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287 NE 101 St (5)MIAMI SHORES VILLAG BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date • 4 (2.2. Type Insp'n Ub 41 1/ 6 \ Permit No. EI 006 4- Name CO5i Address Company I rCCe pods. Phone # Inspection Date Approved Correction Re- Insp'n Fee Xeee ztV D Type Insp' Permit No. Name Address Compa Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request .R19 c, io( ■ at • Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTM 305- 795 -2204 Building Inspection Request Date 2Z Type Insp'n fp ve-10 Permit No. c34-M1 7i Name l & JACO Address NE, to l ST Compan e ceci13. Phone # 1 Inspection Date T 23 Date Type Insp'n Permit No. Name Cr,_)\_,Z Address Compa Phone # MIAMI SHORES VILLAGE BUILDING DEPA : ►i T 305- 795 -2204 Building Inspection Re Approved Correction Re- Insp'n Fee q s �( Inspection Date L I / 7 7 -D Date (' C) Type Insp'n gax ' ?co Permit No. - o4- IQ Name @.cis -k0 • Address � W, pp 101 5+ Company 0 30_0 » MIAMI SHORES VILLAGE BUILDING DEPAR _ T 305- 795 -2204 Building Inspection Reg Phone # Inspection Date Approved Correction Re- Insp'n Fee ❑ ���y ePr MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 . 3S Building Inspection Request Date u► (Type ^ 1 /�� e ' Ins n 0 ' / l � YP Insp'n Permit No. P) 04 — J.,. Name ' v Address an I IN E- ) O 1 Company (� q (�r n/ Phone # '1(5q �i ICJ `- 66 Inspection Date Approved Correction Re -Insp' n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Buildin: In pection Request Date / � Type Insp'n Poo L Permit No. 8 P600V J TL Name c ee 19 -4WLeig0 Address e9 V74/&" & / 0 1 Sr. Company Phone # 70 c 67357 — 0-9 Inspection Date ( 0 WO Correction Re- Insp'n Fee 4o1 MIAMI SHORES VILLAGE BUILDING DEPARTME 305- 795 -2204 Building Inspection Request DateeJ2Co Type Insp'n flO 1 POO Permit No. 1 Q 4-l? Name CO3 +60 Address u OE . 10 Approved Correction Re- Insp'n Fee 01/ Company ^- /� q�" Phone # q3c 7 1 G Iv ) C C Inspection Date 8/2� o Dat Type Insp'n Permit No. Name Address Compan Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT. 305- 795 -2204 Building Inspection Request Permit N• • Name Type Insp'n C om MIAMI SHORES VILLAGE BUILDING DEPARTMENT \(1 305- 795 -2204 B ilding Inspection Request D.:. 0 Address w_2(//h ` e. l 0 J_ .,e Pe73- Phone # N " L16‘ Inspection Date 3 4270y Correction Re- Insp'n Fee NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. _ TAX FOLIO NO. STAVE OF FLORIDA: COUNTY OF DADE: 11 UNDERSIGNED hereby gives notice that Improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes. the following infoinraiton is provided in this Notice of Commencement. 1. Legal description of property aiid street address: .161 McK I.4:Ltded J-Gain, t sert-S t. /la j 4267—s.L.a. / 51 3 3/3 $ - 2. Description of improvement - 3. Owner(s) name and address: ehat_ t7 IV e /6 S S /A::‘ evv-r 3 5, r Interest in property: Nanie and address of fee simple titleholder: 4. Contractor's name and address: STATE OF Ft Csi ,:ror. • filL,Lf 0, _2 5. Surety: (Payment bond reouired by owner form contractor, if any) Nome and address: Amount of bond $ G. Lender's name and address: by Section 713.13(1)(a)7., Florida Statutes. Name and address: AclelegIESJCIa--- • rs 1 CLL 0,curr ur;.: C'cnpar 0. 713.13(1)(b). Florida Statutes. Name and address: TO 39VcI Li-e _fel) Ls i tAA_} 53 rri S 39I1 Notary Public Print Notary's My Commission Expires Signature of Owner Print Owner's Nam — e: _ Sworn to and subscribed before me this_/ _day of.. ge'r - tlavid Wane* * * P4 Commission CC970762 - ----------- 11 11111111111111111 1111 11111111111111111 111 11 C1-1•1 OR Bk 21865 Ps 3100; C1os) RECORDED 12/02/2003 12:3050 HARVEY RUVTHr CLERK OF COURT HIAMI-DADECOUNTY, FLORIDA LAST PAGE 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided O. In addition to hilliself. Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section • • 9. Expiration date of this Notice of Commencement: (the expiration date is t year from the date of matting unless a different • date is specified . . • Prepared by ak-ea_ _ - Z806917LPSE, ZT:OT 1700Z/69/E6 ZEIE16917L17S6 PERMIT NO. ;— ADDRESS: . MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT" SECTION BY DATE ZONING' • ELECTRICAL MECHANICAL JOB ADDRESS APPLICANT PHONE # APPUCATLON CRITIQUE SHEET al N C/C)/ Cis T Rick' PAutrls SHEET OF • MISCELLANEOUS S tf C ,cry f r V It der, t o FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL s must be action wilt b PLUMBING 1. Subject to compliance with alt Federal. State. County.Yd1age cures sd regulations. Village assumes no responsibility for accuracy oflor resutts from these plans. 2. This copy of plan buRding site or no Insp available on a conducted. INITIALS Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/24/2004 Applicant: EDUARDO Owner: CASTRO JOB ADDRESS: 287 Contractor MIRAGE POOLS Local Phone: 305 - 754 - 6452 Parcel # 1132060134830 Signed: NE 101 Signed: (Contractor or Builder) Building Permit Permit Number: BP2004 -87 CASTRO EDUARDO ST Contractor's Address: 3491 HIATUS ROAD Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 22 & 23 BLK 35 LOT SIZE 102.570 X 115 Fees: FEE2004 -1915 FEE2004 -1916 FEE2004 -1917 FEE2004 -1918 FEE2004 -1919 FEE2004 -1920 FEE2004 -1921 FEE2004 -1922 Description Building Fee CCF CO /CC Training and Education Fee Technology Fee Scanning Fee Builders Bond Structural Fee Total Fees: Amount $480.00 $9.60 $50.00 $3.20 $12.00 $12.00 $300.00 $50.00 $916.80 Total Fees: $916.80 6 0 .o-o Total Receipts: -r Permit Status: APPROVED Permit Expiration: 7/24/2004 Construction Value: $16,000.00 _ Work: CONSTRUCT POOL, AND SPA (INSPECTOR) 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. BY: Applicant: EDUARDO CASTRO Owner: CASTRO EDUARDO JOB ADDRESS: 287 NE 101 ST Contractor D & E ELECTRIC INC Local Phone: 954 - 345 -9040 Parcel # 1132060134830 Signed: (INSPECTOR) Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2004 -19 Printed: 2/24/2004 Contractor's Address: 10601 N. W. 41 ST. Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 22 & 23 BLK 35 LOT SIZE 102.570 X 115 Fees: Description Amount FEE2004 -1907 Building Fee $150.00 FEE2004 -1908 CCF $0.60 FEE2004 -1909 Training and Education Fee $0.20 FEE2004 -1910 Technology Fee $3.75 Total Fees: $154.55 Total Fees: $1.§,1 3 1 1 Total Receipts: eceipts $0.00 Permit Status: APPROVED Permit Expiration: 7/24/2004 Construction Value: $700.00 Work: ELECTRIC FOR POOL AND SPA Page 1 of 1 klAR 0 9 PAID 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: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2004 -19 Printed: 2/24/2004 Applicant: EDUARDO CASTRO Owner: CASTRO EDUARDO JOB ADDRESS: 287 NE 101 ST Contractor D & E ELECTRIC INC Local Phone: 954 - 345 -9040 Parcel # 1132060134830 Signed: (INSPECTOR) Electrical Permit Contractor's Address: 10601 N. W. 41 ST. Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 22 & 23 BLK 35 LOT SIZE 102.570 X 115 Fees: Description Amount FEE2004 -1907 Building Fee $150.00 FEE2004 -1908 CCF $0.60 FEE2004 -1909 Training and Education Fee $0.20 FEE2004 -1910 Technology Fee $3.75 Total Fees: $154.55 Total Fees: $1 $55 3 Total Receipts: 0.00 Permit Status: APPROVED Permit Expiration: 7/24/2004 Construction Value: $700.00 Work: ELECTRIC FOR POOL AND SPA MAR 0 9 PAID 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: t .4;e/two res Village �- .Miami Sho g uhe Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building `g) Mechanical Roofing (��/l. Owner's Name (Fee Simple Titleholder) 6t, I Ca. S b Phone # 30-S 78 - / Li Owner's Address a a7 N E IN ' ST City �" 1.;a 1,y► i t S h o(e tate r/C Tenant/Lessee Name $ Value of Work For this Permit Type of Work: DAddition ❑Alteration Describe Work: 40/ •<S Total Fee Now Due $ (Continued on opposite side) \og ts 700.°° Zip Permit No. Master Permit No. Phone # 331 3 $ AiZir L L ;OD Job Address (where the work is being done) ag - 7 IV -a 1bis sr City Miami Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO Contractor's Company Name D l' C C G k &F 1. Phon # 95'i 34s - 9 ng a Contractor's Address j 1 C) (Da 1 'iv 41 Z7 City Co rat S r1 r1.9 _S State �� Zip 330G 5 Qualifier T In, v w S er vim"" l Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: ❑ Repair/Replace ❑ Demolition * * * ** sM * * s * ** * * ** * * * ** *ass* F * * * * ** * * * ** * * * * * * *** *s ** ** * *** Submittal Fee $ J ermit Fee $ r-e'' 15 CCF $ Nota ry $ Training/Education Fee $ ■ 0 Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ 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. Signature Owi% or Agent The foregoing instrument was acknowledged before me this day of ,20,by who is personally known to me or who has produced NOTARY PUBLIC: NOTARY PUBL Sign: Sign: Print: Print: State Certificate or Registration No. APPLICATION APPROVED BY: :hc 10/14/03 AA) As identification and who did take an oath. Contractor The foregoing instrument was acknowledged before me this off✓ day of _ )5g e, 20 ( by &AI k , whpersonally known to me who has produced 'j�ag�n Plavi�l N/1;koi My Commission Expires: My Commission Expires: Sri,, ' M Comm;ss;o cc97o762 9 ************************************************************ * * * * * * * * * * * *` * * * *p 0 04 (Certificate of Competency Holder) 30 0Aa60 , Certificate of Competency No. tionl who did take an oath. + * * * * * * * * * * * * * * * * * * * * *** 4444 * * * * * * * * * * * * * * * * * * * * * * * * * *, ***************** * * * * * * * * * * * * * * * * * *** * * *** * *** ** �e4ge VP1ans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/24/2004 Applicant: EDUARDO CASTRO Owner: CASTRO EDUARDO JOB ADDRESS: 287 NE 101 ST Contractor MIRAGE POOLS Local Phone: 305 - 754 -6452 Parcel # 1132060134830 Plumbing Permit Permit Number: PL2004 -26 Contractor's Address: 3491 HIATUS ROAD Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 22 & 23 BLK 35 LOT SIZE 102.570 X 115 Fees: Description Amount FEE2004 -1911 Building Fee $150.00 FEE2004 -1912 CCF $0.60 FEE2004 -1913 Training and Education Fee $0.20 FEE2004 -1914 Technology Fee $3.75 Total Fees: $154.55 Total Fees: 4.55 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 7/24/2004 Construction Value: $700.00 Work: POOL & SPA PIPING Signed: (INSPECTOR) Page 1 of 1 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: BUILDING PERMIT APPLICATION FBC 2001 $ Value of Work For this Permit Type of Work: Describe Work: Submittal Fee $30 V Notary $ Training/Education Fee $ Scanning $ Code Enforcement $ Total Fee Now Due $ 1 0 (Continued on opposite side) Miami Shores Village wc lVI6_11 in Department Building artment p 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DAddition ❑Alteration - ew / / f �� 4 2ii/ v 704. ° Permit No. Master Permit No Zip IS J3 6' G gDoV•-24 Mechanical Roofing Permit Type. (circle): Building I J Owner's Name (Fee Simple Titleholder) ' b I e Caste, 0 Phone # .30 5 - 7 0 S - 1 ' / ¶l `7 Owner's Address 1C to 1 b 1 Yt `T_ City k i • A rn 5 /)OPPSState P Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name \ t r ay Phone # r SV 7 Y6 e;16 6 Contractor's Address 1 n17 Nw 53 ` rj— -Sr_. 33 3 S/ City So !1 ( t 3 -e State �� Zip 3 Qualifier C h r S- pho r Fl Drfct le Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: ❑ Repair/Replace ❑ Demolition * * * * * * * * * * * * * * * * ** * *F ****************************** 1 CCF Permit Fee $ Technology Fee $ 3 Radon $ Bond $ Structural Plan Review. $ 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. Signature 1' Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced My Commission Expires: :hc 10/14/03 / As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Contractor The foregoing instrument was acknowledged before me thist day of personally known to o has produced who did take an oath. NOTARY PUBLI Sign: Print: My Commission Expires: 12,:\ k Dav'v9 Plans Examiner Engineer Zoning '* A/y Commission CC970762 „e" Expires November 14, 2004 (Certificate of Competency Holder) State Certificate or Registration No. 0&57;d5 ;d5 CeA;fi of Competency No. **************************** *44* ** i t i APPLICATION APPROVED BY: f j -- BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): City Qualifier Owner's Name (Fee Simple Titleholder) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 E o p t E CA-r 2-0 Phone # Owner's Address 2,15r7 N L 1 VI SS 4 D State Zip 3 3 )3 g City � ;a i+ S S � Tenant/Lessee Name 611 l .a 0 AS S Phone # Job Address (where the work is being done) a C. / N C 101 0) S - ` S- r — City Miami Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Pi" Ca Per9-5 Phone # L c �� L b6 -6 t . o . Contractor's Address • 1 0 77 ry 53 L C,h 1VPh -e r ✓9- U, ;k /-P S on r+ se State Architect/Engineer's Name (if applicable) $ Value of Work For this Permit 80/ mo. 00 Electrical Plumbing Mechanical Roofing Scanning $ /. a = Radon $ (Continued on opposite side) Type of Work: ❑ Addition /� ❑Alteration ew Describe Work: ( A/5 /ieaS ,4o ,+ ¢" Permit No. 137 0 i f " 2 7 Master Permit No. Zip d TI t �i t+ , � ,� Erg �_!/ 3 7 -- V 33076 - Phone # 7 7 7d 1 q 0 Square Footage Of Work: 1 /76 ❑ Repair/Replace ❑ Demolition * * * * * * * * ** ** ***************F ees ****************************** nO\ submittal Fee $3- '04 it ee $ 460 CCF $ / Notary $ Training/Education Fee $ 3, O? 0 Technology Fee $ l (2 — Bond $ 300 Code Enforcement $ Structural Plan Review. $ 2' 61> 2 5 7� Pal Total Fee Now Due S7 1 1 . Y V 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 YOTJR 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 will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this __ day of NO , 20(23 , by it" 65*/, 0 who is personally known to me or who has produced ,,VZ NOTARY P Sign: Print: State Certificate or Registration No. APPLICATION APPROVED BY: ;hc 10/14/03 i ntifica Qn and who id take an oat NOTARY PUBLIC Sign: Print: My Commission Expires: My Commission Expires: . (Certificate of Competency Holder) CPeo X7:2 `‘. David Walker * , 1 * My Commission CC970762 1 s N'.. ^.1ber 14, ?,004 ** * * * * * * * * * * * * * * * * * * * * * * * * * *._;:s ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Engineer Zoning FEB 1 2004 The foregoing Certificate of Competency No. Contractor instrument was acknowledged a / before me this 200 by eh/- 57'��1 e or who has produced ho did take an oath. Sn Ovid Welker * My Commission CC970767 Yom, Expires Novemoei 14, 2009 1% )/;2/04 Z / s7r % Plans Examiner r Miami Shores Village Building Department ✓( J'4ems/ 3 '1dl' 1)1c /tide: seise Permit No. of p7 4+4 5q 10050N.E. A n•e CI ' Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Job Name Cdt5 /ra (000 /J Zt7 toe lot f, STRUCTURAL CRITIQUE SHEET 0 / °+ D Ur / //f Conru �G�7 /inS dra A 5$1€m Pao/ Oec same &.ti/ , lei-raze ( /v,go per 54Lvvey), d&4 Diode &I, Hive/ Gri pert A = 5•.54, Miami Shores Village Building Department • Permit No.. - • BUILDING CRITIQUE SHEET • . 10050 "N.E.2nd Avenue Karni Shores, Florida 33138 Tel:(305) 795.2204 Fax: (305) 756.8972 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 compliance with all Federal. State. County,Village'Iles rid regulations. Village assume no responslbIllty for accuracy oflor results from these plans. 2. This copy of plans mat be available on building site or no Inspection Al be conducted. JOB ADDRESS APPLICANT PHONE f# APPUCATION (c)( CRITIQUE SHEET SHEET OF MISCEUANEOUS OATS ZONING COMMENTS 0 L ockT/are of P afuLy "TLC OW s 4' G' 11 / o F Q- AJ -- s %rS - Pl2a T o LA -i ? POOL RMUDREN NTS: SELF CLOSING/ SELF LOCKING GATES REQUIRED FENCE: 4' HIGH (MIN.) AND NON - CLIMBABLE IF NIPIrm-IiAnn REMt7VF FFNC F/ WALL, OWNER MUST REPLACE WITH A 4' FENCE ON OWNER'S PROPERTY INITIALS BUILDING DEPARTMENT 0050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 -2382 TELEPHONE: (305) 795 -2204 FAX: (305) 756 -8972 INFORMATION POOL • Application (General Building) • 2 copies of property survey signed and sealed • 2 signed and sealed pool plans V • Notice of requirements application / • Swimming pool owners certification +/ �,,,p • Declaration of restrictive covenant for pools if need • Plumbing, Electrical & Mechanical Applications ivvro f h ec, ' • A $250.00 Pool application submittal fee • A $50.00 submittal fee for sub permits(plumbing, mechanical and electrical) .rzrm%i• -:ni O..r... �_�e n.vro'sa �.cczAi- �:ea.u� 1111. - 14__ _ 1111 . 4s^�d� PAY TO THE ORDER OF ACH R/r 083100277 95y 7q6 - gc MIRAGE POOLS, INC. 10778 NW 53RD ST SUNRISE, FL 33351 1 V,?e / ici / 7 / ) //f 1 .t�s y Bank ofAmeric - j� S r c u r t f y e n h a n c e d d o c u m e n t . S e e b a c k f o r d e t a i l FOr I' ? -9D avD L/ - 6 Vb 020041 Smbly, , Pk' Pe.t DATE 00 3 ? 3 3 2ii' 1:06 300004 ?i: 00 L5956681181,0' 37332 /66? DOLLARS 8 ;011,10.... oW. PI Date Miami Shores Village Building and Zoning Department Attention: Building Official L0- SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as S , located at Legal Owner g'1 E cis In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until 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. 1 F; . ,004 131. NFIP COMMUNITY NAME 8 COMMUNffY NUMBER tviami Shores 120652 82. COUNTY NAME Mrami Dade Canty B3. STATE FL B4. MAP AND PANEL NUMBER 120250 0093 R1n Inrfirmin the% on vrn rd file B5. SUFFIX J One..., rl....d o......t...., B6. FIRM INDEX DATE 7/17195 torrn .1-4- -- I-- -- Al.__ B7. FIRM PANEL EFFECTTVEJREV1SED DATE 03/02/94 A _D_ -.1_ - _. _ .... B8. FLOOD ZONE(S) X 89. BASE FLOOD ELEVATION(S) (Zone AO, use depth of flcodrlg) — BEJ)Q) .2 t,A I ro ®:, - I o,- Td111Mithele Castro' BiJ p 4 a`+ '2.1= • 23)()) 1:1. ' (Including Apt, Unit, Suite, and/or Bldg: No.) OR P :O. RO1lL SAND BOX NO. 28 NE tal;St? 1 Nlialfi . . Prtt<1P. 1 O 1 tau V1 v1L LIIIL11.NLllV 1 Iti VINLI!IL1Y1 MVLIYV I NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE 1 . . rtant Readml4rirtsftttro SECTIQN.A•- PR STATE FL I(Lot and Blodc Numbers, Tax Parcel Number; LegatIDesrtiptionT eta) MOM PM 10-70 b BLYILl01146 USE!(eg:, Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) ( ##° - ## - *kw or ##.#####°) HORIZONTAL DATUM: ❑ NAD 1927 ❑ NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION ❑ FIS Profile FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area a Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 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. Building Diagram Number 1(Seled the building diagram most similar to the building fa 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, ARJAH, 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 Conversion/Comments Elevation reference mark used N397 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (inducting basement or endosure) 11. 2511.(m) o b) Top of next higher floor 11 .70 ft.(m) o c) Bolton of lowest horizontal structural member (V zones only) NIA . _ft.(m) 0 d) Attached garage (top of slab) WA. — ft.(m) o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) 11.25 ft.(m) o f) lowest ad)acent (finished) grade (LAG) 10.50 ft.(m) o g) Highest adacent (finished) grade (HAG) 10. 60 ft.(m) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade WA o i) Total area of all permanent openings (flood vents) in C3.h WA sq. in. (sq. cm) TITLE LAND SURVEYOR & MAPPER ADDRESS 7900 NW 155th Street , Suite 104 SIGNATU FEMA Form 81 -31, January 2003 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, 8, 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. CERTIFIERS NAME JOSE F. LOPEZ LICENSE NUMBER ff3086 CITY Miami Lakes DATE 06/30103 O.M.B. No. 3067 -0077 Expires December 31, 200E STATE JAVA FL I TE HONE (305) CpritAiMMI SOURCE: 0 GPS (Type): ❑ USGS Quad Map ❑ Other. COMPANY NAME J. F. LOPEZ & ASSOCIATES tJC: h El V E D. 33 M See reverse side for continuation. Replaces all previous editions CA-s /1; CTOR'S SIGNATURE & DATE c SItaTilar BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLOR.OA 33138.2382 TELEPHONE (305) 795.2204 FAX (305) 756-8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowled$,e that a new swimming g pool, spa or hot tub will be constructed or installed at c ' 1 D/S= ami Shores, Fl., and hereby affirm that one of the 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 fine p to $500 and /or up to 60 days in jail as established in Chapter 775, F.S. , David Walker * * My Commission CC970762 ,,,0 Expires November 14, 2004 OWNER'S SIGNATURE & DATE F4/04-1 • // iz-!03 d ooy� David Walker ** My Commission CC970762 Expires November 14, 2004 RECEOVED JM A 2VO4 UN MAP SCALE: 1" = 200' LEGAL DESCR Lots 22 6 23, Block 35 according to the Plat of the Public Records _ OLE SURVEYOR'S NOTES: 1. TYPE OF SURVEY: AS BUILT 2.ALL DISTANCES AND BEARINGS /ANGLES SHOWN MATCH RECORD DISTANCES 6 BEARINGS UNLESS OTHERWISE NOTED. 3.PROPERTY AREA: 11.655 SOUARE FEET 4.THIS PROPERTY IS LOCATED IN FLOOD ZONE X. BASE FLOOD ELEVATION: - - - -, AS PER F.E.M.A. MAP COMMUNITY N': 120652. PANEL N'0093, SUFFIX J. LAST REVISED ON JULY 17,1995. 5.LEGAL DESCRIPTION AS PROVIDED BY: OWNER 6. USE OF PROPERTY: RESIDENCIAL 7. UNDERGROUND FOOTINGS. FOUNDATIONS.UTILITIES,OP SEPTIC TANKS WHERE NOT LOCATED BY THIS SURVEY. B.THIS SURVEY HAVE BEEN PREPARED WITHOUT THE BENEFIT OF A TITLE SEARCH, THEREFORE THERE MAY BE ADDITIONAL RESTRICTIONS. EASEMENTS. OR RIGHT OF WAY OF OTHERS THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY 9.ALL ELEVATIONS THUS ✓ ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929. AS MEASURED FROM MIAMI -DADE COUNTY BENCHMARK N' N -397. I NDEX: 3100, ELEVATION: 9.80'. AND I S A PK.NAIL AND BRASS WASHER IN TOP OF CATCH BASIN. NE. 103rd ST. - - -33' NORTH OF C/L NE.2nd AVE.--- 65'WEST OF C/L J. F. LOPEZ & ASSOCIATES, INC. CONSULTING LAND SURVEYORS AND PLANNERS CERTIFICATE N' L8.3192.STATE OF FLORIDA 7900 NW. 155th STREET. SUITE 104. MIAMI LAKES, FLORIDA, 33016. Ph:(305) 828 -2725 Fax :(305) 828-3589 I HEREBY CERTIFY: THAT A SURVEY OF THE PROPERTY AS DESCRIBED IN THE FOREGOING CAPTION HAS BEEN MADE UNDER MY DIRECTION AND MEETS THE MINIMUN TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 61- 017 -6, FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES, AND IS TRUE AND CORRECT TO THE BEST OF KNOWLEDGE. BELIEF AND PROFESSIONAL JUDGEMENT. NOTE: THIS IS NOT A VALID SURVEY WITHOUT THE UNDERSIGNED SURVEYOR'S SIGNATURE AND EMBOSSED RAISED SEAL BY: BMW" i! S.I.P.= F. i. ID. C. B.S. L. F. E. M.F.E. G. F. E. _ A/C = E.M.• JOSE F. LPPEZ. P M. ProflFssional Surveyor 6 Mapper N'3086,State of Florida of "AMENDED PLAT OF MIAMI SHORES SECTION NO. l• . thereof. as recorded in Plat Book 10. at Page 70 of Dade County. F l o r i d a . PROPERTY ADDRESS: 287 NE. 101st Street. Miami Shores. Florida. 33138 • LEGEND: • F. I. P. 1/2" NO ID. WOOD POWER POLE WATER METER OVERHEAD ELECTRIC LINE TILED AREAS CONCRETE AREAS SET 1 /2'IRON PIPE WITH SURVEYOR'S CAP N'LB.3192 FOUND 1/2' IRON PIPE ▪ IDENTIFICATION • CONCRETE BLOCK STRUCTURE • LOWEST FLOOR ELEVATION = MAIN FLOOR ELEVATION GARAGE FLOOR ELEVATION AIR CONDITIONER ELECTRIC METER SKETCH CIF SUVEY scALE: 1 "=2o ' o. f.5" ALE ' 26./8 Co /ERE& 1DO:AS S7PR ' G. 8.s. EES /D4,/JC 28 L•F.s_ ii 2s' 4.0,a /, t9' 26, G3 ' iiOT 6 awl. 1 1 /5., 24.00' 0 :.1' CLEAR 0.5' CLEAR F. I. P. 3/4' NO ID. 0.4 CLEAR 0. 1' CLEAR RECEII JAM 2 6 2004 •., • 5'61 DE 1 19.5' • ASPHALT PAVEMENT r sETN4 /L & c4P / ' 23' 7 k 1 iOist _;% ST. 3.0.' . • ' . S. 1. P F. I. P. 1/2' NO ID. C� Z IY) cr w 0 cr p O 1- w Ii c & - 1 1 of th B Im BUILDING;'Z, LATITUDE/LONGITUDE (OPTIONAL) ( ##° - ##' - ##.## or ##.#M##11) 81. NFIP COMMUNITY NAIVE & COMMUNITY NUMBER Miami Shores 120652 TITLE LAND SURVEYOR & MAPPER FEMA Forrn 81 -31, January 2003 SEMI HORIZONTAL DATUM: ❑ NAD 1927 ❑ NAD 1983 B2. COUNTY NAME Merl -Dade County o i) Total area of all permanent openings (flood vents) in C3.h WA sq. in. (sq. an) STALE FL 1 Vu VI V,L WI�d,N,.l'/�. 1 IIWI'WNLIIILI'11 P.UI IIV 1 NATIONALFLOOD INSURANCE PROGRAM EMATIVINICERTIRCATE NA`= °PROPERTY¢0 it -7: Eduardo Casteand M ichelefGastro' BUILDINGSTREErADDRESS (Includ ng:Apt, Unit SuiteNanti19 1118 ?NPR .1 BOX NO 287 NE 101 St CITY MiamFShores* PROPERTY DESCRIPTION.( Lot• andiBl otkoNumbers?:T,ax{P.atrSrKt Nigro Lots 22.and.23, 816101351 P:B1 10-70" BUILDING USE(e:g:, Residential, Non - residential, Additions Acteratiatetc, UseralComments area, if necessary.) Residential mete:) SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION O.M.B. No. 3067 -0077 Expires December 31, 200f. ZIP CODE B3. STATE Company NAIC,N SOURCE: 0 GPS (Type): ❑ USGS Quad Map ❑ Other ira a source a ase Food Elevation (BFE) data or base flood depth entered in 89. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in 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)? ❑ Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 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. Building Diagram Number 1(Seled the building diagram most similar to the building fa 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/A0 Complete Items C3.-a4 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 0, 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 Conversion/Comments Elevation reference mark used N397 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (induding basement or endosure) 11. 25 ft.(m) o b) Top of next higher floor 11 .70 ft.(m) h o c) Bottom of lowest horizontal structural member (V zones only) WA . _ft.(m) o d) Attached garage (top of slab) WA. _ft.(m) E o e) Lowest elevation of machinery and/or equipment w '° servicing the building (Describe hi a Comments area) 11 .25 ft.(m) _ 1 o f) Lowest adace = nt (finished) grade (LAG) 10.50 ft.(m) a o g) Highest adacent (finished) grade (HAG) 10. 60 ft.(m) 2 y in o h) No. of permanent openings (flood vents) within 1 ft. above adlaoent grade WA N J ADDRESS CITY STATE ZIP CODE 7900 NW 155th Street , Suite 104 Miami Lakes FL 33016 SIGNATU DATE TELEPHONE 06/30/03 (305) 828 -2725 • • 6/30/03 #3086 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 informati ff�� t � 0 I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. W 1 E U �Y LE I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME JOSE F. LOPEZ LICENSE NUMBER #3086 .1A' 2004 COMPANY NAME J. F. LOPEZ & ASSOCIATES, I C. See reverse side for continuation. Replaces all previous editions B4. MAP AND PANEL B B5. SUFFIX 8 86. FIRM INDEX DATE E B7. FIRM PANEL 8 B8. FLOOD ZONE(S) ( 89. BASE FLOOD ELEVATION(S) Im BUILDING;'Z, LATITUDE/LONGITUDE (OPTIONAL) ( ##° - ##' - ##.## or ##.#M##11) 81. NFIP COMMUNITY NAIVE & COMMUNITY NUMBER Miami Shores 120652 TITLE LAND SURVEYOR & MAPPER FEMA Forrn 81 -31, January 2003 SEMI HORIZONTAL DATUM: ❑ NAD 1927 ❑ NAD 1983 B2. COUNTY NAME Merl -Dade County o i) Total area of all permanent openings (flood vents) in C3.h WA sq. in. (sq. an) STALE FL 1 Vu VI V,L WI�d,N,.l'/�. 1 IIWI'WNLIIILI'11 P.UI IIV 1 NATIONALFLOOD INSURANCE PROGRAM EMATIVINICERTIRCATE NA`= °PROPERTY¢0 it -7: Eduardo Casteand M ichelefGastro' BUILDINGSTREErADDRESS (Includ ng:Apt, Unit SuiteNanti19 1118 ?NPR .1 BOX NO 287 NE 101 St CITY MiamFShores* PROPERTY DESCRIPTION.( Lot• andiBl otkoNumbers?:T,ax{P.atrSrKt Nigro Lots 22.and.23, 816101351 P:B1 10-70" BUILDING USE(e:g:, Residential, Non - residential, Additions Acteratiatetc, UseralComments area, if necessary.) Residential mete:) SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION O.M.B. No. 3067 -0077 Expires December 31, 200f. ZIP CODE B3. STATE Company NAIC,N SOURCE: 0 GPS (Type): ❑ USGS Quad Map ❑ Other ira a source a ase Food Elevation (BFE) data or base flood depth entered in 89. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in 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)? ❑ Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 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. Building Diagram Number 1(Seled the building diagram most similar to the building fa 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/A0 Complete Items C3.-a4 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 0, 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 Conversion/Comments Elevation reference mark used N397 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (induding basement or endosure) 11. 25 ft.(m) o b) Top of next higher floor 11 .70 ft.(m) h o c) Bottom of lowest horizontal structural member (V zones only) WA . _ft.(m) o d) Attached garage (top of slab) WA. _ft.(m) E o e) Lowest elevation of machinery and/or equipment w '° servicing the building (Describe hi a Comments area) 11 .25 ft.(m) _ 1 o f) Lowest adace = nt (finished) grade (LAG) 10.50 ft.(m) a o g) Highest adacent (finished) grade (HAG) 10. 60 ft.(m) 2 y in o h) No. of permanent openings (flood vents) within 1 ft. above adlaoent grade WA N J ADDRESS CITY STATE ZIP CODE 7900 NW 155th Street , Suite 104 Miami Lakes FL 33016 SIGNATU DATE TELEPHONE 06/30/03 (305) 828 -2725 • • 6/30/03 #3086 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 informati ff�� t � 0 I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. W 1 E U �Y LE I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME JOSE F. LOPEZ LICENSE NUMBER #3086 .1A' 2004 COMPANY NAME J. F. LOPEZ & ASSOCIATES, I C. See reverse side for continuation. Replaces all previous editions Manufacture Spec's Loa, :test Results The sample below .uas.tested by pull testing horizontally 36" from base with accu -force 250 force gauge, s/n 62988075 X -pole 64.4 with .063 aluminum •extrusion pole. Baby Guard mesh tested tensile strength ASTM D GRAB METHOD @ 157LBS. BURSTING STRENGTH MULLEN TESTER ASTM D 3786 @257 LBS. Completed pool fence assembly x -pole space on 30" centers with Baby Guard mesh tensioned between x- poles, comprising of 5 poles per 10 foot section. Poles inserted with plastic composite sleeves into pool decking and sections connected with safety connectors. The product completely assembled and installed will withstand 321.4 lbs burst. Testing results provided by: Metallurgical, Inc. testing and consulting services. Testing report -QCM Job # 8jm -2385. Textest Report # 536 in conjunction with Baby Guard Inc. **Minimum fence height is 48 ". **Fence will be installed a minimum of 20" off pool's edge. **Fence will be permanently attached in one area (a tool must be used to remove fence). ** *see attached exhibit To be bolted to fence post To be bolted to deck surface Baby Guard Inc. 3815 NW 49 Street, Tamarac, Fl 33309. (954)741 -6613 fax(954) 739 -4174 PECEQ' ED JAI 2 2004 OF SURVEY 1 -20 :Y u r t•.l 4, • des' I•S '' 26.4' •D& QEO 1W ASPNALT PAVEMENT WC: 102. 46' 20.40' .2/ ' 0.5' ASPHALT PAVEMENT V ti n cl ,snmv.er.moriate AV Res /doe/ice N 2A7 G.F..f s4/407' M•ttE.t, %7D' a V' AG3 . ; '.: s &rN4 ;L d CAP i EOO'£OOd SZS'ON PPP -d 80/80 8ES -1 .23 ' ST. 30' F. 1. P 1/2' NO O. i i ( 0 ! a git 0 g o• W • o w a Sb6TZdbSO£ F 912JO14 Ntp-ento DW 9E:ST o6/@Z/TO + 1VlhfM N019NIHSVM —woad wdfZ :ZL 2D— SI -1'0 i� l it 41 1 8 7 6 5 35 19 4 3 2 Sr 1� to 12 L--. 20 i. 21 42, : -• 1114 1.1 11 VA1 _ 16 17 18 13 4 1 ._ 0 •02 12:20pm From - WASHINGTON MUTUAL + • • 0120/99 15:26 MC CF .` tRN MDRTGRGE 4 3054421945 LOCAT 1 'SAP El � Iv 217 LEGAL DESCRIPTION: NOTE: NOT VALID UNLESS SEALED NITH•?HE SIGHING SuAVEYOw S SEAL SURVEYOR'S NOTES SCALE; 1' - 200 �Va.7� — _ 3T• •— 1.- TYPE OF SURVEY: AS -BUILT C FIMA.I. 2.- LEGAL DESCRIPTION AS PROVIDED BY MEP. 3.- MATCHIRECORDSDISTANCESIND 'BEAfENGS /ANGLESRUNLESS OTHERWISE NOTED. 4.- PROPERTY AREA: 11.655 SOUARE FEET MORE OR LE55. 5.- THIS PROPERTY IS LOCATED IN FL000 20NE X. BASE FLOOD ELEVAT ION: (N /A). AS SHOWN ON F. E. M. A. NAP COMMON, TY N : 120552. PANEL N• 0093. S4WF I X J, LAST REVISED ON MARCH 2. Me. - UNDERGROUND FOOTINGS. FOUNDATIONS. UT it. TIES OR SEPTIC NKS WHERE NOT LOCATED BY THIS SURVEY. o� THUSLY INDICATES ELEVATIONS BA ED ON NA 10NAL GEODETIC VEAT I CAL DATUM OF 929. N. G. V. 0. ) . A DERIVED FROM BENCHMARK No - 397. ELEVAT ION: 9. EID' . LOCATOR INDEX: 3100. AS SHOWN ON METRO DAOE BENCHMARK BOOK DATED JANUARY 1994. STT. • TOUT CEIC, • • •• TE • I 1 • ti.l 1 I •LI IL V. • Y O. O. IL • UrnITV POLE F.1. P. • F IRO AIDE 0.E. • IL I1T WOW tLF.• 111LIN met SAL • SIMILE A T R R E V 1 A T 1 0 P4 S o.v KID. 6.F E 11.1. L.F.E. • sFT I •pipE Nam CAP rlatls2 TELE= Slag • • Ail COO T I T 114 � � a ` I Dig • FIRE IM MO 1 • • NA ue R Malls l T • LOIEST FOOL ELEVAT*OII ▪ OTEaIEAD ELECTRIC LINE Coq[ ARiA :.11i!. tIMIrre J. F. LOPEZ & ASSOC I ATES. INC. CONSULTING LAND SURVEYORS AND PLANNERS CEATIFICATE:LB-N'3192 STATE OF FLORIDA SSS EAST STAEET. HIALEAN. FL.. 33013 Ph: (305) 836-1822 Far; (3051 835 -0754 835.0937 i N •V C ATIF 1 t v ER gt A f• 18 A tRUE IN0 I •• CI OA [f � TAT QN or AN ACTryv TOE ATTAENED • M 10 MM O SECT ? I G M 172. D2 . it IDA STATUTE 11 fr!km � I M NICAL tE A 8E FDA L r wAT r 11A EA 1 1u►P Eo ) -4 Dc ►l la► AD�11111ta TIv I Q HE CEATT I FV iM l : ?NAT SCETCN OF NAIVES OF PLAT 15 AR Ac uoAT E U v K p $ MI(OGL. BCL►EV PROFESSIONAL I JUD SE N COMET Td 11 @�$T JOSE F. L CERTIFICATE 1r 31186 STATE or FLOIi10A FOR THE F 1811 Lott 22 6 23.8(ock 36 of • AMENDED PLAT OF MIANI SHORES SECTION N0.1' according to the Plat thereof. as recoroed In Fiat Book SO. at Pape 7 of Inc Public Records of Dade County. Florida. PROPERTY ADDRESS: 207. NE. 101st Street. Waal Snores. Fl or Ida. 33138 T - 538 P.08/09 F - 444 W. 529 P082/0133 F. 1. P. 1/2• SS' ND 10. 1 0.1' $ . SKETCF Q�IR ceta gno 0. l' IMP 32.8 4144106 LOCAT 1 ON MAP SCALE: 1" = 20.0' LEGAL DESCRIPT Lots 22 6 23.Block 35 of "AMENDED PLAT OF MIAMI SHORES SECTION NO. 1" according to the Plat thereof, as recorded in Plat Book 10. at Page 70 of the Public Records of Dade County. Florida. PROPERTY ADDRESS: 287 NE. 1 0 1 s t Street. M i a m i Shores. F I or i da. 33138 SURVEYOR'S NOTES: 1. TYPE OF SURVEY: AS BUILT 2. ALL DISTANCES AND BEARINGS /ANGLES SHOWN MATCH RECORD DISTANCES 6 BEARINGS UNLESS OTHERWISE NOTED. 3.PROPERTY AREA: 11,655 SQUARE FEET 4. THIS PROPERTY IS LOCATED IN FLOOD ZONE X, BASE FLOOD ELEVATION: - - - -, AS PER F. E. M. A. MAP COMMUNITY N': 120652, PANEL N'0093, SUFFIX J. LAST REVISED ON JULY 17,1995. 5.LEGAL DESCRIPTION AS PROVIDED BY: OWNER 6.USE OF PROPERTY: RESIDENCIAL 7. UNDERGROUND FOOT INGS. FOUNDAT IONS, UT IL I T IES. OR SEPTIC TANKS WHERE NOT LOCATED BY THIS SURVEY. B. THIS SURVEY HAVE BEEN PREPARED WITHOUT THE BENEFIT OF A TITLE SEARCH, THEREFORE THERE MAY BE ADDITIONAL RESTRICTIONS, EASEMENTS, OR RIGHT OF WAY OF OTHERS THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY 9. ALL ELEVATIONS THUS ✓ ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929. AS MEASURED FROM MIAMI -DAOE COUNTY BENCHMARK N' N -397, INDEX: 3100, ELEVATION: 9.80', AND I S A PK.NAIL AND BRASS WASHER IN TOP OF CATCH BASIN. NE. 103rd ST. - - -33' NORTH OF C/L NE. 2nd AVE.--- 65'WEST OF C/L J. F. LOPEZ & ASSOC 1 ATES, INC. CONSULTING LAND SURVEYORS AND PLANNERS CERTIFICATE N' 18.3192.STATE OF FLORIDA 7900 NW. 155th STREET. SUITE 104, MIAMI LAKES, FLORIDA, 33016. Ph:(305) 828 -2725 Fax:(305) 828 -3589 I HEREBY CERTIFY: THAT A SURVEY OF THE PROPERTY AS DESCRIBED IN THE FOREGOING CAPTION HAS BEEN MADE UNDER MY DIRECTION AND MEETS THE MINIMUN TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 61- 017 -6. FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES. AND IS TRUE AND CORRECT TO THE BEST OF KNOWLEDGE, BELIEF AND PROFESSIONAL JUDGEMENT. NOTE: THIS IS NOT A VALID SURVEY WITHOUT THE UNDERSIGNED SURVEYOR'S SIGNATURE AND EMBOSSED RAISED SEAL BY: LEGEND: • WOOD POWER POLE OL ® R WATER METE OVERHEAD ELECTRIC LINE TILED AREAS CONCRETE AREAS S. I.P. F. I.P. I D. C. B. S. L. F. E. M. F. E. G.F.E. - A/C " E. M. • :LOSE F. LOPEZ. P. M. Professional Surveyor h Mapper N'3086.State of Florida = SET 1 /2'I11ON PIPE WITH SURVEYOR'S CAP N' LB.3192 • FOUND 1/2' IRON PIPE • IDENTIFICATION • CONCRETE BLOCK STRUCTURE • LOWEST FLOOR ELEVATION • MAIN FLOOR ELEVATION GARAGE FLOOR ELEVATION AIR CONDITIONER ELECTRIC METER F. 1. P.1/2' NO ID__ F. I. P. 3/4' NO I D. SKETCH OF SUVEY scALE:I"= 2 o ' • 6 15r A1I_Y' 0. 1' CLEAR 0.5' CLEAR CL EAR 0. 1' CLEAR c 9 � sr 0 32.85 _ 4 a f'ob FEA4 26./2 Ij 5'510E'v A 4.8 b 5 ' or N / s7' ey '� .t l `-} Res /.044/4-E- AJ° 287 .4% C G.F.E.= // -07 //.70' t 26',6' covEREO Pokes/ - 46�OOA ' Ye� LOAS VE4 30 YE TER/ A cf 20.60' 4• t fY 77. 53' 102.5 19.5' ASPHALT PAVEMENT V' 26,63 sE7 & C.4P 24.00' 7 ' 23' 0* ON a\ 75.0' T1 b O' 0j 101St / ST. 'o. s.1.1? Let ti S- 1--P F. I. P. 1/2 NO ID. r\� 0 . 0 N. 'CO 0. con I a . L r\� Lair .a^. O 3 0 J w_ LL O w t- a 0 O w LL 1- � w U a ee 3 CA-S cS BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. PLORIOA 33138.2382 TELEPHONE (3051 795-2204 PAX (305) 756 -8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowledge, that a new sljrnming pool, spa or hot tub will be constructed or installed at R 1+3 `/OI Miami shores,. Fl., and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida 3tatdtes. ;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 whet 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 fine p to $500 and /or up to 60 days in jail as established in Cha• er 775, F.S. C't r RACTOR'S SIGNATURE do DATE &IS /0 4. CONTRA N( R 'UBUC E PRINT ) Z�Da� 8v . —; * My Commission CC970762 ?.a„„° Expires November 14, 2004 N• 'AR PUB OWNER'S SIGNATURE & DATE tc/d'� Z/95 //2G / / =r2 03 RECEoVE© JAM 2 6 2004 * * My Commission CC970762 ., 0 Expires November 14, 2004 -�, P‘r\Ve rf1s Baby Guard ground round install spec o Bez.ovki is7 18 inch pvc ground spike Spec ` S -Vo r Stood 89Vel I W All ground installs are set in a 6 inch x 6 inch quickcrete footer, with a 18 inch pvc dirt spike. L-( -C-eoac' t,u/0 f Baby guard 5299 hiatus rd sunrise florida 33351. 954-741-6613 Z8069bLb56 Z8069bLtS6 RECEIVED EB 3 2004 6 inch x 6 inch cement 8E :TT 1700Z /E1/Z0 Manufacture Spec's Ioktest Results The sample below was .tested by pull testing horizontally 36" from base with accu -fotee 250 force gauge, sin 62988075 X -pole 64.4 with .063 aluminum •extrusion pole. Baby Guard mesh tested tensile strength ASTM D GRAB METHOD @ 157LBS. BURSTING STRENGTH MULLEN TESTER ASTM D 3786 @257 LBS. Completed pool fence assembly x -pole space on 30" centers with Baby Guard mesh tensioned between x- poles, comprising of 5 poles per 10 foot section. Poles inserted with plastic composite sleeves into pool decking and sections connected with safety connectors. The product completely assembled and installed will withstand 321.4 1bs burst. Testing results provided by: Metallurgical, Inc. testing and consulting services. Testing report -QCM Job # 8jm -2385. Textest Report # 536 in conjunction with Baby Guard Inc. **Minimum fence height is 48 ". **Fence will be installed a minimum of 20" off pool's edge. **Fence will be permanently attached in one area (a tool must be used to remove fence). ***see attached exhibit To be bolted to fence post f3abv Ouard Inc. 3815 NW 49 Strcct, Tarnaiac, Fl 33309. (954)741 -6613 fax(954) 739 To be bolted to deck surface ��J15C. VED JAN 2 6 2004 I LOCAT 1 ON MAP SCALE: i" = 200' N w "">-140'- , 10 50' 40' 11 12 13 `1 14 9 15 50' 8 16 E. - 10 is LEGAL DESCR I PT I ON: Lots 22 C 23,BIock 35 according to the Plat of the PubIic Records �- 50' 1 •\ 30 4 3 2 5 35 19 17 18 20 21 �.i 73 ii, w a c_ cn 30f .5 . / w PROPERTY ADDRESS: 287 NE. 101st Street, Miami SURVEYOR'S NOTES: 1. TYPE OF SURVEY: AS BUILT 2.ALL DISTANCES AND BEARINGS /ANGLES SHOWN MATCH RECORD DISTANCES & BEARINGS UNLESS OTHERWISE NOTED. 3.PROPERTY AREA: 11,655 SQUARE FEET 4.THIS PROPERTY IS LOCATED IN FLOOD ZONE X. BASE FLOOD ELEVATION:----, AS PER F. E. M. A. MAP COMMUNITY N °:120652, PANEL N °0093, SUFFIX J. LAST REVISED ON JULY 17.1995. 5.LEGAL DESCRIPTION AS PROVIDED BY: OWNER 6. USE OF PROPERTY: RES I DENC I AL 7. UNDERGROUND FOOTINGS, FOUNDATIONS, UTILITIES, OR SEPTIC TANKS WHERE NOT LOCATED BY THIS SURVEY. 8.THIS SURVEY HAVE BEEN PREPARED WITHOUT THE BENEFIT OF A TITLE SEARCH,THEREFORE THERE MAY BE ADDITIONAL RESTRICTIONS, EASEMENTS,OR RIGHT OF WAY OF OTHERS THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY of "AMENDED PLAT OF MIAMI SHORES SECTION NO. 1' thereof, as recorded in Plat Book 10, at Page 70 of Dade County, F l o r i d a . _ oL 9.ALL ELEVATIONS THUS f ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929, AS MEASURED FROM MIAMI -DADE COUNTY BENCHMARK N° N -397, I NDEX: 3100, ELEVATION: 9.80', AND I S A PK.NAIL AND BRASS WASHER IN TOP OF CATCH BASIN. NE.103rd ST.--- 33'NORTH OF C/L NE.2nd AVE.--- 65'WEST OF C/L NOTE: THIS IS NOT A VALID SURVEY WITHOUT THE UNDERSIGNED SURVEYOR'S SIGNATURE AND EMBOSSED RAISED SEAL BY: Shores, F I or i da, 33138 S. I.P.= F. I.P. ID. C. B. S. L. F. E. M. F. E. G. F.E.= A/C E. M. J. F. LOPEZ & ASSOC I ATES, INC. CONSULTING LAND SURVEYORS AND PLANNERS CERTIFICATE N' LB.3192.STATE OF FLORIDA 7900 NW. 155th STREET. SUITE 104, MIAMI LAKES, FLORIDA, 3301E. Ph: (305) 828-2725 Fax: (305)- 828 -358y HEREBY CERTIFY: THAT A SURVEY OF THE PROPERTY AS DESCRIBED THE FOREGOING CAPTION HAS BEEN MADE UNDER MY DIRECTION AND NEE1S THE MINIMUN TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD Of SURVEYORS AND MAPPERS IN CHAPTER 61- G17 -6, FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES, AND IS TRUE AND. CORRECT TO THE BEST OF KNOWLEDGE, BELIEF AND PROFESSIONAL JUDGEMENT. JOSE F.'LOpEZ, P. S. M. Prof•ssional Surveyor &..Mapper N °3086, State of Florida LEGEND: • WOOD POWER POLE WATER METER OVERHEAD ELECTRIC LINE TILED AREAS CONCRETE AREAS SET 1 /2'IRON PIPE WITH SURVEYOR'S CAP N°13.3192 FOUND 1/2' IRON PIPE IDENTIFICATION CONCRETE BLOCK STRUCTURE LOWEST FLOOR ELEVATION MAIN FLOOR ELEVATION GARAGE FLOOR ELEVATION AIR CONDITIONER ELECTRIC METER O 15' ALLEY 10' ASPHALT PAVEMENT F. I. P. 1/2" �o 0 NO ID. 102.46' ' 0. 1' CLEAR 0.5' CLEAR F. I. P. 3/4' NO II). SKETCH OF SURVEY SCALE: 1 '= 20 ' o 0 .4 0 CLEAR CLEAR In N M 0 Lri v 32.85 ` 1 G 25' o: 4.86 B.5' /5 Ob 1=EA/[£ t" 26./8' a i l CDVEREO PO,PC*/ 1/ °`. / sWRY c. 8. s.. E es/ 9,e /CE , e 287 L•FG. //-25' eRoo 1 , \9' 26,6 20. 60' 1;1 /'O f/E/2ED TERR.'1 cA / ' • .5E7 NAIL & CAP 4 'cvaoa FE•%L { , A O/ E.H. 24.00' -?-3" \ ° i q) \ 0 /5.0 NE. 101st °;/' ST. Py�. / 0 ' 19.5' ASPHALT PAVEMENT aN 30' 5,1, F. I. P. 1/2° NO ID. z S \O. 4 0 0 CD O -J w an cc a O cc 0 3 0 cu O 01 r` �-. KC V ding Department jj lQ MO4 BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village c9 CV, CS Permit Type (circle) Buildin Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) i P J -40" CA Yrft-`' D Phone # 30S- 7ScI —/Y-/ Owner's Address 'Z 7 NET (°? - ! City { /Aevl 1 ' S(LES State Zip 3(3P Tenant/Lessee Name Phone # Job Address (where the work is being done) 287 ^rT ( ( ..[T City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Permit No. Master Permit No. Zip 73/ 3, 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 5e2oog- q�q Contractor's Company Name Qv-WE Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) - Phone # Architect/Engineer's Address City State $ Value of Work For this Permit (S 000, 00 Square Footage Of Work: Appe0)C ; Ms1�11� 1 y /000 • Zip Number of: Bays Stories Families Bedrooms Baths Type of Work: ❑Addition ['Alteration %New ❑ Repair/Replace ❑ Demolition Describe Work: 6e_ick ep.vE`P 0 UE-a- CrJ Cc 4-e._ -s / r e ro - o `� rbCC fc . A(So ( o >&/ O/ C (0.Jc,zc f Pay(:- lot s ' DA0 F` co l fieove- U SFFED Ci /eot, J) County Escrow Fee $ 3,- Permit Fee $ 02 v Notary $ S-r U Education/Training Fee $ 1/ Tech $ Q, 50 Scanning $ 3— Radon $ Code Enforcement $ Bond $ 3 -- / Struct. $ �-- Minus Plans Check Fee $ 5o •,Cf . Total Fee Now Due $ 24 kl r-C 3 (Continued on opposite side) 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a r ins$ction fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before this .'2f The foregoing instrument was acknowledged before me this day of (1 206 , by (.I (J pas.10 , day of • , 20 b y who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY P IC: NOTARY PUBLIC: - Sign: Print: .11.11.11111k . 1 .c ,•.. V: �, Print: My Commission Expires: s OaIlTi x? es: wi ;3, 2007 Bonded Thru My Commission Expires: , (Certificate of Competency Holder) State Certificate or Registration No. chc717/03 Signature •*********** s: t**** sss**** s* *s * *ss * *s * * * *ss *ss * ** * * * * * ** *** **** s* sss*ss s* *** * *s ** **** *s * * **** * * * * * * * ** ** APPLICATION APPROVED BY: 1/1 /1_- / Certificate of Competency No. APR 16 2004 a Plans Examiner Engineer Zoning I 34E /0;00 Cor icR&k paro frxt sGl e� le 51 POOL EQUIPMENT — Ck fotC sn o ®wt. Stele yctr -d Y aAA) C.1 e G f , ` evt Se s /al • icy IA Star 3/3 ay rJfV1/ 2;46 Gk- Pi"Ele-S ova cop,caeke Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -419 Printed: 4/16/2004 Applicant: EDUARDO CASTRO Owner: CASTRO EDUARDO JOB ADDRESS: 287 NE 101 ST Contractor Local Phone: Parcel # 1132060134830 Signed: (INSPECTOR) Building Permit Page 1 of 1 Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 22 & 23 BLK 35 LOT SIZE 102.570 X 115 Fees: Description Amount FEE2004 -4013 Building Fee $100.00 FEE2004 -4014 CCF $3.00 FEE2004 -4016 Notary Fee $5.00 FEE2004 -4017 Training and Education Fee $1.00 FEE2004 -4018 Technology Fee $2.50 FEE2004 -4019 Scanning Fee $3.00 FEE2004 -4020 Builders Bond $300.00 Total Fees: $414.50 Total Fees: $11e.s0 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 9/25/2004 Construction Value: $5,000.00 Work: BRICK PAVERS OVER CONCRETE SLAB FOR POOL DECK ALSO 10X10 CONCRETE PAD FOR SHED 3� Y, S 0 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: NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. U P20dy _4 q -TAX FOLIO NO 13p2.6104-1_ 2 96 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. V 1. Legal description of property and street/address: orf 2- 2- ¢ 23 £/ock 3S 247 N �= /o / - 7 . M /;+vl i I/ ee FL . 33/3p v 2. Description of improvement: Goof_ b e ck C am-t r7 0 f (s4-Ue , S o v ez_ C or Apo/ rlo•J uF - )Cf7 f)oo,C °Pic /+m,.t'f ere 6,rr/4 7"eX/l4CC W,4 // CN dos €z '' '77+ C-0 ./t 3. Owner(s) name and address: et) u o 4--- H I c tr 217 NC %I 7 t '�i ffI°R��' /�C 33/ K Interest in property: W17'/%) "-Wry Name and address of fee simple titleholder: 4. Contractor's name and address: nu✓N B v)10e.- - 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Nr Amount of bond $ 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 Statutes, Name and address: N 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 Statutes. Name and address: +f/A 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a Signature of Owner Print Owner's Name EG/ �Qth O Sworn to and subscri, ed before • My commission expires: 123.01 -52 PAGE 4 a/02 "fili2 day of Notary Public �.. Jk . Print Notary's am: Ii1...lM1 MIL,4e: S . Expires' Jul 1317007 9'FOa� Bonded Thru Atlantic BondingCo., Inc. Prepared by 2C0 STATE OF FLORIDA. COUNT OF DADE I HEREBY CERTIFY that this is a trunpy of the orrgrn I e rn this office on day f f it , A D 20 day WITNESS my hand and Official Seal. HARVEY RUVI CLERK, 01 Circurt and County Courts By D.C. CFN 2004R0285309 DR Bk 22232 Ps 1763; (fps) RECORDED 04/22/2004 09:08:39 HARVEY RUVIN► CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE • I IIIIII III1I IIIII IIIII Ilill III IIIII IIII IIII Address: )- 7N� /0/ rf H A P't s r 2t'✓ s FL 33/3r