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BPP-11-1968Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 169755 Permit Number: BPP -10 -11 -1968 Scheduled Inspection Date: February 08, 2012 Inspector: Bruhn, Norman Owner: MORALES, YURI Job Address: 302 NE 92 Street Miami Shores, FL 33138- Project: <NONE> Contractor: MARS POOLS Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Phone Number (305)790 -3849 Parcel Number 1132060136480 Phone: (954)214 -2844 Building Department Comments NEW IN GROUND SWIMMING POOL WITH PAVER DECK Passed 0e-c4 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- 165827. February 07, 2012 For Inspections please call: (305)762 -4949 Page 17 of 19 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 168392 Permit Number: BPP -10 -11 -1968 Inspection Date: January 04, 2012 Inspector: Dacquisto, David Owner: MORALES, YURI Job Address: 302 NE 92 Street Miami Shores, FL 33138- Project: <NONE> Contractor: MARS POOLS Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number (305)790 -3849 Parcel Number 1132060136480 Phone: (954)214 -2844 Building Department Comments NEW IN GROUND SWIMMING POOL WITH PAVER DECK Passed Inspector Comments e4 Sc, y -ev .„ s; VL yam , ✓p 14 4 /iv.S 04 c r ii ,re ,/e.,,,,,t, g C a� €,,..., /to c.e�� ,,,,,,_,,reic-94,,,r / / / /,y // Failed 9 / 6-/1 Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 January 04, 2012 Page 1 of 1 Miami Shores Village Building Department /0050 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 ROOFING OWNER: Name (Fee Simple Titleholder): /��i Address: .30 a F [ 2 Sf ,� City: 1 � I /� � aidl'► ; � j/Lae lj State: Permit No. bPP I1- J I�QO Master Permit No. Phone #: 3 2S- 7q0-- 7 gq / Zip: 3 �l Tenant/Lessee Name: ,) Phone #: Email: yth004/6 Cl) 1/1.54 >CU✓1i JOB ADDRESS: JCA ,1J6 q2 J' City: Folio/Parcel #: Miami Shores County: Miami Dade Zip: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: A4 pals Zck Phone #: 95 7_O 070IV Address: cif AA) � % 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. Owner or Agent The .. - _I in instrument was a ow edged be day o" ��. L4_1 20 It-by 6 i1 i identification and who did take an oath. Sign: . i LL4k Print: My Commission Expires: Contractor The foregoing instrume 20; acknow i g d before J y �Ib o to me or who has produced as identification and who did take an oath. Li day of ho is personally kn J p1AV C1l511 `Cflodda �aL U too 2da 1P�'�4 otary Pu' s ge_ 23. � ,/ . Ev.nue 125310 y Commiseion tic alNotacy Assn• Zhcou9nNa o! �� SondeA NOTARY PUBLIC: t: ,pH 111.4, of ,d0) CLAUDIA V. CUBILLOS y Commis *********> ti***** */ ux: *> is****rk****: xlx*u:******** lxm ******* *lxx: ***a:=1:>k>x*>k***a:****** APPROVED BY L-1'41..., Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) k•• Notary ' u -.. r.1 My Comm. Expires Sep 23.2015 47 Commission *0 128810 ,,,,m ,0 Bonded Through Natic al Notary Assn. ** ) /2 Zoning Clerk 1 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 302 NE 92 Street Miami Shores, FL 33138- 1132060136480 Block: Lot: YURI MORALES Owner Information Address Phone CeII YURI MORALES 302 NE 92 Street MIAMI SHORES FL 33138 -3134 (305)790 -3849 Contractor(s) MARS POOLS Phone CeII Phone (954)214 -2844 (954)741 -4124 Approved: Yes Comments: Date Approved: 10/26/2011: Yes Date Denied: Type of Work: Swimming Pool Additional Info: Classification: Residential Occupancy: Private Bond Return : Scanning: 6 Fees Due Amount Bond Type - Contractors Bond $500.00 CCF $21.00 CO /CC Fee $150.00 DBPR Fee $15.75 DCA Fee $15.75 Education Surcharge $7.00 Permit Fee $1,050.00 Plan Review Fee (Engineer) $60.00 Scanning Fee $18.00 Technology Fee $28.00 Total: $1,865.50 Pay Date Pa Type Invoice # BPP- 10- 11-42380 11/04/2011 Check #: 1543 10/25/2011 Credit Card Bond #: 2078 Amt Paid Amt Due $ 1,815.50 $ 50.00 $ 50.00 $ 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. November 04, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date November 04, 2011 1 ELECTRICAL Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 (13111— el I — INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. &) I I —.19&3 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): / ja 6 I Address: C� City: t/I) cs'iJ ), ) ))/ s State: Zip: ;' r Tenant/Lessee Name: Phone #: / Email: I ty7 g I t '-'2.; , / • Phone #: =� JOB ADDRESS: -3 I _2 '� 2 9 City: Miami Shores County: Miami Dade Zip: % ' , Folio/Parcel #: / ` 3j1 ] 1. / ,3 - </ s/ ^_% / Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: /I;1 c l % 5 ill- / Phone #: v i1 '. ' . ! `,% • Address: 5 '/ /5 Al Ai e' ' ,4IL. E- -rs City: 5 4,j N) i ' / S (<' State: = Zip: 3 ' . Qualifier Name: a) / C / ) 6 e / K. t_ b' e'.1 6 4 Phone #: l _ .-tl j ( + ;%l State Certification or Registration #: C /9t / "l '' .r ' Certificate of Competency #: Contact Phone #: 5,5`/ - e I t% ' vi ,`-)41/Y Email Address: / G r• d d 1 DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 3 5 L ` Square/Linear Footage of Work: J UAlteration New ❑Repair/Replace ❑Demolition Description o ork , /V '°) 11=l R� i I , �, ,. 6 B , Type of Work: UAddition lid .qtr: * * * * * ** ees************ * * ** * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ e/ 0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Double Fee $ Structural Review $ 6 0 Training/Education Fee $ Technology Fee $ 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 foregoing instrument was acknowle ged before me this / The for day of ( c 41, 20 / , by to G l l ie2 , day of who is personally known to me or who has produced r-/- Dr) tv • I-, c 0)5i As identification and who did take an oath. NOTARY PUBLIC: Sign: izie t Print: My Commission Expires: Y: ***kk *ac74:Y•4:4toY4:9:9F****k APPROVED BY ��v�nf\,`1fL � �r.✓.�it,- 'w`i�vMrwwr:.nv�^-1 '4 %, GWENDOLYN E. STEWARF E' 71. MY COMMISSION # DD951586 'J EXPIRES: April 19, 2014 Vov s 1s00.3- No rnav Ft. No:a y Discount Assoc. Co Contractor is acknow ,20l ,b wh r-se>} known to me or who has produced as identification and who did take an oath. NOT Sign: Print: ***************************************** /Vi't 10 /,l (Revised 07 /10 /07)(Revised 06 /10 /2009XRevised 3/15/09) Plans Examiner Structural Review PUBLIC: . Cl.'" otf°t tsAn lB�Itc -State ° . Miles Sep 23.2015 ' • /i •' spy Com Commtsswn S EE y taBY Assn. 14; �. i * e(1 *nta .rl Naltona good. o4 �kf�kdot4't}ek k - *** *****. * *** ****** * Zoning Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. it X70(f;6Y3 6gSO STATE OF FLORIDA: PrepAred By : T ichhGI o w4r 1 ROSN4402#11/6 ea?3S COUNTY OF MIAMI -DADE: SL),'tr^►'se FL MS" 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. 11111111111111111111111111111111111111011111 : :FN 201 1F:0684587 R Bk 27356 F`9 2169; ( ips) RECORDED 10/12/2011 15:03:06 HARVEY RUVINF CLERK OF COURT MIAMI-E DE COUNTYr FLORIDA LAST PAGE Space above reserved for use of recording ott 1. Legal descriptPon o roper�yy and street/address: ; // ¥/ 2. / ,c 4. L/ishe: ci (J 55z 7/v #) Roomed ,f) k154A IV Pc e'7O &it: tear (1a 2 ld (Pie 4) � . /of/ ofq 2. Description of improvement: Aim )10-cord 18 fit/ rCOI ,/ <,uey 1�a ra, 3. Owner(s) name and address: Jr" � 0 )Oi t C 2. "))iv i, Mete Interest in property: Live Name and address of fee simple titleholder. C o n t r a c t o r ' s a d d r e s s ;� b` 605 /fit' ? /S cos ,(/fir / r) z 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number. 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Prepared By Print Name Title/Office STATE OF FLORI A COUNTY OF MIAMI -DADE orized Officer/Director/Partner /Manager Prepared By Print Name Title /Office The for • nstru t wavacknowledged before me this By, r� i /i / /,?,14 /es I Inds iidually, or as - 0141,70- for ❑ Personally known, or a-produced the following type of identifica Signature of Notary Public: Print Name: (SEAL) 7 day of CsCfe eC /L- s i /,1 i 471 �:�.� ". VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Signature ) o Owner(s) or By 1V u74 WSS10V #DD95?S86 t E':. 1RES: April lv,2o14 "a .,� i 4R } F7 -am,. 6is3uu! h=ecc r r(s)'s Authorized Officer/Director/Partner/Manager who signed above: By Mum MIAMI -DADE COUNTY COUNTY CONSTRUCTION LIEN LAW FOR OWNERS NOTE: IF YOU SIGNED AS THE OWNER'S AGENT YOU ARE RESPONSIBLE FOR DELIVERING THIS INFORMATION SHEET TO THE OWNER OF THE PROPERTY. WARNING TO OWNER Florida's Construction Lien Law (Chapter 713, Part One, Florida Statutes) requires the recording with the Clerk of the Courts a Notice of Commencement for real property improvements greater than $2,500.00. However, it does not apply to the repair or replacement of an existing heating or air conditioning system Tess than $5000.00 in value. This notice must be signed by you, the property owner. Under Florida law, those who work on your property or provide materials and are not paid, have a right to enforce their claim for payment against your propery.'This claim is known as a construction lien. YOU MUST FILE A NOTICE OF COMMENCEMENT For your protection under the Construction Lien Law and to avoid the possibility of paying twice for improvements to real property, you must record a Notice of Commencement in the Clerk of the Court's Office. You also must provide a certified copy of the recorded document at the construction site. The Notice of Commencement must be signed by you, the owner contracting the improvements, and not by your agent. The Notice of Commencement form, provided with this information packet, must be completed and recorded within 90 days before starting the work. A copy of the payment bond, if any is required by you and purchased by the contractor, must be attached as part of the Notice of Commencement when recorded. If improvements described in the Notice of Commencement are not actually started within 90 days after the recording of the Notice, a new Notice of Commencement must be recorded. You lose your protection under the Construction Lien Law if the payments are made to the contractor after the expiration of the Notice of Commencement. The Notice is good for one year after the recording date or up to the date specified under item nine of the form. Florida law requires the Building and Neighborhood Compliance Department to be a second source of information concerning the improvements made on red property. The Building Permit Application (included with this packet) has been expanded to include information on the construction lender and the contractor's surety, if any. The new application requires your signature or your agent's, to inform you of the Construction Lien Law. YOU MUST POST THE NOTICE OF COMMENCEMENT AT THE JOB SITE By law, the Building and Neighborhood Compliance Department is required to verify at the first inspection, after the building permit is issued, that a certified copy of the recorded Notice of Commencement, with attached bonds if any, is posted at the construction site. Failure to show the inspector a certified copy of the recorded Notice will result in a disapproved inspection, (Florida Statute 713.135(1)(d)). NOTICE TO OWNER FROM SUBCONTRACTORS AND SUPPLIERS You may receive a Notice to Owner from subcontractors and material suppliers. This notice advises you that the sender is providing services or materials. Subcontractors and suppliers must serve a Notice to Owner within 45 days of commencing work to preserve their ability to lien your property. If your address changes from that given in the Notice of Commencement, you should record a corrected Notice reflecting your current address. This is done to help ensure you will receive all notices. RELEASE FROM LIEN FROM CONTRACTOR Prior to paying the contractor, you need to receive a Release of Lien and Affidavit to the extent of payment from the general contractor. The Release of Lien and Affidavit shall state either that all the subcontractors and suppliers have been paid or list those unpaid and the amount owed. The contractor is required to list on the Release of Lien and Affidavit any subcontractor or supplier that has not been paid. That amount may be withheld from the contractor's pay and paid directly to the subcontractor or suppliers after 10 days written notice to the contractor. If the balance due to the contractor is not sufficient to pay in full all subcontractors and suppliers listed on the contractor's affidavit, you may wish to consult an attorney. The general contractor shall furnish a final Release of Lien and Affidavit to the owner indicating all subcontractors and suppliers have been paid at the time he requests final payment. You can rely on the affidavit in making final payment to the general contractor. If you make final payment to the general contractor without obtaining the affidavit, your property can be liened for non - payment if the general contractor fails to pay the subcontractors or suppliers. You should always obtain a Release of Lien and Affidavit from the contractor to the extent of any payments being made. RELY ON YOUR LENDER FOR COMPLIANCE WITH CONSTRUCTION LIEN LAW If you have a lender, you may rely on the lender to handle the recording of the Notice of Commencement. Learn more about the Construction Lien Law by contacting an attorney, your lender, or the Florida Department of Agricultural and Consumer Services, Division of Consumer Services. Documents are recorded at the Clerk of the Courts, MIAMI -DADE COUNTY RECORDER, COURTHOUSE EAST, 22 N.W. First Street, 1st Floor, Miami, FL 33128. You can record the Notice of Commencement by mail. The original Notice should be sent to the County Recorder, P.O. Box 011711, Flagler Station, Miami, Florida 33101. Please make sure the original Notice is signed and notarized. Also, remember to enclose the recording fee (for a single copy) and written instructions for recording and returning a certified copy of the recorded documents. For additional information on fees and recording documents call (305) 275 -1155. 1 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2011 THROUGH SEPTEMBER 30, 2012 DBA: Business Name: MARS POOLS INC Owner Name: MICHAEL STEWART Business Location: 5405 NW 102AVE # 235 SUNRISE Business Phone: Rooms Seats Employees 1 Receipt #:188- 238920 Business Type: POOL /MARINE CONTRACTOR ( ) Business Opened:o2 /o2/2011 State /County /Cert/Reg:CPC14 5 7 9 2 2 Exemption Code:NONEXEMPT Machines Professionals For Vending Business Only Number of Machines: • Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 2.70 0.00 0.00 29.70 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and /or Municipality planning WHEN VAUDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: MARS POOLS INC 511 SE 5 AVE FORT LAUDERDALE, FL 33301 2011 - 2012 Receipt #01A -11- 00000344 Paid 10/13/2011 29.70 l 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 Date /o/7/1a , Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner ejuoperty described as 111 hote3 C c / �O /D -7� /rnd , located at ' o2 //‘ 92 it- 111164 SMts/%C- Y7/ 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. 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 f 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 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PR/7/7, NTS: WHEREAS, the undersigned A 7/q is /are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: Jo) 4(fV 2 5/ �/ M/ ✓�9i} c�%(kt k 77/N Whereas, the undersigned owner(s) ;/t) �/vc41e5 desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: I. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. III. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our /my property shall fail to meet code requirements for pool barriers, we, as owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. IV. That, I/we, as owner(s) hold Miami Shores Village harmless for any negligence or injury that results from not having the enclosure. V. If enclosure belongs to said property, I agree to maintain & or replace said enclosure in the event that is damaged or removed by any case. NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he /she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant 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 ac co dance of Village then in effect. OWN: R SIGN & PRINT OWNER SING & PRINT I Hereby Certify that on this day personally appeared before me /' / } ! if /'5 and has produced ID as identification and he /she ack wledge that he /she executed the foregoing, freely and voluntarily, for purposes there in expressed. `� /� SWORN TO AND SUBSCRIBED before me on this / day of !.� G� 20 (Revised 05/2209 9 NOTARY PUBLIC 'SATE OF FLORIDA • 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 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 1. (Submit Manufacturer's Specifications). A continuous, one -piece (child) barrier meeting the requirements of Florida Building Code R410 .17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non - dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type and location of all non dwelling walls. Florida Building Code, R4101.17.1 Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self - latching device with positive mechanical 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 7.75. : 3 F.S . This fo_ must be signed by the owner /agent and the prime contractor. CONTRACTOR'S SIGNATURE AND DATE OWN, 'S SIGNATURE N�- DATE CONTRACTOR'S NAME (PLEASE PRINT) 0 NER'S NA (P1 EASE PRI T) / NOTARY PUBLIC NOTARY ,UBLIC P M', C1MM■SSI', ", DD961546 t C'tif'IRt.S• Agra] 1 , 2014 F1 No,E,, g,,:com.5a:v Oct.26. 2011 1:13PM MARS POOLS INC 'A°R CF CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and condltlone of the policy, certain policies may require an endorsement, A statement on thie certificate dons not confer rights to the certificate hOltler in lieu of such endorsOment(s). PRODUCER Lanza Insurance Agencyy Inc. 9900 W Semple Road - Ste 300 Diana Sprigs, Schott No.4514 P. 1 MARSP -1 OP ID: CDL DATE (PAVIDDIYYYY) 07/11/11 INSURED ,r. an; - Dols, Inc. 5405 NW 102 Avenue #235 Sunrise, FL 33351 COVERAGES 954 -825 -0424 LogrAr.r 954- 825 -0425 PHONE AD DIMMERS) AFFORDING COVERAGE INSURER A : Catlin 5. ; laity Ins Co AX No): INSURER B: INSURER C INSURER D : INSURER ENSURERF: NAIC # • THIS INDICATED. CERTIFICATE EXCLUSIONS Ec&R rccvror■Jn rYympCK: IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE ADDL. Dorm 3UaR WWI POLICY NUMBER POLICY EFF IMM/DD/YYYY) POLICY ECP (MM/DDIYYYY1 LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL UABILm CLAIMS MADE X ODOUR 0900101175 07124111 07/24/12 EACH OCCURRENCE $ 500,000 REMI$E C oca+Ec nos) $ 100,000 $ 5,000 MED EXP (Any one person) PERSONAL & ADV INJURY $ 000,000 GENERAL AGGREGATE $ 500,000 GENT_ AGGREGATE LIMIT APPLIES PER � POUCY 7 7 Loc PRODUCTS - COMP/OP AGG $ 500,000 $ $ AUTOMOBILE — LUUMILnY _ comomeo o HOLE LIMIT ANY AUTO ALL AUTOS OWNED AIRED AUTOS AUTOS SCHEDULED g AWNED BODILY INJURY (Per person) $ BOWLY INJURY (PeraccIdent) $ 7u bN 1 Y DAMAGE 5 UMBRELLA LIAR EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE 5 DED 1 I RETENTION $ $ WORKERSCOf$PENSAfION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNNN/EXECUTIVE Y! N OFFICER/MEMBER EXCLUG$D7 (Mandatory in Nx) If yea deeathe Under DES CRIPTION OF OPERATIONS below N IA WC STATU TORY LIMITS BOTH. I Etc E.L EACH ACCIDENT $ E.L. PISiwASE - EA EMPLOYEE 8 E.L DISEASE - POUCY LIMIT 5 S rkli+1 i Go CB "NTRAC OR /VEHICLES a Faxed 9 CgBTICIRATC unI rims 75 -88883 S, Addi$oml Ramarlw Schedule, if more apex is required) ION MIAMISH Miami Shores Village Fax; 305- 756 -8972 10050 NE 2 Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (20105) ®1980 -2010 ACORD CORPORATION. All rights reserved. TURD name and logo are registered marks of ACORD 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:1132060136480 Owner's Name: YURI MORALES Job Address: 302 92 Street Miami Shores, FL 33138- Owner's Phone: (305)790 -3849 Total Square Feet: 1040 Total Job Valuation: $ 35,000.00 Contractor(s) MARS POOLS Phone (954)214 -2844 Primary Contractor Yes 1 Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 10/26/2011: Yes Comments: ‘v N.E. 3rd AVENUE 18' ASPHALT PAVEMENT (60' TOTAL R/w) 129.'(P) 129. .4 0.70' CL. 4.50' 1N31413AVd 17VHdSV ,ll (1 V7d) .1377V ,S 4.50' 4.70' CL. 0 54.02' 2 0 mil -4 0O. CO -n rn ozi rnrn O 16' PARKWAY 5' CONC. SWK 2.80' Ike k' l° (A�I 11.05' ILO in 1 12.40' 2.00' 25.10' w 0 w IIII f \o w 13.45 O mZ v_+m O � 0 7, - - -1at- Ui faM 37.10' ttit° to *-\4 9T • • • • • w, J ie. •• sir* ••••••••‘• . • .. • 4611 34.30' ' (�J'a 'I 35.80' fr o O L • �/� a Si 1 °�r �T/..'�'.. 1•.��' POOL iN N1 �v a ��2 /' • 1' /, PUMP ti rid ^tu�/?�' �'•�r'b ��r`r4 35.80' 1�1�/ / t im u,cckcoo 6.0' 06 tn`a o r- 129.60'(P)(M) No % I � � A \fr 32.50' 7.00' it 30.20' Bearing, if any, shown based on N/A (reference) N/A 0 .(VMXdVd 37.50' 37.50' 133211S PuZ6 'M'N "THIS SURVEY DECLARATICIN IS MADE ON THE FIELD DATE INDICATED, TO THE OWNER(S) LISTED. IT IS NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS." ` Fp 2 . e4 II lc*? APPECNED ZONING DFrT� BLDG DEPT SUBJECT i0 CCM°l .IANCE \MI fN ALL STATE AND CC UN iN This property described as: Lots 11, and 12, Block 48, AMENDED PLAT OF MIAMI SHORES SECTION 1, according to the Plat thereof - - as recorded in Plat Book 10, Page 74- of the Public Records ofMiami -Dade County, Florida. CERTIFIED TO Yuri Morales and Andrea P. Suarez 302 N.E. 92th Street, Miami Shores, FL 33138 m E 1 g� im 8 .t m N mm m O O . 5 m T' m of E C m 5 a .a1« c° PE S c m c m E g . -P. a m m :it ' 'c a ro « a€ a ° ,0 m 1 m $ 2 « m a ° 2 m ° C % a Z a `S { 0 m O L m .5 m C L O 0 C m m Vo. m ro m fin :g v PS > S mE= m"$ oio- �a F ° - m m a m E 2 HUM � o m m m c « m E ° m U C m m 3 r v C E w c o 0 c m m m =: m m 12y 0 5 g ID, O= C ` O O iiNg=-71itig -p ov4$Ugi` gL 9 0 z : cism C LEGEND A =Arc ASPH = Asphalt BM = Bench Mark BRG = Bearing CB = Catch basin CBS = Concrete Block Structure CH = Chord Chatta. Chattahoochee Cb = Center Line CLF = Chain Link Fence CL. = Clear CONC.= Concrete D = Delta 0 = Diameter DH = Drill Hole DME = Drainage & Maintenance Easement E.B. = Electric Box Enc. = Encroachment F.F. = Finish Floor F.H. = Fire Hydrant F.I.R. = Found Iron Reber FPL = Florida Power & Light F.I.P. = Found Iron Pipe FD. = Found L.P. = Light Pole M = Measured M.F. = Metal Fence M.H. = Manhole = Monument Une MON. = Monument N/A = Not Applicable N/D = Nail & Disc NTS = Not to Scale O/S = Offset O.U.L. = Overhead Utility Lines OH = Overhang P = Plat PB = Plat Book PC = Point of Curvature P.C.C. = Point of Compound Curvature PCP = Permanent Control Point PG = Page P.I. = Point of Intersection E = Property Une PL = Planter P.O.B. = Point of Beginning P.O.C.= Point of Commencement P.P. = Power Pole P.R.M.= Permanent Reference Monument P.R.C.= Point of Reverse Curvature PT = Point of Tangency R = Radius R/R = Railroad PSM = Professional Surveyor Mapper RJW = Right -of -Way SWK = Sidewalk Sec. = Section (Typ) = Typical T = Tangent U.E. = Utility Easement W.F. = Wood Fence W.M. = Water Meter W.V. = Water Valve 9= Denotes Spot Elevations Taken REVISIONS: 12/22/11 Survey Update FLOOD ZONE X F.I.R.M.DATE 09/11/09 COMM. No. 120652 PANEL No. SUFFIX. 0302 L F.I.R.M.INDEX 09/11/09 BASE ELEV. + N/A N.G.V.D. ELEVATION NOTE: (IF APPLICABLE) L.F.EIev.= 10.07'(lowest habitable floor elevation). Elevation shown hereon refer to N.G.V.D. 1929. Lowest adjacent grade elevation- 9.3' BM. # GS -3 -RA (Miami -Dade) Elev = 5.87' Garage Elev.= , N/A . Erp.= N/A Not valid unless it bears the signature and the original raised seal of Florida licensed Surveyor and Mapper. TOPOGRAPHIC SURVEY. I HEREBY CERTIFY: that this survey meets the minimum technical standards as set forth by the FLORIDA BO • : • e '% ESSI • • L SURVEYORS AND MAPP RS in per 5J- 1�orida Administrative Code, pursuan o Section 027 Florida Statutes. -�1 IVES 10/05/11 PTOFESS ON SURVEYOR AND MAPPER No. 4327. State of Florida. Alvarez, Aiguesvives and Associates, Inc. Surveyors, Mappers and Land Planners 5701 S.W. 107th Avenue #204, Miami, FL 33173 Phone 305.385.0385 Fax 305.385.0623 L.B. No. 6867 / E -mail: fastsurveys @aol.com Field Date 10/03/11 Scale: 1 " =20' Drawn by: D.G. Drwg. No. 11 -18915 A � FLORIDA DEPARTMENT OF HEALT Rick Scott Governor H. Frank Farmer, Jr., M.D., Ph.D. State Surgeon General January 30, 2012 Michael Stewart 5405 NW 102 Ave Ste 235 Fort Lauderdale, FL 33351 RE: Contingency Letter Application Document No: API049661 Centrax Permit Number: 13 -SC- 1373556 OSTDS Number: 302 NE 92 St Miami, FL 33138 Lot:11, 12 Block:48 Subdivision: Miami Shores Sec 1 Amd Dear Applicant: This will acknowledge receipt of an application dated 10/12/2011 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. Proposed pool at the backyard. There is not increase in sewage flow, change sewage characteristic, or compromise the integrity or function of the system From a review of your completed application, it has been determined your existing system is adequate for the proposed use. If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500 . Fax: (305) 623 -3645. http: / /www.MyFloridaEH.com U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1 -9. OMB No. 1660 -0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owners Name: YURI MORALES AND ANDREA SUAREZ 11 -18915 Policy Number A2. Building, Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 302 N.E. 92'''D STREET City MIAMI SHORES State FL ZIP Code 33138 Company NAIC Number A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 11 AND 12 BLOCK 48, AMENDED PLAT OF MIAMI SHORES SECTION 1, PB. 10, PG. 70. A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 25 °51'34.12 "N Long. 80 °11'27.47 "W Horizontal Datum: ❑ NAD 1927 -1 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 0 sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? ❑ Yes 0 No A9. For a building with an attached garage: a) Square footage of attached garage 0 sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes 0 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number MIAMI SHORES 120652 B2. County Name MIAMI -DADE B3. State FL B4. Map/Panel Number B5. Suffix B6. FIRM Index 87. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12086C 0302 L Date Effective/Revised Date Zone(s) AO, use base flood depth) 09/11/09 09/11/09 X + N/A N.G.V.D. B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other (Describe) _ B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) _ B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date t 4 ❑ CBRS ❑ OPA ❑ Yes ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* 131 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR /A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a -h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized #GS -3 -RA (Miami -Dade) Vertical Datum N.G.V.D. 1929 Conversion/Comments N/A a) b) c) d) e) 0 9) h) Top of bottom floor (including basement, crawlspace, or enclosure floor) 10.07 Top of the next higher floor 11.67 Bottom of the lowest horizontal structural member (V Zones only) N/A Attached garage (top of slab) N/A Lowest elevation of machinery or equipment servicing the building 9.48 (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) 91 Highest adjacent (finished) grade next to building (HAG) 93 Lowest adjacent grade at lowest elevation of deck or stairs, including N/A structural support Check the measurement used. ® feet ❑ feet ❑ feet ❑ feet feet ® feet feet ❑ feet ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. t certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Certifiers Name RENE AIGUESVIVES License Number 4327 Title PROFESSIONAL ' SUR OR AND MAPPER Company Name ALVAREZ, AIGUESVIVES AND ASSOCIATES INC. Address 5701 Al '/ " 04 City MIAMI State FL ZIP Code 33173 om" legrAr Signature Date 10/03/2011 Telephone 305- 385 -0385 FEMA F. 81 -3 , M- 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. BuEg Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. For Insurance Company Use: Policy Number City State FL ZIP Code Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments C2.e) MACHINERY ELEVATION REFERS TO A/C UNIT PAD. CRAWL ' . - - •t AREAS, IF APPLICABLE, ARE OF APPROXIMATE NATURE. LATITI D 7 ITUDE AINED USING A GPS MAGELLAN MAESTRO 4210. Signature Date ❑ Check here if attachments SECTION E - BUILD G ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawispace, or enclosure) is . _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is . _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8 -9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is . _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone A0. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: . _ ❑ feet ❑ meters (PR) Datum _ G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum _ G10. Community's design flood elevation _ ❑ feet ❑ meters (PR) Datum _ Local Official's Name Community Name Signature Comments Title Telephone Date ❑ Check here if attachments FEMA Form 81 -31, Mar 09 Replaces all previous editions .41odP. .4t0Poslgmm.plsais�rO Pd Melavm.PP11M1.a •W P.. di4W 4mrdr4ueP...PoPuoPP.P.Pa1/111W.m.ssiI P.4gW .•ALL 14<O011iii L4 111114 ~1004111.10AMosolcuMmesPosumesql, women. •w' MP4 rMNg4P.lmP..PVIPrmP4..d0mt.*wow el WOW= lloWPm. OPpoq.y1rrW.elernadm4Prq..4ar4 ePPH WRrPraF1M111{Pldds.4aP. 14110 .04P11Mqsal>rro4t41<Prtlmd4ldd!WL Q pplwmspiews lumsp•PmeissisP.mOe®1.m.oe a p11.q.e.p.gnsm d1oPn.4d.aosm111/801e l PU W op01Pa4p oast n rw101r.0. ir1 N VIONIM loniDPrglma*mat10 4•114P anuomsPkIPPIesluelkomellikAdOsiorlsiasumilf0POPIPal P . emapha•+sf.rlPrtapimalli4PPd.4m .Pm.Ptar.PP.0210a100411 r4weim Pie.al. Amt .dp*P611l•ap410rR90012Y111wIPglicueIIPPiU0 pPm4Pa9d1 r--- -p.Wlerolo Mail lti IN014• N.P0 fPv kagaqVUMPIPIWPROIIIIRMIKIPIIMUIPM quorwasegad lam .dasemeigpd.Pwamprqs4Am4a.n.Pj i1LL 61 A14011101P1111ouremp11 i1eP ell110 111r7P011IlYP..ftwep0 N (. MOM Id high .................. .................. .................. .................. ................... .................. ................... .................. ............... .... ......... ......... .................. ........ ......... .................. ........ ......... s air (PLAT)• 4 Main Net Mesh Size: Braid: Net Braid Tension Lines Nylon Pulleys Net Strength: Expected life: Installation Fittings Surface Mount Plates Flush Mount Anchor Hook Alternate Anchors kitcl Scfe Pool Nets_ Product Specifications 3.5 Inches (Required to meet ASTM 1346 -91 Standards) 100% Polyethylene with UV inhibitors built in for prolonged lifespan %4 Inch 3/8 Inch 2 3h Inch Body Length Pulley Wheel, 1 Inch diameter, 5/16 Inch width Tested up to 485 lbs for ASTM 1346 -91 standard Between 7 to 10 years 3.5 inch plate with two anchor positions and two screw holes Glass filled nylon for increased resistance to sun and chemicals Available in Grey, Terra Cotta and Beige (cream) % inch diameter barrel with flanges 1.5 inch depth Brass or Glass filled nylon for increased resistance to sun and chemicals Available in Grey, Terra Cotta, Beige (cream) and Brass 4mm Stainless Steel wire hook 1/4 inch x 2 inch Stainless Steel eye bolts 1/4 inch Stainless Steel drop anchors Stainless Steel S- hooks (Gate hook), min .141 x 1.5 inch 3101 SW 3RD AVENUE • FORT LAUDERDALE, FL 33315 -3317 • TOLL FREEI- 866. 463 -5700 • FAX: 954- 760 -9973 wwasin: www.kidsafepoolnets.coen (MEMBER Cti r.IAY -21 -200,2 12 :41 PM KIDSPFE 954 5234159 P.02 APPLIED April 11, 2001 RESEARCH LABORATORIES 5371 N.W. 181st STREET • MIAMI, FLORIDA 33014 -8223 Website: www.arl- test.aom • Email: erltest0aal.com PH. (305) 824 -4500 • FAX (305) 624 -3652 Mr. Kim Nothard President Kid Safe Pool Nets 215SW14Way Fort Lauderdale, FL 33312 FAX: (954) 5234189, RE: L/N 30137 Dear Mr. Nothard: Thts letter is regarding the safety testing of your Pool Safety Net. As you know, this test program has been successfully completed. The safety net was tested to assure compliance with ASTM F -1 346 -91, Standard Performance Specification for Safety Covers and Labeling Requirements for All Covers for Swimming Pools, Spas and Hot Tubs" and the work was performed under the above referenced ARL file number. The model that was tested and found to comply with the standard is trade- named "Kid Safe." This letter will serve as confirmation that these units are Listed by ARL effective March 20, 2001 and you are authorized to label your products with the ARL Listing Mark. Your Certification Report and Follow -up Service Procedure are in the process of being finalized and will be forwarded to you upon completion. If you have any questions, please do not hesitate to contact ARL. Cordially, Alan B. S art Director of Engineering ABS /in COMMISIIMONINV TESTING FOR CONSUMER SAFETY Ahr,AquaCal units feature d '�' �' "�%' Titanium i-leat Exchangers and corpressols. Our patented technology;allovvs us to build the most durable and most cost efficient heat pump... evert AquaCal Heat Purnps afeavailable in a variety of sizes with an assortment of fea- tures so you can select the model that best suits your specific (seeds and budget Your local pods professional can compute` your heating recjuirernel is and install the ;AquaCal unit tti that is right for you. AquaCal Heat Pumps Use no fossil fuels Save energy by transferring free Environmentally friendly heat from the air rather than creating heat ° Minimize` your carbon footprint Prograrnmable thermostats for stable temperature control Elimin to noxious cias emissions ' Meet all Al-IR{ efflcit -nc standard 5Q110 100,000 93,000 50155 5Q175 SQ121R SQ156R 113,000 106,000 73.000 135,000 128,000 86,000 143,000 134,000 91.000 119,000 139,000 111,000 130,000 74,000 88,000 Coefficient of Performance 80M/80• 80/80!83•' 60760,03". 6.0 9.7 4.0 6.3 6.5 6.9 6.1 4.1 4.3. RY410R 208. 23076011, 41.1 Water !taw '. PnlnumtiMMazlrmch 'tgpm Physical Shlpping Weight (lbs) Size (Ien5thxwi4th00olght) Sound Level Declbels et 1011. 338 37"%33.6'X41` 338 37°x33 8•x41' 349 3re33.8'z45"- 3rt33.8•r45° 55 d9 5518 55 d8 55 d8 - ratings outsid the scope of Aril s1,indard 1 160' water temp /anrbier t rirRelative humidity -rued in accordance with AB! standard 1160 wafer temp /ambient air /relative humidity 2737 24th Street North • St. Petersburg, FL 33713 727.823.5642 • aquacaLcorn A-heat pump usesnatures'free heat' from thealrto heat our pail water: Electricity is only needed to transfer the heat not create it • It Is significantly less expensive than gas or electric heating. • This makes a heat pump the most economical, safe and trouble -fre ay to heat your pool. tOftitIs 't SIP t CENT svaimntiflg Pool • patented counfer -flow water management system • heats Wafer faster and more' efficiently" • Impervious to chemical 00rroslon sc criflcin i rtafmgnce +' lifottrrie wg arrant MICROPRGGESSOR.G& r@ L D $6.06 COST PER MitllO14 BTUs OF HEAT $2730 lectrical pE k R rice $38.10 DIGITAL DISPLA accurate and"syto read; bright tilde display • time and temperature settings • en -board sett dagnosttes • microprocessor controlted defrost cvcie -4 1 dv COMPRESSOR • state of the ark technology.. ▪ highest effteteriey quietest OPerali-on- irritUroassedfreliobil4— _? step or'.d<trabil i ; .GORR&S1`ON 84110 84120 54155 54175_ CABINET • rust proof • fade proof • irrlpactresists) AquaCal`s complete Iine Wof heat pumps are I R QU I 11 100 dB Chainsaw Alarm Clock HEA7WAVE SUPERQUIETS Virtually silent from 10 fE away ModelsiOnly • extends swimming season longer than any rather beat puma on the ma,°'R- • continue to heat In free2ir temoe a iures'tc ilnim�z� • cool your poc • Set to hecit. CSC S0121R • Aquacce has been producing_ • Over 200,000 happy quality heat pumps since 1981 customers worldwide • Setting the standard for excellence In the industry for over 25 years Vaennmcmaner Coimal Conve;satro Whisper