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BPP-11-2165Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 166924 Permit Number: BPP -11 -11 -2165 Scheduled Inspection Date: September 26, 2012 Inspector: Rodriguez, Jorge Owner: BROWN, JAY Job Address: 302 NE 97 Street Miami Shores, FL Project: <NONE> Contractor: BLUE WATER POOLS OF SOUTH FLORIDA Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060135870 Phone: (305)634 -0956 Building Department Comments NEW POOL AND SPA Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. September 25, 2012 For Inspections please call: (305)762 -4949 Page 4 of 41 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP- 178680 Permit Number: BPP -11 -11 -2165 Inspection Date: September 19, 2012 Inspector: Dacquisto, David Owner: BROWN, JAY Job Address: 302 NE 97 Street Miami Shores, FL Project: <NONE> Contractor: BLUE WATER POOLS OF SOUTH FLORIDA Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132060135870 Phone: (305)634 -0956 Building Department Comments NEW POOL AND SPA Infractio Passed Comments INSPECTOR COMMENTS False 66-- (f(2_- Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 177637. PAVER DECK APPEARS TO BE WITHIN 10 FEET OF SIDE PLOT LINE Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 September 19, 2012 Page 1 of 1 • Sheet 1 of 2 (Survey Related Data) — See Sheet 2 of 2 for Sketch of Survey. SURVEY IS NOT COMPLETE WITHOUT ALL SHEETS LEGAL DESCRIPTION THE WEST 1/2 OF LOT 11 AND ALL OF LOT 12, BLOCK 43, MIAMI SHORES SECTION ONE AMENDED, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE(S) 70, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. PROPERTY ADDRESS 302 NE 97TH STREET MIAMI SHORES, FL 33138 INVOICE NUMBER 01 -57612 DATE OF FIELD WORK 08/31/2012 CERTIFIED TO JAY BROWN FLOOD ZONE X - 120652 - 0302 - L General Notes: 1. THIS SURVEY IS BASED UPON RECORD INFORMATION PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY THIS OFFICE UNLESS OTHERWISE NOTED. 2. IF THIS SURVEY HAS BEEN PREPARED FOR THE PURPOSES OF A MORTGAGE TRANSACTION, ITS SCOPE IS LIMITED TO THE DETERMINATION OF TITLE DEFICIENCIES. NO FUTURE CONSTRUCTION SHALL BE BASED UPON THIS SURVEY WITHOUT FIRST OBTAINING APPROVAL AND /OR UPDATES FROM LANDTECH SURVEYING. LANDTECH SURVEYING ASSUMES NO RESPONSIBILITY FOR ERRORS RESULTING FROM FAILURE TO ADHERE TO THIS CLAUSE. 3. ANY FENCES SHOWN HEREON ARE ILLUSTRATIVE OF THEIR GENERAL POSITION ONLY. FENCE TIES SHOWN ARE TO GENERAL CENTERLINE OF FENCE. THIS OFFICE WILL NOT BE RESPONSIBLE FOR DAMAGES RESULTING FROM THE REMOVAL OF, OR CHANGES MADE TO, ANY FENCES UNLESS WE HAVE PROVIDED A SURVEY SPECIFICALLY LOCATING SAID FENCES FOR SUCH PURPOSES. DETERMINATION OF FENCE POSITIONS SHOULD BE BASED SOLELY ON THEIR PHYSICAL RELATIONSHIP TO THE MONUMENTED BOUNDARY LINES. 4. GRAPHIC REPRESENTATIONS MAY HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE MEASURED RELATIONSHIPS - DIMENSIONS SHALL HAVE PRECEDENCE OVER SCALED POSITIONS. 5. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS SPECIFICALLY SHOWN. 6. ELEVATIONS ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM (N.G.V.D. 1929) OR NORTH AMERICAN VERTICAL DATUM (N.A.V.D. 1988) AS SHOWN ABOVE. 7. ALL BOUNDARY AND CONTROL DIMENSIONS SHOWN ARE FIELD MEASURED AND CORRESPOND TO RECORD INFORMATION UNLESS SPECIFICALLY NOTED OTHERWISE. 8. CORNERS SHOWN AS SET ARE IDENTIFIED WITH A CAP MARKED LB (LICENSED BUSINESS) # 6799. HEREBY CERTIFY THAT THIS BOUNDARY SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS FOR SURVEYS, AS SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 61G17.6 OF THE FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES. Digitally signed by Andrew Snyder, PSM DN: cn= Andrew Snyder, PSM, o= LandTech Surveying, Inc., ou, ema i I= asnyder @landtechs urvey.com, c =US Date: 2012.09.04 10:18:09 - 04'00' DATE: 08/31/2012 ANDREW SNYDER - PROFESSIONAL SURVEYOR AND MAPPER FLORIDA REGISTRATION No. 5639 (NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OR ELECTRONIC SEAL OF THE FLORIDA LICENSED SURVEYOR AND MAPPER SHOWN ABOVE) LegendlAbbreviatlons: A = Arc Length CA = Central Angle C/L = Centerline CF = Computed from Field Measure CR = Computed from Record data CATV = Cable TV Riser DE = Drainage Easement Ease = Easement EOW = Edge of Water FF = Finished Floor FIP = Found Iron Pipe FIR = Found Iron Rod FN = Found Nail L = Per Legal Description M = Measured OHC = Overhead Cable ORB = Official Records Book P = Per Plat P/L = Property Line PC = Point of Curvature PCC = Point of Compound Curvature PK = Parker Kalon Nail POB = Point of Beginning POC = Point of Commencement PRC = Point of Reverse Curvature RAN = Right -of -Way TR = Telephone Riser UE = Utility Easement WM = Water Meter UP = Utility Pole CATV = Cable 1V Riser DE = Drainage Easement Ease = Easement ■ Sheet 2 of 2 (Survey Related Data) - See Sheet 1 of 2 for Legal Description, Certifications, Property and other Survey related data. SURVEY IS NOT COMPLETE WITHOUT BOTH SHEETS SCALE:I =30' N. E. 97th 5 PIP I/2° NO I.D. 18' ASPHALT ROADWAY - (75 R£+1-T -Of -W R=25.00 CA =90° 14'48° L= 39.38'(P) CH= 35.43'(P) 90 °00'00°E 7.00'(PMM) 4 23.5' PARKWAY 5 CONC. WALK PIP 1/2° NO I.D. 25.31' COVERED CONC. FP 19.00' V X2.00' 5.20 2.00' v 0 4.00 20.30 0.4' W. ONE STORY RESIDENCE /302 - I0.00- 21.80' 2.G-; 0.2' E. PC = 0.1''W. / 0.2'N. PIP 112° 30.00' O P PIP I /2° NO I.D. 11 ' N90 °00'00'w 10.5 ASPHALT ACCESS ROAD - (15 PLATTED ALLEY) NO I.D. LOT 13 BLOCK 43 -T 1 PLEASE NOTE: SUBJECT PROPERTY IS SERVICED BY PUBLIC UTILII1ES. Adverse Conditions •Please note the followhig: - THIS SURVEY IS APPROVED FOR CONSTRUCTION BY LANDTECH SURVEYING. - Asphalt crosses South Property line. - Fence crosses East Properly line. Lantech Surveying offers services throughout the State of Florida. Please refer to our website at www.LandtechSurvey.com for up to date information about our locations and coverage area. This survey has been issued by the following landtech Surveying office: 1500 N.W. 62nd Street, Suite 511 Fort Lauderdale, Florida 33309 Office: (954) 776 -6766 Fax: (954) 776 -4660 www.LandtechSurvey.com Invoice Number : 01-57612 Drawn By: C. Ferrara Date of Feld Work: 10/0512011 Revision : Survey Update - 7124!12 - CF Revision : Pool ties added - 8114112 -CF Revision : Pool Dedcupdated- 8131112 -CF G Florkla Permit Number: BPP -11 -11 -2165 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- 177637 Inspection Date: August 21, 2012 Inspector: Dacquisto, David Owner: BROWN, JAY Job Address: 302 NE 97 Street Miami Shores, FL Project: <NONE> Contractor: BLUE WATER POOLS OF SOUTH FLORIDA Permit Type: PoolsNVhirlpools /Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132060135870 Phone: (305)634 -0956 Building Department Comments NEW POOL AND SPA Passed Inspector Comments Ced (' rye (; �-P 4 .s, b r Failed r° �'/ J mo' Correction Needed , Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 August 21, 2012 Page 1 of 1 `4 Sheet 1 of 2 (Survey Related Data) - See Sheet 2 of 2 for Sketch of Survey. SURVEY IS NOT COMPLETE WITHOUT ALL SHEETS LEGAL DESCRIPTION THE WEST 1/2 OF LOT 11 AND ALL OF LOT 12, BLOCK 43, MIAMI SHORES SECTION ONE AMENDED, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE(S) 70, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. PROPERTY ADDRESS 302 NE 97TH STREET MIAMI SHORES, FL 33138 INVOICE NUMBER 01 -57612 DATE OF FIELD WORK 07/25/2012 CERTIFIED TO JAY BROWN FLOOD ZONE X - 120652 - 0302 - L General Notes: 1. THIS SURVEY IS BASED UPON RECORD INFORMATION PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY THIS OFFICE UNLESS OTHERWISE NOTED. 2. IF THIS SURVEY HAS BEEN PREPARED FOR THE PURPOSES OF A MORTGAGE TRANSACTION, ITS SCOPE IS LIMITED TO THE DETERMINATION OF TITLE DEFICIENCIES. NO FUTURE CONSTRUCTION SHALL BE BASED UPON THIS SURVEY WITHOUT FIRST OBTAINING APPROVAL AND /OR UPDATES FROM LANDTECH SURVEYING. LANDTECH SURVEYING ASSUMES NO RESPONSIBILITY FOR ERRORS RESULTING FROM FAILURE TO ADHERE TO THIS CLAUSE. 3. ANY FENCES SHOWN HEREON ARE ILLUSTRATIVE OF THEIR GENERAL POSITION ONLY. FENCE TIES SHOWN ARE TO GENERAL CENTERLINE OF FENCE. THIS OFFICE WILL NOT BE RESPONSIBLE FOR DAMAGES RESULTING FROM THE REMOVAL OF, OR CHANGES MADE TO, ANY FENCES UNLESS WE HAVE PROVIDED A SURVEY SPECIFICALLY LOCATING SAID FENCES FOR SUCH PURPOSES. DETERMINATION OF FENCE POSITIONS SHOULD BE BASED SOLELY ON THEIR PHYSICAL RELATIONSHIP TO THE MONUMENTED BOUNDARY LINES. 4. GRAPHIC REPRESENTATIONS MAY HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE MEASURED RELATIONSHIPS - DIMENSIONS SHALL HAVE PRECEDENCE OVER SCALED POSITIONS. 5. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS SPECIFICALLY SHOWN. 6. ELEVATIONS ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM (N.G.V.D. 1929) OR NORTH AMERICAN VERTICAL DATUM (N.A.V.D. 1988) AS SHOWN ABOVE. 7. ALL BOUNDARY AND CONTROL DIMENSIONS SHOWN ARE FIELD MEASURED AND CORRESPOND TO RECORD INFORMATION UNLESS SPECIFICALLY NOTED OTHERWISE. 8. CORNERS SHOWN AS "SET ARE IDENTIFIED WITH A CAP MARKED LB (LICENSED BUSINESS) # 6799. HEREBY CERTIFY THAT THIS BOUNDARY SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS FOR SURVEYS, AS SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 61G17-6 OF THE FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES. Digitally signed by Andrew Snyder, PSM DN: cn= Andrew Snyder, PSM, o= LandTech Surveying, Inc., ou, email= asnyder @Iandtechsury ey.com, c =US Date: 2012.08.14 09:55:18 - 04'00' DATE: 7/25/2012 DREW S YDE - PROFESSIONAL SURVEYOR AND MAPPER FLORIDA REGISTRATION No. 5639 (NOT VALID WITHOUT THESIGNATUREAND THE ORIGINAL RAISED SEAL OR ELECTRONIC SEAL OF THE FLORIDA LICENSED SURVEYOR AND MAPPER SHOWN ABOVE) Legend/Abbreviations: A = Arc Length CA = Central Angle C/L = Centerline CF = Computed from Field Measure CR = Computed from Record data CATV = Cable TV Riser DE = Drainage Easement Ease = Easement EOW = Edge of Water FF = Finished Floor FIP = Found Iron Pipe FIR = Found Iron Rod FN = Found Nail L = Per Legal Description M = Measured OHC = Overhead Cable ORB = Official Records Book P = Per Plat P/L = Property Line PC = Point of Curvature PCC = Point of Compound Curvature PK = Parker Kalon Nail POB = Point of Beginning POC = Point of Commencement PRC = Point or Reverse Curvature RAN = Right -of -Way TR = Telephone Riser UE = Utility Easement WM = Water Meter UP = Utility Pole CATV = Cable TV Riser DE = Drainage Easement Ease = Easement Slhcf.2 of 21Survey Related Data) - See Sheet 1 of 2 for Legal Description, Certifications, Property and other Survey related data. SURVEY IS NOT COMPLETE WITHOUT BOTH SHEETS SCALE: I ° =30' 6 D G rn rn Miami Shores Village a r r. N. E. 97t.h STRE T � —11 18' ASPHALT ROADWAY - (75' RIGHT -OF -WAY) FIP I/2° NO I.D. R= 25.00 CA =90° 14'48° L= 39.38(P) CH= 35.43'(P) 6 0 a 01 0 0.2 E. �30.g0' OP FIP I/2° NO I.D. 90 °00'00° 7 .00'(P M) 25.31' CONC. 11.30' 3.90 4 21.80' ONE STORY 1 RESIDENCE #302 28.90' PAVERS N90 °00'00° CR) 23.5' PARKWAY 5' CONC. WALK FIP I/2° NO I.D. 0.4' W. 01 o8 0 rn 10.5' ASPHALT ACCESS ROAD - (15' PLATTED ALLEY) PC= 0.1'W. 0.2' N. _x_..x= FIP 1/2° NO I.D. LOT 13 BLOCK 43 T i-v PLEASE NOTE: SUBJECT PROPERTY IS SERWCED BY PUBLIC UTILITIES. Adverse Conditions • Please note the following: - THIS SURVEY IS APPROVED FOR CONSTRUCTION BY LANDTECH SURVEYING. Asphalt crosses South Property tine. - Fence crosses Ea Property tine. Lantech Surveying offers servlas throughout the State of Florida Please refer to our webslte at wNw.LandtediSurvey.com for up to date information about our locations and coverage area. This survey has been issued by the following Landed Surveying cite: 1500 N.W. 62nd Street, Suite 511 Fort Lauderdale, Florida 33309 Office: (954) 776 -6766 Fax: (954) 776 -4660 www.LandtechSurvey.com Invoice Number : 01 -51612 Drawn By: C. Ferrara Date of Field Work : 1010512011 Revision : Survey Update - 7/24112 -CF Revision : Pod ties added - 8114112 -CF Revision: G 1 Services rouglioutFlorida err Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP- 177637 Permit Number: BPP -11 -11 -2165 Inspection Date: August 21, 2012 Inspector: Dacquisto, David Owner: BROWN, JAY Job Address: 302 NE 97 Street Miami Shores, FL Project <NONE> Contractor: BLUE WATER POOLS OF SOUTH FLORIDA Permit Type: PoolsNVhirlpools/Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132060135870 Phone: (305)634 -0956 Building Department Comments NEW POOL AND SPA Passed Inspector Comments '- JJ ( ii%• (-, 0' cl ,- J /c- Failed ' "74,02 Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 August 21, 2012 Page 1 of 1 Sheet 1 of 2 (Survey Related Data) — See Sheet 2 of 2 for Sketch of Survey. SURVEY IS NOT COMPLETE WITHOUT ALL SHEETS LEGAL DESCRIPTION THE WEST 1/2 OF LOT 11 AND ALL OF LOT 12, BLOCK 43, MIAMI SHORES SECTION ONE AMENDED, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE(S) 70, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. PROPERTY ADDRESS 302 NE 97TH STREET MIAMI SHORES, FL 33138 INVOICE NUMBER 01 -57612 DATE OF FIELD WORK 07/25/2012 CERTIFIED TO JAY BROWN FLOOD ZONE X - 120652 - 0302 - L General Notes: 1. THIS SURVEY IS BASED UPON RECORD INFORMATION PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY THIS OFFICE UNLESS OTHERWISE NOTED. 2. IF THIS SURVEY HAS BEEN PREPARED FOR THE PURPOSES OF A MORTGAGE TRANSACTION, ITS SCOPE IS LIMITED TO THE DETERMINATION OF TITLE DEFICIENCIES. NO FUTURE CONSTRUCTION SHALL BE BASED UPON THIS SURVEY WITHOUT FIRST OBTAINING APPROVAL AND /OR UPDATES FROM LANDTECH SURVEYING. LANDTECH SURVEYING ASSUMES NO RESPONSIBILITY FOR ERRORS RESULTING FROM FAILURE TO ADHERE TO THIS CLAUSE. 3. ANY FENCES SHOWN HEREON ARE ILLUSTRATIVE OF THEIR GENERAL POSITION ONLY. FENCE TIES SHOWN ARE TO GENERAL CENTERLINE OF FENCE. THIS OFFICE WILL NOT BE RESPONSIBLE FOR DAMAGES RESULTING FROM THE REMOVAL OF, OR CHANGES MADE TO, ANY FENCES UNLESS WE HAVE PROVIDED A SURVEY SPECIFICALLY LOCATING SAID FENCES FOR SUCH PURPOSES. DETERMINATION OF FENCE POSITIONS SHOULD BE BASED SOLELY ON THEIR PHYSICAL RELATIONSHIP TO THE MONUMENTED BOUNDARY LINES. 4. GRAPHIC REPRESENTATIONS MAY HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE MEASURED RELATIONSHIPS - DIMENSIONS SHALL HAVE PRECEDENCE OVER SCALED POSITIONS. 5. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS SPECIFICALLY SHOWN. 6. ELEVATIONS ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM (N.G.V.D. 1929) OR NORTH AMERICAN VERTICAL DATUM (N.A.V.D. 1988) AS SHOWN ABOVE. 7. ALL BOUNDARY AND CONTROL DIMENSIONS SHOWN ARE FIELD MEASURED AND CORRESPOND TO RECORD INFORMATION UNLESS SPECIFICALLY NOTED OTHERWISE. B. CORNERS SHOWN AS 'SET' ARC IDENTIFIED WITH A CAP MARKED LB (LICENSED BUSINESS) # 6799. HEREBY CERTIFY THAT THIS BOUNDARY SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS FOR SURVEYS, AS SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 61917 -6 OF THE FLORIDAADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES. Digitally signed by Andrew Snyder. PSM DN: cn= Andrew Snyder. PSM, o= LandTech Surveying, Inc., ou, emall=asnyder@landtechsur vey.com, c =11S Date: 2012.07.2518:08:34 - 04'00' DATE: 7/25/2012 DREW S YDE - PROFESSIONAL SURVEYOR AND MAPPER FLORIDA REGISTRATION No. 5639 (NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OR ELECTRONIC SEAL OF 174E FLORIDA LICENSED SURVEYOR AND MAPPER SHOWN ABOVE) Legend/Abbreviations: A = Arc Length CA = Central Angle C/L = Centerline CF = Computed from Field Measure CR = Computed from Record data CATV = Cable TV Riser DE = Drainage Easement Ease = Easement EOW = Edge of Water FF = Finished Floor FIP = Found Iron Pipe FIR = Found Iron Rod FN = Found Nail L = Per Legal Description M = Measured OHC = Overhead Cable ORB = Official Records Book P = Per Plat P/L = Property Line PC = Point of Curvature PCC = Point of Compound Curvature PK = Parker Kalon Nail POB = Point of Beginning POC = Point of Commencement PRC = Point of Reverse Curvature RIW = Right -of -Way TR = Telephone Riser UE = Utility Easement WM = Water Meter UP = Utility Pole CATV = Cable TV Riser DE = Drainage Easement Ease = Easement Fast 8t A!rc4Erate Larid SerVices Shee,, -of 2 (Survey Related Data) - See Sheet 1 of 2 for Legal Description, Certifications, Property and other Survey related data. SURVEY IS NOT COMPLETE WITHOUT BOTH SHEETS SCALE:1 =30' i Shores Village N.E. 97th STREET 18' ASPHALT ROADWAY - (75' RIG ST -OF -WAY) rhT -o R= 25.00 CA =90° 14'48° L =39.38'(P) CH= 35.437) BY DATE r FIP I /2° ) /N90 °00'00 °E NO I.D. ,- _1F,CT r- ',I °3 \NCE W1 fl-I ALL FEDERAL 23.5'PARKWAY LLES AND REGULATIONS 5' CONC. WALK FlP 1 /2° N01.0. • 25.31' COVERED — CONC, 19.00' 2.00' 5.20' 2.00' 4.00 9 I 0.4' W. ONE STORY RESIDENCE #302 28.90' 11.30' PAVERS - I0.00'- L— w l r4„ XISXYIT 30.00 o&1P7 75.0 (n 15 V`+(NI�o F1P 1/2" Z N90 °00'00°W NO I.D. 10.5' ASPHALT ACCESS ROAD - (15' PLAI I tU ALLEY) 21.80' LOT 13 BLOCK 43 T IFC =0:1 WM-) `°FIP 1 /2° NO I.D. PUsA$EN : 'i1B.lECTPROPERTYIS SERVICED BYPUBUC UTILITIES. Adverse Condldons • Please note the following: -THIS SURVEY IS APPROVED FOR CONSTRUCTION BY LANDTECH SURVEYING. - Asphalt mosses South Property Eno. - Fence crosses East Property line. Lantech Surveying offers services throughout the State of Florida. Please refer to our website at www.LandtechSurvey.com for up to date information about our locations and coverage area. This surrey has been issued by the following Landtech Surveying office: 1500 N.W. 62nd Street, Suite 511 Fort Lauderdale, Florida 33309 Office: (954) 776 -6766 Fax: (954) 776 -4660 www.LandtechSurvey.com Invoice Number: 01.57812 Drawn By: C. Ferrara Date of Field Work : 1010512011 Revision : Survey Update -7124112 - CF Revision: Revision: 11* "?' ri- -f r. L ijr-11120 ING Pitip -- ateiatir Permit No. [1 -2 66 PERMIT APPLICATION Master Permit No. 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 LE NOV 21all 8 Y: _eae______ Permit OWNER: Address: City: '");i 9 3/ e: BUILDING ROOFING itleholder): `2 ;9 rL 411447 °€'"1-4A/ as .4,7 9 7 5°T State: �� Phone #: -61-5-' 7--5-6 - ®" Zip: 3.3/32 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: .:3062 4 ? 7 5� City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: dee /e9®4-g ®� Phone#: s' ® PS-4 Address: 5/f' /Val City: / State: Ai Zip: 33 / 5/� Qualifier Name: r#41 �� A' 24-4d Phone #: 716 — 141'.. _ .1-75-3 State Certification or Registration #: eiele /44- r%°'5"/ Certificate of Competency #: Contact Phone #: 3 ®.S' R' "' 9.2 60 Email Address: doee-/e" ,® .q.0.4-,-4 `e4ta DESIGNER: Architect/Engineer: /6 v' 9 i/ Phone#: -'73.s — .2te -3.5 Value of Work for this Permit: $4 e'®ea Square/Linear Footage of Work: Type of Work: UAddition UAlteration Flew ORepair/Replace ODemolition Description of Work: Via" ke 4 "')` STM * *** * *** x *+x+x** ****** ray+x*+s*********** ** xFees * *** * * * * * *w+x ***+ *** **** **** ** ***+x**** ** * **** Submittal Fee $ Permit Fee $ 2) a e..1 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ _ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $e 0.0f, TOTAL FEE NOW DUE $ 1 ) 45 l • Bonding ComF Bonding Comp City Mortgage Len Mortgage Len( City Application is commenced p construction ii WET d ,S, POC OWNER'S A applicable lav "WARNI COMME IMPROI FINANC RECORI Notice to AP1 promise in g whose proper for the first inspection wi Signature m n r c z 0 0 z O 0 c- m 4 m o O n Wa3a/SHH S334 .LOVdW rn :s31va mailmen z g v RI m cn c p a :u0lof/d1NO0 m 33 Owner or Agent The foregoing instrument was acknowledged before me this a day of 44-141/ , 20 g , by _7/ 4 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expire Vazquez`9 COMMIE3I0N # 00740340 EXPIRES:DEC. 09, 2011 qnwor WWWAARONNOTARVanI Signature Contractor The foregoing instrument was acknowledged before ine this ..7/ day of A4./4/ , 20 �/ , by� who isonally known to me has Ming NS, h all OF JR LIN RE must ?rson 5 site ', the NOTARY PUBLIC: S Print: My Commissi * * * * * ********** * ************* ******************************************** APPROVED BY 07�e:` / Plans Examiner AdjlemeOessahlA lin Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) WI NN MIRO%DM 6%2011 * * * * * * * * * * ** * * * * * * * * * * * * * ** /��// Zoning Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST'BE PASTED ON THE JOB SITE AT TIME OF FIRST INSPECTION ,PERMIT N0'v t/2J& TAX FOLIO NO. 11- 3206 - 013 -5870 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made t property, and in accordance with Chapter 713, Florida Statutes, the foiiowin my 9�td, is provided in this Notice of Commencement. By 111111111111111111111111111111111111111111111 CFN 2011R084-0613 OR Bk 27928 F's 4026; (1) RECORDED 12/15/2011 09:4.4 :Ol HARVEY RUVINr CLERK. OF COURT MIAMI-DACDE CtOLTNT'Yr FLORIDA LAST T PAGE STATE OF FLORIDA, COUNTY OF DADE I HEREBY CER PYtfral this Q!at yofthe „ rigiPal aet ,4> al ��— A ©2© srai Office Stett CLER 1. Legal description of property and street/address: West 1/2 of Lot'. 11 and all of Lot 12, Block 43, Miami Shores Section 1, PB IOC, Page 70 - 302 NE 97th Street, Miami Shores F3. 33138 2. Description of improvement: New pool- & Spa 3. Owner(s) name and address: Interest in property: Tay & )• Brown 307 NF 97th Street, Miami Shores, Fl. 33138 Name and address of fee simple titleholder: 4. Contractor's-name and address: Bi pie Water Pools of So , Fl.. 4811 NW 35th Avenue, Miami 33142 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the•Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) 1r% Signature . ti . er Print Owner's Name '( Sworn to and subscribed before me this ± day of October Notary Pub Print Notary's N My commission e ,2011. 123A1-52 PAGE 4 8102 Prepared by r',1 (Trim, A] fonsQ Address: 4811 NW 35th Avenue, Miami 305 - 634 -0957 » 615634-3 THIS IS NOT A Diu, DO NOT PAY RENEWAL F]RSE GLAS$ U.S POSTAGE ; PAID MAW FL PE/8 N0.231 "Wilt S OF SOUTH FLORIDA STAT 6451642012 -9 INC 4811 NW 35 AVE 33142 UNIN DADE COUNTY Lk WATER POOLS OF SOUTH FLORID swiVr 1 At-ry PLUMBING CONTRACTOR KE4 /S Nes ONLV a =AL omen MOM% DOES mat s t muss 70 YIOL{1E AM 2CRINO LINO OF THE DO NOT FORWARD WOW OR OlIEL bars 11 ~Tv= = HORDES +r1 neene TAO 1 srur.11am NOT ROLDERO non. torewrosteno i f9(26/20/1 �i 0010371001 000075.00 SEE awn SIDE BLUE WATER POOLS OF SOUTH FLORIDA FRANK VAZQUEZ 4811 NN 35 AVE MIAMI FL 33142 47 2011 -12 -13 14:29 BLUE WATER POOLS 305- 634 - 0957» 1 800 685 7530 Yi ALEX SINK CHIEF FINANCIAL OFFICER STATE OF FLORIDA 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, 12 -13 -2010 EFFECTIVE DATE; PERSON: FEIN: 12/13/2010 VAZO,UEZ 651133099 BUSINESS NAME AND ADDRESS: BLUE WATER POOLS OF SOUTH FLORIDA INC 4811 NW 33TH AVE MIAMI FL 33142 SCOPES OF BUSINESS OR TRADE: 1- POOL CONSTRUCTION EXPIRATION DATE: 12/12/2012 FRANK P 3/4 ** IMPORTANT: Pursuant to Chapter 440 . 05t10, F.5., en einem of a corporation who elects aaegtplipn Item finis chapter by filing a certificate of elution under this sactiev may not recover benefits or c !n o paosation under this tbepter. Pursuant to Macau 440.55(121, F.5., Certificates of election to Or exempt.., stuffy only within the steoe Of the bottom or Made Irited 4n the as I SleGliDn ID be 4Nerp1 shell he sub(apt la rerow:xliea011,e el lacy IOmee elrereMe !Wag 01 to t10 notice or 0[ha( issuance olale6 acattificatt,O Ikea be it Darn and {the police al radii kale no longer meets the regairemeola of This section fat issuance of a serllflaale. Tao department shell revoke a certificate el enyalimo lot' Innate et the Gpo son named 124 Ina certificate la MC the raquireineeh al rota aarllah. OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -08 PLEASE CUT OUT THE CARO STATE OF FLORIDA DEPARTMENT OP FINANCIAL SERV10E9 DIVISION OF WORKERS' coMPENMATION CERTIFICATE OF CONSTRUCTION INDUSTRY TORE EXEMPT MOM FLORIDA WORKERS COMPENSATION LAW QUESTIONS? 1550) 413 -1609 BELOW AND RETAIN FOR FUTURE REFERENCE EFFECTIVE; 12/13/2010 EXPIRATION DATE: 12/12/2012 PERSON: FRANK VAZQUEZ FEIN: 851123Q99 BUSINESS NAME AND ADDRESS: BLUE WATER POOLS OF SOUTH FLORIDA orE 4011 kW 05714 AVE MIAMI. FL 92142 SCOPE OF BUSINESS OR TRADE: 1• POOL GQNsteuetIOh IMPORTANT Pursuant to Chapter 440.05(14), F,S„ on officer of a corporation who elects exemption from this chapter by filing a certificats of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05112), F.& Certif icates of election to be H exempt.. apply only within the scope of the business or trade listed on E the notice of election to be exempt. E Pursuant to Chapter 440.05113), F,S„ Notices of slectipn to be exempt and oertificates of election to be exempt shall be Subject to revocation if, at any time after Me (fling 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 far issuance of a certificate. The department shell revoke a certificate at any time for failure of the person named on the certiffeats to meet the requirements of this section. QUESTIONS? (850) 413 -1509 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 2011 -12 -13 14:30 tY,JIOI' -JP BLUE WATER POOLS 305 -634 -0957» 1 800 685 7530 CERTIFICATE O F PRCDUCst Proem Insurance Undenvriisrs 4809 SW 7481 Ct. X111, FL 33155 Phone 005)740-4460 Fax (305)740.44es sessui0 BLUE WATER POOLS OF SOUTH FLORIDA, INC, 4811 NW. 35 Ave, Miami. FL 33142. 305- 634•D956 P414 LIABILITY INSURANCE `" '' nlon 06/10/11 THIS CERTIFICATE 18 ISSUED AA A MAT eR of 84FINEVIATION ONLY AND CONFERS NO RIGHTS LIMN TH8 CEMWiCATE HOLbERA, THIS CERTIFICATE DOES NOT AMU EXTEND ON RA g Y OW. OWNERS APFORDIN0 COVERAGU __it INC # uq_pAR CATUN SPECIALi'Y INSURANCE CO INSURER t 4g1 LRC: COVERA INSURER INSURER E' THE POLICIES OF INSURANCE LISTED HAVE ageN ISSUED TO THE INSURED' NAMED ABOVE FOR THE POLICY PER100 INDICATED. NOTWrI HSTANDING ANY REQUIREMENT, TERM OR CONDITION QF ANY CONTRACT OR OTHER DocumENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY sE Issueo OR MAY PERTAIN. THE INSURANCE AFFORDED' BY THE POLICIES DESCRIBED HEREIN IS SUe,lSO1' TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE MITI) s SHOWN MAY HAVE MEN REDUCED BY PAIR =AIMS. CK TYFE or IIIR INANO8 09001300192 M LE EACI{OCCURRENCE MED EDP (Any ana parson) PERSONAL & ACV IN,iuRY 1,000,000 100,000 5,000 1,000, 000 2,000, 000 GENERAL AGGREGATE PRODUCTS • COMP/OP AGG 1,000,000 BODILY INJURY PROPERTY DAMAGE or uc ld.nt AGGREGATE • L. N EL. EACH ACCIDENT EL, DISEASE • EA EMPLOYEE E.L. DISEASE - POLICY LEST CERTIFICATE HOLOER CANCEIAATION Miami Shore* Wino 10050 NE 2nd Avenue MAN shares, FL 33138 MORD 26 $1000/0i) sir $NOthhD ANY OF 511E M0111 DI $cNee® ramp! *1 C,MiclLLIe7r nom MN EXPIATION WE TIGIAAOF, Mil MOM MOWN WEL IBICSAVCR TO MAIL TH! L1iR1'.Di1VI I + �NO?iC! To .; , HOLM NAMED TG of ANY . •.; ; :'' t� ''!�/!C ,r 4. ,'. NO aNLIOAAtiON OR Llrtlei rY . :, ATIVns. IE 1 AGORD • ::, , TON. Al reserved. The ACORD same and Mos ars revered markt of ACDRo Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 tip?- u. ZiloS Inspection Number: INSP- 166925 Permit Number: PL -11 -11 -2166 Scheduled Inspection Date: June 27, 2012 Inspector: Hernandez, Rafael Owner: BROWN, JAY Job Address: 302 NE 97 Street Miami Shores, FL Project: <NONE> Contractor: BLUE WATER POOLS OF SOUTH FLORIDA Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132060135870 Phone: (305)634 -0956 Building Department Comments PLUMBING FOR POOL INSTALLATION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 26, 2012 For Inspections please call: (305)762 -4949 Page 4 of 36 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 302 NE 97 Street Miami Shores, FL Owner Information Permit No. PL -11 -11 -2166 Permit Type: Plumbing Residential Work Classification: Pool - Private Permit Status: APPROVED Address Parcel Number 1132060135870 Block: Lot: Expiration: 05/30/2012 Applicant JAY BROWN Phone Cell JAY BROWN 302 NE 97 ST MIAMI SHORES FL 33138 -2406 1 Contractor(s) Phone BLUE WATER POOLS OF SOUTH FLO (305)634 -0956 Cell Phone Type of Work: PLUMBING Type of Piping: POOL 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 -11 -11 -42638 11/21/2011 Check* 7929 12/15/2011 Check #: 7928 Amt Paid Amt Due $ 50.00 $ 187.94 $ 187.94 $ 0.00 Available Inspections: Inspection Type: Main Drain Final Rough 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. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy December 15, 2011 Date December 15, 2011 1 BUILDING PERMIT APPLICATION Master Permit No. FBC 2C Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder):�Ay )c ' /8��� Phone #: 30E = 23 Y ® ®d42 Miami Shores Village Building Department RECMWL.,11 ig NOV 2 1 2 ii BY: 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 No. 1" (J I l Address: 3° •416-- 92 5-7— City: /elel State: Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: /1/6. 97 Si City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: 1/ e9 - d3 - 5-120 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 4Z0°. ��° �� ��' ° �� Phone #: 63 34" e ?,5°e Address: di e% /I#' a/ City: f 4,19/ Qualifier Name: g 216`t State Certification or Registration #: 6/e /qi 6 1"S/ Certificate of Competency #: Contact Phone #: 3 ®-� m '/f 9? 610 Email Address: igg 67,,, 4904_5' 0-' 6'g4-A- e4cv DESIGNER: Architect/Engineer: ' ' Phone #:28 23S X4"35 State: Zip: 3�i� Phone #: 7ZZ't •6`2`7-5:3 Value of Work for this Permit: $ 4 -5-ed Square/Linear Footage of Work: Type of Work: Address - DAlteration ,New ORepair/Replace ODemolition Description of Work: AV ,,44/y *** **+x **:x+x ****+x** ** **** ** ** x *** ******** Fees******** ************** **************x:**** *** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ / 8 ! • (14 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this /f day of AV V , 20 v/ , by .741/ 4 a,A0" who i( personally known no me NOTARY PUBLIC: Sign: ■Print: C.r<: "` '. I; .�'r; >A : K APIRES :DEC. 09, 2011 �,,,tl;; °• WWW,AARONNOTAncoe1, rank Vazquez My Commission Expires: APPROVED BY Signature Contractor The foregoing instrument was acknowledged before me this .a/ day of Na v , 20 if , by �('«40;4) who i6ersonally known me amdmegmlEtasTredtteeld Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) NOTARY PUBLIC: Sign: Print: My Commission E COMMI °;ION #DD740340 •fir EXPIRES:DEC. 09, 2011 ntit/ WWW,AARONNDTAR'Gcon1, . Zoning Clerk Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 605-4 Inspection Number: INSP- 175219 Permit Number: EL -11 -11 -2167 Scheduled Inspection Date: July 09, 2012 Inspector: Devaney, Michael Owner: BROWN, JAY Job Address: 302 NE 97 Street Miami Shores, FL Project: <NONE> Contractor: F JIMENEZ ELECTRICAL CONTRACTOR, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060135870 Phone: 305/556 -5759 Building Department Comments ELECTRICAL WORK FOR POOL INSTALLATION 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- 166935. Pool water piping in front of main panel 7i,4914, 771 172°2 ( 2-- July 06, 2012 For Inspections please call: (305)762 -4949 Page 17 of 26 12/15/2011 11 :08 3058250277 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION F JIMENEZ ELECT CONT PAGE 04/04 ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 JIMENEZ, FRANCISCO F JIMENEZ ELECTRICAL CONTRACTOR INC 12401 WEST OKEECHOBEE ROAD # 419 HIALEAH GARDENS FL 33018 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.myflorddalicense.cora. 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!' (850) 487 -1395 DETACH HERE fn?!tf' . /.. .. « ......_..r•• .... 'u ,f:trvr•ti••......-I rlc^SP -4ra mtcru•ka1: , ,. - .;.,.:s, 44 4 YMI% ^y�P. �tty.t 4t L ' �v�t ' rf t e0a Y v- 4 15 orl .. L141 1, �D. L- r�4�.' ��i/ N�' �'+ s°! "'C�P��+�ty�,'�/��ijdl,j,�R�r•, -Mrq111' '410 • ,;f3 �5',.#_jtrF•,1$jMVtKr als4[itS4iti p l fbflir, of: Vet .�� . I* " ,... Lo -:04r4.,4 SqPtFOIN ROOM AM* axe• x -��r fl'OY;i! 14! +'' !t•' Pill a% f ¢.fir "IteV.n111b�30. ,04,, . � `pit F f.eiR$ fad, .'�r ,: H. + 1 3*s�,� I ' smfpPx :tat AT ona 1" IA I p x;'ti / sir wE bpig7e m44. 04- 12/15/2011 11:08 3058250277 • F JIMENEZ ELECT CONT PAGE 01/04 • •i, • W4*,_ _F . MOW Wc 234 THIS IS NOT A SILL - 130•NOT PAY eatewAi. 55$8026.- $ • !Rik .' • • NO •. 57/1611-4 WT . . .A:Toveas8 ' .il • • MUD Xi JIMENEZ E R vm sacmvpotoffitadnew • 'ERA; TM ls. z c. ..1. • o+AOC no ii t •Y f • SEE OTHER SIDE DO NOT FORWARD JIMENEZ F ELECTRICAL CONTRACTOR INC FRANCISCO JIMENEZ PRES 12401. W OKEECHOBEE RD APT 419 HIALEAH GARDENS FL • 33U18• hd s 1111th . i ultidill I1.11P1 =h7! €k1ja:[flAnhTt f 12/15/2011 11:08 3058250277 F JIMENEZ ELECT CONT PAGE 02/04 r rip ACC,17r f, „_,.+� CERTIFICATE OF LIABILITY INSURANCE DATE QAM/DDNYYY) 9/$/2011 ' 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 pollcy(ies) must be endOrbed. 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 en+dorseme , s . PRODUCER Dopazo and Associates 3900 NW 79th Ave Suite 700 Miami. FL 33166 (C,IAONTACT Alexander Dopazo CIC PHONE . (305)470 -8500 FAX N,;(3o5)a10 -oi11 AoaRess• i-nfo@dopazo. coat - INSURER(S) AFFORDING COVERAGE NAIL $ souses A :T 'avelrs Indfamtiit:Y Co ' 56 8 INSURED F Jimenez Electzni.Oa1 Contractor Inc 12401 W Okeechobee RD Lot 419 Hialeah FL 33018 INSURER. B : COMOwERCLAL GENERAL LIABILITY INSURER C: $ 1001 200 INSURFRD: I CLAIMS -MADE X OCCUR INSURERS : $ 5, 000 INSII ER F : COVERAGES CERTIFICATE NUMBER:cL119902714 ISION NUMBER: THIS IS 10 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO Tilt 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 CEERIII- ICA'TE 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. Mit TYPE OF INSURANCE =EL W9R SUBR WVtf . POUCY NUMBER 660- 4318N411 • ,'Fret= ' IMMIDD/YYYY) 9/10/2011 POLICY EXP LMM1D4/YYTY1 9/10/2012 DM�s A GENERAL LIABILITY EACH OCCURRENCE _ $ 1, 000, 000 X COMOwERCLAL GENERAL LIABILITY DAMAGE TO RENTED /Fe cur.Lrorencel $ 1001 200 I CLAIMS -MADE X OCCUR ,ESEMISES MED EXP (Any one person) $ 5, 000 •PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE 8 2,000,060 GEN'L AGGR GATE UMIT APPLIES PER - I POLICY JE n LOO PRODUCTS - COMP /OP AGG $ 2,000/000 $ AIlTOMOINLE LIABILITY 1---- COM@INeo $INGLu Limn- (Ea accident) A — _.._ ANY AUTO — BODILY INJURY (Per person) 0 ALL OWNED AUTOS HIRED AUTOS — SCHEDULED AUTOS OWNED AUTOS BODILY INJURY (Per accident) r $ 'PROPERTY DAMAGE (Per bgn(� $ S UMBRELLA LIAR EXCE LIAR FT OCCUR CLAIMS -MADE FACH OC,CIIRRrNCE S AGGREGATE $ DED I I RETENTION $ 1 • $ WORKERS COMMPENSATION AND EMPLOYERS' L,IABtuTY Y t N ANY PROPRIETOR/PARTNER/EXECUTIve ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NN) K yps, tleaoribe antler DESCRIP11ON OF OPERATIONS below NIA I WC ST NITS I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - FA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ • DE.BCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Auditions] RemaiNS $cIwate, Name Wee Is required) Electrician. • City of Miami Shores 10052 NE 2nd Avenue Miami. Shores, FL 331,36 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERE0 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A Dopazo CIC /AD ACORD 25 (2010/05) INS025 (201005).01 4)1988. 010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 12/15/2011 11:08 3058250277 F JIMENEZ ELECT CONT 09 -30 -2011 PAGE 03/04 JEFF ATWATER 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: PERSON: JIMENEZ FEIN: 061713534 BUSINESS NAME AND ADDRESS: F JIMENEZ ELECTRICAL CONTRACTOR INC 12401 W OKEECHOBEE ROAD LOT 419 HIALEAH GARDENS FL 33018 09/30/2011 EXPIRATION DATE: 09/29/2013 FRANCISCO SCOPES OF BUSINESS OR TRADE: 1- ELECTRICAL CONTRACTOR IMPORTANT, Foreoant to Chapter 440 . 05114), F.S., an officer of a corporation who elects oxomption from this chapter by filing o certificate of election under tbte section may net recover benefits or compensation under this chapter. Pursuant to Chapter 440,05112), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade Iistod no the notice of election to he exempt. Pursuant to Chapter 440.06(13), F.5., Noticed of election to be exempt and aertiflcutos of election to be exempt shall he abject to revocation iI, at any time after the Ming 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. Tha department shall revoke a certificate at any time for failure of the parson named on the certificate to meet the requirements of this section. • • QUESTIONS? (850) 413 -1809 OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCT /ON INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 00 /30/2011 EXPIRATItNI DATE: PERSON FRANCISCO JIMENEZ FEIN 081713534 BUSINESS NAME AND ADDRESS: F JIMENEZ ELECTRICAL CONTRACTOR INC 12401 W OKEEGRO08t: ROAD LOT 415 HIALEAH GARDENS. FL 09015 SCOPE OF BUSINESS OR TRADE 1- ELECTRICAL CONTRACTOR 09/29/2013 IMPORTANT "Pursuant to Chapter 440.05(14). F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election I- 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 Ethe nctie. of election to be exempt E Pursuant to Chapter 440.05(13), F.S., NotiCeS of election to be exempt and certificates of efectien 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? 1850) 413 -1609 CUT HERE ;a Carry bottom portion on the Job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO. BE EXEMPT REVISED 01 -11 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Permit NO. EL -11 -11 -2167 Permit Type: Electrical - Residential Work Classifcation: Addition /Alteration Parcel Number Issue Date: 12/2/2011 Permit Status: APPROVED Expiration: 06/30/2012 Applicant 302 NE 97 Street Miami Shores, FL 1132060135870 Block: Lot: JAY BROWN i Owner Information Address Phone cell JAY BROWN 302 NE 97 ST MIAMI SHORES FL 33138 -2406 J Contractor(s) Phone F JIMENEZ ELECTRICAL CONTRACT( 305/556 -5759 CeII Phone Valuation: Total Sq Feet: Type of Work: ELECTRICAL Additional Info: POOL Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $4.50 $4.50 $0.40 $300.00 $3.00 $1.60 $315.20 Pay Date Pay Type Invoice # EL -11 -11 -42639 11/21/2011 Check* 7929 12/15/2011 Check #: 7928 Amt Paid Amt Due $ 50.00 $ 265.20 $ 265.20 $ 0.00 Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Underground W. W. 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. December 15, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date December 15, 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 200 i ( E W LT il NO! 2 1, 2611 B Y: Permit No Master Permit No �% ! 1,1' 2) 15 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): -A% 1- 49144 "Xeref,fil Phone #: 3145- - 7-56 - "/'2 Address: 3672. 4/ 97 5.7" City: ms's / 5 State: Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: g®,12 4'8 97 5r City: Miami Shores County: Miami Dade Zip: 3 3/3 P Folio/Parcel #: /1° ,2 ®a° 0/3 ® 5,20 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Phone#: %eg'‘ - 0793---,>11 /8a Address: /a /0/ m 0.41 City: /®s4E.Ei9/ , State: � zip ;..7.a / .. Qualifier Name: 549 Phone#: 7/6 — / .1® State Certification or Registration #: �� /3c�� 7 Certificate of Competency #: � = " s E-7- 3'99 € ,�Ee- °;�. Contact Phone #: �� "� E�1 Address: , 4ror� of * -®F 7/6- °1-9-5--- DESIGNER: Architect/Bngineer: Phone #: Value of Work for this Permit: $ /4161 Square/Linear-Footage of Work: Type of Work: DAddress DAlteration ANew URepair/Replace ODemolition Description of Work: Alr'45- %� L 4— 4e,''/ Submittal Fee $ Permit Fee $ ®6' "4949 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ONIVRI 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 11 -lg -li Owner or Agent The foregoin instrument was acknowledged before me this day of o 20 6s , by -rgil 4494"/ who i ersonally knowto me NOTARY PUBLIC: My Commission Ex * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY ',+ IplO J� D740340 6KPI IiE$, I�EC. 09, 2011 WWWJ, MONNOTAnoom Signature Con ctor The foregoing instrument was acknowledged before me this i day of /149V ,2060,by/ Sd6'.T ®0 2- wh s personally known; o me a NOTARY PUBLIC: Si Print: My Commission Nilzetuell COMMISSION DD740340 EXPIRESi D €C, 09, 2011 a1;u0__ WWW.AARONNOTARLcom, * * ** :+ x******* *********+x****** ** ****** *******+ x* ****+ x* ********+x****** ************ Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk Inspection Number: INSP- 166936 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL (� , Phone: (305)795 -2204 Fax: (305)756 -8972 'kW r Permit Number: MC -11 -11 -2168 Scheduled Inspection Date: July 02, 2012 Inspector: Perez, JanPierre Owner: BROWN, JAY Job Address: 302 NE 97 Street Miami Shores, FL Project <NONE> Contractor: BLUE WATER POOLS OF SOUTH FLORIDA Permit Type: Mechanical - Residential Inspection Type: Anal Work Classification: Pool Heater Phone Number Parcel Number 1132060135870 Phone: (305)634 -0956 Building Department Comments HEAT PUMP Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 29, 2012 For Inspections please call: (305)762 -4949 Page 3 of 38 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. �/ 11 `.a rP Master Permit No 1 BUILDING PERMIT APPLICATION FBC 20101 Permit Type: MECHANICAL - -1-to° D OWNER: Name (Fee Simple Titleholder): '71.9-7i 124-1"9 Phone #: 3' 7-5—‘— t,,/ Address: '47'7 4 q7 57— City: ® ® State: Zip: im@AfawLcli NO 2 1.2U ii BY: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 9 ®0 / ° 7 57- City: Miami Shores County: Miami Dade Zip: °' r� i Folio/Parcel #: 7/ 3 R 694 —®/P 77 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 14-6E 64(47E7‘6442504-5 53° 0742 ° Phone#: 429-5; ,� Address: VP/ 41/e- . City: /,, State: A-4- zip: 3 3 f Qualifier Name: ®� �� /fe.,44,,t-le, Phone #: ®-6.-- m6; , `'G— ® 9:5 State Certification or Registration #: C C /5 'S $45—d Certificate of Competency #: Contact Phone#: -3 a ii 9 9'76.6° Email Address: � E '` ,�`�4 ,�4" • .-, DESIGNER: Architect/Engineer: 0,47,./ 7�- Phone #: 72S ° 47-3-5°: 4445— Value of Work for this Permit: $ A-5a° Square/Linear Footage of Work: Type of Work: OAddress DAlteration (w ORepair/Replace UDemolition Description of Work: 4o, ************************************* *F� x*********** *************** *** * ********•x** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ COI ' • 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 foregoing instrument was acknowledged before me this /9 day of / "' , 20 1/ , by *-7/9 / 1, 4°4-1 who i personally known t me As NOTARY PUBLIC: Sign: Print: My Commission Expires: �E811 t 81 XNRES :DEC.0.9,2011 041,10 WWW.AAREMOTANcont. Signature��� ` L� Contractor The foregoing instrument was acknowledged beforeype this '7f day of 441/ , 20 , by i9� who • personally known ,. me or r ito- a _ .lots„ - NOTARY PUBLIC: ,"0MMISSION # 007403 1549111in: DEC. 09, 2011 WWW.AARONNOTAMcom ******* *a++ x****x:*** ***************** ** x**********x:x:x:***+x** ***+ ****** *******+ x*****+ x** *a: x: ******m**** *********** (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): City: Miami Shores Village County: Miami Dade Zip Code: ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EERISEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4 °CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (.Wire Size) :.. 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: Phone: State Certificate or Registration N. Certificate of Competency N. Signature Date: (Qualifier's signature only) Sheet 2 of 2 (Survey Related Data) - See Sheet 1 of 2 for Legal Description, Certifications, Property and other Survey related data. SURVEY IS NOT COMPLETE WITHOUT BOTH SHEETS SCALE: I' =30' N.E. 97th STREET 18' ASPHALT ROADWAY - (75' RIGHT -OP -WAY) R= 25.00 CA =90°14'48' L =39.38fP) CH =35.43'(P) PIP I12' ) /�190°00'00'E 73.00114M) NO I.D. 0.2' E. -25.31' CONC. - 10.D0- ._ 30.00 Ot1P b PIP I/2' NO I.D. 11.30 w C O C o 19.00' a :2.00 ; 5 5.20 AvI = -+ 2.00 w vT5 - 9) 4.00 ONE STORY 1 w RESIDENCE #302 28.90 20.30 3.903 21.80 111171 Q r PORCH 10.40 NAY 75 041 025. �WM N50 °00'00'W 0.5 ASPHALT ACCESS ROAD - (15' PLATTED ALLEY) I 23.5' PARKWAY 5' CONC. WALK PIP I/2' NO I.D. PC =0.1'W. / 02 N. PIP I NO I.D. LOT 13 BLOCK 43 T PLEASE NOTE SUBJECT PROPERTY'S SERVICED BY PUBLIC UWES. Adam. Conditions •Please note the fofoa : THIS SURVEY IS APPROVED FOR CONSTRUCTION BY IANDTECH SURVEYING. -Asphalt crosses South Pmperlyirm. -Fence crosses East Properly line. Lantech Surveying offers stokes 6noughout the State ofRuda. Please refert° our websiteat vivffitandleciturvey.com foruptodatehdane6onaboutmrlodoneandcoveragearea. This survey has been Issued byte following landtechSurveyingoffice: 1500 N.W. 62nd Street, Suite 511 Fort Lauderdale, Florida 33309 Office: (954) 776 -6766 Fax: (954) 776 -4660 www.LandtechSurvey.com Invoice Number : 01.51612 Drawn By: C. Ferrara Date ofFeld Wont 10/0512011 Revision: Revision: Revision: Sheet 1 of 2 (Survey Related Data) — See Sheet 2 of 2 for Sketch of Survey. SURVEY IS NOT COMPLETE WITHOUT BOTH SHEETS .LEGAL DESCRIPTION 43, MIAMI SHORES SECTION ONE AMENDED, ACCORDING TO THE PLAT THEREOF PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. THE WEST 1/2 OF LOT 11 AND ALL OF LOT 12, BLOCK 4S RECORDED IN PLAT BOOK 10, PAGE(S) 70, OF THE PROPERTY ADDRESS 302 NE 97TH STREET MIAMI SHORES, FL 33138 INVOICE NUMBER 01 -57612 DATE OF FIELD WORK 10/05/2011 CERTIFIED TO JAY BROWN FLOOD ZONE X - 120652 - 0302 - L BY AUTHORITY GRANTED PER 61G17- 6.003(3)(G) FLORIDA ADMINISTRATIVE CODE: FOR MORTGAGE TRANSACTIONS, LANDTECH HEREBY AUTHORIZES CERTIFIED TITLE AGENTS SHOWN HEREON TO ADD ANY LENDER CERTIFICATIONS THEY DEEM NECESSARY TO COMPLETE SAID TRANSACTION, ANY OTHER ALTERATIONS SHALL VOID THIS SURVEY. PLEASE ENTER ADDITIONAL CERTIFICATION(S) BELOW: • Spelt Notes: 1. THIS SURVEY IS BASED UPON RECORD INFORMATION PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY THIS OFFICE UNLESS OTHERWISE NOTED. 2. IF THIS SURVEY HAS BEEN PREPARED FOR THE PURPOSES OF A MORTGAGE TRANSACTION, ITS SCOPE IS LIMITED TO THE DETERMINATION OF TITLE DEFICIENCIES. NO FUTURE CONSTRUCTION SHALL BE BASED UPON THIS SURVEY WITHOUT FIRST OBTAINING APPROVAL AND /OR UPDATES FROM LANDTECH SURVEYING. LANDTECH SURVEYING ASSUMES NO RESPONSIBIUTY FOR ERRORS RESULTING FROM FAILURE TO ADHERE TO THIS CLAUSE. 3. ANY FENCES SHOWN HEREON ARE ILLUSTRATIVE OF THEIR GENERAL POSITION ONLY. FENCE TIES SHOWN ARE TO GENERAL CENTERLINE OF FENCE. THIS OFFICE WILL NOT BE RESPONSIBLE FOR DAMAGES RESULTING FROM THE REMOVAL OF, OR CHANGES MADE TO, ANY FENCES UNLESS WE HAVE PROVIDED A SURVEY SPECIFICALLY LOCATING SAID FENCES FOR SUCH PURPOSES. DETERMINATION OF FENCE POSITIONS SHOULD BE BASED SOLELY ON THEIR PHYSICAL RELATIONSHIP TO THE MONUMENTED BOUNDARY ONES. 4. GRAPHIC REPRESENTATIONS MAY HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE MEASURED RELATIONSHIPS - DIMENSIONS SHALL HAVE PRECEDENCE OVER SCALED POSITIONS. 5. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS SPECIFICALLY SHOWN. 6. ELEVATIONS ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM (N.G.V.D. 1929) UNLESS OTHERWISE SHOWN. 7. ALL BOUNDARY AND CONTROL DIMENSIONS SHOWN ARE FIELD MEASURED AND CORRESPOND TO RECORD INFORMATION UNLESS SPECIFICALLY NOTED OTHERWISE. 8. CORNERS SHOWN AS °SET° ARE IDENTIFIED WITH A CAP MARKED LB (LICENSED BUSINESS) # 6799. HEREBY CERTIFY THAT THIS BOUNDARY SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS FOR SURVEYS, AS SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 61G17-6 OF THE FLORIDA ADMIMSTRATNE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES. tires r� DATE 10/05/2011 Legend/Abbreviations: EOW = Edge of Water P = Per Plat RNV = Right - of-Way A = Arc Length FF = Finished Floor P/L = Property Une TR = Telephone Riser CA = Central Angle FIP = Found Iron Pipe PC = Point of Curvature UE = Utility Easement C/L = Centerline • FIR = Found Iron Rod PCC = Point of Compound WM = Water Meter CF = Computed from Field Measure FN = Found Nail Curvature UP = Utility Pole CR = Computed from Record data L = Per Legal Description PK = Parker Kalon Nail CAN = Cable TV Riser M = Measured POB = Point of Beginning DE = Drainage Easement OHC = Overhead Cable POC = Point of Commencement Ease = Easement ORB = Official Records Book PRC = Point of Reverse Curvature N ANDREWSNYDER- PROFESSIONAL SURVEYOR AND MAPPER FLORIDA REGISTRATION No. 5639 (NOT VALID KNOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OR ELECTRONIC SEAL OF THE FLORIDA UCENSED SURVEYOR AND MAPPER SHOWN ABOVE) fIr1g ,curaeLatld�e1Vles.tiar:tt1 ` 5 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Date °'�- /1-// Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as 3o.:7 /fr,6 9 ? 57— , 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 Note: This certification is to be submitted with a swimming pool permit application in duplicate. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at '7 Cr 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 locatio 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 775.083 F.S . This form must be signed by the owner /agent and the prime contractor. ONTRACTOR'S SIIGNAT'ORE AND DATE CONT �. OR'S NAME (PLEASE PRINT) r ON#DD740340 ' EXPIRES:0E0.09, 2011 Art 1t —tg'lI SIGNATURE AND DATE 'is+.vu...9 OWNE 8Z COMMISSION # D0740340 VPIRES:DEC. 2011 -11-21 13 ;03 BLUE WATER POOLS 305- 634 - 0957» 1 800 685 7530 DOOR ALARM - Model DAPT -WT - SOUNDS IMMEDIATELY! eh/VI NMI ill' YVVl 141114111, /51444 N11&t Z.L IIVVZ AfLLVLJ, v1111LL ACLL% LJ POOLGUARD/PBM INDUSTRIES, INC. has been manufaoluring pool alarms, door alarms, and gate alarms since 1982. All Poolguard products are proudly Made In the USA. Poolguard Door Alarms comply with all building Codes and are UL Listed under UL 2017, The majority of children that drown in pools go out the back door 1rst and Poolguard`s Door Alarm can help protect those doors. POOLGUARD DOOR ALARM WITH WIRELESS FEATURE 1 Year Warranty Compiles Nrtth all building codas Loud 8SdB horn (at 10 foot) • UL Listed to UL 2017 • Sounds Immediately when the door opens • Outdoor wireless transmitter pass -thru feature • Simple To Operate • Easy to Install • Important safety alarm for doors • Complies with barrier codes • Low battery Indicator • Battery powered • Automadc reset • The Door Alan will sound immediately when a child opens the door, and will continue to Sound if the door is left open. If a child goes through the door and doses It the alarm will sound for 5 minutes and then automatically reset, • Poolguard Door Alarm Model DAPT Wf Is equipped with an Outdoor Wireless Transmitter that allows adults to enter the home from the outside without the alarm sounding and is easy to Install. • The Door Alarm is always on and will automatically reset under all «mdlttons, • Pootguard Door Alarm is equipped with an adult pass through feature that will allow adults to go through the door without the alarm sounding. • Optional screen door kits can be purchased for the alarm, this kit allows you to get air through your screen door without the alarm sounding, • Pootguard Door Alarm uses one 9-volt battery, (not included) with a battery life of approxlmatefy 8 months. The Door Alarm is equipped with a low battery Indicator tnat will audibly alert you wren your battery is getting tow, • Peale' lard isr the only dnrlr alarm that IR III listed cinder 111 70117 fnr water hs7ard entrantW alarm ant /lament :// www. poo lguard.comn/door- wireIess.asp P 2/4 dgc 7/8/2 BLUE WATER POOLS 305 - 6340957» 1 800 685 7530 • - PG DAFT-WY Manual051309:Layalt 1 5!14109 1241 PM Pogo 1 6. L tYBATTERYFUtCTION4REPL ;CF','EN! Men to 9.9l6 banally in the door 8la1Rt b low and needs 1c he masted the Pont tat chap once enemy y 1 D seconds- To replace P61 S- ea bi* ravens. to *Id Been bomary does .et al /aril 30 seconds Ware connecting Iha solo &rob baba* The Been barer/ 1161 tar n,* door damn is tcplalrnalaly 6 more. Teal yule' dace darn **std! by ❑padrg 6* aeon and !torts the alarm to scud. 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