BPP-11-1872Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 165407 Permit Number: BPP -10 -11 -1872
Scheduled Inspection Date: July 02, 2012
Inspector: Bruhn, Norman
Owner: KOTALIK, KENNY
Job Address: 950 NE 100 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MARS POOLS
Permit Type: Pools/Whirlpools /Hot Tubs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060340200
Phone: (954)214 -2844
Building Department Comments
INGROUND SWIMMING POOL AND PAVER DECK
Passed 012ii,
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
June 29, 2012
For Inspections please call: (305)762 -4949
Page 2 of 38
SET 1/2"
IRON ROD &
CAP *5734
(08/11/11)
N.E. 100TH STREET
ASPHALT PAVEM
6.5'
WM.150.00
0
0
SET NAIL
& DISC
e' t (008/11/11)
NOTE: SEPTIC TANK LOCATION
AND SAID LOCATION IS
PINNELL SURVEY.
FOUND 1/2"
IRON ROD &
CAP, NO ID
0/8 0.12'(N
0.04'(
(01/14/10
LOT 8
BLOCK 170
50.0' P)
4' C.B.S.
WALL
0.2'(W)
15.05'
/25.49`
• O.
att
LOT 6
50.0 (P)
ab
LOT 5
i, BLOCK 170
FOUND 1/2"
IRON ROD
/8 0.20'(S)
0.11'(W)
(01/14/10)
WATER
PUMP
w
00
00
1
0.3'(E
1.1'
5' CHAIN
UNK FENCE
(TYPICAL)
/23.65
//////39.85'///,
COVERED
1 STORY C.B.S. ENTRY
RESIDENCE #950
19.9 :"
FINISH FLOOR ELEVATION= 11.95'
GARAGE FLOOR ELEVATION =10.2
so
47 "
19.93'
200.00'
O) LOT 4
00 BLOCK 170
x
5' C.L.F.
1.1'W
1.3'
4' C.L.F. 4
0.6'(E
0.1'(N)
SET 1/2"
IRON ROD &
CAP #5734
(08/11/11)
FOUND 1/2"
IRON PIPE
o/s 0.22'(S
1.13'(E
(01/14/10)
iwasw MAIIMIUMNIWIIIIIIII5"111161.114
„.(ALLEY R /W
OVERHEAD UTILITY ONES (TYPICAL)
FENCE 0 P
.2'(E)
0.2'(S)
APPROXIMATE
LOCATION OF
FLOOD ZONE
CONTOUR
SET 1/2"
IRON ROD &
CAP #5734
(08/11/11)
5 ASPHALT PAVEMEN'
FOUND NAIL
/s 0.53'(S)
(01/14/10)
FENCE
.2'N
0.8'W
ti
BLOCK
CORNER
IJ
wz
O
IJ
z
COPY
JUN 1 4 2 i2
Miami Shores Village
APPROVED
7-Y
`regliffErZ'
DSTE
ZONING DEPT
BLDG DEPT
044.2 ,1_, _
SUBJECT TO COMPUANCE WITH ALL FEDERAL
STATE AND COI NVTY RULES AND REGULATIONS
SCALE: 1" = 30'
SKETCH NO.: 10-0046
`DRAWN BY: Q.D.I.
SIDE 2 OF 2
P INNELL SURVEY, INC.
4855 W. HILLSBORO BLVD., SUITE B-1 COCONUT CREEK, FLORIDA 33073
PHONE(954)418 -4940 FAX (954)418 -4941 EMAIL: order@sfland.net
CERTIFICATE NO.: LB6857
SURVEY ADDRESS:
950 N.E. 100TH STREET
MIAMI SHORES, FLORIDA 33138
1
FLOOD ZONE & ELEVATIONS:
FLOOD ZONE: AE/ X- SHADED
BASE FLOOD ELEVATION: 8'
CONTROL PANEL NO.: 120652-0306-L
DATE OF FIRM INDEX: 09/11/09
LOWEST FLOOR ELEVATION: 11.95'
GARAGE FLOOR ELEVATION: 10.29'
REFERENCE BENCHMARK: MIAMI-DADE
COUNTY ENGINEERING B.M. B-400,
,1/4 ELEV. = 8.27'
CERTIFY TO:
1. KENNY KOTALIK
2.
3.
4.
POTENTIAL ENCROACHMENTS:
1.5 FOOT CHAIN LINK FENCE CROSSES OVER THE EASTERLY AND WESTERLY
PROPERTY LINES.
2.5 FOOT WOOD FENCE CROSSES OVER THE SOUTHERLY PROPERTY LINE.
LEGAL DESCRIPTION:
LOTS 5, 6 AND 7, BLOCK 170 OF "MIAMI SHORES SECTION 8 ", ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 14, AT
PAGE 33 OF THE PUBLIC RECORDS OF MIAMI DADE COUNTY, FLORIDA.
LEGEND & ABBREVIATIONS:
A =ARC
A/C = AIR CONDITIONER
A.E. = ANCHOR EASEMENT
ASPH. = ASPHALT
B.M. = BENCHMARK
B.C.R. = BROWARD COUNTY RECORDS
C.B.S. = CONCRETE BLOCK STRUCTURE
CHATT. = CHATTAHOOCHEE
CONC. = CONCRETE
C.L.F. = CHAIN LINK FENCE
C.L.P. = CONCRETE LIGHT POLE
(C) = CALCULATED
C.O. = CLEAN OUT
C.R. = CABLE RISER
(D) = DEED
D.B. = DEED BOOK
M D.C.R.= DADE COUNTY RECORDS
D.E. = DRAINAGE EASEMENT
ENCH. = ENCROACHING
ESMT. = EASEMENT
ELEV. = ELEVATION
E.M. = ELECTRIC METER
FND. = FOUND
F.P. & L. = FLORIDA POWER & LIGHT
12. = IRON PIPE
LR. = IRON ROD
L.B. = LICENSED BUSINESS
L.P. = LIGHT POLE
M.H. = MANHOLE
(M) = MEASURED
MAINT. = MAINTENANCE
NO. = NUMBER
N.G.VD. = NATIONAL GEODETIC VERTICAL DATUM
O.H. = OVERHANG
O.R.B. = OFFICIAL RECORDS BOOK
O/S = OFFSET
(P) = PLAT
P.B.C.R. = PALM BEACH COUNTY RECORDS
GENERAL NOTES:
1. TYPE OF SURVEY: BOUNDARY
2. IF THIS SURVEY HAS BEEN REVISED AS INDICATED IN THE REVISION
BOX SHOWN HEREON, THEN ANY AND ALL PREVIOUS VERSIONS OF
THIS SURVEY PREPARED BYPINNELL SURVEY, INC. ARE NULL & VOID.
3. THE PROPERTY SHOWN HEREON WAS NOT ABSTRACTED FOR
OWNERSHIP, RIGHTS -OF- -WAY, EASEMENTS OR OTHER MATTERS OF
RECORD BY PINNELL SURVEY, INC. THERE MAYBE ADDITIONAL
RESTRICTIONS THAT ARE NOT DEPICTED ON THIS SURVEY THAT MAY
BE FOUND IN THE PUBLIC RECORDS OF THE COUNTY, FOR WHICH THE
SUBJECT PROPERTY IS LOCATED IN.
4. UNLESS OTHERWISE NOTED, FIELD MEASUREMENTS ARE IN
AGREEMENT WT1H RECORD MEASUREMENTS.
5. ELEVATIONS SHOWN'HERFAN (1F ANY) ARE BASED ON =NATIONAL
GEODETIC VERTICAL DATUM OF 1929, UNLESS OTHERWISE NOTED.
6. UNDERGROUND IMPROVEMENTS AND UTILITIES ARE NOT LOCATED.
7. FENCE AND WALL OWNERSHIP IS NOT DETERMINED.
DRAWING IS T E PROPERTY OF PINNELL SURVEY, INC. AND SHALL
OT BE USED OR REPRODUCED, WHOLE OR IN PART WITHOUT
WITTIENEIRMISSIQN & AUTHOR1ZATIONFROM PINNELL SURVEY, INC.
9. ALL BASEMENTS SHOWINfON THE ATTACHED DRAWING ARE PER THE
RECORD PLAT (UNIAIE OTHERWISE NOTED).
P.B.
P.E.
P.L
P.R.C.
P.T.
P.O.B.
P.O.C.
P.P.
R
RES.
R/W
T
CrYP)
U.E.
W.F.
W.M.
A
2
= PLAT BOOK
= POOL EQUIPMENT
= POINT OF INTERSECTION
= POINT OF REVERSE CURVE
= PROPANE TANK
= POINT OF BEGINNING
= POINT OF COMMENCEMENT
= POWER POLE
= RADIUS
= RESIDENCE
= RRi1il' -OF -WAY
= TANGENT
= TYPICAL
= UTILITY EASEMENT
= WOOD FENCE
= WAThRMETER
= DELTA OR CENTRAL ANGLE
= CENTERLINE
= ELEVATION
CERTIFICATION, i
TI�FI�t J p� � y
THIS IS TO CER " THAT I HAVE RECENTLY SUR' TEYED THE
PROPERTY DES • 1; ED IN THE FOREGOING CAPTION AND
HAVE SET OR FO I D 1 iONUMENTS AS INDICA ON THIS
SKETCH AND THA ` SAID ABOVE GROUND SUR F AND SKETCH
ARE ACCURATE ' ID CORRECT TO THE ,;BEST O KNOWLEDGE
AND BELIEF. I FURTHER CERTIFY THAT TIC SUR MEETS
MINIMUM TECHNICAL; STAI DARDS ERR „ 5J-17,
FLORIDA ADMINISTRATIVE CODE, ADO, BY `E : r FLORIDA
STATE BOARD OF PROFESSIONALf,SURVaEYORS 1D MAPPERS.
THIS SURVEY IS NOT VALJD. WITHO ' : i I c: +TURE AND THE
ORIGINAL RATS rc OF A FLO SURVEYOR
AND MAPP
PROFS SION.O SUR a "; OR & MAPPER
LCENSS NO. 734, STA ' OF FLORIDA
SKETCH NO.: 10 -0046
DATE OF SURVEY: 01/14/10
CHECKED BY: S.A.
FIELD BOOKJPAGE: 352/70
SIDE 1 OF 2
RE- MEASURE POOL, DECK (12-0712)
06/12/12
J.P.
RE- MEASURE POOL DECK (12 -0712)
05/23/12
J.P.
FINAL SURVEY (12 -0545)
04/25/12
J.P.
UPDATE SURVEY (11 -1160)
08/11/11
S.A.
UPDATE SURVEY (10 -1406)
09/17/10
S.A.
REVISIONS
DATE
CHK'D BY
PROFS SION.O SUR a "; OR & MAPPER
LCENSS NO. 734, STA ' OF FLORIDA
SKETCH NO.: 10 -0046
DATE OF SURVEY: 01/14/10
CHECKED BY: S.A.
FIELD BOOKJPAGE: 352/70
SIDE 1 OF 2
SET 1/2"
IRON ROD &
CAP #5734
(08/11/11)
N.E. 100TH STREET
ASPHALT PAVEM
(100' RIGHT —OF —WAY)
FOUND 1/2"
IRON ROD &
CAP, NO ID
o/s 0.12'(N
0.04'(W)
(01/14/10)
LOT 8
BLOCK 170
0
0
8
6.5'
W,M,150.00
SET NAIL
& DISC
#5734
(08/11/11)
50.0 (P)
FOUND 1/2"
IRON ROD
/s 0.20'(S)
0.11'(W)
(01/14/10)
4' C.B.S.
WALL
0.2'(W)
15.05'
• LOT 5
a, BLOCK 170
/25.49
WATER
PUMP
/39.85'
0.3'(E
5' CHAIN
UNK FENCE
(TYPICAL)
1 STORY C.B.S. ENTRY
RESIDENCE #950
FINISH FLOOR ELEVATION =11.95'
GARAGE FLOOR ELEVATION =10.2
4 7 " �cS.
w
2.5'
15'i
19.9 =' /A
19.93'
x-
5' C.L.F.
1.1'W
1.3'
4' C.L.F.
0.6'(E
0.1'(N
SET 1/2"
IRON ROD &
CAP #5734
(08/11/11)
FOUND 1/2"
IRON PIPE
o/s 0.22'(S
1.13'(E)
(01/14/10)
200.00'
LOT 4
BLOCK 170
APPROXIMATE
LOCATION OF
FLOOD ZONE
CONTOUR
SET 1/2"
IRON ROD &
CAP #5734
(08/11/11)
FENCE
.2'(E)
0.2'(S)
5' WOOQ
O• °
:;k;i<'i�F _ - - •_ �.N ;-:tip: ^'"','`a:'yD''"
_a_ I_I —M
P.P OVERHEAD UTIUTY LINES (TYPICAL)
X9.5' ASPHALT PAVEMENT
FOUND NAIL
/s 0.53'(S)
(01/14/10)
FENCE
.2'N
0.8'W
NOTE: SEPTIC TANK LOCATION
AND SAID LOCATION I
PINNELL SURVEY.
JUI 10 2 �• i12
�
B:
ti
BLOCKY
CORNER
w
Z
r
Miami Shores ViU ge
APPROVED
ZONING D▪ EPT
BLDG DEPT
DATE
(90-1(0/
SUBJECTTO COMPLIANCE WITH ALL FEDERAL
STATE MD COUNTY RULES AND REGULATIONS- . l
SCALE: 1" = 30'
SKETCH NO.: 10 -0046
`DRAWN BY: Q.D.I.
SIDE 2 OF 2
PINNELL SURVEY, INC.
4855 W. HILLSBORO BLVD., SUITE B -1 COCONUT CREEK, FLORIDA 33073
PHONE(954)418 -4940 FAX( 954)418 -4941 EMAIL: order@sflana net
CERTIFICATE NO.: LB6857
SURVEY ADDRESS:
950 N.E. 100TH STREET
MIAMI SHORES, FLORIDA 33138
FLOOD ZONE & ELEVATIONS:
FLOOD ZONE: AEI X SHADED
BASE FLOOD ELEVATION: 8'
CONTROL PANEL NO.: 120652-0306-L
DATE OF FIRM INDEX: 09 /11/09
LOWEST FLOOR ELEVATION: 11.95'
GARAGE FLOOR ELEVATION: 10.29'
REFERENCE BENCHMARK: MIAMI DARE
COUNTY ENGINEERING B.M. B-400,
ELEV. = 8.27'
CERTIFY TO:
1. KENNY KOTALIK
2.
3.
4.
POTENTIAL ENCROACHMENTS:
1.5 FOOT CHAIN LINK FENCE CROSSES OVER THE EASTERLY AND WESTERLY
PROPERTY LINES.
2.5 FOOT WOOD FENCE CROSSES OVER THE SOUTHERLY PROPERTY LINE.
l
LEGAL DESCRIPTION:
LOTS 5, 6 AND 7, BLOCK 170 OF "MIAMI SHORES SECTION 8 ", ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 14, AT
PAGE 33 OF THE PUBLIC RECORDS OF MIAMI DADE COUNTY, FLORIDA.
LEGEND & ABBREVIATIONS:
A =ARC
A/C = AIR CONDITIONER
A.E. = ANCHOR EASEMENT
ASPH. = ASPHALT
B.M. = BENCHMARK
B.C.R. = BROWARD COUNTY RECORDS
C.B.S. = CONCRETE BLOCK STRUCTURE
CHATT. = CHATTAHOOCHEE
CONC. = CONCRETE
C.L.F. = CHAIN LINK FENCE
C.L.P. = CONCRETE LIGHT POLE
(C) = CALCULATED
C.O. = CLEAN OUT
C.R. = CABLE RISER
(D) = DEED
D.B. = DEED BOOR
M D.C.R.= DADE COUNTY RECORDS
D.E. = DRAINAGE EASEMENT
ENCH. = ENCROACHING
ESMT. = EASEMENT
ELEV. = ELEVATION
E.M. = ELECTRIC METER
FND. =FOUND
F.P. & L. = FLORIDA POWER & LIGHT
LP. = IRON PIPE
I.R. = IRON ROD
L.B. = LICENSED BUSINESS
L.P. = LIGHT POLE
M.H. = MANHOLE
(M) = MEASURED
MAINT. = MAINTENANCE
NO. = NUMBER
N.G.V.D. = NATIONAL GEODETIC VERTICAL DATUM
O.H. = OVERHANG
O.R.B. = OFFICIAL RECORDS BOOK
O/S = OFFSET
(P) = PLAT
P.B.C.R. = PALM BEACH COUNTY RECORDS
P.B.
P.E.
P.L
P.R.C.
P.T.
P.O.B.
P.O.C.
P.P.
R
RES.
R/W
T
CITE)
U.E.
W.F.
W.M.
A
2
= PLAT BOOK
= POOL EQUIPMENT
= POINT OF INTERSECTION
= POINT OF REVERSE CURVE
= PROPANE TANK
= POINT OF BEGINNING
= POINT OF COMMENCEMENT
= POWER POLE
= RADIUS
= RESIDENCE
= RR/HT-OF-WAY
= TANGENT
= TYPICAL
= UTILITY EASEMENT
= WOOD FENCE
= WATER METER
= DELTA OR CENTRAL ANGLE
= CENTERLINE
= ELEVATION
'GENERAL NOTES:
1. TYPE OF SURVEY: BOUNDARY
2. IF THIS SURVEY HAS BEEN REVISED AS INDICATED IN THE REVISION
BOX SHOWN HEREON, THEN ANY AND AIL PREVIOUS VERSIONS OF
THE SURVEY PREPARED BY PINNELL SURVEY, INC. ARE NULL & VOID.
3. THE PROPERTY SHOWN HEREON WAS NOT ABSTRACTED FOR
OWNERSHIP, RIGHTS -OF -WAY, EASEMENTS OR OTHER MATTERS OF
RECORD BY PINNELL SURVEY, INC. THERE MAYBE ADDITIONAL
RESTRICTIONS THAT ARE NOT DEPICTED ON THIS SURVEY THAT MAY
BE FOUND IN THE PUBLIC RECORDS OF THE COUNTY, FOR WHICH THE
SUBJECT PROPERTY IS LOCATED IN.
4. UNLESS OTHERWISE NOTED, FIELD MEASUREMENTS ARE IN
AMEMENT WITH RECORD MEASUREMENTS.
$ ELEVATIONS SHOWN HEREON (JF ANY) ARE BASED ON THE NATIONAL
GEODETIC VERTICAL DATUM OF 1929, UNLESS OTHERWISE NOTED.
6. UNDERGROUND IMPROVEMENTS AND UTILITIES ARE NOT LOCATED.
7.1BNCE AND WALL OWNERSHIP IS NOT DETERMINED.
8. THIS DRAWING IS THE PROPERTY OF PINNELL SURVEY, INC. AND SHALL
NOT BE USED OR REPRODUCED, WHOLE OR IN PART WITHOUT
WRITTEN PERMISSION & AUTHORIZATION FROM PINNELL SURVEY, INC.
9. ALL EASEMENTS SHOWN ON THE ATTACHED DRAWING ARE PER THE
RECORD PLAT (UNLESS OTHERWISE NOTED).
rCERTIFICATIalt ;.
IS TO CERTIFY T;
PROPERTY DESCRIB c IN
HAVE SET OR FOUNDMO
SKETCH AND THAT SAID
ARE ACCURATE AN O
AND BELIEF. I FURTHER
MINIMUM TECHNICAL ST
FLORIDA ADMINISTRATIVE
VE RECENTLY SURVEYED THE
FOREGOING TITLE CAPTION AND
AS INDICATED ON THIS
VE GROUND SURVEY AND SKETCH
TO THE BEST OF MY KNOWLEDGE
THAT THIS SURVEY MEETS
ARDS UNDER RULE 51-17,
DE, ADOPTED BY THE FLORIDA
STATE BOARD OF PROFESS' tNAL SURVEYORS AND MAPPERS.
THIS SURVEY IS NOT VALID /JTHO GNATURE AND THE
ORIGINAL OF:A FLO A LICENS SURVEYOR
AND MAPP
• •rc
RE-MEASURE POOL DECK (12 -0712)
06/12/12
RE- MEASURE POOL DECK (12 -0712)
05/23/12
J.P.
FINAL SURVEY (12 -0545)
04/25/12
UPDATE SURVEY (11 -1160)
08/11/11
UPDATE SURVEY (10 -1406)
09/17/10
REVISIONS
DATE
J.P.
S.A.
S.A.
CHK'D BY
VD
JASON H. PINNELL
FESSIONAL SURVEYOR & MAPPER
SE NO. 5734, STATE OF FLORIDA
TCH 0.: 10-0046
URVEY: 01/14/10
CNLCKED BY: S.A.
FIELD BOOK/PAGE: 352/70
SIDE 1 OF 2
I
e i
Mnspection Number: INSP- 173379
Inspection Date: May 14, 2012
Inspector: Bruhn, Norman
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Number: BPP -10 -11 -1872
Owner: KOTALIK, KENNY
Job Address: 950 NE 100 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MARS POOLS
Permit Type: PoolsNVhirlpools/Hot Tubs
Inspection Type: Survey Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060340200
Phone: (954)214 -2844
Building Department Comments
INGROUND SWIMMING POOL AND PAVER DECK
SUBJECT TO
COMPLIANCE WITH ALL FEDERAL
T/!TF AND cot INTY RULES AND RFfi
Inspector Comments
Passed
Correction
Needed
Y � V • (
v e w✓
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
May 10, 2012
For Inspections please call: (305)762 -4949
Page 1
SET 1/2"
IRON ROD &
CAP #5734
(08/11/11)
N.E. 100TH STREET
(100' RIGHT -OF -WAY)
ASPHALT PAVEMENT
FOUND 1/2"
IRON ROD &
CAP, NO ID
o/s 0.12'(N
0.04'(
(01/14/10
W.M.
WM.150.00
i
50.0 (P)
50.0'(P)
0
0
LOT 8
BLOCK 170
0
LOT 5
BLOCK 170
4' C.B.S.
WALL
0.2'(W)
/25.49
9
WATER
PUMP
0.3'(E
5' CHAIN
LINK FENCE
(TYPICAL)
00
1
123.65
�
1.442
/39.85' • OC V 4.39
1 STORY C.B.S. ENTRY ERED
RESIDENCE #950
FINISH FLOOR ELEVATION= 11.95'
5.95'
C.O.
—(/ -1/—/
5.15
SEPTIC \
TANK
w
SET NAIL
& DISC
(08/11/11)
FOUND 1/2"
IRON ROD
/s 0.20'(S)
0.11'(W)
(01/14/10)
2.5'
rn
19.9
19.97'
5' C.L.F.
1.1'W
1.3'
4' C.L.F. 7
0.6'(E
0.1'(N
SET 1/2”
IRON ROD &
CAP #5734
(08/11/11)
FOUND 1/2"
IRON PIPE
0/3 0.22'(S
1.13'(E)
(01/14/10)
`;' ,nn t-'4A
IV
WIMINIIMItilli
ri■Mifdr g
5' WOOL)?: 4,;,-.4:,:::::::•-, , .:;i`
CE �. „.(ALLEYR /) •x �, >, y
OVERHEAD UTILITY UNES (TYPICAL)
OUNTAIN
200.00'
LOT 4
BLOCK 170
APPROXIMATE
LOCATION OF
FL000 ZONE
CONTOUR
SET 1/2"
IRON ROD &
CAP #5734
(08/11/11)
FENCE P•P
9.2'(E)
0.2'(S)
' ASPHALT PAVEMEN
FOUND NAIL
/s 0.53'(S)
(01/14/10)
FENCE
.2'N
0.8'W
NOTE: SEPTIC TANK LOCATION IS PROVIDED BY OTHERS
AND SAID LOCATION IS NOT GUARANTEED BY
PINNELL SURVEY.
SCALE: 1" = 30'
■
SKETCH NO.: 10 -0046
DRAWN BY: Q.D.I.
SIDE 2 OF 2
PINNELL SURVEY, INC.
4855 W. HILLSBORO BLVD., SUITE B -1 COCONUT CREEK, FLORIDA 33073
PHONE(954)418 -4940 FAX( 954 )418 -4941 EMAIL: order @afland net
CE1U1FICATE NO.: LB6857
if
SURVEY ADDRESS:
950 N.E. 100TH STREET
MIAMI SHORES, FLORIDA 33138
FLOOD ZONE & ELEVATIONS:
FLOOD ZONE: AE/ X SHADED
BASE FLOOD ELEVATION: 8'
CONTROL PANEL NO.: 120652-0306-L
DATE OF FIRM INDEX: 09/11/09
LOWEST FLOOR ELEVATION: 11.95'
GARAGE FLOOR ELEVATION: 10.29'
REFERENCE BENCHMARK: MIAMI-DADE
COUNTY ENGINEERING B.M. B -400,
1 ELEV. =8.27'
CERTIFY TO:
1. KENNY ICOTALIK
2.
3.
4.
POTENTIAL ENCROACHIVIENTS:
1.5 FOOT CHAIN LINK FENCE CROSSES OVER THE EASTERLY AND WESTERLY
PROPERTY LINES.
2.5 FOOT WOOD FENCE CROSSES OVER THE SOUTHERLY PROPERTY LINE.
LEGAL DESCRIPTION:
LOTS 5, 6 AND 7, BLOCK 170 OF "MIAMI SHORES SECTION 8 ", ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT
BOOK 14, AT PAGE 33 OF THE PUBLIC RECORDS OF MIAMI DADE COUNTY, FLORIDA.
LEGEND & ABBREVIATIONS:
A =ARC
A/C = AIR CONDTITONER
A.E. = ANCHOR EASEMENT
ASPH. = ASPHALT
B.M. = BENCHMARK
B.C.R. = BROWARD COUNTY RECORDS
C.B.S. = CONCRETE BLOCK STRUCTURE
CHATT. = CHATTAHOOCHEE
CONC. = CONCRETE
C.L.F. = CHAIN LINK. FENCE
C.L.P. = CONCRETE LIGHT POLE
(C) = CALCULATED
C.O. = CLEAN OUT
C.R. = CABLE RISER
(D) = DEED
D.B. = DEED BOOK
M D.C.R.= DADE COUNTY RECORDS
D.E. = DRAINAGE EASEMENT
ENCH. = ENCROACHING
ESMT. = EASEMENT
ELEV. = ELEVATION
E.M. = RT.ECTRIC METER
FND. =FOUND
F.P. & L. = FLORIDA POWER & LIGHT
I.P. = IRON PIPE
I.R. = IRON ROD
L.B. = LICENSED BUSINESS
L.P. = LIGHT POLE
M.H. = MANHOLE
(M) = MEASURED
MAINT. = MAINTENANCE
NO. = NUMBER
N.G.V.D. = NATIONAL GEODETIC VERTICAL DATUM
O.H. = OVERHANG
O.R.B. = OFFICIAL RECORDS BOOK
0/5 = OFFSET
(P) = PLAT
P.B.C.R = PALM BEACH COUNTY RECORDS
41
GENERAL NOTES:
1. TYPE OF SURVEY: BOUNDARY
2. IF THIS SURVEY HAS BEEN REVISED AS INDICATED IN THE REVISION
BOX SHOWN HEREON, THEN ANY AND ALL PREVIOUS VERSIONS OF
THIS SURVEY PREPARED BY PINNELL SURVEY, INC. ARE NULL & VOID.
3. THE PROPERTY SHOWN HEREON WAS NOT ABSTRACTED FOR
OWNERSHIP, RIGHTS -OF- -WAY, EASEMENTS OR OTHER MATTERS OF
RECORD BYPINNELL SURVEY, INC. THERE MAYBE ADDITIONAL
RESTRICTIONS THAT ARE NOT DEPICTED ON THIS SURVEY THAT MAY
BE FOUND IN THE PUBLIC RECORDS OF THE COUNTY, FOR WHICH THE
SUBJECT PROPERTY IS LOCATED IN.
4. UNLESS OTHERWISE NOTED, FIELD MEASUREMENTS ARE IN
AGREEMENT WITH RECORD MEASUREMENTS.
5. ELEVATIONS SHOWN HEREON (IF ANY) ARE BASED ON THE NATIONAL
GEODETIC VERTICAL DATUM OF 1929, UNLESS OTHERWISE NOTED.
6. UNDERGROUND IMPROVEMENTS AND UTILITIES ARE NOT LOCATED.
7. FENCE AND WALL OWNERSHIP IS NOT DETERMENED.
8. THIS DRAWING IS THE PROPERTY OF PINNELL SURVEY, INC. AND SHALL
NOT BE USED OR REPRODUCED, WHOLE OR IN PART WITHOUT
WRITTEN PERMISSION & AUTHORIZATION FROM PINNELL SURVEY, INC.
9. ALL EASEMENTS SHOWN ON THE ATTACHED DRAWING ARE PER THE
RECORD PLAT i S OTHERWISE NOTED
P.B.
P.E.
P.I.
P.R.C.
P.T.
P.O.B.
P.O.C.
P.P.
R
RES.
R/W
T
(rYP.)
U.E.
W.F.
W.M.
A
2
= PLAT BOOK
= POOL EQUIPMENT
= POINT OF INTERSECTION
= POINT OF REVERSE CURVE
= PROPANE TANK
= POINT OF BEGINNING
= POINT OF COMMENCEMENT
= POWER POLE
= RADIUS
= RESIDENCE
= RIGHT -OF -WAY
= TANGENT
= TYPICAL
= UTILITY EASEMENT
= WOOD FENCE
= WA'hR METER
= DELTA OR CENTRAL ANGLE
= CENTERLINE
= ELEVATION
CERTIFICATION:
THIS IS TO CERTIFY THAT I HAVE RECENTLY SURVEYED THE
PROPERTY DESCRIBED IN THE FOREGOING TITLE CAPTION AND
HAVE SET OR FOUND MONUMENTS AS INDICATED ON THIS
SKETCH AND THAT SAID ABOVE GROUND SURVEY AND SKETCH
ARE ACCURATE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND BELIEF. I FURTHER CERTIFY THAT THIS SURVEY MEETS
MINIMUM TECHNICAL STANDARDS,UNDEt RULE 5147,
FLORIDA ADMINISTRATWE CODE, ADOPTED BY THE FLORIDA
STA E"BOARD OF PROFESSION' SURVEYORS ID MAPPERS.
THIS-SURVEY IS NOT VALID ' : THE SIGNATURE AND THE
ORIGINAL- .: ,n,4 74D ter A -LICENSED SURVEYOR
AND MAP, :.
x 3 Z•-
'fKSON IL PINNELL
,rt FROFESSIOM HRVEYOR & MAPPER
LICENSE NO. 5734, STATE OF FLORIDA
41
FINAL SURVEY (12 -0545)
04/25/12
J.P.
UPDATE SURVEY (11 -1160)
08 /11/11
UPDATE SURVEY (10 -1406)
09/17/10
REVISIONS
DATE
S.A.
S.A.
CHK'D BY
SKETCH NO.: 10 -0046
DATE OF SURVEY: 01/14/10
CHECKED BY: S.A.
FIELD BOOK/PAGE: 352/70
SIDE 1 OF 2
).k2,_-_-_1-1WC-A
HU DING
PERMIT APPLICATION
FBC 20
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
Permit Typ
/ROOFING '/
OWNER: Name "' p e Titleholder): l4 evlto �,j h D M i I Phone#:
Address: al N E 166 $k /
City: State: Zip:
Tenant/ Lessee Name: Phone #:
Email:
APR 20212 L
B�e ov0000000
Permit No.
Master Permit No. E ?FJJ K7 2.
JOB ADDRESS:
City: Miami Shores
FoliolParcel #:
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name: 1115 , /.
NO Flood Zone:
Address: (.5- S )l (✓� /�"//�r ✓.
Phone #: 0-7 _! / NJ ?/
r r Z--- 2
City: �/ 0'/ State: Zip: �y� /3/ /�` p
Qualifier Name: i oe s lr' Phone #: %J y X /7` �0 *V
State Certification or Registration #: oQ (�P/'/.6--- 7922 Certificate of Competency #:
pr/ y 0 (J `i 7 Email Address: M74 PO D/90/ CC1,
DESIGNER: Architect/Engineer: Phone#:
Contact Phone#:
Value of Work for '' Permit: $ /60 Square/Linear Footage of Work:
Type of Work: v►., Addition °Alteration
D ri do of Work: e cii P
i w SCp E
°Ne , °Repair/Replace
WO,
°Demolition
q . 'S
* * * * * ** * * ***** * *** * * *** ******** *+ **** Fees*+ x********** ** **** ** *** *+x**** **** *+xm***** ***
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
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 reinspeftion fee will be charged.
Signature
wner or Agent
The foregoing instrument was acknowledged bef a me this20
day of44 (`I ( , 20 12, by Ci -) i ,
who is personally known to me or who has produced FtDv at%1
W. *As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission
Contractor
The foregoing instrument was acknowledged before me this 2.0
day of A-pr , 20 :, by
who is personally known to me or who has produced 0°a)
c)
1 Yitkit i entification and who did take an oath.
NOTARY PUBLIC:
* * * * * * * * * * * * **
APPROVED BY
n
KENNETH B KOTAiii
••c MY COMMISSION * pawns
$
EXPIRES I* *p tgar * * *'
* * * ** * * * **
* * * * * * * * * * * * * * **
Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
)3 4 Zoning
Clerk
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit NO. BPP -10 -11 -1872
Issue Date: 10/26/2011
Expires:10 /26/2011
Folio Number:1132060340200
Owner's Name: KENNY KOTALIK
Job Address: 950 100 Street
Miami Shores, FL 33138-
Owner's Phone:
Total Square Feet: 2600
Total Job Valuation: $ 34,087.50
Contractor(s) Phone Primary Contractor
MARS POOLS (954)214 -2844 Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 10/13/2011: Yes
Comments: 4/23/12
REVISED PLAN OK
lami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
1 Oka( /t -PO- INSPECTION'S PHONE NUMBER: (305) 762.4949
l Permit No.i i I ~ 9
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOF .1 G
OWNER: Name (Fee Simple Titleholde � � � OA /1
950 A /00 5
City: b°I �� u state: Zip: 3313
Master Permit No.
Phone #:
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS:
9st2 Zit /00 �ti S7<
City: Miami Shores County: Miami Dade
Folio/Parcel #: iI- 'DOGbo34- (9aoO
Is the Building Historically Designated:' Yes
CONTRACTOR: Company Name: ��' ���1 / (/� S _ Phone #: Q$4'2/'28//3'
Address: rJ QV 6 A /a2 l/G �o,7 L -
Qualifier Nam/e. : / I P
R i . s PLti 7 /n S .6- Phone#: zip 3 c
City:
State Certification or Regis ation #: /� /- / 2Z Certificate f Competency #: n
Contact Phone #: (95-Y797/V77? I `7 Email Address: �4 316e /i �/ r/�/l o L e
DESIGNER: Architect/Engineer: Phone#:
NO
Zip: 3.x/7?
Flood Zone:
Value of Work for this Permit: $ 3 i 087 0 SO 5 inear Footage of Work: 26O0 ra)/ ciDPC(<
Type of Work: DAddition UAlteration �" ew OR air/Repl Demolition
,J,
Description of Work: re ci4 d 5t11//11/4( / Ut� / eWe, (L/f'G'K!l
* * * ****** * * ** *** **** ********+ x****/6.11.43 x�x*** Fees�xx��x�n�x�x�xa :n��x�x�xx��x *x��x�xx:+x+ *** ****�x�: *�xx��x *�x+xx�+x***
Submittal Fee $ 0 0,-,3
1 Permit Fee $ CCF $ co/CCs
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $ JOO. aq"
TOTAL FEE NOW DUE $ 1.1q5 . S1
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 CONDmONERS, ETC
OWNER'S AJ'r'IDAVIT: 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 reins ection fee will be charged.
LSignature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of 20 j, by Il e l 11e*
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
/3.4
My Commission Expires: ., ,,
GWENDOT YN B. STEWAR1
umt,Jr10N # DD9615d6
6f ;" E,6 PI [:?'S AO! 19, 2014 ∎C
APPROVED BY
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Contractor
The foregoing instrument was acknowledged before me this t'
day of ?(-3 ,20 (f , by Th //4< _ S-704)-(1-1-
who is personally known to me or who has produced S 76345 6
6® °4i/Z ll as identification and who did take an oath.
NOTARY PUBLIC
Plans Examiner
Structural Review
Sign:
Print:
My Commission Expires:
%1111111111/01,
CI
�'•
*** :i`� '. *akakak*sIsBs*Bssk *s **skak*s *** *,tc.,
/� //^7 /1/111111111111���\
( •J /� Zoning
Clerk
Oct.26. 2011 1:14PM MARS POOLS INC
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST RE POSTED OiV THE JOT® SITE AT TIME OF FIRST INSPECTION
PERMIT NO. f (- �/ r TAX FOLIO NO. t d 3c9 d 6-6 3 • ca &i
►`ire �Wed ' c
STATE OF FLORIDA: arl4el�Zr tl41/4
COUNTY OF MIAMI -DADE: 5'goSuw tdz v -4/ 23S'
THE UNDERSIGNED hereby Suns +se R. 33% )
Y 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.
aid • ipti n of
2. Description of improvement:
3. Owner(s) name and addr
Interest in property: t�yJ
Name and address of fee simple titleholder,
4. Contractor's name, address and phoneatem u
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number:
Amount of bonii $_,,,,,
6. Lender's name and address:
No.4514 P.
UR 11 1111111
CFH 2011R0484506
OR Bk 27556 Ps 2168i' f tys )
RECORDED 10/ 12/1811 11 15:03 :06
HARVEY RUVIt'r CLERK OF COURT
1'MIAMI -DADE CI]UNTY r FLORIDA
LAST PAGE
I f Space above reserved for � of recording office
streetfaddr , S ,�► �1 it es c oy
. 12? ,, - 1 )
7
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 Uenor'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 PROPEFrry A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE 114E
FIRST INSPECTION. IF YOU INTENo TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT:
Sig =_ s) of C> ner( ' 9,Qy/ner(s)' Authorized Officer /Director/Partner /Manager
Print Na - c_a`^I^!J - By
Print Name
Trtle /Office . # iep Title/Office
STATE OF FLORIDA - -�"
COUNTY OF MIAMI -DADE
The f • r= • • ing instrum - was ao owiedged before me this // day of_ e,71
By,aA, 1
ndividuaiiy, or ❑ as for
C3 Personally known, or C3 produced the following type of Identiflca
----� Signature of Notary Public:
Print Name:
(SEAL)
et-
a. o I I
yERIFfcATigN PURSUANT TO SECTION 9g.5J5. FLORIDA STATUTES GW£NDO YN ), STEW ART
Under penalties of perjury, I declare that I have read the foregoing and MY 0: 4,5 6 ADA6IS86
that the facts stated in it are true, to the best of my knowledge and belief. E'!S:.o,�mil f9,24t4
Signatures) of Owner(s) 5 ner(s)'s Authorized Officer /Diractar /Partner /Manager who signed above:
L� a
By(
By
Miami Shores Village
Building bepartment
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No
Job Name_ 2 1 tom,_
Date l� t
'7
STRUCTURAL CRITIQUE SHEET
1
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Folio Number:1132060340200
Owner's Name: KENNY KOTALIK
Job Address: 950 100 Street
Miami Shores, FL 33138-
Owner's Phone:
Total Square Feet: 2600
Total Job Valuation: $ 34,087.50
Contractor(s)
MARS POOLS
Phone
(954)214 -2844
Primary Contractor
Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 10/13/2011: Yes
Comments:
°/SWIMMING POOL OWNER'S CERTIFICATION
/6/070//
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756:8972
Miami Shores Village
Building & Zoning Department
Attention: Building Official
I certify that I am the 1 al o ner of the property described as
Kenny A 149/6144' , located at WO /t/ 00
�5huies 33/31
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.
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 PRESS S:
WHEREAS, the undersigned tinle 4/q is /are the fee
simple owner(s) of the following described property situated and being in Miami Shores Village, Florida:
Address: Z J D Ate- 571
Whereas, the undersigned owners) Kew ii(o / 4J //(
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, l/we, as owner(s) hold Miami Shores Village harmless for any negligence or injury that results from not
having the enclosure.
V. If enclosure belongs to said property, I agree to maintain & or replace said enclosure in the event that is
damaged or removed by any case.
NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not
convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and
conditions set forth herein.
FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant
concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be
binding upon the 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.
GN -& PRINT
I Hereby Certify that on this day personally appeared before me Kenn ej6 O ii /'K and has 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 �.. . day of SPA/ .m i•e,r, 20 / /
OWNER SING & PRINT
(Revised 05/2209
TATE OF FLORIDA
`",t, E , D01 YN B. STEWART
s0 14Y COMMISSION N DD961586
t =& I J EVIRES: April 19, 2014
a*NA AMC. OD
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 (kno®w�) dge t t a e wimming pool, spa or hot tub will be constructed or installed at
o�A� �� 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.
P, e nitia e method(s) to be used:
4 pool will be equipped with an approved safety pool cover that comp lies with ASTM
ji 6-91. (Submit Manufacturer's Specifications).
A continuous, one -piece (child) barrier meeting the requirements of Florida Building Code
R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of
attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's
Specifications).
A combination of non - dwelling walls and fences (screen enclosure, child fence, masonry
fence walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type
and location of all non dwelling walls. Florida Building Code, R4101.17.1
Any combination of protection which incorporates dwelling walls with openings directly into the
pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building
Code, R4101.17.1.9 (Submit Manufacturer's Specifications).
Any combination of protection which incorporates dwelling walls with openings directly into the
pool perimeter and all doors will be equipped with a self - latching device with positive mechanical
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 a . pr‘411.
ed in Se on 775.082 or Section 775.083 F.S , This form must be signed
by er, , gene ` me c� tractor.
1
ON CTOR'S SIGNATURE AN DATE
e/ €, 7 f�
CONTRACTOR'S NAME (PLEASE PRINT)
NOTARY PUBLIC
R'S SIGNA URE AND DATE
,9find4A4iteK
OWNER'S NAME PLEASE P
ATO II NI.
NOTA• , 'UBU
1 i, c>"'I % GW'ENDOLYN B. STEIVART
�
MY COMMISSION M DD961 S86
n E,xT1RES: April 19, 2014
i.ii .I.iaTAR., F7. Naar:, plaa"aof Aacn;. Co.
1
Oct.13. 2011 2 :47PM MARS POOLS INC
FINIENEW
No.4506 P 1
/4L s �ii�ls Ti9C.
BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1595 — 954. 831 -40Q0
VALID OCTOBER 1, 2011 THROUGH SEPTEMBER 80, 2012
DBA:
Susinees Name: MARS POOLS INC
Recep#P1O8Oe�2u38n0
co�rAoR 3 Business Type:
Owner Name: MxCRAar, STEWARD' Business O
Business Location; 5405 NW 102AVE # 235 perted:02 /02/2013
SUNRISE State /County /Cert/Reg :CPC1457922
Exemption COde•NO14EXEMPT
Business Phone:
Rooms
Seats
Employees
1
Machines
Professionals
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 Braward County and is
WHEN VALIDATED in nature. You must meet all County and/or Municipality planning
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 indictee that the business is legal or that
it is in compliance with State or focal laws and regulations.
Mailing Address:
MARS POOLS INC
511 SE 5 AVE
FOR LAUDERDALE, FL 33301
2011 - 2012
Receipt #01A- 11- 00000344
Paid 10/13/2011 29.70