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BPP-12-1606Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 190814 Permit Number: BPP -8 -12 -1606 Inspection Date: May 22, 2013 Inspector: Dacquisto, David Owner: MENDOZA, MARIEDY Job Address: 10667 NE 11 Avenue Project: Contractor: Miami Shores, FL 33138 -2120 <NONE> La Casa de las Piscinas Inc Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1122320280310 Building Department Comments NEW POOL AND PATIO DECK 11/02/2012 -DO NOT RETURN BOND UNTIL PERMIT RC11 -778 IS CLOSED. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Failed f /2cr //3 Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 May 22, 2013 Page 1 of 1 PERMIT # P x 0 CONTRACTOR: ia■ciAv\koila Gws-Wci ovi SUBMITTAL DATE: 61).42.- RESUBMITAL DATES: PROJECT PE: Vi,t 77- a 4,4,0<04.oz ICAL7 wc40-15:7-40/i- FIRE IMPACT FEES HRS/DERM PLUMBING 1 437 -4P-tZ, Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 177824 Permit Number: BPP -8 -12 -1606 Scheduled Inspection Date: June 03, 2013 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Owner: MENDOZA, MARIEDY Work Classification: New Inspector: Bruhn, Norman Job Address: 10667 NE 11 Avenue Miami Shores, FL 33138 -2120 Project: <NONE> Contractor: La Casa de las Piscinas Inc Phone Number Parcel Number 1122320280310 Building Department Comments NEW POOL AND PATIO DECK 11/02/2012 -DO NOT RETURN BOND UNTIL PERMIT RC11 -778 IS CLOSED. Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 31, 2013 For Inspections please call: (305)762 -4949 Page 2 of 27 UILDING PERMIT APPLICATION 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 Type: BUILDING / 6d ✓7 4/l G. // (4-77e • JOB ADDRESS: ZeD vTh Permit No. Master Permit No.' ( 2 ( Ce.O City: Miami Shores County: Miami Dade Zip: 3 J 3 7 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): °9'�L � Phone#:3 y -�� Address: 7 A9, ' City: State: Zip: 3 ' / Tenant/Lessee Name: �" A-- Phone #: ('9 Email: CONTRACTOR: Company Name: °ice 1- s J .5E'-,'* 'ne#: &e 433 Address: City: Qualifier N ,1"t S ` Zip: 3 3 Phone#: 3f�J vim. 14 —3/07 State Certification or Registration #: J .� "`� �® rtificate of Competency #: Contact Phone #: /4—.3/07 Email Address: i' c7 4P4 ;/2 C-etoi DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 8 � �7r Square/Linear Footage of Work: Type of Work: ❑Addition CIAlter4fion 2New DRepair/Replace ODemolition Description of Work: ?.0-e- �'°— c ***** *****+ x* x+ *: x****+x**************** **Fees******************************************** 11 Submittal Fee $ Permit Fee $ 6(V CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ �,��� TOTAL FEE NOW DUE $ 0 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 FT.F,CTRICAL 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 % notice, the inspection will not be approved and a reinspection fee will be charged. Signature rOr `'�� ,f '` ""7j - Signature Owner Agent The fore] i ent was ackn day of , 20 f 1,-by who is personally known to me or who has produced As identification and who did take an oath. NOT Y PUBLIC: Print: My Commission Expires: Sign: jeJ--y 0 � M *'� 'IAC.:lppgl ' 'A 1ISSlON#DO876910 �T •, v TIRES: April 2i, as *************** * * * * * * * * * * * * * * * * * * * * * * * * * * *** ** Filiph e****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ,,, Z ro /d' /* -(2-Plans Examiner Zoning Contractor L r/ The foregoing instrument was acknowledged before me this r' day of O --7 , 20� �-by iii - A- 1 7,01)2t%C1V-e. who is personally known to me or who has produced — as identificatioi idiWWlho 4j9 take an oath. .�` 31b1S '''ice. NOTARY PUBLIC: ��`�i�•••. ......... Sign: Print: My Commission Expires: ,, ••Leo`' /f /,,hrrr� i 8 t %'. APPROVED BY Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) • MIAMI DADS COUN" y140 W4FLAGL R ST, $1st �10.1A M!V 30 { L OCQL: F USIUESS TAX RECEIPT=. ,MIAMI DAD1r c:OUNTY - STATE OF FLORIDA <t " "', t °_EXPIRE$ SLPT °30� °2013^1 t,ti dd MUST.8E DISPLAY>rO AT pLACE;OF BUSINESS a PURSUANT TO COUNTY CODIE GFIAP ,,TER 3A ST A 9 & • `- yyw•7iici''.at.t1 THIS IS N01 A 5iLL -- co NOT PAY 563770 -8 BUSINESS NAME/ LOCATION LA CASA DE LAS PISCINAS 2601 NW 18 TERR 33125 MIAMI INC RENEWAL RECEIPT NO. 588074-6 STATE# CPC1456901 FIRST -CLA`3 U.S. P.OSTACE PNP MIAMI; FL,: PERMIT mo. 2:11 OWNER LA CASA DE LAS PISCINAS INC WORKER /5 Sec. Type of Business 2 THIS Is 1t96 ASoECIALTY BUILDING CONTRACTOR BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S OUALIFICA• TIONS. PAYMENT RECEIVED h11AMI•DADE COUNTY TAX COLLECTOR: 07/16/2012 09010316001 000045.00 SEE OTHER SIDE DO NOT FORWARD LA CASA DE LAS PISCINAS INC MARIA C RODRIGUEZ PRES 2601 NW 18 TER MIAMI FL 33125 1r,lit„IItr1I }illlrl,l, 111 ,r11r11,11ir „1,r1t111 „Ir, &�11 -j ,� 6 833 \C# STATE OF FLORIDA. ,DEPARTMENT OFBUSINESS,AND PROFESSIONAL REGULATION EC2f_1 ,CONSTRUCTZON INDUSTRY..LICENSING� BOARD I:12070301234 07 03 2012, 128001707 The RESIDENTIAL POOL /SPA CONTRAuCTOR Named, below .IS CERTIFIEDaa Under theprovigions of Chapter,, Expiration date: AUG 31, 2014 RODRIGUEZ,;.: MARIA C LA CASA .DE:LAS PISCINAS INC 2601 NW 18TH "TERRACEr MIAMI 'FL 33125 RICK SCOTT` UOVERNOR-" DISPLAY AS REQUIRED BY KEN LAWSON _SECRETARY_ 01 -03 -2011 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. 02/24/2011 EXPIRATION DATE: 02/23/2013 RODRIGUEZ MARIA C EFFECTIVE DATE: PERSON: FEIN: 650219797 BUSINESS NAME AND ADDRESS: LA CASA DE LAS PISCINAS INC 2601 NW 18 TERR MIAMI FL 33125 SCOPES OF BUSINESS OR TRADE: 1- POOL CONTRACTOR compensation under this chapter. Pursuant to Chapter 440.054121, F.S., Certificates of election to be exempt... apply Lilly vrlu.in Ice ,GMOVTANT: Pursuant to' Chapter 440 05{14), F.S., 30 officer 01 a corporation Whu elects exeruptiun from this chapter by filing 3 certificate ui election boar, ,,,, ,c pon may nut iness benefits o p F.S., Notices of election to be exempt. and ce tl,l,iates the parson named on We uoGce elope of tn0 business or trade listed t the notice 01 election to be exempt. 1iliny t 10 Chaplet or the1iss election 10 be exempt shall be subject to r000Cat1011 i1, at any 111110 inlet the filfug ul Die notice or 1110 issuance of the certificate, certificate 50 longer meets the requirements of this section for issuance of a certificate. The depaltutent s11a11 1evuke a certilicale at any time lot l elute ul ILO IIOr -l)) named on 1110 co:1IIicate to •51001 the requirements ul this section. wC -2E2 CERTIFICATE OF ELECTION TO BE EXEMPT REVISE() 09-00 ACORD. CERTIFICATE -OF LIABILITY INSURANCE PRb'DU4E4- (3-05) 512- 5680 -FAX: 1305)5P-5881 Torres Insurance Agency Inc. 6135 NW 167 STREET # 825 Miami Lakes FL 33015 1 10/10/2012 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BIISURERS AFFORDWG COVERAGE NAC 8 INSURED La Casa De Las Piscinas Inc 2601 NW 18 Terrace Miami FL 33135 A:Landmark American IASURER 6 - INSURER Ik INSURERE COVr-RAGES THE POLICIES OF DISURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N OTWITHS•TANDIJG ANY REQUIREMENT, TERM OR COMMON OF ANY CONTRACT OR OTHER DOCUSENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LINTS SHOWN MAY HAVE BE EDUCED BY PAID CLAIMS. p UDR ABM LIR I TYPE OF POLICY N OBS X11 DATE N t'< L LIMMITT COMMERCIAL I RA LNNUTY CLANS MBE X I OCCUR 9500 III -1X/ffi • S GEM TEpL6&APPUSS PER n ,IE 1 POLICY CT n t1 AUTOMOBILE MISERY ANY AUTO Au_ OWNED AUTOS AUTOS HIRED AUTOS NON OWNEDAURS Lsa102565 -00 1/8/2012 1/8/2013 EA 4 OctU E - _ 1 riR[a ar LED Qrn (Any one } S $ 500,000 100,000 5,000 P &ADVYiUUWf 1 500,000 Gam - AGGREGATE $ 500 , 000 500,000 OCNASIMED UIIer (Ea seddent) BOXY H+UURY (Papa:mon) 1 BODILY INJURY (Per N 1 FERNY• GE IPA S SMIAGE LIABILITY RAwAuTo. IBICESSANNIRELLA UABIUTT —I OCCUR Dams ILIADE LEOLMTIBLE RETENTHIN $ ANYPROPRIETOI AJ Eld If Yes. de a@e,emier SPECIAL PROVISIONS OTHER AUTO ONLY •EAAcaDENT OTHERTHAN EA ACC AUTO ONLY: • AGO EACH OCCURRENCE A GATE $ 5 $ I 1M- E,L. EACH ACCDE T EL. DISEASE -EA EMPLOYEE ELI - POUCYLA4T $ $ a $ DES TION OF OPERATIOIN3LOCATIONSMEHICLEMEXCLUSIONSADOE0 BY ENDMISSIENTIISPECIAL P SWIMMING POOL INBISLLIALYETON, SERVICE & REPAIR. LOC: 2601 NR 18 T. NI», Ntz, 33135 CERTIFICATE HOLDER CANCEU.ATION (305)756 -8972 Miami Shores 'Village 10050 NE 2nd Ane Miami Shores, FL 33138 SHED ANY OF THE ABOVE DESCRIBED POLICIES BE SLED BEFORE THE SiSFIRATIoN DATE THEREOF, TIE ISSUING INSURER NE-1. E>SEAVOR TO NAIL 10 DAYS WRfTTEs NDTICE TO THE CERTIF1CATE HO MIND TO THE LEFT. BUT MAW TO 00 SO SHALL tam NO • y ' • ; OF ANY *ONO UPON THE B1$URER,IIS AGENTS OR REPREIESIITAIRRES. AUTHORIZED REPRESENTATIVE ACORD 25 (200110 LNS025 (o108L0Sa ACORD CORPORATION 1988 Page 1 oft NOTICE OF CO ENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. 'l! 1' 9:-.1(c0(1) TAX FOLIO NO. #22-242a0311) STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 111111111111111111111111111111111111111111111 CFN 201280731032 OR Bk 28312 Ps 2385 °r (fps) RECORDED 10/15/2012 10 :20:18 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY@ FLORIDA LAST PAGE Space above reserved for se of recording office 1. Legal description of property ands t/address:'�� � 11! ' � �I' " V 1,647- 4-4;7_44'. £r/141) � t�4iarr ' °-�� 33/3 2. Description of improvement: 1 -7 ' 3. Owner(s) name and address: 1/ % 2 t e Interest in property: V49-y'. Name and address of fee simple titleholder / 4. Contractor's name, address and phone number. .04-' 5. Surety: (Payment bond required by owner from contractor,f any) Name, address and phone number. l"" Amount of bond $ 6 L en e s d r' name and address: 4 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, pf Name, address and phone number. l" 8. In addition to himself, Owners designates the followir� person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. l Name, address and phone number 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Owner(s) or Owner(s)' Authorized Officer/ Director /Partner/Manager /0-_� J� f J g�l� Prepared By Prepared By Print Name Print Name. Title/Office - Title/Office - STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoi g instrum was owied�ged _before me this /D day of By z �-v jt� 'f f rid ° ❑ Individually, or ❑ a s' fo *Personally known, or ❑ produced the following type of identifica Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STA' Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. S'.':#.1.11%, MARIA C. RODRIGUEZ . * A1Y CpVAISSIONOOD878910 EXPIRES: Apr0 28, 2318 Or BNB 15fielldflab&M.*"• Signature(s) of • js = s) or Owner(s)' �'Ized Officer/Director/Partner/Manager who signed above: By By 123.01-02 3 3110 Miami Shores V,iiage Building Department RECEIPT PERMIT #: e7Pf 12— 1 tDV0 DATE: I, /4,664- AN; Contractor Owner Architect Pic - • up 2 sets of plans and er) Address: O(00 INE 1 9 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 12_ CeredX) r From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Depa ent t ontinue permitting process. Acknowledged by: . I . ,v,il° PERMIT CLERK INITIAL RESUBMITTED DATE: 4 014 PERMIT CLERK INITIAL: Miami S Village 4 ,,,,, Building Department Permit No: 12 -1606 Job Name: September 4, 2012 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet 1) Provide approval from Miami Dade County HRS /DOH. 2) The notice of requirements residential swimming pool safety act form shows utilizing alarms and a yard fence for the pool safety act but the plans show a baby fence. Which one will be used? Provide manufacturers specifications for the product to be used and provide and accurate plan and pool safety act form. 3) The reinforcing in details does not match Note #1. Provide details for all reinforcement including items like the seats ect. 4) The plans reference the South Florida Building Code; it has been a couple of years since that code was in effect. Please provide the correct reference to the Florid Building Code. Plan review is not complete, when all items above are corrected, we do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ISPP/244a -6 Permit No. Job Name 14e v,oto` . Date $3-3o -iv STRUCTURAL CRITIQUE SHEET Uf t Prr -rife POOL_ w Tw No wkt -. Pt ce'P.y B et-- C-g- --Pkt C 1414 : le-e Nc e a-Q vi !z rt-ewI l•-1 - - PIt-ooct, co Pc6-tt1 SPe'rc' h- 1t tI5 CYP 1 et-h.tb SA-F6/1 -F l z__ Sk-ek ' S i4 Miami Shores Village Building Department 10050 N.E 2nd Avenu Miami Shores, Florida 3313 Tel: (305) 795 220 Fax: (305) 756 897 Permit No. %vim 46 Job Name PLUMBING CRITIQUE SHEET 1794 if 4 dr `al 4. M lami Shores Village Building Department Permit No: 12 - /gym, Job Name: es/)-7a A- Date: z y,1-40fr�agi� ELECTRIC Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Al vd f f ( c tx! G /2/c, e;z P �.��� �/j �''h- »-ter/ 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Review Complete by: Michael A. Devaney SR. Chief Electrical Inspector 1 Permit NO. BPP -8 -12 -1606 Issue Date: Not Issued Planning and Zoning Criteria 101 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Expires:1 /1 /2999 Folio Number:1122320280310 Owner's Name: MARIEDY MENDOZA Job Address: 10667 11 Avenue Miami Shores, FL 33138 -2120 Owner's Phone: Total Square Feet: 770 Total Job Valuation: $ 28,000.00 Contractor(s) RICHMON CONSTRUCTION CORP Phone 305 - 663 -0543 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Comments: Date Approved: 8/27/2012 : Yes IVI iami Shores Viitage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 REQUIREMENTS FOR POOL PERMIT ***PRIME CONSTRACTOR AND ALL SUBCONTRACTOR PERMITS MUST BE SUBMITTED PRIOR TO PERMIT APPROVAL*** Building permit application must be accompanied by: ❑ Sub permit applications (Electrical, Plumbing, Mechanical) ❑ 2 Copies of survey (no more than 7 years). ❑ If survey is older than 7 years it needs Survey Affidavit. ❑ 2 Sets of plans signed and sealed. Show on the plans: Location of septic system, all intended setbacks of pool, location of the pool equipment, deck and fences. Plans shall be reviewed and approved by HRS department. ❑ Residential swimming pool, spa and hot tub Safety Act form completed and signed by owner. ❑ Swimming pool Owner's Certification form completed and signed. ❑ Restrictive Covenant Protective Pool Enclosure form completed and signed by owner. ❑ 2 sets of manufacturer specifications for safety net, barrier or alarm. ❑ Proof of ownership. NOTE: 1. Application fee of $250.00 due at the time of submittal for Building permit and $50.00 for each sub permit IVI iami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at 1401 ,J Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346 -91. (Submit Manufacturer's Specifications). A continuous, one -piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non - dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type and location of all non dwelling walls. Florida Building Code, R4101.17.1 Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self - latching device with positive mechanical 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•.S . This form be signed by the owner /agent and the prime contractor. CONTRACTOR'S SIGNATURE AND DATE OW R'S SIGNATURE /CA/ CONTRACTOR'S NAME (PLEASE PRINT) OWNER' NOTARY PUBLIC NOTARY PUBLIC pi %c KEITH R. HOELZEL * MY COMMISSION # EE 158752 EXPIRES: February 28, 2016 TEgp eb04° Bonded 71uu Budget Notary eeM es Date — I �- Miami Shores V,iiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as , located at 1 Dob7 #E t( Ave. In accordance with Section 33- 12(f), Code of Metropolitan Dade County, l 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 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned is/are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: 10(O 6 -7 t( 4j N( corm, 51' j re5 f c 13t3g Whereas, the undersigned owner(s) ;C(4 t edC i7, dog I line/ U ��•_, t�ozdF desire to util¢e said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: I. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. 11. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. III. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our/my property shall fail to meet code requirements for pool barriers, we, as owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. IV. That, I/we, as owner(s) hold Miami Shores Village harmless for any negligence or injury that results from not having the enclosure. V. If enclosure belongs to said property, I agree to maintain & or replace said enclosure in the event that is damaged or removed by any case. NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its Aloo successors, in . , • ,. ance of said Village n in effect. ER SIGN & PRI I Hereby Certify that on this day personally appeared before me lA r I # as identification and he/she acknowledge that he/s for purposes there in expressed. ER SING e Y rl tdo d has produced ID xecuted the foregoing, freely and voluntarily, r is SWORN TO AND SUBSCRIBED before me on this a` t day of V` "3 (Revised 05/2209 KEITH R. HOELgt ,k MY COMMISSION 8 EE 158752 EXPIRES: February 28, 2016 Bonded Thru Budget Noisy Sew ,20(2-- NOT P BLI STATE OF FL Date 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 Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as located at JP,, �! "hie 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 Permit No: BPP12 -1606 Job Name: August 24, 2012 1 Need HRS approval Rafael Hernandez Chief Plumbing Inspector 786.290.0800 Plumbing Critique Sheet Electrical Critique Sheet Page 1 of 1 1. Need electrical diagram showing service size , panel schedule, number and size of motors, equipment location and location of G. F. I. receptacle. Equipotential bonding N, E. C. 680 -26. Michael Devaney Sr. Chief Electrical Inspector 305.986.7028 Stopped Review Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. OL9 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 No. S III AUG r d C„ 8Y' ®o Master Permit No. Permit Type: BUILDING OOF1NG OWNER: Name (Fee Simple Titleholder): Z/' /`P./ 44i, , Phoneitga f $ 2 7-10 / Address:l b 10 9 ,u e /l e. c City: fri< i . i „S =42/4, $ state: _ Zip: 33i 3 4 Tenant/Lessee Name: Phone#: JOB ADDRESS: 1, %JeAt/' is/? City: Miami Shores County: Miami Dade Zip: 351.5 F Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: / PA, €OIU..% . Phone#: Address: 7t7b y 4 City: // JJ-- Qualifier Name: 7rn4 e44, Zip: a a /ms- Phone#: State Certification or Registration #: ESC F� C OS 2D _ Certificate of Commpetency #: Contact Phone#: 716" 3S� 29 d, Email Address: ei�Qr.15 •4C . CAS [ q /')G 'ACS rid'/ eo rY1 - DESIGNER: Architect/Engineer: �,.ae, -7 - .4. 4crt, de Z --JOn- cat • Phone#: 7c 6 -`ige, '1011 Value of Work for this Permit: $ 213. ©4f • SquarefLinear Footage of Work: 771.) Type of Work OAddition I ClAlterati� ViAew ORepair/Replace Description of Work: 71/L -beck ODemolition * *** * * * * * * *+ wens************************* F************* * * * * * *** * * * * * * *** * ***s * * * * * * * ** Submittal Fee $ Permit Fee $ *© CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ _ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FIE NOW DUE $ f , 538 • 00 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 app and a reinspection fee will be charged Si O Owner or gent Contractor The foregoing instrument was acknow ged before ffle this 5 The foregoing instrument was acknowledged before me this S 9 day of 20. 2, by /let b ?4?A . , day of 20 , by Pe�4gdd k,�'4 e , who is /rsonally known to me or who has p" roduced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. .44 NOTARY PUBLIC: Sign: Print My Commissi ANL._- �,. 1124;;,,,, DAMARYS HIDALGO •� . '- Notary Public - State of Florida My Comm. Expires Nov 30.2012 *0D841592 ires: A) * * * * * * * * * * * * * * *** *** * * * * * * ** APPROVED BY 30/12. , ** ****************************************** * * * * * * *** * * * * * * *** * * * * * * * * * * * ** Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) /f •i•ig Clerk Permit Number: EL -8 -12 -1607 I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 t().-)00 Inspection Number: INSP- 177828 Inspection Date: March 26, 2013 Inspector: Devaney, Michael Owner: MENDOZA, MARIEDY Job Address: 10667 NE 11 Avenue Miami Shores, FL 33138 -2120 Project: <NONE> Contractor: TOTAL ELECTRIC ENTERPRISES CORP Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1122320280310 Building Department Comments ELECTRICAL WORK FOR NEW POOL CONSTRUCTION Passed Inspector 0e- 771`-(/ A ze/, l0 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until March 26, 2013 For Inspections please call: (305)762 -4949 Page 1 of 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 Permit Type: Electrical JOB ADDRESS: 10, 67 A g City: Miami Shores Folio/Parcel#: Is the Building Historically Designated: Yes County: AUG FBC 20 Permit No. -_-, , 1 `U Master Permit No.- ' /ass` 3 313 3 Zip3 (3� Miami Dade OWNER: Name (Fee Simple Titleholder): Mari Address: '064 '7 Ng 01 A lifelei City: f)1 !fMi 514f».S State: NO Flood Zone: MP y` -2 Phone#: 3 627 %' zip: '3 3 IA Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: �Li4� 00.u1}ri �J /J.�/ eR8U /01l,p� 40 Phone#: ` Jcs ' • P8 (- Address: woo h4 c de Ze d 75( ye / � 14, 2 City: cc, ask.) State: Qualifier Name: 6.5 14,1 7 A- le/ State Certification or Re:'stration #: 15 S . a • diet t GO go nay: el im Mork' ih Wi u Type of Work: °Address UAiteration Description of Work: 004 p • Atitslew Elieck; cm.) )a� ��zr 1(744, , . Pe '. tjol • ihmtr1 Foe.. • ge of Work: �c DRepair/Replace pat) ODemolition ***************************************F *******+ x**a: **+ s*** ************ * *******+s****** Submittal Fee $ Permit Fee $ .7 AI' "Oa CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 'C 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: f understand that separate permit must-be secured -WORK PUJMBING; 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 ap i .oved and a reinspection fee will be charged. Signature The foregoing ins day of who is Owne or Ag - nt Signatur e'. d ''%l'C , Contractor ment was acknowledged before me this /7 The foregoing instrument was acknowledged before me this f-= day of :, j i g t ' , 20 Q om , by �lC / 6 1 ( . 7 - 1 A - 3 A &. , who is personal' • AI - CO w o as ' roduced e an oath. NOTAR Sign: Print: My Commission Asir el APPROVED BY pares: I JP -- NOTAR Sign: Print: My Commission Ex ires: VPV Z 1-40) Plans Examiner Zoning Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Clerk From: 08/31/2012 13:55 #202 P.001 /001 ".1101,....." X,"' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 08/31/12 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 POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(tes) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Lieu of such endorsement(s). PRODUCER Gruber & Associates 1135 N. Krome Ave. Homestead, FL 33030 Phone (305)248 -5453 Fax (305)246 -7090 tCOOINTACT JOHN BARNES n.exU`' (305)248 -5453 FAX No (305)248 -7090 ADDRESS: bamesJsebeilsoutbmet INSURERS) AFFORDING COVERAGE LIMITS NAIC i MsuRER A ; GRANADA INSURANCE COMPANY INSURED TOTAL ELECTRICAL ENTERPRISES CORP. PO Box 972210 Miami, FL 33197 (305) 338 -1290 rnvmnwne& ..— --- _ -- _...---- INSURER B . INSURER C ; EACH OCCURRENCE MOURER D • DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER E: ❑ II CLAIMS CLAIMS-MADE ® OCCUR INSURER F $ 5,000.00 THIS INDICATED. CERTIFICATE EXCLUSIONS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. l4TR TYPE OF INSURANCE ADD INSR SUERY WVD PQLICY NUMBER A.A 07/1112012 07/11/2012 ( UUCP I LIMITS q GENERAL LIABILITY ® COMMERCIAL GENERAL LIABILrrY 07/11/2013 EACH OCCURRENCE 1 1,000,000.00 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000.00 ❑ II CLAIMS CLAIMS-MADE ® OCCUR MED EXP (Any one person) $ 5,000.00 El PERSONAL & ADv INJURY $ 1,000,000.00 0 GENERAL AGGREGATE $ 2,000,000.00 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000.00 ❑ POLICY • JEC°r ❑ Loc $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ■ ANY AUTO ALL OWNED BODILY INJURY (Per person) $ SCHLED ❑ AUTOS ■ AUTOS EDU BODILY INJURY (Per accident) $ ❑ HIRED AUTOS • AUTOS NED PROPERTY GE (Peraccldent $ II $ ❑ fNi aReu -A U AB ❑ OCCUR ❑ ExCESS MB ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTIONS $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER N / A WC STATU- OTH- ❑ TORY LIMITS ❑ ER E.L EACH ACCIDENT $ EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ f yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) ELECTRICAL CONTRACTOR. CERTIFICATFH(11nma _- .. --- . ____ MIAMI SHORES VILLAGE 10050 NE 2 AVE MIAMI, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) OF ®1988 -2010 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD Alex Barrios 305 883 2905 p.2 09-19 -2011 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ERECTION 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: FEIN: 09119/2011 EXPIRATION DATE: 0911812013 MC DONALD GILBERT 161663313 BUSINESS NAME AND ADDRESS: TOTAL ELECTRICAL ENTERPRISES CORPORATION P.O. BOX 97.2210 MIAMI FL 33187 SCOPES OF BUSINESS OR TRADE: 1- ELECTRICAL CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . 08414;, F.S., an officer of a corporation who elects exemption from this chapter by Mug a certificate of election Nader this section alai oat recover benefits or compensation ender this chapter. Pu stmt to Cleptor 440.0841231 F.S., Certificates of election to be exempt... apply only' within the scope of the business or trade listed on the notice al election to he exempt. Pursuant to Chapter 440.05(13*. F.S., Notices of election to be exempt sad certificates of election to be exempt shall be sallied to moralise if, et any time alter the inrot of the entree or the lssuenca of the certificate, the person named on the antics at certificate no leoger meets the requirements of Ibis senilen for issuance of a certificate. The department shalt revoke a certificate at say time for failure a the person gamed as the certi;;ode 10 meet the requirements of this sealed. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 QUESTIONS? 0150) 413 -1601 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OP ELECTION TO 99 EXEMPT FROM FLORIDA WORKERS' COMIPENSATKIN LAW EFFECTIVE 08119/2011 EXPIRATION DATE: 09/18 PERSON GILBERT L MC DONALD FEIN: 161663313 BUSINESS NAME AND ADDRESS: TOTAL ELECTRICAL ENTERPRISES CORPORATION P.O. BOX 97.2210 OAK FL 99197 SCOPE OF BUSINESS OR TRADE 1. l3ECTRICAL CONTRACTOR 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 ! under this section may not recover benefits or compensation under this D chapter. H Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt_. apply only within the scope of the business or trade listed on Rthe notice of election to be exempt. E Pursuant to Chapter 440.051131, F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the Forum named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1606 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. UWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 BUILDING 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 FBC 20 Permit No. f PERMIT APPLICATION Master Permit No. Permit Type: PLUMBING JOB ADDRESS: [. (O(o b '1 WQ I( AA City: Miami Shores County: Miami Dade Zip: -2,313S Folio/Parcel #: Is the Building Historically Designated: Yes OWNER: Name (FeeSimppleTitleholder): ilvv r M0�'�le(�� 1.1 9i� Phone #: �!� 5��`IQ$q Address: 1 Ol0 1 IV ( (i fi1i City: /VI /kv (. $ hEi) Zip: 35 (-38 NO Flood. Zone: State: SF- Tenant Lessee Name: Phone#: Email: �/ 1 (►NIA ( 1A/01 /VI 3D @ yahoo. (ov✓► CONTRACTOR: Company Name: /--J Sorer vt C e 2' f�9'!/1'12/11 TA, C Phone#: 12 "6- 2/e Fe?? Address: /1-7?- 5`4 S. -.-- City: 7 i /' '417 Qualifier Name: e C 7/e y State Certification or Registration #: State: Zip: . ? I' Phone #: 7 2 /6 .F 2 Z C C `3 / / $"t1 s r6 Certificate of Competency #: Contact Phone#: 2 �' z /a k" ? 2 Email Address: // "ek ( //ow)" DESIGNER: Architect/Engineer: Phone #: o.- Value of Work for this Permit: $ f co Square/Linear Footage of Work: 10 Type of Work: ❑Address DAlteration Description of Work: ONew ORepair/Replace ODemolition *X **X.t* **** * ** ** **,P0tt** ***** ***23 ;. ** *Fees**** ^: 'P*******,* q * * * "1. * ************ *0rt+r00*0 *+k Submittal Fee $ Permit Fee $ 42T4--- CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ I , ' L' 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 $2500, the applicant trust promise in good ,faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property, is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site or the first inspection which occurs ,seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature The foregoing ins day of who is p ment Signature r or Agent ontractor as acknowledged before me this d e The foregoing instrument was acknowledged before me this 14 take an oath. NOTA Sign: Print: My Commission Expires: dt tf /4 APPROVED BY 2 day of who is per. "o Sign: Print: My Commission E tires: "th t / .3n oayc*4 < ****.*** **it#a:;a ****** **' ** ;:: k> t**** 1+ Xe*** Kege*; tge3, e*x sv******AeyF9FaYxee*:ei4Xi<*** ;eR *** *a *** t'11--- Plans Examiner Structural Review (Re v,sed3 /I2/20I2)(Revised 07 /10/07)(Revised Ofi/I0/2009)(Revised 3/15/09) Zoning Clerk 07/27/12 04:15AM PDT hl service r inc -> MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAQLER ST. 1st FLOOR MIAMI, FL 33130 2011 LOCAL BUSINESS TAX RECEIPT 2012 MIAMI -DADE COUNTY • STATE OF FLORIDA EXPIRES SEPT. 30, 2012 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 3052668799 Pg 2/4 FIRST - CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 640476 -8LL q RENEWAL euHLESERVICE 81TREPAIR INC STATE RECEIPT CC1311505561336 -9 14750 SW 66 TERR 33193 UNIN DADE COUNTY OWNER HL SERVICE & REPAIR INC See. Tirw of Sustrress 16 PLUMBING CONTRACTOR TNIS Ri ONLY A LOCAL SIAMESE TAX RECEIPT. IT OOPS NOT PERMIT THE MOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR WEE IT SXEMpT THE HOLDER FROM ANY OTMAR PERMIT OR LICENSE REQUIRED BY LAW. This IS NOT A CERTIFICATION OF THE HOLDER S OUALIFICA• TION$. PAYMENT RECEIVED YAX COLLECTOR: 09/13/2011 09010003001 000075.00 SEE OTHER SIDE WORKER /S 1 DO NOT FORWARD HL SERVICE $ REPAIR INC HECTOR LOPEZ 14750 SW 66 TERR MIAMI FL 33193 111111111Jt tll I111�11}lltllf� 11111I11t li�l f1l I�111!11117 07/27/12 04:15AM PDT hl service r inc -> 3052668799 Pg 3/4 07 / 26 / 2012 THU 13: 33 FAX 20 01/0 01 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 07/26/12 THIS CERTIEICATE 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: f the certificate holder is an ADDITIONAL INSURED, the policy(es) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s), PRODUCER & E Insurance Consultants,ino, CONTACT GRICEL GONZALEZ NAME: PHONE FAX bojc No Ext). (305)228-8988 4 IAA No: (305)228-8969 9880 S.w.40th Street t..tkiii.. ' grice15620@comcastriet ADDRESS; Miami, FL 33165 NAIC # INSURER'S) AFFORDING COVEFIAGE Phone (305)228-8988 Fax (305)228-8969 INSURER A : UNDERWRITERS Al' LLOYD'S OF LONDON INSURED INSURER B ; ASCENDANT COMMERCIAL INSURANCE y ^ HL SERVICES 14750 SW 66 Terr INSURER C : INSURER D : Miami, FL 33193- (786) 210-8072 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. • INSR ADDLEUBR POLICY EFF POLICY EXP TYPE OF INSURANCE PoucypUMBER I IMMIP.Pri.TY.Y.) fitimioviTTYY14. GENERAL LIABILITY • . : 0:' COMMERCIAL GENERAL LIABILITY ,. .. , ...... . • : i CLAIMS•MADE ie OCCUR A;_,..:...: .. B v. GEN'L AGGREGATE LIMIT APPLIES KR: •• • POLICY •... PRO- LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED ! AUTOS : AUTOS , NON-OWNED HIRED AUTOS AUTOS • GNHUN-C) . - - UMBRELLA LIAB : OCCUR EXCESS LIAR • DED : : RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ( N ANY PROPRIETORIPARTNEFuExEcuTivE i ' II 63003-1 . X . OFFICERfIviEmBER EXCLUDED? N/A: (Mandatory In NH) If yes, describe under • DESCRIPTION OF OPERATIONS below 09/23/2011 :09/23/2012 • • •• 03/22/2012 LIMITS DAMAGE TO RENTED $ 300,000.00 EACH OCCURRENCE ERBMISES Me occurrence) $ 50,000.00 MED EXP (Any one person) $ 5,000.00 PERSONAL & ADV INJURY $ 300,000.00 GENERAL AGGREGATE $ 600,000.00 PRODUCTS - COMP/OP AGG $ 300,000.00 COMBINED SINGLE LIMIT • OcAdent) BODILY INJURY (Per person) ! $ BODILY (NJURY (Per accident) $ PROPERTY DAMAGE $ IPer accIder1)1,. .8 • • • • EACH OCCURRENCE $ AGGREGATE s . ;..; WC STATU- ; ••• OTH- TORY LIMITS ER.. . 03/22/2013 E.L. EACH ACCIDENT : $ 100,000.00 E.L DISEASE EA EMPLOYEE $ 500,000.00 E.L DISEASE - POLICY LIMIT 100,000.00 • DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES {Attach ACORD 101, Additional Remarks Schedule, if more space is required) SWIMMING POO;S INSTALLATION, SERVICING OR REPAIR, PLUMBING. CERTIFICATE HOLDER CANCELLATION MIAMI SHORE VILLAGE BUILDING DEPT 10050 NE 2 AVE MIAMI SHORE FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WI'T'H THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 1988-2010 ACORD RATION. All rights reserved. ACORD 25 (2010/05) QF The AGORD name and 10o are registered marks of ACORD 07/27/12 04:15AM PDT hl service r inc -> JEFF ATWATERT CHIEF FINANCIAL OF F1CeR STATE OF' FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' `CQMPENSATtON * •* CERTIFICATE :DE ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW '3f CONSTRUCTION INDUSTRY EXEMPTION This certifies that the indlvi.duel listed below has owlectlid• to he. exertiPt from Florida Werker9' Cornenotio 188. 3052668799 Pg 4/4 06 -19 -2012 EFFECTIVE DATE: PERSON: FEIN: 07/2912012 EXPIRATION DATE: 071 12DI4 LOPEZ HECTOR M 204272964 RUSINES'S NAME AND ADDRESS; HL SERVICE k REPAIR. YM!G. 't4750 SW 48TH TER MANS P1. 331e3-2041 SCOPES OP BUSINESS OR TRADE: 1- PDA.L /SPA 'SERVICES 2- SRECY•ALT4 •CONTfilACT0l# IMPiRT4NTt Pb. v+antra to chapter 4q9 . 'oSt14). f;,$., hn .bfflnor o mtpotattoe who. elecin. •euemptien fram 'this chapter h+T filttgl i' tylrtTliaete of e74Cian titahn left .noetlop nrny not re.:uvel .benefits at uumpenzetiott under this cheater. :Pursuant to Chnlltpr 440.09(121 f.., Geriifficatee of etnctlou to la eeeinpi:.. eepty 'only within. the scone .of tea •rr'uiinese by 040 listed :on 'the• in of election rp he aitittp.fn. Ferniest Ili Iilapter 114U.U3tl.9 ?,• f.3,,. Notices at eta Wan la •be r.Meflra. spa cartlf14ttos nl election. 111 bit , >.xi npi altetl b9 ''abject 'to revodelian if, at any ttma. aft ®r the ti.Filig bl thb•.n'ntice" dr tee !nen11at'e al the n.otril•trettt, lira person stated an the notion *Pi sert.ificole no limpet meets tee requirements at NO netllon for irtisasgra a1 a r001,111[01e; Tee. ,bapartmegt shall revoke a Sartificste ar any time for failure of fee put uo nnmt'.d on •teo unitnreate to meet• the requirements :af tats Bestial], auEsjoNs? (85O} 41:3-1[10 DIP/O-252 CERTIFICATE OF 'ELECTION TI) RE EXEMPT REVISEI3 01 -11 PLEASE O'U'T P'UT THE CAR.O SEi.OI4 STATE OF FLORIDA • pePAR.,TO4RNTPF;FINANCIAL SERVICES r3lv.IMON OP WORKEt>t9' pQMPENSATION CONSTRUCTION INDUSTRY cERTIFtC'ATR OF RI.EC.71O11 Cf os RXEMPT FROM FLpR1DA Wt RKtfli ' COMPENSATION LAW EFFECTIVE: 07/2S/2012 EXPIRATION OAT:E.< 07/29/2014 PERSON: HECTOR 04 LOPEZ. FE* 204272984 BUSINESS NAME •ANf:7• ADI7HESS F+h:. 3:RWCti ill •rllPAtl3 Ni Ir I4 ?5'.a :rm. .e$1-ft T R MIAMI, FL 33183 -2a9•! SCOPE OF OUSINESs OR TRADE: 1• t'C!S)t {spa szovttC4 'itI' C1A4 TV coatRAf.fM4 AND .RE'TAIN FOR FUTURE R•EFERENC'E IMPORTANT 'PuyVont 'to Chapter 440.05(1•,4,1, F,.$I, an tffloor of a borpargt1on who D elects exerdrpti n from' ftti5 :chapter by filing. i5 dertifirete of alt.ctian L under ahta section may not recover han o.lits at compensativn tinder this D chapter. Pursuant to Chapter 440.1151121'. F.S., Qortifi+watvs 4f eiectian to be . e:aa it ... 'viola Only 'wlthitt the •scape of the buSinsS3 br trode listed 0n E. the notice of ' election to be Obernpt.: E.hrsuatrt .to .G4aptetr 44Q.05I13). F,51, IVOticnS of plttotlon to be exempt and certificates o olestion to be e*enipt 'Shell he 50160 .tO rev.oceti:on if, at any time .after tits filing of the 'notice Or the .I55yanUA of the ttif;cate., the person named an the notice or certificate .no longer 'rneet5 the requirement,$ of this Sectiafi far issuance of a Certrfipate, The department shalt rQvoice..a ct r;ltI atp at any thne for failure of .the person :named an the• certificate to meat the r'eeutranients of this section: 00p^a.TI01ii T -1$501 413- 180' CUT HERE Carry bottom portion on the job, keep uplp•.r portion tor your records. ACCPRO CERTIFICATE OF LIABILITY INSURANCE : DATEowdowyy, 1 10/11/12 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: Ifthe certificate holder is an ADDMONAL INSURED, the policyfies) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poRchn may require an endorsement A statement on thls certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER G & E Insurance Consultants,inc. 9880 S.w.40th Street Miami, FL 33165 Phone (305)228-8988 Fax (305)228-8969 I INsuRER A TAPCO UNDERWRITERS INSURER B: INSURER C: •COALACT GRICEL GONZALEZ E .. ............... (305)8-8969 j..APPRESILt_ firicel$020@comcast.net INSDREMAIAFFORDsui COvERAGE Nato it INSURED HL SERVICES AND REPAIR INC ; 14750 SW 66 Terr ; INSURER D : RER E : Miami, FL 33193- (786) 210-8072 ; INSU --1- LINSURER P : i COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY TI-IAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VVITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN LS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R 1 TYPE OF INSURANCE inooLeuent POLICY NUMISER POLICY EFF IiEmPOIACYpi" ifiMMTXTY)! LIMITS !INSJIIIIND It . GENERAL LIABILITY , PAO:OCCURRENCE i $ 300,000.00 i HLTEU A WI COMMERCIAL GENERAL LIABIUTY 0 LI cutims-mAGE Se OCCUR 1,-.11-ell eon. AGGREGATE LIMIT APPLIES PER POUCY 1...1 LOC AUTOMOBILE LIABILITY 1 fl ANY AUTO iALL OWNED F.] witiLEDLEct HON HIRED AUTOS Li AUTOS f--1 I.....1 r---) UMBRELLA LIAB OCCUR [.-1 EXCESS LIAO Li CLAIMS-MADE L1jp_U_S!1N11 . 01,$ ........... NS rWORKERS COMPENSATION I AND EMPLOYERS' LIABILITY YfN I ANY PROPRIETOR/PARTNERfEXECUTIVE...._ i A OFFICEFt/MEMBER EXCLUDED'? (Mandatory In NH) LAI igiaRriescribe under PTION OF OPERATIONS balm "liKimbrit5 tlarrto !— .P.61411$F..61E4.caturmme.) $ 1°13.° r 411ED EXP mu Muni) $ 5,000.00 09/26/2012109/M2013 , • ' PTI DESCRI ON OF OPERATIONS/ LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is reqtdred) SWIMMING POO;S INSTALLATION, SERVICING OR REPAIR, PLUMBING. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE AOVE1 II.SCREED POLICIES BE CANCELLED BEFORE MIAMI SHORE VILLAGE THE EXPIRATION TNEREOF, NoTteg WLL BE DELIVERED 1N BUILDING DEPT ACCORDANCE vvti-H ,,,- Y PROVISIONS. ' , 1;-; .. ... ... . I 10050 NE 2 AVE AUTHORIZED REPRESENT 11 I MIAMI SHORE FL 33138 • • j i GENERAL AGGREGATE 1.S 600,000.00 PRODUCTS - COMPIOP Arks 300,000.00 $ COMBINED SiNGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ r PROPE DAMAGE $ $ EACH OCcuRRENCE $ AGGREGATE $ $ E.L. L1MITS.,. 84 EACH ACCIDENT • EL. DISEASE - EA EMPLOYE 5 EL. DISEASE - POUCY UMIT $ ACORD 25(2010105) QF 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Techko USA - ALARM PROTECTION PRODUCTS - MODEL: S187D Page 1 of 1 Model: S187D - SAFE POOL CONTAINER: 20 FT: 9,600 pcs. 40 FT: 19,680 pcs. 40 HQ: 22,896 pcs. Print Close Wind One unit per single entry/opening (and/or with its screen by using the second set of sensors). Can not be used for 2 windows next to each other. Magnetic sensor entry alarm "Always on" alarm protection Adult pass - through auto reset button High output 110 -115 dB alarm Water/weather resistant housing Magnetic sensor for additional door /screen door Low battery LED display Addtional pass- through button for delayed entry from either side door or fence Intended for interior or exterior use 9V battery operation (not included_ UPC Barcode: 014575 18701 1 Pool Guard Alarm USA Patent No. 5,473,310 and No. 6,727,819 ETL Approved under UL 2017 Standards ! www.techkomaid.com 1 Office Products (888) 883 -2456 1 Security Products (949) 783 -1900 http://www.techkomaid.com/security/pool/S187D.htm1 8/20/2012 N.E. 108th STREET H.P. 1/2 "� P.C. 1. 1/2 "0 J NU O W '5 W/NGWALL •� 24.91' BRICK I I 11 I I I c O,RIVE 11 II 1 CZ) 10.70' v• 25.00' 1.2'X1.2' COLUMN 35.54' LOT 2 BLOCK 3 130.00'01)(P) f(TrP) 16' o co of GBH \L 61.30' ONE STORY RESIDENCE �� , # 10667 LOT3 BLOCK 3 32.60' 0 h N 18 10' (\c.c°.- ZBRICK I I 43.78' 43.77' -7 /- v'O., :LP. 1 W -4 -4 X0.05' CL.� 4 CS CO CBS WALL (TYP) CL. LP. 1/2 "0 This property described as: Lot 3, Block 3, MIAMI SHORES ESTA 1ES, according to the Plat thereof as recorded in Plat Book 47, Page 58, of the Public Records of Miami -Dade County, Florida. Bearing, if any, shown based on N/A (reference) N/A 730.00 (M)(P) LOT 4 BLOCK 3 CERTIFIED TO: Mariedy M. Mendoza L.F. 10667 N.E. 1 lth Avenue, Miami Shores, FL 33138 REVISIONS: FLOOD ZONE AE COMM. No. 120652 PANEL No. SUFFIX. 0306 L F.I.R.M.DATE 09/11/09 F.I.R.M.INDEX 09/11/09 BASE ELEV. + 8.00 N.G.V.D. ELEVATION NOTE: (IF APPLICABLE) L.F.Elev.= 8.38' (lowest habitable floor elevation). Elevation shown hereon refer to N.G.V.D. 1929. Lowest adjacent grade elevation= 6.1 BM, # B -26 -RA (Miami -Dade) Elev.= 17.23' Garage Elev.= 7.23' Erp.= N/A , 2'10 LOT 21 BLOCK 3 .LP. 1/210 Not valid unless it bears the signature and the original raised seal of Florida licensed Surveyor and Mapper. LOT 20 BLOCK 3 "'THIS SURVEY DECLARATION IS MADE ON THE FIELD DATE INDICATED, TO THE OWNER(S) LISTED. IT IS NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS c' 0 s, parties or ins 77.3 13 0 c 0 LEGEND A =Arc ASPH = Asphalt BM = Bench Mark BRG = Bearing CB = Catch basin CBS = Concrete Block Structure CH = Chord Chatta. Chattahoochee = Center Une CLF = Chain Link Fence CL. = Clear CONC.= Concrete D = Delta 0 = Diameter DH = Drill Hole DME = Drainage & Maintenance Easement E.B. = Electric Box Enc. = Encroachment F.F. = Finish Floor F.H. = Fire Hydrant F.I.R. = Found Iron Rebar FPL = Florida Power & Ught F.I.P. = Found Iron Pipe FD. = Found L.P. = Ught Pole M = Measured M.F. = Metal Fence M.H. = Manhole = Monument Une MON. = Monument N/A = Not Applicable N/D = Nail & Disc NTS = Not to Scale 0/S = Offset O.U.L. = Overhead Utility Lines 0I-t = Overhang P = Plat PB = Plat Book PC = Point of Curvature P.C.C.= Point of Compound Curvature PCP = Permanent Control Point PG = Page P.I. = Point of Intersection = Property Line PL = Planter P.O.B. = Point of Beginning P.O.C.= Point of Commencement P.P. = Power Pole P.R.M.= Permanent Reference Monument P.R.C. = Point of Reverse Curvature PT = Point of Tangency R = Radius R/R = Railroad PSM = Professional Surveyor Mapper RNV = Right - of-Way SINK = Sidewalk Sec. = Section gyp) = Typical T = Tangent U.E. = Utility Easement W.F. = Wood Fence W.M. = Water Meter W.V. = Water Valve - Denotes Spot Elevations Taken BOUNDARY SURVEY. I HEREBY CERTIFY: that this survey meets the minimum technical standards as set forth by the L SURVEYORS FLORIDA BO AND MAPPERS In Code, pursuan •:■ e r ;,-''der 61G17 YFlorida Administrative .,r 027 Florida Statutes. IVES 02/07/11 Pr OFESS ON SURVEYOR AND MAPPER No. 4327. State of Florida. Alvarez, Aiguesvives and Associates, Inc. Surveyors, Mappers and Land Planners 5701 S.W. 107th Avenue #206, Miami, FL 33173 Phone 305.220.2424 Fax 305.552.8181 L.B. No. 6867 / E -mail: aaasurvey @aol.com Field Date 02/04/11 Scale: Drawn by: 1 " =20' D.G. Drwg. No. 11 -14720