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BPP-08-1558Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: June 22, 2009 Inspector: Bruhn, Norman Owner: HALMAN, MARK Job Address: 1177 NE 100 Street Miami Shores, FL 33138- Project <NONE> Contractor: AQUATIC SPECIALTIES INC Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Phone Number (786)251 -7913 arcel Number 1132050190350 Phone: (954)255 -2994 Building Department Comments Passed Q6/4I,2I Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments ec June 19, 2009 Page 22 of 25 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. DS- it'M PERMIT APPLICATION FBC 2001 Master Permit No. B j 02- 1558 Permit Type (circle): Building Electrical Plu � ing Mechanical Roofing Owner's Name (Fee Simple Titleholder) -�J I LL PAL A Phone #S ° T pC ! [O Owner's Address 7/ 7.7 A E / 0c, p City /14 1 1 A b t State 4 4 Zip 3 t 3 Q Tenant/Lessee Name Phone # (where the work is being /u E ` 1000 Job Address ( g done) f 1-1%-) City Miami Shores Village County Miami Dade Zip Is Building Historically Designated YES NO /..■• Contractor's Company Name gik L1) imBitv 67fg l iG Phone # Z0.5 - S' L'." l k l 6 Contractor's Address L. I S iii, f K.,Z City Alt 1 A 111-4 1 State '.' L.. rt" Zip ` ' (2. et Qualifier fl 0-1-0 N 1© L G A P_,C 1 A Architect/Engineer's Name (if applicable) $ Value. of Work For this Perini Phone # (4—'' Square Footage Of Work: Type ofWork: ['Addition Alteration [New ❑ Repair/Replace ❑ Demolition Describe Work: / /.) S TA L- L. R% ' iq g L / t Ai ATV it-Pt Le. A ' ************ * * * * * *** * * * * * * *,eS * * * *** ** * * * * ** *fit * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ CCF $ Notary S Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Total Fee Now Due $ NOV 1 2 2008 MIAMI ORES VILLAGE (Continued on opposite side) Bonding Company's Name (if applicable) P/4 4 Bonding Company's Address IU I - City State Zip Mortgage Lender's Name (if applicable) f v ( 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. • Si 11, Owner or Agent The fore • o' s : instrument was ac s o ledged be day o (1 20 .by who is rsonally known to me or who has produced 1 11 1-(0/ i `As identificatio NOTAR Sign: Print: d who di.... , , oath. My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * ** * • 0" (Certificate of Competency Holder) State Certificate dr Registration 20 xi e r G-' �� tki No. , Certificate of Competency No. p073.0 9 ..-t.....fbscg,lios ********* * *. * * * * * * * * * * *. * * * * * * * * * *. *.** *****************/.************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signature Contra Sir The foregoing instrument was acknowledged before me this /5 day of Perlioe ett. , 20 0, by Atin/740 L . G •® who s personally known o me or who has produced as identification an • 10 dot ' D D 639342 NOTARY PUBLIC: * * * * * * * * * * * * * * * * * ** EXPIRES: February 23, 2011 Bonded Thor Budget *Amy Sakes Sign: 'r Print: . • i' ✓71;) 40 4-- . 6.0/1.#4 My Commission Expires: e a * * * * * * * ** APPLICATION APPROVED BY: Chc 10/14/03 e=(- L L7 16 % . 4 Plans Examiner Engineer Zoning qglo 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 2004 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address ll City :' M Permit No. AUG 2 1206 L BY:___® Master Permit No. on Phone # 5.1 4'3)( State r- Zip 1 Tenant/Lessee Name Phone # Job Address (where the work is being done) ) «� it' 100 City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 11 ,I V.� Is Building Historically Designated YES NO X Contractor's Company Name Con tor's ddress City Qualifier Name Zip Zip Si p� /� Phone # S 9AS `V 94 Certificate of Competency No. State Certificate or Registration No. CifiC 054 R4 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $'O) OCO Type of Work: ❑Addition ['Alteration Square / Linear Footage Of Work: 13\I/New ❑ Repair/Replace ❑ Demolition Describe Work: fl Me 2 2 PAM c)64aGti a-.5******************************** Permit Fee $ Submittal Fee $ Notary $ Scanni Bond $ Structural Review. $ *****Fees*********** ******** * *** * ** *** * ********:x **** l~J 0 CCF $ U 00 CO /CC ka) G.00 Technology Fee $ Pa-'SO Training/Education Fee $ Radon $ DPBR $ '94 Zoning $ Code Enfor .. t $ �.. _ Double Fee $ OCT 222 COSID MIAMI SHORES VILLAGE Total Fee Now Due $ E) ,4i See Reverse side -) Bon Bon City Mo Mo: City App] coma cons WEI OW appl PA CO CO Noti prom who for t inspection will not be approved and a reinspection fee will be charged. • ung company s ling Company's . 11 - .. icame i !CONTRACTOR: /A )Arto apfziAms SUBMITTAL DATE: A Th O$ t 490i #' , . °°' - l w � �- ttl ttt7AAT .\-- . V 0 Z N J -N ,, tgage Lender's gage Lender's A PROJECT TYPE: 5 \V\1 O IA,t ication is hereby nenced prior to ruction in this j ,LS, POOLS, 0 � m r installation ha laws regulatin VIBING, SIGN npliance with a] ULT IN YOU] ' FINANCING NOTICE O] e applicant rrcu -ed to the perso ed at the job sit notice, th L ,t ` * m L a ., RESUBMITAL DATES: '0 , Z Z O 5'.6/0 g eTtn t In-in lies A , 'i 1 . =,_ - (g a. ., n, v� 6,v MECHANICAL �TER'S Al ±>N'il) cable laws regul , ■RNING TO 0 ING TWICE TSULT �IMENCEMEN7 �e to Applicant: rise in good fait e property is su first inspectio N' CC CI Q NAME1L u. PL V1A-1; -a aeven i .1 I4-45A j cT LTCC UUL7,LitiLK pGr im,. o.s err. ...L. ..o o..... .:....J... ;;,p Signature Owner or Agent The foregoing instrument was acknowledged before me this ZP day of / 1'; ,200 by Ji(� i 'lMCL& who is pers. i ally known to me or who has produced g S, 1 st n ute e Signature Contractor The foregoing instrument was acknowledged before me this Z0 day of ` t ,(! 20), by �--- i1� Lti C Cee who is persona' known to me or who has produced l 1U-ij As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Ail L h�%.i Ica tQ °' •:�g4 SHEILA CAROL SLUDAU ° ?! Y COMMISSION # DD 705948 10, 2011 Nary Services My Commission Expires: j)\. \ APPLICATION APPROVED BY: (Revised 07/10/07) as identification awl NOT PUBLIC: # �OF Sign: Print: o did take an oath. (", SHEILA CAROL a.UDAU * MYCOMMISSION # DD 705946 ° EXPIRES: October 1 Bonded .ud, My Commission Expires: 0 1 0 / 1i /` /) 4 Pi2 c / 5 tit 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: June 04, 2009 Inspector: Dacquisto, David Owner: HALMAN, MARK Job Address: 1177 NE 100 Street Miami Shores, FL 33138- Project: <NONE> Contractor: AQUATIC SPECIALTIES INC Permit Type: Pools/Whirlpools/Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number (786)251 -7913 Parcel Number 1132050190350 Phone: (954)255 -2994 Building Department Comments June 04, 2009 Page 1 of 1 (.q 6 b/C4 Passed iaffef Inspec or Comments (?��l S� -�^ �iee� r4 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until June 04, 2009 Page 1 of 1 A NC ADD ADJ AE ALUM. ASPH B/C BCR BLDG BLK. BM BNDY B/W C LB CB5 CD CIB CLF CM CIO CONC. COR. WV. D DB DCR D.E. DOT E/F E/P E/W ELEC. ELEY. ENCL EM E5MT F/C F/L FE Fri FAR FN END MAD. fN&T FPdaL, o GAR GAW HW ID INV IN IP L LB LC LD LFF LP L5 LEGEND OF SURVEY ABBREVIATIONS ARC LENGTH AIR CONDITIONER ' ADDITION ADJACENT OR ADJOINING ANCHOR EASEMENT ALUMINUM ASPHALT BUILDING CORNER BROWARD COUNTY RECORDS BUILDING BLOCK BENCHMARK BOUNDARY BACK OF WALK CALCULATED CATCH BASIN CONCRETE BLOCK STRUCTURE CHORD DIRECTION CABLE JUNCTION BOX CHAIN LINK FENCE CONCRETE MONUMENT CORRUGATED METAL PIPE CONCRETE CORNER COVERED DEED DEED BOOK DADE COUNTY RECORDS DRAINAGE EASEMENT DEPARTMENT OF TRANSPORTATION END OF FENCE EDGE OF PAVEMENT EDGErOF WATER ELECT ELEVATION ENCLOSURE ELECTRIC METER EASEMENT FENCE CORNER FENCE LINE FINISHED FLOOR FIRE HYDRANT fOUND.INON PIPE FOUND IRON ROD FOUND NAIL ' FOUND FOUND NAIL & DISC FOUND NAIL 3 TAB FLORIDA POWER & LIGHT GARAGE GUY WIRE HEAD WALL IDENTIFY. IDENTITY INVERT IRON ROD IRON PIPE LENGTH LICENSED BUSINESS CHORD DISTANCE LEGAL DESCRIPTION LOWEST FINISHED FLOOR LIGHT POLE LAND SURVEYOR M MAINT MH NO. N.T.S. 0/H 0.P. O.R.B. 0/5 0/W P PAR PB PC PCC PCP PG PI PK FOB POC PP PRM PRC PT PVMT REC RCP RES RET RNG R/W SAN 513T SCN 5E SEC SEW SN&P 5P 5P&C SR SRC 5TA 5TM STY SURD T TB TBM TRANS STWP TYP UE UGD WD WM WY MEASURED MAINTENANCE MANHOLE NUMBER NOT TO SCALE OVERHANG OPEN PORCH OFFICIAL RECORDS BOOK OFFSET OVERHEAD WIRES PLAT PARCEL PLAT BOOK POINT OF CURVATURE POINT OF COMPOUND CURVATURE PERMANENT CONTROL POINT PAGE POINT OF INTERSECTION PARKER KALON POINT OF BEGINNING POINT OF COMMENCEMENT POWER POLE PERMANENT REFERENCE MONUMENT POINT OR REVERSE CURVE POINT OF TANGENCY PAVEMENT RADIUS OR RECORD RECORD REINFORCED CONCRETE PIPE RESIDENCE RETENTION / RETAINING RANGE RIGHT - OF - WAY SANITARY SOUTHERN BELL TELEPHONE SCREEN SOUTHEAST SECTION SEWER SET NAIL & DISC LB #6465 SCREEN PORCH SET V2" PIN & CAP LB #6463 STATE -ROAD SET REFERENCE CORNER STATION STORM STORY SUBDIVISION TANGENT TOP OF BANK TEMPORARY BENCH MARK TRANSFORMER TOWNSHIP TYPICAL UTILITY EASEMENT UNDERGROUND WOOD WATER METER WATER VALVE p u4 JUN 0 .2Q0 • MIGUEL ESPINOSA LAND SURVEYING, INC. LAND PLANNERS SURVEYORS Miami Shores Village 1- APPROVED BY ZONING DEPT BLDGDEpT 1 eco1 SUBJECT TO COMPLIANCE WITH P! _ - -. STATE AND_COUNTY PI!! c 10665 S.W. 190 STREET - SUITE 3210 MIAMI, FLORIDA 33157 Phone: (305) 262 -2992 Legal Description: Lots 13 & 14, Block 177, of MIAMI SHORES SECTION 8, according to the plat thereof, recorded in Plat Book 43, Page 67, of the Public Records of Miami -Dade County, Florida. Certified to: Marc Halman Jill Halman Flood Zone: Community Number: 120652 Community Name: City of Miami Shores Panel: 0093 Date of Firm Index: 7/17/95 Firm Zone: AE Base Flood Elevation: 8.0 ASPHALT PAVEMENT ,1 50.00' (R &M F.I.P. 1/2" (NO 1.D.) LOT 12 BLOCK 177 N. CO r F.1.P. 1/2" (NO I.D.) 546.80' B.C. F.I.P. i /2" (NQ 85'f12.5 13.6' • 4 Q rn a Y Y Y GENERATOR ) POOL EQUIPMENT ^c 6v) 7Z1 55.50' 0 03 ••• • w • 4 • • • •N M m ONE STORY CBS RESIDENCE # 1177 'Kt . =95-1 . 8.70 ..PAVERS' . . DRIVEWAY a .4 . e ` • • ea t11.0'' u 1.10 ti 3' '4• 4 4• 11.5' H) N 11.60' in co 0 co N 36.00' 20.20' e, O• co.• 14.60':4 4 4. ..b • 'CONCRETE • ° PATIO A 4 . • • e4, 4. 20.90' s♦ �Vd4'• 22.00' 51 777' ncsi n LOT 15 BLOCK 177 F.l. P. 1/2" (NO 1.0) O 4 4. 150 • 4 •e (R &M) 40.0' PARKWAY °17.O' 2.7..5. ' �° 17.0' , ...100' RIGHT —OF —WAY (BY PLAT)... :....:......:..... ' :.'•20'i ASPHALT PAVEMENT_..... .;'.'.'..'.'..'.'. • .•.•.•.• . •.•.•.•.•.•,•.•,N.E. 100t STREET...:..... TOPOGRAPHIC SURVEY Date of Completion: 05/01/2009 Date of Field Work: 04/29/2009 Property Address: 1177 N.E. 100 Street Miami Shores, Florida 33138 Survey: S -8299 BENCHMARK INFORMATION Benchmark No. #B-62 Elevation: 8.65 NGVD LOCATION SKETCH NOT TO SCALE GENERAL NOTES: —LEGAL DESCRIPTION PROVIDED BY OTHERS. — EXAMINATION OF THE ABSTRACT OF TITTLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECT THIS PROPERTY. —THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT. — UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. —ONLY VISIBLE AND ABOVE GROUND ENCROACHMENTS LOCATED. —WALL TIES ARE TO THE FACE OF THE WALL —FENCE OWNERSHIP NOT DETERMINED. — BEARINGS REFERENCED TO UNE NOTED AS B.R. — BOUNDARY SURVEY MEANS A DRAWING AND /OR GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND /OR NOT TO SCALE. —NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. —NOT VAUD UNLESS SEALED WITH THE SIGNING SURVEYOR'S EMBOSSED SEAL — DIMENSIONS SHOW ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. — ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS OTHERWISE NOTED. —THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED. —THIS BOUNDARY SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON. THE CERTIFICATIONS DO NOT EXCEED TO ANY UNNAMED PARTIES. SURVEYOR'S CERTIFICATION: I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY IS A TRUE AND CORRE T REPRESENT TION A SURVEY PREPARED UNDER MY DIRECTION. THIS COMPUES H THE MINI. M T HNICAL STANDARDS, AS SET FORTH BY THE STATE OF FLOR1 BOARD OF ' IONAL LAND SURVEYOR'S IN CHAPTER 61017 -6, FLORIDA AD.., I RATIVE t:OD U ANT TO 427.027 FLORIDA STATUES. SIGNE MIGU ESPIN� t' NOT AUD •UT A r ENTIC ELE ELE TRONIC S AN /OR THIS MAP IS THE ORIGINAL RAISED SEAL OF A UCEN F'OR THE FIRM 1'..M. No.5101 STATE OF• FLORIDA NIC SIGNATURE AND AUTHENTICATED T VAUD WITHOUT THE SIGNATURE AND D SURVEYOR AND MAPPER. MIGUEL ESPINOSA LAND SURVEYING, INC. 10665 S.W. 190th STREET SUITE 3210 MIAMI, FLORIDA 33151 PHONE: (305) 262 -2992 FAX: (305) 262 -2995 www.espinosalandsurveying.com L.B. 6463 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -8. OMB No. 1660 -0008 Expires February 28. 2009 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name MARK A. HALMAN & JILL HALMAN Policy Number A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 1177 N.E. 100 STREET Company NAIC Number City MIAMI SHORES State FL ZIP Code 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 13 & 14 BLOCK 177 MIAMI SHORES SEC. 8 PB 43 -67 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude /Longitude: Lat. N25 °52'04.58" Long. W80 °10'27.30" A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance A7. Building Diagram Number 8 A8. For a building with a crawl space or enclosure(s), provide a) Square footage of crawl space or enclosure(s) 3222 sq ft b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade 12 c) Total net area of flood openings in A8.b 5184 sq in Horizontal Datum: ❑ NAD 1927E NAD 1983 A9. For a building with an attached garage, provide: a) Square footage of attached garage 400 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 N/A 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 FLORIDA 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) 12025C0093 J 7/17/95 3/2/94 AE 8.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ►/ FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: E NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date N/A ❑ CBRS ❑ OPA Lives ENo SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* E 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 DCBM # B -62 Vertical Datum 1929 Conversion /Comments NONE a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ T67 b) Top of the next higher floor 9.57 c) Bottom of the lowest horizontal structural member (V Zones only) N /A. d) Attached garage (top of slab) 7.67 e) Lowest elevation of machinery or equipment servicing the building 7.27 (Describe type of equipment in Comments) f) g) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) 6.87 7.07 Check the measurement used. feet E feet ❑ feet E feet E feet ❑ meters (Puerto Rico only) Cl meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) E feet ❑ meters (Puerto Rico only) E feet ❑ 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. / 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. E Check here if comments are provided on back of form. Certifier's Name MIGUEL ES�PINC;JSA License Number 5101 Company Name MIGUEL ESPINOSA LAND SURVEYING, INC. T SUITE 3210 City MIAMI o" Date 4/28/2009 State FL ZIP Code 33157 Telephone 305 - 262 -2992 VI' FEMA Form 81 -31, February 2006 See reverse side for continuation. Replaces all previous editions .IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 1177 N.E. 100 STREET For Insurance Company Use: Policy Number City MIAMI SHORES State FL ZIP Code 33138 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 HIGHEST CROWN OF ROAD = 5.02' C2. (b) TOP OF THE NEXT HIGHER FLOOR (FIRST LIVING AREA) C2. (e) LOWEST ELEVATION OF EQUIPMENT / MACHINERY SERVICING THE BUILDING (AIR CONDITIONER) = 7.27' HIGHEST ELEVATION OF EQUIPMENT / MACHINERY SERVICING THE BUILDING (GENERATOR) = 7.57' ATTACHMENT = BUILDI, G P +TOGRAPHS Date 4/28/2009 Check here if attachments SE CTO E -.BUILD! ` EVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6 -8 with permanent flood openings provided 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 ❑ feet ❑ meters ❑ above or ❑ below 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 floodplain 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 owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address 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 floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. G1. ❑ 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. ❑ A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO. G3. ❑ The following information (Items G4. -G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance /Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81 -31, February 2006 Replaces all previous editions 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. 1177 N.E. 100 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 View "; and, if required, "Right Side View" and "Left Side View." LEFT VIEW 5/07/2009 RIGHT VIEW 5/07/2009 Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 1177 N.E. 100 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 4/28/2009 REAR VIEW 4/28/2009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores Phone: (305)795-2204 Fax: (305)756-8 Scheduled Inspection Date: May 29, 2009 Inspector: Levrock, James Owner: HALMAN, MARK Job Address: 1177 NE 100 Street Miami Shores, FL 33138- Agalaak ,,,Welt*Vate44,4* Project: <NONE> Contractor: AQUATIC SPECIALTIES INC ISS Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number (786)251-7913 arcel Number 1132050190350 Phone: (954)255-2994 Building Department Comments Passed Failed r Comments Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. 'In "A A Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Sho Phone: (305)795 -2204 Fax: (305)75 Scheduled Inspection Date: June 05, 2009 Inspector: Levrock, James Owner: HALMAN, MARK Job Address: 1177 NE 100 Street Miami Shores, FL 33138- Project: <NONE> Contractor: USA PLUMBING & SEPTIC, INC. Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Gas Phone Number (786)251 -7913 I Number 1132050190350 Phone: 305 -856 -1696 Building Department Comments Passed %c),'Q�� 7 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. i! Dv J Master Permit No. 1P[ (AC. )SS BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) J 11 Owner's /A�d�dressSV1O'riS 111'7 W. [ 00 SI City ►' I�CXft1 State Zip 33) DV Phone # kftviA u AUG 6 4a t8 L, B Y: Phone # 50 1 S-4- • 2.71 Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) City Miami Shores Village 1 n Nt., FOLIO / PARCEL # County Miami -Dade Zip 33 1 (3 Y Is Building Historically Designated YES Contractor's Company ` p y Name 1. '5100 .v\I Con . ctor's City Qualifier Name ddress State State Certificate or Registration No. G O . b- 40, Certificate of Competency No. E -MAIL: Phone # 664 - '1.3510 Zip Z CO Phone # Architect /Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: Describe Work: ❑Addition ['Alteration Phone # Square / Linear Footage Of Work: NNew ►� per. ❑ Repair /Replace ❑ Demolition Submittal Fee $ Notary $ Scanning $5'cf3 Bond $ * ****** ** * * * * * * *** *,rat * ** **** * *F Permit Fee $ ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Training /Education Fee $ I U( J Structural Review. $ Radon $ DPBR $ CCF $ 300 CO /CC Technology Fee $ 4-60 Zoning $ Code nforcement $ Double Fee $ Total Fee Now Due $ 19) 40 OCT 222Q08 MS SO ti See Reverse side —* Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip 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: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection, fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this day of E tiir. 20 , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ` ' Le`� -SHEILa c 8 Signature Contractor The foregoing instrument was acknowledged before me this '4; day of �.. � j tx.� - 4 20 `-' , by ` ;.5 who is personally known to me or who has produced � Y'`"�s identification and who did takean oath. NOTARY PUBLIC 4D1ARY Po., r * �� `'° SHEILq CAR My Commission Expires: ttek#rye+R+x*Heir fir -;ww, '*wi'vv;i APPLICATION APPROVED B (Revised 02/08/06) Sign: r`. �,�j\.. Print: My Commission Expires: DA 4&t, 2 * * * * * * * * * * * * *** * * * *** 65 ns Examiner Engineer Zoning Inspection Worksheet Miami Shores Villa 10050 N.E. 2nd Avenue Miami Phone: (305)795 -2204 Fax: (30 Scheduled Inspection Date: May 29, 2009 Inspector: Devaney, Michael Owner: HALMAN, MARK Job Address: 1177 NE 100 Street Miami Shores, FL 33138- Project: <NONE> Contractor: R GOOD ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private umovid Phone Number (786)251 -7913 Parcel Number 1132050190350 Phone: (954)432 -2232 Building Department Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments ■R -- nn nffn 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 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) Owner' , Address m Cit .1 /lt) State !►t Permit No. Master Permit No Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) City Miami Shores Village Zip la) AUG 22298 BY: I--— 011Y 0Y W' 9, Phone # -DZ 154 'gel Phone # m NIc 1005 FOLIO / PARCEL # County Miami -Dade Zip Is Building Historically Designated YES Contractor's Company Name Conte tor's CityT Qualifier Name ddre Ali hi? s 1 • I L41 NO X State Certificate or Registration No. E -MAIL: I-1 1/\I Phone # 4�`a, • QQM State i 30000 Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 9 Type of Work: ❑Additi Describe Work: Zip Phone # Certificate of Competency No. 0 Phone # Square / Linear Footage Of Work: ❑A Iteration �� New Ca, Cpl 1 Scot_ El Repair/Replace ❑ Demolition xxx**** xxxxx *********x*xx*xxx**akxxxxxxx Fees********** x*** 'tixxxxxxxx*w* **** ***x*xxxxxx* ** Submittal Fee $ Permit Fee $ 2Z.� i . Notary $ Training /Education Fee $ Scanning $ Bond $ Structural Revie CCF $ CO /CC Technology Fee $ Zoning $ Code En orce MT 2 MO MIAMI SHORES VILLAGE 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. 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 properly 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 The foregoing instrument was acknowledged before me this day of 20 , by i \A, \\ I 20 who is personally known to me or who has produced U 7 As identification and who did take an oath. NOTARY PUBLIC: 451 °6ae� n Sign: Print: My Commission Expires: AU N #DD705946 0,2011 dUSss..4.4.5«x- .hAvt•.t R.R•+L+t,h ak-0. 44.4._ 4� c �� {.ti+U.,4s Aad.sa_skate*At! &ib 4*4.de 4sFtYd.F Signature ti4m_il Contractor The foregoing instrument was acknowledged before me this zo day of 1..�>.t. 04 , 20 C3 d by - (�bc�, who is persona y known to me or who has produced C., Q ^� as idenfifibc, itogn and who did take an oath. NOTARY PUBLIC. , %` �+iEltq � ll J �y vi/1�%� %SS' Uiq 811,1D Y woo APPLICATION APPROVED BY: (Revised 02/08/06) Sign: Print: My Commission Expires: 101 f 1 I I #*** *** ******* ***!ka*4mrsz- fans 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 B : BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) Owner's Address �\1J f City `''to\ fesS State Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Permit No. I 1 aJ Master Permit No. ° +� 0Y 055 1\,)t 100 S)- County Miami -Dade Zip Is Building Historically Designated YES NO___ Contractor's Company Name. Contr. tor's Addr City Qualifier Name State Certificate or Registration No. CPC ®K E -MAIL: Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Type of Work: ❑Addition Describe Work: ['Alteration Square / Linear Footage Of Work: New of ❑ Repair /Replace ❑ Demolition ******** x * * * * * * *x * * * * * * * * * * * * * * * * *'. * * -* *************** * * ** * * * * ** * * * * * ** * * * ** * * * *e'e ** Submittal Fee $ Permit Fee $ Notary $ Training /Education Fee $ Scanning $ Bond $ Structural Review. CCF $ CO /CC Technology Fee $ Zoning $ Double Fee $ OCT 2 2 2008 CkkS50 MIAMI SHORES VILLAGE Total Fee Now Due $ See Reverse side -a 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 perforrned 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 don 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 l 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 budding permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Owner or Agent The foregoing instrument was acknowledged before me this day of 20 te, by l 1 t M(9 e- who is personally known to me or w o has produced t✓C . C \ \C9. .As identification and who did take an oath. �o,",Y.: °g<t, SHEILA CAROt.I3LUDAU NOTARY PUBLIC: * 3 x My COMMISSION # 00 705946 �� • EXPIRES; (Mob • 0 2011 udget Sign: Print: My Commission Expires: t0(I('Ito APPLICATION APPROVED BY: (Revised'02/08 /06) Signature ,/ G•�- °�" Contractor The foregoing instrument was acknowledged before me this day of �,f ,20®V_),by ShQJ 9.9.n g, Wet6 , who is personally known to me or who has produced P t.: e4e. PRY pU mSl- cF�`syl \ as identtfii °:. as l wIlININ ttAittrath. NOTARY PUBLIC ,s '� y M SI0N#pp 7Q59 ''gQFn.s `O� EXt'iR w QCt0b8r 10, X48 IAQ,,,r Servbes Sign: Print: 0- ezAa 19N-QA (C& C,i LoL (Li t My Commission Expires: ICi L 0 { 1 Plans Examiner Engineer Zoning November 12, 2008 Ms. Jill Halman 1177 N.E. 100th Street Miami Shores, Florida 33138 ENGINEERING &TESTING INC. Phone: (866) 781 -6889 • Fax: (866) 784 -8550 www. floridaengineeringandtesting.com 250 S.W. 13th Avenue Pompano Beach, FL 33069 RE: Foundation Bearing Capacity Certification Proposed Pool Pad 1177 N.E. 100th Street Miami Shores, Florida 33138 Dear Sir or Madam: In accordance with your request, we have inspected the general site preparation procedures for the above reference construction area(s). The site consists of naturally occurring soils and/or added fill and is sufficiently free of deleterious materials. We have performed density tests, last test dated November 11, 2008, on the above mentioned soils as applicable. Site preparation procedures were in general accordance with the specifications set forth by the latest edition of the Florida Building Code Chapter 18 as it pertains to the High Velocity Hurricane Zone and A.S.T.M. Standards. The procedures also comply with the approved plans, specifications, county /municipality codes, and our foundation recommendations described in the subsoil report dated March 5, 2008. Based on our observation and the above mentioned tests, this letter certifies that the construction area(s) can provide the design pressure of 2000 P.S.F. (pounds per square foot) required to support the foundation of the proposed pool pad without settlement detrimental to the addition placed upon it. Sincerely, le/444 Keith LeBlanc, P.E. Florida Engineering & Testing, Inc. Florida Reg. No. 59394 Certificate of Authorization No. 6923 FLO ENGINEERING & TESTING., INC. Phone: (866) 781 -6889 'Fax: (866) 784 -8550 worry .loridaengineeringandtesting .coin 250 S.W. 13th Avenue FomPano Beach, IL 33069 FIELD DENSITY TESTS OF COMPACTED SOILS AND PROCTOR COMPACTION TEST DATE: 11/11/08 CLIENT: Ms. Jill Halman ADDRESS: 1177 N.E.100d' Street PROJECT: Proposed Pool Pad ADDRESS: 1177 N.E. 100th Street ORDER NO: 08 -3277 PERMIT NO. Miami Shores, Florida 33138 Miami Shores, Florida 33138 LOCATION: LOCATION: LOCATION: Center of Pool Shallow End of Pool Deep End of Pool FIELD DENSITY METHOD A.S.T.M. D -2922 DRY DENSITY P.C.F. IN THE FIELD 117.3 118.2 — CONE RESISTANCE (TSF)* 55 50 55 % MOISTURE 10.3 9.8 — % COMPACTION IN THE FIELD 98.1 98.9 >95* % COMPACTION REQUIRED BY SPECS 95% PROCTOR VALUE, P.C.F. 119.5 OPTIMUM MOISTURE, % 11.0 LABORATORY NO. P -3277 DEPTH IN INCHES 12" MATERIAL: Brown Sand with Some Rock REMARKS: Compaction percentage estimated from cone penetrometer reading obtained with a Brainard - Kilman Model S -214 hand -held cone penetrometer. * A density test determines the degree of compaction of the tested layer of material only. In no way shall a density test replace a soil bearing capacity determination. TESTED BY: P.N. CHECKED BY: H.J. 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 are reserved pending our written approval. PROCTOR A.S.T.M. D -1557 METHOD % MOISTURE DRY DENSITY 7.7 115.4 8.9 118.3 11.0 119.5 13.2 117.3 100% MAXIMUM DRY DENSITY 119.5 lbs. /cu. ft. ■■■■■■■■■■■■■ 1111■ ■1111■■■■■1111 ■■■■■■11■■■■■■ ■ ■ ■■•MZOI■■■■ ■■■■►A■ ■ ■ ■■■ ■■■!A■ ■ ■ ■ \1■■■ ■■ ■iN■ ■ ■■M■■ 1111■u ■ ■ ■■■•11■■ ■■ ■ ■■■■■ ■■■■■ 1111■ ■■■■■e■■■■ ■ ■ ■ ■ ■ ■■■■■■■■ 6 8 10 12 14 16 R Y D E s T Y Respec KEITH LEBLANC, P.E. FLORIDA ENGINEERING & TESTING, INC. FLORIDA REG. NO 59394 Certificate of Authorization No. 6923 111 1111 11111 11111 11111 11111 Mil 1111 1111 :F"1 'fir�f of as .0 ray .3 4-4 NOTICE OF COMMENCEMENT Dili el, di�'486 F's 4474; (los) A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION RECORDED 07/18/2008 15:17 = 53 HARVEY RUVIUr CLERK OF COURT MIAMI-DACDE COUNTYr FLORIDA LAST PAGE PERMIT NO. TAX FOLIO NO. / /3ai.Z57a /9cZ350 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street / add 2. Description of improvement: /WO "boy._ �3 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: 33®6.1 5. Surety: (Payment bond required by owner from contractor, if any) Name and Address: 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: 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: 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) 1 ignature of Owner Print Owner's Name ors' Auf Swom to and subscribed before me this l day of Notary Public: Print Notary's Name: My commission expires: Prepared by D-e- n 15-C- Lct C-Ar)--S 20 ?A . Address: W l O O P `) oor P`'e�c. SHEILA CAROL BLUDAU * MY COMMISSION # DD 705946 ,rte:,:, EXPIRES: October 10, 2011 r$0,,,0 Bonded Thor Budget Notary Services Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 RECEIPT - PERMIT #; `•' i cS DATE: /0— (Cr (01-eint CUCC-LS Contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) P. Address: From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLEARK INITIAL: RESUBMITTED DATE: Of 101X PERMIT CLEARK INITIAL: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 permitNo. BPP-8-08-15581 VVhtr1poo1HOt1•u VoNew Muff Issue Date: Not Issued Expires:Not issued Folio Number:1132050190350 Owner's Name: MARK HALMAN Owner's Phone: (786)251-7913 Job Address: 1177 100 Street NE Total Square Feet: 0 .. ii Miami Shores Village, FL 33138- Total Job Valuation: $ 30,000.00 Contractor(s) :„. Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: No Date Denied: 8/22/2008 Comments: POOL EQUIPMENT MUST BE LOCATED NOT LESS THAN10 FEET FROM THE SIDE LOT LINE AND5 FEET FROM THE REAR LOT LINE. Miami Shores Village Building Department 100.50 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name Date BUILDING CRITIQUE SHEET Zo‘i _ ► /O /,a , �60-ra "th" 7I id ACvLt4.A.J 0 Reviewer: Claudio Grande C.B.O 305 - 795 -2204 Ext 1430 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. BPP -8 -08 -1558 Issue Date: Not Issued Expires: of issued Folio Number:1132050190350 Owner's Name: MARK HALMAN Job Address: 1177 100 Street NE Miami Shores Village, FL 33138- Owner's Phone: (786)251 -7913 Total Square Feet: 0 Total Job Valuation: $ 30,000.00 Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 10/16/2008 : Yes Comments: POOL EQUIPMENT MUST BE LOCATED NOT LESS THAN10 FEET FROM THE SIDE LOT LINE ANDS FEET FROM THE REAR LOT LINE. 10/10/08 SIT PLAN IS CONFUSING WITH N ARROW IN WRONG DIRECTION. NOT FULLY DIMENSIONED. 10/16/08 POOL EQUIPMENT MEETS SETBACK REQUIREMENTS FOR ACCESSORY STRUCTURE IN REAR YARD SWIMMING POOL OWNER'S CERTIFICATION Date: Co / U / nc6 Miami -Dade County Department of Planning and Zoning 111 NW First Street, Suite 1210 Miami, Florida 33128 Re: Building Permit Application #: Property Address: Ladies and Gentlemen: /117 itl OO m,. , 5 /es 33i3k I certify that I am the legal owner of the above referenced property. In accordance with Section 33 -12(e) and (f), Code of Miami -Dade County, Florida, I hereby certify that I understand and agree that the swimming pool to be constructed at the above address will not be used or filled with water until a separate permit has been pulled for, and a final inspection obtained, for the installation of an approved safety barrier. The barrier shall include a spring -lock self- closing gate equipped with a safe lock. The gate shall remain in a closed and locked position when the pool is not in use. I further understand that this certification does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection of the pool, and prior to use of the pool. I have read and understand the safety barrier requirement. Sincerely, Property Owner Signature Property Owner (print name): Jill *Fla NOTE: IF, AT THE TIME OF FINAL INSPECTION OF THE POOL, THE REQUIRED SAFETY BARRIER HAS NOT BEEN INSTALLED AND INSPECTED, THE PROPERTY OWNER WILL BE CITED WITH A VIOLATION. 18 Apr 2000 dgm Miami Shores Village 10050 Northeast Second Avenue Miami Shores, Florida 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 www.miamishoresvillage.com AFFIDAVIT STATE OF FLORIDA COUNTY OF DADE The undersigned Affiant, 9_ 1 11 [ , )1 M(SWl , does here by attest that the attached survey, performed by m 1\) Li).- I 3QQ\�U- ( mod 'S-40 � [no performed on 2 °i -ob , is an accurate representation of the existing conditions and locations of all Structures on the property as of this date. The purpose of the Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey Tess than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which may now exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may effect final inspections as applicable to this or other permits. Further, Affiant sayeth naught. nand > Wltn mss ( print) Witness (sign and print) SWORN TO AND SUBSCRIBED before me this C day ofL1 . Affiant is personally known to me, i produced - L&J L5 11 as identification, 0.C° PUeZ SHEILA CAROL BLUDAU * _ c * MY COMMISSION it 00 705946 Q EXPIRES: October 10, 2011 4T oFF-��'° Bonded Thru Budget Notary Sobs HurtClC,r.l,ll.t� i THIS AGREEMENT entered into this _ day of , 20 , by and between (hereinafter referred to as "Customer"), (hereinafter referred to as "Adjacent Property Owner"), and AQUATIC SPECIAL' t.S, INC. d/b /a AQUALOGIC POOLS (hereinafter referred to as "Contractor"). WITNESSETH: WHEREAS, Customer acknowledges that in order for Contractor to construct their pool, Contractor requires access to the rear yard with heavy equipment, and as a result of the limited side access to the property, Contractor is unable to obtain access to the rear yard, and therefore Customer agrees to obtain a license from Adjacent Property Owner so as to provide Contractor with limited access over Adjacent Property Owner's property for a period of time necessary to complete said construction work. NOW THEREFORE, in consideration of the sum of Ten ($ 10.00) Dollars each to the other in hand paid in cash and other good and valuable consideration as hereinafter set forth, the parties hereto agree as follows: 1. Customer- agrees to obtain a license from Adjacent Property Owner permitting Contractor to access Customer's rear property over AdjacentProperty Owner's yard, and Adjacent Property Owner grants Contractor a license to travel over its property and to have access over its; property for a period of time necessary to complete construction work for Customer. 2. Customer agrees to be responsible and pay for any and all personal damage and/or property damage to Customer's property and the Adjacent Owner's Property which may be caused by Contractor, its agents or employees, and Customer further agrees to restore the property to its original condition. 3. Customer and Adjacent Property Owner agree to hold harmless and indemnify the Contractor from any liability for damages Contractor may cause to Customer's property and the pmperty of the Adjacent Property Owner, and.furth er indemnify Contractor for attomey's fees and costs in the defense of any action by a third party. 4. Customer further agrees that in the event said license is revoked, preventing Contractor from completing the work, Customer agrees to pay Contractor the balance of its contract. IN WITNESS WHEREOF, the parties have hereunto set tl>,eir hands and seats the day and year first above written. WITNESSES: Bv: Adjacent Property Owner CONTRACTOR AQUATIC SPECIALTIES, INC. d/b/aAQUALOGIC POOLS rnn Nu. • 7.74 4Jct'GJ�' R. Good Mectric, inc. 1730 NW 88TH WAY • PEMBROKE PINES, FLORIDA 33024 • (964) 432 -2232 SINGLE FAMILY LOAD CALCULAT1ON/TABLE 220 -30 NEC OPTIONAL CALCULATION FOR SINGLE FAMILY HOME Jan. d'J dWOH b3 : 14PM JOB NAME ADDRESS: CITY: ( SHZ,KES LEGAL Lot EXISTING SERVICE SIZE 3 Watts per sq. foot 2 small appliance circuits 1 laundry 1 dryer 1 cooking at nameplate 1 hot water heater 1 garbage disposal 1 microwave_ 1 dishwasher Block Sub watts watts watts watts watts watts watts watts watts watts watts TOTAL OF HOUSE LOAD IN WAITS watts First 10kw at 100% watts Rtinder at 40% \ Wants AC/heat #1 0100% ��_ '' M ; �� , I ) watts AC/heat #2 0100% _.__ ' wad AC/heat #3 0100% watts Total demand wattage Watts divided by 240 volts =Amps watts Ps NEW POOL LOAD Pool pump amps = spa pump amps = watts watts air blower amps = watts pool lights amps = watts spa light watts pool heater at nameplate watts TOTAL WATTS 0 100% watts 220 -21 First BKUA at 100% r watts Remainder at 40% Total watts divided b volts = amps Pool total 100% amps House total demanded amps Final total new load amps Service size is ,does or does not need to be changed Russell Good 79-CME -611 X J.S. DEPARTMENT -"OF H Federal Emerg ncry11 a a e nt. Ape National Flood nsut c f rdgrarh LI MELAND SE RI T' ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -8. OMB No. 1660 -0008 Expires February 28. 2009 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al . Building Own s N ame ' MARC HALMAN AND L. JILL HALMAN A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 1 177 N.E. 100 STREET City MIAMI State FL ZIP Code 33138 Policy Number Company NAIC Number A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory A5. Latitude /Longitude: Lat. N25 °52.065 Long. W080°10.451 A6. Attach at least 2 photographs of the building if the Certificate is being A7. Building Diagram Number 8 A8. For a building with a crawl space or enclosure(s), provide a) Square footage of crawl space or enclosure(s) 35 b) No. of permanent flood openings in the crawl space or 29.2 enclosure(s) walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b . etc) Residential Horizontal Datum: ❑ NAD 1927 ® NAD 1983 used to obtain flood insurance sq ft sq in A9. For a building with an attached garage, provide: a) Square footage of attached garage - sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b _ sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 120652 B2. County Name MIAMI -DADE COUNTY B3. State FL B4. Map /Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 0093 J Date Effective /Revised Date Zone(s) AO, use base flood depth) 7/17/1995 3/2/1994 AE 8 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date ❑ CBRS ❑ OPA ❑Yes No 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. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE; ARAA1-A30, AR/AH, AR/AO. Complete Items C2.a -g below according to the building diagram specified in Item A7. Benchmark Utilized Vertical Datum NGVD1929 Conversion /Comments 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) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) 0 9) 7.67 9.57 NIA 7.67 7.27 6.87 7.07 Check the measurement used. ® feet ® feet ® feet ® feet ® feet ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) feet ❑ meters (Puerto Rico only) ® feet ❑ 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 / 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, Section 1001. ❑ Check here if comments are provided on back of form. Certifier's Name MIGUEL ESPINOSA License Number 5101 Title PROFESSIONAL SURVEYOR & MAPPER Company Name MIGUEL ESPINOSA LAND SURVEYING, INC. Address 5511 S. 8 STRE , Syt)� 2202 City MIAMI State FL ZIP Code 33134 Signature Date 2/7/2008 Telephone 305- 740 -3319 FEMA Form 81 -31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No. 1 177 N.E. 100 STREET For Insurance Company Use: Policy Number City MIAMI State FL ZIP Code 33138 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 Signature Date ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 -E4. use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters E 1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6 -8 with permanent flood openings provided 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 ❑ feet ❑ meters ❑ above or ❑ below 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 floodplain 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 owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA - issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address 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 floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. 01. ❑ 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. ❑ A community official completed Section E for a building located in Zone A (without a FEMA- issued or community - issued BFE) or Zone AO. G3. ❑ The following information (Items G4.-G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance /Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Commun:ty Name Title Telephone Signature Date Comments' ❑ Check here if attachments FEMA Form 81 -31, February 2006 Replaces all previous editions • • 8' A S P H A L T P A V E M E N T II F.I.P.1 /2 150.00TRAM) d, A/C 8•6' 4' 4a GENERATOR to 10.3' 55.50' 14.60' M • - F.I.P.1 /2" N _- 00 t� J 0 CO m !� F.I.P.1 /2" 0 0 0 Ib -It_ 3 -••• 11S1 n- 'rr1.r—, I ' I u-rrs IMOu rilatii IIi-.' 1 II i maw a i Iti iii i, S.ir:!IiI: / 1 lI is.ignim :Ma `N ms- ' 11!rslrz1 ISIrt.. i1..11-11t 150.00' '- ` I 1E' meal IBM rotpli -...tamo *fin.. Slur' 341 111 -r1 1lIrUp nu inmr:: tit1C'! �1.. ImN :IrI.K4l _ w = .. 11 L Ir:1. —r.�ll li�!_r_`r��— rr'r91 ►•, ° Mrs iNIi :. '1SYICi motr aNIZI4.1%10 IMO; TOM r xcri_i tram 4..1' u:rn ul ONE STORY RESIDENCE too #1177 11.60 36.00' X X X F.I.P.1 /2" 20' ASPHALT PAVEMENT N.E. 100th STREET Property Address: 1177 N.E. 100 STREET MIAMI SHORES,FLORIDA:33138 ! I HERESY CERTIFY TNAT TINS 'BOUNDARY SURVEY' a9 A TRUE. AND CORRECT REPR5BENTAI1ON OF* SURVEY PREPARED UNDER I/• QIRecncH. T+uscomPLIES WTh THE M8IMU14 TECH 11CAL STANDAR AS SET FORTH BY THE STATE OF FLORIDA BOARD CF PROFESSIONAL LAND BU 8101748 FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.0Z7,FUGVi DA SIGNED MIGUEL STATE OF FLOR1O4 FOR THE FIRM P.S.M. NO. 5101 f831' VALID WNW?' 4.1 ixS•'•EYtiTIL" 6."SCikiY0.: 1AT.47G As"!B A0144E'441CCATEPE;.d'JC SEAL 41•CYOR "+1E6 1:1410%W VALID ,91•4:4V"T!tE- 61.1••••••M [•• CfCCS.teAG?W' +J S5& C• ALM Mtn 3t•••%.c1 • Notes: NO NOTES MIGUEL ESPINOSA LAND SUIi,VEVINE,�1%C. • • • .. 55111 S.W. $• AR ,: •: • • MI4%I1, .4ORJp4131 : • • • PHONE:(305) 740 -3319 FAX #:(305) 669 -3190 LB # 6463 • • ••• ••• • • • • • • • • • • • • • • • A &egp • a • By.. . • _ • • • • • • • • • • • • • • • • • • Survey: A -1794 ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • 00 •• • • • •• •• ••• • • • 0.0 • • PAGE 1 OF 2 rcc--- rynW�J ••• • • • ... • • • •• •• • • • •• •• • • • • • • • • • • • • • ••• • • • • • • • • • • • ••• • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• ••• • • •• ••• •• • • • •• • • • • • • • • • • • • • • • • • •• ••• • • • • • •• Miami S 4aed fillage �efrlIttrif 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305-756-8972 www.miamishoresvillage.com VJECOMEVEN It OCT 1 0 2008 BY: NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues. Please 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 requirements of Florida Statute 515.29; The pool will be equipped with an approved safety cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $500 and/or up to 60 days in jail as established in Chapter 775, F.S. CO ► CTOR'S SIGNATURE AND DATE 5- ( LuCaj CONTRACTOR'S NAME (PLEASE PRINT) RY P1.'Q SHEILA CAROL BLUDAU * MY COMMISSION # DD 705946 EXPIRES: October 10, 2011 Bonded Thru Budget Notary Services ilii k / / • ty ' SIGNA AND DATE 41 404Stritn OWNER'S NAME (PLEASE PRINT) ARC Pill tz' • :i•,,,. State of Florida :^t,Chark• Stev,:rrt Ay ^.omr'..sstot O 752809 *:r r• s 912012 a u.a ".Suanr �a i v —VJ SUM, aKLllll, ILVVI alaLw, vv unto W a1C211.111 r VVl L"'1i�++•.•+' •• . '' A. `•••••• •• • • • •• • 000000 • • •••• • • • • •• •••••• • • •• • • • .•• •• • • 000000 • • •••••• • • 00000 • • ",., • • • • ••••• • •••• HOME I POOL LINKS I POOL INFO 1 POOL STORE 1 POOL TALK I POOL PARTS 1 POOL TECH S PPOR YARDG UARD YG -O3 DOOR GATE / WINDOW ALARM to? Io -__- YG-03 Electronic Pool Alarm by Smartpool operates as a Door Alarm, Window Alarm or Gate Alar YARDGARDTM GATE t DOOR t WINDOW ALARM SYSTEM Convenient Single Button Pass / Reset Operation 120 dB Alarm Siren - Minimum 95 dB at 10 feet 7• -Second Delay Allowed for Adult Pass- Through All Hardware Inc for Gate, Door or Window Mount L• isted by ETL UL 2017 d CSA Standard C22.2 No. 205 Auto Low Battery Chirp Water- Resistant Door Alarm and Gate Alarm or Window Alarm Always On Device as Required by Barrier Codes Always Resets to Standby State in 30 Seconds After Last Switch Activation Can be Manually Reset or will Automatically Reset in 3 Minutes Alarm Goes Off Immediately When Triggered as Required by Barrier Codes Operates on 1 - 9-Volt Battery (not incl.) Bilingual Installation /Operation Manual (English /French) PoolEye YG -03 Gate Alarm / Door Alarrn ! Window Alarm....$39 Add to Cart http:// www. poolcenter. comiyardguardyg03 _gate_alarm.htm 4/17/2007 • • Selecting the correct size H- Series heater For Your Swimming Pool Determine your pool's surface area in square feet: Area = (A +B) x L x .45 Area= RxRx3.14 Area =txW Locate in the table below, the surface area equal to or just greater than the pools surface area, read to the left and select the appropriate H- Series model. For indoor pool installations, divide the pool's surface area by 3. Recommended H- Series Model Model Surface Area H400 1200 11350 1050 H300 900 H250 750 H250 750 H200 600 H150 450 Table is based on a 30 °F temperature rise, 31/2 MPH average wind velocity and elevation of up to 2,000 feet above sea level. Specifications and Dimpncinnc c"Ttti I 6( " � LM Yofit- I-(-(11) 8771( Model 11400* H350 H300 H250* H200 11150 H- Series Heate control, and nz *The H400 anc The Hay' 11 stf ES 000000 •• • • • 000000 • •• • . .. • ..... : ••••o For Your Spa or Hot Tub.... Determine your spa capacity in gallons Air area x aver.ggctepth x ;/t.• • •• : The reference table lists the time requii'e:110 minutes tg raise the teml?ef -: • • • ature of the spa/hot tub by 30 °F. Locate ill 4he table :elew the spa/hot• • • • tub size in gallons equal to or just it Merotl.an the spa /hot tub size*, • • • • gallons. Select the desired time to rise tree :pa/hot tub te m perature 30 °F, • read to the left and select the appr &priate -I- Series mop .. • .. • .. This guide can be adjusted for other tempetature rises FQr examplo siVoin desire a 15 °F increase in temperature, simply divide the Ug t for 301 rise • by the ratio of 30/15, or 2. Note: Heat losses and /of heat absorbed by spa walls or other objects will add to the time it takes the spa to heat up. Spa sizing is based on an insulated and covered spa. Always cover your spa or hot tub when not in use to minimize heat Toss and evaporation. Recommended H- Series Model Model Spa/Tub Size in Gallons 200 300 400 500 600 700 800 900 1000 Time in Minutes to Raise Spa/Tub Temperature 30 °F H400 9 14 19 23 28 33 37 42 47 H350 11 16 21 27 32 37 43 48 54 11300 1 19 25 31 37 44 50 56 62 H250 15 22 30 37 45 52 60 67 75 11200 19 28 37 47 56 66 75 84 94 11150 25 37 50 62 75 87 100 112 125 Outlet peter Flue Pipe Diameter Stack DHI Height HWS Heater Weight (lbs.) Gas Connection at Heater 3" 10" 311/2" 191/2" 200 Ibs. 3/4' 3" 10" 311/2" 171/2" 185 lbs. 3/4' 3" 9" 303/4" 171/4' 157 lbs. 3/4' 711 711 28'/2" 1774" 144 lbs. 3/41 711 7" 281/211 151/411 141 lbs. 3/4" 3,1 6" 221/41 14" 131 lbs. 3/4" s, induding 1' /2" and 2" water connections, millivolt and electronic temperature Association and carry Hayward's exdusive;warranty. >erature control models. ance Heaters Millivolt I Electronic ©2003 Hayward Pool Products, Inc. HS03 Induced Draft www.haywardnet.com H- Series Heaters feature water connections that are fully compatible with pre - existing installations. cra HAYWAR D TABLE OF CONTENTS I.) DISCLAIMER II.) COVER LETTER • SOIL STRATAS • WATER LEVELS • FOUNDATION RECOMMENDATIONS III.) STANDARD (DYNAMIC CONE) PENETRATION IV.) Ji IELD SKETCH V.) MAP OF SUBJECT SITE VI.) GENERAL NOTES • KEY CLASSIFICATIONS & SYMBOLS VII.) LIMITATIONS OF LIABILITY yy�i ii' AUG F tl Gj t a B Y. 2108 w Q 0 ZONING DEP DISCLAIMER Our report findings are based on present onsite soil conditions encountered. It is imperative that you read our reports in their entirety and follow all recommendations as listed. Failure to follow our recommendations, may result in delays and additional costs due to permitting agencies (Building Department, etc.) withholding a Certificate of Occupancy for your proposed structure(s). All recommendations shall be followed in order to receive a final certification, which may include but not be limited to density testing per lift of fill material, demucking verifications, piling inspections. In addition, these reports are for foundation analysis only and shall not be used for excavating, backfilling, or pricliag estimates. • • • •000000 ...... • • • 000000 ..... • • ..... • hediil At least 24 hours in advance for all tests and inspections. If you choose to use g firm for further testing and inspections, it is your responsibility to ensure that they • •. w the proper certification in writing, as outlined in our report. ,r•n • 00000 • ...... ••• • • • • • • • 1 1 1 1 1 1 1 1 1 1 1 1 1 1 • • ...... March 5, 2008 Ms. Jill Halman 1177 N.E. 100th Street Miami Shores, Florida 33138 RE: SUBSOIL INVESTIGATION Proposed Swimming Pool 1177 N.E. 100th Street Miami Shores, Florida 33138 Dear Ms. Halman, ENGINEERING & TESTING, INC. Phone: (866) 781 -6889 • Fax: (866) 784-8550 www. floridaengineeringandtesting.com 250 S.W. 13`h Avenue Pompano Beach, FL 33069 Job Order # 08- 1016HJ Pursuant to your request, Florida Engineering & Testing, Inc., has completed a subsoil investigation on March 3, 2008, at the above referenced site. The purpose of our investigation was to verify subsoil conditions relative to the swimming pool foundation preparation and design. One (1) SPT boring test was performed according to ASTM D -1586 down to a depth of fifteen feet (15') below the existing ground surface. (See attached field sketch for location). The following is a general condition for the subject site: • •• • • 0 • .. ...... ▪ •••• • ••6 j "- 15'0" . •••• . • . Groundwater VI% elevation was measured immediately at the completion of the boring and was • • • •' fvund%at fivfaet,four inches (5'4") below . ( ) ground surface. Fluctuation in water levels should be • ▪ a: i ?ated1to surface runoff, tidal influences, and seasonal variations. . Depth From To Soil Descriptions 0'0" - 2'0" Dark Gray Silty Sand w/ Trace of Limerock Fragments 2'0" - 6'0" Light Orangish Brown Sand w/ Some Limerock Fragments Limerock Fragments w/ Light Gray Sand ...... • • • . • • •• 1 .... • • •••• • ...... • •• • • • • Member National Association of Women In Construction (N.A.W.I.C.) W /BE 1 1 Page 2 5/5/08 1 Ms. Halman: The boring log attached presents a detailed description of the soils encountered at the test location. The soil stratification shown on the boring log is based on the examination of the recovered soil samples and interpretation of the driller's field log. It indicates only the approximate boundaries between soil types. The actual transitions between adjacent soil types may be gradual. Based on our understanding of the proposed structure and the information obtained from our field -boring log, we recommend the following procedures for foundation design: 1) Locate, dewater, and excavate pool area down to pool bottom elevation. 2) All excavations shall maintain a minimum of 2 horizontal to 1 vertical (2:1) next to all 1 foundations to prevent undermining of the existing foundations. If the required slope recommendations cannot be maintained, then shoring of the existing foundations may be required to prevent undermining. 3) Compact the p excavated area with a heavy self - propelled vibratory roller to a minimum of 95% of the A.S.T.M. D -1557 modified proctor method. 4) Backfill to proper pool bottom elevation if needed using a clean granular material placed in lifts not to exceed twelve (12) inches in thickness and compacted as per item 3. 5) Care should be taken when using vibration in case of existing structures in the vicinity of I the construction area. If vibration cannot be used for compaction, static compaction may be applied. However, in this case, the compacted layers should not exceed six (6) inches in thickness. 1 6) All construction fill material shall be clean granular soil, free of organics or other deleterious material, and shall contain no more than five percent fines passing a U.S. 1 Standard No. 200 sieve (0.075mm). 7) Representative samples of the on -site and proposed fill material should be collected and . .'. • •tested to determine the classification and compaction characteristics. • •• • • ••.• 0•°••• ...... ' .2). Verify ll densification procedures by taking an adequate number of field density tests in • • • • each iaylau bf compacted material. This must be scheduled before steel placement. If 4. 1 • ..... •, • steel .i!' atready in- place, it must be removed from all areas to be tested prior to • . ..... .••• •perfoining densities. ...... • •• ••••• .. .... • '91 All Elvtvechnical work shall be performed under the supervision of a Geotechnical . - .. • • ' • Engmeel r his representative. 1 • • •00.0• • • •••••• • • • •••••• ••••• • ••••• • • •••0•• • • • • •0••• • • 0.0.00 Page 3 5/5/08 Ms. Halman: The above foundation recommendations being achieved and verified; it is our opinion that the site soils are suitable for the construction of a swimming pool structure with a permissible soil bearing pressure not to exceed 2,000 P.S.F. Pool pad certification requires satisfactory completion of all the above foundation recommendations. Regardless of the thoroughness of a Geotechnical exploration there is always a possibility that conditions may be different from those of the test locations; therefore Florida Engineering & Testing, Inc., does not guarantee any subsoil condition surrounding the bore test holes. For a more accurate portrayal of subsurface conditions, the site contractor should perform tests pits. If different conditions are encountered, Florida Engineering & Testing, Inc., shall be notified to review the findings and make any recommendations as needed. In accepting this report the client understands that all data from the soil boring is intended for foundation analysis only and is not to be used for excavating, backfilling or pricing estimates. The site contractor must familiarize themselves with the job site conditions. 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. Florida Engineering & Testing, Inc., appreciates the opportunity to be of service to you at this phase of your project. If you have any questions or comments, please give us a call. We would be glad to help any way we can. It has been a pleasure working with you and we look forward to hearing from you in the near future. • •• • • • • •0 •••• • • •••• • •• • • • • • • • •• •• • • • • • •• • • •• • • • • •• •••• • • • •• • • • • • • • • 0 • ••0000 • •• •• • ••0000 •••• • • •••• 0.000• • 000.00 • •• • • • • • Pao Flor . Engineering & Testing, Inc. Flo • Reg. No. 65742 Ce " cate of Authorization No. 6923 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 • • • • • • SPT Test Boring Report Client: Ms. Jill Halman Project: Proposed Swimming Pool Address: 1177 N.E. 100th Street Location: Hole No: B -1 Date: 3/3/08 Miami Shores, Florida 33138 See Attached Field Sketch Depth (Ft) Soil Descriptions Hammer Blows N Penetration "N" Value 10 20 30 40 — 0' - 2' Dark Gray Silty Sand w/ Trace of Limerock Fragments 2 1 1 1 2 — — 2' - 6' Light Orangish Brown Sand w/ Some Limerock Fragments 4 6 7 4 13 - — - 5 13 16 10 15 26 6' - 15' Limerock Fragments w/ Light Gray Sand • •.. • 19 13 17 14 30 - — - 14 18 16 19 34 — 10 -- A — — :. 21 24 31 28 .. • "' • 55 // °' •; •W�iter Levgk' 5'4" Below Land Surface . • mutua4 imate ction to clients, the public and ourselves, all *reports e•submitted as the confidential property of Pa i the $' , .E. •� lients, ahel: orization for publication of statements, Fl i a E gi r eering & Testing, Inc. • • • conclusiolt • t• extracts from or regarding our reports is Fl a Reg. No. 65742 • •„ j served kaerifig our written approval. Ce 'irate of Authorization No. 6923 •••• • A = Auger 1•111 INRI MO MI - M -- N MS I I MI i i- UN MN N • • • • •.• • •• •. • • • • •• •• t ••• • • • • • ••e • • • • • • • • • • • • • . • • • ••• • • • • • • • " • • • • • • • • • • • ••• • • • • • : . • • • . • ••• • • • • • • • • • • • • • • 00 • • : . S.F.H. ilb B -1 • 100th N. E Street Field Sketch Not to Scale N 1177 N.E. 100th Street Miami Shores, Florida CIE °°417th St r NE 11 -6th -St 915 -NE 115th, St Biscayne Park Z - co NE 107th St - NE 116th St - NE 116th St NE 115th St- - m m m D, z CD - m T o- NE 109th- St NE 105th St 915 NE -101st St Go�cekisse a - NE 107th NE 100th St NE 99th St - 1 NE m a� NE 11 2th St co -NE 111th :It Ntp i Miatnf' NE 110th Terrace- - - - -� NE- 110th -St- E -110th St - o m NE 1 -09th, St NE 109tH St - -� NE 108th' St - m t 1 n �� ,,_ NE--105th St - -\ - - _ - - -- (JP nt1=- A04th- St Proposed Sv,ninTng Pool Miami Shores 1177 NE 100th St Miami, FL 33138 99th - St - NE- 98th --St m NE 938th -SINE 98th St - NE- 97fh -- St - _o 5 -_- - NE: 96th St. -. 4t 0LT1 T - NE- 101st T- NE 97th St - C% NE 97th St NE 96th St NE 95th= St _ NE -- 94th St • ••-• . :. • - • z NE- 92nd St- - NE 92nd St - - NE 92nd St a NE 91 -st Terrace- NE 91st- Terrace z z NE 95th -St NE 94th St NE 93rd St- •. ar4-90th St -! - o a NE 90th + •• •.•J•• `C• • • • • . •.NE.86th- S "•• ...El • •••• i•ir. _ Nt`- 85ths@t's -. `. ` ..:... NE 84th St • A St • �L - •••..,.• •••• • • • • • NE- 90th Stm rn `" 'rIE• 88th °t • • �' _ _5t NE 89th St ro - -- NE-89th St-; cy N -- NE 88th St -- z m NE -87th St- - - - NE 86th St Miami NE 85th -St St • Copyright ©19t3t�0�Microsoft Corp. and/or its suppliers. All rights reserved. htip://www.microsoft,com/streets/ 02004 NAVTEQ. All rights reserved. This data includes information taken with permission from Canadian authorities © Ha' Majesty the Queen in Right of Canada © Copyright 2004 by TeleAtlas North America, Inc. All rights reserved. 0 mi 0.2 0.4 0.6 GENERAL NOTES • Soil boring(s) on unmarked vacant property or existing structure(s) to be demolished should be considered preliminary with further boring(s) to be performed after building pad(s) are staked out. • 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. • It is not our field inspector's responsibility to supervise, schedule, or stop any phase of the project. His/her responsibility is limited by the duties stated in the contract. • It is the client's responsibility to provide adequate safety for the site and personnel. KEY CLASSIFICATIONS & SYMBOLS Correlation of Penetration Resistance with Relative Density and Consistency Sands • • •••..• • • •••••• • • • •••••• •.••• • • OOOOO • • •••.•• • • .•.•.• • • • •.••.. Dynamic Cone Penetrometer (Penetrometer Resistance) 0- 10 10 - 25 25 - 45 45 - 75 75 -120 > 120 Silts Clay • • • • • . • •• •••• • • •••• • •• • • • • • •• •• • • • • • •• • • •• • • • • •• •.•• • • •••• 0- 6 6- 15 15 - 30 30 - 45 45 - 90 90 -150.. • • • • . • • • • • OOOOOO Standard Penetration (Hammer Blows) 0- 3 3- 8 8 -15 15 -25 25 - 40 > 40 0- 2 2- 5 5 -10 10 - 15 15 -30 30 -50 •••�•• •••••• Sof ± "•• • Meciiuu4 •••••. Mg jCiately Hard Hard ., Very Hard Relative Density Very Loose Loose Firm Very Firm Dense Very Dense Very Soft Soft Firm Stiff Very Stiff Hard Particle Size Boulder Cobble Gravel Sand Silt Clay > 12in 3 - 12in 4.76mm - 3in 0.074mm - 4.76mm 0.005mm - 0.074mm < 0.005mm Modifiers 0 - 5% Slightly Silty /Clayey 5 - 30% Silty /Clayey 30 - 50% Very Silty /Clayey 0- 2% 2- 5% 5 - 10% 10 -15% 15 -30% > 30% Rock Hardness Description Very Slight Trace Slight Trace Trace Little Some With Rock core crumbles when handled. Can break core with your hands. Thin edges of rock core can be broken with fingers. Thin edges of rock core cannot be broken with fingers. Rock core rings when struck with a hammer. LIMITATIONS OF LIABILITY WARRANTY We warrant that the services performed by Florida E ineering and Testing, Inc., are conducted in a manner con 'stent with the level of skill and care ordinarily exerci d by members of the profession currently practicing under similar conditions. No other warranties, expressed or implied, are made. While the services of Florida Engineering & Testing, Inc., are an integral and valuable part of the design and construction process, we do not warrant, guarantee, or insure the quality or completeness of services or satisfactory performance provided by other members of the construction process and/or the construction plans and specifications which we have not prepared, nor the ultimate performance of building site materials. As 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. SUBSURFACE EXPLORATION Subsurface exploration is normally accomplished by test borings. The soil boring log includes sampling information, description of the materials recovered, approximate depths of boundaries between soil and rock strata and groundwater data. The log represents conditions specifically at the location and time the boring was made. The boundaries between different soil strata are indicated at specific depths; however, these depths are in fact approximate and dependent upon the frequency of sampling. The transitions between soil stratum are often gradual. Water level readings are made at the time the boring was performed and can change with time, precipitation, canal levels, local well drawdown, and other factors. Regardless of the thoroughness of a Geotechnical exploration there is always a possibility that conditions may be different from those of the test locations; therefore Florida Engineering & Testing, Inc., does not guarantee any subsoil condition surrounding the bore test holes. For a more accurate portrayal of subsurface conditions, the site • contra‘tdi si!iould perform tests pits. If different conditions • • • • • are encduittered, Floridg•Engineering & Testing, Inc., shall ••••be nettled, to revrew; the findings and make any •• recomnien$'ations as need ®d. • • • • • ..... • • • •• •• •,•; Charlie Crist Governor Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General October 07, 2008 (Aqualogic) 1177 NE 100 St MIAMI, FL 33138 RE: Contingency Letter Application Document No: AP898008 Centrax Permit Number: 13 -SG- 957038 OSTDS Number: 1177 NE 100 St MIAMI, FL 33138 Lot: 13 -14 Block: 177 Subdivision: Miami Shores Dear Applicant: This will acknowledge receipt of an application dated 10/06/2008 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. 1. -There is no increase in sewage flow, change in characteristics compromising the integrity or function of the system installation. 2. -This project entails : " The installation of a Swimming Pool " From a review of your completed application, it has been determined that your existing system is adequate for the proposed use : " APPROVED ". If you have any questions on this matter ,please call our office at ( 305) 513 -3459 Sincerely, gineer II. ou ha any questions on this matter, please call our office at (305) 513 -3459. Sincerely, Miami -Dade County Health Department 1725 NW 167th St, OPA LOCKA, FL 33056 Phone: (305) 513 -3459 Fax: (305) 513 -3472 eP5K 8' A S P H A L T P A V E M E N T ID X X F.I.P.1 /2" F.I.P.1 /2" GENERATOR 55.50' 14.60' Is- N r r Ik 0U n -J co K 0 DO 54G. SNP f�� F.tQ1Z" ONE STORY RESIDENCE #1177 1 U 0 36.00' •t0.1te F.I.P.1 /2" 150.00' R)(M) 0 0 0 0 0 0 0 In F.I.P.1 /2" 20' A S P H A L T P A V E M E N T N. E. .19m, �► ". l., 1, ii . �� " outward �D1i� cc t� ates must open the pal area, Access gates away closing/ self locking, pool side of the gate be self „ located °n p less than 54 device of gate• and located no from bottom .17.1. ¢424. Property Address: 1177 N.E. 100 STREET MIAMI SHORES,FLORIDA:33138 : I HEREBY CERTIFY THAT THIS '1101IF ,RY SURVEY'S A TRUE AND CORRECT REPRESENTATION OF A SURVEY PREPARED iUNOBR UN DIRECTION. THIS COMPLMS S MH TNZ MINIMUM TECHNICAL STANOARI S AS SET FORTH BY THE. STATE OF FLORIDA 8oARD [?F' PROFESSIONAL LAND Gtt317;8 FLORIDA ADMINISTRATIVE OWE PURGUANT TO 472027, nos; IDASTAlytS. rw ?yM SIGNED " MIGUEL ES+11NL ,. STATE OF FLORID P.S.M. NO 5101 FLORIDA' e:s> FOR THE FIRM YM.o W T 4 UT iH NJ-VENUE' E..8C7.`• G•', u:.[fi 446 AM L RNtIrtiCCATVOLSC"i:CIC SEAL APro •P. 044, Ni:J"'YN.IG rwt.f:,i P•'ThE GitAwI4M1'fi Ald".:KE. %,C,NAL RA'.tn $H A.. OP AULE'G '?HC.WV!$':Ci+ Le0,71 ^FE+c Notes: NO NOTES MIGUEL ESPINOSA LAND SU1 vE?1 ;II'C„•.: ; 5511' VW. V.T. ,TRinr+:.: •. MI�MII+ MORMA 33134: • • PHONE:(305) 740 -3319 FAX #:(305) 669 -3190 LB # 6463 •• • • • • ••• ••• • C • • • • • • • • • • • • • • • • Ace• B • .gpe � By: • • • • • • Survey: A -1794 ••• • • • • • • • • • • • • •• •• 0•• • • • • ••• • • • • • • • •I,• • • • • • • • • • • • • •• •• • ••• • • PAGE 1 OF 2