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BPP-10-1780Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 162286 Permit Number: BPP -10 -10 -1780 Scheduled Inspection Date: July 21, 2011 Inspector: Bruhn, Norman Owner: ADAMS, NELSON Job Address: 1098 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: LUSH HABITATS INC Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132050120010 Phone: (561)210 -5606 Building Department Comments REMODEL EXISTING SWIMMING POOL AND SPA ADDITION ON HOLD DUE TO A BOUNCE CHECK. 6/22/11 Passed ia,,,f/SZ,. Failed Correction Needed Re- lnspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 152074. July 20, 2011 For Inspections please call: (305)762 -4949 Page 14 of 15 Permit Number: BPP -10 -10 -1780 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: I NS P- 161113 Inspection Date: June 24, 2011 Inspector: Dacquisto, David Owner: ADAMS, NELSON Job Address: 1098 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: LUSH HABITATS INC Permit Type: PoolsNVhirlpools/Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132050120010 Phone: (561)210 -5606 Building Department Comments REMODEL EXISTING SWIMMING POOL AND SPA ADDITION ON HOLD DUE TO A BOUNCE CHECK. 6/22/11 l //N 4 Passed V I it Inspector Comments .4-- Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until June 24, 2011 For Inspections please call: (305)762 -4949 Page 1 of 1 to \ 141 iiphi,j . A Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING Permit No. Master Permit No. Aff Dr. Nelson Adams 786- 489 -1935 OWNER: Name (Fee Simple Titleholder): Phone#: Address: 1098 NE 95th Street Miami Shores F1 33138 City: State: Zip: Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 1098NE 95th Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: 33138 Lush Habitats, Inc CONTRACTOR Company Name: Phone#: 561 -210 -5606 Address: 1460 SW 20th Street Boca Raton Fl 33486 City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: CGC o 0 9 0 9 6 Certificate of Competency #: Contact Phone #: 954-648-8906 Email Address: DESIGNER: Architect/Engineer: Mark Campbell Phone#: 305- 754 -2318 2-. ®(C)ocD Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: DAddress Alteration New ORepair/Replace 35 L..F. ODemolition Description of Work: liafk Swimming Pool 4 l _ eAe.9c vf COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: tit * ********** * * ** ** ** * * * * * * ** *, * *** * **Fm ** ** *,t,a*** * * ** *, tai *** *. * ** *,t*** * * * **** ** *** ** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ 600 CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE l • Stuart Brown BROWN'S PERMITTING AND EXPEDITING SERVICES, LLC SOUTH FLORIDA PERYHTFING PROFESSIONAL 19434 SW 60th Court Pembroke Pines, Florida 33332 Phone: 954-614-0569 Fax 954 - 434 -8840 brwnsprmttng @aol,com Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which oc seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved spe ction fee will be charged. Signatur Owner or Agen The foregoing instrument was acknowledged before met this day of t , 20/0, by /,1 a* /5 u5 , who is personally known to Asi a' p,1 1 1 a. NOTARY PUBLIC:: - Sign: Print: My Commission Expires: .vr KEVIN R. SMITH akdaryditiAlicgtiVitIonda • My Comm. Expires Jul 24. 2014 Commission #E 00 979581 Bonded Threigh Nsdonal Notary Assn. Signature The foregoing day of o is personally '1 11 * * * * * * * * * * * * * * * * * * * ** APPROVED BY kn Contractor ent was acknowledged before me this 2 0 A , by ► 3 v S f Yv NOTARY P Sign: Print: My Commission Expires: • 8NORMt My Comm. Expires Jul 24. 2014 Commission 0 00 979581 Bonded Through NstIona1 Notary Assn. (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3 /15 /09Xrev6 /4 /10) Plans Examiner Structural Review 1 l Vio Zoning Clerk tLril; i)41 PERMIT #09c10-11ceo CONTRACTORUS SUBMITTAL DATE: ADDRESS: I NAME: RESUBMITAL DATES: FIRE IMPACT FEES ELECTRICAL HRS/DERM PLUMBING A to /04 NOC ECHANICAL BLDG '4�... ---- °Y CERTIFICATE OF LIABILITY INSURANCE /DATE 01/19/11 01/19/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 561- 353 -0855 Exceptional Insurance Agency 811 SE 8 Ave #206 561- 353 -0856 Deerfield Bch, FL 33441 Linda Louise Kelly CONTACT PHONE FAX (ac No Ext): (A/C, No): UMITS �DRELS3: PRODUCER LUSHH -1 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIL # INSURED Lush Habitats Inc Haven Pools & Spas of SE FL 1460 SW 20 St Boca Raton, FL 33486 INSURER A : LLOYDS INSURER B : Progressive 10192 INSURER C EACH OCCURRENCE INSURER D : 1,000,000 INSURER E : DAMAGE NTED PREMISES TO (Ea REoccurrence) INSURER F : 50,000 ES CERTIFICATE NUMBER: • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE 1NNSDR WW1 POLICY NUMBER POLICY EFF (MM/DD/YYY1) POLICY EXP (MM/DDIYYYY) UMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR FVPPJK 01/18/11 01/18/12 EACH OCCURRENCE $ 1,000,000 X DAMAGE NTED PREMISES TO (Ea REoccurrence) $ 50,000 CLAIMS -MADE X MED EXP (Any one person) $ EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT '— APPLIES PER: �� LOC PRODUCTS - COMP /OP AGG $ INCLUDED PRO- POLICY JECT $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 04519343 -1 01/18/11 01/18/12 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 10,00a X BODILY INJURY (Per accident) $ 20,000 PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS Y / N N / A WC STATU- O�TH- TORY LIMITS I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule If more space Is required) CGC LICENSE 0099096 CERTIFICATE HOLDER 1 MIAMSHO MIAMI SHORES VILLAGE BUILDING DEPT 10050 NE 2 AVE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE R , _ g• l< 3t.1a. ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTICE OF COMMENCEMENT A RECORDED COPY MBE POSTED ON INE It>B SITE AT TIME OF FIRST mom PERMIT NO. TAX FOLIO NO. STATE a FLORIDA: COU141'Y OF MWvt-DADE: TI-E UNDEPSIONED hereby glues notice that knprovements wil be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the folbwing irdam,ation is provided in this Nate of Commencernent. 1. Legal description of property and street/address 1098 NE 95th Street, Miami Shores, F1 33138 2. Description of improvement swimming Pool 1 1111111111111111111111111111111 11111 1111 1111 CFI4 2010R06820197 OR 8k 27447 F'e 12011 ilps) RECORDED 10/07/2010 10 =41 =31 HARVEY RUVIPI, CLERK OF COURT MIAMI -DADE COUNTY' FLORIDA LAST PAGE 3.Owner(s) name and address: Dr. Nelson Adams 1098 NE 95th Street, Miami Shores, F1 33138 Interest in property Name and address of fee simple titleholder. 4. Contractor's name and address: Lush Habitats, Inc. 1460 SW 20th Street Boca Raton, F1 33486 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)0)7., Florida St tutes, Dr. Name and address: Adams 1098 NE 95th Street, Miami Shores, F1 33138 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 Co; mencement (the expiration date is 1 year from the date of recording unless a d'rtfer+egrt� ate is specl6 Signature of Owner Print Owner's Name Dr. Nelson Adams Prepared b Y � Swam to and subscribed befor j e this it day of " . 20/g_. Notary Public Print Notary's Name My commission expires. 11331.38 =4 PAGES Address: GSA -3 34e-o gear. 510,4-- • Book27447/Page1201 CFN #20100682097 Page 1 of 1 Oct 2191001;47p BROWN'S PERMITTING Rrin � T ?-\O -\O-1U 954 - 434 -8840 p.1 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. / COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. 7 COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: 14-abitaf, , I r� BUSINESS ADDRESS: L-i (t o0 SiA) 20 St.. CITY 2OCGL ki n STATE P1 ZIP CODE 33456 BUSINESS PHONE: L ) 2 1 Q - 5(40 & AX NUMBER ( 561) 3(07 --FgE -' CELL PHONE ( 494 ) 48- - QUALIFIER'S NAME: `1 esu.s QUALIFIER'S LIC NUMBER: CC- C. 00 E -MAIL ADDRESS (IF APPLICABLE): fil 43) . (Y� Gated on 3119109 BY ML)V / RV 312E109 MLDV Oct 2a 10 0Iit48p BROWN'S PERMITTING ALEX SINK CHIRP FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO OF EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation Iawr, 954 - 434 -8840 p.4 08-13-2009 EFFECTIVE DATE: PERSON: FEIN: 08/13/2009 SMITH 651153259 BUSINESS NAME AND ADDRESS: LUSH NASITATS INC 1480 SW 20TH STREET BOCA RATON FL 3348a SCOPES OF BUSINESS OR TRADE: 1- POOLS /SPAS CONSTRUCTION 3- CERTIFIED GENERAL CONTRACTOR EXPIRATION DATE: 08/1312011 KEVIN 2- LANDSCAPE * 0 IMPORTANT: Pabulum bt COspirt 440 . 06$141. P.S„ an :Mks: of r burpttellin who dale embepiksn Itim lhit chives by MAN! a tefiritete of 91eCtI1n OMNI Ihlt ![Niel may nu retetef 444e/be •r teAptm enen Romer Isis teapot. Puyeeei is Cirayta 440.410MM P.S., Cettllicetss el blenies is Os ttaitep1 -.. 1101v "IT wit416 rie eespt of fhe *WRese at Effie fined et pip mice i r be exempt ,tMnOt Atlie of aselenres be bon*, 0111 be sebje[t Petecaehit al any timeel e 'Wog 01 1114ate ae feste 1 c fic 111 pence nii,od es tAe SW/ of [ettaksto es leiybt meeu the requitenena of q;i eaelise fer /ffeeiea oI e settriicale. the Operant* shill revels a cettiUKSrt n bey KM. tat Itiluta ei Me PereAt Atmei on rho eettilieae to meet me re00remt00 41 011 seclie11. EIWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISER 09 -00 Z/4 d OPSO PE? 1rs5 cc QUES7IONS7 IBS 0) 413 -1609 14 ;94 Et-01-0I0Z Oct 21 10 O a 48p BROWN'S PERMITTING AC R w..- -- CERTIFICATE OF LIABILITY INSURANCE I OM IMMOUr C!N'1IIICATE IS ISSUED, AS A * ALTER OF INFORMATION ONLY AND CONFERS NO 01C14T'8 UPON THE CERYI?ICATa HOLDER. 7500 IERTIFICATE! DOES NOT AFNFEtMATTVELY OR NEGATIVELY AMEND. EXTEND CR ALTER Tim =mune ARFfRr% f aY tHE POLICIES MOW. THIS CERTIFICATE DP INSURANCES noes NOT CONSTITUTE A CONTRACT 0EN THE ISSUING INSURER(S). AUTHORIZED P EPN SGIPATIYE Wt FROM M, , AND THE CERTIFICATE HOLDER. IMPORTANT: tf ow manias AWdor loan ADDITIONAL !INURED, the Pa cYIllx) must bl arldoiaad• I! SUBSOgATION IS WAIVED, subJad to Cana oondltlpps W lht pouay, cerlakn potlt;lia may irquds an endonlsn+.nt A atitmI ant 00 lht9 certificate ONE not eor r HON to the holder M nee Ofioch atrdoes°m"154 rttaouoms 9814634$65 Mier- lataeptIonal Useuranoe AgN ecy 561 4834SM MI SE 8 Ave INDS Deerfield Bch, FL 3441 Linde Louise Kelly 954 - 434 -8840 p2 OP ID:LK Lush Habitats Ina Hyatt SOON II of SE E 1460 SW ID St Soca Raton, PL 334U COVERAGES 3:3a . NH!3 H 1 MOP IIW,A{4M u i1'i fierie0IV* rounrat O: •�• •. •• '� = REVISION NUSIO THIS l$ TO OERTlwy THAT INK policiES OF TINSuRANOT LISTED MOW HAVE SEEN ISSUED TO THE MUM NAMED MOW FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RERUNRENE T, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIlN RESPECT TO WHICH THIS CID TIFICATE MAY RE ISSUED OR MIRY PERTAIN, THE INSURANCE AFFORDED BY THE PQLNCIes DIIECRMEEb HERON G SUBJECT TO ALL THE TERNi1S, EXCLUSION!! IONS AND COMMONS OF SUCH POLCN IEi. L*1rt$ SIowN MAT HAVE BERN !ROUGED EY PAO IV _ wpm mamma= l iX.AIMs. __ maCrNUMeeR y 1 i� LIMITS A _ a 4441RAL LIAILII' coNFERCIAL oT5R waxily CLP.444NADE EC MA11100043 01111410 eACK OCCOIREWOC 4 1,000,08 , 01/11111 [M�Ri ao�unnl / (teeR WO OW 4s c ePat4n1 S EXcLU . 21 . PERSONAL aNW NAM 1,00' ' ' ' WWI arranaArn *! Getout AGREGAT6 i • " ' ' 1 MINT nn acp DIED. UTI n _��,_._A� tl1N%Act $ INm On , --- ---- -- ..-. _ X 'I m AuTO ALL WO Ot► KOOB seHeDullO AUras mow Au MI nohrowNeD AVM) 045193s3. 61110/10 D111SH1 oao,iaLaNtn p *Nov iVJ11Rr leer oananN 1 70,00 etroltr U V*V (v. ammo $ 20, Bpi �aavApe i 16.40 5 —° .�.�.. ... 5 UNIMMELLII uas H R MOW Ma ci.M1MM�14tOQ DrAUCTISLE E4CNOCCUrtlt[NCt - AO6RL'dATE __. _ i AND L (JTr x ANT crn is EXCL. 'cttutn+C MIA rmssdNely u IAN D dtsa+rtwedr I , .. , I• •j n.� .., Att.r.,.,...... e.� ray HACerD r 1 ... eL. 'DFJA$ • EMa11vN.AME� i OESCRIA1ON0P allasullitriACKMMItioffiRuIS Bums As•ORR i�., YMMs wsAr eleal>t:MATC 1tAe nevi - _ MIAMI SHORES VILLAGE BUILDING DEPT 100110 NE 2 AVE MIAMI SHORES. FL 33130 ACORD 26 (2009149) 1+%41% M 4 4'.'ia t/I d MIAMSFIO MOULD AI N W MR MOVE OMMAIRED POLICIES BE CANCEtLZD BEFORE EXPIRATION DATE THEREOF. 1NOTtcE writ 00 DJVEiED NN ACCORDANCE wml TNa POucv PRDVI11046. A M ORRIE RE PPOSOMYA114 C 188&2008 ACON O CORPORATION. AU riots raasrvad. The ACORD name and loge arm RspIshuad loots of ACORD eWwrflae w rase 6tOAr1te 01118 'E1156 cc II :60 PI 01-OIOB 1 1Z PAA 1 GUY Oda /0-)V MA1A MAN rICLL, alunItLn* 2010.11- 101t27 a, 954 434 9940 Permit No: 10 -1780 Job Name: October 19, 2010 iliTihores Y in Kg Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fix: (305) 756.8972 timmmeemerwar P2/4 3 1 -- Wertj Page 1 of 1 Building Critique Sheet 1) Plans must be approved by HRS for the septic system. — RBA) soont18.64 2) Corrections for mechanical, plumbing and zoning must be completed. 3) A mechanical permit application is required. Ni' a Ab.l..,tleJ 4) A deck permit application is required. exi Dime, _- 5),Provide a site plan identifying all pool safety act features to be used, See 1404 -es S—� 8 Provide a pool safety act form. AlreQ,:,y S wt;lidol '" " "`1 T The plan do not show the scope of work, provide a detailed cope of work. a , The spa detail does not match the new pool layout. Provide a detail that will be what is ,_,(' built. Now ,a kvi: t Ow, rwtioct,. LJ ®l he steel reinforcing details state "where necessary", plans must identify where necessary. That is the responsibility of the designer. Corr�il ss.s iv ? WI rra.L. Provide a pool owner's notification form. A.treadH Suborn STOPPED REVIEW Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305-795-2204 14110 SW 20th Strom • Roca Raton, Florida 31.186 • Ph/Vas: 561 -367 -8884 • cell: 95.4-61X-990/1 • E-mail: n luat:.I i:il<munn.ctett 2010 - 10-2110.21 MUIMIS ions I 18006esps dr time -Fame Award" winner. Paget c1 • •1 I 7 » 954 4348840 November 10, 2010 P 114 "Lush Habitats Inc. " D.B.A. "BLUE HAVEN POOLS OF S.E. FLORIDA" Miami Shores village Building and Zoning Dept Adams Residence 1098 NE 95 St. Miami Shores, 33138 Re: Scope of work Scope of work to Include: Addition of Spa to Existing Pool Addition of 3 Return Lines to Ex. Pool Addition of Sundeck and Swimout to Ex. Pool Addition of Two Main drains to meet VGBA New Diamond Brite fmish New Coping and Tile Decking By Others Thank you, Kevin R. Smith 1460 SW Nth Street Boca Raton, Florida 33486 PHONE; (561)2105606 CEL: (954)6488906 FAX: (561) 3678884 www,bluehaven.com kynith@bluehaven.corrt 40/41/090.0 1110:10 rAA A OVV 909 19.0 MAAA CUM rms.", 00AVAUSD 2010-11-1011:27 a, 954 434 8840 1954 World* Letsposti . . • •• • ,• U0004/1094 P 414 Miami Shores Village "Lush Habitats Inc. " D.BA. BUilliii*PellitatilefigOLS OF S.E. FLORIDA" mom • • Miami Shores, ?Wide 33138 Tel: (305) 795.2204 Ens (305) 7561972 Permit No. /43 Job Name PLUMBING CRITIQUE SHEET 1! :y 111•1•111111N FRAM WOKS VI 18085857530 1460 SW 20th Street Rota Raton, Ronda 33486 PHONE: (561)2105606 CB.: (954)6480906 FAX (561) 3678884 www.bluehaven.cont 0118146bluehaven.com 2010.11- 101127 tc En.% t ove o0:1 f DOU 954 434 9940 Al in. >a VAIN munm rtr.p.0 al:nvAt 1* P 3/4 10050 N.E.2 Minna Shores, Florida Tel: (303) 795.2 Fox: (305) 756.897?. Permit No. 242:17.12___ J'ob Name 4 Date o Z STRUCTURAL CRITIQUE SHEET R4;riorcth 2 G r s/a6 4 hi a t 113&94 0e1104 tedc -- eerie. rte : ■ AMP 1,1h1 1 SW 20Ih Str .'i • Mica Raton. Fliwrid,a :i3•IX • hh/i ;ax: 561- i(,7 -N %54 • !-ell: 454.048 W40h • E-mail: Iuchahltat(gi:ari':1t.Coifl 201010. 2110 :22 mum SII0RESV1 18006157 ar tulle " fame Award" willatrc Page Permit No: 10 -1780 Job Name: October 19, 2010 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet 1) Plans must be approved by HRS for the septic system. 2) Corrections for mechanical, plumbing and zoning must be completed. 3) A mechanical permit application is required. 4) A deck permit application is required. 5) Provide a site plan identifying all pool safety act features to be used. 6) Provide a pool safety act form. 7) The plan do not show the scope of work, provide a detailed scope of work. 8) The spa detail does not match the new pool layout. Provide a detail that will be what is built. 9) The steel reinforcing details state "where necessary", plans must identify where necessary. That is the responsibility of the designer. 10) Provide a pool owners notification form. STOPPED REVIEW Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 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:1132050120010 Owner's Name: NELSON ADAMS Job Address: 1098 95 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 35 Total Job Valuation: $ 20,000.00 N Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: No Date Denied: 10/7/2010 Comments: PROVIDE EXISTING CONDITIONS, PROPOSED WORK PLAN AND SCOPE OF WORK. 1Vliami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name AFJ�fiiM 5 Date (O 12 STRUCTURAL CRITIQUE SHEET IC) Juee.e Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name PLUMBING CRITIQUE SHEET k- k _dfrA r'Gr4 e-/ . 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:1132050120010 Owner's Name: NELSON ADAMS Job Address: 1098 95 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 800 Total Job Valuation: $ 2,000.00 Contractor(s) Phone Primary Contractor ORONI INC (305)685 -0412 Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 12/16/2010 : Yes Comments: 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 -10 -10 -1780 Issue Date: Not Issued Expires: Not Issued Folio Number:1132050120010 Owner's Name: NELSON ADAMS Job Address: 1098 95 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: Total Job Valuation: 35 $ 20,000.00 Contractor(s) LUSH HABITATS INC Phone (561)210 -5606 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 12/16/2010 : Yes Comments: PROVIDE EXISTING CONDITIONS, PROPOSED WORK PLAN AND SCOPE OF WORK. 12/16/10 NEW PLAN OK Permit No: 10 -1780 Job Name: October 19, 2010 Miami Shores Vivage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet 2nd 1) A deck permit application is required. By owner is ok but we need the application for all work shown on plan. 2) Provide a site plan identifying all pool safety act features to be used.The site plan provided shows a six foot wood fence existing, There is not an existing six foot fence. The site plan must show all components of the pool safety act accurately and permits for any new fencing is required. STOPPED REVIEW Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 f e - 367 FAY . 3os - (0,W - C(ss o Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: ? 6- I l YO DATE: a 1 UN v k--e(2 ` ebontractor ❑ Owner ❑ Architect l Picked up 2 sets of plans and (other) I'"! Address: lit Oci 9 From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand =t the plans need to be brought back to Miami Shores Village Building Departme • 'time permitting process. PERMIT CLERK INITIAL: Acknowledged by: RESUBMITTED DATE: PERMIT CLERK INITIAL: Report No.3020963A a PRODUCT COVERED Inlerteh Testing Services NA Inc. Page 2 PRODUCT DESCRIPTION Poch Alarm System, model PE-03W PRODUCT DESCRIPTION Issued: 03/15102 The product covered by this report is a PoolAlarm:System. The product is used to monitor potential dangerous areas. and provides a high volume alarm /alert when anyone enters these areas. It can be used indoors nr rctdoors, mounted on a wooden fence or metal gales. It can also be mounted on 4r.} t:oorway s.. i .rking that lad to potentially dangerous areas. The product is card and plug Connected to the erecrical supply and provides a minimum 90 dB audible alarm at ta, minimum of '!0 ft. ELECTRICAL RATINGS 120VP4 :, 5.3W,.it /ri'a Hz. CONCLUSION g A rea,esentative sample of the prn,h.Ct covered by this report has been evaluated and krund to comply with the applicable reviver:aunts of the Standard for Safely for General- Purpose Signaling Devices and Systems (UL 2017.E Ed. with revisions to 02/14/02). Report prepared by: Carl A. Bloomfield Safety Team Leader q1� 12 Report prepared by: Robert 1). fhuri k Review Ende';acr YARDuIVARD Gate Alarm Hard Wire Model Table of Contents YG-04 Welcome 2 Caution 2 �an� will act switch •. 3 • 41riltrarti' l PASbutton 5 • • • :•: :Alatxnatra+icoanectinn 6 • • • • •• _••• to Au-OC adapter 7 Operation . . 7 •;• ,•, ,Alain ontrt l• ,!, 8 • • • • • P atn'Rset• • • 8 • • • • • • •• •, • • tJte atic l�tsePLJ�f►der All Conditions. 9 • Automatic Continous Monitoring 9 IMPORTANT 10 • • • • • • • • • •• •• • • ••• • • • • ••• .., • • • • • ••• • • • • • • • • • • • • • •• •• • ••• • • • ••• • 7 1 r b f�l 11 OR Jul. Q I THE SAFE POOL PROVIDES ALARM PROTECTION TO OUTDOOR GATES OR HOME DOORS LEADING TO POTENTIALLY DANGEROUS POOL AND SPA AREAL THE SAFE POOL FEATURES WEAThER RESISTANT CONSTRUCTION AND MOUNTS DIRECTLY TO EITHER WOOD OR METAL DOORS/WINDOWS/GATES WHEN CHILDREN OPENS THE PROTECTED DOORIWINDOWIGATE BY MORE THAN 1 INCH, THE UNR WILL SOUND ITS BUNT N 110 DB HIGH OUTPUT ALARM. NOTIFYING NEARBY ADULTS OF THE ATTEMPTED ENTRY THE BYPASS BUTTON ALLOWS ENTRY OR EMT FOR ADULTS VATHOUT SOUNDING THE ALARM. ONCE THE DOORMINOO A1E IS CLOSED, THE on- WILL RESET AUTOMATICALLY TO RESUME PROTECTION. 4 ▪ A• lta Wgln N'ptKIM E •'tSt COMPLIES WITH UL. 2+317 Use mdan mmn.n naµ.r. oar wn 1PO41.1, l7 ttMNMlw pnxdai FEATURES !High nulput 110 D8 Alarm sired 9V 1O0rr AC adaptor operation Includes mounting hardware for .d both wood or metal doorslgates Weather and water resistant. construction BYPASS button provides convenient adult pass - through oration ' 3 Year warranty SCREWS 8 TAPE LOCATED INSIDE SENSOR HOUSING donor* DIE 9AFE POOL ALAl5 IS EXTREMELY TAM F+^fd "TOUR SAFETY, NEVER PLACE THE urn CLOSE TOY(RIR EARS TO TEST THEA:ARht EXPECT TK+eE UNIT AWAY FORM YOU AT ARMS 1 -ENSTH AND ACTIVATE AU MINTS RESERVED THIS PRODUCT IS PROTECTED UNVt •• UEae, TES • • •P .EAT - ,t r •' r� r • OF TE TECHKO iI115 • ��CGtPY!•G/•rt • • • 1• :ALIRI. • • • • • rlae- samotio• OF oltrattTTED • t{ARJt Rir*A N 4TION T rix .- • `i•Ir 6 9 1.4621 -. -i•• • •—i'=-41— • • • • • : • i r Ir` L i • : : •• •• • • • •• •• • • • ••• • • • ••• Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 153279 Scheduled Inspection Date: June 29, 2011 Inspector: Perez, JanPierre Owner: ADAMS, NELSON Job Address: 1098 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: BROSSEITS POOL PLUMBING, INC Permit Number: MC -11 -10 -2014 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Pool Heater Phone Number Parcel Number 1132050120010 Phone: (561)253 -5400 Building Department Comments POOL HEATER &?? L /2/0 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 28, 2011 For Inspections please call: (305)762 -4949 Page 7 of 38 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING RMIT APPLICATION FBC 20 Permit No. JUN 1 77d`i i 1-7 wo V_DY9 10 — Master Permit No. MC .t Permit Type: PLUMBING I //�� OW ( OWNER: Name (Fee Simple Titleholder): fVe,`5Qlfl A-1 ej . City: t ° liGifne ' 3r State: Phone #(Q5q) 5 Zip: a31 3 �S• Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: me_ • City: Miami Shores Folio/Parcel #: County: Miami Dade Zip: Is the Building Historically Designated: Yes Flood Zone: CONTRACTOR: Company Name: D5 5e 5 elu -nb (N. c Phone #:( 6'% a� .(5z( r) Address: 221 0 . (` 7C'w . aVct . City: w - - � C x l / V \ V State: t ' i Zip: '33L4 I I Qualifier Name: Chc...8, aroSNPa-:k. Phone #: (5 6 1) 253 54,00 State Certification or Registration #: Q e) 52 2 3 T Certificate of Competency #: Contact Phone #: C6(.01 )253 Email Address: DESIGNER: Architect/Engineer: kkkalne PC riO\C vv-■ `/ r neit Phone #: CgSt) 1 b 3 . Value of Work for this Permit: $ 5 d ©© Square/Linear Footage of Work: Type of Work: ❑Address Description of Work: Iteration New ❑Repair/Replace ❑Demolition ******** *** * ***** * ** * *** * ****** ** **** ** Fees************* * * * *** * ** ****** ***** * * * * ** * * *** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ G ®� CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ qj Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which o rs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved d a reinspection fee will be charged. Signature 0 er or Agent ,,J�, The foregoing instrument was acknowledged before me this /EJ "' day of ..()re , 20 L, by Kevin Srvt i4+ who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Ex CAROLARIAS.cASTELLON i4 MY COMMISSION #EE083 21 1 EXPIRES: April 12, 2015 Bonded Thru Notary Public Underwriters Signature Contractor The foregoing instrument was acknowledged f ed before me this AI day of :une , 20 ti , by Chad Cl 14 who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Comm MY COMMISSION # EE 083521 es: EXPIRES: April 12, 2015 Ii t Bid Thin Notary Public Underwriters t L *:k:ksk**sksk******** k=k**skski * ** r ***** *****4************************************* *** ** *** * ** ********** * **** ** *** APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3115109) Zoning Clerk Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 154114 Scheduled Inspection Date: July 11, 2011 Inspector: Bruhn, Norman Owner: ADAMS, NELSON \ _,.,\(&-D Permit Number: FW -12 -10 -2172 Job Address: 1098 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: LUSH HABITATS INC Permit Type: Fence/Wall Inspection Type: Final Work Classification: Iron/Ornamental Phone Number Parcel Number 1132050120010 Phone: (561)210 -5606 Building Department Comments INSTALLATION OF NEW POOL SIDE FENCE WITH TWO SELF LATCHING AND SELF CLOSING GATES. Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 08, 2011 For Inspections please call: (305)762 -4949 Page 7 of 32 Miami Shores Village VZ OE C. n 9 2010 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 _ .. Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERIVIIT APPLICATION FBC 20 Permit No. lIO 1/D Master Permit No.2C— OCH Permit Type: BUILDING 2 OWNER: Name (Fee Simple iTit_leholderr):� Dr JQ3i(\ C\C101 Phone #° a a &53 '11Q5 Address: City: M 1 i Go r-n 'S1.�‘nor O state: -n o r k C\ Q Zip: 55 k3 Tenant/Lessee Name: r ° abort n�C Phone #: 305 65 3 - L1105 Email: i L \V3 X @ O '1 � ° C®`r1 JOB ADDRESS: tog 8 JOX- C c3\ J 1 City: Miami Shores County: Miami Dade Zip: 31 7I3 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: 4S 1 l/ Phone#: (,) ' oij 0- vDp CONTRACTOR: Company Name: LujI\ Add ress t A_JAi A. • 0 City: i�� : t Qualifier Name: Z i . • �1 AL • rJ' • State Certification � or Re 'stration#,: G 1 �j����1 c ( Contact Phone #: "I, ' • ("'4 i DESIGNER: Architect/Engineer: Phone #: Phone #: ertificate of Competency #: it Address: Value of Work for this Permit: $ Type of Work: OAddress �-° Ulteration O ' New Repair/Replace Description of Work: Ten c.. 1 wri1 pp �\C�►� i� 1 kkteN ® 5cA. es coSquare/Linear Footage of Work: ODemolition COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ®J Submittal Fee $ Permit Fee $ / 4Y (J CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ ra Double Fee $ > Structural Review $ TOTAL FEE NOW DUE $ l 20 • SO Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In t' a absence of such posted notice, the inspection w' I not be approved and a einspection fee will be charged Signatur Owner or Agent The foregoing instrument was acknowledged before me this pp`�! Q day of DQ(' , 20 10, b y ► C. \`N C OS c , who is personally known to me or who has produced \\j( \C 1 M As identification and who did take an oath. NOTARY PUBLIC: Sign: ` , y� ,j Print: 1"VI kInCA S ,� K.,!oro f 1 A Qs `ok (Revised 07 /10 /07)(Revised 06 /10/2009XRevised 3/15/09Xrev6/4/l0) Signature Contractor The fore oing instrument was acknowledged before me this day of 2010, by ..)405c..---C 02- who is personally known to me or who has produced r� as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Comm **it*** % ,1< *,lt %* %**,4* ******$4 Plans Examiner Structural Review 1� s, V..; KEVIN R SMITH A Notary Rut ill - State of Florida if •= My Comm. Expires Jul 24, 2014 S",.gg``,,``� 0..' Commission # DO 972q581 ft a'kJ* ** k p, ! P` lion $vary Ass; Ida i a. Notary Assn. ** Zoning Clerk 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:1132050120010 Owner's Name: NELSON ADAMS Job Address: 1098 95 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: Total Job Valuation: 0 $ 2,500.00 1 Planning and Zoning Criteria and Comments Approved: No Date Denied: 12/10/2010 Comments: PLEASE CLARIFY ON PLAN IF AND WHERE A NEW FENCE IS BEING BUILT 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:1132050120010 Owner's Name: NELSON ADAMS Job Address: 1098 95 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: Total Job Valuation: 0 $ 2,500.00 Contractor(s) Phone Primary Contractor LUSH HABITATS INC (561)210 -5606 Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 12/16/2010: Yes Comments: PLEASE CLARIFY ON PLAN IF AND WHERE A NEW FENCE IS BEING BUILT 12/16/10 NEW PLAN OK HItaH -- 60" 2 "x2 "xv8" 2 "x1 "xv8" TUBE WIDE -- 9' PICKETS 3/4 1(3 /8" FLATBAR 3/4"X3/4 "XV8" 3 "X1/4" PLATE STEEL EXISTING SHOP DRAWINGS SOL D I- IINGES 5/8" ROUND =aNG Gian:E- maavarpoN Allatdla Cr5t, GGC, 'EXIST. ` EXISTING 6' -0" HIGH KA! OBS WALL 11'-6° PJL 101 -2° PROPOSED SPA EXISTING POOL Ye u>vo 411 -2" TO EQUIP .PAD rretImit- ro 9.841' fZ» l "" EXIST. ONE STORY STRUCTURE (GARAGE) 10.56' NEW 900 SF OF N DRAIN FIELD & 450 SF OP RESERVE AREA NEW SEPTIC, TANK 4180• • • • • •4141• • • • 00•4140 .: ; • • • • • 4 • • 4 • •4 • \ • 0 • • • • • • EXIST. TAO STORY COS RESIDENCE F.F.E. • • EXIST. WOO ' GATE <640. EXISTING 6'4" HIGH 7/d Miam" - V Have APPROVED ZONING DEPT BLDG DEPT 7/d SITE FLAN SCALE 1 " =20' lid , a "it !of t i it, • ij i 3 : t5". S? 1, 63 2i t. �� =O° +0 ...e ,� 4 at s z698, DELRPIELD 33441 11-3-2010 0 w i a 1 O u. 0 WELDED ALUMINUM FENCE AT GRADE (NON - STRUCTURAL, DECORATIVE BARRIER, TYPICAL INSTALLATION (GROUND LEVEL ONLY) SPACED TO REJECT A - 4 "SPHERE 0 1-1 z e. p4 .W •N .0 z . U) A !. SEE DETAIL 'A' \TOPCAP pow BOTTOM HANNEL PICKETS MAY RUN THRU OR STOP AT INTERMED RAIL ( < 4" OPEN GAP) MAX C/C POST SPACING : } -5' -6" MAX FOR HEIGHTS UP TO 62" 4' -0" MAX FOR HEIGHTS UP TO 72" TYP POST !I*I•I*I11J.d II II ONAL 1x2 °� Ra RAL, 45" MIN. OUND SPACED TO REJECT A 4" SPHERE OPTIONAL RINGS OR 3/4" MIN PICKET DECORATIVE SCROLLS (ALT: 1" PICKET) FENCE EXTRUSIONS DRAWING VALID ONLY WITH ORIGINAL SIGNATURE AND RAISED SEAL. VALID 6063 -T6 U.N.O. FOR (1) LOCATION PER SEALED DRAWIN EXTRUSION TOLERANCES TO BE PER INDUSTRY STANDARDS FRANK L BENNARDO, P.EI.IN # PE0046549 O 0 2.625 2% "X1Y2" -3 ". DIAMETER CAP OPTION 0 0 0 0.125 • • e '• aPOOL STRUCTURE d • 4, Q_• SPACED TO REJECT A 4" SPHERE AT CONCRETE ONLY #1,0x11l�" SMS TOFF.& BOTTOM (TYP EACH PICKET) OPEN 4 GR� S FACE SPACED TO REJECT J SEE A 2" SPHERE AT DETAIL 'B' GRADE ONLY /FENCE MAY TERMINATE AT POST, PROVIDED ING RESISTS SPHERE DETAIL 'A' WALL CONNECTIONS W/ CAST WALL BRACKETS 2 3/4"—t 1" -} C 7 N 0 0 TOP CAP BRACKET SUBSTRATE 1 00 2"� POST FOOTING TABLE: (DIAM xDEPTH GIVEN IN TABLE) DETAIL 'B' ALUM. CASTING OPTION BOTTO CHANNEL %4" 5 "x5 "x1/4" (2) #12x SMS ALUMINUM CASTING PLATE 2)1/4 "x1%4" EMBED TAPCONS EDGE DI „ BOTTOM CHANNEL BRACKET TOP / BOTTOM RAIL (STYLE MAY VARY) #12x%4" SMS 2x2x1/8" ALUMINUM ANGLE (2)1/4 "x1%4" EMBED TAPCONS (3" MIN EDGE DIST) ALTERNATE RAIL CONNECTION DETAIL (TOP & BOTTOM TYP RAIL) (2) #12x3/4" SMS 5/4"x1%4" EMBED. TAPCONS (4) PER CASTING TO CONCRETE 3" FROM ANY CONCRETE FACE CORE DRIL (LTI_C`Y r'i XY UND 4" MIN. DEPTH, 3000PSI CONCRETE ,ETAIL 'C' NG GATE & LATCH 19 z SELF - CLOSING LATCH PLEXIGLASS WHERE RQD 2 X 2 BOX BEAM OR WALL PICKET 1 X 2 HOLLOW TYP. SPACING TO REJECT A 4" SPHERE ij 'D' POOL BARRIER ,,. ON NRY, MAY VARY) GATE (QUANTITY & PLACEMENT MAY VARY), SEE DETAIL 'C' POST TOP CAP POOL ONNECT TO STRUCTURE OR END POST '-BOTTOM CHANNEL EXISTING STRUCTURE 1" 2.000 x2" CHANNEL }-- 2.000 —� 1 "x2" CHANNEL L 00 0.125 Oc 1 "x2 "xYY8" TUBE GENERAL NOTES POST 0.450 0.125 254 "X11/•2" OUTSIDE SLEEVE 0.100 2.000 lh "x2" CHANNEL 10.7501- .062" MIN. O -1 %4" PICKET 1. THIS SYSTEM HAS BEEN DESIGNED AND SHALL BE FABRICATED IN ACCORDANCE WITH THE REQUIREMENTS OF THE 2004 FLORIDA BUILDING CODE. ALL LOCAL CODES SUPERSEDING THIS CODE SHALL BE CONSIDERED BY THE CONTRACTOR IN DESIGN & MAY REQUIRE ADDITIONAL ENGINEERING. 2 DESIGN IS BASED ON WINDLOADS PER ASCE 7 -02 AND THE FOLLOWING CRITERIA: I =0.77, V =90 mph,(3 SECOND GUST), (75 MPH SUSTAINED WINDS) EXP 'C'. 3 THIS HANDRAIL DESIGN TO BE USED AT GROUND SURFACE ONLY. IT'S USE IS LIMITED TO DECORATIVE BARRIER PURPOSES ONLY. THIS HANDRAIL IS NOT INTENDED TO MEET CODES GOVERNING ELEVATED BALCONIES OR STRUCTURAL RAILINGS. — __ -- 4, ALL EXT-RUDED 5. ALL 300 6, SU 7. ANY W 8 PER AB DEVICE No AWAY FROM POOL HALL, BE_ALUMINUM ALLOY TYPE 6063 -T6, U.N.O. 'A MINIMUM COMPRESSIVE STRENGTH OF r CTED TO 98% OPTIMUM DENSITY, 2500 PSF MIN. AN AWS CERTIFIED WELDER IN ACCORDANCE PES. S WHEN PROVIDED MUST BE AT LEAST 48" LF CLOSING, SELF LATCHING LOCKING FROM BOT OF GATE. GATE MUST OPEN OUTWARD HAVE NO OPENING >1/2" WITHIN 18" OF RELEASE 9. DISSI 10. ELE OTHERS. ULATE ALUMINUM MEMBERS FROM ELB,CTROLYSIS. IRED, TO BE DESIGNED & INSTALLED BY 11. ANY HINGE AND LATCH SHALL BE STRUCTURAL QUALITY MOLDED POLYMERS AND SHALL BE INSTALLED PER MANUFACTURER'S RECOMMENDATIONS & ANY APPLICABLE CODES. 12. ENGINEER SEAL AFFIXED HERETO VALIDATES STRUCTURAL DESIGN AS SHOWN ONLY. USE OF THIS SPECIFICATION BY CONTRACTOR, et. al. INDEMNIFIES & SAVES HARMLESS THIS ENGINEER FOR ALL COST & DAMAGES INCLUDING LEGAL FEES & APPELLATE FEES RESULTING FROM MATERIAL FABRICATION, SYSTEM ERECTION, CONSTRUCTION PRACTICES- BEYOND THAT WHICH IS CALLED FOR BY LOCAL, STATE, & FEDERAL CODES & FROM DEVIATIONS OF THIS PLAN. 13: EXCEPT AS EXPRESSLY PROVIDED HEREIN, NO ADDITIONAL CERTIFICATIONS OR AFFIRMATIONS ARE INTENDED. VAUD FOR ( 1 ) JOB VALID ONLYWR'H RAISED ENGNEER SEAL Z® WED ZEE L WW z o. z M� 0 g LLI .cm� w °E2 N0 "W lz rn ; 0►LE'' to w •° G o 1 1 2 z COPYRIGHT FRANK L BENHARDOP.E SCALE: 4 101 PAGE DESCRIPTION: f POST SPACING 4' -0" 4' -6" 5' -6" 48" 7 "x24" 7 "x24" 9 "x24" %n 60" 9 "x24" 10 "x24" 12 "x24" a 72" 12 "x24" )0000( )0000( (DIAM xDEPTH GIVEN IN TABLE) DETAIL 'B' ALUM. CASTING OPTION BOTTO CHANNEL %4" 5 "x5 "x1/4" (2) #12x SMS ALUMINUM CASTING PLATE 2)1/4 "x1%4" EMBED TAPCONS EDGE DI „ BOTTOM CHANNEL BRACKET TOP / BOTTOM RAIL (STYLE MAY VARY) #12x%4" SMS 2x2x1/8" ALUMINUM ANGLE (2)1/4 "x1%4" EMBED TAPCONS (3" MIN EDGE DIST) ALTERNATE RAIL CONNECTION DETAIL (TOP & BOTTOM TYP RAIL) (2) #12x3/4" SMS 5/4"x1%4" EMBED. TAPCONS (4) PER CASTING TO CONCRETE 3" FROM ANY CONCRETE FACE CORE DRIL (LTI_C`Y r'i XY UND 4" MIN. DEPTH, 3000PSI CONCRETE ,ETAIL 'C' NG GATE & LATCH 19 z SELF - CLOSING LATCH PLEXIGLASS WHERE RQD 2 X 2 BOX BEAM OR WALL PICKET 1 X 2 HOLLOW TYP. SPACING TO REJECT A 4" SPHERE ij 'D' POOL BARRIER ,,. ON NRY, MAY VARY) GATE (QUANTITY & PLACEMENT MAY VARY), SEE DETAIL 'C' POST TOP CAP POOL ONNECT TO STRUCTURE OR END POST '-BOTTOM CHANNEL EXISTING STRUCTURE 1" 2.000 x2" CHANNEL }-- 2.000 —� 1 "x2" CHANNEL L 00 0.125 Oc 1 "x2 "xYY8" TUBE GENERAL NOTES POST 0.450 0.125 254 "X11/•2" OUTSIDE SLEEVE 0.100 2.000 lh "x2" CHANNEL 10.7501- .062" MIN. O -1 %4" PICKET 1. THIS SYSTEM HAS BEEN DESIGNED AND SHALL BE FABRICATED IN ACCORDANCE WITH THE REQUIREMENTS OF THE 2004 FLORIDA BUILDING CODE. ALL LOCAL CODES SUPERSEDING THIS CODE SHALL BE CONSIDERED BY THE CONTRACTOR IN DESIGN & MAY REQUIRE ADDITIONAL ENGINEERING. 2 DESIGN IS BASED ON WINDLOADS PER ASCE 7 -02 AND THE FOLLOWING CRITERIA: I =0.77, V =90 mph,(3 SECOND GUST), (75 MPH SUSTAINED WINDS) EXP 'C'. 3 THIS HANDRAIL DESIGN TO BE USED AT GROUND SURFACE ONLY. IT'S USE IS LIMITED TO DECORATIVE BARRIER PURPOSES ONLY. THIS HANDRAIL IS NOT INTENDED TO MEET CODES GOVERNING ELEVATED BALCONIES OR STRUCTURAL RAILINGS. — __ -- 4, ALL EXT-RUDED 5. ALL 300 6, SU 7. ANY W 8 PER AB DEVICE No AWAY FROM POOL HALL, BE_ALUMINUM ALLOY TYPE 6063 -T6, U.N.O. 'A MINIMUM COMPRESSIVE STRENGTH OF r CTED TO 98% OPTIMUM DENSITY, 2500 PSF MIN. AN AWS CERTIFIED WELDER IN ACCORDANCE PES. S WHEN PROVIDED MUST BE AT LEAST 48" LF CLOSING, SELF LATCHING LOCKING FROM BOT OF GATE. GATE MUST OPEN OUTWARD HAVE NO OPENING >1/2" WITHIN 18" OF RELEASE 9. DISSI 10. ELE OTHERS. ULATE ALUMINUM MEMBERS FROM ELB,CTROLYSIS. IRED, TO BE DESIGNED & INSTALLED BY 11. ANY HINGE AND LATCH SHALL BE STRUCTURAL QUALITY MOLDED POLYMERS AND SHALL BE INSTALLED PER MANUFACTURER'S RECOMMENDATIONS & ANY APPLICABLE CODES. 12. ENGINEER SEAL AFFIXED HERETO VALIDATES STRUCTURAL DESIGN AS SHOWN ONLY. USE OF THIS SPECIFICATION BY CONTRACTOR, et. al. INDEMNIFIES & SAVES HARMLESS THIS ENGINEER FOR ALL COST & DAMAGES INCLUDING LEGAL FEES & APPELLATE FEES RESULTING FROM MATERIAL FABRICATION, SYSTEM ERECTION, CONSTRUCTION PRACTICES- BEYOND THAT WHICH IS CALLED FOR BY LOCAL, STATE, & FEDERAL CODES & FROM DEVIATIONS OF THIS PLAN. 13: EXCEPT AS EXPRESSLY PROVIDED HEREIN, NO ADDITIONAL CERTIFICATIONS OR AFFIRMATIONS ARE INTENDED. VAUD FOR ( 1 ) JOB VALID ONLYWR'H RAISED ENGNEER SEAL Z® WED ZEE L WW z o. z M� 0 g LLI .cm� w °E2 N0 "W lz rn ; 0►LE'' to w •° G o 1 1 2 z COPYRIGHT FRANK L BENHARDOP.E SCALE: 4 101 PAGE DESCRIPTION: f Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 10- 1180 Inspection Number: INSP- 153830 Permit Number: DS -11 -10 -2120 Scheduled Inspection Date: June 02, 2011 Inspector: Bruhn, Norman Owner: ADAMS, NELSON Job Address: 1098 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ORONI INC Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050120010 Phone: (305)685 -0412 Building Department Comments POOL DECK r,asee-76 Failed Inspector Comments Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 01, 2011 For Inspections please call: (305)762 -4949 Page 1 of 8 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): Building Roofing Owner's Name (Fee Simple Titleholder) Owner's Address Itt/9 4 I€ C9 ar City State (/ Permit No. 0 —2 1 20 Master Permit NoS 10— fl Phone # Zip IW Tenant/Lessee Name Phone # Job Address (where the work is being done) 1 ui t 9s" City Miami Shores Village County ?7,-Cr FOLIO / PARCEL # � ° 'Dr/ &NO Is Building Historically Designated YES Contractor's Company Name OgaS Miami -Dade Zip NO v Contractor's Address ` 6 10-5 lj CC- City IcA4'I- ` State Qualifier Name bc6145, State Certificate or Registration No. C 1/6s Phone # (261) 04/2_ 2_ Zip T3f6 F Phone # Certificate of Competency No.a O ©Ccf 5T- Architect/Engineer's Name (if applicable) j - – 0 Z (.-- Value of Work For this Permit $ 06 0 Type of Work: dition DAlteration Describe Work: ?Ca_ L—• Phone # Square / Linear Footage Of Work: C ew ❑ Repair/Replace ❑ Demolition ******** * * * **** ** * * ** ** * ** * * **** ***** ** Fees* * * * *** ** **** * * * * * ** ****** * ** *** x* **** ****** t� o Submittal Fee $450 � l, !� Permit Fee $ iSO c � CCF $ CO /CC Notary $ T raining/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ 4.07 0 .f12.0 t bO 80 % Total Fee Now Due $ (t 0 • 1-O C3re..UCTltt1AL.. C.W 2lt 10 9. LO-- f 8b) 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 property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,2O,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Contractor The foregoing instrument was acknowledged before me this23 day of SJ ,20tO,by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOT PUBLIC -STATA OF FLORIDA a.. res Loe , t i 66456 Sign: Print: B, Fd)THIiIIA'MANTICBOOINGCO „n'JC, My Commission Expires: My Commission Expires: ******** * * * * * * * * * * * * * * * * * * * * * * * ** **** :*** ****** * * * *** * *** ******* ***:x**** * * * *** * * * ********** * * *** * *** *** APPLICATION APPROVED BY: (Revised 07/10/07) 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 5PP -10- 1/230 Inspection Number: INSP - 152079 Scheduled Inspection Date: June 29, 2011 Inspector: Hernandez, Rafael Owner: ADAMS, NELSON Permit Number: PL -10 -10 -1782 Job Address: 1098 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: BROSSEITS POOL PLUMBING, INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132050120010 Phone: (561)253 -5400 Building Department Comments PLUMBING WORK TO REMODEL EXISTING SWIMMING POOL AND SPA ADDITION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 28, 2011 For Inspections please call: (305)762 -4949 Page 5 of 38 DEC -21 -2010 09:55 AM EROSSEITS— POOL— PLUMEING 561 784 3752 P.04 03 -27 -2409 ALEX SINK STATE OF FLORIDA CHiEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION f>a * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the inadividual listed below has elected to be exempt from Florida Workers' Compensation law. ACTIVE DATE: PERSON: Pelf* 03/27/2009 EXPIRATION DATE: 03/27/2011 BROSSEIT CHAD 2016148179 BUSINESS NAME AND ADDRESS: BRGSSEIT'S POOL PLUMMINO INC 13221 ORANGE OROVE OLVD WEST PALM 'EACH FL 92411 SCOPES OF BUSINESS OR TRADE: 1•- CERTIFIED POOL. CONTRACTOR IMPeaTAMTT Parma to fltamtsr 44e . oto41, F.S., ao officer of a carparellsn who Neal eaampiteh Mum MP eb'pta by Mita • CsftiflcWl sf elaftoe Mist Ms aeatlw m. mot Meyer buffos or ca peawtlan who alt Aeptar. mow 10 ri*por 149,461153, F.S. Cattaketss af Nsetlsa to he s;espt.. apply say rlWu the aaapa of the sasl9so or trade fisted is the sake of eloettee so be etuapl. Plummet to motor 440.0604 F.S., Rotleu al studios to ho saswpt Me eartfftcatia of efadlee 10 bs meet 'pull he Woes 10 revooigom if, el my the after Me filing of the soots or the 1108000 of the eeri0ieste, tb panes used M the Bona or ostt#loate no Ienger outete the ssielmossis of this **aloe for Im mo of a 'erfalcota. Tim dapemeet eboU mots a carttflaate d .ay 110 for inhere sl the person nal etl on me onetime to omit 164 roga1raa nil of tbla section. 13WC -152 cIRTIFICATE OF ELECTION 10 BE EXEMPT REVISED 00 -011 QUESTiDNS? (8601 413 -1509 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE ETATS Of FLORIDA DEPARTMENT OF lIN1WCiAL SERVICE DM3ION ofiWoIDOSWr COMPENSATION CONSTRUCTION INOU TRY CERTIFICATE OF ELECTION TO dieUPT MAI M COMPENSATION I AW FLORIDA ACTIVE 02/07/2008 EXPIRATION DATE: 03/27/2011 PERSON CHAD SROSSEIT FEIN 201$5017I BUSINESS NAME AND ADDRESS: ORO49Efra Poet RAM AN INC 13221 comae GROVE MO WEST PALM 6EACN. FL 99411 SCOPE OF BUSINESS OR TRADE 1 • COMM POOL CONTRACTOR IMPORTANT F Purulent to motor 440.051141, F.S., an officer of a corporation who O elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pur*uant to Cilepter 440.05(121, F.S., Certificates of election to be H exempt.. apply only within the scope of the business or trade listed 01' the notice of election to be exempt. E Pursuant to Chapter 440.05(13). F.B. Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation If, at any time Maser the filing of the notice or the issuance 01 the certificate, the person nand en the notice or certificate 110 longer meets the requirements of this section for issneatce of a certificate. The department shell revoke e certificate it my time for failure of the person tamed an the certificate to meet the requirements of this section. QUESTIONS? {855) 413 -T609 CUT HERE • Carry bottom portion on the Job, keep upper portion for your records, DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISE1i 00 -00 DEC -21 -2010 09:55 AM BROSSEXTS— POOL — PLUMBING 561 784 3752 12/21/2010 10:47 FAX 8818972908 • 8 SAFE INSURANCE P. 05 lI0002 /0004 •7e,.4 CERTIFICATE OF LIABILITY INSURANCE 1 PRODUCER B-Sate Insurance 4772. A Okeechobee Blvd, West Palm 8 *ah, F{. 33417 Phone (681)491 -0100 Fax (681)6972688 INSURED Bro$eelVe POOL Plumbing INC 13221 Orange {trove BIVd Went PaIm Beech, FL 33411- - 1(681) 283.8400 THIS CERTIFICATE 18 ISSUED AS A MATTBR OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, ItXTSND OR r THE COVERADE AFF¢8QB. BY The POFJ : - BELOW INSURER* A PORDI$O COVERAGe ATLANTIC CASUALLY INS CO INBUREFR Et COVERAG8B INSURER P THE POLILME8 OP INSURANCE LISTED HAVE BEEN ISSUED TO TH = INEUREA NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OP ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CBRTIPTCATB MAYBE ISSUED OR MAY PE*TAIN. The INEUNANCE APPORE'IBD BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 10 ALL ME TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POdt368, AGGREGATE LIMITS 4HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �r 7� TYINS OP INSURANCE POLICY NUMBER ►'i71�'cMEa! w} QTD NIN GENERAL !.LABILITY 5a COMMERCIAL GENERAL LABILITY L144000076.3 00 CLAIMS MADE ® OCCUR 0 OAK AGGREGATE LIMIT APPLIES PER E POLICY ] PROJECT O LCC NAIL # AuTOMO1Nf.E LIASIUTY ❑ ANY AUTO 0 AU. OWNED AUTOS o SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTOS GARAGE RIARIL TY ❑ ❑ ANY AUTO ❑ 12/15/10 12/18/11 LIMIT$ EACH C OCCURRENCE 100,000 it occulas¢e ?.... - 100,000 MED EXP (Any ono aetsot+) 4,000 PERSONAL d ADV NARY 100.000 CENERALAGGREGATE 200,000 PRODUCTS - COMP/OP Ada 100,000 e1 VT c EXCESS/UMBRELLA LJAMM 0 OCCUR ❑ OLAOWs MADE 0 DEDUCTIBLE n RETEARTON Et WORKERS COMPENfiION AND CEEPLOYERV LIABILITY ANY PFt0PRIETOR J PARTNER / ExECLenVE OFERCER / MEMSER EXCLUDED? If yes, describe woe? sPEOML FROYIESAla IJ•tan OTHER COMBINED SINGLE LIMIT iEa aoaidstj BODILY INJURY ItTAIMEIL BODILY INJURY (Per scoldent) POPERY DAMAGE accidecB AUTO ONLY. EA ACCIDENT 4 OTHER THAN IBM&,, A1170 ONLY _BOG EACH OCCURRENCE AGGREGATE DTCRIrN Fri !+ E.L. EACH ACCIDENT E,L. DISEASE • EA EMPLOYEE E.L. DISEASE. POLICY LIMIT ofteci PTiCN OP OPERATIONS / LOCAI1ON$ / VEHICLES I EXCLUSIONS ADDED fY UNDO*flMENT l SPECIAL PR0YI5IQN$ CERTIFICATE HOLDER MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 305.758 -1872 ACORD 28 (88 `)0 /0$1 01'' CANCELLATION SHOULD ANY OF THE ABOVE DEuCtgipp POLICES SE BELLED swan Two EXPIRATION DATE THEREOF, THE ISSUING EMBER WILL ENDEAVOR 70 MAIL 30 DAYS WRI NOTICE To THE celeTUEOATit HOLM NAMED TO oil' TTEt 1.RfT, WT PAILURC TO D0 SO SHALL IMPOSE NO ODLIaATION C* L1AMM/ OP ANY ICND UPON THE INSURER, ITS AGENTS OR REPRE*3NTATIVE6. AUTHORIZED RIPlte8 - NTATIVt': TION 10118 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit No. Master Permit No VoOISEWS% CT 0 7 2010 BY: Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder): Dr Nelson Adams Phone#: 786-489-1935 Address: 1098 NE 95th Street Miami Shores Fl 33138 City: State: Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 1098 NE 95th Street Zip: 33138 City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Brosseits Pool Plumbing, Inc. Phone#: 561- 253 -5400 Address: 13221 Orange Grove Blvd. City: WPB State: Fl Zip: 33411 Qualifier Name: Phone#: State Certification or Registration #: CPC1457368 Certificate of Competency #: j,` Contact Phone#: ,fret .33 PRA, Email Address: X DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ /7O ® Square/Linear Footage of Work: Type of Work: °Address °Alteration °New epair/Replace °Demolition Description of Work: Qe,vnock e l — S� a - o,.. Plumbing for IOW Pool Submittal Fee $ Permit Fee $ d. a 5" o CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ • Bonding-Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which o s seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved % anspection fee will be charged Signature Owner or Agent The foregoing instrument was acknowledged before rpe t}j day of who e or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires * * * * * * * * * * * * * * * * * ** APPROVED BY 1+54 Notary Public - State of Florida '1 My Comm. Expires Jul 24.2014 =- Commission # DD 979581 %gym. Bonded �� ,. Nation Contractor The foregoing instrument was acknowledged before me this day of 20 0, by e-Alt endieVeratAllir-- who or who has produced as identification and who did take an oath. d0 Plans Examiner Structural Review (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) NOTARY P ) LIC: /‘ �4tt'� Sign: Print: My Commissio 111 Notary Public - State of Florida My Comm. Expires Jul 24, 2014 am= Commission ,f OD 979581 `1'�, Bonded Pirotph National Nay Assn. Zoning Clerk Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ,\D Inspection Number: INSP- 161669 Permit Number: EL -10 -10 -1781 Scheduled Inspection Date: July 11, 2011 Inspector: Devaney, Michael Owner: ADAMS, NELSON Job Address: 1098 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: RCI ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132050120010 Phone: (561)747 -8150 Building Department Comments ELECTRICAL WORK FOR REMODEL EXISTING SWIMMING POOL AND SPA ADDITION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 152078. Needs door and window alarms . raise gate la • = _ sove 54" \r‘//x July 08, 2011 For Inspections please call: (305)762 -4949 Page 18 of 32 10/13/2010 15 :03 5617476052 RCI ELECTRIC b) 3)1,) (A/0)&4 /;0450 04-AAhtid PAGE 01/05 Miami Shores Vitiage Building Department 10050 N. E.2nd Avenue Miami Shores, Florida 33138 Tel; (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A.COPY OF QUALIFIER'S STATE LIC CARD B. s-"` COPY OF LOCAL BUSINESS TAX RECEIPT C. 'r COPY OF LIABILITY INSURANCE JCERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLD9 DEPT/ D. _ _ ✓ COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION), IF CONTRACTOR HAS A am .DADE COUNTY CERTIFICATE_ OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAM DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE {CERTIFICATE HOLDER MUST BE MIAMI SHARES VILLAGE BLDG DEPT D. COPY OF WORKER COIF INSURANCE (EITHER CERTIFICATE oR.EXEMPTION) YOUR JNSURANCE COMPANY MUST ISSUE A CERTifICATE HOLDER AS,FOL : MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 ■ rsrwMe* llissssssss■ ssssssrrr. a■p s■ ss asssssssssss■ fsrsss■ arrsk lu■ry asssssfsssss'MMMMMsssmsift COMPLETE C.O_NTRACTOR'S INFORMATION BUSINESS NAME: BUSINESS ADDRESS: STATE��G* ZIP CODE 37PiX5C CmPAm P RhCrat6e\S BUSINESS PHONE: ( ) FAX FAX NUMBER (6 ) Cio6; . CELL PHONE (Sr )14-7 41'U QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: E -MAIL ADDRESS (IF APPLICABLE): rcl Created on 3119$D, ST MLDY / 1W3t2lio9 Mt.DY 10/13/2010 15:03 5617476052 RCI ELECTRIC PAGE 04/05 Pr 1'@41'3t20Wo � 4 to • 5511473+42S' NUM 'Ai' MAN PAGE Wm- ! VAT'E 011611012M) } 10l13140 Vas DiETwicATi is ISSuI C AS A MATTER Of INF0tMA110N ONLY AND CONFERS NO /MOM UPOP4 THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OURW IN8URRRB.AFFORDING OOVERAC R AT.AN17C CA8UALTY INSURANCE C ileum f. VICTOFt1A INSURANCE CQMPANY .INsi451a2L_. Sr*. REIM . IMO -- ER E:„ -- ^- --- -. oracke CERTIFICATE OF LIABILITY INSURANCE- . -- •- �. - ...._.- • PRCPOCER Mats Inez a Advtscra 01 Indian Taw Rd, Woods Plaza , F3. PboRe (561)747 -3764 FAJ (601)747-3A2 IN$URL' t RCI ELECTRIC INC 1.6429 Sath Way N PALM BEACH GARDENS,' FL 32413 - COVERAGES_' '.�—�— _ 711- 0 $ 0� N URANCSl tSTEM BEIBRISSUICTO•'FIO ikS RO,D AUDV.POR.T -ME POLICY MOO VZIO SD. NOTI TT iAKlfINC ANY REOUINI E$T.11 Mad OR CONDITION OF ANY CONTRACT OR OTHER ODWMENTTVRTI•I RESPECT To WH OH THLB CIRTWICATIl MAY 8d 1881180 OR MAY pERT•A4@,•'1 •II4SURANC AFFORDED RY ilia pouo.Ee OEIsCRIM HARM as elalonC'r" To ALL THE THAW, ExclIMIONs AND CONDITIONS OF SUCH FOLIOS& AqORIIIDATV Wan B+IGWN NIAY HAVE DUN REDUCED VMS DEAIMS TYPE OP U_1 ANCB POLKYN.UMSER � OYie EVaNnei'I yang iiiatuRnaDE TGISSITIO- MEP IIiXP' (MY .= �a =) PER ADV INJURY C8P RALAf GATE' PRODUCTS - COMPIOP Aa3G, .COMetNED SIMLA UMIT c� .�.. EMILY INAIRY maim JURY MORAL LIABILITY cC VAI: OelverW, I.IAa lL•LTY D© OQPult .C) - ORiN'L AGGRE A1'8� &.81T APPLIES PE1 POLICY d PROJECT O L,OC AuTOmoINLI LIABLLlY in ANY AUTO 021 8440 09/03/20 10 Io ALt OVONLG'A'1iTC8 SCIEDULED ALMS O NON OWNED AUTOS •• PROPERTY DAMAN 1 .r._ . IsaradatnQ ONLY ALat1 ONLaNL • EAAix LD M O`1HEII'MAN VA Avro ONLY; Apia MON 00CUMENOS AGGREGATE •�,_� L040001323. 1.22000 1 ..(IQp•a•ee 100,000 ;ono ,000000 Loop 000' 2,000,000 1,,000,0o0 OARACIEWOUTIf © ANYAaJTaJ o MOM f UM8RaLAMIKIY C• OCCUR P. cuontr1 E O 4SDUCTIBLE MENTION $ IIIMFLOYINEr LIAIW.LTY Y IN ANY Al PRaPRLITOR1 PAWNER / EXE OFPICIR t VOLUM? egattditbry NW) igaltaLutsve OS$CllPTiQN OP OPlIiIATIO $ /LOCATE / ELECTRICAL CONTRACTOR a •• CERTIRCATE HOLDER MIAMI SORES VILLAGE 9UIL.O Na OEPARTMENF 10050 N.E. 2ND AVENUE MAW SNORES I FL. 3343 --- se( ) l • 1 LL.. FAtHACG1DENT •8,1.•0188AB EA4PLOY88 EL DISUSE POUCY•LIWT 1 XRL'LBsicri WFD' 1nRLf M'aTifi.mAL p a idis • CANOLLATION SWKIL P ANY OF TNr= ASoVS D68CR3137 POLICES RL OA a SWISS THE . IDONNAT10NOATS TERROR'S : • INDSAvOR TO MA L 30 DAYS w 1Tr N NOME COM= HOLM NAMSOTO Ti 1 w, BUT FALUN ..' '' 1MPQE NO OBUGATIGlN OR LUIBILITM MANY MIND- " -s'' AMOS OR R PRRS8NTATNES. AU'It O D RP'ONATION. A rigida, rested. D•Iltame•,an. ordpwanimEtiered Olathe of AC0i 0 10/13/2010 15:03 5617476052 RCI ELECTRIC 08-02-2009 PAGE 05/05 ALEX SINK STATE OF FLORIDA t F FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WOI KERS' COMPENSATION * * CERTWICATE OF ELECTION TO E EXEMPT FROM FLORIDA maw COMPS NATION LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law EFFECTIVE DATE: PERSOrt HAMILTON FEI 650432084 BUSINESS NAME AND ADDRESS: RCI ELECTRIC INC 15426 86TH WAY NORTH PALM BEACH CARD . FIB, '33416 06/02/209 EXPIRATION DATE: 06/02/2011 HOWARD D SCOPES OF BUSINESS OR TRADE 1- ELECTRICAL CONTRACTOR IMPOfirANt: Possum t0 Chapter 440. 0531. F.S.. on anew of s C* porstioa Who dacha a:eaiptloo liwo Ibis 0013(1r by H OS e c t litotte of *Wolin to der this MOM tap eat recover 00041k11..or rampessotfoa oxaer 6fs cover. Porbaeat to Cbopt r 440.06112► •F.$., Cotillions of etemUoo to ho sxaslpt.., eppty only within di ape of the bestaess or Inch Igoe oo Me aortae of oteotIon to be exempt. Mom to toter 4411.111114 p.3.. Wow Of AWN' ate aooespf wad tailraces of etacUoa to off axvo0u shoo 90 ost*leci to v vocstoo If, of eay data often the Mao of the ootfoo or the lssasaw of as oer(abott, tbs 011 oo Noma4 tm a* emcee .r rer*dkata ao losger weata oho rspalronaea of Ibis eeodoa for memo Of a cattflIcsts. TOG dspatmaxt sbd! reraho w ceiNll=ste st soy time ht fsNara of the Fianna wowed on the e*$1i1cato to meet to regoireeftooew of tide soettoa. tllti STIONS7 {850) 418 -1609 DWC -282 CERT11F1CAT OF RLECTLOH TO BE EXEMPT REVISED 09 -06 PLEASE CUT OUT THE CARO BELOW AND RETAIN FOR FUTURE REFERENCE STATEOFFLORIDA DEPARTMENT OF DRASION OF WORKERS' SERVICES CONSTRUCTION INDUSTRY CfiRTIRCIOROF R =MP? d FLORIDA vo SAVO tA N EVE Oa /02 /2008 EXPIRATION DATE: 196/02/2011 PI iSOI*0 HOWARD 0 ffAMILTON FAN 8084 BUSINESS NAME AND ADDRESS: tort .to i to INC 15420 aOTrt WAY NDnitt tekt1 MACH mARDENS. Ft 33410 SCOPE OF BUSINESS OR TRADE 1- EIECTRIt:AL CONTRACTOR IMPORTANT Pursuant to Chapter 440.05044, F.S., an officer of o CerPerntion Who "elects exemption from this chapter by filing a certificate of election Dsection may not recover benefits or compensation tinder this H Pursuant to Chapter 440.05(123, F.S., Certificates of election to be exempt- apply city within the seeps of the business or trade listed on the noose of election to be exempt E Pursuant to Cbeptar 44005(13), F.S.. Notices of election to be exempt end certificates of election to be swept shall be ;ubjeat to revoiatlon . If, at any time after the filing of the make or the Issuance of the t certificate. the person noted on the notice or certificate no longer tees: the requirefnetrtg of this section for ism of a tertifitatL 10. department shell revoke a certificath at IN time for failure of the poem famed on the certificate to meet the requirements of this QUESiIONS? OW 433 -1909 CUT HERE = Cary bottom portion on the Job, keep upper portion for your rrxrards. DWC -252 cerriRtcATE OF ELECTION TO BE EXEMPT REVISED 09 -08 Oct•13. 2010 1:37PN Howard Leasing, Inc PRODUCER 4 No.7385 P. 1/1 DATE (MINL1Dr'YYn CERTIFICATE OF INSURANCE 10/13/2010 TRY INSURANCE AGENCY INC 6302 MANATEE AVENUE WEST SUITE K BRADEN'I'ON, PL 34209 941,761 -7704 INJURED Howard I.casing Inc L/C /F Coastline Windows & Doors Inc, 6302 Manatee Avenue West Suite - K Bradenton, FL 34209 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, INSURERS AFFORDING COVERAGE INSURER A: ULLICO CASUALTY COMPANY AMB# 2623 INSURER S: National Indemnity Company 2429 INSURER C! INSURER D: COVERAGES INSURER E: 111E OF TO INSR POLICIES ANY CON ALI.'IHE OF INSURANCE LISTED HAVE BEEN ISSUE]) TOME INSURED NAMED ABOVE FOE'11IL POL.1CY PERIOD lNDR:AY FI1. NOTWITHSTANDING ANY REQUIREMENT, TERM OK CONDITION m.4(n' OR OTHhR iMX:11MENT WTTII RESPECT TO WIIICII THIS CLRTI111CA1 E MAY HE ISSUED DR MAY PERTAIN, TlE INSURANCE AFFORDED DY THE POLICIES DENC:RIHED HI•REIN IS ST3R,IFfT TERMS, F.XC, L L ION$ AND CONDITIONS OP SUCH POLICIES. ACHIXXUATE LIMIT% SHOWN MAY 11AVEBEEN REDUCED BY PAID CLAIMS. LTR AITDL INTRO TYPE OF INuUHIWCL• POLICY NUMBER POLICY EFFECTIVE DATEIMMIDONYYYI POLICY EXPIRATNN DAIT MMIDDMYYYY1 EACH OCCURRENCE LIMITS $ . GENERAL MARLIN CO■JlrEneu+l OCNEPIALIJOOLR Y I CLAW UMW ❑ MICR OAMAGL TO RENTED PROA $ _. - . ' NEDEXP (Any upaw) lu S - PERSONAL SADVINJURY $ - %on.AseREtalE ukt Appues NIL NtH. '-ipay K W n PROJECT I OR GENERAL AGGREGATE - PRODUCTS•COMPA)P A G B AUTOMOBILE — — i LIABILITY ANY AUTO ALLOWNED AUTOS SCI IEDULED AUTOS NIREOAUT(r3 NON.OWNF.O AUTO; • COMDINCO SINGLE LW (Fecal AoaMlctal $ _ BODILY INJURY (may, Pn,wnf) _ BODILY INJURY (PerAsoldent) $ - PROPERTY OAMACF (T9= Arr inns) dd.. •P - GARAGE LIABILITY ANY AUTO ' AUTO ONLY . EA ACCIDENT $ OTHER THAN EA ACC $ - AUTO ONLY AOC $ _ WORKERS EXCESSJU1BRELLA COYPENBATION UAELITY Ot.'CUH ❑ CLAM MADE OEDUC11ELE RETENTION 1 EACH VCCUNRGNCC $ I - AGGREGATE $ - WO aTAM M- X� TM+vtsaT6 ER A EM, , OYERS'LIARIt,fTY ANY AND FASHERIPARTNDED, CUTNE EXCLUDED, NO TIN, n1811O PROVISIONS inflow [.JPCC1 #i39U{R)Ot}i -I la +'1:1/2( I(} ) If, OFFlCERIMFMBER yen, & SPECIAL OTHER (t %] /3011 S l ,000,000 5 1,000,000 S B EmplOycrS Liability GCF1005 6/1 /2010 61112011 RISE IVE)A1,SIAJ A 4imotl,opp 1.(X10,000 DESCRIPTION OF OPERATIONS / LOCATIONS/VEHICLES Workot1T'eennpensation coverage is prmvide4 by cnnlnl7 to nl1 employtYS of approved mot UNNigned by 1 tpwiird T•easinn. Inc. to Coastline Windows & CERTIFICATE HOLDER / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Howard Leasing„ 1ne. ESSIgrnd It/ coastline Windows and Dann, Inc. Covemjje dors not apply to any Cmployxs not Mors, Inc. effective (16/111/21)10 For 305 -756 -$972 Miantl Sbores village Attn: Building Dept 10050 NE 2nd Ave Miami Shoies, Fl 33138 SHOULD ANY CR'•IHP.AR(IVH IWtic :RIRE,, POI J('IFSRE.CAW:IjI,UM BEFORE TIIE EXPIRATION DATS't'HUIUiOF, THE ISM ENO 1NX11R1•R W1t.1. FNOFAV()R TO MAIL 10 DAYS WRITTEN NOTICE 'TOME CERTIFICA'T'E HOL.UFR NAMF7) TS) TEE. T.EFT, Dill FAILURE TO DO SO SHALL IMPOSE NO ODIIOATION OR LIAISE-TN OP ANY KIND UPON THE. I.SSVF,R, ITS AGENTS OR REPREENTAT1vas. PRINONIV,nIJ Rt:✓Ntat++ IAIIVt:R iNA PURR Novtu 12/21/2010 11:27 5617476052 RC I ELECTRIC PAGE 02/02 12/17/20tv 15:36 061747242i ARISTA IINSuRANcE • -PAeE 05110. fttft---.4-"N* • • CERTIFICATE OF LIABILITYINSURANCE unma PANOPAIr : Ii8 Ui&AMATTcI' LAIFOittAAWN • PROdualat MAN but= Advlsois -404-1-4444049m46414,-Weaosotsze-- ONLY AND CONFERS No mows upoN corrimoRrg.' tittpiter, 33d26 Minn* plAl747.9764 FSIX (521)747442, .4191!##AMPoNcel000vaNAR4 NAM # tASUAL1V INSURANOE C MUM Ra MEMO INC Way N 18429 Seth PALM BEAcH GARDENS, PL 3341e. • ESTtANGE COMPANY • 667-747•4100 64euRER €4 • I 'Ng magas Cc IA1 *TaN-WVrisenyk instrpgrollomm.MMELIASOyE MR TRW POLI6VPERiap KawmarAmIMB mottkis!rr, Tpt ezit toprtplop 0.11* ihrentilgritanT errI4P* nnill PAW" VOM4 RPRPFOr imam ilmtilATIPIOR72 MAYBE MEMO( • . . • MAY MOAK 7kE# OISURAMCB AMMO rif YRS POLIOMs pawpaw WREN/ re suarecTIOALL. THE TZRMe. EXOLUOOKS AND MOM= oF 2103 • 0_._MNAL.O,SLIJML,S,V,pvit tkiWW, Pew= men autzummitarittie.,. ___, TYPE OF 212(601,102 PotACY MOO g acaseR0w, u Losaana23 1.100•0001 . mm u4Nurr 12/2242010 Immo i WO 11901.0ft, 4100.120100 ... . . e0i1g,e•.g---,L‘ K Pi.t R I . . rogifla!",4110 , . iI . 09/01.1/90:111 • . . . PCtaPDwwAiPIreevM0 Rar!-"S Dmd I-PO"U OkRA kCvA 1" , o L e A l St- 4 IcOAORDMV IMI I VK a2 On ..U— MA 1-. 0 -" -. - • 4"• —,• - - -. ......ii.. 1.... -„ ., 9..0-9-09 ■AcKRTON APRL4M r! •• 44y 7636T •C, . c04801E0 SMMT 1000a00,400X,0 1 ODO MOW 40 OURRFNO Lo.t..A t l m n'y ■■• .,.t . . . E11a1E1•■ ■ E ', OW3 ._ *. W I •■•■•■■71■0 wrondansmAniuyy try ra w i WJ ri* at i if iir r1. " " 8 u How MOO D WIN OMR? AIM'S BMW U4SIUTY pANY Ant r0000 =um 0 ;mama 4,147166 iiiii0WELLALiAl4ny IRDanwreLE r-1:16111;11151"" 14 0 4 • • Oarwm**, -1. • • Met sopidand POP22TrtiN4062 AUTO ONLY- EA A.Caterr MON, TRAM OA ACM • • OW; G OCoURRBNCE A09662AT6 64.11/.•■••=, 1 ILL 0A9* -E EMPLOYEE LmosAlik - Kahn- lato .6PERATIONS SPECIAL F#01.621014. eLL-CMOCAL 1.;uN KAU 14Jh MAN el IbrIZ,C 'ALIA= SULDWG DEPARTIADC IMO 14.V. 9Ign *UM BMAN0 SNORES lP .4ktinft AC01110 26 (2600/91) OF OANOLLLATION Abi-f Thi DielSCruwourtritaiw■ 4ANOCILMOwOrg ref! • iffixPIRAmON DAIS 1i42#206, If* 661Unifit WALJOBMIAMOBTOMAL ' 30 lava vitturrei ORROrwAYBoowypi Wm= • • THIrafrr, SOT Mt 0.0** Oftimmts Oft LIA1MuLY ACWINTS•091114WIDREMOATWO8 WA0OiORP*RA?QN. All rota 726erva. and logo are fired malts at AOORD Ewalt Kittek UJ awmv7iiiatir Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 962.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): Dr. Address: 1098 NE 95th Street Nelson Adams RIMAIII71 a OCT 072010 BY: I Permit No.t Master Permit N Phone#: 786 -489 -1935 City: Miami Shores State: Fl Zip: 33138 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 98 NE 95th Street City: Miami Shores County: Miami Dade zip: 33138 Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: RCI Electric Phone#: 561- 747 -8150 Address: 15429 86 Way N. City: Palm Beach Gardens State: Fl Zip: 33418 Qualifier Name: Howard Hamilton Phone# 561- 747 -8150 ,State Certification or Registration #: EC13002641 Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer. Phone#: Value of Work for this Permit: $ 1500.00 Square/Linear Footage of Work: Type of Work: ❑Address UAlteration ❑New CIRepair/Replace ❑Demolition Description of Work: Electric for Pool Submittal Fee $ Permit Fee $ J r°' ® CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 0( 3 • 10 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, WPT J S, 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 ill be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commenc ' %nt must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is ' sue' ; n th absence of such posted notice, the inspection will not be approved a, einspection fee will be charged Signatiu� Owner or Agent The foregoing instrument was acknowledged before me this day of S,.,�j , 20 to , by N�e'SJ h Ackam 5 who is rsona y o me or who has produced As identification and who did take an oath. NOTARY PUBLIC: 8 Sign: Print My Commission Expires: ,; MY COMMISSION # EE 040 ro EXPIRES: November 4, 2014 F Bonded Thru Notary Public Underwriters * * * * * * * * * * * * * * * * * * * * ** APPROVED BY Signature Contractor The foregoing instrument was acknowledged before me this2 f l,l��z.�.,,✓ydre�, , day of , 20.2, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: * * * * * * * * * * * * * * * * * * ******+k RNA+ b****** *Ee******%k++*********** *eE* R*****3**+k*** Plans Examiner Zoning Structural Review (Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Clerk 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Nelson Adams PERMIT #: 13 -SC- 1275788 APPLICATION #: AP977181 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR823364 PROPERTY ADDRESS: 1098 NE 95 St LOT: 1 Miami, FL 33138 BLOCK: n -a SUBDIVISION: PROPERTY ID #: 11- 3205 - 012 -0010 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 1,500 ] GALLONS / GPD Septic CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 MRS #Pumps [ ] D R A I N I E L D 0 T M E R [ 875 ] SQUARE FEET SYSTEM [ ] SQUARE FEET N/A SYSTEM TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ ] CONFIGURATION: [X] TRENCH [ ] BED [ 1 LOCATION OF BENCHMARK: FFE: 12.57' NGVD ELEVATION OF PROPOSED SYSTEM SITE [ 27.90 ] [I INCHES I/ FT ] [ ABOVE A BELOW jI BENCHMARK /REFERENCE POINT BOTTOM OF DRAINFIELD TO BE [ 57.90 ] [I INCHES I' FT ] [ ABOVE A BELOW JI BENCMMARK /REFERENCE POINT FILL REQUIRED: [ 0.00 ] INCHES EXCAVATION REQUIRED: [ 72.00] INCHES 1.- Install a 1500 gal min. category-3 septic tank with an approved filter. 2. -The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E- 6.013(3)(f), FAC. 3.- Install 875 sf of drainfield in bed configuration. 4.- Install 42" of slightly limited soil at the bottom of the drainfield. 5.- Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed. (Comments Continued on Page 2.) SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: Astrid V Edwards Astrid V Edwards 10/01/2010 TITLE: Engineer Speciali TITLE: Engineer Specialist II DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E- 6.003, FAC v 1.1 .4 AP977181 • 1 CH,D SE826709 Page 1 of 3 DOCUMENT # : PR823364 6. -Invert elevation of drainfield to be no less than 6.70' NGVD. 7. -Bottom of drainfield elevation to be no Tess than 6.20' NGVD. 8. -This permit includes the abandonmenitof_the exisii� septic tank land inspection is required prior to final system approval. * **TUS PERMIT INCLUDES THF_A.DOITION -0E- A b - • • SPA IQ THE EXISTING POOL,** NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statues. Such proceedings are governed by Rule 28 -106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty -one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN # A02, Tallahassee, Florida 32399 -1703. The Agency Clerk's facsimile number is 850 -410 -1448. Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a 'final order'. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 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 1 c- a 2) i'4 tti 9s SiYeef- tit rri Shores Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346 -91. (Submit Manufacturer's Specifications). A continuous, one -piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non - dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type and location of all non dwelling walls. Florida Building Code, R4101.17.1 Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self - latching device with positive mechanical Iatchingllocking installed a min. 54° above the threshold. If this option is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Code, the pool may not be filled with water without compliance with the Private Swimming Pool Safety Requirements, and upon expiration of the permit, the pool shall be presumed to be unsafe . I understand that not having one of the above installed will constitute a violation of Chapter 515, F.S ., an d will be considered as committing a mi em or of the second de. o punishable as provided in Section 775.082 or Section 775.083' form must be signed Ale'wrier/ ent and prime contractor. TRACTOR'S SIGNATURE AN r DATE la OWNER'S SIG ATUR A DATE �' ec. �° . A/rl OWNER'S NAME (PLEASE PRINT) CONTRACTOR'S NAME (PLEASE PRINT) N R. SMITH IC notary Public - State of Florida My Comm. Expires Jul 24, 2014 rtwi''' landed Through Memel Noisy Am& Can • 00 979581 Y PUBLIC EV N R. SMITH •• Notary Public • State of Florida My Comm. Expires Jul 24, 2014 S Commission # 00 979581 491;A"' Bonded Through National Notary Assn. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned Iv -ISo ! \cA ann. $ is /are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: 10 A 9 N GI S�tl e c} t k-Vanft S1--s ( 3 13 Whereas, the undersigned owner(s) I�e�s�r® Mc an IS desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: I. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. III. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our/my property shall fail to meet code requirements for pool barriers, we, as owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. IV. That, I/we, as owner(s) hold Miami Shores Village harmless for any negligence or injury that results from not having the enclosure. V. If enclosure belongs to said property, I agree to maintain & or replace said enclosure in the event that is damaged or removed by any case. NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon the undersign er successors and assigns and may only be released by Miami Shores Village, or its su « • rs, in accordance ; j y r age then in effect. OWNER SIGN & PRINT + * L fi'd5. NE R SING & PRINT I Here y Certify that on this day personally appeared before me Y\ e\'S pv. /\Ci e e> and has produced ID # t'e e- .e_.. as identification and he/she acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there in expressed. SWORN TO AND SUBSCRIBED before me on this 31.‘"' day of 20 7 (Revised 05/2209 NOTARY PUBLIC STATE OF FLORIDA KEVIN R. WITH Rolm P • State of Flores My Omen. Estero Jul 24, 2014 Caismassion # IX) 9 91 le drrlTat SOW Notary Aue. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Date ��la(►o Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as C_o, -- 1 " ► V by .s d -h '-o , located at 1 C t °1 S' S4ee- ctm■ 5kores (Y\ -gym R1af-ta (3e. In In accordance with Section 33- 12(f), Code of Metropolitan ade Co at understand and agree that the swimming pool to the above a+ e x cannot be used or filled with water until separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting and approved barrier prior to final inspection and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. 2010-11-101126 FIDIS Wain; Lagesff » 954 4348840 P114 "Lush Habitats Inc. " D.B.A. "BLUE HAVEN POOLS OF S.E. FLORIDA" •• •■• • •• • • • ••• • • • • II. •••■• • • November 10, 2010 ft Miami Shores village Building and Zoning Dept Adams Residence 1 1098 NE 95 St. Miami Shores, 33138 Re: Scope of work Scope of work to Include: Addition of Spa to Existing Pool Addition of 3 Return Lines to Ex. Pool Addition of Sundeck and Swimout to Ex. Pool Addition of Two Main drains to meet VGBA New Diamond Brite finish New Coping and Tile Decking By Others Thank you, i •i Kevin R. Smith I ; I I :) 1460 SW 20th Street Boca ftaten, Florida 33486 PHONE: (561)2105606 CEL: (954)6488906 FAX: (561) 3678884 www.bluehaven.com kttith@bluahavan.corA NOTE: BASED OUR EXPERIENCE !MOTHER POOL PROJETS IN THIS AREA THE BEARING CAPACITY IS 2000 PSF. IF OTHER CONDITIONS ARE FOUND AT EXCAVATION THE POOL CONTRACTOR MUST NOTIFY ENGINEER IMMEDIATELY. NOTES: -ALL DECKS ARE MEASURED FROM Y 1ATERUNE OF P001. TO EDGE OF DECK -DIVING EQUIPMENT ABSOLUTELY PROHIBITED NAG LINE TO HAVE VAC LOCK NEW 18" X9'-8" SINIMOUT W/ TILED 506E (TYP OF 2) EASEMENT LES& DESGRIP11ON LOT 1, KIRBY'S ADDITION TO MIAMI SHORES, RECORDED IN PLAT BOOK 41, PAGE 44, MIAMI -DADE COUNTY, FLORIDA +18" RAISER LEGEND 101' -2" TO SIDE PA. 18" RAISED SPA IN/ DRAIN(S), LIGHT, BENCH, (8) JETS, SPILLWAY AND BLOWER EXIST. FriEXIST. 1 EXIST. POOL WALL EXISTING POOL 10'-0" 8'-0" 10'4" WIDE NEW FIRST STEP IN/ UMBRELLA SLEEVE EQUIP. LOCATION CONFIGURATION MAY DIFFER LANDSCAPE EQUIPMENT SCREEN PER CODE SEE PIPING SCHEMATIC FOR DETAILS AND SIZES EXIST. MAIN DRAINS) SHALL BE ISOLATED AND SEALED. NEN DRAIN COVERS TO BE INSTALLED ON NEIN POOL FLOOR AND TO MEET THE LATEST EDITION OF ASME/ANSI A112.14.8 NEN RETURN LINES TO BE ADDED TO EXIST. RETURN LINE (TOTAL. OF 3) EXISTING � H >i81/40FENG SCOPE OF WORK - Add Spa to Pool as per plan, - Add Heater (separate permit) - Add (3) pool return lines. - Replace existing main drain with new (2) main drains, 3' min apart. - Add (2) swim -outs as per plan - New entry as per plan - Raise pool depth to 5' from existing 3' depth - Pool equipment placement as per plan - New water line the - New Diamond Shiite plaster - (2) new lights as per plan g�� DECK & DECK PERMIT BY OTHER, (REFER LANDSCAPE ARGH'L DRAWING- DETAILS) PROPOSED POOL AND DECK ELEV. SHALL BE LOWER THAN F.P.E. OP HOUSE SELF LATCHI CLOSING GA NEW POOL STEPS (SEE DETAIL PG. 2) INDICATES POSITIVE DRAINAGE (TYP) 9.89' EXIST. NEW DECK JET (TOTAL OF 6) APPROVED 10.56' DATE ZONING DEPT BLDG DEPT SUBJECT TO COMP SPA DIMENSIONS NTY RULES /\ •- v;4TIO>•1 PLAN D SCALE 1/ 8" m 1'- 0" 4 POOL SPECIFICATIONS POOL SIZE: 54'-4" X 19•-0" POOL DEPTH: 3' TO S POOL CAPACITY: 29,381 GAL. TURNOVER RATE: 4.45 HR (12 HR MAX) POOL S.P.: 982 BP POOL PERIMETER 148 LP POOL EQUIPMENT PUMP : 2HP HAYWARD SUPER 1I 2 SPD. SP9019X20AZ 110 gpme90T FILTER SIZE : 450 81' MODEL : CARTRIDGE CHLORINATOR: SALT SYS. MODEL : TBD POOL RETURNS: EXIST. + 3 NEW SKIMMER : EXIST. CLEANING LINE: EXIST. LIGHT : (2) NEW LED HEATER TYPE : HEAT PUMP MODEL - SIZE ; HAYNARD WATER FEATURES ROSETTE : NONE LION HEADS : NONE SHEER DESCENT : NONE DECK JETS : (8) LAMINAR JETS SPRITZER : NONE JET ON 8-0 : NONE FEED LINE(S) : NONE BUBBLER : NONE FINISHING ITEMS DOPING: BULLNOBE HANDHOLD TYPE: NONE TILE: GLASS TILE TYPE OP NEW DECK : BY OTHERS SINIMOUT SIZE: (2)18 "X 5'-8" NEW DECK SP.: NONE EXIT RAILINGS: NONE CAPPING SP.: NONE AUTOMATION : NONE BENCH SIZE: NONE INTERIOR FINISH: DIAMOND BRITE DECK -O- DRAIN: NONE ADDITIONAL FEATURES SCREEN ENGL: NONE FOOTER: NONE SPA SPECIFICATIONS SPA SIZE: 8' -0" X 8' -0" DEPTH : 3' -0" SPA PUMP : NONE SPA PERIMETER: 22.5 LP JETS: 8 SPA S.F.: 38 SP SPA CAPACITY: 852 GAL. TURNOVER RATE: 0.13 HR. RAISED: 18" LIGHT : (1) LED GLASS BLOCKS: NONE BLOWER : 1 HP SPILLWAY SIZE: TBD ENTRY STEP : NONE NOTES PERIMETER BARRIER: EXISTING RE -PLUMB & EXTEND ALL EXIST. PIPES TO THE NEW PUMP LOGATION%RINEEDED ACTUATOR ON VALVE FOR DECK JETS PLUMBING ISOMETRIC DECK & DECK PERMIT BY OTHERS FINAL DRAINING APPROVED POR LAYOUT, DIMENSIONS & EQUIPMENT. 1/ WE UNDERSTAND THAT ANY CHANGES WILL INVOLVE AN ADDITIONAL CHARGE OP 8350.00 FOR EVERY CHANGE MADE. ALSO NO ENGINEERED PLANS WILL BE PROCESSED WITHOUT ORIGINAL SIGNED SALES DRAINING. NO EXCEPTIONS. X DATE : I "> a eax ar LUSH HABITATS, INC. DBA BLUE HAVEN POOLS OF SE FLORIDA 1440SWOtl1,ST. DOGA RATON, FL., 89488 Phone: (881)210.8606 Pta : ($61)0614604 00'6tIR iDg E ®$ 4,`.441A�t�%II�`l.. ®°1 a • %6 °rte® • ' ® PHONE : (' I ", 11- 3-2010 o. .- 111 R O a1 CI ofroft SALT SYS. PRESSURE GAUGE AND AIR RELIEF VALVE FILTER / 5� 4< AIR GLOWER 1�J HEAT PUMP W/ BY -PASS 8" MAIN DRAINS -POOL W. APPROVED COVERS (ANTI - ENTRAPMENT) EXIST. SKIMMER HAIR & & STRAINER PIPING SCHEMATIC 8" MAIN DRAINS -SPA W. APPROVED COVERS (ANTI - ENTRAPMENT) SUCTION OUTLETS COVER/GRATE MUST CONFORM TO MOST REGENT EDITION OF ASME/ANSI M 12.1,4.8 HAYWARD WG1046 -E (125 GPM MAX - FLOOR THRU GRATE) (12 GPM MAX. - WALL THRU GRATE) 8" ANTI - ENTRAPMENT SUCTION OUTLET COVER AND FRAME 01 3/4" TO PUMP MAIN DRAIN SUCTION LINE TIED TOGETHER AS SHOWN (PIPE SIZE PER PLAN) 1.15" 1.36" BRANCH PIPE 8.1 SQUARE INCH OPEN AREA 3" BRANCH PIPE = 4.18 ft/sec (MAX. 6 ft/sec) 2 1/2" SUCTION PIPE m 1.11 ft/sec (MAX. 8It/sec) 2 1/2" RETURN PIPE = 1,11 ft/sec (MAX. 10 ft/sec) MAIN DRAIN DETAIL PERIas. c .2001E9EGT.424a.b.6.aANSUAPBP -, EXIST. METER vl TO EXIST. FPL SERV WF MANUAL STARTER SWITCH ( 'NT ) f T.G. 3-12 IN 1/2" GOND. SALT SYS. 312 IN 1/2" CONK. 9.6 IN 8/4" GOND. VW GPI 10' TO 20' FROM WATER 3 -8 IN 1" COND. 'M SPST TOGGLE „ SWITCH HEATER PUMP MOTOR TRANSFORMER 3 -12 IN 1/2" COND. JUNCTIO BOX(ES) BLOWER 1" NON - CORROSIVE GONG. (1) LIGHT FOR SPA (2) LIGHTS FOR POOL W/ LOW WATER GUT OFF DEVICES "SEE GEN. NOTES *41 FOR BONDING" ELECTRICAL DIAGRAM IN POOL AREA GROUND ALL BOXES, RAILS, LIGHT, MOTOR, ETC. IN/ 03 WIRE NOTE SHALL CONFORM YW N.E.G. ART. 680 WATER LEVEL n 12" 12". 10' -0" EXIST. FOOL WALL -FLOOR & REINFORCING EXIST, POOL WALL -FLOOR & REINFORCING • DOWELL 4" MIN. INTO EXIST. POOL YNALL WI #3 AT 9" O.G. HORIZ. AT NEW STEPS AREA USE EPDXY BONDING AGENT (OLD COGRETE TO FRESH CONCRETE BONDING) PRIOR TO NEW CONCRETE POUR. ENTRY STEP DETAIL (NOTE: STEP STEEL NOT REQUIRED) 3 "� TILE TOP Q= AND F R O N T — 18" MIN, NEW POOL FLOOR (SEE DETAIL PG. 3) EXIST. POOL FLOOR I J `� EX19T. POOL WALL *3 AT 9" O.G. VERT. ONLY PER FBG 2001 R.4101.11.1 THROUGH R4101.11.3 & SECT. 424.2.11.1.1 THROUGH 424.2.11.1.14 RESIDENTIAL. SWIMMIMG POOL MUST MEET ONE OF THE BELOW SAPETY FEATURES : 1. POOL MUST BE ISOLATED FROM ACCESS TO A HOME BY AN ENCLOSURE THAT MEETS THE POOL BARRIER REG. OF 5.915.29. 2.THE POOL MUST BE EQUIPPED IN. AN APPROVED SAFETY POOL DOVER. 9. ALL DOOR & WINDOINS PROVIDING DIRECT ACCESS FROM THE HOME TO THE POOL MUST BE EQUIPPED WITH AN EXIT ALARM THAT HAS A MIN. SOUND PRESSU. RATING OF 85d6 A AT 10 FEET. 4. ALL DOOR & WINDOWS PROVIDING DIRECT ACCESS FROM THE HOME TO THE POOL. MUST BE EQUIPPED WITH A SELF CLOSING SELF LATCHING DEVICE WITH A RELEASE MECHANISM PLACED NO LOWER THAN 54 IN. ABOVE T145 FLOOR. SAFETY REQUIREMENTS 4" THICK CONCRETE SLAB ;,.-- REINFORCED W/ 6 "X6" -10/10 WWM PER P.B.G. 2001/ SECT. 1820.3 FILTER HEATER (IF INDICATED) 0 MOTOR(S) NOTE: ALL ANCHOR BOLTS THRU BASE SHALL BE 3/16" TAPGON FOR ALL EQUIP. NEEDED; SEE MANAF. SPECS. FOR ANY ADDITIONAL DETAILS OR ANCHORING POINTS. COMPLIANT YN/ P.B.G. 2001/301.13 POOL EQUIPMENT ANCHORING HYDROSTATIC VALVE 1 1/2" APPROVED (ANSI -ASME Al 12.11.8) DRAIN COVERS TO Be FASTENED W. SCREWS WELL POINT ROCK BED NELL POINT DETAIL oopoeetaaaoBOe ARKy'qs°ao r - -- k,k C E IBS; BF2�s '*. No 5 7216 • `* • w t ENNETT "14. 1216 265 S. FEDERAL HIG+41MAY DEERFIELD SCH., FL., 33441 11- 3-2010 0 I to t+a tu 0 18" TOP OF POOL COPING 5" „ I. SPILLWAY .B /(VERIFY SIZE) 'O.G.E.W. BEND EXIST. VERT. POOL REINFORCING INTO THE SPA FLOOR IS B3619"0.0.E.W. CENTER MAT IN WALL TOP OF POOL SEAM 24" HOOK @q" D.G. #3t ?q"0,C.E.W. 8" MAIN DRAINS W. APPROVED COVERS (ANTI- ENTRAPMENT) TO PUMP CHIP OUT EXISTING POOL WALL AT SPA AREA. 00 NOT GUT EXISTING VERT, REINFORCING AND BEND IT INTO THE SPA FLOOR , PRESSURE GLEAN SURFACES. NOTES NEW POOL FLOOR (SEE DETAIL ON THIS PAGE) EXIST. POOL FLOOR - USE EPDXY BONDING AGENT (OLD COGRETE TO FRESH CONCRETE BONDING) PRIOR TO NEW CONCRETE POUR. - AFTER INSTALLATION OF ANY PLUMBLINE AND ELECTRICAL PIPING', DISTURBED AREAS SHALL BE RECOMPAGTED TO MEET BELOW STANDARDS. • IN PREPARATION FOR CONSTRUCTION OF THE SPA AND IN ORDER TO PROVIDE THE NECESSARY SOIL FOUNDATION SUPPORT FOR THE NEW SPA, 1716 DOWN TO THE BOTTOM OF EXISTING SWIMMING POOL OR 5 FEET, WHICHEVER I5 GREATER, AND BAGKFILL CONSTRUCTION AREA TO PROPER ELEVATION I. E., TO THE BOTTOM OF THE PROPOSED SPA FLOOR SLAB, USING GLEAN GRANULAR MATERIAL, FREE OF ORGANICS AND OTHER DELETERIOUS MATERIALS AND PLACED IN LIFTS NOT TO EXCEED 8 INCHES IN THICKNESS AND MECHANICALLY COMPACTED TO 9S% OF THE A.S.T.M. 12-15T} MODIFIED PROCTOR METHOD. SPA DETAIL SPA MUST BE CONSTRUCTED ON GLEAN, UNDISTURBED PILL EXIST, POOL WALL & REINFORCING COPING WATER UNE MIN VERTICAL 2' -9" SHALLOW END 8'-0" DEEP END APPROVED FINISH b "-� DOWELL MIN. 4" INTO EXIST, POOL WALL NISEI AT q" O.G. HORIZ. USE EPDXY BONDING AGENT (OLD GOGRETE TO FRESH CONCRETE BONDING) PRIOR TO NEW CONCRETE POUR. SPADE BETWEEN NEW AND EXIST. FLOORS SHALL BE NEW POOL FLOOR FILLED V41 CRUSHED ROCK OYER EXISTING POOL PLOOR AND CRUSHED ROCK PILLED SPADE 104/#3 AT q" O.C,E.W TYPICAL NEN POOL FLOOR DETAIL t SLOPE 1 NEW POOL FLOOR CRUSHED ROCK MIN. (4) QTY. 12" DIA. HOLES LOCATIONS TO BE DETERMINED AT SITE PER EXIST. POOL FLOOR'S SLOPE CONDITION TO DRAIN MAX. WATER THRU HOLES 4' MIN 4' MIN X crt EXIST. POOL FLOOR 12" DIA. H0LE SIDE VIEW DRAINAGE DETAIL ON MT. POOL PLOOR EXIST. POOL FLOOR FILLED W/ GLEAN GRAVEL 5/4" TO 117 AND PROTECTED W/MARAFI CLOTH /TYP PROM ABOVE VIEW V CI OS .�° PsNE MAR pit/ `N��. LICF• 91�P a : NO '1's•• c s> 11'-6" PIL 1 10V -2" PROPOSED SPA EXISTING POOL 91' -2" TO EQUIP .PAD POOR ALARM 1 z EXIST. ONE STORY STRUCTURE (GARAGE) 10.56' NEW 900 SF OP NEW TRENCH DRAIN FIELD & 490 9F OF RESERVE AREA NEW SEPTIC TANK EXIST. TYVO STORY G5S RESIDENCE 12.57' F.F.E. EXIST. WOOD SATE 7/d EXISTING 614" HISH CBS WALL 7/d 7/d 7/d /d dS 7/d w 7/d 7/d SITE PLAN SCALE 1" -20' 1- CODE REQUIREMENTS : PRIVATE SWIMMING POOL AND SPAS MUST COMPLY WITH CHAPTER 424 & R4101 FLORIDA BUILDING CODE 2001 2- MECHANICAL REQUIREMENTS : ALL PIPING EQUIPMENT AND MATERIALS USED IN THE PLUMBING SYSTEM OF SWIMMING POOLS AND SPAS THAT ARS BUILT IN PLACE SHALL CONFORM TO THE FLORIDA BUILDING CODE, PLUMBING 424.2.8 8 R4101.9 . ALL PIPING MATERIALS SHALL BE INSTALLED IN STRICT ACCORDANCE WITH THE MANUFACTURER'S INSTALLATION STANDARDS. 9 COMPLIANCE : ALL MATERIALS, PIPING, VALUES, EQUIPMENT OR APPLIANCES ENTERING INTO THE CONSTRUCTION OF SWIMMING POOLS -SPAS OR PORTIONS THEREOF SHALL BE OF A TYPE COMPLYING WITH THE GORE OR OF A TYPE RECOMMENDED AND APPROVED BY A NATIONALLY RECOGNIZED TESTING AGENCY OR CONFORMING TO OTHER RECOGNIZED STANDARDS ACCEPTABLE TO ADMINISTRATIVE AUTHORITY. 4• ENGINEERING DESIGN : DESIGN, CONSTRUCTION AND WORKMANSHIP SHALL BE IN COPORMITY WITH ANSUNSPI 9, 4, BAND 62009, PUBLISHED BY THE INTERNATIONAL AQUATICS FOUNDATION OR OTHER AGGEPTED ENGINEERING PRACTICES. 5• TESTING AND CERTIFICATION : ALL POOL AND SPA SUCTION INLETS SHALL SE PROVIDED WITH A COVER THAT HAS BEEN TESTED MD ACCEPTED BY A RECOGNIZED TESTING FACILITY AND COMPLY WITH ANS/ASME M 12.14.8M ° SUCTION FITTINGS FOR USE IN SWIMMING POOLS, SPAS, HOT TUBS AND WHIRPOOL BATHTUB APPLIANCES ". EXCEPTION : SURFACE SKIMMED. 6• SAFETY NOTE : DO NOT USE OR OPERATE POOL OR SPA IF THE SUCTION INLET FITTING IS BROKEN, MISSING OR LOOSE. 14 HATER VELOCITY PER ANSUAPSP -7 2006 34.4 WATER VELOCITY IN FIELD FABRICATED PIPING IS BASED ON THE MAX SYSTEM FLOW RATE. MAX WATER VELOCITY IN BRANCH PIPING (THE PIPING BETWEEN THE DRAINS) SHALL BE LIMITED TO 6 FEET PER SECOND /PPS WHEN ONE OF A PAIR IS BLOCKED. IN NORMAL OPERATION THEN, THE BRANCH SUCTION PIPING VELOCITY IS 5 FEET PER SECOND /FPS. ALL OTHER SUCTION PIPING VELOCITIES SHALL BE 6 PPS FOR PUBLIC POOLS OR 8 PPS FOR RESIDENTIAL POOLS. 6•MAX. SYSTEM PLOW RATE PER ANSWAPSP4 2006 *4.4.1 THE MAXIMUM SYSTEM FLOW RATS SHALL BE DETERMINED BY ONE OF THE FOLLOWING: - TON CALCULATION FOR THE CIRCULATION SYSTEM OF EACH PUMP, OR SIMPLIFIED TOM CALCULATION, OR - THE MAX FLOW CAPACITY (DETERMINE FROM PUMP FLOW CURVE) OF THE NEW OR REPLACEMENT PUMP ( WHICH MALL BE LIMITED BY THE CRITERIA OF ANSUPPSP -1 44.4 IMPORTANT NOTE: IF THE MAX PUMP PLOW RATE GREATER THAN DRAIN FLOW RATE OR 8 FPS SUCTION FLOW RATE OR 10 FPS DISCHARGE FLOW RATE, THEN THE 'WAX. FLOW FROM THE PUMP CURSE' OPTION HAS FAILED. IF 00, THE TOTAL DYNAMIC HEAD TP14 CALCULATION SHALL BE REQUIRED TO DETERMINE IF THE SYSTEM IS ACCEPTABLE. USING TOM, DETERMINE NEW MAX FLOW RATE FROM PUMP CURVE, IF IT IS GREATER THAN DRAIN PLOW RATE OR 6 FPS SUCTION FLOW RATE OR W PPS DISCHARGE PLOW RATE, THE SYSTEM IS NOT' ACCEPTABLE. - IF A VARIABLE SPEED PUMP IS USED, USE THS MAX PUMP FLOW IN CALCULATIONS • FOR SIDE DRAINS, USE APPROPRIATE SIDE WALL DRAIN PLOW AS PUBLISHED BY MANUFACTURER • IN•FLOOR SUCTION OUTLET COVER/GRATE MUST CONFIRM TO MOST REGENT EDITION OF ASME/ANSI A112.14.8 AND BE EMBOSSED WITH THAT EDITION • PUMP, FILTER & HEATER MAKS AND MODEL CANNOT CHANGED AND SQUIPMET LOCATION CANNOT BE MOVED CLOSER TO POOL WITHOUT SUBMITTING A REVISED PLAN AND 1D$ CALCULATION FOR APPROVAL - MIN. SYSTEM FLOW BASED ON MI. FLOW PER SKIMMER OP 95 GPM • SYSTEM FLOW RATE MUST NOT EXCEED APPROVED DOVER FLOW RATES • CENTER TO CENTER DISTANCE BETWEEN THE SUCTION PIPE OUTLETS SHALL SS 96 INCH MIN. • CHANNEL TYPE (WITH 2 OR 9 OUTLETS IN ONE PORT) SHALL OE AT LEAST 5" WIDE BY 91" LONG 9- PUMP : PER PBC 424.2.1.1 STRAINER. POOL CIRCULATING PUMPS SHALL BE EQUIPPED ON THE INLET SIDE WITH AN APPROVED TYPE HAIR AND LINT STRAINER WHEN USED WITH A PRESSURES FILTER. PER 424.2.1.2 INSTALLATION TO BE GOMPLETED IN ACCORDANCE MANUF'S REGOMMEDATIONS. PER 424.2.1.9 CAPACITY; PUMPS SHALL HAVE DESIGN CAPACITY AT THE FOLLOWING HEADS; 1) PRESSURE DIATOMACEOUS EARTH-A LEAST 60 FEET, 2) VACUUM D.E. 20 INCH VACUUM ON THE SUCTION SIDE AND 40 POET TOTAL HEAD , B) RAPID SAND - AT LEAST 45 FEET, 4)14I6H RATE -AT LEAST 60 FEET. PER 424.27.9 PUMP IMPELLED, SHAFT, WEAR RINGS AND OTHER WORKING PARTS SHALL BE CORRISION RESISTANT MATERIALS. 10- GLEANER FITTINGS : PERANSUNSPI -9 9.1212 THE VACUUM OR PRESSURE CLEANER FITTINGS) SHALL BE LOCATED IN AN ACCESSIBLE POSITION AT LEAST 6INGHES AND NOT GREATER THAN 18INCHEO BELOW THE MINUMUM OPERATING WATER LEVEL, OR AS AN ATTACHMENT TO THE SKIMMER.ALL. GLEANER SUCTION INLETS SMALL BO PROTECTED SPAN APPROVED, PERMANENTLY INSTALLED, SELF CLOSING FLAPPER ASSEMBLY. 11- VALVE : PER PBG 424.2.8.1 & R4101.8.1 VALVES SHALL BE MADE OF MATERIALS THAT ARE APPROVED IN THE FLORIDA BUILDING CODE, PLUMBING, VALVES LOCATED UNDER GONGROTE SLABS SHALL BE SET IN A PIT HAVING A LEAST DIMENSION OF FIVE PIPE DIAMETERS, MINIMUM 10 INCHES, FITTED WITH A SUITABLE COVER 11- WASTE WATER DISPOSAL : PER PBC 424.2,10 & R4101.10 DIRECT OR INDIRECT CONNECTIONS CANNOT BE MADE TO EXISTING FACILITIES WITHOUT THE PRIOR APPROVAL OF THE ADMINISTRATIVE AUTHORITY. 19- WATER SERVICE : PER PBC 4241.9 & 84101.9 BAGKFLOW PREVENTION DEVICE REQUIRED ON ALL POTABLE WATER SERVICE 14- TESTS : ALL POOL. PIPING SHALL BE INSPECTED AND APPROVED BEFORE COVER OR CONGEALMENT. IT SHALL BO TESTED ANDPROVED TIGHT UNDER A STATIC WATER OR AIR PRESSURE TEST OF NOT LESS THAN 55 PSI FOR 19 MINUTES. PER MANUFACTURER'S RECOMMENDATIONS, NO MR TEST SHALL BE APPROVED FOR PVC PIPE AND FITTINGS, SECTION 424.2,12.1 & R4101.12.2 PRESSURE TESTS. 15- WATER HEATING EQUIPMENT : SWIMMING POOL WATER HEATING EQUIPMENT SHALL CONFORM TO THE DESIGN CONSTRUCTION AND INSTALLATION REQUIREMENTS IN ACCORDANCE WITH ACCEPTED ENGINEERING PRACTICES AND SHALL BEAR THE LABEL OF A REGOGNIZEDTESTING AGENCY, AND SHALL INCLUDE A CONSIDERATION OF COMBUSTION MR VONTIN& AND GAS SUPPLY REQUIREMENTS FOR WATER HEATERS SEC. 424,2.14.18 R4101,14.1. IT MUST CONTAIN A THERMOSTATIC OR HIGH PRESSURE CONTROL SWITCH SO THE POOL WATER DOSS NOT EXCEED 104 DEGREES F. SEC. 424.214.4 & R4101.144 WATER HEATING EQUIPMENT SHALL B£ INSTALLED WITH FLANGES OR UNION CONNECTIONS ADJACENT TO THE HEATER WATER HEATING EQUIPMONTEINIMMING POOL WATER HEATING EQUIPMENT SHALL COMPLY WITH FOG 4121 ALL HEATERS MUST HAVE AN INTERNAL CHECK VALE. PER PBG 19412.101309.9.2 THE P001. AND SPA SHALL BE PROVIDED WITH A COVER TO REDUCE HEAT LOSS (IF REQUIRED EY THE CITY) 18- GAS F1PINb : GAS PIPING SHALL COMPLY WITH FOC, FUEL GM SSG, 4243.18 8 84101.19 11- ELECTRICAL : POOL LOCATION AND ELECTRICAL WIRING AND EQUIPMENT SHALL COMPLY WITH TWO NATIONAL ELECTRICAL GODS 2009, SPECIFICALLY SECTION 680. 18- LADDERS AND STEPS : PER FIX 424,2.18 & R4101.18 ALL POOLS SHALL 92 PROVIDED WITH A LADDERORSTEPS INTRO SHALLOW SNP WHORE WATER EXCEEDS 24 INCHES. WHERE WATER DEPTH EXCEEDS 9 FEET, THERE SHALL BS LADDERS, STAIRS OR UNDERWATER BENCHES /SWIOMOUTS IN THO DEEP END. 19- FILTERS PER MC. 424.2.20 & R4101.20 THE ENTIRE 5201614 OF MATCHED COMPONENTS SHALL NAVO SUPPIGENT CAPACITY TO PROVIDE A COMPLETE TURNOVER OF POOL WATER 114 12 HOURS OR LESS. 20• POOL PITTINGS : PER PBG 424,221 & R4101.21 P001. FITTINGS SHALL-31E 01' AN APPROVED TYPE AND DESIGN AS TO BE APPROPRIATE FOR 7148 SPECIFIC APPLICATION. PER FOG 424219.2 JOINTS AND G CONNECTIONS, PBC PLUMBING SEC. 609.21, PURPLE PRIMER REQUIRED ON PVC PIPING 21- SKIMMERS PER FOG 4243212 & R4101.21.4 SKIMMED SHALL 90 INSTALLED ON THE BASIS OF ONO PER 800 SP 01' SURFACE AREA OR FRACTION THEREOF. 22- HYDROSTATIC RELIEF DEVICE : PER FOG 424921.4 & R410121.4114 AREAS OF ANTICIPATED WATER TABLE, AN APPROVED HYDROSTATIC RELIEF DEVICE SHALL 135 INSTALLED. EXCEPTION IS PLASTIC 111ER POOLS. 29- CONCRETE( STEEL: CONCRETE IS TO BE A MIX DESIGNED IN ACCORDANCE P41114 A0TM G-44 BY A RECOGNIZED TESTING LABORATORY TO ACHIEVE A STRENGTH OF 9000 PSI, AT 28 DAYS (UNLESS OTHERWISE NOTED) WITH A PLASTIC AND WORKABLE MIX PNEUMATICALLY APPLIED CONCRETE AND/OR SMOTGRETE SHALL BS PLACED IN ACCORDANCE WITH ACI 804.2R-04 AND AC1906244, REBPSGTIVELY. ALL OTHER CONCRETE SHALL BS PLACED IN ACCORDANCE WITH Al G 9048.04. A CERTIFICATE OF MANUFACTURER'S MIX ANC STRENGTH IS TO BE PROVIDED. NO WATER IS TO BE ADDED AFTER TRUCK LEAVES PLANT WITHOUT APPROVAL OF ENGINEER PLANT CONTROL IS REQUIRED. MAXIMUM MIX TIME AT POINT OF DEPOSIT IS 90 MINUTES. CONCRETE WORK SHALL BS AS PER REQUIREMENTS AND RECOMMENDATIONS OF AGI 901 -04. REINFORCING, DEFORMED STEEL BAD SHALL BO A613 GRADE 60 (UNLE80 OTHERWISE NOTES), FRES FROM OIL, LOOSE SCALE AND LOOSE RUST. REINFORCING, DEFORMED STOOL BARS SHAW. BE BENT, LAPPED, PLACED, SUPPORTED AND FASTENED ACCORDING TO TH5 MANUAL. OF STANDARD PRACTICE FOR DETAILING CONCRETE STRUCTURES (ACI 513-04) AND THE BUILDING CODE REQUIREMENTS FOR REINFORCING CONCRETE (AGI 918-04). IN CASE OF CONFLICT, TH5 MORE CONSERVATIVE VALUES) SHALL BE USED. 24- SOIL STATEMENT : 114 ACCORDANCE METH FBC SECTION 1818, HVHZ BEARING CAPACITY OF SOIL ; BASSO UPON RATIONAL ANALYSIS AND KNOWN VALUES IN THE VICINITY, 1145 IN -PLACE BEARING CAPACITY OF 1145 SOIL BENEATH 1145 POOL AND RELATED STRUCTURES SHOWN WITHIN THESE PLANS 132000 PSP AFTER EXCAVATION AND COMPACTION IN ACCORDANCE WITH CURRENT EDITION OF PSC. SHOULD ANY MUCK, MARL. OR OTHER ORGANIC SOILS BE DISGOYERSD 014 EXCAVATION, THEY SHOULD BE REMOVED 114 THEIR ENTIRETY. ALL CONSTRUCTION SHALL 310P AND THE ENGINEER OF RECORD SHALL. BE CONTACTED TO CONDUCT AN INSPECTION, STRUCTURAL ELEMENTS ARE DESIGNED 104111.1A REQUIRED SOARING CAPACITY OF 2000 PSI", UNLESS OTHERWISE SPECIFIED. GENERAL NOTE S 25- POOL STAKING : THIS DESIGN ENGINEER ASSUM53 NO RESPONSIBILITY FOR POOL CONSTRUCTION IN EASEMENT OR REQUIRED SETBACKS AREAS. PLOT PLANS NOT PREPARED FROM LEGAL SURVEYS OF THE EXISTING LOT AND RESIDENCE ARE SO INDICATED. THE POOL CONTRACTOR SHALL VERIFY ALL DIMENSIONS IN 114E FIELD AND ESTABLISH LOT LINES & LOCATION OF UTILITIES AT THE SITS AND CONTACT THE N.G.E. IP DIFFERENT THAN INDICATED ON PLAN. MINIMUM GLEARENGE DIMENSIONS SHALL BE HELD AS REQUIRED BY THE LOCAL REGULATORY AGENCY. 26- EXISTING STRUCTURES : 1148 POOL CONTRACTOR SHALL ALWAYS TAKE ALL PRECAUTIONS TO PROTECT EXI01116 STRUCTURES FROM PMLURE BY SHEETING AND /OR SHORING OR OTHER MSTH000. THE DESIGN ONGINEERAGGEPTS NO RESPONSIBILITY FOR THE SAFETY OF EXISTING STRUCTURES. 114 CASE OF FOOTINGS UNDERMINING, CONTRACTOR SHALL POUR CONCRETE BETWEEN POOL AND FOOTING. TOP OF CONCRETE SHALL BE BOTTOM OF FOOTING, WIDTH OF POURED CONCRETE SMALL BE FOOTING WIDTH AT A MINUMUM 27- PIPING : PIPING SHALL BE 0014.40 BEARING NSF APPROVAL PER FEZ 2007 R4101. PIPING GAN BE OF NEEDED) ENCASED IN THE CONCRETE OF THE POOL SHELL. 28- CONCRETE SLABS : ALL POOL EQUIPMENT SLABS SHALL COMPLY WITH SECTION 1020.30F FBC 2001 29- I-IANDHOLD ANSI- NSPI -S ARTICLE XV SECTION 1819. A SECURED ROPE OR CERAMIC HANDHOLDS MUST BS PLACED AT OR NO MORE THAN 12° ABOVE THE NORMAL WATERLINE OF 1148 P001. 90- POWER LINE : OVERHEAD ELECTRIC LINES MUST BE LOCATED 10 FEET AND UNDERGROUND EL.EGTRIG LINES MUST BE LOCATED 9 FEET FROM POOL WATER EDGE. 91- SAGKPILL & COMPACTION BAGKFILL CONSTRUCTION AREAS TO PROPER ELEVATION, IF NEEDED USING CLEAN GRANULAR MATERW. FRES OP ORGANICS AND OTHER DELETERIOUS MATERIALS AND PLACED 114 LIFTS 1401 TO EXCEED 12 INCHES IN 714101614121361 AND COMPACTED TO 99% OF 114E A0161 D -1951 MODIFIED PROCTOR METHOD. BACKFILLING SHALL COMMENCE ONLY FOLLOWING REMOVAL FROM EXCAVATION OF ALL FORMS, WOOD, DEBRIS, AND OTHER DELETERIOUS MATERIALS. COMPACTION SHALL BE WITH EQUIPMENT SUITED TO SOIL BEING COMPACTED. MOISTEN OR AERATE MATERIAL AS NECESSARY TO PROVIDE MOISTURE CONTENT COMPACT EACH LAYER TO NOT LE00 THAN PERCENTAGE OF THAT WHICH WILL READILY FACILITATE OBTAINING SPECIPIED COMPACTION WITH EQUIPMENT USED. ENSURE THAT THE COMPACTION OF PREVIOUSLY PREPARED FILL AREAS HAS BEEN MAINTAINED PRIOR TO PLACING NEW LAYERS. AFTER INSTALLATION OF ANY PLUMBING AND ELECTRICAL PIPING DISTURBED AREAS SHALL 85 REGOMPAGTED. 92. ENTRAPMENT TESTING AND CERTIFICATION : ALL POOL AND SPA SUCTION INLETS SHALL BE PROVIDED WITH A DOVER THAT HAS BESN TESTED AND ACCEPTED BY A RECOGNIZED TESTING FACILITY AND COMPLY WITH ANStASME 0112.19.8 "0UGTIONPITTINGO FOR US5114 SWIMMING P0014, SPAS, 1401 TUBS AND WHIRLP001 BATHTUB APPLIANCES." EXCEPTION : SURFACE SKIMMED. 95- WARNING : TO EMPTY POOL AFTER CONSTRUCTION, FOR REPAIRS OR ANY OTHER REASON, THE HYDROSTATIC. UPLIFT PRO0SU800 BENEATH 1145 POOL MUST BE ELIMINATED TO PREVENT THE P001. FROM FLOATING UPWARD. THE 01/415R MUST CONSULT A POOL CONTRACTOR OR POOL REPAIR CONTRACTOR EXPERIENCED IN ELIMINATING UPLIFT PRESSURES. 94- NOTE 1 11410 PLAN IS NOT TRANSFERABLE PROM ONE CONTRACTOR TO ANOTHER 05- NOTE 2 : UNLESS OTHERWISE SPECIFIED, ALL DETAILS SHOWN ARE NOT TO SCALS. 98- NOTE 3 : POOL WALL SHALL. BE REINFORCED WITH 41906" 0.0..5.4. WHERE LESS THAN 9 FEET FROM ANY EXISTING STRUCTURE OR PATIO (SEE 61455111G & SHORING DETAIL) 31- NOTE 4: POOL AND DECK ELEVATION SHALL BE LOWER THAN FINISH FLOOR ELEVATION OF THE HOUSE 32- NOTE 5 : THERE 10 ALWAYS THE POSSIBILITY THAT CONDITIONS 114 THE FIELD MAY 55 DIFFERENT FROM THOSE INDICATED IN AN ENGINEERING PERMIT DRAWINGS; THEREFORE, IF DIFFERENT CONDITIONS ARE ENCOUNTERED BOFORS OR DURING CONSTRUCTION, THE ENGINEER OF RECORD SHALL BO NOTIFIED TO REVIEW THE FINDINGS AND MAKE RECOMMENDATIONS AS NEEDED. 39- NOTE 6 : STRUCTURAL ENGINEER MUST CERTIFY OR DESIGN REPLACEMENT ANCHOR AND MADMAN SYSTEM FOR SEAWALL WITH IN 19 FEET OF POOLSEAWALL ANCHOR SYSTEM INSTALLATION MUST BS COMPLETE PRIOR TO START OP POOL CONSTRUCTION. 40- NOTE 7 : 140 DIVING BOARD AND NO DIVING 10 ALLOW ON ANY POOL 1.535 THAN 8 FEST DEEP AND SPEGIFIALLY DESIGN FOR DIVING 41- BONDING CONTINUOUS SINGLO 418 AWG BARE COPPER WIRE SHALL BE BURIED TO A MIN. 4" TO 6" BELOW SU86RADE, 18" TO 24" FROM INSIDE 114E WALL OF SWIMMING POOL- SPA AROUND 1145 SWIMMING POOL -SPA PERIMETER, AND SHALL 55 CONNECTED TO 1145 P001. STEEL REINFORCEMENT AT A MIN. 4 DIFFERENT LOCATIONS, EQUALLY SPACED. 42- NOTE 8 : IT IS THE CONTRACTOR RESPONSIBILITY TO PROVIDE 1345 ENGINEER WITH AN ACCURATE SURVEY AND DRAWINGS THAT REPRESENTS THE EXISTING FIELD GONDITIONO, I.E. ADDITIONS, TREES, AG PADS, WAL.KWAY0, ETC. ADDITIONAL NOTES FOR SPA ADDITIONS BEFORE STARTING CONSTRUCTION OF TH5 SPA ADDITION, A VISUAL INSPECTION SHALL BE CONDUCTED BY THE CONTRACTOR TO VERIFY THE STRUCTURAL CONDITION OF 1145 EXISTING SWIMMING POOL THE CONTRACTOR SHALL VERIPY THAT THERE ARE NO SIGNS OF DISTRESS, CRACKING OR DETERIORATION, AND THAT THE SWIMMING POOL 13 OPERATIONAL AND FUNCTIONAL, THE CONTRACTOR SHALL INFORM THE ENGINEER OF RECORD OF ANY CIRCUMSTANCES THAT MIGHT COMPROMISE THE STRUCTURAL STABILITY OP THE BASTING STRUCTURES AND THE PROPOSED SPA IN ORDER FOR THE ENGINEER TO ADJUST THE DESIGN AS NECESSARY, I.e., THE PRESENCE OF DOW FOUNDATIONS IN THE EXISTING HOUSE OR SWIMMING P001. (PILES, STD.), RETAINING WALL, ORGANIC SOIL, LOOSE SOIL. DELETERIOUS MATERIALS, 510.. IT IS THS CONTRACTORS RESPONSIBILITY TO VERIFY THAT THE SOIL 10 FREE OR ORGANICS, MOOTS THE SPECIFIED COMPACTION OF 98% OF 114E AS.T.M, D -1071 MODIFIED PROCTOR METHOD AND 145E73 SOIL BEARING CAPACITY OF 2,000 PEP. - SAVE MIN. OF 16" OF EXISTING POOL WALL REINFORCEMENT FOR LAP SPLICING TO NEW SPA WALL REINFORCEMENT -- SEE GENERAL NOTES 431 FOR COMPACTION o�o _ yN '1 �M.gl K BB /'`lllOMEET5 OF5 "0 ,. ��` :2 � o 7. ®o ®OA .7* I ' VIA �: +•RX I(1 NNETT �0 ®q® �¢t�� 16 RAL HIGHWAY DEERFIELD SCH., FL., 33441 11- 3-2010 Ed 046 LOT i2„ 1tON rQ WAN I .01 -44} aaat rd S Cateat I 11'-b - - -ter• rv,.; ,.b::n WAVE I. I 11, PROPOSED : 4115' SPA 1p :QQB hla 1d . t�+ rinrionall •: .. OW6 bRt V$ VTFu 1 i 1Z f +r • • • a • e '.i►"` ;10- �• f fib fsrt. . S i'e .