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BPP-11-245Ike Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 inspection Number: INSP - 161391 Permit Number: BPP -2 -11 -245 Inspection Date: September 14, 2011 Inspector: Dacquisto, David Owner: CUMING, RICHARD Job Address: 436 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NOBEL CONSTRUCTION Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Survey Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060140340 Phone: (786)337 -0665 Building Department Comments POOL, SPA AND PAVER FOR POOL DECK Failed %/ 131 y Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 161116. Deck does not match approved plans. Provide revision approved by HRS /DOH � 6/ :S C?; c. L r' 4„`j 4. s; d. if°/- For Inspections please call: (305)762 -4949 September 14, 2011 Page 1 of 1 BP H- 293 Miami Shores Village APPROVED BY D ATE ZONING DEPT Imp EIRE .3LDG DEPT C1 1() COMM 1ANCE WITH ALL FEDERAL .11A11 AND Cut iN I Y 1 il ES AND RFGULAT1ONS LOT 18 FRO 312' 1P NO 10 BOUNDARY SURVEY LOT 17 15' ALLEY 50.0' LOT 16 SELF - CLOSING /SELF - LOCKING GATE LEGEND. FND - FOUND CM - CONCRETE MONUMENT IR • IRON ROD 1P - IRON PIPE R/W - RIGHT OF WAY P0B - POINT OF BEGINNING POC • POINT OF COMMENCE/ENT PC - POINT OF CURVE POC - POINT ON A CURVE ■— CHAIN LINK FENCE -/— • WOW FENCE PB - PLAT BOOK P PAGE N • MEASURED D - DEED R - RADIUS A ARC !1 - CENTRAL ANGLE C - CHORD X —XX- ELEVATION --I--1- NON- VEHICULAR ACCESS LINE - CONCRETE •U• • OVERHEAD LIRE - PAVERS MIIMMOMM -TILE O •• NARImLE SO) -TREE FM 1/2' IP NO 10 15.15' 17.35° 6 / w 13.7' I: ■® • 1 • • • 11 • • ■ .__. 1 ■ ■ ■ I lV POOL 14.7' 0• fJ i • n • • 1 • • • • I• IR -- - - -..- ■■ SINIMMUMOMMEIMMIMMUMMIW NIMMAXSARmAgESIMMEMMW ••u•u•uu••uu••ii iilIMMU RiY)I M IMMIMMINEWOM IIIMMMOMMIMMI MMIMMOMUMEM MMEMMeeriii •......••••I AIIMMMENMEINN 13.0' n 5.0 N 15.0' 13. 3' 2 STOW FOES • *36 COS 15.5' 5.1 c 50.0' 17.0 A/C 9.6' Imat 22.3' 5.0' SWY FND 1/2' IP NO 10 6' W000 FENCE(TYP) 1, SELF- CLOSING /SELF - LOCKING GATE ID • A iV LOT 9 FND 1/2' IP NO 10 ID ASPHALT --- - - - - -- - - -- NE 94 STREET ---- ----------- 75.0' TOTAL R/W SKETCH OF SURVEY SCALE. 1' - 20' GENERAL NOTES• I) BASIS OF BEARING. AS PER PLAT 2) ELEVATIONS SHOWN HEREON ARE RELATIVE TO NATIONAL GEODETIC VERTICAL OATTRHN.G.V.0.) 3) LOCATION AND IDENTIFICATION OF UTILITIES ON AND/OR ADJACENT TO THE PROPERTY WERE NOT SECURE AS SUCH INfORNATION VAS NOT FEOUESTED. 4) NOT VALIO WITHOUT THE SIGNATURE AND Ti IF ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 5) THIS SURVEY IS NOT INTENDED FOR CONSTRUCTION PURPOSES 8) ENCROACHMENTS AND VIOLATIONS ON SLRVEY(1F ANY). LEGAL DESCRIPTION OT 8 IN BLOCK 51 OF MIAMI SHORES SECTION 2. ACCORDING TO THE PLAT THEROF AS RECORDED IN PLAT BOOK 10 AT PAGE 37 OF THE PUBLIC ECORDS OF MIAMI-DADE COUNTY. FLORIDA. CERTIFICATION OF BOUNDRY SURVEY. I HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE AND BELIEF. THIS STANDARDS 'S SE LAND CODE TO -THE BEST OF MY KNOWLEDGE Y MEETS THE MINIMUM TECHNICAL H:BY THE BOARD OF PROFESSIONAL 'TER 61017 -6 FLORIDA ADMINISTRATIVE N 472.027. FLORIDA STATUTES. JULIO PROFES' LAND SURVEY.OER LICENSE NO. PSM 5789 STATE OF FLORIDA ch, J.S.P. SURVEYORS. INC. LAND SURVEYORS LB • 6971 7805 CORAL WAY. SUITE 116A MIAMI. FLORIDA 33155 RHONE. ( 786) 236 8344 SECTION: 33-56-39 1 COUNTY: MIAMI - DADE CERTIFIED TO: JOHN LALLY 436 NE 94 STREET. MIAM] SHORES FL 33138 DATE: 9/7/ I 1 1 REF: 11-09-02 .1130A:1g 9.r..2G119: .. AM LINDRO:OL 1 1 130' Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #e 11 -A4 DATE: �J ' al I, fc'C,C)fc__10 Contractor ❑ Owner ❑ Arc i-A(a/ PIS ieNrx9k) 43e9 1\\, 61 . a orAAC 0' tE%r�C� ' '� nQ, 61 0 From the building department on this date in order to have corrections done to plans And /or get County stamps. I u Shores Village Building Acknowledged at the , s need to be brought back to Miami ermitting process. PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 161116 Permit Number: BPP -2 -11 -245 I Inspection Date: January 01, 2999 Inspector: Dacquisto, David Owner: CUMING, RICHARD Job Address: 436 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NOBEL CONSTRUCTION Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Survey Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060140340 Phone: (786)337 -0665 Building Department Comments POOL, SPA AND PAVER FOR POOL DECK Passed Failed /ii/tf Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments For Inspections please call: (305)762-4949 June 20, 2011 Page 1 of 1 20 A 0 10 20 GRAPHIC SCALE On Feet) 1 inch = 20 ft. 285.00' 44 WI "Iti d'' W' ZI StRWFCT TO COMPLIANCE WITH ALL FEDERAL STA ANI) CO( INTY MILES AND REGULATIONS N.E. 94th STREET RJW •`(IMPROVED) FOUND 1/2 =Th /RONPIPE JUN 2 0 2011 1. LEGAL DESCRIPTION PROVIDE BY CLIENT 2. NO SEARCH OF THE PUBLIC RECORD FOR THE PURPOSE OF ABSTRACTING TITLE WAS PERFORMED BY THIS OFFICE 3. NO SUBSURFACE IMPROVEMENTS WERE LOCATED AS PART OF THIS SURVEY 4. ALL ANGLES AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED LF S ! RWISE NOTED COti� =r FOUND 1/2" /RONPIPE 1.5' ( LOT 8 BLOCK 51 >n HU 0O CNI Pfl FOUND 1/2" /RONP /PE o, 15.5' co 75' 22.3' COVERED ENTRY PULPING #46 FINISH FLOOR - ELEVATION = 9.82 15.0' 13.2' A+s ` III PAVERS 9.6' avikriarta log 044 NO- :. I POOL 0 17.9' 11.7 - 15.0' .00h cr FOUND 1/2" ° r IRONP /PE LOT 16 BLOCK 51 LOT 17 BLOCK 51 LOT 18 BLOCK 51 LOCAT /ONMAP Norrosrare LLG4L DISCl/1T/ON•• LOT 8, BLOCK51, MIAMI SHORES SECTION2, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 10, PAGE 37, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA TARGET JOB NO. 155075 FIELD WORK 11 -13 -2009 FLOOD ZONE: X C O M M U N I T Y NUMBER: 1 20652 PANEL: 0302 SUFFIX L 4 efl/V/Ar/ONDffcc /P77OM NC AIR CONDITIONER I.D. LB N.A.V.D. OHL P-K PSM RNV CENTERLINE IDENTIFICATION LICENSED BUSINESS NORTH AMERICAN VERTICAL DATUM NATIONAL GEODETIC VERTICAL DATUM OVERHEAD UTILITIES PARKER KYLON NAIL PROFESSIONAL SURVEYOR MAPPER RIGHT OF WAY Clyde 0. McNeal PSM #2883 THIS SURVEY IS NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OFA FLORIDA LICENSED SURVEYOR AND MAPPER Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. f3PPa I 1(-) J Master Permit No. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle) Owner's Name (Fee Simple Titleholder) ci Ir1 tok t l l Phone # Owner's Address City �,- IO t2-Q State Ft- Zip '3� 1 Tenant/Lessee Name Phone # Job Address (where the work is being done) " ► W Oa 014 S City Miami Shores Village County Miami -Dade Zip 1 Is Building Historically Designated YES NO JUL 1 8 2011 Electrical Plumbing Mechanical Roofing Contractor's Company Name (,`, R��;'»��i °,� ^. ��;��; Phone # e� ` Contractor's ,ddress V1/4-\117,--)7---:, '.a;, % \. ��\ < %\ City °er, ;2io� ° >\, 'State ` ,_ Qualifier a sV� \. e ��4,-c,: .(\ State Certificate or Registration No. E L��'� Zip \ Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: Desc Square Footage Of Work: tion lalew ❑ Repair/Replace ❑ Demolition iq * ***** *** * * * ** * * * * * * * *** **** Fees * * * * * * ** * * *** *** *** * * * ** * ** *ar* Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ CCF $ CO /CC. Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Total Fee Now Due $ Structural Plan Review. $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be deliveredto the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be-posted a(tlie 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 A ent The fore ing instrument was acknowledged before me this S day of i 20 I, by 6 h I who is personally known to me or who has produced As identification and who did take an oath. Signature Contractor The forego' _ ' £trument was acknowledged before me this day of , 20 (, by \L\ \—!'.. '�� '6) k\ ' ,CO who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUB Sign: Print: My Co ***************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: cnc 05/13/03 *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner' Engineer Zoning CO 7 4/7 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 -7 -11 -1245 Issue Date: Not Issued Folio Number:1132050240140 Owner's Name: JACQUELINE BUTLER Job Address: 1461 102 Street Miami Shores, FL 33138 -2621 Owner's Phone: Total Square Feet: 350 Total Job Valuation: $ 42,000.00 Contractor(s) BLUE WATER POOLS OF SOUTH FLORIDA Phone (305)634 -0958 Primary Contractor Yes 1 Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 7/19/2011: Yes Comments: SURVEY DOES NOT MATCH HOUSE FOOTPRINT ON SITE PLAN SUBMITTED AND CLEARLY IDENTIFY THE AREA OF NEW DECK AND ADD TO PERMIT 11 -19 -11 NEW PLAN OK Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i�- 245 Inspection Number: INSP - 156001 Permit Number: PL -2 -11 -248 Scheduled Inspection Date: May 18, 2011 Inspector: Hernandez, Rafael Owner: CUMING, RICHARD Job Address: 436 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NOVO & SONS, INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132060140340 Phone: (305)444 -7177 Building Department Comments POOL AND SPA PIPING Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments May 17, 2011 For Inspections please call: (305)762 -4949 Page 6of27 1 1 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 - 1x-248 Plumbing ,. Residential' Parcel Number Applicant 436 NE 94 Street Miami Shores, FL 33138- 1132060140340 Block: Lot: RICHARD CUMING Owner information Address Phone Cell RICHARD CUMING 436 NE 94 Street MIAMI SHORES FL 33138 -2846 Contractor(s) NOVO & SONS, INC Phone Celt Phone (305)4447177 (305)303 -1811 Valuation: Total Sq Feet: $ 1,200.00 440 Type of Work: POOL AND SPA PIPING Type of Piping: Additional Info: Bond Retum : Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.20 $3.37 $3.37 $0.40 $225.00 $3.00 $1.60 $237.94 Pay Date Pay Type Invoice # PL -2 -11 -40078 02/15/2011 Cash 03/28/2011 Check #: 132 Amt Paid Amt Due $ 50.00 $ 187.94 $ 187.94 $ 0.00 Available Inspections: Inspection Type: Main Drain Final Rough 1 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. March 28, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy' March 28, 2011 1 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 No. 1)1_,k PERMIT APPLICATION Master Permit No. FEB 1 5 2011 FBC 20 Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder) :'`P.2) 1 C.h 00l 1 Phone #: Address: > CO k ( C S-1- City: A i A 1 State: �L Zip: ` 3 t 3 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: `C" CO vl y-- J 1 City: Miami Shores County: Miami Dade Zip: -3-J 1 32 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Cl V 0 S Phone #:3 0 S' '+2 4J1 1 -7 Address: "f ,-1--)(c) sou -S 1 City: k-A- i f i 1--- State: Zip: 33 1 u T Qualifier Name: 1°, ® b- P-1-- 0 /J o IAD(e)"!.1?) Phone #: State Certification or Registration #: f— C . 42 ._ 7 Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ .9—O 0 • Square/Linear Footage of Work: 4.4 L Type of Work: ❑Address ❑Alteration PiNew ❑Repair/Replace ❑Demolition Description �wr �� ; ?trg * *** * *** x*****+x***************** **** ** Fees***m+ u****** ******** *** *****,xx:********* **x *** Submittal Fee $ �V� Permit Fee $ 2 �� — 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 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 fore ng instrument was acknowledged before me this 1 day of @ J` , 20 i 1 , by C hf1 (z c-5 6t'i 0'11 f�l who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commiss GLADYS BORGES . ,.� is • MY COMMISSION # EE 048167 ki EXPIRES: December 17, 2014 RP °� Bonded Thru Notary Public Underwriters '• , 1� Signature Aae ' _ Contractor The foregoing instrument was acknowledged before me this day of 61,01 ° , 20 1_t, by Aobee---roitAAN who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: c ltd d My Co GLADYS BORGES ire ('rt; M' s M ., t COMMISSION # EE 048167 EXPIRES: December 17, 2014 %, gt4l' Bonded Thru Notary Public Underwriters * * * * * * * * * * *.z.,,* *** * * * * * * * * * * ** *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** APPROVED BY Y "� plans Examiner (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Structural Review ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Clerk 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 164603 Scheduled Inspection Date: September 21, 2011 Inspector: Bruhn, Norman Owner: CUMING, RICHARD Job Address: 436 NE 94 Street Miami Shores, FL 33138- Permit Number: BPP -2 -11 -245 Project: <NONE> Contractor: NOBEL CONSTRUCTION Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060140340 Phone: (786)337 -0665 Building Department Comments POOL, SPA AND PAVER FOR POOL DECK Passe L4).Z0 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- 155992. cc- September 20, 2011 For Inspections please call: (305)762 -4949 Page34of34 1 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Expiration: 09/21/2011 Applicant 436 NE 94 Street Miami Shores, FL 33138- 1132060140340 Block: Lot: RICHARD CUMING Owner Information Address Phone CeII RICHARD CUMING 436 NE 94 Street MIAMI SHORES FL 33138 -2846 Contractor(s) NOBEL CONSTRUCTION Phone Cell Phone (786)337 -0665 Valuation: Total Sq Feet: $ 29,500.00 440 Approved: Yes Comments: THE POOL MEETS THE MINIMUM STANDARD FOR PLANNING, PLEASE NOTE THE POOL IS VE Date Approved: 2/23 /2011: Yes Date Denied: Type of Work: Swimming Pool Additional Info: POOL AND SPA Classification: Residential Occupancy: Private Bond Return : Scanning: 6 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Plan Review Fee (Engineer) Scanning Fee Technology Fee Total: Amount $18.00 $13.28 $13.28 $6.00 $885.00 $120.00 $18.00 $24.00 $1,097.56 Pay Date Pay Type Invoice # BPP -2 -11 -40075 02/15/2011 Cash 03/28/2011 Check #: 132 Amt Paid Amt Due $ 50.00 $ 1,047.56 $ 1,047.56 $ 0.00 Available Inspections: Inspection Type: Fence Final Pool Deck Wall Steel In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. March 28, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date March 28, 2011 1 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. 9 �T-) TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADS THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following Information is provided in this Notice of Commencement. 1. Legal description of property and street/address: 111111 11111 111111111111111111111111111111111 CFN 2011R0193407 OR Pk 27630 Ps 1916; [ins) RECORDED i 13/25 /fit t11 15:0:42 HARVEY RUVIWr CLERK OF COURT MIAMI -CDAC'E COUNTY? FLORIDA LAST PAGE 2. Description of improvement: 1.k* ) a %itc rl Interest In property: QCC 11 60, Narne and address of fee simple titleholder: c©‘ f SPA OccA 4. Contract • 's name and add 5. Surety: (Payment bond required by Name and address: Amount of bond $ 6. Lender's name and address: nor from contractor, if any) SiVE OP 'HEREBY CERTIFY grad this /mime irme of Ms original ltd in this a 7. Persons within the state of Florida designated by @' provided by Section 713.13(1)(a)7., Florida Statutes, 49Y Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713,13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a diffe * =t; is specified) Signs << e of Owner l Print Owner's Name) CtY.a C Prepared by 454% kEgtat‘ Sworn to and subscribed before me this, day of , 29 Add : RS% (11430 a c■ 33c26 Notary Public Print Notary's My commissio 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 OWNER: Name (Fee Simple Titleholder): 1 ) Address: A-5 v F City: n„--1 i A m I ' h O (LQ S Lai (L4 TT 171 ht FEB 1 5 2011 BSS: Permit No$ FP 1 °" i5 Master Permit No. C ap_Ono m 1 n9 Phone #: State: -- Zip: j 5 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: -)3 13 g Folio/Parcel #: 4-bU PE (4-Sz Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name. COZI Address: City: \")\\ //., ` (` Qualifier Name: Lt,ac. \S ' CPA State: Phone #: 1p 31-1— G (d Zip: `3311 "( Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: 1(•'1)G C)(1, Gs Email Address: 1)°G-Vi501 « 000\ DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ . ✓o Type of Work: ❑Address ❑Alteration Description of Work: Square/Linear Footage of Work: 440 New ❑Repair/Replace ❑Demolition See PA 0 e.s COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: * * * * * * * * * * * * * * * * ** ** * * * * * * *x * * * ** *** ** Fees*** ** * * * * * ** * * * * * * * * * * * * * * * * * * * * ** * * * * * ** Submittal Fee °' Permit Fee $ �J 1p0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ cG f G� � " `mod "`° 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 occurs seven (7) days afier 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 ?tgent The foregoing instrument was acknowledged before me this (5 The foregoin ins rument was acknowledged before me this day of �Q , 20 l �, by C-� 1 A-fL -D gr. 1 6'19 day of , 201 ` , by l..tNO�SIAs c� ,t�9,V\ , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Signature Contractor Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * ** ,,„ " " GLADYS BORGES '�c1''�r U *: MY COMMISSION # EE 046167 EXPIRES: December 17, 2014 3/07 Bonded Thru Notary Public Underwriters APPROVED BY 40;'F-e. (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10) NOTARY PUBLIC: Sign: Print: G 1 Eby .. My Commission Ex ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Structural Review poi *• 1 i X.1.4 417 . GLADYS BORGES *_ MY COMMISSION # EE 048167 EXPIRES: December 17, 2014 Bonded Thru Notary Public Underwriters „272-3/, Zoning Clerk attain" mores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 1/ — 2 - ',' Job Name a 14 6- Date '3/t/0/ STRUCTURAL CRITIQUE SHEET 61 _5'L 415 (iff• �'S L4 11 Permit No: 11 -245 Job Name: March 21, 2011 Miami Shores Village Building Department Building Critique Sheet 2nd 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) Corrections for plumbing and structural must be completed. 2) Provide details of self closing self latching for rolling gate. This gate must meet the pool safety act. . • . e anu ac urer - -. • - 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 rersed sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 Permit No: 11 -245 Job Name: March 3, 2011 Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 �J Plans must be approved by HRS for the septic system. .�) Corrections for plumbing and structural must be completed. 3) The plans show an existing fence but there is non. Provide aseparate permit for fence and show on plans proposed. 4) Provide the proposed alarm manufacturer specifications. Plan review is not complete, when all items above are corrected, we will doa 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 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. B P P -2 -11 -245 Addition /Alteration Expires:NOt Issued Folio Number:1132060140340 Owner's Name: RICHARD CUMING Job Address: 436 94 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 440 Total Job Valuation: $ 29,500.00 Contractor(s) NOBEL CONSTRUCTION Phone (786)337 -0665 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 2/23/2011: Yes Comments: THE POOL MEETS THE MINIMUM STANDARD FOR PLANNING, PLEASE NOTE THE POOL IS VERY CLOSE TO THE SEPTIC SYSTEM AND MAY BE AN ISSUE FOR DERM Miami Shores Village Building Department et 10050 N.E.2nd Avenue Miami Shores, Floiida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. /2L fl" 2 ` a Job Name PLUMBING CRITIQUE SHEET 1r- 11 leiee PERMIT #: (PI 1 —2 Miami Shores Village Building Department RECEIPT DATE: 1 L ff(DJ et_ ( ADoz- (d_o- .Contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 J-t yz A .4A-__ Address: 4`— S 1 From the building department on this date in order to have corrections done to plans And /or get County stamps. I underst Shores Village Building Departme Acknowledged by: d Y`IP IP •� PERMIT CLERK INITIAL: that the plans need to be brought back to Miami continue permitting process. RESUBMITTED DATE: 20 PERMIT CLERK INITIAL: ware OF FLORMA AC# 44' DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 067910 08/07/09 090039088 QUALIFIED BUSINESS ORGANIZATION NOBEL CONSTRUCTION INC (NOT A LICENSE TO PERFORM WORK. ALLOWS COMPANY TO DO BUSINESS IF IT SAS A LICENSED QUALIFIER•. ) IS tRTALIFIED udder the provisions of Ch.489 as Expiration dates AUG 31, 2011 L09080700229 • MIAMI DADE COUNTY \ TAX COLLECTOR 140 W. FLAGLER ST. lst FLOOR MIAIfAI, FL 33130 605638 -6 BUSINESS NAME / LOCATION NOBEL CONSTRUCTION INC 11455 W FLAGLER ST 33174 UNIN DADE COUNTY 2010 LOCAL BUSINESS TAX RECEIPT A411 MIAMI -DADE COUNTY - STATE OF FLORID . EXPIRES SEPT. 30, 2011. - MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A ART. -9 8110 THIS IS NOT A BILL — DO NOT PAY RENEWAL RECEIPT NO. 631784 -6 STATE# CGC1513699` 404 OWNER NOBEL CONSTRUCTION INC Sec. Type of Business 196 GENERAL BUILDING CONTRACTOR THIS IS ONLY A LOCAL ,. RUMNESS TAX RECEIPT. IT DOES NOT PERK ! Tie HOLDER VIOLATE ANY re WIG ° OF 'THE COUNTY OR CITIES, NOR R tT ' THR E O R PNOR ANY OTNB IT QURED ^BY LAW. IS NOT A CERTIFICATION OF THE HOLDER'S QUAUFHCA- TIONS. - - MVISENT_RECEIVED ratNADECOUNTYTAX COLLE R: 07/14/2010 60020:000333. 000075.00 SEE OTHER SIDE FIRST-C14 U.S. POSfl PAID MIAMI, FL PERMIT' NO. 231 WORKER /S 1' DO NOT FORWARD NOBEL CONSTRUCTION INC CHARLES A FREEMAN PRES 11455 W FLAGLER ST 0404 MIAMI FL 33174 ildhl►H.H lhlllT11 ddAhI111dhhdflt!lI AII.IIR PLEASE CUT OUT THE CAR B,ELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DMSION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE 08/19/2009 EXPIRATION DATE: PERSON: CHARLES A FREEMAN FEIN: 270449942 BUSINESS NAME AND ADDRESS: NOBEL CONSTRUCTION INC 11455 W FLAGLER ST APT 404 MIAMI, FL 33174 -4014 SCOPE OF BUSINESS OR TRADE 1- CERTIFIED GENERAL CONTRACTOR 08j/ 19/2011 III IMPORTANT Pursuant to Chapter 440.05(14), 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. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt.. apply only within the scope of the business or trade listed on Rthe notice of election to be exempt E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion ori the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT RF" 4SED 0406 • v. 03/27/2011 22:21 FAX 3052219859 dri OCCIDENTAL INSURANCE CERTIFICATE OF LIABILITY INSURANCE X1001 DATE (MMIDDMYYY) 03/28/11 THIS CERTIFICATE 15 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 POUCIEs BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: it the certificate holder Is an ADDITIONAL INSURED, the pelley(les) rust be endorsed. M SUBROGATION IS WAIVED, subject to the temps and conditions *TIM policy, Celtaln policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER Occidental Insurance PHONE Ext 11400 W. Flagler St. #111 E-MAIL (305)22119859 KOBE occiderrialinsuregiballsouth.riet Miami. FL 33174 INSURER(S) AFFORDING COVERAGE Phone •5 221 -9859 J OT TURPS BERNAL EN, Ni; o (305)221.6464 INSURED Nobel Construction !no 11455 West Flaglor St #404 miemi, FL 33174 Fax (30512216464 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. (786)999 -5315 INSURER A_ GRANADA INSURER B : NA10 B INSURER C : INSURER D INSURER E INSURER P: INSR TYPE DP ROMANCE AMR A GENERAL LIABILITY ® COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS-MADE ❑ OCCUR 0 ❑ GE�ryML AGGREGATE UMIY APPLIES PER O POLICY ❑ JEC�T ❑ LOC AGDLSUf3it PDYYY1 fMMILDDIYY�W b I Wd POUCY NUMBER IM WD/Y 110401 03/14/2011 03/14/2012 UMITS EACH OCCURRENCE DA 6 TO RENTED PREMISES (Es commence) $ 1,000,000,00 $ 100,000.00 MED EXP (My one person) $ 5.000.00 PERSONAL & ADV INJURY s 1,000,000.00 GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS .COMP/OP AGG s 0.00 $ AUTOMOBILE IJAOUJ'rY ❑ ANY AUTO ❑ AUTOS ❑ SCHEDULED ❑ HIRED AUTOS ❑ AUTO ED 0 ❑ UMBRELLAWAB ❑ OCCUR ❑ EXCESS UA19 ❑ CLAIMS-MADE EOe accl4e NGLH LIMIT BODILY INJURY (Per person) 1 $ BODILY INJURY (Per aeeldenq FROPERT DAMAGE err accl en $ S S ❑ DEO ❑ RETENTION ii WORKERS COMPENSATION AND EMPLOYERS LIABILITY Y t N ANY PROPRILTOR/PARTNER/E cuT1vE OFFICER/MEMBER EXCLUDED? ❑ (Mandatary In NH) If yes, describe under DESCRIP'I10N GF Oa RATioss balow NIA EACH OCCURRENCE $ AGGREGATE ❑ TWQGCrvLt nirrs ❑ pR E.L. EACH ACCIDENT E,L, DISEASE • EA EMPLOYE E.L. DISEASE • POUCY UMrr $ E DESCRIPTION OP OPERATIONS t LOCATIONS I VEI IICLES (Attach ACORD 101, Addpbt N Remarks SehedUie, I Mere apace Is requlnd) CERTIFICATE HOLDER City of Miami 1050NE2Ave Miatnl, FL 33138 ACORD 25 (2010106) OF CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE THE EXPIRATION DATE THEREOF, NOTICE WILL BE D.414-4 y ACCORD . E WITH THE POLICY PROVISIONS. ELLED BEFORE iN ®1888 -2010 ACO ' CORPORATION. Ali rights reserved. he ACORD name and Ingo are registered marks nt ACORD )4/02/2010 09:40 3052565011 ADMIN ANNEX PAGE 02/03 235.00' (P) 0 8I r1 200.00' (P) 50.00' (P) N.E. 94th STREET 75' RJW (IMPROVED) FOUND 1/2" IRON PIPE 0 BLOCK CORNER "E.ap. FOUND 1/2" IRON PIPE 5' CONC. SVM.: • Ll. LOT 9 b BLOCK 51 'r? n N 0 V) SURVEY NOTES CONCRETE WALK CROSSES PROPERTY UNE ON NORTHERLY SIDE OF LOT. THERE ARE FENCES AND WALLS NEAR THE 22.3 02 15.5 BUILDING #436 LOT 8 BLOCK 51 28.1' ?, N? CO 18.5'~ 000 1.1'�I 900 FOUND I /2 "I IRON PIPE 0.3' S. 0.1' E. .I ALLEY H}. C.LF. C4 18.3' A/C 15.4' N 3 15.5' x.—.T ,—, XR 0.9' FOUND 1 /2" IRON PIPE 1.5' 'AY- , (Sc 00 5.1° 1.8' b LOT 7 5.0• h BLOCK 51 0.8' 9.9.0. WALT. y ••• 0.2' WM ® L4' WALL 50.00' (P) yFOUND 1/2" p.p. IRON PIPE g. ASPH. ALLEY LOT 16 BOUNDARY OF THE PROPERTY. BLOCK 51 LOT 17 BLOCK 51 LOT 18 BLOCK 51 s PAGE 2 OF 2 PAGES BOUNDARY SURVEY SURVEYORS CERTIFICATE I HERESY CERTIFY THAT THIS BOUNDARY SURVEY IS A TRUE AND CORRECT REPRESENTATION OFA SURVEY PREPARED UNDER MY DIRECTION. NOT VALID W/MOUT AN AUTHENTICATED ELECTRONIC SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL, OR RAISED EMBOSSED SEAL AND SIGNATURE. (SIGNED) Clyde McNeal Digitally stir./ tay OW* PAeNsol .DN.CN • Clyde /Wiz*C • US oeu: 2008,11.1. uN41/0 • CLYDE 0. MONEAL, PROFESSIONAL SURVEYOR AND MAPPER 52889 LB #8135 T GEC' SURVEYING, INC, SERVING ALL FLORIDA COUNTIES 5601 CORPORATE WAY SUITE 210 WEST PALM BEACH, FL 33407 PHONE (561) 840.4800 FACSIMILE (561) 840-0576 STATEWIDE PHONE (800) 226 -4807 STATEWIDE FACSIMILE (800) 741 -0578 04/02/2010 09:40 •cwir111111.rr 3052565011 ADMIN ANNEX PAGE 01/03 of 8, Block 51, MIAMI SHORES SECTION 2, according to the Pm, thereof, as recorded In Plat Book 10, Page 37, of the Public Recur..... f MIAMI -DADE County, !odds. :ommunlly Number 120652 Panel.• 0302 Suffix: L Flood Zone: X Field Work: 11/132009 :edified To: tICHARD G. CUMING AND JOHN F. LALLY; THE LAW OFFICE OF JEFFREY S HERSH, OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY, DADE :OUNTY FEDERAL CREDIT UNION, Its successors andforassigns, PHH MORTGAGE CORPORATION, its successors and/or assigns. 'roperty Address 38 NORTHEAST 84TH STREET 4IAMI SHORES. FL 33138 iurvey Number 155075 A� Bit t COMM BEIMMAT ,(0,1 C4LCL MED C.A7V CAOLERISER C.IX WO DAM Left &WHOLE GAc UPARDVIE 04r DMINSIAY A& MEOW � A IIESIRMIVORDIED MT MOW ECOF.. MEM WATER F a?11 MOP 6011+ GMIND YELL IffiC triivas9CoMM F. FOLIMPARAMOW11611 RCA fit7IffiVCONGRETEMMIIBIT F.tfi RAM (RD/i ifitrorii AtE L.A.E AG 'l�T U WHINE NfX MID ALp..R FIXINDARtt AVIX NOINIValL ArrrrOSCALE Oft az 111311 P.C.P. Isaac T tArt IEL 1:c. paa pG. pfla RT. Rd.£ It LONE MAINIF.RAfl EEASH ERT OfrIDALREOCIRMIXIK PERIANENT130N77104 PONT POffiffiNVITRSTMNCEMNSMENT a Ft;INToSeffiEGINNING PCONTOFMNIENDating PIRITOPIXIIIMAIACLOWATURE POVTOMMORVRE POSITCFRIBIMSFCIHRMW PONTOP7ANVENOV PIWPWIVOIKR ROWDY IUd4lYRIE46FSt F RAVIVNIMEVAt) RM1A RffirITA 9I4Y SUt 8ETIRDw78 GAP P.P. POMEI?Rlif raa mr) oFaat ►,� WATE M8TE4 IMGE {y RAT p)t PLATBOOK UP. WARY A Avava S NiivaID UMW LINES • PRIMERTY LAVE av mow WoODMICE WARM laattirbit NOTES- PAGE 1 OF 2 PAGES LEGAL DESCRIPTION AND CERTIFICATION LE a sesoutfriamoteenar wheys 17te MAW NIOi'Nil, &ANlMENOTAIISI ICI, DFOR CRf7i O WARE KJ ilallPACSarI EE'MILANO MCNUT7r2 gag= TO1 IRllXT SOLIMRYIffiSt fj tY1lfiES'4Qnmesst'+S7m EST MAWS' 0419dw11EptnTAAO MEASIS CNIESs n op amaltaVeNDIMEDIMETWAWINIZAMODEMISREFREAVED maim 1,929 CLE4RYALIMMTEINATIMMIEMWRiTIMALIFITINSIVffSAMITLOT .LBit�9k MIYAtLt tLC011117 01 711E1001710NOFVEMIPROIENVITS04fR SCALEOPOSMCIS t LS /16135 TARGET 3€iRV6YlNiio 3NC. SERVING MOST FLORIDA COUNTIES t CORPORAIS WAY W fE310 WEST PALM ems, FL 93407 RAM (404)040-49 00 FACSIMILE (881' 'OW EN etMEWite PRONE {thy 1807 STATE WDE R ACSIMILS (9x0) 741 0919 Date Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION -IIS1II Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as �h 5 C:� x ( LI ST �- GT yes � � � � 6� � �� - � R � s, located at 4 In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until 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 Cf Note: This certification is to be submitted with a swimming pool permit application in duplicate. Miami Shores Viiiage 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 14 (p P q_ °I LI 51- 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 \,/ ti 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 latching /locking 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 misdemeanor of the second degree, punishable as provided in Section 775.082 or Section 775.083 F.S . This form must be signed by ;•wner /age and the prime contractor. CONTRACTOR'S SIGNATURE AND DATE CONTRACTOR'S NAME (PLEASE PRINT) NO Y PU woo,,, GLADYS BORGES .**1 MY COMMISSION # EE 048167 EXPIRES: December underwr�ars Banded thN Notary OWNER'S SIGNATURE yl,5l,, ATE �h4- 0— i m Nts‘l OWNER'S NAME (PLEASE PRINT) r NOTARY r111umri_:/t1 , .YSBORGES Y COMMISSION # EE 048167 - EXPIRES: December 17, 2014 Sanded thm Neinry Pubno Underwriters iami Shores Vjiiage 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 12- t C k p D iryli '°19 is /are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: 4 3 cD 't" S T Whereas, the undersigned owner(s) desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: 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 conceming the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordance of said Village then in effect. OWNER SIGN & PRINT N)3 OWNER G & PRINT I Hereby Certify that on this day personally appeared before me 1-2N1 e 11 A-T —. ' 11-I aI d hays produced ID 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 1 5 day of c -k../"" , 20 1 t (Revised 05/2209 GLADYS BORGES MY COMMISSION 8 EE 048167 EXPIRES: December 17, 2014 Bonded 7tna Notary Public Undonvnuua NOl"ARY FIUBLIC STATE F FLORIDA 7144 .54.tedValele Vefuntmeite 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305-756-8972 www.miamishoresvillage.com NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues. Please initial the method(s) to be used: The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29; The pool will be equipped with an approved safety cover that complies with ASTM F1346-91; All doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $500 and /or up to 60 days in jail as established in Chapter 775, F.S. CONTRACTOR'S SIGNATURE AND DATE CONTRACTOR'S NAME (PLEASE PRINT) LIC GLADYSBOR '14 MY COMMISSION A EE 048187 �= s EXPIRES: December 17, 2014 0,i g , . Bonded Thru Notary NM Underurners OWN R'S SIGNAE AND DATE b c6c, OWNER'S NAME (PLEASE PRINT) NOT i► n.Idi . ifR�1 E I • My COMMI s ION S SEMIS] EXPIRES: December 17, 2014 Bonded Tfiru Notary ROW Unden+xhere OPERATION The Safe Pool is designed to sound a loud alert when children enter through a Safe Pool protected door /gate. When properly installed, the Safe Pool will allow adults to pass through the protected door /gate and immediately shut off the sounding alarm. When powered, the Safe Pool is always in protected mode. The alarm will activate the instant when the door /gate opens by more than 1 inch (when the magnetic sensors are apart by more than 1 inch). Once the alarm activates, it will sound continuously until the BYPASS button is pressed. When passing through the door /gate from the side where the alarm is mounted. press the BYPASS button then open the door /gate. pass through and close the door /gate within 10 seconds and the alarm will not activate. When passing through the door /gate from the opposite side, open the door and quickly press the BYPASS button and close the door quickly. The unit will re -arm within 7 -13 seconds. MAINTENANCE • When the alarm volume becomes low, or the unit does not produce normal alarm sound, the red light will illuminate, replace the 9 -volt battery. The Safe Pool's plastic resists ultraviolet rays from direct sunlight exposure. However, slight discoloration over time is normal. WARNING! THE SAFE POOL ALARM IS EXTREMELY LOUD WHEN ACTIVATED. FOR YOUR SAFETY, NEVER PLACE THE UNIT CLOSE TO YOUR EARS. TO TEST THE ALARM, ALWAYS USE EAR PROTECTION AND DIRECT THE UNIT AWAY BEFORE TESTING /ACTIVATING THE ALARM. Important Warranty Information: A dated proof of purchase is required for warranty service Type SM : System is intended to be self- monitored. Customer Service: 1 - 888 -8TECH KO(1 -888- 883 -2456 ) Monday - Friday 09:00 AM - 4:00 PM Pacific Standard Time E -mail: support@techkousa.com Web site: www.techkousa.com Mfg. By , 9767 Research Drive. Irvine. CA 92618 -4626 MADE IN CHINA US i"ATENT #5.473.310 NOTICE THIS PRODUCT IS PROTECTED UNDER FEDERAL PATENT TRADEMARK AND COPYRIGHT LAWS AND LAWS PREVENTING UNFAIR COMPETITION. NO DUPLICATION OR SIMULATION OF THIS PRODUCTS IS PERMITTED EXCEPT BY WRITTEN AUTHORIZATION OF TECHKO, INC. TECHKO AND THE CONFIGURATION OF THIS PRODUCT ARE TRADEMARKS OF TECHKO INC. COPYRIGHT 1994 TECHKO, INC. ALL RIGHTS RESERVED MADE IN CHINA Safe Pool' Model S087 Area Entry Alarm INTRODUCTION Congratulations on your purchase of the Techko Safe Pool model S087 safety alarm. The Safe Pool can be used to provide a high volume alarm alert when children have entered a pool or spa area. The S087 can be used outdoors on wood or metal gates, or indoors on doorways leading directly to potentially dangerous areas. FEATURES Easy installation for gate or door protection Water / weather resistant ° 9 Volt battery power (not included) High output 110 dB alarm siren One button BYPASS operation Low Battery LED display IMPORTANT SAFETY TIPS ' Alarm siren is VERY loud: NEVER place the unit close to ears ' Install the unit high enough to be out of reach of children ' Keep this manual for future reference The Safe Pool can provide valuable protection when used correctly. However, it cannot guarantee complete protection against accidents or injuries. Therefore, Techko cannot be held responsible for any loss, damage, or inlury that may occur. . INSTALLATION WARNING: Read all installation end operation instructions thoroughly before proceeding with installation. Before installing the battery, use a rubber band to temporarily secure the two magnetic sensors together with the arrows pointing toward each other to avoid setting off the alarm unintentionally during the installation of the alarm. INSTALLING THE BATTERY: 1. Remove the battery cover of the unit and install a new 9 Volt battery (See Fig. 1) 2. If you are sensitive to loud sound, please wear ear protection against the loud alarm siren before testing the alarm. 3. Once the battery is connected the unit is now ON and Working. To test the alarm siren, make sure you have ear protection before testing. After ear protection is in place, separate the magnetic sensors apart by more than 1 inch. The alarm should sound immediately after the sensors are separated. Press the BYPASS button and immediately secure the two magnet sensors together again to avoid the alarm sounding off unintentionally. MOUNTING: WARNING: The alarm should be positioned close to the door high enough to be out of the reach of children. As each mounting application varies, Techko suggests testing the unit's installation location and effectiveness before permanently mounting the S087. REMOVING THE SCREWS AND TAPE FROM THE SENSOR HOUSINGS Mounting screws and double -sided tapes are located inside the sensor housing (See Fig. 5). Using a small flat head screwdriver, gently pry open the recessed sensor spacer of the sensor housing up and remove N\ the screws and double -sided tapes. �. MOUNTING INDOORS USING DOUBLE -SIDED TAPE � Make sure thatthe mounting `� surfaces for thedouble - sided tapes are completely clean. NN. Attach the double - sidedtapes onto the rearof the unit, and then securethe unit onto the desired mounting surface. MOUNTING INDOORS USING SCREWS Using the provided mounting template printed in this manual. mark the position of the screw holes on the desired mounting surface. Drill the screws onto the mounting surface with approximately 1/8 inch of thread remaining. Slide the unit over the screws and secure the unit by pushing it downward • '`=r • Fig 1 Fig 2 Fig 3 ; IH �i Ii� ilk Fig 4 as shown in Fig. 2. You may need to adjust the screws towards or away from the mounting surface to provide a more secure fit. MOUNTING THE SENSORS INDOORS Make sure that the arrows of each sensor are pointed towards each other. Using either the double -sided tape or the screws provided, mount the sensors so that they are less than 1 inch away from each other. Please make sure that the wired portion of the magnetic sensor is mounted on the non - moving portion of the mounting surface and the standalone sensor is mounted on the door /gate (See Fig. 3). MOUNTING OUTDOORS ON WOODEN GATES Using the provided mounting template printed in this manual, mark the position of the screw holes on the desired mounting surface. Drill the screws onto the mounting surface with approximately 1/8 inch of thread remaining. Slide the unit over the screws and secure the unit by pushing it downward as shown in Fig. 2. You may need to adjust the screws towards or away from the mounting surface to provide a more secure fit. MOUNTING OUTDOORS ON METAL GATES Using the provided nylon wire ties. attach the alarm body to the metal gate frame (See Fig. 4). MOUNTING THE SENSORS OUTDOORS (WOODEN OR METAL GATES) Break off the tabs on the side of each sensor (See Fig. 5). Make sure that th& arrows of each sensor are pointed in the same direction as the sensor housing before placing the magnetic sensors inside the sensor housing. Snap the sensor spacers (the two cover -like plastic pieces you pried open to get the double -sided tape and the screws) back into the sensor housing this creates weatherproof protection for the magnetic sensors. Secure the sensors using the nylon wire ties onto the gate frame. make sure that the sensors' arrows are pointed towards each other and that the sensors are less than 1 inch apart (See Fig. 4). .---u SENSOR HOUSING Tape & Screws BREAK OFF TAB Located Inside SPPACAC ER BES Sensor Housing SENSOR Fig 5 TEMPLATE MODEL S087 SCREW HOLE SCREW HOLE STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [ ] New System [ ] Repair APPLICANT: Richard Gordon [X] Existing System [ ] Abandonment [ ] Holding Tank [ ] Temporary APP DOC # AP995553 PERMIT #:13 -SC- 1303563 DATE PAID 02/25/2011 FEE PAID: 70.00 RECEIPT #:13-P I D- 156764 [ ] Innovative [ ] AGENT: Faure Freeman MAILING ADDRESS: 4350 NW 9 St Miami, FL 33155 TELEPHONE: 1 (786) 337 -0665 TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE APPLICANT'S REPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED (MM /DD /YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. LOT: 8 SUBDIVISION: Miami Shores PROPERTY ID #: 11- 3206 - 014 -0340 PROPERTY SIZE: 0.40 BLOCK: 51 PLATTED: 01/01/1949 ZONING: I/M OR EQUIVALENT: ACRES WATER SUPPLY: [ ]PRIVATE [ ]<= 2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? PROPERTY ADDRESS: 436 NE 94 St Miami, FL 33155 [ Y 1-71 DISTANCE TO SEWER: [X] >2000GPD FT DIRECTIONS TO PROPERTY. 836 East to I 95 N to 103 Nw take East to 4 Ave Ne right to property BUILDING INFORMATION: [X] RESIDENTIAL [ ] COMMERCIAL Type of No. of Establishment Bedrooms [ ] Floor /Equipment Drains [ ] Other (Specify) SIGNATURE: 3 Building Area Ft 3093 # Persons Served 6 Total Design Flow For This Unit APFROV a.. MIAMI-DADE COUNTY HEALTH DEPAR t f 1 i;� 02/25/2011 P RMtt #; OAT DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E- 6.001, FAC v 1.0.0 AP995558 E1D1303563 400 Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM Additional Notes and Comments: County Notes Fields: County Process #: APP DOC #: PERMIT NO. DATE PAID: FEE PAID: RECEIPT #: AP995558 13 -SC- 1303563 02/25/2011 70.00 13- PID- 1567647 County Permit #: Storage Box #: Zone: Permit Type: County Status: General Comments:„.--- .w -� ®� Thhispsrrr�if"is granted for the installation of a ool only. Does not have any impact on the existing OSTDS. - ro' • spina Engineer II v 1.0.0 AP995558 EID1303563 • APPLICATION FOR: [ ] New System [ ] Repair APPLICANT. AGENT: MAILING ADDRESS• STATE OF FLORIDA DEPARTMENT OF HEALTH ON-SITE SEWAGE DISPOSAL SYSTEM ■ 'FEE PAID: APPLICATION FOR CONSTRUCTION PERMIT RECEIPT #: )(1 tC) t PERMIT NO.?' DATE PAID: L, [V] Existing System I ] Abandonment Ik r. , ,■ '1+1 '■ If /9 ] Holding Tank I ] Temporary I ] [ ] Innovative if TELEPHONE: TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. = = = = PROPERTY INFORMATION LOT• BLOCIC: \ SUBDIVISION: z's,A2\ PLATTED: PROPERTY ID #: ()(70 • - \J,,,(3 ZONING: I/M OR EQUIVALENT: ( Y / N ) C-7 PROPERTY SIZE: NA) ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC I a5=2000GPD I 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS?. [ Y DISTANCE TO SEWER: FT C. fl( IL\ PROPERTY ADDRESS• DIRECTIONS TO PROPERTY: (---) ,._), 6 '--) (0 1-.., C-, 'F:71--.1 \ 0 ---\ 4, ' P.I.)7,4 \T ) TJA RESIDENTIAL [ ] COMMERCIAL / \ No. of Building Commercial/Institutional System Design Bedrooms Area Sq Ft Table 1, Chapter 64E-6, FAC BUILDING INFORMATION Unit Type of No Establishment 1 2 3 4 1 ( I ] Floor/Equipment __,, ns [ ] Other (Specify) / ," ' 2 4 / SIGNATURE- ( '''';--' i'' Po (iL7-,.:, DATE: ' DH 4015, 10/97 — page 1 (Previous editions may be used) Stock Number: 5744-001-4015-1 Page 1 of 3 APPLICATION FOR: APPLICANT: AGENT: TELEPHONE: MAILING ADDRESS: LOT, BLOCK, SUBDIVISION: DATE OF SUBDIVISION: PROPERTY ID#: ZONING: PROPERTY SIZE: WATER SUPPLY: SEWER AVAILABILITY PROPERTY ADDRESS: DIRECTIONS: BUILDING INFORMATION: TYPE ESTABLISHMENT: 4e' Check type of peimit, if "Other' specify type in blank. Property owner's full name. Property owner's legally authorized representative. Telephone number for applicant or agent. P.O. box or street, dty, state and zip code mailing address for applicant or agent. Lot, block, and subdivision for lot (recorded or unrecorded subdivision). If lot is not in a recorded subdivision, a copy of the lot legal description or deed must be attached. Official date of subdivision recorded in county plat • • • ks (month/day/year) or date lot originally recorded. Dividing an approved lot into two or more parcels for the purpose of conveying ownership shall be • • ered a subd on of the lot. 27 character number for property. CHD may require property appraiser ID # or section/township/range/parcel number. Specify zoning and whether or not property is in I/M zoning or equivalent usage. Net usable area of property In acres (square footage divided by 43,560 square feet) exclusive of aU paved areas and prepared road within public rights-of way or easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. Contiguous unpaved and non-compacted road rights-of-way and easements with no subsurface obstructions may be included in calculating lot area. Check private or public <= 2000 gallons per day or public > 2000 gallons per day. Is sewer available as per 381.0065, Florida Statutes, and distance to sewer in feet. Street address for property. For lots without an assigned street address, indicate street or road and locale In county. Provide detailed instructions to lot or attach an area map showing lot location. Check residential or commerdal. List type of establishment from Table II, Chapter 10D-6, FAC. single wide mobile home, aurant, or's office. ■■•■ mples: single family, NO. BEDROOMS: Count all rooms designed primarily for sleeping and those areas expected to routinely provide sleeping accommodations for occupants. BUILDING AREA: Total square footage of end habitable area of dwelling unit, excluding garage, carport, exterior storage shed, or open or fully screened patios or decks. Based on outside measurements for each story of structure. BUSINESS ACTIVITY: For commercial/institutional applications only. List number of employees, shifts, and hours of operation, or other information required by Table II, Chapter 10D-6, FAC. FIXTURES: Mark Floor/Equipment Drains or Others and specify item or "NA" if not applicable. SIGNATURE / DATE: Signature of applicant or agent. Date application submitted to the CHD with appropriate fees and attachments. ATTACHMENTS: A site plan drawn to scale, showing boundaries with dimensions, locations of residences or buildings, swimming pools, recorded easements, onsite sewage disposal system components and location, slope of property, any existing or proposed wells, drainage features, filled areas, obstructed areas, and surface water. Location of wells, onsite sews e disposal systems, surface waters, and other pertinent facilities or features on adjacent property, if the features are wit115 Meet of the applicant lot. L tion of any public well within 200 feet of lot. For residences, a floor : plan (residences) sh wing number of bedrooms and building area of each unit. For nonresidential establishments, a floor plan showing the sq are ootage of the establishment, all plumbing drains and fixture types, and other features necessary to determine compo and quantity of wastewater. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 155996 Permit Number: MC -2 -11 -246 Scheduled Inspection Date: June 13, 2011 Inspector: Perez, JanPierre Owner: CUMING, RICHARD Job Address: 436 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Pool Heater Contractor: AA MASTERS MECHANICAL AIR MOVING AND ENGINEERIN Phone Number Parcel Number 1132060140340 Phone: (305)559 -7004 Building Department Comments POOL HEATER oh/ Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 10, 2011 For Inspections please call: (305)762 -4949 Page 4 of 19 1 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Expiration: 09121/2011 Applicant 436 NE 94 Street Miami Shores, FL 33138- 1132060140340 Block: Lot: RICHARD CUMING Owner Information Address Phone Cell RICHARD CUMING 436 NE 94 Street MIAMI SHORES FL 33138 -2846 Contractor(s) Phone Cell Phone AA MASTERS MECHANICAL AIR MOV (305)559 -7004 Valuation: Total Sq Feet: $ 700.00 440 Tons: Additional Info: POOL HEATER Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.00 $2.00 $0.20 $100.00 $3.00 $0.80 $108.60 Pay Date Pay Type Invoice # MC -2 -11 -40076 02/15/2011 Cash 03/28/2011 Check #: 132 $ 58.60 $ 0.00 Amt Paid Amt Due $ 50.00 $ 58.60 Available Inspections: Inspection Type: Final 1 Applicant Copy For Inspections, Call (305) 762 -4949 or Log on at https: // bldg .miamishoresvillage.com /cap /. Requests must be received by 3 pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT the public records of this county. DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. March 28, 2011 2 1 Protect Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 436 NE 94 Street Miami Shores, FL 33138- Owner Information Parcel Number Expiration: 09/21/2011 Applicant Address Phone CeII RICHARD CUMING 436 NE 94 Street MIAMI SHORES FL 33138 -2846 Contractor(s) Phone CeII Phone AA MASTERS MECHANICAL AIR MOV (305)559 -7004 Tons: Additional Info: POOL HEATER Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.00 $2.00 $0.20 $100.00 $3.00 $0.80 $108.60 Pay Date Pay Type Invoice # MC -2 -11 -40076 02/15/2011 Cash 03/28/2011 Check #: 132 Amt Paid Amt Due $ 50.00 $ 58.60 $ 58.60 $ 0.00 Available Inspections: Inspection Type: Final In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. March 28, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date March 28, 2011 1 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 trrZWV,111 gg FEB 5 2811 NI EV: ...e& Permit No. c- Master Permit No. Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): C r1 hr n--1 1 ( Phone #: Address: 2\--3 c ci L4 Si City: k—k I A-t'U ► S h 0 2�5 State: `I zip: 3 (" s Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 4 3 0E. C L City: Miami Shores County: Miami Dade Zip: 3 3 1 a g Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: \c't( �C�Q(\ \C,Q_ Phone#: �iGi `3-?- Address: AM a pt City: ijr).QCLS State: l'�. Zip: eh In Qualifier Name: �, QSNoc 0Q.l- N Phone #: State Certification or Registration #: OM-1 Vg Certificate of Competency #: Contact Phone#: / ' (33-)- °GCS Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ s jJ Square/Linear Footage of Work: 4O Type of Work: ❑Address DAlteration New DRepair/Replace DDemolition Description of Work: cL Q6: ***************************************Fees** ***************************************** Submittal Fee Permit Fee $ 0-0 v 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 occurs seven (7) days after the building permit is issued. he absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or A ent The foregoing instrument was acknowledged before me this IS The foregoing( trument was acknowledged before me thi43 day of n , 20 i ff , by 1i�lc- 42_1) 00 M i19 day of dt , 20 I I by 74S c G 0ci-(Z who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. 4191% Contractor NOTARY PUBLIC: Sigh Print: C My Commission Expir • IYSBORGES MY COMMISSION # EE 048167 Decembe r 17 2014 t ; EXPIRES. C Bonded Thru Notary Public Undervieia * * * * * * * * * * * * * * * * * * ** APPROVED BY * * * * * * ** NOTARY PUBLIC: Sign: Print: My Commission Ex . ,, MY COMMISSION # EE 048167 _tom_ EXPIh1ES: DeCember 17, 2014 ®ondlid 1'hru Notary PON%Underwriters *********.+ k+ x.****** **+ x***********+ x**** **** **+k****+x******** *>k**** Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk ,- CERTIFICATE OF LIABILITY INSURANCE 02/14/11 D/YY1'Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CER`T'IFICATE 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(tes) 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 Jimenez & Co., Inc. 8000 Coral Way Miami, FL 33155 Phone (305) 264 -9900 Fax (305) 264 -5382 ( � ax ( ) CONTACT NAME: PHONE FAX (A/C. No. Ext): (A/C. No): POLICY EXP (MM/DD/YYYY) 11/03/2011 E -MAIL ADDRESS: PRODUCER CUSTOMER ID# INSURER(S) AFFORDING COVERAGE NAIC # INSURED AA MASTERS MECHANICAL AIR MOVING & ENGINEERING SYSTEMS C 3970 12 AVE SE NAPLES, FL 33117 305 INSURER A : NATIONAL GROUP INSURANCE ❑ ❑ CLAIMS -MADE V OCCUR ❑ INSURER B : $ 5,000 INSURER C : $ 1,000,000 INSURER D : GENERAL AGGREGATE INSURER E : GENII AGGREGATE LIMIT APPLIES PER: • POLICY ❑ PRO- JECT ❑ LOC INSURER F : $ 1,000,000 COVERAGES CERTIFICATE NUMBER: REVISION 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE GENERAL LIABILITY ADDL INSR SUBR WVD POLICY CY NUMBER 01 L0003416 -02 POLICY EFF (MM/DD/YYYY) 11/03/2010 POLICY EXP (MM/DD/YYYY) 11/03/2011 MITS EACH OCCURRENCE $ 1,000,000 A PR PREEMIMI ESES S (Ea RENTED Ea occurrence) $ 100,000 1,/ COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE V OCCUR ❑ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 1,000,000 GENII AGGREGATE LIMIT APPLIES PER: • POLICY ❑ PRO- JECT ❑ LOC PRODUCTS - COMP /OP AGG $ 1,000,000 $ AUTOMOBILE LIABILrrY ❑(Ea ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON -OWNED AUTOS ❑ COMBINED SINGLE LIMIT accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ ❑ UMBRELLA LIAB ❑ OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB • CLAIMS -MADE AGGREGATE $ ❑ DEDUCTIBLE ❑ RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1N N /A El WC STATU- 1—I OTH- I I TORY I IMITS 11 FR E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CERTIFICATE HOLDER CANCELLAMON MIAMI SHORES VILLAGE 10050NE2AVE MIAMI FL 33138 1 SHO D THE PI ACC RD OF ON E E A OVE DESCRIBED POLICIES BE CANCELLED BEFORE ATE HEREOF, NOTICE WILL BE DELIVERED IN TH POLICY PROVISIONS. AUTHO-.» ENTA ACORD 25 (2009/09) QF 8 -2009 ACORD CORPORATION. All rights reserved. CORD name and logo are registered marks of ACORD t' s'tA7E dF FLORIDA =sp. a s• isx7a mmelm lammmw. wmcm.matssaxo .x. F- ;.rnsr-wTaoxr g xot aIVDUUTIix x.xcammsx21+c3 sca22 T!3 IETWI '@'m.a. mrz. 82399 -0763 [850) .m87 -1395 7Ngintig t98 .a r a rv. mmwwm . 7s1Q.D SliC3f1Y8:YSRxNi"s mum.. =cm ss 8i. a.sr337 Coe+ t WBta lies flooneto yeas berceornes ors or thew r e ors. mentors Plono ernes ho ot sod by the. theweeerreent eeaaairmao aa.et L FlAsagaieai3esn. Our profaseslaKaeks end busyraexi9ae turn a rahileosa to yacht brotcses, •Pronel buses to barbsgrm rassTaurants. end they keep F7oA a's economy strongyt�a an =be to it'efr the MKay Vv6 ou onto �ersoyQ de lawrip.COeA Thera you osn Hnd news b .L .....8... badUB sear cAvis4os'as and lhs r®tguIwt erne tease Impacts yaws. sertsaceisses da�L'raer.t rneronslotlbennas owed warn mum .bout V.o aSa.ar erosion stems nseaatre.awet Is: Leaaana m ssmatmlow. Russets Fairly We ocsnetentIy twelves to swerves you beet¢r so lest yw Oen cave your tamers.. Thane you for dorms buvtnassa to Par[da, and wr emmeartret7oras On your CUMIN Iieenael O7 7 "ACH 1-1ERE • meats ow ra.otmw A0# 3 93.01.0 aa'Pl►s'3'l�f� -. - crar :ass= ssOWIEe+mxc �� -xgolr 06100159.6 i6 080113010 .08o00417141. A IiJ 6.2:36 00:60 xs CCIEERWM1M113• ®es et.. nowIa ® esa m_4069 �a soar.. AVO 32.. AOM= zososaavasas AGE 3912106 7"A"FE QF F LC>FtII A »>:e '"WiE rV lEiili WECOMB SWAMMm000mmoxs=m 0®000417].. • z�6110 61. S 226 . G'6,21.519 A AT'A C conaia :TYON'. icet ' 0066WES26. 2OR ' I.Tammewi�d@ bes1crw a8 C_8.'RT�BaSP i .3 Viand i CA. 31w a0 2 469 aS. ZA6C A ,. uum .a aR 26067=0 A1�YD ffi�t7g [3 saAZ^SL ¢08. !ffi�TT MM. 3 MI. 1'7 £s • 8T sat O1461.1-AY A'S 161.0113161600 BYLAW J Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i( -2M5 Inspection Number: INSP - 159943 Permit Number: EL -2 -11 -247 Scheduled Inspection Date: May 26, 2011 Inspector: Devaney, Michael Owner: CUMING, RICHARD Job Address: 436 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ON CALL ELECTRICAL CONTRACTORS INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132060140340 Phone: (786)388 -5880 Building Department Comments ELECTRICAL WORK FOR POOL AND SPA 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- 156000. Pool pump to be on a G, F. I. breaker. Move receptacle next to A. C. C. U. to more than 10 feet from inside edge of pool. ‘7,6'/27 May 25, 2011 For Inspections please call: (305)762 -4949 Page 16 of 17 1 Protect Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Expiration: 09/21/2011 Applicant 436 NE 94 Street Miami Shores, FL 33138- 1132060140340 Block: Lot: RICHARD COMING Owner Information Address Phone CeII RICHARD COMING 436 NE 94 Street MIAMI SHORES FL 33138 -2846 Contractor(s) Phone ON CALL ELECTRICAL CONTRACTOF (786)388 -5880 CeII Phone Valuation: Total Sq Feet: $ 900.00 440 1 Type of Work: ELECTRICAL WORK FOR POOL SPA Additional Info: Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Amount $0.60 $2.25 $2.25 $0.20 $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 Pay Date Pay Type Invoice # EL -2 -11 -40077 03/28/2011 Check #: 132 02/15/2011 Cash Amt Paid Amt Due $ 109.10 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Light Niche Alarms Bonding In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. March 28, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date March 28, 2011 1 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 FEB 1 5 2011 Permit No ft9fl Master Permit No. Permit Type: Electrical i_ OWNER: Name (Fee Simple Titleholder): 1 C h 1 (r) f Phone#: Address: LA 3 t.p 0J City: 1 4.1 lar : 0 R e S State: 1� L zip: 3313S Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: ki---)3 W E S 1 City: Miami Shores County: Miami Dade Zip: 1 'J F Folio/Parcel #: Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Address: City: I lac✓-A l State: Qualifier Name: K Q v 1 1"1 I\ h NO Flood Zone: Ca( t GTf21C phone #: -7S(05°1-1 i S i 9- Z Z Zip: 1 �� Phone #: State Certification or Registration #: Certificate of Competency #: C 0 0 0 0 9 ( 7 Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ R 0 0 Square/Linear Footage of Work: I L-4- 0 Type of Work: ❑Address ❑Alteration )■ew ❑Repair/Replace Description of Work: ❑Demolition :**** *x********** * * *** x *• *** *x•*:x***** ** Fees * *** * * ** x**** ***x• **. x*******•x ****x:*********** Submittal Fee $ • _1 Permit Fee $ 0, 6 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 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 Signature 1/1 Owner or Agent / Contractor The foregoin instrument was ac wledged before me is 1 S The fore • g instrument was acknowledged before me this i day of �b , 20 P , by U C .� /0) tItay of , 20 1 , by K. V ► f l ► \ ' I who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ca ct My Commission Ex * * ** * * * * * * * * * * ** APPROVED BY GLADYS BORGES , r MY COMMISSION # EE 048167 .;° EXPIRES: December 17, 2014 jigir Bonded Thru Notary Public Undere rears ' /✓7- E',F zr // NOTARY PUBLIC: *** ***** ****** ****** **** Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) GI.ADYS BORGES ;,: MY COMMISSION # EE 048167 4 EXPIRES: December 17, 2014 Zoning Clerk 1 r 02-04 -2010 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION. OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE 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 law. EFFECTIVE DATE: 02/04/2010 EXPIRATION DATE: 02/04/2012 PERSON: GILLIS KEVIN FEIN: 200345752 BUSINESS NAME AND ADDRESS: ON CALL ELECTRICAL CONTRACTORS INC PO BOX 161484 MIAMI •FL 33118 SCOPES OF BUSINESS OR TRADE: 1— CERTIFIED ELECTRICAL CONTRACTO IMPORTANT: Pursoent to Chapter 440. 0604), F.S., en officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.06112), F.S., Certificates of election to be exempt... apply only within the scope of the briefness or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(131, F.S., Notices of election to be exempt and certificates of election to be exempt shell be subject to revocation if, et any time after the Kling of the notice or the tssuanee of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for Issuance of a certificate. The department shall revoke a certificate et any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 Jan 14 11 01:40p Victor Suarez 305-5525292 C-4=012 Cim CERTIFICATE OF LIABILITY INSURANCE P,RODUCER JVS Insurance Agency T 9600 SW 8th St, Suite 27 Miami, FL 33174 Phone (305)552-5250 Fax (3015)552:5292 INSURED ON CALL ELECTRICAL CONTRACTORS, INC. 7640 NW 25th Street # 105 Miami, FL 33122- --* — COVERAGES THE POLICiES OF INSURANCE LISTED HAVE BEEN ISSU ANY REQUIREMENT, TERM OR CONDITION OF ANY CO MAY PERTAIN, THE INSURANCE AFFORDED BY THE PO POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN RYER ADD'L ! LTILINSRDI TYPE OF INSURANCE _ GENERAL UABILITY COMMERCIAL GENERAL LIABILITY LID CLAIMS MADE C.,e OCCUR A Li • - GENL AGGREGATE LIMIT APPLJES PER:' 0 POLICY 0 PROJECT LOC AUTOMOBILE LIABILITY [11 111 ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS GARAGE LIABILITY E ANY AUTO EXCESS/UMBRELLA LIABILITY 0 OCCUR !] CLAIMS MADE D DEDUCTIBLE O RETENTION $ rWORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR 1 PARTNER / EXECUTIVE OFFICER i MEMBER EXCLUDED? 11 yes, desert* ureter SPECIAL PROVISIONS below OTHER 09AL THIS CERTIFICATE IS ISSUED AS A ONLY AND CONFERS NO RIGHTS U HOLDER. THIS CERTIFICATE DOES ALTER THE COVERAGE AFFORDED INSURERS AFFORDING COVERAGE INSURER . NOVA CASUALTY INSUR NCE p.1 DATE IMM/DD/YY) 01/14/11 TIER OF INFORMATION ON THE CERTIFICATE OT AMEND, EXTEND OR Y THE POLICIES BELOW. INSURER B. INSURER C • INSURER D INSURER E: I-INSURER F: NA1C . _ TO THE INSURED NAM-ED ABOVE FOR THE POLICY PERIOD INDICA ED. NOTWITHSTANDING RACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTI KATE MAY 8E ISSUED OR CIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIO S AND CONDITIONS OF SUCH REDUCED BY P POUCY EFFECTIVE POLICY EXPIRATION LICY NUMBER DATE 11.D.VODNY) DATE (MMIDDNY) 69921 DESCRIPTION OF OPERATIONS / LOCATIONS-, VEHICLES I CERTIFICATE HOLDER • . _ MIAMI SHORES VILLAGE BLDG. DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 ACORD 25 (2001/08) QF 01/10/11 01/10/12 LIMITS EACH OC RENCE 1 ,00n,00d DAMAGE1 RTNTED- PREMISES Ea occurencel 100,000, 11%4ED EXP ( one person) 5,000 FIERsONAI.6 ADV INJURY 1,000,000 GENERAL GGREGATE-- 2,000,000 PRODUCT' - COMP/OP AGG INCLUDED COMBINED -INGLE Limn- (Ea accident _ BODILY INJ RY (Per person BODILY INJ RY (Per scold° ) PROPER (Per accide AUTO ONL OTHER TH AUTO ONL EACH OCC AGGREGA DAMAGE - EA ACCIDENT EA ACC AGG RRENCE ▪ WC ST TU- LI OTH- E.L. EACH A CIDENT EL, DISEA - EA EMPLOYEE EL. DISEA - POLICY Limn' XCCUSIONSADDEll-BY ENDORSEMENT SPECIAL PROVISIONS CANCELLATION j SHOULD ANY OF THE ABOVE DESCRIBED POU EXPIRATION DATE THEREOF, THE ISSUING INS I 30 DAYS WRITTEN NOTICE TO THE CE THE LEFT, BUT FAILURE TO DO SO SHALL OF ANY KIND UPON THE INSURER, ITS AUTHORIZED REPRESENTATIVE SANDRA PEREZ IES BE CANCELLED BEFORE THE RER WILL ENDEAVOR TO MAIL FICA LDER NAMED TO ° • LIGATION OR LIABILITY SENTATIVES. -4111 ORPORATION 1988 1. STATE OF FLORIDA 'DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 GILLIS, KEVIN ON CALL ELECTRICAL CONTRACTORS INC 13893 SW 102ND LANE MIAMI. FL 33186 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! AC# DETACH HERE (850) 487 -1395 'Or BUSINESS " AND - PRO ° SSvONAL REGULATION EC0000947 08/28/10. 10805111/1 CERTIFIED ELECTRICAL CONTRACTOR GILLIS, KEVIN ON CALL ELECTRICAL'- :CONTRA0TORS.1. IS CERTIFIED under the provisions of Ch.489 FS Expiration data: AUG 31, 2012 L10082,801508 _ ` M • STATE OF FL' ORIDA_ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING. BOARD - SECN L10.082801 LICENSE NBR 08/28/2010108051111 EC0000947 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2012 GILLIS, KEVIN ON CALL ELECTRICAL:CONTRACTORS INC PO BOX 161494 MIAMI FL 33116 CHARLIE GRIST GOVERNOR DISPLAY AS REQUIRED -BY LAW lr .j= :CHARLIE F?- - SECRET:14 FROM : Mar. 28 2011 10:15AM P1 : na�u?,;,>:„•,,•, y'' n', 1w:: ry�,..; a,r' ty +r.,;•�.�15:•M•t?.':d: @..• "'.un•� .e,•„:'N::y. �,'h „•:�•Jb;.�•> THIS IS NOT A BILL -. 00 NOT PAY BUSiNE9S NArM3E I LOCATION 'RECEIPT RENEWAL WAL 205161-3 ONCCALL ELECTRICAL CONTRACTORS STATE* EC0000947 IN 7593 NW 8 ST 33126 UNIN DADE COUNTY OWNER ON CALL ELECTRICAL C0.NTR INC Sec. Type of Business main A CTRICAL CONTRACTOR iUsIN s TAX a6GG •O0R®.. dt V PRI M1T iF SBT�Ui0 REdilLATTORY Coq NINp_Pf U qF N 4�Pt�v �QOFFii A8411 :FRIEW NO pr LAW. T105 f9 H A.ME OL R QUALUF1CA. FIRST- CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT N0.231 c COUNTITAX 09/15/2010 09010171001 000075.00 SEE OTHER SIDE 7 WORKER/3 2 00 NOT FORWARD ON CALL ELECTRICAL CONTRACTORS INC KEVIN F GILLIS PRES 20947 SW 122 PL MIAMI FL 33177 h111LLL11LL ,LlIl,,,NOi1LiLlLLL1Ah L,11LLliill►LL t {j{ 1. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 159376 Permit Number: FW- 3- 11-440 Scheduled Inspection Date: May 09, 2011 Inspector: Bruhn, Norman Owner: CUMING, RICHARD Job Address: 436 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ALEX FENCES, INC. Permit Type: FenceNVaII Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1132060140340 Phone: (305)231 -8314 Building Department Comments WOOD FENCE 5' HIGH WITH ROLLING GATE Passed Failed _F-'-f--K/ Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 157155. Fence exceeds 5' foot. NB May 06, 2011 For Inspections please call: (305)762 -4949 Page 17 of 21 ACORD. CERTIFICATE OF LIABILITY INSURANCE PRODUCER RIVERS INSURANCE AGENCY INC 2879 West 2nd Ave Hialeah, FL 33010 (305)888 -3627 INSURED ALEX FENCE INC 102 WEST 38TH ST HIALEAH , FL 33012 DATEiMMIDDNYYY) 4 .. ' 11 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 k PROGRESSIVJg. EXWRT SS INS COM INSURER B: NATIONAL INSURANCE COMPANY INSURER C: NAIC# INSURER D: INSURER E: COVERAGES • 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILIR FL tTR p laD TYPE OF INSURANCE POLICY NUMBER POLICYEFF C�T'1L'Y_E DATESM ANDarrY) POLICY IRATION DATE( DIYY) LIMITS II • A GENERAL LIABILITY COMMERCIALQENERALLIABILITY RENEWAL OF POL# . NPP1244870 • 11/11/10 `: ' . 11/11/11 .,• .,. EACH OCCURRENCE 13 1, 000.000 P EE{ N'g MISS eavenosI 3 50, 000 CIAIMSMADE X OCCUR MEDPGI (Any wepWmon) $ 5.000 X 15945 PD PERSONAL BACVINJURY 8 11000,000 s 2',00P,000 X PER CLAIM GENERAL AoGEmE GEM. AGGREGAIELMITAPPLESPER PRODUCTS S 1 I I POLICY C n LOC • 3 Au-rOmOBILE LIABILITY mryNTO aul5wNEDALITOS SCNPIDULED AUTOS HIRED AUTOS NO/ YN FULL PIP.0 OED 02A0001076 03. 01/23/11 ' 4 •_ • 01/23/12 ". (Be n iBIHEDt SINGLE OMIT $ (BPO�DILLYINJ)URY $ 10,000 X BBODILLYYI iRV $ 20, 000 --- DAMAGE rs „ 10,000 X 31120 UM NS I-- Il3ARAGE�-VIBIUTY ��J11 ANYAUTO I- JCESS/UMBRELLA 4` AUTO ONLY- EAACCtDENT S OTHER THAN • "� $ AUTOONLY: AGO 5 II EX —I LIABILITY OCCUR El DEDUCTIBLE RETENTION $ e • "1 EACH OCCURRENCE 5 ' AGGREGATE $ I TORYUMITS I roER $ I . WORKERSCOMPENSATIONAND EMPLOYERS' LIABILITY AMI DAOPRIETOR/PAR NERJSXECUTIYE oFPICER MEMBES D I Unmr SPECIAL PROVISIONS ROVISIONS below • I' E.L. EACH ACCIDENT $ E.L DISEASE . EA EMPLOYEE $ • E.L DISEASE- POLICY LIMIT 3 OTHER • • ! nf4V`_RiPTInAt CIF CIPERATION$IL` TIANSIVEHtCLESI ExcLUSIONSADDEDBYENDORSEMEN •T /SPECIALPROVISIONS . ' SCHEDULED:,AUTOS:VEH #X 2007 STERLING VIN #2FZACFCF17AX2310,9. CODA? /COLL $500 DED VEH #2 2005 FORD F350 VIN# 1FTWW33P25EC74197 COMP /COLL $500 DED CERTIFICATE HOLDER CANCELLATION • CITY of MIAMI SHORES 10050 NE 2 AVE MIAMI SHORES FL 33138 305 756 8972 ACORD25(2001108) SHOULD ANY or THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS ww I TEN NOTI f TO THE CERTIFICATE, HOLDER NAMED TO THE LEFT, PUT FAILURE TO DO SO SHALL IM; +SE NO OBLIGATION OR (Amur( OF ANY KIND UPON THE INSURER ITS AGENTS OR SENT 4141 S. • ®ACORD CORPORATION 1988 1 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Expiration: 09/21/2011 Applicant 436 NE 94 Street Miami Shores, FL 33138- 1132060140340 Block: Lot: RICHARD CUMING Owner Information Address Phone CeII RICHARD CUMING 436 NE 94 Street MIAMI SHORES FL 33138 -2846 1 Contractor(s) ALEX FENCES, INC. Phone CeII Phone (305)231 -8314 (786)395 -8552 Valuation: Total Sq Feet: $ 3,995.00 190 1 Approved: Yes Comments: PLEASE IDENTIFY THE 40 SQUARE FOOT TRASH AREA ON YOUR PROPERTY NEXT TO THE A Date Approved: 3/16/2011: Yes Date Denied: 3/11/2011 Type of Construction: Wood Fence Classification: Residential Additional Info: Scanning: 2 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Wire & Wood Scanning Fee Technology Fee Total: Amount $2.40 $2.85 $2.85 $0.80 $190.00 $6.00 $3.20 $208.10 Pay Date Pay Type Invoice # FW -3 -11 -40342 04/19/2011 Credit Card 03/11/2011 Credit Card Amt Paid Amt Due $ 158.10 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Foundation In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. April 19, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date April 19, 2011 1 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 Owner's Name (Fee Simple Titleholder) • N Phone # 30c-756-00314 Owner's Address j Zip Electrical 3 Li, 3- 74,-, ,-KID MAR 1U 2011 I) Permit No. F 1 1 ---L\ Master Permit No. Plumbing Mechanical Roofing City°[ Sit State Tenant/Lessee Name Phone # Job Address (where the work is being done) 'i City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name %a LE X PE iC S'• /LK. Phone # CQS) 2.31— u 3 / 4 Contractor's Address / ®a u..) 3 %' '? S / City 14 l Gt /C'\ 1) State r-e..._ Zip 3 3 0 (II— Qualifier Name /4 %X S 80 r key S Phone # State Certificate or Registration No. ®L e S owe/. Q c1 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ jD 31q5- Type of Work: LlAddition DAlteration Describe Work: Cdr GO Square / Linear Footage Of Work: fNew j90' Repair/Replace A-f�%/Q ❑ Demolition * * * * * * * * * ** * * ** * * * * * * * * * * * * * * ** * * * * ** Fees*********** * * * ** * * * * * * * * *** * *** * * * *** * * * ** * Submittal Fee $J"1 Permit Fee $ Pft Notary $ Scanning $ Radon $ Training/Education Fee $ CCF $ CO /CC Technology Fee $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $'� v . Total Fee Now Due $ See Reverse side -* Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender''s Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that.no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose 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 b proved and a reinspection fee will be charged. Signature � , Signature r or Agent Contractor The foregoing instrument was acknowledged before me this 11 The foregoing instrument was acknowledged before me this 1 day of VA, ctv e 1 , 20 1% , by , day of &k , 20 i 1 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did tak NOTARY P Sign: Print: efreins My Commission Expires: S I ► 1 L'b" 040 Poe Public State of Florida Yosvany Herrans e My Commission DD724299 tio* Expires 10/11/2011 APPLICATION APPROVED BY: (Revised 02/08/06) NOTARY P ' LI Sign: Print: Ot Poe Notary Public. Stale or Florida xo �; Yosvany Herrans • a My Commiasu■ UD724299 14arn-° *P Expires 10r1 ., 1 d of fiy �� My Commission xpires: 5,z— b/Cr, Plans Examiner Engineer Zoning 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:1132060140340 Owner's Name: RICHARD CUMING Job Address: 436 94 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 190 Total Job Valuation: $ 3,995.00 Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 3/16/2011: Yes Comments: PLEASE IDENTIFY THE 40 SQUARE FOOT TRASH AREA ON YOUR PROPERTY NEXT TO THE ALLEY. 3/16/11 NEW PLAN OK 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 F�cPermitNO. FW -3 -11 -440 Perm Pe Fence: 'all {titcod Fence of Issued Expires: Not Folio Number:1132060140340 Owner's Name: RICHARD CUMING Job Address: 436 94 Street Miami Shores, FL 33138- Phone: Total Square Feet: 190 Total Job Valuation: $ 3,995.00 Contractor(s) ALEX FENCES, INC. Phone (305)231 -8314 Primary Contractor Yes 1 Planning and Zoning Criteria and Comments Approved: No Date Denied: 3/11/2011 Comments: PLEASE IDENTIFY THE 40 SQUARE FOOT TRASH AREA ON YOUR PROPERTY NEXT TO THE ALLEY. 04/02/2010 09:40 3052565011 64 - ` ADMIN ANNEX i ' �q,l M Mlaml Shores Village APPR *VED : :, DAT ZONING ��( I `90. tuJ FOUND 1/2" 00. Z 6 IRON PIPE 00'. W LW. ®BLOCK 4 , r i L GATE ��_ ,}, , cess gates must open outward " a away from the pool area, be self-closing/self-locking, ace located on pool side of the gate and located no less iLhJ - 5 om bottom o$ (1'K 51 ci".FBC 424.2.17.1.8 .,o 1 1 2 X111 1 PAGE 02/03 N.E. 94th STREET 75' R/W (IMPROVED) 50.00' (P) FOUND 1/2" IRON PIPE 411 0 O SURVEY NOTES CONCRETE WALK CROSSES PROPERTY UNE ON NORTHERLY SIDE OF LOT. THERE ARE FENCES AND WALLS NEAR THE BOUNDARY OF THE PROPERTY. 6 0 Opp 4, 1.1', cf.> FOUND 1/2" IRON PIPE 0.3' S. (FOUND 1/2" IRON PIPE 1.5' 04\ OC) O� 5.1' 1.$' 7d° 0 LOT7 5 D• 10 BLOCK 51 0.8 401 �OC ?} rJ _1 2- .1'E ALLEY • LOT 16' c BLOCK 51 " um n -rW LL FOUND 1/2" P P IRON PIPE X0.00' 0-) • LOT 17 BLOCK 51 B' ASPH. ALLEY LOT 18 BLOCK 51 PAGE 2 OF 2 PAGES BOUNDARY SURVEY SURVEYORS CERTIFICATE J HEREBY CERTIFY THAT THIS BOUNDARYSURVEY IS A TRUE AND CORRECT REPRESENTATION OFA SURVEY PREPARED UNDER MYDIRECTION. NOT VALID WITHOUT ANAUl7 7PD ELECTRONIC SIGNA77IREAND AUTHENTICATED ELECTRONIC SEAL, ORA RAISED EMBOSSED SEAL AND SIGNATURE. (SIGNED) CLYDE O. MoNEAL, PROFESSIONAL SURVEYOR AND MAPPERST= Clyde McNeal P •20.4 4y C•• ,IS mite =Castle i•µ•. T SUR LB #6135 SERVING ALL FLO 5601 CORPO WEST P PHONE FACSIM STATEWIDE P .� STATEWIDE FACSIM 71 Oa b }7e 728+1067 It . (8061.14;657e; 410576 • . i 04/02/2010 09:40 3052565011 ADMIN ANNEX PAGE 01/03 at 8, Block 51, MIAMI SHORES SECTION 2, according to the Pm, tnemof es recorded In Plat Book 10, Page 37, ofthe Public Recor.. - ?MIAMI- DADECoo*, bride :canna* Number. 120852 PaneL 0302 Suffix: L Flood Zones X Reid Work 11113/2009 :,tided To: ?CHARD G. CUMING AND JOHN F. LALLY ;; THE LAW OFFICE OF JEFFREY S. HERSH; OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY DADE :OUNTY FEDERAL CREDIT UNION, Its successors andlorasdgns, PHH MORTGAGE CORPORAT70N, its successors and/or assigns. 'warty Address: 30 NORTHEAST 94171 STREET NAM SHORES, FL 33138 ;uNey Number. 155075 Lit' AA+ AIREMETAVER ESL amovacm C CENTIME CAICULATED GSM CREERBER . Aft MAME AE. (204' DRAY • CLIVORSEREWNEff EEL DIEMEN ORi EN• O MOW' SaW. EXECFWANER LAE EL• F: FD0TUDWINPFE FA RAW PJR HEILL • I FAX MD RARER4DILOWIEtt nam. mow C ASZVINEVT Pare r IR FOUND DIMMED PAC RC,A i!E ffi. 74 Stri3eff PRA RX ROE a L MOTH • tiondIE rAt ANA@ sta ME MN MEE NEE ffirTOWALE CMCAL RECORDS FSWATAWNTOEWHEL PONT FIRMMEAMTEEMEMEMOIT MOM Mr fRAFIK 1ELEPPIONE FORM; Porivrommema PORFORMOVEMINT NOM ccOMPIOVCIAMNE PCIINTCFROMECORKOVRE POWITOMMOWIr paaPavroomea RADAYS MOW tom» Silt SITURAYRIVE CAP RP FORM MIR zaa mono* Fa MN fig HAT • ply REZDAEMZEU M AMMROIVEMIT eta. 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