FLORIDA 33014 Phone: 305 - 822 -6062 * Fax: 305 - 827 -9669 SURVEYOR'S CERTIFICATE: I Hereby Certify to the best of my knowledge and belief that this drawing is a true and correct representation of the BOUNDARY SURVEY of the real property described hereon. I further certify that this survey was prepared in accordance with the applicable provisions of Chapter 61G17-6, Florida Administrative Code. Pablo J. Alfonso P.S.M. Professional Surveyor & Mapper State of Florida Reg. No.5880 Page 1 of 2 • • • • • ••• •r•• CV • •• • • Ic • ••• e• f F.D.H. 11.9') 90'0'0" 1.1' r� }i - a . FlP. 1/2 Nc D. • 1• • • • • s*La LOT -6 V BLOCK -1 I W 47 ii 1 • • 3'1'(3' o 11 i I 90'4'28" co. 9.8 • •• • • • • • • • • • • u? „ •• •• • • • t ••• •■J: • POOL PUMP 17.15' N LAND BURVEYORB, INC. PHONE: 305 - 822 - 6062 * FAX: 305 - 827 -9669 6175 NW 153rd STREET SUITE 321 MIAMI LAKES FL. 33014 BOUNDARY SURVEY SCALE: 1" = 20' APPRO,aPn • PORCH 57.75' LEGEND OH — 1/ x 4 ?ts PLANTER CONC 1 -STORY Res. # 1266 F.F.E. =8.62' GARAGE =8.17' LOT -1 BLOCK -1 100.00' LOT -7 BLOCK -1 Overhead Wire Line Wood Fence Chain Link Fence Iron Fence —�} — — — Monument Une — Centerline Property Line C.B.S. ZONING DEPT FLD: DEPT 151.1' CONCRETE ,,SIDEWALK, :. 1 O 56.90' WOOD FENCE — // / /— / /— / / — / / —// // c V 20.20' += Existing Elevation =Catch Basin ® =Water Meter ® = Electric Box QS = Sanitary Manhole = Sprinkler Pump =Wood Pole 0 =Conc. Pole 7¢f =Light Pole • =Fire Hydrant in =Water valve SUBJECT 1 CCMPLIANCE WITH ALL FEDERAL STA I t AND CCUN ■y r'IULES AND FECUTATIONIS 2.1' r7 89'55'32% yl� i1 0 til FlP. 1/2" No I.D. 1.2' 0.4' FlP. 1/2" No I.D. A /C=AIr Conditioner Conc. = Concrete C.B.S. = Concrete Block & Stucco F.F.E. = Finish Floor Elevation F.I.P. =Found Iron Pipe/Pin F.I.R. =Found Iron Reber F.N. =Found Nall F.N&D =Found Nail & Disc (M) = Measured (P) = Platted (R) = Record Res. = Residence SIP /R =Set Iron Pln/Rebor U.E. = Utility Easement A =Arc BRG= Bearing CH =Chord L Delta L= Length R= Radius T= Tangent F.N &D No I.D. 50'(C)(M) z Page 2 of 2 NEW POOL Passed Inspector Comments Sue-or S 1 . L - / / , p "° 49 Vin Faile • �),J��/ Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: March 02, 2010 Inspector: Dacquisto, David Owner: Project: HOLSTON, JOHN WESLEY Job Address: 1266 NE 101 Street March 02, 2010 Miami Shores, FL 33138- <NONE> Contractor: ZARA INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 •••• Permit Ngmbg; BPI 46 -09- 91.7• :1 I nspection Number: INSP - 136753 For Inspections please call: (305)762-4949 Permit Type: PoOtsaNhirlpooissHot Tubs• Inspection.Type: Survey Pram: Vy(plk pIaseication:•IVeiv. • • • • • •• • •• • •- Phone Ntimber • • • • • • • Parcel WAN 6ei 1 1.32O500800t0': Phone: 305 - 856 -6123 Page 1 of 1 Property Address: 1266 NE 101 STREET, MIAMI SHORES, FLORIDA, 33138 LEGAL DESCRIPTION: Lot 1, Block 1, of "GORDON SHORES" according to the plat thereof as recorded in ?IDt Book 45 at Page 8 of the Public Records of Miami -Dade County, Florida. • •'• •. • •••• , 1 .�.. 1) The above captioned Property was surveyed and described based..-On ' it ve ` � ; r e g .. a l' . Des Provided by Client. • ;�..: ice . •--- -- �-- •_ • 2) This Certification is only for the lands as described. It is not a cert 1 • n ' fie `Z • • Easements, or Freedom of Encumbrances. ABSTRACT NOT REVIEUN S �'� ; n ', ,, 3) There may be additional Restrictions not shown on this survey that ay b f u ' t he f? i Tic Records of this County, Examination of ABSTRACT OF TITLE will have to be made Bete AM recorded instruments, if any affecting this property. SURVEYOR'S NOTES: •••• 4) Accuracy: The expected use of the land, as classified in the Minimum Technical Standards (61G17- 6FAC), is "Residential High Risk ". The minimum relative distance accuracy for this type of boundary survey is 1 foot in 10,000 feet. The accuracy obtained by measurement and calculation of a closed geometric figure was found to exceed this requirement. 5) Foundations and /or footings that may cross beyond the boundary lines of the parcel herein described are not shown hereon. 6) Not valid without the signature and the original raised seal of a Florida Licensed Surveyor and Mapper. Additions or deletions to survey maps or reports by other than the signing party or parties are prohibited without written consent of the signing party or parties. 7) Contact the appropriate authority prior to any design work on the herein - described parcel for Building and Zoning information. 8) Underground utilities are not depicted hereon, contact the appropriate authority prior to any design work or construction on the property herein described. Surveyor shall be notified as to any deviation from utilities shown hereon. 9) The surveyor does not determine fence and /or wall ownership. 10) Ownership subjects to OPINION OF TITLE. 11) Type of Survey: BOUNDARY SURVEY. 12) North arrow direction and bearings are based on Recorded Plat Book 45 at Page 8 of the Public Records of Dade County, Florida. 13) Elevations are based on the National Geodetic Vertical Datum of 1929. 14) Bench Mark Used: # B -26 -RA of Dade County, FL. * Elev. = 17.24 15) Flood Zone: AE Base Flood Elev.: 8.00' as per Dade County, Florida. FEMA Panel Number: 120652 - 0306 -L- SEPTEMBER 11, 2009 16) 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: A) JOHN WESLEY HOLSTON & MERCEDES SANDOVAL HOLSTON B.) FOWLER WHITE BURNETT P.A. C.) OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY D.) USAA FEDERAL SAVINGS BANK SURVEYOR'S CERTIFICATE: I Hereby Certify to the best of my knowledge and belief that this drawing is a true and correct representation of the BOUNDARY SURVEY of the real property described hereon. I further certify that this survey was prepared in accordance with the applicable provisions of Chapter 61G17 -6, Florida Administrative Code. Field Date: January 21, 2010 Job# RP -09 -597 F:\BOUNDARY- SURVEY - NOTES \1266 ne 101 street FINAL SURVEY.doc FINAL SURVEY -- ntrAI'AIL. 31N1 Pablo J. Alfonso P.S.M. Professional Surveyor & Mapper State of Florida Reg. No.5880 LAND aIJRVBYQR®, INC. 6175 NW 153` STREET, SUITE 321, MIAMI LAKES, FLORIDA 33014 Phone: 305 - 822 -6062 * Fax: 305 - 827 -9669 Page 1 of 2 4 F.D.H. 17.15' 23.5' PARKWAY 1.3' VALLEY GUTTER rPLANTER PORCH, IA CONC 1 -STORY Res. # 1266 F.F.E. =8.62' GARAGE =8.17' LOT -1 BLOCK -1 57.75' 0 56.90' 20.20' 12.3' 90'0'0" 7 iWy e t,0*f ,9 /4 A/C I o 4'X8' LO Fl P. 1 /2 _ ND .1.D. • LOT -6 V BLOCK -1 s W Z N a i 9.8' / 6.20' AC 3 3 ' 1 1' POOL / PUMP 90'4'28" �o• LAND BURVEYORB, IND. PHONE: 305- 822 -6062 * FAX: 305 -827 -9669 6175 NW 153rd STREET SUITE 321 MIAMI LAKES FL 33014 BOUNDARY SURVEY SCALE: 1 = 20' 5' WOOD FENCE //-- //— //— //— //— // — / / —// 100.00' LOT -7 BLOCK -1 LEGEND OH Overhead Wire Line // Wood Fence x Bain Link Fence ❑ Iron Fence —M — — — Monument Line — — Centerline Property Line C.B.S. /1 += Existing Elevations in =Catch Basin ® =Water Meter ® =Electric Box 0 =Sanitary Manhole IA =Sprinkler Pump =Wood Pole 0 =Conc. Pole xx =Light Pole g =Fire Hydrant =Water Valve • • • • • •• • 89'55'32 "' 1 Vi c. — //1 • FIP. 1/2" No I.D. 1.2' 0.4' Fl 1/2" /2" 0No I.D. 1 4 - A /C=Air Conditioner Conn =Concrete C.B.S. =Concrete Biodc & Stucco F.F.E. =Finish Floor Elevation F.I.P. =Found Iron Pipe/Pin F.I.R. =Found Iron Reber F.N. =Found Nail F.N&D =Found Nail & Disc (M) = Measured (P) =Platted (R) = Record Res. =Residence SIP/R =Set Iron Pin /Rebor U.E =Utility Easement • • •• • • •••• • • • • • •• •• • • • • • ••• •• • • A =Arc BRG=Bearing CH =Chord A =Delta L= Length R =Radius T= Tangent LLJ C.3 0- • • Z W t I CO r •. ••• • . • z ••.I••• • ra I • F.N&O •�. •• No n. " 8 50'(C)(M) • • • • Page 2 of 2 6 D • =Hor, s Vi6c7c •• • • • • • • i n; f1FPT ^,DEJECT 110 CC.1‘.,1F IANCE WITH ALL FELI AI4.) • • • • • •• • • • • • •• • • • • • • •• • • • • • • • • • • • • • • •• • •••• •• • • • • •• •• •••• • • • • • •• •• •••• • • • • •• • • • • • • • • • • • NEW POOL Passed Inspector Comments ®s a 1� y .s d1 4. "a few r @.[jp, 4 ((i-4 J 3/'/cv sie r - i Failed OA Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: March 02, 2010 Inspector: Dacquisto, David Owner: Job Address: 1266 NE 101 Street Project: <NONE> Contractor: ZARA INC Building Department Comments March 02, 2010 HOLSTON, JOHN WESLEY Miami Shores, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 • • • • • • •••. • - Permit N u n>�j • � P P.6 -D 9 -917 - ' Permit Type: lirlpoolslHot Tglas rpe: 9arrey Final, • lassea$on: I nspection Number: INSP - 136753 For Inspections please call: (305)762 -4949 • • Phone Ntarabbr; Parcel Number • • • • •••••• •••••• • • • -• -• ••••••• • • 116240080010 • Phone: 305 - 856 -6123 Page 1 of 1 Property Address: 1266 NE 101 STREET, MIAMI SHORES, FLORIDA, 33138 LEGAL DESCRIPTION: Lot 1, Block 1, of "GORDON SHORES" according to the plat thereof as recorded in : :. at Page 8 of the Public Records of Miami -Dade County, Florida. ' i • • SURVEYOR'S NOTES: i •�,. � • : ••.••• 1) The above captioned Property was surveyed and described bas • d th •a a L egal. . Description: Provided by Client • • • 2) This Certification is only for the lands as described. It is not a ce rcatio `of; t4 Zon1f�"•• Easements, or Freedom of Encumbrances. ABSTRACT NOT REVIEW D' .... ...... deviation from utilities shown hereon. 9) The surveyor does not determine fence and/or wall ownership. 10) Ownership subjects to OPINION OF TITLE. 11) Type of Survey: BOUNDARY SURVEY. 12) North arrow direction and bearings are based on Recorded Plat Book 45 at Page 8 of the Public Records of Dade County, Florida. 13) Elevations are based on the National Geodetic Vertical Datum of 1929. 14) Bench Mark Used: # B-26-RA of Dade County, FL. * Elev. = 17.24 15) Flood Zone: AE Base Flood Elev.: 8.00' as per Dade County, Florida. FEMA Panel Number: 120652-0306-L-SEPTEMBER 11, 2009 16) This PLAN OF SURVEY has been prepared for the exclusive use of the entities named hereon. The Certificate does not extend to any unnamed vartv: B.) FOWLER WHITE BURNETT P.A. C.) OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY D.) USAA FEDERAL SAVINGS BANK • 3) There may be additional Restrictions not shown on this survey that Mayte founa-iirtrie Public Records of this County, Examination of ABSTRACT OF TITLE will have to be made to determine recorded instruments, if any affecting this property. 4) Accuracy: The expected use of the land, as classified in the Minimum Technical Standards (61G17-6FAC), is "Residential High Risk". The minimum relative distance accuracy for this type of boundary survey is 1 foot in 10,000 feet. The accuracy obtained by measurement and calculation of a closed geometric figure was found to exceed this requirement. 5) Foundations and/or footings that may cross beyond the boundary lines of the parcel herein described are not shown hereon. 6) Not valid without the signature and the original raised seal of a Florida Licensed Surveyor and Mapper. Additions or deletions to survey maps or reports by other than the signing party or parties are prohibited without written consent of the signing party or parties. 7) Contact the appropriate authority prior to any design work on the herein-described parcel for Building and Zoning information. 8) Underground utilities are not depicted hereon, contact the appropriate authorit' y prior to any design work or construction on the property herein described. Surveyor shall be notified as to any SURVEYOR'S CERTIFICATE: I Hereby Certify to the best of my knowledge and belief that this drawing is a true and correct representation of the BOUNDARY SURVEY of the real property described hereon. I further certify that this survey was prepared in accordance with the applicable provisions of Chapter 61G17 -6, Florida Administrative Code. Field Date: January 21, 2010 Job# RP -09 -597 FINAL SURVEY Pablo J. Alfonso P.S.M. Professional Surveyor & Mapper State of Florida Reg. No.5880 PlICZW111611. LAND e U RVBYO R ®, I IV Q. 6175 NW 153 STREET, SUITE 321, MIAMI LAKES, FLORIDA 33014 Phone: 305 - 822 -6062 * Fax: 305 - 827 -9669 FABOUNDARY- SURVEY- NOTES U266 ne 101 street FINAL SURVEY.doc •••• • • • ▪ • ▪ • •••• ..... Page 1 of 2 i,CONC. Y - k. ' 4'X5.2' o 8 Fri 0 csl • HP. 1/2 3 — • lo LD. • LOT -6 BLOCK -1 I s I w N z i 6 ��o F.D H 11.9) • 90'0'0" -V 9.8 N 9.8' / 6.20' A 3' 2 �� POOL I PUMP 90'4'28" - MCPWAI= — F LAND SURVEYORS, INC. PHONE: 305 - 822 -6062 * FAX: 305 -827 -9669 6175 NW 153rd STREET SUITE 321 MIAMI LAKES FL 33014 BOUNDARY SURVEY SCALE: 1" = 20' 57.75' 1 —STORY Res. # 1266 F.F.E. =8.62' GARAGE =8.17' LOT -1 BLOCK -1 100.00' LOT -7 BLOCK -1 LEGEND — OH overhead Wire Line — 1/ Wood Fence x Chain Unk Fence ❑ Iron Fence — — — Monument Line — Centerline Property Line C.B.S. 56.90' cV 20.20' o a + =Existing Elevations inn =Catch Basin ® =Water Meter ® =Electric Box Q =Sanitary Manhole =Sprinkler Pump =Wood Pole In =Conc. Pole X X =tight Pole g, =Fire Hydrant pi =Water Valve LC) I 2.1 re) • • • • • •• • 000000 • •••••• •••• • •••• ••• *.• HP. 1/2" No I.D. 0.4' FlP. 1/2" No I.D. A /C=Air Conditioner Conc. = Concrete C.B.S. =Concrete Block & Stucco F.F.E =Finish Floor Elevation F.I.P. =Found Iron Pipe/Pin F.I.R. =Found Iron Reber F.N. =Found Nail F.N&D =Found Na0 & Disc (M) = Measured (P) =Platted (R) = Record Res. = Residence SIP /R =Set Iron Pin /Rebar U.E. =Utility Easement .•• • •••• • • • • • •• • • •••• • • •••• •• • • • •• A =Arc BRG= Bearing CH=Chord &Delta L= Length R= Radius T= Tangent 1— 0 —J • • F.N &D • • • No 1.4 00000 ••• • • Page 2 of 2 PERMIT #: 6 ' ` - tun. Miami Shores Village APPROVED BY DATE ZONING DEPT BLDG DEPT SUBJECT ID CCMPLIANCE WITH ALL FEDERAL STATE AND CCUN,Y r?ULES AND REGULATIONS 1r V t J 1 ` PP P PP P P P m •• • • • • • • • • • • • •• •• • •• • • • • • •• • •••• • • •••• • •• • • • • • • •••• • •••• • • • • • • • • • •••• • • •••• •• •• • • • • • •••• a • • • • •••• • • • • • • • • • •