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BPP-07-734Miami Shores Village 04 rdo Building Department a`'' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 10 I' Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING ]LIi IECIEg o APR 1 6 2007 Permit No. PERMIT APPLICATION . Master Permit No. FBC 2001 Y m mmmmm 4mmmOmsaym Permit Type (circle): uilding> Electrical '} -'134 Plumbing Mechanical Roofmg Owner's Name (Fee Simple Titleholder) SCCD 60g-65 AVIELS AvWA Phone # 3 '74- q" - Owner's Address 1k X43 E q FS S r City i i4M 1 SA-to (Z ES State Tenant/Lessee -Name Phone # 3O5 36/1-1. RCS �c ra at-p Zip 3� 135 Job Address (where the work is being done) \ t t4 3 .J t. O[ s ST City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Contractor's Address County Miami -Dade NO '4. VAN KIRK & SONS, INC. 3144 S.W. 13TH DRIVE City Qualifier LD BEACH, FL 334425 State ,c be r-+-- 'P yon r'r 7 State Certificate or Registration No. c,P 9' ,J0 Zip 33 l 3 'S Phone # Zip Certificate of Competency No. *myfifi ect/Engineer's Name (if applicable) A- - . U E 6.6 Gle, Phone # 4 S-4/ S '31 $ Value of Work For this Permit Si. 3 S, ZS 0 Square Footage Of Work: Type of Work: DAddition DAlteration F '. ew D Repair/Replace D Demolition Describe Work: 'PO ®(o. 13 / -D t-k �c - �I t �EC K �6� y-+ CiONClefTe Submittal Fee $ Permit Fee $ l 7e °°"— CCF $ 21. O CO /CC LSO '-- Notary $ Training/Education Fee $ Technology Fee $ 20 J Scanning $ Radon $ 2 ti ( Zoning Bond $ __- Code Enforcement $ Structural Plan Review. $ 6'' ov t 601 7 •; f Owe'0 Total Fee Now Due $ t 14 JUN 0 6 P, ,JP CtzSs �q (Continued on opposite side) Bonding Company's N• Bonding Company's Ad City M aet.cods lai Mortgagg Lender's Ad City Application is hereby commenced prior to construction in this WELLS, POOLS, FU llation has regulating G, SIGNS, OWNER'S AFFIDA applicable laws regula "WARNING TO 0 PAYING TWICE CONSULT WITH COMMENCEME Notice to Applicant: promise in good faith whose property is su for the first inspection wh ch occurs seven inspection will not be appr ved and a reinspection fee will be charged. Owner The foregoing instrument was acknowledged before me this 4 day of Apt, 20 07, by ?4 1l 5@r5 r who is personally known to me or who has produced Ci NOTARY PUBLIC: Sign: Print: As identification and who did take an oath. N YOUR ANCING, ICE OF icant must the person Jae job site notice, the Contractor The foregoing instrument was acknowledged before me this day of 7f ,20,by i. who is pe ailyknoGn to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: ' ` Bonded XPIR ru NSeptPmabeu6� 10 APPLICATION APPROVED BY: Chc 05/13/03 Sign: Print: My Commission 0 '470 MY COMMI98IONMu r i 862786 Septenir 66, 2810 tileinelad ThrU Notary Mao UeAerwflt ff * 1M * Plans Examiner Engineer Zoning * 06/06/2007 09:44 SI 9540340435 VAN KIRK & SONS, INC PAGE 01 11111111111 11111 11111111iiiiiii11111 111111 OTICE OF COMMENCEMENT A RECORDED ' PY MUST Be POSTER OH THE JOB SITE AT TIME OP' FIRST INSPECTION ERMrr NO. TATE OF FLORM A: • NTY OF M 1 -DADE: UNDER= erty, and In provided In this Legal descrip TAX FOLIO NO, 3Z05618ot J • hereby gives notice that Improvements will be made to certain real . an with Chapter 713, Florida Statutes, the following Information Otte of Commencement. Fhi 2OO7RO3 •11385 OR Bk 25522 i'3 0662; 09 RECORDED 04/10/2007 1:;!58:00 HARVEY RUVINv CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE 'f 743 rTZ-1 JUN 0 6 2007 'P Th on of property and street/address: _ 114 5 ale' 9F3 Stretj-, )1 tCferhr' She -es, 11 rJ Description . Improvement Swimnung Pool Owner(s) nam fr and address: e 331 Brest in prope and addr . s of fee simple titleholder. Owner tractor's ty: (Pa and add cunt of bond ender's name persons within by Sect e and addr�e9 me and address: Vats Kirk & Sons Inc. 3144 S. W.13 Drive, Deerfield Beach, Florida 33442 t bond required by owner from contractor, if any) • N/A None t fE'I rY c FY met this is • address :' N/A copy of the of Hn rerberxf 1 addition to hi on 713.13( is and ad tion date • e state of Florida designated by Owner upo 713.13(1)(a)7., Florida Statutes, N/A whom nob elf, Owners designates the following persons) to receive a copy of the Lienor's Notice as provided )(b). Florida Statutes. • • N/A f this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a of• Owner's Nam f r�LS Dt3ir �G-- Prepared by - an Kirk &Sons Inc n t n to area bed before me this day o • � I IU'".._ MYCOtuiMISSION o,, 1 Public Notary's Nam o=mission e • PAW 4 MME b'd Tres: £8SST ,2007 Address: 3144 S.W. 13 Drive Deerfield Beach, Florida 33442 >RIIN NJA:WOdd da:EO 1.002- St -8tiW Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. or" 7' 754 Job Name fa P 13.e lea f as Date 4/64 /07 STRUCTURAL CRITIQUE SHEET 61%e� Ff a /4, /2 oar avt 4 f ti s - .b rsed devi /,06 yt3, Use Ct'r, Lo ear r/01)6( e/. � 45'J - p,h . �� 47, aF ho cis Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Issue Date: Not Issued Folio Number:1132050180270 Owner's Name: ANNEMETTE SODBERG Job Address: 1143 98 Street NE Miami Shores Village, FL Owner's Phone: Total Square Feet: Total Job Valuation: 305 - 394 -9445 0 $ 36,000.00 Planning and Zoning Criteria and Comments Approved: No Comments: IT APPEARS THAT THE POOL EQUIPMENT IS TO BE LOCATED IN THE SIDE YARD. Date Denied: 4/19/2007 POOL EQUIPMENT CAN NOT BE LOCATED WITHIN 10 FEET OF THE SIDE PROPERTY LINE. 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. BPP -4 -07 -734 Issue Date: Not Issued Explres:Not Issued Folio Number:1132050180270 Owner's Name: ANNEMETTE SODBERG Job Address: 1143 98 Street NE Miami Shores Village, FL Owner's Phone: 305 - 394 -9445 Total Square Feet: Total Job Valuation: $ 36,000.00 0 Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 5/18/2007 : Yes Comments: IT APPEARS THAT THE POOL EQUIPMENT IS TO BE LOCATED IN THE SIDE YARD. POOL EQUIPMENT CAN NOT BE LOCATED WITHIN 10 FEET OF THE SIDE PROPERTY LINE. 05/18/07 REVISED PLAN MEETS ZONING REQUIREMENTS 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756-8972 Folio Number:1132050180270 Owner's Name: ANNEMETTE SODBERG Job Address: 1143 98 Street NE Miami Shores Village, FL Owner's Phone: 305 - 394 -9445 Total Square Feet Total Job Valuation: $ 36,000.00 0 Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: No Comments: IT APPEARS THAT THE POOL EQUIPMENT IS TO BE LOCATED IN THE SIDE YARD. Date Denied: 4/19/2007 POOL EQUIPMENT CAN NOT BE LOCATED WITHIN 10 FEET OF THE SIDE PROPERTY LINE. U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important Red the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION Al . Building Owner's Name NEIL SODBERG AND ANNEMI 11 1 SODBERG OMB No. 1660-0008 Exeires February 28. 2009 A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1143 N.E. 98TH STREET City MIAMI SHORES State FL ZIP Code 33138 A3. Property Description (Lot, LOT 18, BLOCK 179 OF REVI A4. Building Use (e.g., Res' A5. Latitude/Longitude: Lat. A6. Attach at least 2 phot A7. Building Diagram Num, For Insurance Company Use: Policy Number Company NAIC Number sikParcel Number, Legal Description, etc.) t � PLAT OF M I SHORES SECTION 8 (43-69) MIAMI-DADE ( # 0507-26) ddition, Accessory, etc.) RESIDENTIAL A8. For a building with a c (s), r a) Square footage of •sure(s) b) No. of permanent flod oithjins. n crawl Spice or enclosure(s) walls within 1.0 foot above adjacent grade 17 c) Total net area of flood openings in A8.b Horizontal Datum: 0 NAD 1927 El NAD 1983 te is being used to obtain flood insurance. 17 sq ft 0 sq in A9. For a building with an attached garage, provide: a) Square footage of attached garage §21) sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number VILLAGE OF MIAMI SHORES 120652 B2. County Name MIAMI-DADE B3. State FL B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12025C 0093 J 7-17-95 3-02-94 X - . e ase Flood Elevation (BFE) data or bate flood depth entered in Item B9. 0 FIS Profile CA FIRM 0 Community Determined 0 Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 0 NAVD 1988 0 Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? DYes a No Designation Date WA 0 CBRS 0 OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings Building Under Construction* 0 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized B-62 Vertical Datum NGVD Conversion/Comments N/A a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the bulling (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) d) e) f) 9) Check the measurement used. 8.22 0. feet 0 meters (Puerto Rico only) 10.89 C4 feet 0 meters (Puerto Rico only) 0 feet 0 meters (Puerto Rico only) i5 feet 0 meters (Puerto Rico only) 8.44 CA feet 0 meters (Puerto Rico only) 8.29 8.44 feet 0 meters (Puerto Rico only) feet 0 meters (Puerto Rico only) SECTION D - S(JRVEYOR, E GINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engi neer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Check here if comments are provided on back of form. Certifier's Name ERNESTO BELTRAN Title PROFESSIONAL SURVEYOR & MAPPER Company Name Address 12533 S.W. Signature STREET 11111h. A Date 5-02-2007 License Number 4885 . BELTRAN & ASSOCIATES, INC. City MIAMI State FL ZIP Code 33175 Telephone (305) 552-7450 FEMA Form 81-31, F bruary 2006 See reverse side for continuation. Replaces all previous eclitinnR IMPORTANT: In these spaces, copy the corresponding inf rmation from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) P.O. Route and Box No. 1143 N.E. 98Th STREET City MIAMI SHORES State FL ZIP Code 33138 For Insurance Company Use: Policy Number Company NAIC Number SECTION D - SURVEYOR, ENGINEBR, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, t2) insurance agent/company, and (3) building owner. Comments C2 (e) CONCRETE NC PAD. CRAWL SPACE AREA = 2312 SQ. FT. ATTACHED GARAGE = 520 SQ. FT. CROWN OF ROAD = 8.09 FT. NGV Signature SECTION E BUI Date 5-01-2007 Check here if attachments DING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A ( out BFE), complete Items E1-E5. If the Ce rtificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1-E4 use natural grade, if available. Check the m asurement used. In Puerto Rico only, enter meters. ils El. Provide elevation information for the following and check the ap ropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enci ure) is D feet 0 meters 0 above or 0 below the HAG. b) Top of bottom floor (including basement, crawl space, or end ure) is . 0 feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provk4ed in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building Is . 1 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage (top of slab) is . 0 feet 0 rieters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the bui ding is . 0 feet 0 meters 0 above or 0 below the liAG. E5. Zone AO only: If no flood depth number Is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (r.IR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E ara correct to the best of my knowledge. Property Owners or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments 0 Check here if attachments SECTION G - COM UNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer thei community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) andi sign below. Check the measurement used in Items G8. and G9. 01. 0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicatethe source and date of the elevation data in the Comments area below.) G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. G3. 0 The following information (Items G4.-G9.) is provided for com ''rrunity floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for 0 New Construction J Substantial Improvement 08. Elevation of as-built lowest floor (including basement) of the buildin: . feet 0 meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ' . 0 feet 0 meters (PR) Datum Local Official's Name Community Name Signature Comments Title Telephone Date 0 Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and/or BICig. No.) or P.O. Route and Box No. 1143 N.E. 98T" STREET Policy Number City MIAMI SHORES State FL ZIP Code 33138 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. FRONT VIEW Building Photographs Continuation Page For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1143 N.E. 98TH STREET Policy Number City MIAMI SHORES State FL ZIP Code 33138 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear Vi6w"; and, if required, "Right Side View' and "Left Side View.' REAR VIEW C1i2O' n' q. SKETCH OF BOUNDARY SURVEY SCALE 1 "= 20' CITY J t 0,50" • • • • • • • • •• 0.50 •••• t,L . ‘I IGe'> LOA l.i. 1! • 411'10 IO,• • • 1490 Q •••. •• s 41'440 10.10 Otte- 2 ' tV • • •• 1, o /7,50, 4,10' N etP -4 `10,01 Ye4)66 0.70 L• P(P5/6'( 3 15-49' �aa 0 19 TH 24 1 V711314-41:f pA,04,16 BEARINGS HEREON OF ANY) ARE REFERRED TO AN ASSUMED VALUE OF FOR THE SAID BEARING IS IDENTICAL WITH THE PLAT OF RECORD ACCORDING TO THE N.F.I.P. THE SUBJECT PROPERTY FALLS WITHIN FLOOD ZONE: X LEGAL DESCRIPTION LOT (2J BLOCK 171 SUBDIVISION: igk.itevc2 (26,ii ere Pr,A'( DE I A m1 S ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK OF THE PUBLIC RECORDS OF LOCATION SKETCH SCALE 1"=14.4:;' 1AO t-1I A.1.0 - eAPk- 4- 14D AT PAGE COUNTY, FLORIDA. h6rt ,(".fze;•( Pikw , tJ1E��1 ‘20t-:,e-4_, Z� A.OP AtAQ b,tliA54,1“1 �Or' ��G( u � r e 16.4&04,4 — ft II`7( 1 4t.) 11J�tic2111)) q Of 44* , SURVEY CERTIFY TO : kOtINGIAM,1 ib. MOV, c.i�, ay v.), ( 1 ci,ttc( 5Koitt w lkf THE ATTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE AND CORRECT REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 61G17-6 FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES. n.G '7ape� �4 pop da -x+-1 1 ij'E� � 40177,5_ �2 �► JOB NUMBER e J497- 240 DRAWN BY: '� --�" ..� F.B. NO. CHECKED BY: r� V DATE OF THE FIELD SURVEY REVISION DATE: 7- / 2 .- 2WV5 SURVEYOR'S NOTES: LEGAL DESCRIPTION WAS FURNISHED BY CLIENT, NO UNDERGROUND INSTALLATIONS OR IMPROVEMENTS HAVE BEEN LOCATED, EXCEPT AS NOTED. THERE ARE NO VISIBLE ENCROACHMENTS OTHER THAN THOSE SHOWN EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENT, IF ANY AFFECTING THIS PROPERTY . FENCE OWNERSHIP BY VISUAL MEANS ONLY (IF ANY), LEGAL OWNERSHIP NOT DETERMINED. LEGAL DESCRIPTION SUBJECT TO ANY DEDICATION, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORDS. E. BELTRAN & ASSOCIATES, INC. 12533 S.W. 30th STREET MIAMI, FLORIDA 33175 PHONE: (305) 552 -7450 CERTIFICATE OF AUTHORIZATION NUMBER LB 5233 IZ =CENTER LINE = PROPERTY LINE R/W =RIGHT - OF-WAY C.L.F. =DRAIN LINK FENCE W.F. =WOODEN FENCE RES. diESIDENCE F.LP. SOUND IRON PIPE S.R.B :SET RE-BAR C.B. =CHORD BEARING MEAS = MEASURED S.N &D =SET NAIL & DISC F.N. =FOUND NAIL ABBREVIATIONS OF ANY CL =CLEAR ENC. = ENCROACHMENT C.B.S. = ANCRETE BLOCK STRUCTURE CONC. =CONCRETE 6 = DIAMETER D.M.E. = DRAINAGE MAINTENANCE EASMT. S.I.P. =SET IRON PIPE F.D.H. =FOUND DRILL HOLE At =AIR CONDITIONING UNIT REC. =RECORDED F.N. &D =FOUND NAIL & DISC F.C.N. =FOUND CUT NAIL APPLIED) U.E. W.M.E. PROP. COR F.H. EASMT. F.R.B. S.D.H. CAL C. F.S. RAD F. =UTILITY EASEMENT =WN1 MAT. &DRAr1A E EASMT. = MONUMENT UNE = PROPERTY CORNER =FIRE HYDRANT =EASEMENT =FOUND RE-BAR =SET DRILL HOLE =CALCULATED =FOUND SPICE = RADIAL =FOUND (TYP)=TYPICAL ERNESTO A. BELTRAN PROFESSIONAL SURVEYOR & MAPPER NO.5956 STATE OF FLORIDA DATE: 7-/2- 2095 NOTE: THIS IS NOT A VALID SURVEY WITHOUT THE ORIGINAL RAISED SEAL AND SIGNATURE OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 1 T!1 0(c)1 // n 1 t 1$'/ VI o 2 t7 II �' /n,. � alS` 04142 /'L5 i h6rt ,(".fze;•( Pikw , tJ1E��1 ‘20t-:,e-4_, Z� A.OP AtAQ b,tliA54,1“1 �Or' ��G( u � r e 16.4&04,4 — ft II`7( 1 4t.) 11J�tic2111)) q Of 44* , SURVEY CERTIFY TO : kOtINGIAM,1 ib. MOV, c.i�, ay v.), ( 1 ci,ttc( 5Koitt w lkf THE ATTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE AND CORRECT REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 61G17-6 FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES. n.G '7ape� �4 pop da -x+-1 1 ij'E� � 40177,5_ �2 �► JOB NUMBER e J497- 240 DRAWN BY: '� --�" ..� F.B. NO. CHECKED BY: r� V DATE OF THE FIELD SURVEY REVISION DATE: 7- / 2 .- 2WV5 SURVEYOR'S NOTES: LEGAL DESCRIPTION WAS FURNISHED BY CLIENT, NO UNDERGROUND INSTALLATIONS OR IMPROVEMENTS HAVE BEEN LOCATED, EXCEPT AS NOTED. THERE ARE NO VISIBLE ENCROACHMENTS OTHER THAN THOSE SHOWN EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENT, IF ANY AFFECTING THIS PROPERTY . FENCE OWNERSHIP BY VISUAL MEANS ONLY (IF ANY), LEGAL OWNERSHIP NOT DETERMINED. LEGAL DESCRIPTION SUBJECT TO ANY DEDICATION, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORDS. E. BELTRAN & ASSOCIATES, INC. 12533 S.W. 30th STREET MIAMI, FLORIDA 33175 PHONE: (305) 552 -7450 CERTIFICATE OF AUTHORIZATION NUMBER LB 5233 IZ =CENTER LINE = PROPERTY LINE R/W =RIGHT - OF-WAY C.L.F. =DRAIN LINK FENCE W.F. =WOODEN FENCE RES. diESIDENCE F.LP. SOUND IRON PIPE S.R.B :SET RE-BAR C.B. =CHORD BEARING MEAS = MEASURED S.N &D =SET NAIL & DISC F.N. =FOUND NAIL ABBREVIATIONS OF ANY CL =CLEAR ENC. = ENCROACHMENT C.B.S. = ANCRETE BLOCK STRUCTURE CONC. =CONCRETE 6 = DIAMETER D.M.E. = DRAINAGE MAINTENANCE EASMT. S.I.P. =SET IRON PIPE F.D.H. =FOUND DRILL HOLE At =AIR CONDITIONING UNIT REC. =RECORDED F.N. &D =FOUND NAIL & DISC F.C.N. =FOUND CUT NAIL APPLIED) U.E. W.M.E. PROP. COR F.H. EASMT. F.R.B. S.D.H. CAL C. F.S. RAD F. =UTILITY EASEMENT =WN1 MAT. &DRAr1A E EASMT. = MONUMENT UNE = PROPERTY CORNER =FIRE HYDRANT =EASEMENT =FOUND RE-BAR =SET DRILL HOLE =CALCULATED =FOUND SPICE = RADIAL =FOUND (TYP)=TYPICAL ERNESTO A. BELTRAN PROFESSIONAL SURVEYOR & MAPPER NO.5956 STATE OF FLORIDA DATE: 7-/2- 2095 NOTE: THIS IS NOT A VALID SURVEY WITHOUT THE ORIGINAL RAISED SEAL AND SIGNATURE OF A FLORIDA LICENSED SURVEYOR AND MAPPER. S -2 co 6,` A/1.1.41/u, &tataTiliar BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138-2382 TELEPHONE 6303) 795 -2204 FAX 63051 756.8972 cz,S E NOTICE OF REQUIREMENTS 6 al RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT e) acknowledge that a new swimming pool, spa or hot tub will be constructed or Fl., and h .nstalled at :. Miami Shores o a' • :he following methods will be used to meet the requirements of clf Miami Shores Village Statutes. :please initial the method(s) to be used) • • • • • • • ••• • • •• • ;Me +pool: kill 6e isolated from access from the home b . that rrtedsihe pool barrier requirments of Florida S • •• ••• •• • • • • • •••• •..:... The ol wi11•be equipped with an approved safty cove • • • • cogamplies• atitlt ASTM F1346 -91; APPROVED ZONING n- oir ~BY • • • SUBJECT TOCSMPLIAN WITH = FE ERAL SNWAND COUNTY R,: _ S AND_REGULATIONS A1i:doors.s4d•ykindows providing direct access from the home to the ...Tool 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 • f the second degree, punishable by fines up to $500 and /or .up to 60 days in jail as establishe I in Chapter 775, F.S. Arne CONTRACTOR'S SIGNA & i ATE ONE ISSION # DD 592788 EXPIRES; September 6, 2010 E3ordad Tru.raatary Pubno Undrrwriters x OWNER'S SIGNA DATE. IRS SOD3a. OWNER'S NAME ( PLEASE PRINT) p• -.. MALONE • MY COMMISSION # DD 592786 . ;a EXPIRES; September 6, 2010 •,14; h o`' Bonita ttu Notary Pogo Undetwdtero • r • • • • • • • • •••••• • • •••••• • • • ••• • ••l• •. ••• • • • PATENT NEi 5,473,310 • • • • Congratulations on your purchase of the Techko Safe Pool model S087 safety alarm. The Safe Pool can be used to provide a high volume alarm alert when children have entered a pool or spa area. The S087can be used outdoors on wood or metal gates, or indoors on doorways leading directly to potentially dangerous areas. * Easy installation for gate or door•.protection * Water / weather resistant • * 9 Volt battery power (not included) *High output 110 de; alarm siren * One button DELAY operation Alarm siren is-VERY Loud; NEVER.piace the unit dose to ears * install the unit high enough to be out of reach of children * Keep this manual for future reference. The Safe Pool can provide valuable protection when used correctly, However, it cannot guarantee complete protection against accidents or injuries_ Therefore, Techko cannot be held responsible for any loss, damage, or Injury that may occur. WARNING; Read all installation and operation instructions thoroughly before proceeding with . installation, Before installing the battery, use a rubber band to temporarily secure the two magnetic sensors together with the arrows pointing toward each other to avoid setting off the alarm unintentionally during.the i installation of the alarm. INSTALLING THE EAI t tRY• 1. Remove the battery cover of the unit and_instalt a new 9 Vott battery (ee Fig..1 1 2. }f WV ate sensltNe• to loud sound, ptease wear ear. .4.`" .. protection against the loud alarm siren before testing the.alarm. z• 3. Once the battery is connected the unit is now ON and • • •• •• • • • • • • • • • • ••• • • • • • • • :.. • • • •• •• • • • • • • • • • • ••• • • • • • • • • • • • • • • • ••• Working. To test the alarm siren, make sure yots haus ear proetion lie ?ore tesstinr Af eraiprotection i9 *Time,• separle eliVnetic.strisgts apart • • by more-other) 1 loch. TM *I an?! should • sound immediately after the sensors are separated. Press the DELAY button Fig 1 , and iminediatiely •secure the toe matIPtet sgftsbrs together again to a#ojd thh jarrt saur 1ing .unin erttionaliy MOUNTING :: • • • • • • • • • . WARNMW . re niarm s4youRi lte ildsltion•ed close to the door high enough to be out of the reach of children. As each mounting application varies, Techko suggests testing the units installation location and effectiveness before permanently mounting the $ 87 REMOVING THE SO EWS AND TAPE • FROM THE SENSOR HOUSINGS Mounting screws and double-sided tapes are located inside the sensor housing (See Fig. b). ilsing a small tat head screwdriver, gently pry open the recessed sensor spacer of the sensor housing up and remove the.screws and double -sided tapes.. MOUNTING INDOORS USING DOUBLE -SIDED TAPE Make sure that the mounting surfaces for the double -sided tapes are completely clean. Attach the double -sided tapes 51g 2 • onto the rear of the unit, and then secure the unit onto the desired mounting surface. MOUNTING INDOORS USING Sf REWS Using the provided mounting template printed in this manual, mark the position of the screw holes on the desired mounting surface. Drill the screws onto the mounting surface with approximately 118 inch of thread remaining, Slide the unit over;the screws and secure the unit. by pushing it downward Fig 3 as shown in Fig. 2. You may need to adjust the screws towards of away from the Mounting surface to provide a more secure fit MOUNTING THE SENSORS INDOORS Make surethat the arrows of each sensor are pointed towards each other, Osing either the double -sided tape or the screws provided, mount the sensors so that they are less than 1'Inch away from each other. Please make sure that the wired 'portion of the magnetic sensor is mounted on the non - moving portion of the mounting surface and the standalone sensor is mounted on the door /gate (See Fig, 3). MOUNTINGOUTDOORS ON WOODEN GATES • Using the provided mounting template printed in this manual, mark the position of the screw holes on the desired mounting surface. Drill the screws onto the Mounting surface with approximately 1/8 inch of thread remaining. Slide the unit overthe screws and secure the unit by pushing it downward as shown in Fig: 2. You may need to adjust the screws towards or away from the mounting surface to provide a more secure fit MOUFiTiNG OUrbOORS ON METAL GATTs Using the provided nylon wire ties, attach the alarm body to the metal gate frame (See Fig. 4). MO,LINTING TH'FSENSORS OUTDOORS (WOODEN OR METAL GATES) Break off the tabs on the side of each sensor (See Fig. 5). Make sure that the arrows of each sensor are pointed in the same direction as the sensor housing before placing the magnetic sensors inside the sensor housing. Snap the . sensor spacers (the two cover -like plastic pieces you pried open to get the double -sided tape and the screws) back into the sensor housing this creates weatherproof protection for the magnetic.sensors, Secure the sensors using the nylon wire ties onto the gate frame, make sure that the sensors' arrows aie•pointed towards each other and that the 'sensors are -less than 1 inch apart (See. Fig. 4). SEHSoR HOUSING saskxorrour �1- SENSOR SPACER Tape & Screws Located Inside' Sensor Housing Fig 4 Fig 6 Job No, 3005786 INTRODUCTION ertek Testing Services REPORT NO.. 3005786 -001 SOUND OUTPUT MEASUREMENT ON A TELKO MODEL 5087 AREA ENTRY ALARM RENDERED TO TELKO, INC. 26651 CABOT ROAD LUGUNA HILLS, CA 92653 intertek Testing Services 3393 U.S: Route 11 Cortland, NY 13045 Phone: 607- 753 -6711 Fax: 067456 -6506 August 31, 2001 •••• • • • • •••• • • • • •••• • •• • • This report gives the tesults of the sound output of a Telko Modet S087 Awa.kntrytkroirm. ThL ••'• sample was selected and supplied by the client and received at the Iaborateries on Au•9ust 1i, 2001. It appeared tope in new, unused condition. •••• AUTHORIZATION Purchase Order N'o. 50872017 from Telko, Inc. TEST METHOD • • 0. • • •• •• • •• • • • • • • • • •• .• • •••• •• •• • • •••• • • •••• ••• • • • • • • • •e • • • • The laboratory method used in conducting these tests is in accordance with ANSI S12.31 -1990, " Amerrican National Standard Precision Method for the Determination of.Sound Power Levels of Broad- Band Noise Sources in Reverberation Rooters -and ANSI 512.32 -1990, "American National Standard Precision Method for the Determination of Sound Power Levels of Discrete - :Frequency and Narrow Band Noise Sources in Reverberation Rooms ". The reference sound source used for these tests was aicalibrated ILG Fan Serial No. 17- 05 -066A, which conforms to the above standard. Data was obtained.on a B &K Digital Frequency Analyzer Model 2131 and a Compaq Prolinea 4/33 Computer and Epson LQ 850 Printer. • Intert'ek Testing Services Acoustical Facilities utilizes a 16,640 cu. ft. (470 cubic meter) reverberation room which has been qualified far testing to . both of the above 'standards. Testing was performed and the results calculated in general accordance with UL 4017 "UL Standard forGeneral- PurposkSignaling Devices and Systems ", Section 7211 Audibility Test. Ark independent organization testing for safety, performance; and certification. . • All sei'wices undertaken subject to the following generai-polley: Reports ere submitted =for exclusive use of.the clients • ITS Intertek Testing Services Report No. 3008786 =001 Page 2 of 3 DESCRIPTION OF TEST SPECIMEN The test specimen consisted of a Telko Safe Pool TM Model S087 Area Entry Detector; The alarm was designed for 9 Olt battery operation RESULTS OF TEST; -=4 MINUTES Total Sound Power Uevel dBA re 1.012 Watt 108 dBA Sound Pressure' Level at 10 feet *88.6 dBA •••••• • •••• • • •••• • `Calculated from the sound power level using the formula provided in Sectigrj.7.2.2.1 ce.LJL 2017,•• %• • • • •••• • • •••• • • •• •• • • • • • • • • • • •• • • • • •••• • ••• •• • • •S•• • • •••• ••• • • • • • •• • • • • ITS Intertek Testing Services Report No. 3005786, -001 Page 3 of 3 CONCLUSION The calculated.sound pressure level at 1.0 feet radius exceeded the 85 dBA minimum rating in Section 72.1:1 of Ulu 2017. Temperature: 781E Dry Bulb • • 67 °F Wet .Bulb Barometric Pressure 28,90 in. Hg Date of Tests: August 30, 2001 ••••• • ••• • • • • • • • • • • •••• •• • • Report Appiaoved B•• A •. • • mes R.' lirte, TegLinician Acoustical Testing' • • •• • ••• • hkf • • • • • `651 CABOT ROAD, LACUNA HILLS, CA 92653 -7018 vHONE: (949) 367 -1234 ;FAX: (949) 367-1188 or 367 -0130 E- MAI -L: telko.usa1 att.net • July 11, 2003 This is to statethat Telko models -S087, S088 and S089 "Safe Pool" tests at a level. of greater than 95 db at 10 feet. R• emary Borne Executive Vice;'resident Telko, INC. • • • • .. • • • ••. • • • •• •• ••• • • •••• • •••• • • • .••• • • •• • • • • • •••• • • IANIe AMt 2 00 N • Comber) V1 • Way Public Cafonia r on9e COvn1y My Comm. Gres Feb 13.,04 • • • • • • to •• • • • AUTHORIZATION TO MA4K Revised :04/16/02;: • This authorizes the manufacturer to apply the ETL mark to certified products when made In accordance with .the accompanying descriptions and drawings under the conditions set fprth In the Certification Agreement herein: Applicant: Contact: Manufacturer: •• •• ReTerence Pioit ctiNo.: • • • *Product .Covered • •• •• a? • • • • •••. • • A • ••••'' • DeS i1ftton: • .... . • • • • • •; • • •b.• !• • • a • • • ••. • Telko, Inc, 26651 Cabot Road Laguna Hills, CA 92653 Ms. Norma JKott, Phone: (949)367 -1234, Fax: (949) 367 -1188 Sparko (Far East) Ltd. North Inddstrial Zone, Furniture Road Xintang Houjie, Dongguan, Guan,'dong China 3005786 -001 . Emergency Signal Area Entry Detector, Model S087, S088, 508.9 Emergency Signal Area Entry Detector for Indoor /Outdoor Mounting Near Pool and Spa Area. Powered ,by 9V Battery Safety for General- Purpose Signaling Devices and Systems (UL 2017 In Ed. 1 /14/00) This procedure, with all revisions, etc., is the property. ofIntertek Testing Services and is intended solely forthe guidance of the listee and the representative of Intertek Testing Services, and is not transferable. Issued by: Interte[ Testing Services, 24 Groton Avenue, Cortland, NY 13045 -2014 USA Authorized by: William T. Starr Certification Manager CONTROL*NO. c I ` Date:. �q vl0009.. 1 IMMTIV;G POOL ownl Date IMAI (q /2c?r Miami Shores Village Building and 'Zoning Department Attention: Building Official ,CE 171rICAg • • I certify that t art the legal owner of the .property .described as • • • • • .•:r - • .• ,®• •. • • •• . located at ic : 1(3 3 • in atiViaanee with Section 33- 12(f), Code of Metropolifao. Da • . • • • • •• •W••.• County, 1 :certify that Iiiindetatag4 anti'ag'ree that the swimming pool' to he t onstruct d. at the. above addre ca&u .. �.._ -161ised,or Millet with water until a:separate permit has been obtained i'or.'an a rove barrier., and such barrier erected, inspected and approved. t further understand that this certification, 'however,. does- not ilipin4e the-need fbr:.' obtaining a permit: and erecting an. approved barrier pricirto final it j Note: This certification is to be submitted with a swii ur S'd €8S8T82S02 :01 92i 0t728ttS6 NNI I N JA:WONJ d8T:20 2002 -ST -NW Miami -Dade County. Real Estate Tax Information Real Estate '3 ax Information Page 1 of 1 Show Me: 1Property Taxes Search By: Select Item Detail Tax Information: Real Estate Tax Info 2006 Taxes Prior Years Taxes Due 2006 Ad Valorem 2006 Non -Ad Valorem 2006 Back Assessments 2006•Enterprise Folio • 200t Fiiaterical Ab tegients • 2007•Querterly Payments 200&Tax Notic IvjemVrandum • • •• •• •• • • • • • • • •••• • • •••• • • •••• • •••• • •• • • • •••• • • • • © 2002 Miami -Dade County. All rights reserved. Real Estate Tax Information Today's Date: 04 /10/2007 Last Update: 04 /06/2007 Tax Year: 2006 Folio Number: 11 32050180270 MIAMI SHORES Owner's Name: NIELS S SODBERG &W ANNEMETTE SODBERG Property Address: 1143 NE 98 ST Mailing Information : NIELS S SODBERG &W ANNEMETTE SODBERG 1143 NE 98 ST MIAMI SHORES FL 331382507 Legal Description : 5-6 53 42 PB 43-69 REV PL MIAMI SHORES SEC 8 LOT 18 BLK 179 LOT SIZE IRREGULAR To view 2006 Tax Notice/Memorandum click here 2006 Taxes are in paid status. Paid by mortgage company: WACHOVIA MORT/WEALTH LOANS #42224 Amounts due are subject to change without notice. Conte( miai (305 Dowr 140 V R Mian South 1071( R Mian Off 1 8:00 Reif Ta Prop( Floridi R( Property Tax Home 1 Real Estate Tax Info 1 2006 Taxes I Prior Years 1 2006 Non -Ad V 2006 Back Assessments 12006 Enterprise Folio 1 2006 Historical Abatements 12007 Quarter'. 2006 Tax Notice /Memorandum Miami -Dade Home 1 Using Our Site 1 About I Phone Directory 1 Privacy I Disdain E -mail your comments, questions and suggestions to Webmaster http: / /egvsys.miarnidade.gov :1608 /wwwsery /ggvt/txcaw01.dia ?folio- 1132050180270 4/10/2007 GEOTECHNI IbAL ER' IRONMIENTAL HYDROGEOLOGY ASBESTOS /////1112 . 'WAN= NUMMI* ■IIIIi.4f// DYNATECH ENGINEERING CORP. Miami, October 27, 2006 Mrs. Ana Sodberg 1143 NE 98th Street Miami Shores, FL 33138 Re: Proposed Pool @ 1143 NE 981 Street Miami Shores, FL TESTING LABORATORIES DRILLING SERVICES INSPECTION SERVICES ROOFING •• • :. • • Bear Mrs.'SbdberA:.". • • • • • • Pursuant to •our r� t. • DYNATECH ENGINEERING CORP. completed a preliminary Subsoil • y p �Y • • • • frivestikatitta on Octtbtf 27, 2006 for the above referenced project. The purpose of our investigation ••s • • . : has to ven .the su,il conditions relative to the proposed pool. • • • ktotal of(2 standa'18.'J,ienetration boring tests were performed according to ASTM D -1586 down to • an aver depth of 15;below existing ground surface. • • • • • • • • The following graph was developed as a general condition for the subject site: (Refer to field boring logs for exact locations and soil condition): Depth From To 0' -0" 0' -6" 1' -6" 4' -6" 0' -6" 1' -6" 4' -6" 15' -0" Description Topsoil and grass Brown sand w /rock traces Tan medium sand w /rock traces Tan sandy limerock Groundwater table elevation was measured immediately at the completion of each boring and was found at an average depth of 6' -0" below existing ground surface. Fluctuation in water level Should be anticipated due to seasonal variations and run off as well as varying ground elevations construction dewatering pumping activities in the area. Site contractor must familiarize himself with site conditions in the event dewatering is needed. 750 West 84 Street, Hialeah, FL 33014 -3618 o Phone (305) 828 -7499 ° Fax (305) 828 -9598 Page No. 2 1143 NE 98th Street, Miami Shores, FL Based on our field logs it is our opinion that the proposed pool be designed for a shallow foundation system with a permissible soil bearing pressure not to exceed 2000 P.S.F. Regardless of the thoroughness of a geotechnical exploration there is always the possibility that conditions may be different from those of the test locations; therefore, DYNATECH ENGINEERING CORP. does not guarantee any subsoil conditions between the bore test holes. In accepting this report the client understands that all data from the borings are strictly for foundation analysis only and are not to be used for excavation or back filling estimates and pricing. Site contractor must familiarize himself with site conditions prior to bidding. As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. All work must be conducted under the supervision of our geotechnical engineer. The discovery of any site or subsurface conditions during construction which deviate from the information obtained from our subsoil investigation is always likely • • and shtru1d be rcpt ted to us for our evaluation. • • •. • • • • It hat been a iI�a lure serving you at this phase of your project and look forward to do so in the near future. • • • • • • • • Sincerer yours; • • • • • • • •••• ,•i1••• .4111 _011111.124111110karallifi • Wi aamani, P.E. DYNA''ECH ENGINEERING CORP. Florida Reg. No. 39584 Special Inspector No. 757 WN /sk 2 YNATECH TEST BORING REPORT CLIENT : MRS. ANA SODBERG PROJECT : Proposed Pool @ ADDRESS : 1143 NE 98th Street, Miami Shores, FL. LOCATION : See attached plan ENGINEERING CORP. 750 WEST 8e STREET HIALEAH, FL 33014 (305) 828 -7499 DATE: 10 -26 -06 HOLE NO.: B -1 DRILLER: AS & LD 1 2 3 4 5 6 7 8. • 9• ..11 * errs' • 15• .:.W 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 0' -0" to 0' -6" 0' -6" to 1' -0" i':'to 2;"•• • 7 -6" to 5'-t1" • • • .. .... • 5'-01v to 15 • ' " • • • • •. • • • TOPSOIL AND GRASS BROWN FINE SAND TAN MEDIUM SAND ORANGEISH MEDIUM SAND W/ROCK TRACES TAN SANDY LIMEROCK 2 Hand H 4 Hand H 6 4 4 8 9 12 8 11 12 10 13 22 10 12 11 11 10 22 12 18 16 14 12 30 14 13 15 16 15 31 16 14 14 18 20 22 24 26 28 30 32 34 36 38 Water Level: 6' Below Surface As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statement conclusions or extracts from or regarding our reports is reserved pending on our written approval. 3 DYNATECH TEST BORING REPORT CLIENT : MRS. ANA SODBERG PROJECT : Proposed Pool @ ADDRESS : 1143 NE 98th Street, Miami Shores, FL. LOCATION : See attached plan a t....1k.sa`.:i.i�..i.. ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH, FL 33014 (305) 828 -7499 DATE: 10 -26 -06 HOLE NO.: B -2 DRILLER: AS & LD 1 2 3 4 5 6 7 • 8• • 9• •••ia• .: • • • ••• • •••• •• •••• • • • • • • • • •• • • • • • • • •• •• • • • •• •• • •••• • •••• • • • • •••• • • • •••• • • • • •• . • •• • • •... • • 1 Story CBS NE 98 Street Dynatech Engiueeri.ng- Corp. Client: MRS. ANA SODBERG Scale: -Project: Proposed Pool @ 1143 NE 98 Street, Miami Shores, FI. Date: 10 -27 -06 • • • • • ••• • •• • • • • • •••• • • •••• • • • • • • • s • • • • • • •• • • • • • • •• •• • • • •••• • • • • •••• • •• •• • • • • •••• • •• • • • • • •••• • • • • •••• APPEND f GENERAL NOTES ES , ro ertti' should be considered preliminary with further bari Soil boring on unmarked, vacant P p (s) to be drilled after building pad (s) are staked out that are to be demolished should be sconsidered preliminary a • borings on rings existing structures p ed afterjhe_ structures h ., ...... - ..._. -... h Soil b .. .to �dditional•borings �•oui&.nout,beV erform Proposed new building staked alI reports are submitted as t public and ourselves' conclusions ,�5 fl mutual protection to clients, the p ublication of statements, a reports is reserved peeing our written approval, .ICEY CLASSIFICATiON Y.1%/133OLS confidential Proper' of clients, and• authorization o P extracts from or regarding P • • • • ••• • ••••• • `..,.• Correlation of Penetration Resistance Particle cle Slze • =la elatiye Density and Consistency Boulders > 12 tn. •• • •• •• •• Standard • Cobble 3 to 1 In. •••••• ��i�ie•• Relative 3 nun to 3 in. • • • Pe�,� ►ration Penetration Gravel ' blows/ft Density -s Sand 0.07 mm to 4.76 mnl • • •��••� �1•R1�5•ii?ICR1 0.005 mm to 0.074 trim • • Silt 0.005 mm • Clay • M • •"'• • •• tier} loose • ' •••• p -MI6• tl —"4 S.tR�$..• 17 -40 5.10 Loose 41 —80 11-20 Firm 81 —120 21 -30 Very firm Modifiers 120 31 —50 Dense �a /a - IQ�Io Slightly' silty or Clayey' 0 _ Very loose i- fa _ 30% Silty or Clayey Silts —3 3 — 8 Soft 30% . 50% Very silty or Very Clayey Clays �4 -- 9 0 Slightly Trrtce Firm y 14 -7 9 —g Stiff 0 -5 /n Trace 2 -31 1 -3 6 —iOIu 16- 30 Very' Stiff 11.10% Little 33 a 60 Hard o Some Over t;4 31-50 21 -35 /Q >35Y0And Rock Hardness DescripElan Solt Rock core crumbles when handled. Can break core with your hands. fingers. NI dera Thin edges or rock core can be broken with finQ Hard Hard Thin edges of rocs: core cannot be broken with inrte) . 'Hard Rock core rings when struck with ha -miner Very Hard September 19, 2007 Miami Shores Building Department 10050 NE 2 Ave, Miami Shores, Fl. 33138 RE: Permit # MC -04 -07 -806 Sodberg 1143 NE 98 St. Miami Shores, Fl To Whom It May Concern: SEP 2 8 2007 lit- -� Please be advised that the above mentioned homeowner has made an addendum to their contract and does not require the pool heater. We are requesting a cancellation of the permit and refund of monies that we paid for the permit to the city which is ($106.30) One Hundred and Six Dollars and Thirty Cents. Thanks for your kind cooperation in this matter. Sincerely, „d' Notary PI4Te 06,31,4' Notary Printed e of Identification Pr + .i ced Sworn to and subscri • b - fore me this ,25 day of, `' My commission expires NOTARY PUBLTGSTATE OF FLORIDA Patricia L. Cobban commission Ji DD382240 Expires: FEB. 02, 2009 Bonded null Atiane!a Bend1nff Caesktg. THE COMPLETE POOL COMPANY 3144 SW 13th DRIVE - DEERFIELD BEACH, FL 33442 TEL: (954) 755 -4402 - FAX: (954) 341 -8950 - TOLL FREE 1- 800 -741 -3911 CPC 045956 CPC 1456646 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Date: 06/25/2007 Inspector: Grande, Claudio Owner: SODBERG, ANNEMETTE Job Address: 1143 98 Street NE Miami Shores Village, FL Project: <NONE> Contractor: VAN KIRK & SONS INC Permit Type: Pools/Whirlpools/Hot Tubs Inspection Type: Wall Steel Work Classification: New Block: Phone Number Parcel Number Lot: 305-394-9445 1132050180270 Phone: (954)925-9292 Building Department Comments POOL 37'X13', DEPTH 3'-5', DECK 98SQFT CONCRETE 1-' JUN 2 6 /OW C f 1 Passed , • -7 Inspector Comments 1 Failed Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled re-inspection fee is paid. until Friday, June 22, 2007 Page 1 of 2 { Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 inspection Number: INSP- 46163 Pen Nu rr ber BPP -4 -07 -734 Inspection Date: 10/03/2007 Inspector: Rodriguez, Jorge Owner: SODBERG, ANNEMETTE Job Address: 1143 98 Street NE Miami Shores Village, FL Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Project: <NONE> Block: Contractor: VAN KIRK & SONS INC Phone Number 305 - 394 -9445 Parcel Number 1132050180270 Lot: Phone: (954)925 -9292 Building Department Comments POOL 37'X13', DEPTH 3' -5', DECK 98SQFT CONCRETE • lel Passed Inspector Comments MV I© D -silo 7 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Tuesday, October 2, 2007 Page 1 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 08/06/2007 Inspector: Rodriguez, Jorge Owner: SODBERG, ANNEMETTE Job Address: 1143 98 Street NE Miami Shores Village, FL Project: <NONE> Contractor: VAN KIRK & SONS INC Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Pool Deck Work Classification: New Block: Phone Number 305 - 394 -9445 Parcel Number 1132050180270 Lot: Phone: (954)925 -9292 Building Department Comments POOL 37'X13', DEPTH 3' -5', DECK 98SQFT CONCRETE AN 072 Passed 4 Inspector Comments 0 ®6 0 7 . Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Friday, August 3, 2007 Page 2 of 2 r U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION OMB No. 1 Exoires Febrt}ary 28. 2009 For insurance Company Use: Al . Bedding Owners Name NEIL SODBERG AND ANNEMETTE SODBERG Policy Number A2. Building Street Address (including Apt„ Unit, Suite, and/or Bldg, No.) or P.O. Route and Box No. 1143 N.E. 98TH STREET City MIAMI SHORES State FL ZIP Code 33138 Company NAIC Number A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 18, BLOCK 179 OF REVISED PLAT OF REVISED PLAT OF MIAMI SHORES SECTION 8 (4369) MIAMI -DADE (# 050728 ) A4. Building Use (e,g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 25 °51'57.5° Long. 8010'30.3° Horizontal Datum: 0 NAD 1927 + NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is taring used to obtain flood insurance. A7. Building Diagram Number $ A8. For a building with a crawl space or encloaure(s), provide a) Square footage of crawl space or enclosure(s) 2312sq ft b) No. of permanent flood openings in the crawl space or enclosure(s) wells within 1.0 foot above adjacent grade 12 c) Total net area of floe openings in A8.b 1710 sq In A9. For a building with an attached garage, provide: a) Square footage of attached garage g2g sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade Q c) Total net area of flood openings in A9.b g sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION BI. NFIP Community Name & Community Number VILLAGE OF MIAMI SHORES 120652 B2. County Name MIAMI -DADE 83. State FL 64. Map/Panel Number 85. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood 69. Base Flood Elevation(s) (Zone Date Effective /Revise! Date Zone(s) AO, use base flood depth) 12025C 0093 J 7 -17 -95 3-02 -94 X -- 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89. ❑ FIS Profile FIRM 0 Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in item 69: = NGVD 1929 ❑ NAVD 1988 0 Other (Describe) 812. Is the building boated in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? [JYes Designation Date IWA ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: Construction Drawings' ❑ Building Under Construction` 0 Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1-A30, AE, AH, A (withh BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 A30. AR/AH, AR/AO. Complete Items { 2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized B-62 Vertical Datum NGVD Conversion/Comments Ng a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment In Comments) f) Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) Check the measurement used. $.29 feet ❑ meters (Puerto Rico only) feet 0 meters (Puerto Rim only) Ng. ❑ feet 0 ors (Puerto Rico only) feet 0 meters (Puerto Rico only) feet 0 meters (Puerto Rico only) feet 0 meters (Puerto Rico only) feet 0 meters (Puerto Rico only) 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. t certify that the Information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Serdlon 1001. ® Check here ifeornm it;e are provided on back of form. Certifier wName- ERNLSTO BELTi2AN License Number 4885 Title PROFLSSiONAL SURVE &MAPPER Company Name E. BELTRAN & ASSOCIATES, INC. Address 12533 S.W. Sign STREET City MIAMI State FL ZIP Code 33175 Date 5-02 -2007 Telephone (305) 552-7450 L FEMA Form 81 -31 F 2006 See reverse side for continuation. Replaces all previous editions ANT: In these spaces, copy the corresponding Information from Section A. For Insurance Company Use Street Address (including Apt., Unit. Su , and/or Bldg. No.) or P.O. Route and Box No. 1143 N.E. 96n4„ STREET City MIAMI SHORES State FL ZIP Code 33138 Policy Number Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. Comments C2 (e)'CONCRETE A/C PAD. CRAWL SPACE; AREA = 2312 SQ. FT. ATTACHED- AGE = an SO. FT. OWN OF ROAD slis09,FT. NGV Signature Date 5-01 -2007 Check here if attachments ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones-AO-arid A cot SEE), complete Items E1-E5. N the Certificate Is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For ltalta't -'E , riaturalgrade if available. Check the measurement used In Puerto Rico only enter meters. E1. Provide *"radon infoimatlon for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAM' andthe°iawest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) Is ❑ feet 0 meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is 0 feet 0 meters ❑ above or 0 below the LAG. E2. For Building Diagrams 8-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see_pag e 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or 0 mow the HAG. E3. Attached garage (top of slab) Is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only If no flood depth number is available, Is the top of the bottom floor elevated In accordance with the community's flaodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -Issued or community- Issued BFE) or Zone AO must sign hare. The statements In Sections A, 8, and E are correct to the best of my knowledge. Property Owners or Owners Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments Check here iF attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who Is authorized by law or ordinance to administer the community's floodplaln management ordinance can complete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used In Remy G8. and G9. 31. ❑ The Information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who Is authorized by law to certify elevation Information, (Indicate the source and date of the elevation data In the Comments area below.) G2.0 A community official completed Section E for a building located in Zone A (without a FEMA - Issued or community- issued BFE) or Zone A0. G3. ❑ The following information (gems G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Pammit Issued G8. Date Certificate Of Compliance/Occupancy Issued 37. This permit has been issued for ❑ New Construction ❑ Substantial Improvement 38. Elevation of as-bulit lowest floor (including basement) of the building: -❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of Bing at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments n Cbeck here if attachments FEMA Form 81 -31, February 2008 Replaces all previous editions SKETCH OF BOUNDARY SURVEY SCALE 1 ". 2G7' BEARINGS HEREON (IF ANY) ARE REFERRED TO AN ASSUMED VALUE 'OF FOR THE SAID BEARING IS IDENTICAL WITH THE PLAT OF RECORD ACCORDING 10 THE .N.F.LP. THE SUBJECT PROPERTY FALLS WITHIN FLOOD ZONE: X LEGAL DESCRIPTION LOT ' l' ' BLOCK 17 e SUBDIVISION: ‘114C2 NA < O f2 SI D PL'( t;t !- !41 ear, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 44 AT PAGE GI I,A I A.1.4 I - PAQil✓ OF THE PUBLIC RECORDS OF LOCATION SKETCH SCALE 1"= iG7© 4- o1(, 4(�, COUNTY, FLORIDA. -T1, / 'At,,. �---- . 19 r a II _ Jtf, 1. ..` 0414 -' is i. t «, AwAztve,,,..-. i tort 1.t. qb'n4 ic*tioc Pi-cu./2ft/ 4 le, 1416.6-5,.. )f42 1, 11'f '*oV 6. 0"'' J --- + o4P'( of SURVEY CERTIFY TO THE ATTACHED SKETCH OF BOUNDARY SURVEY OF THE ABOVE DESCRIBED PRC ERTY IS A TRUE AND OORRECT REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION AND MEETS THE MINIMUM TECHNICAL STANDARDS. AS,. SET FORTH BY THE FLORIDA. BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 61617 -6 FLORIDA ADMINISTRATIVE CODE, PURSUANT TO:$EC11DN 1472:027., FLORIDA STATUTES, . �" 4 Aim l > 1 4op F — JOB NUMBER 10;'% j "� FOR F.B.NO. A" DRAWN BY: CHECKED BY: DATE OF THE FIELD SURVEY -7 ' f '2 " 4,04/S REVISION DATE: SURVEYOR'S NOTES: LEGAL DESCRIPTION WAS FURNISHED BY CLIENT. NO UNDERGROUND INSTALLATIONS OR IMPROVEMENTS HAVE BEEN LOCATED. EXCEPT AS NOTED. THERE ARE NO VISIBLE ENCROACHNIENTs.OTHER.THAN THOSE SHOWN EXAMINATION OF THE ABSTRACT OF TITLE WU.L HAVE To BE MADE TO DETERMINE RECORDED INSTRUMENT, ANY AFFECTING THIS PROPERTY . . °, FENCE CAYNERSHIP BY VISUAL MEANS ONLY (IF ANY), LEGAL OWNERSHIP NOT DETERMINED. • LEGAL. DESCRIPTION SUBJECT To ANY DEDICATION, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORDS. E. BELTRAN & ASSOCIATES, INC. 12533 S.W. 30th STREET MIAMI, FLORIDA 33175 PHONE: (305) 552 -7450 CERTIFICATE OF AUTHORIZATION NUMBER LB 5233 ' =CENTER LINE e =PROPERTY LINE Rim/ =RIGHT -OF -WAY C.I.F. KHAN LINK FENCE NCF. =WOODEN FENCE RES. =RESIDEsicE F.t.P s.FO4ND IRON PIPE site =SET RE -SAR G.B. =CHORD BEARING idAs aM£ASLI FA S,N&D =SET NAIL & DISC F.N. =FOUND NAIL ABBREVIATIONS (IF ANY 01. =CLEAR ENC. =ENCROAGHAIENT C.B.S. =CONCRETE BLOCK STRUCTURE CONC. =CONCRETE =DIAMETER D.M.E =DRAINAGE MAINTENANCE EASMT. S.I.P. ' =SET IRON PIPE F.RH. isFOUND DFUU. HOLE A/C , =AIR CANOPTWNNG UNIT REC. =RECORDED . F.N.&D =FOtBID'NJma& DISC F.C.N. =FOUND CUT NAIL APPLIED) U.E. =Inlay EASEMENT W.M.E. =W4tLMWL &ERMWGE EASMT. II�L =ASONUmENT UNE PROP. CDR =PROPERTY CORNER F.M. ' PRE HYDRANT EASMT. =EASEMENT F.R.B. =FOUND RE-BAR S.D.H. NOET DRILL HOLE CALC. =CALCULXTED F.S. =FOUND SPICE ' RAD F. =FouND • ` J=TyptCAL ERNESTO ELTRAN PROFESSIONAL SURVEYOR & MAPPER NO. 5056 STATE OF FLORIDA DATE: -7x.'/2- V)44,5 NOTE: THESIS NOT A VALID SURVEY WITHOUT THE. ORIGINAL RAISE1 SEAL AND SIGNATURE OF A, FLORIDA LICENSED SURVEYOR AND, MAPPER • Miami Shores Village cric)1� Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING TEE IM Permit No. 11. • In PERMIT APPLICATION;' APR 1 6.20Q7 Laster Permit No FBC 2004 Permit Type: Plumbing Owner's Narne (Fee Simple Titleholder) ( T r N1fs,l Phone # 305.3q -1- -q++5 Owner's Address 1143 IS q% 5 t) City Avikt Shoes State �l Zip '33 / 38 Tenant /Lessee Name E -MAIL: Job Address (where the work is being done) Phone # pike City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name 1/214 1(11K 543, 6 Contractor'r's Address 3 1 ` - 1' &c) 13Th Drive City /ill4tt State FZ Qualifier Name A . F. woo Phone # q54' — 755 — -002 Zip '5T) '38 Phone # et 54— $49 -553( State Certificate or Registration No. Certificate of Competency No. E -MAIL: Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ tts (obb. Do Square / Linear Footage Of Work: Type of Work: ❑Ad�dition ['Alteration iNNew ❑ Repair /Replace ❑ Demolition A Describe Work: ll.W ' p66I � - & ?TM / 11; 3 qi 811005 ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ a *Fee Notary $ Training /Education Fee $ . 2C.) Scanning $ ✓ .00 Radon $ DPBR $ Bond $ Code Enforcement $ *x *Y. Xx x x *x x x Y. x *xxx *xxx)Cxxx W x W x x x * * * ** CCF $ 1 (00 CO /CC Technology Fee $ 4.2c5 Zoning $ Double Fee $ Structural Review. $ Total Fee Now Due $ n6. See Reverse side - > C K 265 UN 06 PAID Bonding Company's Name (if applicable) ( Q Bonding Company's Address City State Zip MortgaL, :lame ( plicable) 1•■('C1 Mortga L, nd r' Addr s 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 whi , occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appro ed and a reinspection fee will be charged. Signature i( Owner or :ent The foregoing instrument was acknowledged before day of �1,% 1 , 20 01 , by �`9' ��5j 0 who is personally known to me or who has produced ti L_- me this 4 As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Signature Contractor The foregoing instrument was acknowledged before me this 0) day of /462f1 i ,2001,by2. who is personally 'mown p me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expire * * * * * * * * * * * * * * * * * ** r' ITT UN #DD592786 EXPIRES: September 6, 2010 Bonded Thru Notary Public Undeiwrn.,s APPLICATION APPROVED BY: (Revised 02/08/06) Yl t. My Commission Expir * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ROS ARIE MALONE Ion: MY COMMISSION # DD 592786 EXPIRES: September 6, 2010 Bonded Thru Notary Public Underwriters Plans Examiner Engineer Zoning Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 08/08/2007 Inspector: Levrock, James Owner: SODBERG, ANNEMETTE Job Address: 1143 98 Street NE Miami Shores Village, FL Project: <NONE> Contractor: VAN KIRK & SONS INC Block: 01-1 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number 305 -394 -9445 Parcel Number 1132050180270 Lot: Phone: (954)925 -9292 Building Department Comments POOL PLUMBING Passed tif Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. A 6 0 9 2007 nsp ctor Comments Tuesday, August 7, 2007 Page 2 of 2 1p Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FLT Phone: (305)795 -2204 Fax: (305)756 -8972 I ∎g• Inspection Date: 09/13/2007 Inspector: Devaney, Michael Owner: SODBERG, ANNEMETTE Job Address: 1143 98 Street NE Miami Shores Village, FL Project: <NONE> Contractor: DAW ELECTRIC, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Block: Phone Number 305 - 394 -9445 Parcel Number 1132050180270 Lot: Building Department Comments ELECTRICAL Se 142®'I Passed Inspector Comments A/ -","11 g- 00/ r -;,21e,-- /5 erey 1,-/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Wednesday, September 12, 2007 Page 2 of 2 Miami Shores Village Building Departments 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:, (115,) -79 22a4 Fax: (,305) 756.8972 b a g Permit No. L -g05 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Master Permit No. P P. y-- .07 — 1,3 Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 'aft 0113 . G.. r..t I ,$ Phone # .a S — 3 T'., q 42'J1 Owner's Address 11 41-'y, ra . sq c ST • City SwooLgrou State . • Zip 3 313, 4" Tenant/Lessee Name Phone # Job Address (where the work is being done) 11 f-',3 •l 4,, . City Miami Shores Villa e County Miami -Dade Is Building Historically Designated YES NO Zip 3.211 $ Contractor's Company Name b. A . 1 ucTQ•+.E Phone # %JO'S -- ' '2A•f•.. LA— t ) Contractor's Address ').0 a l.*Z„ 1 P.3 City rA % n+.r t State �31... • Zip %l to 5 L Qualifier 44414 C.lc.. w 611 t State Certificate or Registration No. E !{,1'3 b 13..03 Z.. Certificate of Competency No. AAre.lctit/Engineer's Name (if applicable) A -*V. • NA/ ►aP.. Phone # Q5ry — ?tip `9 - Sy $ Value of Work For this Permit Cr S.o c . p © Square Footage Of Work: Type of Work: ['Addition ['Alteration ❑New ❑ ace Re air/Re l p p ❑Demolition Describe Work: ?e! ‘14,01r._. Submittal Fee $ Permit Fee $ 2_7_5, CCF $ 0 66 CO /CC Notary $ Training/Education Fee $ • Lo Technology Fee $ Scanning $ *CO Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 23t.41 (Continued on opposite side) !jug i ? Pali Bonding Company's Name (if applicable) Bonding Company's Address Pt(A City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address / Qr 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 subjecq 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 a. raved_ nd a reinspection fee will be charged • Signature Offer or Agent The foregoing instrument was acknowledged before me this 1/ day of —TONE, 2001, by Signa eriesZ � b Contractor The foregoing instrument was acknowledged before me this / / day of 72'ne , 20 01, bye, '/2,12/ct who is personally known to me or who has produced who is p sonally knto me or who has produced NOT Si Print: As identification and who did take an oath. My Commission Expires: * * * * * * * * * * * * * * * * * * ** NOTARY PUBLiGSI.!TE OF FLORIDA Teresa J. Picciotti Commission #DD38229 ' xpires :* tt. `uL,` Bonded Thru .Atlantic Bonding Co., Inc. as identification and who did take an oath. NOTARY PUBLI Si Print: My Commission Exp * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** TARY PLIBLIC.STATh OF FLOR: •.'d Teresa Jo Picciotti * Commi s1on 'ritlat* Expires: FEB. 02, 2009 Bonded Thru Atlantic Bonding Co., loc. * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 Plans Examiner Engineer Zoning oGbtbx, Miami Shores. Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 FCEEWMI gR AR 2 3 2007 JO BY: Permit No. ELGT TD5 Master Permit No. Permit Type (circle): Building (Iectrica1) Plumbing Mechanical Roofmg Owner's Name (Fee Simple Titleholder) Sod o /Vi ez--c Phone # 3 °S 3 9 u 94-45 Owner's Address 1 l t4,3 /yC e3 `i3" ST City A 1PrM 1 sixty S State 1 try c-DA Tenant/Lessee Name Zip '331 3 g' Phone # Job Address (where the work is being done) II iVI✓ ST- City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Zip r3 313$' s 3,j= 7 /sY6°9 Contractor's Company Name 6frto <�CTf2 /G .�- st /v Phone # 95/9 f 77 Contractor's Address /20/0 c/& z Z !�- City 04-//fe State Qualifier Q-e e pye C Zip t State Certificate or Registration No. Certificate of Competency No. ,oc>®O 1/ 95y Architect/Engineer's Name (if applicable) $ Value of Work For this Permit ootage Of Work: of Work: DAddition DAlteration ew ❑ Repair/Replace ❑.Demolition Describe Work: `®L Li.- °. * * * * * * *,� * * *�, * * * * * * * * *,� * * * * ** Fees*** ,�,� * *,� *�. * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ kJ/ 40 CCF $ ! �- CO /CC / Notary $ Training/Education Fee $ « -0 Technology Fee $ 6 {(p 3 Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) -.• 2h4 '12) I JUN 0 5. PAID Bonding Company's Name (if applicable) Ai l I Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) d /.?-a 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 inspecti• which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be!,, proved and a reinspection fee will be charged. Signature Owne g t The foregoing instrument was acknowledged before me this I g day of L , 206 -, by /Lit C2,5 S-db g-0 who is personally known to me or who has produced L S L (C /V As identification and who did take an oath. NOTARY PUBLIC: Signature Contracitor The foregoing instrument was acknowledged before me this ) day of /QIa d c , 20 by ea e C who 's personally known me or who has produced as identification and who did take an oath. NOTARY PUBLIC: PUBLIC -STATE OF FLORIDA Commission # DD43 3377 Tres; JUNE 07, 2009 .IS;;nded Thru Atlantic Bonding Co., Inc. Print: fOjig-iee.-cat My Commission Expires: Print: My Commission Expires: :STATE OF 'LO dD . Robert an' I1I 377 Tres: JUNE 07, 2000 Bonded Ihru Atlantic Bonding Co., Inc, ********************** ** * ** *** * * * * * * * * *** * * * * * * * * * *+ ter* * * * * *, **************** * * ** * *** * * * * * * * * * * * * ** * * * * * ** ** APPLICATION APPROVED BY: chc 05/13/03 C Tans Examiner Engineer Zoning Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 01,0,154 Phone: (305)795 -2204 Fax: (305)7564972 Inspection Nur ber: INSP -46866 Permit Number: MC- 4- 07-806 Inspection Date: 10/24/2007 Inspector: Perez, JanPierre Owner: SODBERG, ANNEMETTE Job Address: 1143 98 Street NE Miami Shores Village, FL Project: <NONE> Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Pool Heater Block: Contractor: VAN KIRK & SONS INC Phone Number 305 - 394 -9445 Parcel Number 1132050180270 Lot: Phone: (954)925 -9292 Building Department Comments Z6 ‘ \ 0 Passed Inspector Comments my 'VU DV fat bt ea\-4--- - - Tiv t .7v., ke-4 v CAO s-S2- Pe_c V Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Wednesday, October 24, 2007 Page 2 of 2 tf Miami Shores Village meL._,sU'R APR 23 2001 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 4F ®LYE/ 6t/,‘ BUILDING PERMIT APPLICATION FBC 2004 Permit No. ©1 O ) Master Permit No. Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) - D'EY�es- A/ 1 ELS Phone # 305 q 74cis Owner's Address ` 1/4-1-3 /t/ qs S-i- City AA t vrM 1 S - Eo,LEs State F-Lo t 1)rq Zip '3313 Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) 114.3 A/e l a ST City Miami Shores Village County Miami -Dade Zip 331 35' FOLIO / PARCEL # 11 3Z o Is Building Historically Designated YES NO 70 Contractor's Company Name V4A 1l2 4 SO /US t AJC Phone # Cfo Z Contractor's Address [ S 13 -Da-, v City [i EFl EUb / G -f State (=4-04 -( 'i Zip '33(4'4-2 Qualifier Name ieDd'EYLT P> Vi4/0 )4 t4.-K 3-14. Phone # (454- 9-5-S- 1t o2 State Certificate or Registration No. C PC 0 Lk S-°I E -MAIL: Certificate of Competency No. A hiteet /Engineer's Name (if applicable) 4 F 11A/E16604 Phone #, 9S k &49 Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: EAddition ❑Alteration ['New El Repair /Replace 11 Demolition Describe Work: 911k04410 1 vl,3 -PPoe' kAQr.„-C . x eYxxx*** *************:*****YxxxxxsY*9: w. keSxxxxx*R eYxxxxxxx ***w*xxxxxxxxxx &'******** **** Submittal Fee $ Permit Fee $ i Vrr 0 /12 CCF 5 / CO /CC Notary $ Training /Education Fee $ t 0.10 Technology Fee $ 2_5O Scanning $ b. CO Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ 1 JUN 0 6 PAIV Structural Review. $ Total Fee Now Due $ 1 0(0 .30.E See Reverse side -* c?-1V Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 perrnit 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 su +ject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspectc'.n which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not b approved and a reinspection fee will be charged. - Zip Signature Owne Agent The foregoing instrument was acknowledged before me this / 5 day of { l , 20 t7 by /I/l �L� 5c�'J✓� who is personally known to me or who has produced ,)l-t ideeZ5 L <C E As identification and who did take an oath. NOTARY PUBLIC: f Signature The fore day of who • e/bou-' ContiacUor J n ng instrument was acknow edged before this C� Q n..I1_ 206 '7, by e or who has produced as identification and who did take an oath. S. Sign: A Print: van r. ncJc Robert Van Kirk, IIT Pri �T!1TAB�' PUBLIC SLATE OF FLORIDA Commission # DD438377 a r i ci a o i r a' Tres: JUNE 07 2009 My Commission Exp, �' Commission #DD382240 My Commission Expires: Bonded Thru ArlanticBondingco.,Inc• ". )KiB 2 2QQQxx xaY s4 aY ie �Y Sexxdexx**x*xat Bc�Fx*xsYa:xx &x9:*xxdex9exxe4 dexxxaB rxx�Yxxxxxxx�YxxxxxxxxaY*d :xxxeFxx*xxxxx � � •.y X �9�i�"5K°° a 'ti Bonded Thru Atlantic Bonding Co., Inc APPLICATION APPROVED BY: (Revised 02 /08/06) Plans Examiner Engineer Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 261 BUILDING PERMIT APPLICATION FBC 2004 irgcMgME SEP 2 8 2007 BY: __e_s_e__ Permit No. r(1 eo-E, p7 -. 5734=. Master Permit No. Q'P... y. i.3‘f Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) ®' a #.11,sts 4 Phone # Owner's Address i 1 3 egg, 1.4D5 a 39 c ° 41,44eS Citytrettq,eca t SiRett ZAGS State Zip Th,l,1 Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) . 1 1'4 3 fog, .94 s.T City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # I l It.OS 0 IV '13/.7? 0 Is Building Historically Designated YES NO Contractor's Company Name Vol, p.4 k,stic s scbd Phone # Contractor's Address 314,4,..,.e SW 13 ht titett City 11.6�. " State, Qualifier Name Lc c, ? Zip Phone # GIS -. 755 r to,pet t., State Certificate or Registration No. C. Pc, 044.5 4s to Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) 4,..."4 • E# R. �1�. . P L, Phone # QS cp $p5.- S7% i Value of Work For thi Type of Work: Describe Wor $ Square / Linear Footage Of Work: ['Alteration ['New ❑ Repair /Replace ❑ Demolition Notary Scanning $ ****** **xxxxx&**********xxkx' .. * Fees'***** xxxxx***** ot$ e***** ox z*'x*aYaYa:x*aY'xic********* Permit Fee $ Training /Education Fee $ Radon $ Bond $ Code Enforcement $ Structural Review. $ DPBR $ CCF$ CO /CC Technology Fee $ Zoning $ Double Fee $ Total Fee Now Due $ See Reverse 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. 1 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 dote ipfcompliance 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 ibe 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. wner.•or Agent The foregoing instrument was , ' o ledge b or day o who Signature' . The fore day of or who has produced who is Contractor z-a.." ng in trument was �ckD ledged be As identification and who did take an oath. Commission #11D82240 Expires: FEB. 02, + ?: My Commission Expires: Expires: 2 009 p ties: FEB. r0� My Commission Expires: BondedThruAUanticBondingCo.,Ingo Y bonded'ThruAtlen c Bonding Co. xxx xxx xu x4444444 ce4xa44cxxxxxx xxxxxxxu4 dc.44 x.444 4xxxxxxxdc4 444444o4xxxa44444 44444 4xxx.4x44 4o4 X44444 44 4444444 44 -444 x ®x me or who has produced as identification and who did take an oath. NOT i PUBLIC: 1 it Sign: P APPLICATION APPROVED BY: (Revised02 /08/06) Plans Examiner Engineer Zoning