Loading...
BPP-12-1482Miami 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: (30S) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit No. OPP a 9-1Z — 2-- Master Permit No. Permit Type: BUILDING ROOFING 993, AJE !34—x. .- JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO ✓ Flood Zone: OWNER: Name (Fee Simple Titleholder): 13 04-1 -361S-1) , ZLe Phone #: 9 Q3, iv City: �'4714 e State: Address: Zip: 3°3/ 3 t Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Address: /9/ 540 3,4/g City: Qualifier Name: State Certiffcati Value of Work for this Permit: $ 0 Ty e of Work: ❑Addition teration co 6 esctionnq *Wort, L,ny Qua 1W Square/Linear Footage of Work Color thru tile: Yurd`,;.z s * ******* * * * * * * * * ** x************* * *** * ** Fees *** * ****** **** ** x* ******** ** *** * * *** ******** Submittal Fee $ Permit Fee $ 5� --" CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7 ' i ys after the building permit is issued. In the absence of such posted notice, the inspection will not ;e 'pproved and a reinsp do fee will be charged. Signature 1)1 /// Filtlir The foregoing s acknowledged . before me this a-9 fy r/ day of /-0111 ,20/3 ,by Sign: Print: who is personally known to me or who has produced As identification and who di take an oath. NOTARY PUBLIC: Contract The foregoing instrument was acknowledged before me this j day of _ q /%720 /3; by who is personally known to me or who.has produced y,. as identification and wi did take an o'al * My Commission Expires: **** * ** *** *** * * **** * ** APPROVED BY * * * * ** * ** * :* V2'13' NOTARY PUBLIC: Sign: Print: My Co mmission Ai/ #tag• Pep A� ,? * * * * * * * * * * * * * * ** Plans Examiner Structural Review (Revised 5/2 /2012)(Revised 3/12/2012) )(Revised 06 /10/2009)(Revised 3 /15 /09)(Revised 7/10/2007) BARB a )1t:u►P*t Notary Public - State of Fturids My Comm. Expires May 31, 2018 Commission # EE 203780 Zoning Clerk Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 193748 Permit Number: BPP -8 -12 -1482 Inspection Date: July 12, 2013 Inspector: Bruhn, Norman Owner: LLC, BAGON 3850 Job Address: 9839 NE 13 Avenue Miami Shores, FL Project: <NONE> Contractor: A TEAM GENERAL CONTRACTORS GROUP INC Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050090500 Phone: (786)486 -5353 Building Department Comments NEW POOL Infractio Passed Comments INSPECTOR COMMENTS False Passed I I Inspector Comments CREATED AS REINSPECTION FOR INSP- 176986. Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until July 12, 2013 For Inspections please call: (305)762 -4949 Page 1 of 1 a Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 191129 Permit Number: RC -4 -12 -662 Inspection Date: May 09, 2013 Inspector: Dacquisto, David Owner: LLC, BAGON 3850 Job Address: 9839 NE 13 Avenue Miami Shores, FL Project: <NONE> Contractor: A TEAM GENERAL CONTRACTORS GROUP INC Permit Type: Residential Construction Inspection Type: Survey Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050090500 Phone: (786)486 -5353 Comments COMPLETE INTERIOR REMODEL BATHROOMS, KITCHEN. FLOORING STOP WORK ORDER ISSUED BY ELECTRICAL INSPECTOR DUE TO PANEL COVERS MISSING OPEN WIREING. 10/23/2012 - TEMP FOR CONSTRUCTION ISSUED. Infractio Passed Comments INSPECTOR COMMENTS False Passed Inspector Comments t ® 0 513- 360 Failed %0 ,f/ eo Correction Needed - Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 May 09, 2013 Page 1 of 1 S- 755 25'7 1004770# kV Scale: 1" = 120' o� w -13#t4 — AVENUE---- 4-- - -- N J 93.49' 10 94.43' 93.49' 9 93.49' 93.49' 7 93.49' B 8 uJ 93.49' 93.49' 6 BISCAYNE BAY 93.49' 4 93.49' 8 441 DE,PC,/P77OM FOLIO: 11- 3205 - 009-0500 LOT 5, BLOCK 4, °EARLETON SHORES ", ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 43, AT PAGE 80, OF THE PUBLIC RECORDS, OF MIAMI -DADE COUNTY, FLORIDA. PPOPE�PlMDD,Pf P, 9839 N.E. 13th AVENUE, MIAMI SHORES, FLORIDA 33138 FLOOD ZONE: "VE" COMMUNITY: 120652 DATE OF FIRM: 09 -11 -2009 SUFFIX: L �ENE,P�C NDTEs 1) LEGAL DESCRIPTION PROVIDED BY OTHERS. 2) EXAMINATION OF THE ABSTRACT OF THE TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECT THIS PROPERTY. 3) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT. 4) UNDERGROUND PORTION OF FOOTING, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 5) ONLY VISIBLE ON ABOVE GROUND ENCROACHMENTS LOCATED. 6) WALL TIES ARE THE FACE OF THE WALL 7) FENCE OWNERSHIP NOT DETERMINED. 8) BEARINGS REFERENCED TO UNE NOTED AS B.R. 9) BOUNDARY SURVEY MEANS A DRAWING AND /OR GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND /OR NOT TO SCALE. 10) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. 11) NOT VAUD UNLESS SEALED WITH THE SIGNINGS SURVEYORS EMBOSSED SEAL 12) DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. 13) ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS OTHERWISE NOTED. 14) THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED. 15) THIS BOUNDARY SURVEY HAS BEEN PREPARE FOR THE EXCLUSIVE USE OF THE ENTITIES NAME HEREON. THE CERTIFICATIONS DO NOT EXTEND TO ANY UNNAMED PARTIES. 16) BENCHMARK: B-62 ELEVATION: 8.66 FEET LOCATION: N.E. 96th STREET & N.E. 10th AVENUE. PANEL 0306 ELEVATION: 11.00 FEET Cff776C,477 W SURVEYOR'S CERTIFICATION: 1 HEREBY CERTIFY THAT THIS "BOUNDARY SURVEY" IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY PREPARED UNDER MY DIRECTION. THIS COMPLIES WITH T MINLVIUM ATE OF :+ ORIDA BOARD H �a 5J- 17.051, SE •j ON 472.027, t RI 10 A TECHNICAL STANDARDS, AS SET FORTH BYTH OF PROFESSIONAL SURV YORS AND MAPPER FLORIDA ADMINISTR IVE CODE PURS STATUTES. SIGNED MIGUE INO rC 0 THE FIRM P.S. VI. No. 1 % ATE OF FLORIDA NOT UD WITHOUT AN A J- NTIC ELECTRONIC SIG E AND AUTHENTICATED ELEC •NIC SEAL AND /OR THIS MAP iS NOT VAUD WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A UCENSE SURVEYOR AND MAPPER. CE,PT /fF Bagon 3850, LLC Helm Bank USA, ISAOAIATIMA Brokers Title Group LLC 14BB�PtW iTIONSAND lE�'Ed/D.• SWK A/C CONC. (M) (R) R/W U.E. P.B. PG. PI. —OH- =DENOTES SIDEWALK = DENOTES AIR CONDITIONING UNIT = DENOTES CONCRETE = DENOTES MEASURE =DENOTES RECORD = DENOTES RIGHT - OF- WAY = DENOTES CENTERLINE =DENOTES UTILITY EASEMENT = DENOTES PLAT BOOK = DENOTES PAGE = DENOTES PLANTER = DENOTES WATER METER = DENOTES WOOD POWER POLE - DENOTES WOOD FENCE - DENOTES CHAIN UNK FENCE - DENOTES IRON FENCE = DENOTES OVERHEAD WIRES = DENOTES FOUND IRON PIPE (NO ID.) =DENOTES FOUND NAIL AND DISC Field Date of Survey: October 25, 2011 ALL BEARINGS AND DISTANCES SHOWN HEREON ARE RECORD AND MEASURE UNLESS OTHERWISE NOTED. MIGUEL ESPINOSA LAND SURVEYING INC. PROFESSIONAL SURVEYOR AND MAPPER 10665 S.W. 190th STREET, SUITE 3111, MIAMI, FLORIDA 33157 PHONE: (305) 262 -2992 FAX: (305) 964 -9303 L.B. No. 6463 BOUNDARY SURVEY Original Date: Field date: Revision Date: Drawn by: 10/27/2011 10/27/2011 05/06 /2013 R.U. Job No. S-9755 MP Of steVf Scale: 1" = 25' Found Nalll� " EARLETON SHORES " In N Conc., "b. 18.6' Parkway ripWood Pole 1 \Anchor N00 °21'36 "W Found 1/2° Re-bar No Id. P.B. 43 - PG. 80 Lot 6 - Block 4 Found B \__Found 1/2° Re-bar No Id. 1 -STORY-BUILDING Residence No: 9839 F.F. Elev. 7.69 feet N co M 0 oo z a o 3p m U Drill Hole Lot 4 - Block 4 " EARLETON SHORES " Found fiDrill Hole P.B. 43 - PG. 80 Permit Number: BPP -8 -12 -1482 I Inspection''Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ro Inspection Number: INSP - 193704 Inspection Date: June 17, 2013 Inspector: Dacquisto, David Owner: LLC, BAGON 3850 Job Address: 9839 NE 13 Avenue Miami Shores, FL Project: <NONE> Contractor: A TEAM GENERAL CONTRACTORS GROUP INC Permit Type: PoolslWhirlpools/Hot Tubs Inspection Type: Survey Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050090500 Phone: (786)486 -5353 Building Department Comments NEW POOL Infractio Passed Comments INSPECTOR COMMENTS False Passed Inspector Comments 64 ° p 4- /, ' P ,r1.5) Failed (0)/(,, C Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 June 17, 2013 Page 1 of 1 S- 755 z Z0C477O# /MP Scale: 1" = 120' ob 251 ------ Pl.�---- 4.3th -- AVE- A161E - - - - -� - - -- N N 93.49' 10 94.43' 93.49' 93,49 93,49' 7 93.49' LU 93.49' 93.49' 6 IEW OESCf /P%/ON FOLIO: 11- 3205 -009 -0500 LOT 5, BLOCK 4,'EARLETO BOOK 43, AT PAGE :0, P,POPE x4'74 9839 N.E. 13th A E c I S a LA" 33138 FLOOD ZONE 'VETS _ e UN ? 20652 DATE OF FIRM: 09 -11 BISCAYNE BAY 93.49' 4 93.49' ORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT RDS, OF MIAMI -DADE COUNTY, FLORIDA. fitVE,e/el& Maras 1) LEGAL DESCRIPTIO ED -BY OTHERS. 2) EXAMINATION OF THE ABSTRACT OF THE TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECT THIS PROPERTY. 3) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT. 4) UNDERGROUND PORTION OF FOOTING, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 5) ONLY VISIBLE ON ABOVE GROUND ENCROACHMENTS LOCATED. 6) WALL TIES ARE THE FACE OF THE WALL 7) FENCE OWNERSHIP NOT DETERMINED. 8) BEARINGS REFERENCED TO UNE NOTED AS B.R. 9) BOUNDARY SURVEY MEANS A DRAWING AND /OR GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND /OR NOT TO SCALE. 10) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. 11) NOT VALID UNLESS SEALED WITH THE SIGNINGS SURVEYORS EMBOSSED SEAL 12) DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. 13) ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS OTHERWISE NOTED. 14) THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED. 15) THIS BOUNDARY SURVEY HAS BEEN PREPARE FOR THE EXCLUSIVE USE OF THE ENTITIES NAME HEREON. THE CERTIFICATIONS DO NOT EXTEND TO ANY UNNAMED PARTIES. 16) BENCHMARK: B-62 ELEVA1ON: 8.66 FEET LOCATION: N.E. 96th STREET & N.E. 10th AVENUE. PANEL 0306 ELEVATION: 11.00 FEET CE,P77,7C7477O1: SURVEYOR'S CERTIFICATION: I HEREBY CERTIFY THAT THIS "BOUNDARY SURVEY" IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY PREPARED UNDER MY DIRECTION. THIS COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS, AS SET FORTH BY TH ATE 0 - ORIDA BOARD OF PROFESSIONAL SUR TORS AND MAPPER J CH R SJ- 17.051, FLORIDA ADMINI IVE CODE PURSUAL TO S ON 472.027, FLORIDA STATUTES. SIGNED MIGUEL P.S.M. NOT VALID WITHOUT AN� ENTIC ELEC ONIC ELECTRONIC SEAL AN V "R THIS MAP IS NOT VA THE ORIGINAL RASED ' ' L OF A LICENSE SURV FOR THE FIRM 5101 -STATE OF FLORIDA TURE AND AUTHENTICATED ITHOUT THE SIGNATURE AND OR AND MAPPER. CER77F'TO Bagon 3850, LLC Helm Bank USA, ISAOA/ATIMA Brokers Title Group LLC A&3,?E(/07704/SAND 1EgENO• SWK A/C CONC. (M) (R) R/W U.E. P.B. PG. PI. 0 —OH— 0 A = DENOTES SIDEWALK = DENOTES AIR CONDITIONING UNIT = DENOTES CONCRETE = DENOTES MEASURE = DENOTES RECORD = DENOTES RIGHT - OF- WAY = DENOTES CENTERUNE = DENOTES UTIUTY EASEMENT = DENOTES PLAT BOOK = DENOTES PAGE = DENOTES PLANTER = DENOTES WATER METER = DENOTES WOOD POWER POLE - DENOTES WOOD FENCE - DENOTES CHAIN UNK FENCE - DENOTES IRON FENCE = DENOTES OVERHEAD WIRES = DENOTES FOUND IRON PIPE (NO ID.) =DENOTES FOUND NAIL AND DISC Feld Date of Survey: October 25, 2011 ALL BEARINGS AND DISTANCES SHOWN HEREON ARE RECORD AND MEASURE UNLESS OTHERWISE NOTED. MIGUEL ESPINOSA LAND SURVEYING INC. PROFESSIONAL SURVEYOR AND MAPPER 10665 S.W. 190th STREET, SUITE 3111, MIAMI, FLORIDA 33157 PHONE: (305) 262 -2992 FAX: (305) 964 -9303 L.B. No. 6463 Original Date: 10/27/2011 BOUNDARY SURVEY Field date: Revision Date: 10/27/2011 05/06/2013 05/28/2013 Drawn by: R.U. Job No. S-9755 z 0 =1 /VP OF :6'fff Sable: 1" = 25' 6_6.62' Found Nail!/ " EARLETON SHORES " Found 1/7 Re-bar No Id. ai Lot 6 - Block 4 N 8 C e4 N 00 O 00 00 COI Found Drill Hole 22' Asphalt - Pavement ....................... 18.6' Parkway NOO°21' 36" W 16.7' 11.5 MI 11.4 L 2' x 7 Column on Line 13.00' 17.05 13.00' .20.617 ` '4 Conc... 0 3.49 b. rn o cV c_!ood Pole 8 Conc.: . c \Anchor 11.5' 411.5 • Conc. ~ v 31.10' 20.25' 1- STORY - BUILDING Residence No: 9839 F.F. Elev. 7,69 feet -Seawall 4. 0 29.75' planter; �y wti�r �wtiTaeArea'<iZ '82 b N 0.0 b JacuUi a VV13.2' ;N tv�wr 13.0' �'� TAe Area: � s- ic, rr�?4� �ryx Z10.4'r c NO0 °21' 36 ' W } 93.49' 4.0' 29.o5 BISCAYNE BAY, 3' 14.70' csi 0 et• 00 M ■ 00 z co 0 0 Found 1/2' Re-bar No Id. Lot 4 - Block 4 " EARLETON SHORES " Found Drill Hole 10.8' V 11.4' jam/ 26.00',,% P.B. 43 - PG. 80 1- In Miami Shores V's91z IAG COMPLIANCE WITH ALI MINTY RULE'S AND RF 0 a BLDG DEPT L1J 111 CD Cr c_ CER77F'TO Bagon 3850, LLC Helm Bank USA, ISAOA/ATIMA Brokers Title Group LLC A&3,?E(/07704/SAND 1EgENO• SWK A/C CONC. (M) (R) R/W U.E. P.B. PG. PI. 0 —OH— 0 A = DENOTES SIDEWALK = DENOTES AIR CONDITIONING UNIT = DENOTES CONCRETE = DENOTES MEASURE = DENOTES RECORD = DENOTES RIGHT - OF- WAY = DENOTES CENTERUNE = DENOTES UTIUTY EASEMENT = DENOTES PLAT BOOK = DENOTES PAGE = DENOTES PLANTER = DENOTES WATER METER = DENOTES WOOD POWER POLE - DENOTES WOOD FENCE - DENOTES CHAIN UNK FENCE - DENOTES IRON FENCE = DENOTES OVERHEAD WIRES = DENOTES FOUND IRON PIPE (NO ID.) =DENOTES FOUND NAIL AND DISC Feld Date of Survey: October 25, 2011 ALL BEARINGS AND DISTANCES SHOWN HEREON ARE RECORD AND MEASURE UNLESS OTHERWISE NOTED. MIGUEL ESPINOSA LAND SURVEYING INC. PROFESSIONAL SURVEYOR AND MAPPER 10665 S.W. 190th STREET, SUITE 3111, MIAMI, FLORIDA 33157 PHONE: (305) 262 -2992 FAX: (305) 964 -9303 L.B. No. 6463 Original Date: 10/27/2011 BOUNDARY SURVEY Field date: Revision Date: 10/27/2011 05/06/2013 05/28/2013 Drawn by: R.U. Job No. S-9755 z 0 =1 /VP OF :6'fff Sable: 1" = 25' 6_6.62' Found Nail!/ " EARLETON SHORES " Found 1/7 Re-bar No Id. ai Lot 6 - Block 4 N 8 C e4 N 00 O 00 00 COI Found Drill Hole 22' Asphalt - Pavement ....................... 18.6' Parkway NOO°21' 36" W 16.7' 11.5 MI 11.4 L 2' x 7 Column on Line 13.00' 17.05 13.00' .20.617 ` '4 Conc... 0 3.49 b. rn o cV c_!ood Pole 8 Conc.: . c \Anchor 11.5' 411.5 • Conc. ~ v 31.10' 20.25' 1- STORY - BUILDING Residence No: 9839 F.F. Elev. 7,69 feet -Seawall 4. 0 29.75' planter; �y wti�r �wtiTaeArea'<iZ '82 b N 0.0 b JacuUi a VV13.2' ;N tv�wr 13.0' �'� TAe Area: � s- ic, rr�?4� �ryx Z10.4'r c NO0 °21' 36 ' W } 93.49' 4.0' 29.o5 BISCAYNE BAY, 3' 14.70' csi 0 et• 00 M ■ 00 z co 0 0 Found 1/2' Re-bar No Id. Lot 4 - Block 4 " EARLETON SHORES " Found Drill Hole 10.8' V 11.4' jam/ 26.00',,% P.B. 43 - PG. 80 k Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 193704 Permit Number: BPP -8 -12 -1482 Inspection Date: June 17, 2013 Inspector: Dacquisto, David Owner: LLC, BAGON 3850 Job Address: 9839 NE 13 Avenue Miami Shores, FL Project <NONE> Contractor: A TEAM GENERAL CONTRACTORS GROUP INC Permit Type: Pools/Whirlpools/Hot Tubs Inspection Type: Survey Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050090500 Phone: (786)486 -5353 Building Department Comments NEW POOL Infractio Passed Comments INSPECTOR COMMENTS False Passed Inspector Comments v- / 1, °� ism.,. cle 5 4ra-ce ,--, vo Jam, /4,1-s s°A- -2-.-1,341-- fir fi . �q� Failed 6011/I) • Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 June 17, 2013 Page 1 of 1 s- 755 25'T 10617701 NIP Scale: 1' = 120' --- N.- E-- - --3Th 0 �c — AVENUE- - 4- - - -. 93.49' 10 94.43' 8 93.49' 9 93.49' 93.49' 7 93.49' 93.49' 6 O 93.49' LEW DE FOUO: 11 -3 • LOT 5, KOOK 4, "EA BOOK 43,ATPA AYNE BAY PROPER e 9839 N.E. 13th FLOOD ZONE: WE" DATE OF FIRM: 09 -11 -2009 93.49/ /93.49; 93.49' 4 93.49' NG TO THE PLAT THEREOF, AS RECORDED IN PLAT , OF MIAMI -DADE COUNTY, FLORIDA. RES, F1 a IDA 33138 COMMUNITY: 120652 SUFFIX: L PANEL: 03(36 ELEVATION: 11.00 FEET giffeIfi worES 1) LEGAL DESCRIPTION PROVIDED BY OTHERS. 2) EXAMINATION OF THE ABSTRACT OF THE TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECT THIS PROPERTY. 3) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT. 4) UNDERGROUND PORTION OF FOOTING, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 5) ONLY VISIBLE ON ABOVE GROUND ENCROACHMENTS LOCATED. 6) WALL TIES ARE THE FACE OF THE WALL 7) FENCE OWNERSHIP NOT DETERMINED. 8) BEARINGS REFERENCED TO LINE NOTED AS B.R. 9) BOUNDARY SURVEY MEANS A DRAWING AND /OR GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND /OR NOT TO SCALE. 10) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. 11) NOT VALID UNLESS SEALED WITH THE SIGNINGS SURVEYORS EMBOSSED SEAL 12) DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. 13) ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS OTHERWISE NOTED. 14) THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED. 15) THIS BOUNDARY SURVEY HAS BEEN PREPARE FOR THE EXCLUSIVE USE OF THE ENTITIES NAME HEREON. THE CERTIFICATIONS DO NOT EXTEND TO ANY UNNAMED PARTIES. 16) BENCHMARK: B-62 ELEVATION: 8.66 FEET LOCATION: N.E. 96th STREET & N.E. 10th AVENUE. CfkT/F /CAT/DN SURVEYOR'S CERTIFICATION: I HEREBY CERTIFY THAT THIS "BOUNDARY SURVEY" IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY PREPARED UNDER MY DIRECTION. THIS COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS, AS SET FORTH BY TH STATE O ORIDA BOARD OF PROFESSIONAL SUR YORS AND MAP R CH R SJ- 17.051, FLORIDA ADMINI IVE CODE PURSU " TO S ION 472.027, FLORIDA STATUTES. SIGNED MIGUEL NOT VALID WITHOUT At ELECTRONIC SEAL AN THE ORIGINAL RASED P.S. K. ENTIC ELECTRONIC S THIS MAP IS NOT VA L OF A LICENSE SURV FOR THE FIRM 5101 -STATE OF FLORIDA TUBE AND AUTHENTICATED ITHOUT THE SIGNATURE AND OR AND MAPPER. Miami Shores VBBlage L!t en APPROVED ?ONBII\IG DEPT BLDG DEPT SUBJECT TO COMPLIANCE WITH ALL FEDERAL s STATE AND COUNTY RULES AND RFGULATI CE,PT/Fg7 Bagon 3850, LLC Helm Bank USA, ISAOA/ATIMA Brokers Title Group LLC ABB,9E1/ I'T/DNsANDlf END. SINK A/C CONC. (M) (R) R/W U.E. P.B. PG. PL 0 = DENOTES SIDEWALK = DENOTES AIR CONDITIONING UNIT =DENOTES CONCRETE = DENOTES MEASURE = DENOTES RECORD = DENOTES RIGHT - OF- WAY = DENOTES CENTERLINE = DENOTES UTILITY EASEMENT = DENOTES PLAT BOOK =DENOTES PAGE = DENOTES PLANTER = DENOTES WATER MtlU2 = DENOTES WOOD POWER POLE - DENOTES WOOD FENCE - DENOTES CHAIN UNK FENCE - DENOTES IRON FENCE = DENOTES OVERHEAD WIRES = DENOTES FOUND IRON PIPE (NO ID.) = DENOTES FOUND NAIL AND DISC Feld Date of Survey: October 25, 2011 ALL BEARINGS AND DISTANCES SHOWN HEREON ARE RECORD AND MEASURE UNLESS OTHERWISE NOTED. MIGUEL ESPINOSA LAND SURVEYING INC. PROFESSIONAL SURVEYOR AND MAPPER 10665 S.W. 190th STREET, SUITE 3111, MIAMI, FLORIDA 33157 PHONE: (305) 262 -2W.4 FAX: (305) 964 -9303 L.B. No. 6463 BOUNDARY SURVEY Original Date: 10/27/2011 Field date: Revision Date: Drawn by: 10/27/2011 05/06/2013 R.U. 05/28/2013 Job No. S-9755 b z /MP Of, sWPUf Scale: 1" = 25' Found Nall Tiles - -Ail - .................. ............................... ::22' Asphalt - Pavement ... 18.6' Parkway NOO °21'36 "W 93.49 b 20.x'.. • b • Conc.. b v Conc. _ c g000d Pole NAnchor Found 1/7 Re-bar - No Id. Lot 6 - Block 4 N4 00 00 oo rn Found Drill Hole 16 El 11.5' V4 11.4' 2' x 2 Column on Line 13.00' 17.00' F 13.00' %I • 11.5 • Conc. •Cone.:; b • b N 11.5 10_00' 10.10' 31.10' 20.25' 1- STORY - BUILDING Residence No: 9839 F.F. Elev. 7.69 feet Lri N �Seawall <c0 . N b 15.90' 29.75' M ywy,,.x vv Planter' Area ........, o Jacuai c.....,- SZ Z 8ter% v13.2' v !N*Mn k; 13.0` :,��vvvvvvv TAe Area 1 � � ��.; ���:: x10.4' NOO °21'36" W 93.49' 29.55' N °o •o 3' O C r. N89 °38'24 "E v2 30 rm U 4.0' a O 40 Found 1/2' Re-bar No Id. Lot 4 - Block 4 " EARLETON SHORES " Found FDrfflHoIe BISCAYNE BAAYo` 10.8' ' 11.4' P.B. 43 - PG. 80 \A'a•1 NELL) App* Miami Shores Village Building Department s 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ''t( INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: 4y- 3 g d c- / 3 4-0e- City: Miami Shores Coun : ,c� Folio/Parcel#: 1/ —3 -OS —. O� — 0 ,- (/ 0 FBC20IO Permit No. ;� Master Permit No. —3 2 1 9 YZ • ROOFING Miami Dade Is the Building Historically Designated: Yes zip: -33 / p' NO Flood Zone: OWNER: Name (Fee Simple Titleholder): �Y �-y�\ 3 es-6 6. 61, _ Phone #: Address: '7 0 G A 9 6 3© fide -T. Q City: 7-10 C41 / it417 State: PC-- Zip: 1 4?-0 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: Address: ' ' S: (,() 6p 3 -(d City: Qualifier Name: dt State Certification or Registratiotr Contact Phone #: q t4/ ° S, °S.M, 577 Email Address: ''bESIG'NER: Architect/Engineer: State: eMAll 5 z p: -3314/0 Phone #: "4-7a - k Certificaaa fCofCompetency #: Phone #: - Value of Work for this Permit: $ 3 Of Q 00 0) 0 Square/Linear Footage of Work: Type of Work: UAddition OAlteration Description of Work: ew 1)0 01 ORepair/Replace ODemolition Color thru tile: ***** ************** **x :+x**************** Fees+ r**: x***** **+ x*+ x*** **** *** *** * ************+ *** Submittal Fee $ Permit Fee $ ( 4 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ t 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 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 inspection fee will be charged. Signature a, I! l I t/ r v e Signature irakisLI," '�" j The : • regoing instrumen day of /0 , 20 .y �. ► ' DE LA PAZ Notary Public • State of Florida atieddgGomm Expires :` 31 16 Contr to The foregoing instrument was acknowl day of /0 , 20 c); by who is personally known to me or who has produced who is personally known As identification and who did take an oath. as id NOTARY PUBLIC: Sign: '' '.''.P& Print: My Commission Expires: d al ged befor thi 11480 hp has pg 4 d1v� ''r f� lwt�eS teo }}if�lorida . ; My Comm. Ecjilrenay i, 2016 Commission # FE 203790 ti NOTARY PUB C: Sign: Print: My Commission Expires: ® r ******** ** ******* ****m** ** ***. ************ ** ** ********** *****m** **** ***** 000 * ************ ********* * * ** ** *** APPROVED BY / /�CT /.1 Plans Examiner 44" t1 tilo/ Structural Review 1 (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Zoning Clerk W x W x x W W II IC IC IC IC x W x W MIAMI -DADE COUNTY TAX COLLECTOR 140 W. Flagler Street Miami, Florida 33130 Please keep your receipt for future reference._ Thank you and have a nice day. 10/1/2012 1300/227/001CLAA 0031 -0001 Last Seq. #:0002 WI LBT #;00 670987-8 8 Local Business; Tax MIAMI -DADS COUNTY TAX COLLECTOR LOCAL BUSINESS TAX SECTION 140 W. Flagler St. - 1st Floor Miami, Florida 33130 TEMPORARY - RECEIPT 2012-2013 LOCAL BUSINESS TAX Local Butiness State /CC #j 0067Q987 -B CGC1515007 Issued to: A TEAM GENERAL CONTRACTORS GROUP Type of Business: GENERAL BUILDING CONTRACTOR AS PAYMENT CFOR YOUR LOCAL BUSINESS NTAX OF OR PERMIT. YOUR OFFICIAL RECEIPT WILL BE MAILED TO YOU WITHIN 10 DAYS FROM THE VALIDATION DATE ON THIS RECEIPT. PaYment Miami-Dade oCounty aTax sCollector �ve 10/1/2012 1300!227 /001CLAA 0031 -0002 Last Seq. #:0002 WI LBT #:00 684$72 -3 Local Business Tax $160.00 $10.00 CA CHANGE LOCAL BUSINESS TAX SECTION ECTOR Miami, Fl orri Florida 33130 1st Floor TEMPORARY RECEIPT 2012 -2013 LOCAL BUSINESS TAX Local Business State /CC #j 00684072-3 CCC1329141 Issued to: TrAN mmr001 CONTRACTORS GROUP LOCAL SUSINESS,_'TAX FtECEIi i!^DADECOUNTY STAE` QF FL ' " EXPIRES SEPT.30, 20t2 tIE DISPLAYED AT PLACE OF SUStI rro POU CCODi_.;O AFTER 8A IS NOT A FILL - CO NOT PAY TORS GROUP FIRST- CLASS U.S. POSTAGE PAID MIAMI, FL ERMIT NO. 231 RENEWAL TATS# GGCI515007670987 -8 ORS GROUP MTRACTOR DO NOT FORWARD 4 GENERAL CONTRACTORS GROUP TTY SANTANA PRES 1 63 AVE FL 33144 iunwesil. 11.11.11,1.1.11 l A CAL BUSINESS. TAX: RECEIPT ' �; 1E CPUNTY ' ST'i OFFLOFI6; EXPIRES SEPT 30 2012 IJSPLAYED AT PLACE"QF: SUSINE: ioUNTY --CODS CHAPTER8A ;A ` DT A SU - DO NOT PAY RENEWAL RECEIPT NO. 684072 -3 > GROUP STATE# CCC1329141 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 UP INC_ WORKER /S TRACTOR 1 DO NOT FORWARD GENERAL CONTRACTORS GROUP Y SANTANA PRES 3 AVE 33144 AV 1 CONTRACTOR: /` C SUBMITTAL DATE: 151 62 ADDRESS: "I I NAME: RESUBMITAL DATES: PROJECT TYPE: UCTURAL IMPACT FE ELECTR MECHANICAL "° JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION 02 -16 -2012 * * 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: FEIN: 03/22/2012 EXPIRATION DATE; 03122/2014 SANTANA YOURDETTY 432068203 BUSINESS NAME AND ADDRESS: A -TEAM GENERAL CONTRACTORS GROUP INC 171 SW 63 AVE MIAMI FL 33144 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED ROOFING CONTRACTOR 2- CERTIFIED GENERAL CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . 05(143, F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under::': section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12?. F.S., Certificates of election to be exempt... apply only will scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05{13). F.S.. Notices of election to be exempt and terrific: 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 Gamed on the nc certificate ao forager meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the named on the certificate to meet the requirements of this section. QUESTIONS 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 CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE 03/22/2012 EXPIRATION DATE: 03/22/2014 PERSON: YOURDETTY SANTANA FEIN 432068203 BUSINESS NAME AND ADDRESS: A -TEAM GENERAL CONTRACTORS GROUP INC 171 SW 63 AVE MIAMI. FL 33144 SCOPE OF BUSINESS OR TRADE 1- CERTIFIED ROOFING CONTRACTOR 2- C`RTIFIED GENERAL CONTRACTOR IMPORTANT Pursuant to Chapter 440.05114/, F.S., an officer of a corpo: elects exemption from this chapter by filing a certificate L under this section may not recover benefits or compensatit__ D chapter. Pursuant to Chapter 440.05(121, F.S., Certificates of electio H exempt.. apply only within the scope of the business or ti E the notice of election to be exempt. E Pursuant to Chapter 440.05(13), F.S., Notices of election to and certificates of election to be exempt shall be subject if, at any time after the filing of the notice or the issue::.; certificate, the person named on the notice or certificate 1 the requirements of this section for issuance of a certific .: department shall revoke a certificate at any time for failur person named on the certificate to meet the requirements section. QUESTIONS? (8 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: STATE OF FLOC 1 HEREBY CERTIFY original filed in this off? THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the folio is provided in this Notice of Commencement. 110111 011111111 111111111111111 1111111 1 1 101 CFN 2012R0847161 OR Bk 28372 Fs O833F Ups) RECORDED 11/27/2012 11:27°14 HARVEY RUV Its a CLERK OF COURT MIAMI —C'ADE COUWTYe FLORIDA LAST PAGE 1/905 0119 HARVEY RUVIN, C By at, COUNTY OF LADE not this is copy of ire Courts D C. Space above reserved for use of recording office 1. Legal description of property and street/address: 9'8 3 % AlE (3 4 VE .S ) / ��. 33 / 2. Description of improvement: 3. Owner(s) name and address: c' - f C- . 3 /. 4 Interest in property: e , ' ' Name and address of fee simple titleholder: 4. Contractor's name, address and phone number: •I'') --7-034-/to 4' c- 4.-;� • 1 '7/ 3 /-. %J 3 a/ 44- 5. Surety: (Payment bond required by owner from contractor, If any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number: 9. Expiration date of this Notice of Commencement: /7 (the explration 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 COMMENCEMENT. Signature(s) of Ow Prepared By Print Name Title /Office STATE OF FLORIDA COUNTY OF MIAMI -DADE ' Authorized Officer /Director /Partner/Manager Prepared By • Print Name Title /Office The fore oin instrument as acknowl ged before me this By CU v• \\J-e ndividually, or ❑ as for La Personally known, or produced the following type of identification: Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. ca-1 day of N VNe-4.4,4\012 V - l . \iJd�c�v► !� LeCE' &1 Signature fi • . 3f'�.) or Owner(s)'s Authorized Officer/Director /Partner /Manag yk s��i�,Ot it0a >° IIDIt111 \t ILIANISE J SAINTIL ,E Notary Public - State of Florida . Z. My Comm. Expires Feb 10, 2015 Commission # EE 63448 By j(:/: . -` By 123.01 -52 Pci 3 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: OWP12- —1 462— DATE: 911111--) . v C \A Contractor Owner D Architect Pick: i up 2 sets of plans and Address: er) °Ig f� r•� 13�J 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 Department to continue permitting process. Acknowledged by: 14 PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: Permit No: 12 -1482 Job Name: August 16, 2012 Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) Provide approval from Miami Dade County Health Dept. (DOH /HRS) 2) Provide all permit applications prior to any further review. 3) Provide corrections for structural and plumbing. 4) The paper work submitted shows a pool cover, a child fence and alarms and a yard fence. Provide a completed and correct notice of requirements for residential pool safety act form. This must match the plans. 5) Provide a signed and sealed subsoil report that is for use of the contractor. 6) Provide a special inspector form for the pilings. 7) The pool equipment must be located no Tess than 10 from the side property line. • 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. 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 Permit No. (3 PP l 2- ) 4 8-2-- Job Name 4110.A....41 C- Date F- STRUCTURAL CRITIQUE SHEET pa-vu R A-t- cA- P z e s P ec ,j-L CNSPr✓ c_`(i ,-4 -Co e-r i s P cc.trY C -r Miami Shores Village Building Department 10050 N.E 2nd Avenu Miami Shores, Florida 3313 Tel: (305) 795 220 Fax: (305) 756.897 Permit No. 110- - Job Name PLUMBING CR TIQUE SHEET e Wes— if —PZ 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)758 -8972 PermitNO. BPP -8 -12 -1482 Issue Date: Not Issued Expires:1 /1 /2999 Folio Number:1132050090500 Owner's Name: BAGON 3850 LLC Job Address: 9839 13 Avenue Miami Shores, FL Owner's Phone: Total Square Feet: 169 Total Job Valuation: $ 20,000.00 Contractor(s) ATLANTIC MARCITE Phone (954)771 -8855 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 8/10/2012 : Yes Comments: POOL EQUIPMENT MUST BE LOCATED NOT LESS THAN 10 FEET FROM SIDE LOT LINE 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 12- bl B � ING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: 9 3 9 City: Miami Shores Folio/Parcel #: ECEIVED AUG 06.201Z BY FBC 20 Permit No. V2P12---14q.12' Master ermit No. Miami Dade Zip: 3 3 l 3 ?i Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 6 `R 07-\ ?. LL Phone #: 1 �' 3 `( P °)' 1 Address: 9 3 9 /Cd fff (,y Q City: '' c-�- . 1or9 State: i . Zip: 3 7 l3 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: Alt i et 77C ,_.. 4-c T ' Phone #: r 0,7-3 Address: O(� f f r, Uri v -eo `/' `73 a City: P C v • 1' State: t Zip: )- t Qualifier Name: --4-le Phone #: State Certification or Registration #: �/° C / V5'�� J Certificate of Com etency #: Contact Phone #: (q) (72"D Email Address: '( -4. ( 6CU ( 2i I `- 0 DESIGNER: Architect/Engineer: eil vi r4 / Phone #: Value of Work for this Permit: $ ? C3 6 d Square/Linear Footage of Work: Type of Work: DAddition FDA /iteration ORepair/Replace ODemolition Description of Work: / v e t� A ,y 8 ***,r*****,r ******* ** * *** * * ** *** * * * **** Fees* *** ** *** * ** * **** t,r**** * ******, ***err * * *** ** 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 $ 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 The f. reg + krumtnt was acknowledged befor day ! , 22, by 4 r known to me or who has .roduc- identification and who did take an oath. NO ARY PUBLIC: I 1 TARY PUBLIC: Signature Contractor The forego'. ins + ment was ackn. - dg be dayo � �� Ii ,20`2—, by ho is . onally known to me or who has produced Sign: Print: My Commission Exp. Sign: Print: cation and who did take an oath. • IA V. G081LLOS , da datotAiaiic - S a 23 2015 .=t VOo m%pinsSeP Commission # a 128810 Bonded through National Notary Assn. * 3k* Y***9r &ie***+t4r*nkvY*** �k-. 4r*** ***** ******** * **** ******** *** ****** *** ************* APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012XRevised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09) STATE OF FLORlb - DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE • FL 32399 -0783 RUBIN, NEIL ATLANTIC MARCITE COMPANY 4451 S.W. 95TH AVE. COOPER CITY FL 33328 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! Ac# 5125248 DETACH HERE (850) 487 -1395 Valt FLORIDA :. _ : n#5125246 TMENT .or BUSINESS AND ENO RBGQLATI.ON �sR` 108043439 e +,• *r A CONTR 3 'CSflED v des RTI Itio.- pro%isions: of ch. 489 Fs 1:4i$4o4 AaCsr 4UC3 31,..2012' .L10.082502263 LICE 4100:82502263 08/25 /2010 108043439 CPC14? The RESIDENTIAL POOL /SPA CON? Named below IS CERTIFIED Under the provisions of Chapter Expiration date: AUG 31, 2012 RUBIN, NEIL ATLANTIC MARCITE COMPANY' 4451 S.W. 95TH AVE. COOPER CITY FL $'3328 't CHARLIE CRIST GOVERNOR DISPLAY AS REQUIRED BY LAW CHARLIE 'LIEM SECRETARY �► CERTIFICATE OF LIABILITY INSURANCE DATE 14/ D"YYY) 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: 0 the certificate holder Is an ADDITIONAL INSURED, the policy(fes) 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 Fed Usa #1553 PHONE (p E -MAINo. Est): (954) 493-9603 - FAX ADDRESS: PRODUCER NAM a ABBY ISLAM 1041 W. Commercial Blvd. Suite 103 Fort Lauderdale, FL 33309 Phone (954)493 -9603 Fax (954)493 -9191 INSURED TIERICH ENTREPRISES INC. DBA ATLANTIC MARCITE 1001NW51Ct Fort Lauderdale, FL 33309 (954) 771-8855 (A/C. Not. INSURER(S) AFFORDING COVERAGE INSURER A: GRANADA INSURANCE COMPANY NAIC INSURER B : INSURER C : INSURER O : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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. TYPE OF INSURANCE ADM SUER' POLICY EFP POLICY EXP MSS WVD POUCY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY A COMMERCIAL GENERAL LIABIUTY Li - ▪ ❑ CLAIMS -MADE Q OCCUR CI U GEN'L AGGREGATE LIMIT APPLIES PER: Q POLICY L" ❑ LOC AUTOMOBILE LIABILITY ANY AUTO r ALL OWNED AUTOS SCHEDULED AUTOS �I HIRED AUTOS i -•I NON -OWNED AUTOS V 0185FL00021281 09/16/2011 09/16/2012 LIMOS EACH OCCURRENCE $ $1,000,0001 PREMISES (Ea occurrence) $ $100,000 MED EXP (Any one person) $ $5,000 PERSONAL & ADV INJURY $ $1,000,000 GENERAL AGGREGATE $ $3,000,000 PRODUCTS - COMP /OP AGG COMBINED SINGLE UMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) l UMBRELLA LIAR i OCCUR El EXCESS LIAR ri CLAIMS -MADE LJ DEDUCTIBLE �_ RETENTION $ I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY / N ANY PROPRIETOR/PARTNER /EXECUTIVE II OFFICER/MEMBER EXCLUDED? l_J (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below EACH OCCURRENCE AGGREGATE N/A $ Q TORYLMTS.___ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POUCY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVENUE MIAMI SHORES, FL 33138 CORD 25 (2009/09) OF SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE ABBY ISLAM ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 10- 31-2011 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: FEIN: 10/07/2011 EXPIRATION DATE: 10/06/2013 RUBIN 650976754 BUSINESS NAME AND ADDRESS: TIERICH ENTERPRISES INC DBA ATLANTIC MARCITE COMPANY 4811 S. UNIVERSITY DR. DAVIE FL 33328 SCOPES OF BUSINESS OR TRADE: 1- PUMPS 3- REPAIR SERVICE NEIL 2- SWIMMING POOL SERVICE * IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a, corporation who elects exemption from this chapter by Tiling a certificate of election under this section may not recover benefits or compensation under,. this chapter. 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 the notice of election to be exempt. Pursuant to Chapter 440.05(13); F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the tiling of the notice or the issuance of the certifieate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke. a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 DWC -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 CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 10/07/2011 EXPIRATION DATE: PERSON: NEIL RUBIN FEIN: 650976754 BUSINESS NAME AND ADDRESS: TIERICH ENTERPRISES INC DBA ATLANTIC MARCITE COMPANY 4611 S. UNIVERSITY DR. DAVIE, FL 33328 10/06/2013 SCOPE OF BUSINESS OR TRADE: 1- PUMPS 2- SWIMMING POOL SERVICE 3- REPAIR SERVICE IMPORTANT F 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 L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt.. apply only within the scope of the business or trade listed on E the notice of election to be exempt R E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 954 - 831 -4000 VALID OCTOBER 1, 2011 THROUGH SEPTEMBER 30, 2012 DBA: Business Name: ATTIC MARCITE COMPANY Owner Name: NEIL RUBIN Business Location: 4611 S UNIVERSITY DR FT LAUDERDALE Business Phone: 954-735-8666 Rooms Seats Number of Machines: Tax Amount 27.00 Transfer Fee 2.70 NSF Fee 0.00 Employees 5 Receipt #:188 -729 Business .Iyp @:POOL /MARINE CONTRACTOR (SWIMMING POOL /SPA SERVICE) Business .Opened:12 /01/1996 State/County/Cert/Reg: CPC 1456525 Exemption Cade: For Vending Business Only IPenalty 0.00 Machines Professionals Vending Type: Prior Years 1 Collection Cost 0.00 0.00 • Total Paid 29.70 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT . This tax is levied for the privilege of doing business within Broward County and is non- regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zonirigrequirements. This,Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is. in compliance with State or local laws and regulations. Mailing Address: NEIL RUBIN 4611 S UNIVERSITY DR DAVIE, FL 33328 2011 - 2012 Receipt #01C -10- 00003964 Paid 09/28/2011 29.70 Permit No: 12 -1482 Job Name: October 18, 2012 Building Critique Sheet 2nd 1) Provide approval from Miami Dade County Health Dept. (DOH/FIRS) 2) Provide a signed and sealed subsoil report that is for use of the contractor. ." Provide a special inspector form for the pilings. Page 1of1 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. Norman Bruhn CBO 305- 762 -4859 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: I2�' \9.2 DATE: (� 2:2 i Q. I, / /C`,Z Jv/ ❑ Contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) clCs Address: ���� 4 /5 9e" "774-7"/ 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 Department to continue permitting process. Acknowledged b PERMIT CLERK INITIAL: eL4 RESUBMITTED DATE: 1) PERMIT CLERK INITIAL: w BAGON 3850, LLC 20900 NE 30th Ave, Suite 200 Aventura, Fl 33180 TO: Atlantic Marcite Company 4611 South University Dr., Suite 303 Davie, F133328 Attn.: Mr. Neil Rubin OCT 032112 BY: September 27, 2012 t'PP 12i4 $Z. Ref . Goncalves Residence. 9839 NE 13 Ave .1Vfiiami Shores, F133138. POOL PROJECT. Dear Neil, Your company , Atlantic Marcite was paid a second (10 %) check for $ 2,800.00 to do permits phase to the City of Miami Shores for the construction of a pool at the above referenced residence. That permits phase of the project was first attempted by Your company to initiate very delayed on Your part already, as You said for Your engineers failure to finish on time the plans and other basic requirements delayed to submit permits. Nevertheless that You did not even had those requirements, that second check was personally cashed by you (before unexpectedly leaving for Your vacation to Europe), as the Owner of Atlantic Marcite on August 13th , 2012., and no diligences were made by no one despite all the calls asking You to hurry because You were very late and all the help offered to help You do Your job was not enough since You had left Us alone. The requirements that the city requested You, have never been submitted so far for over 45 days as today, since posted on the city structural critique sheet dated 8/9/2012 and today is 9/27/2012 with no signs from nor communication from You to complete or submit. But at the same time, instead of quickly replying to the City last month , You did cashed that second check just 3 days later on 8/13/2012 and took off for a surprise vacation for weeks despite all the messages from Us telling You were late and considerably affecting our progress on the whole project. This constant and recurrent delays on Your part have negatively affected the progress of the construction of related projects next or around to the pool area that had to be done first, for example, all the floors and patios, the planters around of the home, the landscaping and other outside related projects. The costs of the delays and lack of progress of the related areas affected caused by Your continued failure to do Your responsibilities have not being determined. Your repeated failures and lack of will to respond, even answer calls, and just simply do what was agreed despite all the many friendly emails, calls, voice and text messages following You for weeks, coming from me and other people affected asking to please do the job as described in Your proposal, and We have not even being able to obtain from You the basic requirements for the city to start the project, obligated Us to notify you that you are unfortunately no longer part of this project. Also, I am formally soliciting at this first instance the immediate return to the address /company above, of all the money which was given to you in this manner: 1st check: 10% when Your March 2012 proposal was accepted and signed, for $ 2,800 cashed by You on March 13, 2012. 2nd. check: 10% when the permit was submitted as You asked "You were bone dry" for more money, for $ 2,800 cashed by You on August 13, 2012. Please be so kind as to immediately respond with a check for $5,600.00 payable to: Bagon 3850 LLC , as We are now attempting to collect this money back and avoid more damages to our project, and our companies. Neil, once again I am still very open as always have been to meet with You and solve this matter now the best way possible for everyone. Best regards, Oscar Goncalves Owner Attached: Copy of Your Proposal/Agreement. Copy of the two Chase Bank confirmation Checks Cashed by You. cc:/ Bortolin & Associates, P.A. Rick Scott Governor John H. Armstrong, MD, FACS State Surgeon General November 01, 2012 (A -team general contractors group) 171 SW 63 Avenue Miami, FL 33144 RE: Contingency Letter Application Document No: API 086570 Centrax Permit Number: 13 -SC- 1436281 OSTDS Number: 9839 NE 13 Ave Miami, FL 33138 iciu ,...1 Lot:5 Block:4 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 10/22/2012 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. From a review of your completed application, it has been determined that your existing system is adequate for the proposed use (pool construction). If you have any questions on this matter, please call our office at (305) 623 -35 Enclosures cc: Sincerely, er, Engineer Specialist II Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500. Fax: (305) 623 -3645. http: / /www.MyFloridaF.H.com Rick Scott Governor John H. Armstrong, MD, FACS State Surgeon General November 01, 2012 (A -team general contractors group) 171 SW 63 Avenue Miami, FL 33144 RE: Contingency Letter Application Document No: API 086570 Centrax Permit Number: 13 -SC- 1436281 OSTDS Number: 9839 NE 13 Ave Miami, FL 33138 NuV 0 7 2012 IP BY. ir's Lot:5 Block:4 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 10/22/2012 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. From a review of your completed application, it has been determined that your existing system is adequate for the proposed use (pool construction). If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Sincerely, Jos cialist II Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500 . Fax: (305) 623 -3645. http: / /www.MyFlorirloPH.com MC. MEWM1 NOV 0 7 2012 Miami Shores illage� -= B Y: Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 I SI{C RES VILLAGE NOTICE TO BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING CODE I (We) have been retained by )90 to perform special inspector services under the Florida Building Code at the - project on the below listed structures as of 1C) 77-'1 L (date). I am a registered architect or professional engineer licensed in the State of Florida. PROCESS NUMBERS: XSPECIAL INSPECTOR FOR PILING, FBC 1822.1.20 (R4404.6.1.20) ❑ SPECIAL INSPECTOR FOR TRUSSES >35' LONG OR 6' HIGH 2319.17.2.4.2 (R4409.6.17.2.4.2) ❑ SPECIAL INSPECTOR FOR REINFORCED MASONRY, FBC 2122.4 (R4407.5.4) ❑ SPECIAL INSPECTOR FOR STEEL CONNECTIONS, FBC 2218.2 (R4408.5.2) ❑ SPECIAL INSPECTOR FOR SOIL COMPACTION, FBC 1820.3.1 (R4404.4.3.1) ❑ SPECIAL INSPECTOR FOR PRECAST UNITS & ATTACHMENTS, FBC 1927.12 (R4405.9.12) ❑ SPECIAL INSPECTOR FOR Note: Only the marked boxes apply. The following individual(s) employed by this firm or me are authorized representatives to perform inspection * 1. 2. 3. 4. *Special Inspectors utilizing authorized representatives shall insure the authorized representative is qualified by education or licensure to perform the duties assigned by the Special Inspector. The qualifications shall include licensure as a professional engineer or architect; graduation from an engineering education program in civil or structural engineering; graduation from an architectural education program; successful completion of the NCEES Fundamental Examination; or registration as building inspector or general contractor. I, (we) will notify Miami Shores Village Building Department of any changes regarding authorized personnel performing inspection services. I, (we) understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site for reference by the Miami Shores Village Building Department Inspector. All mandatory inspections, as required by the Florida Building Code, must be performed by the County. The Village building inspections must be called for on all mandatory inspections. Inspections performed by the Special Inspector hired by the Owner are in addition to the mandatory inspections performed by the Department. Further, upon completion of the work under each Building Permit I will submit to the Building Inspector at the time of final inspection the completed inspection log form and a sealed statement indicating that, to the best of my knowledge, belief and professional judgment those portions of the project outlined above meet the intent of the Florida Building Code and are in substantial accordance with the approved plans. Signed and Sealed EngineerlArchitec Name V' 0253 ) Address t 171 1J #11494-4,- Ahat /, Created on 6/10/2009 Phone No. 03/ Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: I NS P- 193721 Permit Number: BPP -8 -12 -1482 Inspection Date: July 10, 2013 Inspector: Dacquisto, David Owner: LLC, BAGON 3850 Job Address: 9839 NE 13 Avenue Miami Shores, FL Project: <NONE> Contractor: A TEAM GENERAL CONTRACTORS GROUP INC Permit Type: Pools/Whirlpools/Hot Tubs Inspection Type: Survey Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050090500 Phone: (786)486 -5353 Building Department Comments NEW POOL infractio Passed Comments INSPECTOR COMMENTS False 1, 7frf Passed 0 Inspector Comments CREATED AS REINSPECTION FOR INSP- 193704. Show distance between pool deck and rear plot line and between pool water's edge and rear plot line. Pool decks must be located not less than 5 feet from rear plot line and pool water's edge must be located not less than 7.5 feet from rear 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 July 10, 2013 Page 1 of 1 S-0755 141 1E7, 25'7 -43#4 -- AVENUE - - - -J ro N 1,0&177041 W413 Scale: 1° = 120' 93.49' 93.49' 93.49' 93.49' 93.49' 93.49' 93. 93.49' Ll 93.49' BISCAYNE BAY 93.49' 93.49' FOLIO: 1 0 Pi s . LOT 5, B • ` 4, °EARLETON SHORES', ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 43, AT PAGE 80, OF THE PUBLIC RECORDS, OF MIAMI -DADE COUNTY, FLORIDA. PROPE,Prq,4 )DA°E 9839 N.E. 13th AVENUE, MIAMI SHORES, FLORIDA 33138 FLOOD ZONE: WE' COMMUNITY: 120652 PANEL 0306 DATE OF FIRM: 09 -11 -2009 SUFFIX: L gNafi IOrEx 1) LEGAL DESCRIPTION PROVIDED BY OTHERS. 2) EXAMINATION OF THE ABSTRACT OF THE TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECT THIS PROPERTY. 3) THE !ANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT. 4) UNDERGROUND PORTION OF FOOTING, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 5) ONLY VISIBLE ON ABOVE GROUND ENCROACHMENTS LOCATED. 6) WALL TIES ARE THE FACE OF THE WALL 7) FENCE OWNERSHIP NOT DEIdl1MINED. 8) BEARINGS REFERENCED TO LINE NOTED AS B.R. 9) BOUNDARY SURVEY MEANS A DRAWING AND /OR GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND /OR NOT TO SCALE. 10) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. 11) NOT VALID UNLESS SEALED WITH THE SIGNINGS SURVEYORS EMBOSSED SEAL 12) DIMENSIONS SHOWN ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. 13) ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS OTHERWISE NOTED. 14) THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED. 15) THIS BOUNDARY SURVEY HAS BEEN PREPARE FOR THE EXCLUSIVE USE OF THE ENTITIES NAME HEREON. THE CERTIFICATIONS DO NOT EXTEND TO ANY UNNAMED PARTIES. 16) BENCHMARK: B-62 ELEVATION: 8.66 FEET LOCATION: N.E. 96th STREET & N.E. 10th AVENUE. ELEVATION: 11.00 FEET Cf77f6177VA' SURVEYOR'S CERTIFICATION: I HEREBY CERTIFY THAT THIS "BOUNDARY SURVEY" IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY PREPARED UNDER MY DIRECTION. THIS COMPLIES W H THE MINIMUM TECHNICAL STANDA ' ' S, AS SET FORTH BY THE ST OF FLORIDA BOARD OF PROFESSIONALS VEYORS AND R IN a ' R 5J- 17.051, FLORIDA t +. f INI ` RATIVE CODE $U f ` + SECTIO 472.027, FLORIDA STA FOR THE FIRM o. 5101 -STATE OF FLORIDA NOT VAUD : ITHO 1' . N AUTHENTIC ELECTROIr SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL ND /OR THIS MAP IS NOT AUD WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A LICENSE SURVEYOR AND MAPPER. CERTF9 r0• Bagon 3850, LLC Helm Bank USA, ISAOA/ATIMA Brokers Title Group LLC f B B P E U / ? N'ANDCE ?END.• SWK = DENOTES SIDEWALK A/C =DENOTES AIR CONDITIONING UNIT CONC. = DENOTES CONCRETE (M) =DENOTES MEASURE (R) = DENOTES RECORD R/W = DENOTES RIGHT - OF- WAY U.E. = DENOTES UTILITY EASEMENT P.B. = DENOTES PLAT BOOK PG. = DENOTES PAGE PI. = DENOTES PLANTER =DENOTES WATER METER D., = DENOTES WOOD POWER POLE - DENOTES WOOD FENCE - DENOTES CHAIN LINK FENCE - DENOTES IRON FENCE = DENOTES OVERHEAD WIRES 0 = DENOTES FOUND IRON PIPE (NO ID.) Q =DENOTES FOUND NAIL AND DISC = DENOTES CENTERUNE Feld Date of Survey: October 25, 2011 ALL BEARINGS AND DISTANCES SHOWN HEREON ARE RECORD AND MEASURE UNLESS OTHERWISE NOTED. MIGUEL ESPINOSA LAND SURVEYING INC. PROFESSIONAL SURVEYOR AND MAPPER 10665 S.W. 190th STREET. SUITE 3111. MIAMI, FLORIDA 33157 PHONE: (305) 262 -2992 FAX: (305) 964 -9303 L.B. No. 6463 BOUNDARY SURVEY Original Date: 10/27/2011 Field date: Revision Date: Drawn by: 10/27/2011 05/06/2013 05/28/2013 05/28/2013 Job No. S-9755 NIP Of SAW S &ale: 1° = 25' 6_6.62' _ Found Nail " EARLETON SHORES " innoni'ib 13- th:.:.•: 93 --AVENUE- 22 Asphalt - Pavement N Found 1 /2° Re-bar No Id. P.B. 43 - PG. 80 Lot 6 - Block 4 8 S89 °38'24 "W Found Drill Hole 18.6' Parkway N00 °21'36 " W 16.7 11.5' 'V4 11.4 /2'x7Column on Une 13.00' 13.00' :20.60'' • .b sr r? "r Conc...` 3.49 •.Q o • • Conc., .. o Q'. ..,,a: , d' • ' 11.5 d: • Conc. 31.10' 20.25' 1- STORY - BUILDING Residence No: 9839 F.F. Elev. 7.69 feet Seawall cam% 0 N 411.5 0) Q�0_00' 26.15' 3' -6" o •U `ri o, c0 U 3' • Q N ,__ood Pole l� W\Anchor 4.60' 4 3' 10.10' 3'•.6.3' Steps 15.90' 14.70' 29.75' ri 4, vK v. v.vrcti . T•d0 Arearrx ? vPla ntar x, n N �n N89 °38'24" 4rv:x.�' TAeArea M fi li''�i''' 1WS.t4r 29.55' b Jacuai 0 13.0' 13.2' 0 0 0 Found 1/2° Re-bar No Id. Lot 4 - Block 4 Found DiIII Hole 4.0 BISCAYNE BAY • 11.4' NOTICE RESIDENTIAL SWIMMING: Miami Shores VHIage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1 (We acknowledge that a new swim affirm that one of the following 'met Florida Statues and the Florida Buildin Please initial the method(s) to be used: T 3'OB SAFETY ACT will be constructed or installed at Miami Shores, FL, and hereby the requirements of Chapter 515, 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 poo : rimeter 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 misdemean • of the second degree, punishable as provided in Section 775.082 or Sec 775.083 F.S . This must be signed by the owner /agent and the prime contract r. OWN: ,� r. CONTRACTOR'S AME (PLEASE PRIN OWNER'S NAME - {PLEASE NOTAR BARBARA M 0E LA PAZ Notary Pelle • State of Rorida My Comm. EapNss May 31, 2016 Cam'* LE 203760 J w --_ NOTAR PU BARBARA M DE LA PAZ Notary Public - State of FIortda a` My Comm. Expires May 31, 2016 �r Commission II FF Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Date /0 709 I�- Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as 44?) 3? S O LLCZ , located at 300 /06-30 /4}(),S o® /4/ // 33 /W . 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 Owne 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 60.,0-01 3 , L is/are the fee simple owner(s) of the following described property situa . and being in Miami Shores Village, Florida: Address: e) D0 /JE 30 Afic ` ,r; "- . -Do! ®...i- 4,2r4,0 33/80 Whereas, the undersigned owner(s) p� _ ' LC desire to utilize said Lot(s) as a single buing site, and the undersigned owner(s) do(es) hereby declare and agree as follows: I. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. III. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our/my property shall fail to meet code requirements for pool barriers, we, as owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. IV. That, Uwe, 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 , in accordance of said ViII • - then in effect e su f I H. Certify that on this day personally appeared before me # as identification and he/she acknowledge that he/she execut for purposes there in expressed. SWORN TO AND . i (Revised 05/2209) .. • • .'- .' D - . 1 / ,20 and has produced ID ing, freely and voluntarily, NOT •Y PUBLIC 'ATE O! FLORIDA 1OC477OA/ )IP DMR/P17W FOUO:114206009MM LOT 8 BLOM(4,'EARIZON SHORES'. ACCORDING TO THE PLAT THEREOF, AS RECORDED IN RAT BOOK 43, AT PAGE SO. OF THE PUBLIC RECORDS, OF MIAMI-DADE COUNTY. FLORIDA PRAM I PI MRf..&P 9839 N.E. 13th AVENUE, MIAM L FLORIDA 33138 FLOOD ZONE WE' COMMUNE?: 120682 PANEL 0306 DATE OF F5AA: 09- 11-2009 SUM L EEVA110NL 11.00 FEET �i`✓YE�1! ,W7 1) LEGAL DEBCRIWION PROVE BY OTHERS. 2) EXAMNAIION OFIHE ABRTRACT(THEIRLE W11L HAVE TO BE MADE TO DETERMINE RECORDED NSIRU MEM8.IF ANY. AFFECT THIS PROPERTY. 3) THE LANDS SHOWN HEREONWf.T9 NOT ABSTRACTED FOR Emmert OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT. *UNDERGROUND PORTION OF F001140.FOUNDATIONS OR OTHER IMPROVEMENTS WERENOTLOCATED. 8) ONLY MILE ON ABOVE GROUND ENCROACHMENTS LOCATED. 6) WALLIES ARE THE FACE Of THE WALL 7)FENOE O' N97SBP NOT DEIERMINELL 8) BEARINGS REFERENCED TO W E NOTEDAB B.R. 9)80U DARY SURVEY MEANS DRAWING AND/OR GRAPHIC REPRESENTATION OF THE SURVEY WORK PERfORM®N THE HELD. COULD BE DRAWN ATASHOWN SCALE AMOR NOT TO SCALE 10) NO IDENTIFICATION F O U N D ON P80 Y CORDS UNLESS NOTED. 11)NOT VAUD MUGS SEALED WEN THE SIGNINGS SURVEYORS EMBOSSED SEAL 12)D1 EJSONSSHOWNAREPRATANDMEASUREDW838301HE 8E SHOWN. 13) ELEVATIONS IF SHOWN ARE BASED UPON N.G.VD. 1429 UNLESS OTHERWISE NOTED. 14) THIS IS ABOUNDA YSIRVEY UNLESS OTHEILWEE 9401ED. 18) THIS BOUNDARY SURVEY HAS SEEN PREPARE FORME EXCLUSIVE USE OF THE ENTRIES NAME HEREON. THE CERTIFICATIONS DO NOTEIDEND TO ANY UNNAMED PARTIES. 16) SENCFOYIARK: 8.62... „.....ELEVATE:9k 866 FEET LOCATION: N.E. 96th STREET & N.E. 10th AVENUE. CEkTIfle/177DN SURVEYOR'S: R':IRCA110Ne lEIERESY CER PREPARED A,T ERASTDCDRRECF' PREPARED UNDER NY V. THIS TECHNICAL �� ASRaTF08T) OFTROFES9L. i.`r: VEYORS.V ,PURSUANT THIS °BOUNDARY OFASURVEY THE MINIMUM .TIE OF FLORIDA BOARD CHAPTER 61011.6, FLORIDA 412.011, FLORIDA STATUTES. POR THEPRW . $I01.STATE OP FLORIDA ME YAP IS NOT .fir,, WRROUTIHER6t0ARIEAND A UCENSE -- -. .. AND MAPPER JOHN H. KATHE TR. ABBRft/6177498 tND!4154P, swK NC c RN RAN 9 U.E. PS. PS. D ® *13VOTESSDEWALK •EIDTES AIR CONDIEON WB NTT •DEND1f8CONCRETE .DENOTES MEASURE =MOTES RECORD ▪ Made OR WAY • DENCEES *EWES) UMW EASEMENT * MOTES RAT 9301C O 116/0TES PACE * MOTES WAIEIM EIER •DENOTES WOOD POWER POLE * EWES WOOD FENCE *SNOTS CHAIN LEW FEIN • MON1 PENCE • DFNOTFSOVERHEAD WIRES . DENOTES FOUND IRON PIPE MD.) .DENOIE3 FOUND NAT. AND DISC Re'd Dote oTSun,er October 212011 I ALL I N RE SDDEEPSCFSSHOWN)REONA LAND MEANR& UNLESS OTHERVASENO1ED. !KW ES'PRO 44 � :L WOW Se.. 10666S.W. 190EISIREET.DRIES210. MENL FLORIDA 38187 PHONE )3092624992 PAX (306)97.0182 ILa Na 6461) Boas summa DAM 10/27/2011 DRANK BY: MW. 6975S 6642 MP Of SLAW Scale: 1 °=25' PavelTterrt ;:;: ::::.�••:::.....::::: N R1 ?. No b. \ Found e•bar112 No Id. co b Reset The bit To resetthe alarm *delve the dco and think press* PASSMESET but an. The alarm Is ni di Mato standb mode. To extthe protect dares, press doe kASSIRESET hullo II and alters area 1. ill* 30 seconds Automatic Reset Undo or All Conditions The*m�wI� be re et Warmth:ally!: 30 seconds alter the last key active kin. lithe RkSENRESI I' button Is prase I but the arkdtent ?seconds *no ece Is not diked, thhedultenby alh3werrce reld be cancel ad In 30 seconds, and rosette. atndbyiiode eutonadisall) , Auto Siren OFF Sherman he ken d OFF mentrallya ;describe on previ nss section, or the unit will reset In 4 rain tes ardome3cally tithe gate le dose 4. Automatic 7,:ontinous I illonitoring If Monte trigger id and reset by It len 1n4 minutes, the unit wM died the Gordan of magn It catboat sensor t deckle W the door MOOS open amt. If the door Is Mot 3n„ the alarm sou Ids again for4 rn1 lutes, chi* the door conthdon again a d corMnue the crJeun1Uthe *lark 'closed. 6 IMPORTANT • • . . tho:Anit. hcight be out OtiOach el , hh nou&ii to Keep the distance between the two places magnet sensor contacts to a MaltintLIM of 314" Do not rely on the aktrm until the test raw stkisfactory. •••• ' • . • • .• • , • .• • .r."44:;=-• - f.tv 4 -••• Steal SWOWEi • • 7 •1 Mount On Metal Gate Install the mounting rating bracket onto gate post using Wm iyion straps. Sid the oakum unit onto thls mounting bravest. You will teal a did( when the u it Is properly Installed. Mowntetwa magnet sensors +meet a two spacer stands using the fcoar smaller gems and then mount this sensor assembly coo gate post Isla$ the nylon straps. Mount On Walt And 0lass loon hosted the mounting bracket usM t aoplaces ofdoub .a sided foam taps. Ode the sera unit onto this moulding b adopt. Yount fen a dick when the mitts property irrstaatted. Apply the double sided tbemtape *Mode bottom reed area of magnet sensor pair. Mount the naagsonsors, one on the door and the other ones door frame. Mount the magnet sensor with wire oust the stationary surfaece such as doorframe, Add3tlonal PASS/RESI : Svfitch Thls unitprovide switch, whir:bova the Hoarier bore addldonal wailer Went Operatlor This YARDGUA an adult Ifa �Ih Ch nckthe lam: a bud beep, ott uraitwlll give a k. door Is opened itch. For adult eatry. butt =The unt be opueld up h tritilliain9 a gate Cr door kr Seconds, the alt an adcgtPonal PM be mounted on g ententaccess fro Itch can be mina double sided try smeser settler side ot both sides. ad bythe2 ttapes. tDis designed to- has opened a go r. Press theCHE(. melee replace w1 ud siren If gate c !y more than ono press the PAST wit Mow thadoe 7 seconds vAthou: I. However, If th;. opened for rm wilt bigger. aonitor the opanln ,. of gate order*, b alert ordoorbaa pot : dial dangerous a, sa. 4 5 We kerne go am purchasing this YARDMAN safety .arm. The can be used b incotorpcestal *mem seas, end parades a high yobs'), edennlatert witer►*Wren °Merthese areas. Itcanberused Indoors Or outdoors, mounted ted on a wooden *rumor metal gabs. R can be mounted on tasycloorways or openings hot bed tio dengsrous areas. Caution The eetm siren is very Ica Nevsrplace the *Makes 'b purees Prolonged eagtoeneab the bud stream affect your halal the wit atr N*L nhe a high enough is*tstdrat reach Qf oblkiren. Tide YANDSUARD ls en entry monitor daub& V4thathar eaq d or brelled, donna replacesnyeedety device. %t8 qty prrteahaWdbe, Neither einsdPool Inc. norm yam eke who has been Involved b Ike creation, ropionumm oust ba Ilablefor a tiffu t r consequensal or Incidental damps sting c atofttletuseor NAV tort the YAR . Instal! Battery Before instal; the bedew, use a rubber bandb hold the nuoptet se together temporarily, with dot matched bdot, thereby preventing the akin • * m soundingatter the battery reinstalled a when mowdkvdretatt 7b beery, Remove the fur screws atthe bards, thanopenthe bogey (bo . restage trash 9V batboy (not Iru d)into the battery compartment Chadrthe polarity. Close the Mary door and tighten up theta SCAMS • Nawtiaa tam h Mend in salary mom. To dpi If battery is instaffed uncork press tht fy chedtbuttonloatded at lhotowerdgtd owner. Thu oak wit beep you press button, If no beep sound Woad, check the betbery !retaliation ' sprat, ooteplace with a new battery. 2 Auto Battery Check The era ten keep monttorMg th ebetteeY levet, When Itdety:tsetthe batboy ta tow, you will hears loud and short beep *may minute. Change baaerywli<eeet you hear Misttiemp. ch haI1i) L iCtc'f ".Y t) r...I(;1{r zi,it�1 c o'tice a yeA5�, -y Mount On Wooden Fence Install the mountbtgbracket onto Mee post ushg Mu two bigger coons. t teetotal unit oraathis mounting bracket. You 'Abel u o c when the use is properly tnetaefed. 3 ,. ca Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Date P f '° Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as c 01A 3 -6-7) L ( C , located at ? 3 ? /3 q (- 4 F/ ,33/J 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. l 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 /3,1-8`"'"°-) 8 / t_ - is/are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: %3 3 y' ? , E • Avg / r? ("41' ,S'yo -) / i 3 / 3 a Whereas, the undersigned owners) desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: I. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. III. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our/my property shall fail to meet code requirements for pool barriers, we, as owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. IV. That, 1/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, hissh- uccessors and assigns and may only be released by Miami Shores Village, or its success • , in accordance of said then in effect. I Hereby Certify that on OWNER SING & PRINT UetArr is daR�eersonally appeared before me C 9 , and has produced ID 04s identification and he/she acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there in expressed. SWORN TO AND SUBSCRIBED before me on this e-at day of (Revised 05/2209 OTARY PUBL ttttt ANA M. ESTRELLA •� Notary Public - State of Florida My Comm. Expires Apr 29, 2014 ��., vas# Commission # DD 962096 7450 Griffin Road, Suite 140 • Davie, FI. 33314 • Tel: 954 -584 -6115 • Fax: 954 -584 -2862 • E -mail: ppeana@soilprobe.net January 24, 2012 pmoetngineem n Excell Construction & Development Co. P.O. Box 16203 Plantation, FL 33318 RE: Subsurface Investigation Proposed Front Terrace Addition and Swimming Pool 9839 NE 13th Avenue Miami Shores, FL In accordance with your request and authorization, Soilprobe Engineering & Testing, Inc. has completed subsurface exploration and geotechnical studies at the above referenced project site. We explored the general subsurface conditions in order to evaluate their suitability for supporting the anticipated construction, and to provide recommendations for site preparation and foundation design. Our work included standard penetration test (SPT) boring and engineering analyses. This report describes our explorations and tests, reports their .findings, and presents our recommendations developed from the investigation. Our report has been prepared specifically for this project. Our work has used methods and procedures consistent with local foundation engineering practices. No other warranty, expressed or implied, is made. We do not guarantee project performance in any respect, only that our work meets normal standards of professional care. It is in our understanding that the proposed construction will consist of a new, elevated concrete terrace surrounded by a retaining wall, located at the front area and a small, in- ground swimming pool, at the rear of existing house. The existing and proposed improvements and approximate locations of our soil borings are presented in the attached plot plan. For the purpose of our evaluation we have assumed that the new construction will consist of poured in place reinforced concrete supported by deep foundation system comprising piles, grade beams and/or pile caps. The geotechnicai recommendations presented in this report are based on the available project .information, proposed locations and the assumed data described in this report. If any of the noted information is incorrect, please inform this office, so that we may amend the recommendations presented in this report as appropriate. The subsurface conditions at the site were explored with two engineering borings advanced to depths of 16 and 34 feet below the existing ground surface. Due to limited access in the backyard area the tests were conducted using a truck mounted and a portable drill rig. Our representatives selected test locations in the field as shown in the attached plot plan. Excell Construction & Development Co. 9839 NE 13th Avenue January 24, 2012 Page 2 of 4 Samples of the in place materials were recovered at frequent intervals with a standard 24 inches split barrel sampler driven into the ground with a 140 -pound hammer. falling 30 inches. This work was performed on January 12, 2012 following closely the procedures recommended in ASTM Method D- 1586. Detailed subsurface conditions encountered at the locations and depths explored are presented in the attached logs. Our drillers examined the soil recovered from the SPT sampler and maintained a soil logs. Soil samples were inspected and classified with the Unified Soil Classification System (USCS). Classifications of soils and other pertinent data obtained from our exploration and tests are reported on the attached boring log. Stratification shown on the boring logs is based on examination of recovered soil samples and drillers interpretation in the field. It indicates only the approximate boundaries between soil types. The actual transitions between the adjacent soil strata may be gradual and indistinct. Standard penetration test revealed from grade to a depth of 7.00 feet a layer of gravelly sand fill. Below this surfacing layer and extending to depths varying from 11.00 to 13.00 feet, the soil consisted of layered muck, fibrous peat and fine silty sand. Below these layers and continuing to the boring final exploration depths, the tests revealed soft to medium hard, sandy sandstone and limestone. The water table measured at the time of test was found at an approximately depth of 4.50 feet below prevailing grade. Fluctuations in groundwater level should be anticipated throughout the year due to seasonal variations in rainfall, drainage, tidal fluctuations in the bay and other factors. The groundwater level measured at the time of test is not intended to define a limit or ensure that future seasonal fluctuations in groundwater levels will not vary from this level. We recommend that the Contractor determine the actual water table at the time of the construction to determine groundwater impact on his construction procedures. Based on our observations, result of boring tests, evaluation of the existing soil conditions, our experience with similar sites within the vicinity of this project, we recommend that the proposed construction to be supported by deep foundation system consisting of piles, grade beams and/or pile caps. The piles we recommend for this site shall be as follows: 1. 14 inches diameter auger cast -in -place concrete piles. The piles shall be installed through the gravelly sand, and organic layers, and penetrate into sandy sandstone formation to sufficient depths to provide the required bearing capacity. We further recommend the minimum depth of installation for 14 -in. diameter auger cast piles required achieving the design bearing capacities as follows: Diameter 50 Kips 60 Kips 70 Kips (Inches) Compression Compression Compression 14" 25 28' 32' Excel Construction & Development Co. 9839 NE 13t Avenue January 24, 2012 Page 3 of 4 A 14 -inch diameter pile is estimated to have a lateral load capacity of 10 kips. This horizontal capacity assumes that the pile is fully embedded in soil and the resisting force acting at the head level with fixed pile head condition. For moment capacity, the point of fixity shall be assumed at a depth of 15 feet. Piles that are properly reinforced from butt to tip would withstand allowable tension loads equal to 50 percent of the design capacity of axial loads. The concrete .shall consist of portland cement grout mixture with a minimum compressive strength of minimum 5,000 PSI at 28 days. It is suggested that each pile be reinforced with a minimum 4#5, 15 feet long, with #3 ties spaced at 12 inches placed in the upper 15 feet of pile and 1 #7 for the full length with two # 3 cross -tied installation spacers (centralizers) at bottom end. However, the structural engineer of the project shall design the pile reinforcing based on the loads to be imposed. A geotechnical inspector who will verify the compliance with the above requirements shall monitor pile installation. The first two piles (test piles) shall be installed under the supervision of a geotechnical engineer at locations to be selected in the field. Following the installation of these two piles, jobsite criteria will be established for the installation of the remaining piles, which will include grouting ratio and pile tip elevation. However, no piles shall have the tip elevation at depths less than specified above. The actual depths should be expected to vary depending on the drilling conditions encountered during installation of the piles. In addition, . due to the sand layered, fractured, porous rock encountered within the test depths, and excessive blow -outs during - grouting operation, some piles may require deeper installation. Also, piles should be installed in accordance with the attached Specifications for Auger - Cast -in -Place Piles Installation. 2. As an alternate method to the auger -cast piles or pre -cast piles, considering the limited access and the light loads imposed by the proposed structures, are steel pin piles. The steel pin piles shall consist of minimum of 3.50 -in I.D. and 4.00 -in. O.D. hot dipped galvanized piles as per ASTM A -153. The piles shall be capped at bottom end and shall be driven to refusal in a vertical straight line using hydraulic hammer such as Stanley MB Series (or equal) with a minimum weight of 450 lbs and a impact force of 550 ft-lb. (745 J) in order to achieve a bearing capacities of and 8 tons compression (2 tons tension). Additional to the refusal depths installation requirements, a minimum 7.00 feet rock embedment shall be achieved into the competent bearing rock layer encountered at 13.00 feet below grade. 3. As a second alternate method to the auger cast piles and probable cost effective, considering the size of proposed construction, are Helical- piers. Helical -piers consisting of steel plates. (helices) and shaft configuration can provide and adequate bearing support for the proposed construction. The shaft and plate(s) shall be hydraulically augured into the ground, and the amount of torque measured to develop the required bearing capacity. We estimate that using Chance Helical Piers (or equal), 3.50 -inch OD Pipe Shaft, coupled with SS 1 -3/4 in. (SS 175 square shaft) lead piece (SS & RS combo) fitted with helices and installed at the required driving torque, the achieved bearing capacity shall be in the range of 10 to 15 tons compression and 4.00 to 8 tons tension respectively. Excell Construction & Development Co. 9839 NE 13th Avenue January 24, 2012 Page 4 of 4 The installation shall be performed in accordance with manufacturer specification A.B. Chance Company Technical Manual. Additionally, to the required torque installation, a minimum of 7 feet helix embedment in the rock layer encountered at 13 feet below grade shall be achieved at each pile. Pre - drilling may be necessary to achieve this minimum rock embedment and required installation torque. Pile spacing shall be as per structural engineer generally 5.00 to 8.00 feet maximum but not less than 30.00 inches center to center as minimum. Depending of the design the pin piles shall be filled with concrete and connected to the foundation system with a steel plate or re -bars extending from the inside of pin piles to the grade beams or structural slabs. The 3.5 -in. steel pins lateral capacity installed vertical is very limited and when required shall be estimated from the horizontal capacity of battered steel pins installed at the refusal depths in conjunction with vertical piles. Any modification to the above - recommended procedures should be approved by Soilprobe Engineering &Testing, Inc. Further, in order to verify compliance with these specifications and document construction, procedures used and actual conditions encountered we recommend that experienced geotechnical personnel observe pile installation operation. Based on our familiarity with the project, knowledge of subsurface conditions and the intent of the design, we suggest that Soilprobe Engineering & Testing, Inc. be retained to inspect full-time pile installation operations. This office does not accept any responsibility for any conditions that deviate from those described in this report, nor for the performance of the structures if not engaged to provide construction observation, testing and certification for this project. Due to the fact that soils are generally, naturally deposited materials under variable conditions, it must be understood that major subsurface discontinuity may occur within short distances. It is unlikely that the tests used for this investigation revealed all subsurface conditions. Our office does not warrant or imply that the data collected on our log of borings are indicative of the subsurface features; except the locations where borings were taken. If unusual or variant conditions are found during construction, please notify this office for further evaluation and recommendation. It has been a pleasure to perform this investigation for you and we hope that you will call on us if we may be of further service. Sincer SO PRO: E ENG ERING & TESTING, INC. En Log of Borings Appendix SPT Specifications ACP, Pin Piles and Helix Piers _. _ _ _ JOB #: Sheet: 1 of 1 Boring: 1 Date: 1/12/12 CLIENT: EXCEL CONSTRUCTION Date started: 1/12/12 PROJECT: - -9839 NE 136' Avenue, Miami Shores, FL Date 1/12/12 - completed: LOCATION: Annrox. 15' NW of SW corner of existing house Driller (s): PP/RC Layer thick- ness $ DESCRIPTION: Sami numl Dep In Fi Blot 6 inc] N Vali Sami RecoId (inch Wal cn Soil type, color, texture, and consistency. Notes on drilling conditions. 0.00 o'-o" 2 1.00 3 10 19 Dark sand, little roots. 7 1' -2" z.00 8 Tan sand and rock 9 3.00 9 19 22 10 4.00 9 5 5.00 4 7 23 3 6.00 3 3 5 24 �� -��� 7.00 3 2 Grey dark silt loam, muck and peat . 8.00 1 1 9.00 1 2 24 1 Tan grayish sandy sandstone and limestone 10.00 1 2 11.00 5 17 24 11' -0" 12 12.00 13 11 13.00 12 22 24 10 14.00 10 9 15.00 9 17 24 8 16.00 9 16' -0" End of Test 16' -0" 17.00 18.00 19.00 20.00 TYPE of SAMPLE: Density: Cohesive Consistency: D — disturbed (2) —Penetrometer U.L.- Undist Liner S.T. — Shelby tube S.S. — Sample Spoon Cohesionless 140 Lb. WT. Hammer x 30" fall on 2" sampler 0-4 Soft 4 -8 Medium Stiff 8 -15 Stiff 50+ Very dense 15 -30 Very Stiff 0 -10 Loose 10 -30 Medium 30 -50 Dense TYPE of SAMPLE: Density: Cohesive Consistency: D — disturbed (2) — Penetrometer U.L. - Undist. Liner S.T. — Shelby tube S.S. — Sample Spoon Cohesionless 140 Lb. WT. Hammer x 30" fall on 2" sampler 0 -10 Loose 0-4 Soft 10 -30 Medium 4 -8 Medium Stiff 30 -50 Dense 8 -15 Stiff 50+ Very dense • 15 -30 Very Stiff JOB #: Sheet: 1 of 2 Boring: 2 Date: 1/12/12 CLIENT: EXCEL CONSTRUCTION Date started: 1/12/12 - PROJECT: - -- 9839 NE 13`h Avenue, Miami Shores, - -Date completed:— 1/12/12- - FL LOCATION: Approx. 5' S of existing rear patio slab Driller (s): PP/RC Symbol DESCRIPTION: iml iml iep IFi low [Inc] N Tali amp :co' nch Val ,ay hic ne; Soil type, color, texture, and consistency. Notes on drilling conditions. 0.00 0'-0" Grass 2 Topsoil 1.00 4 9 19 1' -0" 5 2.00 7 Tan silty sand and little rock 7 3.00 8 15 20 6 4.00 5 4' -0" . 3 5.00 2 4 24 2 6.00 3 6' -0" 1 _ 7.00 - 2 23 7'-0" 2 8.00 1 1 9.00 - - 16 - Dark sand, little silt, muck 10.00 - 1 11.00 1 1 12 12.00 - 1 13' -0" 13.00 4 9 17 5 14.0 0 6 5 15.00 6 11 24 5 16.00 5 4 17.00 5 10 24 Tan grayish sandy sandstone and limestone 5 18.00 6 6 19.00 6 13 24 20' -0" 20.00 6 End of Test 20' -0" TYPE of SAMPLE: Density: Cohesive Consistency: D — disturbed (2) — Penetrometer U.L. - Undist. Liner S.T. — Shelby tube S.S. — Sample Spoon Cohesionless 140 Lb. WT. Hammer x 30" fall on 2" sampler 0 -10 Loose 0-4 Soft 10 -30 Medium 4 -8 Medium Stiff 30 -50 Dense 8 -15 Stiff 50+ Very dense • 15 -30 Very Stiff LOG OF BORING TYPE of SAMPLE: Density: Cohesive Consistency: D — disturbed (2) — Penetrometer U.L.- Undist. Liner S.T. — Shelby tube S.S. — Sample Spoon Cohesionless 140 Lb. WT. Hammer x 30" fall on 2" sampler 0 -10 Loose 10 -30 Medium 30 -50 Dense 50+ Very dense 0-4 Soft 4-8 Medium Stiff 8 -15 Stiff 15 -30 Very Stiff JOB #: Sheet: 2 of 2 Boring: 2 Date: 1/12/12 CLIENT: EXCEL CONSTRUCTION Date started: 1/12/12 PROJECT: 9839 NE 13th Avenue, Miami Shores, FL Date completed: 1/12/12 LOCATION: Approx. 5' S of existing rear patio slab Driller (s): PP/RC Sample number Depth In Feet Blows / 6 inches N Value Sample Recovery (inches) 3 Layer thick - ness o DESCRIPTION: Soil type, color, texture, and consistency. Notes on drilling conditions. 20.00 20'-0" Tan sandy sandstone and limestone End of Test 34' -0" 5 9 24 34' -0" 21.00 5 4 22.00 6 5 9 24 23.00 5 24.00 5 4 7 24 25.00 4 3 26.00 6 5 10 24 27.00 5 5 28.00 6 9 24 29.00 5 4 30.00 4 5 9 24 31.00 4 5 32.00 5 4 11 24 33.00 6 34.00 5 35.00 36.00 37.00 38.00 39.00 40.00 TYPE of SAMPLE: Density: Cohesive Consistency: D — disturbed (2) — Penetrometer U.L.- Undist. Liner S.T. — Shelby tube S.S. — Sample Spoon Cohesionless 140 Lb. WT. Hammer x 30" fall on 2" sampler 0 -10 Loose 10 -30 Medium 30 -50 Dense 50+ Very dense 0-4 Soft 4-8 Medium Stiff 8 -15 Stiff 15 -30 Very Stiff SCILPRCBE ENGINEERING & TESTING, INC. STUDIES, DESIGN, INSPECTION, AND TESTING SERVICES 5450 Griffin Road, Davie, FL 33314 Phone: (954) 584.6880 (954) 584 -6115 Fax: (954) 584 -2862 APPENDIX SUBSURFACE EXPLORATION INFORMATION Our borings describe subsurface conditions only at the locations drilled and at the time drilled. They provide no information about subsurface conditions below the bottom of the boreholes. At locations not explored, subsurface conditions that differ from those observed in the borings may exist and should be anticipated. The groundwater depth shown on our boring logs is the water level the driller(s) observed in the borehole when it was drilled. These water levels may have been influenced by the drilling procedures. An accurate determination of groundwater level requires long -term observation of suitable monitoring wells. The absence of a groundwater level on certain logs indicates that no groundwater data is available. It does not mean that no groundwater will be encountered at that boring location. Standard Penetration Test Borings The Standard Penetration Test (SPT) is a widely accepted method of testing foundation in place. The N -value obtained from the test has been correlated empirically with various soil properties. These empirical correlations allow satisfactory estimates to be made of how the soil is likely to behave when subjected to foundation loads. Tests are usually performed in the boreholes at intervals of five feet. In addition, our Firm performs tests continuously in the interval directly below the expected foundation - bearing grade where the soil will be most highly stressed. Boreholes where SPT will be performed are drilled with a truck mounted SIMCO 2800 drill -rig. The boreholes are advanced by rotary drilling with a winged bit that makes a hole about seven inches in diameter. After the borehole has been advanced to the depth where a SPT will be performed, the soil sampler used to run the test is attached the end of drill rods and lowered to the bottom of the borehole. The testing procedure used conforms closely to the methods recommended in ASTM D -1586. The sampler has a split - barrel 24 inches long and an outside diameter of 2.0 inches. It is driven into the ground below the bottom of the borehole using a hammer that weights 140 pounds and falls freely 30 inches. The driller records the number of hammer blows needed to advance the sampler the second and third six- inches increments. The total number of blows required to advance the sampler the second and the third six- inches increments constitutes the test results; that is N -Value at the depth. The test is completed after the sampler has been driven not more than 24 inches or when refusal is encountered, whichever occurs first. Refusal occurs when 100 hammer blows advance the sampler six inches or less. After the test is completed, the sampler is removed from the borehole and opened. The driller examines and classifies the soil recovered by the sampler. He places representative soil specimen from each test in closed jars or plastic bags and takes them to our laboratory. In the laboratory, additional evaluations and tests are performed, if needed. Jar samples are retained in our laboratory for thirty days, then discarded unless our clients request otherwise. Hand Auger Borings Hand auger borings are used if soil conditions are favorable, when the soil strata are to be determined within a shallow (approximately 6 feet) depth, or when access is not available for our truck- mounted or portable mounted drill-rigs. A three inches diameter hand bucket auger with a cutting head is simultaneously turned and pressed into the ground. The bucket auger is retrieved at approximately six inches increments and its content emptied for inspection. Sometimes posthole diggers are used, especially in the upper three feet or so. The soil samples obtained are described and representative samples put in jars or plastic bags and transported to the laboratory for further classification and testing, if necessary. \\SERVER\MY DOCUMENTS\Soilprobe\Letters Folder\ APPENDIX Standard Penetration Test.doc GENERAL SPECIFICATIONS FOR HELIX PIER The following specifications are provided as a guide. The engineer of record should modify these specifications to suit the work involved for a particular project and the site conditions. GUIDELINE SPECIFICATIONS FOR HELIX PIER INSTALLATION 1. SCOPE: This item pertains to the installation of helix piers at the locations shown on the Plans or staked by the owner or General Contractor. These specifications and the Plans shall be used in conjunction with a standard contract to procure the work. 2. ACCESS: Owner /General Contractor will provide for right of entry of Helix Pier Contractor, all necessary personnel, and 'equipment for conducting the helix pier installation work. Owner or general Contractor will remove and replace any structures, utilities, pavements, landscaping and other improvements in the work area to facilitate helix pier installation. Reasonable care shall be exercised by Helix Pier Contractor to avoid damage to existing structures, utilities, pavements, landscaping and other improvements during the course of the helix pier installation work. 3. UTILITIES: Owner /General Contractor will locate all underground structures and utilities. Any such underground structures and utilities in the nearby areas of the helix pier installations will be clearly marked prior to helix pier installation work. No helix pier shall be installed within a horizontal distance from a utility or underground structure if that distance is equal to or less than half the depth of the utility itself. 4. SAFETY: In accordance with generally accepted construction practices, the Helix Pier Contractor shall conduct construction operations in such a manner as to assure maximum safety of persons and property in the immediate vicinity of helix pier installation work. Helix Pier Contractor shall provide and utilize hard hats, safety glasses, steel toe boots and other safety clothing or equipment in accordance with General Contractor's safety plan and OSHA Standards. 5. INSURANCE: the Helix Pier Contractor shall obtain and maintain general liability insurance to the limits described in the Owner's contract and adequate Workmen's Compensation Insurance as prescribed by the Workmen's Compensation Act. This insurance shall cover all of the Helix Pier Contractor's personnel on site at anytime. 6. CAPACITY: Design loads shown on the Plans include a Minimum Factor of Safety of 2 and should be used to determine the required ultimate capacity of the helix piers. Helix Pier capacity is dependent on the geometric configuration of the helix pier selected, the strength of the steel helical bearing plate(s) and hub, subsurface conditions, and the torque applied during installation. Manufacturer's recommendations should be followed regarding the torque and bearing capacity relationship for the particular helix pier selected. The ratio of required ultimate helical blades shall not exceed the ultimate subsurface material bearing capacity provided by the Soils Engineer. 7. MATERIALS: Helix Pier shall be round or square shaft and have the required number of helical blades so as to provide for adequate load carrying capacity. The strength of the helical bearing plates, connections and hub shall be sufficient to support the design loads specified on the Plans. Helix Piers shall be protected from corrosion by galvanizing or other suitable means. The helix pier hubs may be required to resist bending moments due to buckling and lateral loads. In addition, the connection between the helix pier and the structure may be required to resist lateral loads as specified by the Structural Engineer. The Helix pier hubs and connections shall have a minimum structural section modulus as specified on the Plans. The Helix Pier connections shall be in -line, straight and rigid. Helix Pier shall be hot dipped galvanized for corrosion resistance. 8. INSTALLATION: Constant downward pressure shall be applied while screwing helix piers into the ground. The pressure applied shall be sufficient to ensure that, during each revolution, the helix pier progresses downward a distance equal to the blade pitch. Rate of helix pier rotation shall not exceed 20 revolutions per minute. Helix Pier shall be advanced until the required torque is achieved to accommodate the required ultimate capacity. Helix Pier shall be installed as close to veitical as possible. If multiple helices are used on a single helix pier, the required torque shall be maintained or exceeded for a distance of helix pier advancement of at least the aggregate . total spacing between helices. For example, if a helix pier is used with three blades separated by two (2) feet from each - other, than the helix pier shall be advanced a total of 4 feet while maintaining or exceeding the required torque. If swelling soils are a concern, the helix pier blades shall be extended a minimum of 10 feet below the deepest part of the structure or to a depth as specified by the Soil Engineer. No helical blades are allowed within ten (10) feet from the deepest part of the structure, unless allowed by the Soils Engineer. Also if swelling soils are a concern, the helix piers shall be advanced at least three (3) feet once the required torque is achieved. 9. CONNECTIONS: All helix pier connections shall be securely hand tightened. All helix pier components including the hub, cap and top bracket shall be isolated from touching any concrete reinforcing bars or other -metal objects. 10. MODIFICATIONS: field welding, if required, shall be in accordance with the "Code for Welding in Building Construction" of the American Welding Society. Cutting of manufactured helix pier blades is prohibited and shall not be performed without first consulting the Structural Engineer. 11. INSPECTION: INSTALLATION OF HELIX PIER SHALL BE OBSERVED BY A REPRESENTATIVE inspector of a professional Soils or Structural Engineer firm to verify the depth and installation torque. The Helix Pier Contractor shall notify Inspector at least 24 hours prior to installation work. The Inspector shall observe the installation and document the helix Pier HELIX -PIER INSTALATION SPECIFICATIONS Contractor's method and materials used. The Inspector shall maintain a record of depth and torque readings. The Helix Pier Contractor shall provide the Inspector with recent calibration information for the instrument used to measure torque. 12. DRAINAGE: The General Contractor shall provide proper site drainage in the area of all installed helix piers at all times during and after construction. Proper site drainage shall conduct surface water runoff away from the structure and helix piers. If expansive soils are a concern, irrigation system shall not discharge within five (5) feet of an installed helix pier. 13. CLEANLINESS: Immediate upon completion of the work, the Helix Pier Contractor shall remove any and all equipment, tools, building materials, rubbish, unused materials, concrete forms, and other materials belonging to him or used under his direction. Also during the work, the site occupied by the Helix Pier Contractor and his material stockpiles shall be kept in a reasonable state of order and cleanliness. GENERAL SPEC;IF 1CATIONS FOR AUGER-CAST PILES INSTALLATION WORK: • Contractor has to demonstrate prior to the start of production piles, the dependability of the equipment, techniques, trained personnel and source of materials to install auger cast in place piles to the satisfaction of the Engineer. Materials: • Portland cement: • Grout Fluidizer: • Water: • Aggregate: • Reinforcing Steel: • Fine aggregate: • High Strength Reinforcing Steel: Mixing and Pumping: • Grout shall be a mixture of Portland cement, fly ash, retarder, fluidizer, sand and water proportioned and mixed to produce a mortar capable of maintaining the solids in suspension without appreciable water gain and which may be pumped without difficulty and fill open voids in the adjacent soils. A design mix with confirming strength test results shall be submitted to the project structural engineer for approval, prior to installation of the piles. • Fluidizer shall be a compound possessing characteristics, which will increase the flow ability of the mixture. • Potable water can be added as necessary, just one time, to replace the fluidifier but no later than 45 minutes after batch time. • If agitated continuously the grout may be held in the mixer for a period not exceeding 2.5 hours at grout temperatures below 70° F (20° C); two hours for temperatures from 70° F to 100° F (20 to 38 °C). Do not place the grout when its temperature exceeds 100 °F (38 °C). • Use a screen no larger than 3/4 inch mesh between the mixer and pump to remove large particles, which might clog the injection system. • Use a grout pump /system capable of developing a displacing pressure at the pump of 350 PSI (2.4 Mpa), equipped with a pressure gauge and counter to accurately monitor the pressure of the grout flow. Test and calibrate the equipment prior the start of each day of production piles. • The concrete pump shall be calibrated on each day of production by counting the number of strokes necessary to fill a 55 gallons drum. The volume of grout per lineal foot of pile shall exceed the theoretical pile volume with a minimum grout factor (i.e. actual grout volume divided by theoretical grout volume) of 1.25. Also calibrate the equipment any time the Engineer suspects that the grout pump performance has changed. Testing Cement Grout: • Make four (4) cubes, 2 by 2 inches each, or 3 -in by 6 -in. cylinders for each 50 yd3 or less grout placed, per day of pile placement. The engineer will test two cubes (cylinders) at seven days and two cubes at 28 days. The minimum required strength would be specified on the plans. When a cement grout acceptance strength test falls more than 10% below the specified minimum strength, whichever is less deviation from the specified minimum strength, perform one of the following: Remove and replace the LOT of concrete in question at no additional cost; Submit a structural analysis performed by a Specialty Engineer. If the results of the analysis indicate adequate strength to serve the intended purpose with adequate durability, the concrete may remain in place. Otherwise, remove and replace the LOT of concrete in question at no additional cost. Pile Installation: • Locate the piles as shown on the drawings. • Provide continuous auger flighting from the auger head to the top of the auger with no gaps or other breaks, uniform in diameter throughout its length, and of the diameter specified for the piles less a maximum of 3 %. Provide augers with a distance between the flights of approximately half the diameter of the auger. • Construct piles of the length and diameter shown of the drawings or on the soil report. • The auger shall rotate during the withdrawal and shall be withdrawn in a steady continuous motion. Grouting shall be performed in a continuos operation during extraction of the auger. The pumping pressure shall be measured and shall be maintained high enough at all times to offset the hydrostatic and lateral earth pressures, and preventing hole collapse. Carry a head of at least 5 feet of grout above the injection point around the perimeter of the auger to displace and remove any loose material from the hole. Maintain positive rotations of the auger at least until placement of the grout. • Once the grout head has been established, reduce the speed of rotation of the auger and commence extraction at a rate consistent with the pump discharge. Maintain extraction at a steady rate to prevent a locked -in auger, necking of the pile, or a substantially reduced pile section. Grout should start flowing out of the hole when the cutting head is within 5 feet of the ground surface. Place a total volume of grout of at least 115% of the theoretical volume for each pile. Page 1 of 2 ASTMC150 (type I, II, III, IP, and IS). CRD -C619; Fresh, clean potable; ASTM C404, Size No. 1 or Size No. 2; ASTM A615, Grade 60; ASTM C33; ASTM A722, Type II, Thread Bar Type. • If grout pumping and/or auger retrieval operations are stopped or interrupted (or loss of concrete pressure occurs) at any time during the formation of a given pile, the borehole is to be re- augered and the pile formed anew. • If the concrete level in any piles drops, the pile shall be rejected and replaced. However, some subsidence of fresh grout may occur in the top of the piles. We anticipate that subsidence will occur within a period of approximately two hours following the grouting operation. If subsidence occurs while the pile grout is in a fluid state, we recommend that the pile be immediately filled with fresh grout to the proper cut -off elevation. A grout subsidence of up to 8 inches shall be considered acceptable. • Piles shall be installed in a sequence so that the grout in adjacent piles have had time to set such adjacent piles are not disturbed. Piles shall not be installed within 4 pile diameters, or 5 feet center to center, of a pile installed within the previous 24 hours. • Furnish and install the reinforcing steel and anchoring bolts as shown in the approved structural drawings. Use reinforcing steel that is without kinks or nonspecified bends, free of mud, oil or other coatings that could adversely affect the bond. The reinforcing steel (cages) should be positioned concentrically within the piles shaft. All the reinforcement steel should be fitted with min. one installation spacer at its lower tip to assure its centering. If there is difficulty in placing the reinforcement steel in any pile, the pile shall be re- drilled and replaced. • If refusal or obstruction is encountered at a given location at depths less than specified in the geotechnical report, the pile shall be abandoned, replaced or predrilled (using appropriate drilling equipment) upon approval of the engineer. Construction Tolerances: • Locate piles as shown on the drawings, or as otherwise directed by the Engineer. Locate pile centers to an accuracy of ±3 inches. • Ensure that the top of pile cut -off elevation is within an accuracy of ±3 inches of the plan elevation. • The vertical alignment of the piling should not deviate from the plumb by more than 'A inch of the post height for a 14- inches pile. Unacceptable Piles: • Repair or replace unacceptable piles, as directed by the engineer. • Unacceptable piles are defined as piles that fail for any reason, including but no limited to the following: Piles placed out of position, piles with reduced cross section, contaminated grout, lack of grout consolidation or deficient grout strength; and piles with reinforcement and other components cast or placed into the fluid grout out of position. Auger Cast Piles Installation Plan: • At the preconstruction conference, but no later than 30 days before auger cast piles construction begins, submit an auger cast pile installation plan for approval by the engineer. • Provide the following detailed information on the plan: - Name and experience record of auger cast pile superintendent or foreman in responsible charge of auger cast pile operations. Place a person in responsible charge of day -to -day auger cast pile operations who possesses satisfactory prior experience constructing shafts similar to those described. List and size of the proposed equipment, including cranes, augers, and concrete pumps including details of proposed pump calibration procedures. Details of pile installation methods. A certified surveying plan with the piles cut -off elevations and a fixed benchmark. Other information shown in the plans or requested by the engineer. Inspection and record: • The engineer will monitor the pile installation. Maintain records of each pile installed showing: Piles ID and location; Drilling time; Pile Penetration; Pile tip elevation; Ground elevation; Pile diameter; Theoretical quantity of grout required; Grouting time; Quantity of grout placed ()td3 ); Grout truck time of arrival to the site and batch time; Slump test results; - All other pertinent data relative to the pile installation. Page 2 of 2 AUGER CAST - IN - PLACE INSTALLATION SPECIFICATIONS STEEL PIN PILES INSTALLATION (DRIVEN PILE FOUNDATIONS) • SPECIFICATION Scope The work under this specification consists of the materials and installation required for the construction of impact and vibratory driven steel foundation piles. Location and Alignment Tolerances The piles shall be driven in the positions shown on the plans or as approved by the Engineer. The maximum tolerances allowed are specified in the drawings. Any pile out of center or plumb beyond the tolerances specified shall be removed and replaced at the Subcontractor's expense. Quality Assurance The driven pile foundation Subcontractor shall be experienced in installing piles similar in material, design, and extent indicated for this project, whose work has resulted in a history of successful in- service performance. Delivery, Storage and Handling The handling, transportation, and storage of piles shall be done in a manner that avoids damage to the piling materials. Loading and unloading of materials could be done by crane, loader, or other appropriate hoisting or lifting equipment. Care shall be taken in order to prevent damage to the surface of galvanized piing. Fabric slings, wood blocking, or other approved method(s) shall be used to support and separate galvanized piling when handling, hauling, or storage. Piing on which the galvanized coating has been damaged shall be replaced or repaired by metalizing in conformance to ASTM A780, or as determined by the engineer. Project Conditions The Subcontractor, generally shall exercise care and protect structures, underground utilities, and other construction from damage cause by pile driving ( for additional information and/or responsibilities of piing contractor see construction contract documents). In addition, the Subcontractor is responsible for evaluating and implementing the information provided in the geotechnical report prepared for the project. Design Modifications Where piles are installed that exceed the specified tolerances for location or plumbness, the foundation design will be analyzed and if necessary redesigned by the Engineer. The costs for analysis, redesign and remediation shall be the responsibility of the Subcontractor. Additional piles and pile modifications necessitated by redesign shall be furnished and installed at no additional cost to the Owner. Submittals Installation Plan: The Subcontractor shall submit a detailed description of the major equipment and construction procedures proposed to Engineer for review. Product data: For each type of pile product, accessory, and paint/galvanization indicated. Shop drawings: Show installation details for piles, including driving points, splices, field -cut holes, etc. Indicate welds by standard AWS Symbols, distinguishing between shop and field welds, and show size, length, and . type of each weld. If required, include arrangement of static pile reaction frame, test and anchor piles, equipment, and instrumentation. Submit structural analysis data signed and sealed by the Professional Engineer responsible for their preparation. If used, submit concrete design mixes, qualification data material test reports, and material certification. Reports: Driving record of each pile, pile location plumbness, welding inspection reports) and static pile test reports (if required). Hammer: Include type, make, maximum rated energy, and rated energy per blow of hammer, weight of striking part of hammer; weight of drive cap; details, type, and structural properties of hammer cushion; and details of follower and jetting equipment (if used). Welding certificates: Qualification of welding procedures, welders, and operators. PRODUCTS: Materials The Contractor shall provide the steel pipe piles with the following specifications: longitudinally welded and seamless steel pipe piles, constant in cross section, 3.5 or 4.0 inches in outside diameter (OD), and conforming to ASTM A500/EN 10219 -1/2 and ASTM 252 Grade 3 (46 ksi). Surface protection is required and is galvanized by the hot -dip method in accordance with ASTM A123/EN ISO 1461. Page 1 of 3 Equipment Pile Hammer: Air, hydraulic, or diesel powered type capable of developing the ultimate pile capacity and penetration indicated considering length and weight of pile and character of subsurface conditions anticipated. If driving with a vibratory hammer, verify pile resistance by driving them with an impact hammer of suitable energy. Hammer Cushions and Driving Caps: Between hammer and top of pile, provide a hammer cushion and steel driving cap recommended by hammer manufacturer for pile type. Leads: use fixed or rigid -type pile driver leads that will hold the full length of the pile firmly I position and in axial alignment with the hammer. Approvals of Equipment All pile driving equipment, methods of driving, and procedures to be used by the Subcontractor shall be approved by the Engineer before any driving is started. Approval of the pile driving equipment will be based on whether the piles can be driving with reasonable effort to the ordered lengths without damage. Prerequisite to such approval, the Subcontractor shall submit to the Engineer the necessary pile driving equipment information for review in a timely manner so as not to disrupt the work and/or affect production schedule. The Subcontractor will be notified of acceptance or rejection of the revised pile driving system within 7 calendar days of the Engineer's receipt of the information. If the Engineer deems that either pile damage or inability to drive the pile to the desired depth will result from the Subcontractor's proposed equipment or methods, the Subcontractor shall modify or replace the proposed methods or equipment or may need to drive test pile(s) at his expense until subsequent analysis by the Engineer indicates that the piles can be reasonably driven to the desired depths without damage. The Engineer will notify the Subcontractor of the acceptance or rejection of the revised pile driving system within 3 calendar days of the receipt of the revised information. During pile driving operations, no changes to the approved equipment will be permitted without the Engineer's written permission. The Engineer will give notification of approval or rejection within seven calendar days of receiving the form. Time required for resubmission and review of a Subcontractor's equipment change request is not a basis for a contract time extension request unless the Engineer does not respond in seven calendar days. EXECUTION General A Registered Professional Land Surveyor or Registered Professional Civil Engineer shall establish initial lines and levels and staking of pile locations prior to pile driving and upon completion shall submit to the Engineer actual pile locations with respect to the planned pile locations and the plumbness of piles. Driving Drive piles as specified with approved pile driving equipment to the required penetration depth and to the required normal pile bearing resistance as shown or specified. Preboring Use auguring, wet -rotary drilling or other methods of preboring only when specified or with written approval by the Engineer, when permitted, prebore holes at pile locations and to the depths shown or directed. Make prebored holes smaller than the diameter or diagonal of the pile cross section, but sufficient to allow penetration of the pile to the specified depth. If subsurface obstruction, such as cobbles, buried debris, boulders or rock layers, are encountered during pile driving, the hole diameter may be increase to the least dimension which is adequate for pile installation. The use of reinforced section (spud) to loosen the subsurface material at pile locations will not be permitted unless otherwise approved by the Engineer. Perform preboring in a manner that will not impair the bearing or lateral capacity of the piles already in place or the safety of existing adjacent structures. When it is determined that preboring has disturbed the load bearing resistances or previously installed piles, restore those piles that have been disturbed to conditions meeting the requirements of this specification by redriving or by other acceptable methods. The Subcontractor shall be responsible for the costs of any necessary remedial measures unless the preboring method was specifically included in the Contract Documents and properly executed by the Subcontractor. Damaged or Defective piles Approval of a pile hammer shall not relieve the Contractor of responsibility for piles damaged from misalignment of the leads, inadequacy of cap block or cushion materials, failure of splices, malfunctioning of the pile hammer or other improper construction methods. In addition, piles driven out of their proper Location, or driven below cut -off elevation, shall be corrected by the Subcontractor, without added compensation by a method approved by the Engineer to be excessive, will not be permitted. Page 2 of 3 Piles damaged durmg installation will -be considered unsatisfactory unless the nominaFbearing resisMnnce is proved by load tests performed by the Subcontractor. If such tests indicate inadequate resistance, take corrective measures, such as the use of damaged piles at reduced resistance, installation of additional piles, strengthening of damaged piles, or replacement of damaged piles or as determined by the Engineer. Cut -off Lengths Cut off the tops of all permanent piles square and smooth at the elevation shown or as directed by the Engineer. All cut -off piles become the property of the Subcontractor. With approval, undamaged cutoffs may be used as pile extensions or welded together to form full length piles. Splices Splicing shall be done in accordance with the following and as per details shown on the plans or provided by the Engineer. The butting ends of the driven pile and its extension shall be cut square to give reasonable bearing between the mating surfaces. The butting surface of the extension piece shall be beveled to facilitate a full penetration butt weld. Back -up rings supplied by the Subcontractor shall be installed symmetrically inside the driven pile and shall be spot welded to the pile. Before welding over previously deposited metal, the slag shall be cleaned off. This requirement shall apply to successive layers, to successive beads, and to the cratered area when welding is resumed after any interruption. Steel pile cutoffs welded together, whether pile extensions or full length, shall not vary from a straight line more than 6 mm in 6 m (1/4 inch in 20 feet) measured along any edge of the pile. Test Piles When specified or required, furnish and drive test piles at the locations and to the lengths directed. All test piles shall be of the kind and size similar to the permanent foundation piles unless otherwise directed. Drive all test piles with approved pile driving equipment. The specified length of test piles will be greater than the estimated length of production piles to provided for variation in soil conditions. Drive test piles using driving equipment identical to that which the Subcontractor proposes to use on the production piling. Drive test piles to or below the required minimum tip elevation and to a hammer blow count established by the Engineer. Allow test piles which do not attain the hammer blow count specified at the minimum tip elevation shown to "set up" for 24 hours, or less if directed, before being redriven. If the tops of test piles reach plan grade without attaining the required pile bearing resistance, splice them and drive until the required bearing resistance or penetration is attained. Perform static load tests on the test piles when specified or required. Conduct static load tests in accordance to ASTM D 1143 (Axial Compressive Static Load Test), ASTM D 3689 (Axial Tension Static. Load Test), and ASTM D 3966 (Lateral Load Test) using the quick load test method to plunging failure or the capacity of the loading system. The above specifications are provided as a guide. The Engineer of Record should modify these specifications to suit the work involved for a particular project and site conditions. Page 3 of 3 /f-5P1/-1 RECEIVED OCT 1 O202 BY: STRUCTURAL CALCULATIONS PROPOSED NEW POOL 9939 NE 13 AVE MIAMI SHORE, FL. ap MIT #: MW SH RES VILLAGE APPROVED BY DATE ZONING STRUCTURAL ELECTRICAL PLUMBING MECHANICAL BLDG. SUMO" M COMPLIANCE WITH ALL FEIERAL • , AND COUNTY RULES AND REGLILATIOW3 Vicente Franco, PE.. LIC. No. 62531 10776 NW 84 LN #5 MIAMI, FL. 33178 1 TABLE OF CONTENT CHECK PILE CAPACITY 1 CHECK PUNCHING SHEAR 2 BOTTOM SLAB 3 SLAB BAND DESIGN 5 CONCRETE WALL 7 Vicente Franco P.E. CHECK PILE CAPACITY POOL POOL HEIGHT: h = 4.5! FT BOTTOM SLAB THICKNESS = 12 IN WALL THICKNESS = 8 IN fc = 5000 PSI fy = 60000 PSI PILE TENSION CAPACITY = COMPRESSION CAPACITY = LATERAL CAPACITY = PILE DIAMETER = PILE SPACING LEFT b1 = PILE SPACING RIGHT b2 = 17,T 50'T 10T 14 IN 2.5 FT 81FT TRIBUTARY WIDTH T1 = , 2.5'iFT TRIBUTARY WIDTH T2 = 8 fT CHECK TENSION CAPACITY: TRIBUTARY AREA = 42.25 SF HYDROSTATIC PRESSURE = 7.436 T DEAD LOAD: SLAB WEGHT = 150 * 12/12 'AREA / 2000 = WALL WEIGHT = 150 * 8/12 * h * (b1 +b2/2) / 2000 = DEAD LOAD = 4.63 T 3.17 T 1.46 T NET UPLIFT = 2.80 T OK < TENSION CAPACITY CHECK COMPRESSION CAPACITY: LIVE LOAD = 6.08 T DEAD LOAD = 4.63 T TOTAL = 10.72 T OK < COMPRESSION CAPACITY Vicente Franco P.E. CHECK PUNCHING SHEAR AT BOTTOM SLAB POOL POOL HEIGHT = 4.5 FT BOTTOM SLAB THICKNESS = 12,IN WALL THICKNESS = 8 IN fc = 5000 PSI STEEL PLATE = 8 IN d= ho = bo 9 IN 21 IN 84 IN CRITICAL AREA PERIMETER REACTION OVER PILE: LIVE LOAD = 6.08 T DEAD LOAD = 4.63 T Vu = 33.7 K CONCRETE SHEAR CAPACITY: 4)Vc = 181.8 K OK > PUNCHING SHEAR OK PILE Title : Dsgnr: Description : Scope : Job 8 Date: 7:53PM, 3 OCT 12 , Rev: 580000 User. KW- 0603515, Ver 5.8.0, 1- Dec -2003 (c)1983 -2003 ENERCALC Engineering Software Multi -Span Concrete Beam Page 1 slab design.ecw:Calculations Description 9839 NE 13 AVE. POOL 12" CONCRETE SLAB General Information Code Ref: ACI 318 Fy f'c 60,000.0 psi 5,000.0 psi Spans Considered Continuous Over Supports ACI Dead Load Factor Stirrup Fy 40,000.0 psi ACI Live Load Factor 1.20 1.60 Description Span Beam Width Beam Depth End Fixity Reinforcing ft in in Center Bar Depth Area Left ear Area Right Bar Area SPAN 1 2.50 12.00 12.00 Free -Pin 0.20in2 9.00in 0.20in2 3.00in 0.201n2 3.00in SPAN 2 8.00 12.00 12.00 Pin -Pin 0.20In2 9.00in 0.20in2 3.00in 0.201n2 3.00in SPAN 3 2.50 12.00 12.00 Pin -Free 0.20in2 9.00in 0.20in2 3.00in 0.20in2 3.O0in SPAN 6 arf-i-oT wr4/16- cA Way Using Live Load This Span?? Dead Load k/ft Live Load k/ft Yes 0.150 0.310 Yes 0.150 0.310 Yes 0.150 0.310 Results Beam OK Beam OK Beam OK Mmax @ Cntr @X= Mn * Phi k -ft ft k -ft Max @ Left End k -ft Mn * Phi k-ft Max @ Right End Mn * Phi Shear G? Left Shear @ Right k -ft k-ft k k Reactions & Deflections DL @ Left k LL @ Left k Total @ Left k DL Right k LL @ Right k Total @ Right k Max Deflection in @X= ft Inertia : Effective in4 Shear Stirrups 0.00 0.00 7.92 0.00 7.92 -2.11 7.92 Bending OK 0.00 1.69 3.30 4.00 7.92 -2.11 7.92 0.00 0.00 7.92 -2.11 7.92 -2.11 0.00 7.92 7.92 Bending OK Bending OK 2.70 1.69 2.70 0.00 0.00 0.97 0.97 0.00 2.01 2.01 0.00 2.99 2.99 0.97 0.97 0.00 2.01 2.01 0.00 2.99 2.99 0.00 0.002 -0.003 0.002 0.00 4.00 2.50 1,728.00 1,728.00 1,728.00 Stirrup Reber Area Spacing @ Left Spacing @ .2 *L Spacing @ .4*L Spacing @ .6*L Spacing n .8*L Spacing @ Right in2 in in in in in in 0.000 Not Req'd Not Req'd Not Req'd Not Req'd Not Req'd Not Req'd 0.000 Not Req'd Not Req'd Not Req'd Not Req'd Not Req'd Not Req'd 0.000 Not Req'd Not Req'd Not Req'd Not Req'd Not Req'd Not Req'd Tide : Dsgnr: Description : Scope: Job # Date: 7:53PM, 3 OCT 12 Rev: 580000 User: KW-0603515, Ver 5.8.0, 1- Dec -2003 (c)1983-2003 ENERCALC Engineering Software Multi -Span Concrete Beam Page 2 slab design.ecw:Calculations Description 9839 NE 13 AVE. POOL 12" CONCRETE SLAB Query Values Location ft 0.00 0.00 0.00 Moment k -ft 0.0 -2.1 -2.1 Shear k 0.0 2.7 1.7 Deflection in 0.0020 0.0000 0.0000 Title : Dsgnr. Description : Scope : Job #? Date: 7:57PM, 3 OCT 12 Rev: 580000 User. KW- 0603515, Ver 5.8.0, 1-Dec-2003 (c)1983-2003 ENERCALC Engineering Software Multi -Span Concrete Beam Page 1 slab band design.eoro:Calculations Description 9939 NE 13 AVE. SLAB BAND DESIGN (12" SLAB) General Information Fy fc 60,000.0 psi 5,000.0 psi Concrete Member Information Description Span Beam Width Beam Depth End Fbdty Reinforcing ft in to Center Bar Ama Left Bar Depth Right Area Bar Dept Loads Using Live Load This Span?? Dead Load klft Live Load k/ft Cale Ref: ACI 318 Spans Considered Continuous Over Supports ACI Dead Load Factor Stirrup Fy 40,000.0 psi ACI Live Load Factor SPAN 1 SPAN 2 SPAN 3 2.50 8.00 2.50 24.00 24.00 24.00 12.00 12.00 12.00 Free-Pin Pin -Pin Pin -Pin 1.55in2 1.55in2 1.55in2 9.00in 9.00in 9.00in 1.55in2 1.55in2 1.55in2 3.00in 3.00in 3.00in 1.55in2 1.55in2 1.55in2 3.00in 3.00in 3.00in 1.20 1.60 r -(14 (c Yes Yes Yes 2.000 2.000 2.000 1.900 1.900 1.900 Results Beam OK Beam OK Beam OK Mmax @ Cntr @X= Mn * Phi Max @ Left End Mn * Phi Max @ Right End Mn * Phi Shear @ Left Shear @ Right k -ft 0.00 21.34 0.00 ft 0.00 3.73 2.50 k -ft 59.25 59.25 59.25 k -ft 0.00 -17.00 -27.69 k -ft 59.25 59.25 59.25 k -ft -17.00 -27.69 0.00 k ft 59.25 59.25 59.25 Bending OK Bending OK Bending OK k 0.00 20.42 17.88 k 13.60 23.10 4.28 Reactions & Deflections DL @ Left LL @ Left Total @ Left DL @ Right LL @ Right Total @ Right Max. Deflection @X= Inertia : Effective Shear Stirrups L k k k k k k in ft in4 0.00 12.51 15.06 0.00 11.88 14.31 0.00 24.39 29.37 12.51 15.06 -1.57 11.88 14.31 -1.49 24.39 29.37 -3.07 0.005 -0.010 0.001 0.00 3.84 0.98 3,456.00 3,456.00 3,456.00 Stirrup Reber Area Spacing @ Left Spacing @ .2 *L Spacing @ .4"L Spacing ,€) .6*L Spacing .8*1_ Spacing @ Right in2 in in in in in in 0.400 Not Req'd Not Req'd Not Req'd Not Req'd Not Req'd Not Req'd 0.400 4.50 Not Req'd Not Req'd Not Req'd 4.50 4.50 0.400 4.50 4.50 Not Req'd Not Req'd Not Req'd Not Req'd Title : Dsgnr: Description : Scope : Job # ? Date: 7:57PM, 3 OCT 12 .r Rev: 580000 User. KW- 0603515, Ver 5.8.0, 1- Dec -2003 (c)1983 -2003 ENERCALC Engineering Software Multi -Span Concrete Beam Page 2 slab band design.ecw:Calculetions Description 9939 NE 13 AVE. SLAB BAND DESIGN (12" SLAB) Query Values Location ft 0.00 0.00 0.00 Moment k -ft 0.0 -17.0 -27.7 Shear k 0.0 20.4 17.9 Deflection in 0.0052 0.0000 0.0000 Title : Job # Dsgnr. Date: 7:58PM, 3 OCT 12 Description : Scope : Code Ref: ACI 318- 1(Rev: 580000 User. KW- 0603515. Ver 5.8.0, 1- Dec -2003 cj1983 -2003 ENERCALC Engineering Software Cantilevered Retaining Wall Design Page 1 cantilevered retaining wail.ecw.Calailations Description 9839 NE 13 AVE. POOL 8" CONCRETE WALL Retained Height = 4.50 ft Wall height above soil = 0.50 ft Slope Behind Wall = 0.00: 1 Height of Soil over Toe = 0.00 in Soil Density = 110.00 pcf Wind on Stem = 0.0 psf Soil Data Allow Soil Bearing = 1,000.0 psf Equivalent Fluid Pressure Method HeeI Active Pressure Toe Active Pressure Passive Pressure Water height over heel FootinglISoil Friction Soil height to ignore for passive pressure = 35.0 = 0.0 = 0.0 = 0.0 ft = 0.300 = 0.00 in Design Summa Total Bearing Load = ...resultant ecc. Soil Pressure @ Toe = Soil Pressure @ Heel = Allowable = Soil Pressure Less Than ACI Factored @ Toe = ACI Factored @ Heel = Footing Shear @ Toe = Footing Shear @ Heel = Allowable = Wall Stability Ratios Overtuming = Sliding = Sliding Cafes Slab Resists All Lateral Sliding Force = Stem Construction 1,408 Ibs 4.28 in 160 psf OK 385 psf OK 1,000 psf Allowable 200 psf 483 psf 3.5 psi OK 2.5 psi OK 93.1 psi 5.27 OK 0.80 UNSTABLE! Sliding 1 529.4 Ibs Footing Design Results 1 Toe Heel Factored Pressure = 200 483 psf Mu' : Upward = 2,856 0 ft-# Mu' : Downward = 2,126 1 ft-# Mu: Design = 730 1 ft-# Actual 1 -Way Shear = 3.48 2.49 psi Allow 1-Way Shear = 93.11 93.11 psi Toe Reinforcing = None Speed HeeI Reinforcing = None Spec'd Key Reinforcing = None Speed Design height Wall Material Above lit" Thickness Reber Size Rebar Spacing Reber Placed at Design Data ft= Footing Strengths & Dimensions fc = 3,000 psi Fy = 60,000 psi Min. As % = 0.0014 Toe Width = 4.50 ft Heel Width = 0.67 Total Footing Width = 5.17 Footing Thickness = 12.00 in Key Width = Key Depth = Key Distance from Toe = Cover @ Top = 3.00 in Top Stem Stem OK 0.00 Concrete 8.00 # 4 12.00 = Center 0.284 602.4 903.7 3,423.0 12.6 93.1 17.09 6.00 96.7 4.00 fb/FB + fa/Fa = Total Force @ Section Ibs = Moment...Actual ft-#= Moment.... Allowable = Shear....Actual psi = Shear....Allowable psi = Bar Develop ABOVE Ht. in = Bar Lap/Hook BELOW Ht. in = Wall Weight Rebar Depth 'd' in = Masonry Data 0.00 in 0.00 in 0.00 ft Btm.= 3.00 in fm psi = Fs psi = Solid Grouting Special Inspection = Modular Ratio 'n' _ Short Term Factor = Equiv. Solid Thick. _ Masonry Block Type = Normal Weight Concrete Data fc Fy psi = 3,000.0 psi = 60,000.0 Other Acceptable Sizes & Spacings Toe: Not req'd, Mu < S * Fr Heel: Not req'd, Mu < S * Fr Key: No key defined Title : Dsgnr: Description : Scope : Code Ref: ACI 318 Rev: 580000 User. KW-0603515, Ver 5.8.0, 1 -Dec -2003 (c)1983 -2003 ENERCALC Engineering Software Cantilevered Retaining Wall Design Description 9839 NE 13 AVE. POOL 8" CONCRETE WALL Job # Date: 7:58PM, 3 OCT 12 Page 2 cantilevered ruining wallecw.Calculations Summary of Overturning & Resisting Forces & Moments 1 Item OVERTURNING Force Distance Moment Ibs ft ft4 Heel Active Pressure = 529.4 1.83 970.5 Toe Active Pressure Surcharge Over Toe = Adjacent Footing Load Added Lateral Load = Load @ Stem Above Soil = SeismicLoad = Total = 529.4 O.T.M. Resisting/Overtuming Ratio 5.27 Vertical Loads used for Soil Pressure = 1,408.0 Ibs Vertical component of active pressure used for soil pressure 970.5 RESISTING Force Distance Ibs ft Soil Over Heel Sloped Soil Over Heel = Surcharge Over Heel = Adjacent Footing Load 1.7 5.17 Moment ft-# 8.5 Axial Dead Load on Stem = 0.00 Soil Over Toe = Surcharge Over Toe = Stem Weight(s) - 483.3 4.83 2,336.1 Earth @ Stem Transitions= Footing Weight = 775.5 2.59 2,004.7 Key Weight = Vert. Component = 147.5 5.17 762.8 Total = 1,408.0 Its R.M = 5,112.1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 191559 Permit Number: EL -8 -12 -1484 Inspection Date: May 16, 2013 Inspector: Devaney, Michael Owner: LLC, BACON 3850 Job Address: 9839 NE 13 Avenue Miami Shores, FL Project: <NONE> Contractor: CPS ELECTRIC, INC. Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132050090500 Phone: 305 -607 -8221 Building Department Comments ELECTRICAL WORK FOR NEW POOL Infractio Passed Comments INSPECTOR COMMENTS False Passed Inspector Comments CREATED AS REINSPECTION over currant switch Conductor .. --= FOR INSP- 176996. Heater breaker is a non not a circuit breaker. = han # 4 have to have color not tape. , n Failed , 0.95 Correction Needed ,0•' /4/67/ Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 May 16, 2013 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 e(31 e l� -E JOB ADDRESS: FBC 20 ,CE. /ED OCT 10 2012 Permit No. �—--.-1 L U Master Permit No. !*i 1" r2_"1`-4 SZ City: Miami Shores County: Miami Dade Zip: .3/3q3 Folio/Parcel #: /1 ®5d 05 -0' 0 q - 0500 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Ow 3 g s� C. Phone #: 505 ?33 .-3 T f Address: ' 1®0 K- 30 40e 5 ©20' City: eel )7/6 State: Zip: :3_3/0 Tenant/Lessee Name: Phone #: Email: ^+ /� CONTRACTOR: Company Name: PS �.�" --, Phone�(�� S �9 o Address: /ban NO e-,PIA City: tgfrkl Qualifier Name: State: � --- Phone #: State Certification or Registration #: E COO / /c) 2— Contact Phone# 30.5-4,6 5-7 0 Email Addr, s A l e i.-f r" DESIGNER: Architect/Engineer: tiG;� °''' Phone #: Zip: 3 a/ /c 5 er irate o4Comp ncy #: P®OO / 7Z 3 3 Value of Work for this Permit: $ 1, f:.0 ape e--- Square/Linear Footage of Work: Type of Work: Address UAlteration few ORepair/Replace ODemolition Description of Work: /h0 PO q L_ ** *******m ******x :****** ********** ** x*** Fees** **+ x****• x+ x**m x: ****** ***** ******** ** *+x**** ** Submittal Fee $ Permit Fee $ Y 45 ea P 0"' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 09•1.4 • Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDmONERS, ETC OWNER'S 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 reinspection fee will be charged. Signature The foregoing ins day of ld 6 , 20 i>,-by who is personally known t e 101 •wne gent ent was ackn_wledged before m As NOTARY PUBLIC: Sign: Print: My Commission Expires: me carts o h. produced BARBARA M DE LA PAZ p VattibtatipPubdctaRtataittlihrida My Comm. Expires May 31, 2016 " . Commission # EE 203790 Signature Contractor The foregoing instru was acknowledged before me this day of 0Q-----0". , 20/ by who is personally known to me or who has produced ntification and who did take an oath. NOTAR Si I;I ILTON RNO#MERO COMN11SS1. N # EE136473 >�1RES: a ,,.. 03 2015 Or1'r� n. N r r Print: My Commission Expires: ** ** * *** *** * *** * * ** **************************************************** ** * * * * * ** ** * * * * * * * ** * **** * * * * ** O x APPROVED BY ��.� �% - l > C7 Plans Examiner Zoning Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Clerk 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. 1c 14g4 Master Permit No. R C • �l " 12 -66 Z BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): 61'739 Address: /V E /3 +h Ave City: MiotMi 6kpYe5 Y1 UJ 3o`fl 41-C. RECEIVED p,UG 0 6.2012 State: FL' Phone#: 9 4 -53 C -3 8°! Zip: 33138 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: .R 1 A.eYA-■A` 617 3G1 AiF;1 ? +h Ave City: Miami Shores County: Miami Dade Zip: 3313-F Folio/Parcel #: Is the Building Historically Designated: Yes , NO CONTRACTOR: Company Name: 1' Address: /4Z-S-2- Flood Zone: Phone #: _3 _- fnei °`K' ` City: � r State: Qualifier Name: `-ew 5 ' /�%� .� — Zip: 3o1C.... Phone#: ;or— 8 zo =12etr State Certification or Registration #: EC- 000 172T Certificate of Competency #: Contact Phone#: 305— Fig- S& E. iail Address: DESIGNER: Architect/Engineer: Value of Work for this Permit: $' / gc' Squar Type of Work: ❑Address UAlteration ❑New Phone#: Footage of Work: ORepair/Replace ❑Demolition Description of Work: El ear t ca 1 P. ******** ** ** *** *** * ** * * * * * * * *** **** **** Fees * * *** ** * * * * * *** ***** ** * * * *:xs *** ****** * *** *** Submittal Fee $ Permit Fee $7 ' !' ®® CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ,Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estir promise in good faith that a copy of the notice of commencement and co whose property is subject to attachment. Also, a certified copy of the reco the first inspection which occurs seven (7) days after the buildin inspection will not b % pproved and a reinspection fee will be charged va ue e ding $2500, the applicant must '11 be delivered to the person ust be posted at the job site of such posted notice, the construe +n lien law brochure ors "d notice of co 'meneem nt ernit is issued. he a sen Signature Signature 0 „ i e" or Age t Contractor The foregoing in `� ment was a wledged before me this The foregoing instrument was acknowledged before me this Z% e+.� � city 20 17., by PP eeYPf- (�,1,,'i� day of-314-4-4 , 24(1!", b �`-�7 day of y 7 who is personally known to me or who has produced who is ersonall y known to me or who has produced �Poti -LM I Lt&'As identification and who did take an oath. as identification and who did take an oath. NOTARY PUB Sign: Print: My Commission Expir Notary Public - State of Florida At, My Comm. Expires Apr 29, 2014 ° °''�.i � ���• Commission # OD 962096 ********************* ***** ************** ********** ** Plans Examiner APPROVED BY Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) NOTARY PUBLIC: Sign: v ,. Print: My, `°' ;ssi attAiirezesta ? °•' n i ' � COMM1 ION # DR849375 •:.`'•• EXPIRES: JAN, 05, 2013 Zoning Clerk Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 176990 Permit Number: PL -8 -12 -1483 Scheduled Inspection Date: May 15, 2013 Inspector: Hernandez, Rafael Owner: LLC, BAGON 3850 Job Address: 9839 NE 13 Avenue Miami Shores, FL Project: <NONE> Contractor: MG EXCELLENCE SERVICE CORPORATION Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132050090500 Phone: (786)247 -7067 Building Department Comments NEW POOL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector C m nts May 14, 2013 For Inspections please call: (305)762 -4949 Page 1 of 45 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: PLUMBING JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: '53139 Folio/Parcel #: // 30-05— 00 9 -03 00 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): ) S (-6.e Phone #: ° O'3 / 33 -3 54 Address: i olop tic 3 0 Adel . S .2 0 0 City: a (v l State: FL Zip: 3 3 /?'d UCH FBC 201 Permit No. 17U ' 3 Master Permit No. f2H Lt 112 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: I CPC / elcce j frti 0 i s c � I J Phone #: �j Address: " ( 0 C � � ( f City: �1 f e.fA / State: l� Qualifier Name: f"t 1 (0A-vn A State Certification or Registration #: C . EC 147_ ?- a tertifickafeompetency #.. Zip:330/V Phone #: Co DE IGNriA'lriitdettinee 1111413 ow 2deiu ti tow a'y . i lsM nI*13 :i,mo7 Va i ` r ofo_r this Permit: $ 1 . Square/Linear Footage of Work: Email Address: 14 "Phone #• Type of Work: ❑Address Description of Work: UAlteration )(New ❑Repair/Replace UDemolition Pool 1 ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * *** * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ .2 7 f i CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ i°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 .osted notice, the inspection will not be approved ' a reinspection fee will be charged. Signature The forego day of l (j , 20 /4; by who is personally known • 4 of 0 • ( 0 i ..... 4 nt 1 ms 1 11 or Agent s acknowledged before me NOTARY PUBLIC: Sign: Print: _ My Commission Expires: / ,f./, ELAPAZ 4n i St e of Florida My Comm. ..E e Commission # EE 203790 Signature tractor The foregoing instrument wa jeknowl: ged before me this /C day of (0 , 20 (0)-7-by OA who is personally known to me or who has ,,p}roduced a.M cation51 il \& Q l o 4 Notary Public - State of Plena 7 My Comm. Expires May 31, 2015 Commission # EE 203790 rrij14 NOTARY Sign: Print: 1-5 a 40 0c My Commission Expires: -0 Slit / Y / G APPROVED BY /f ; /ADO ©l''P1ans Examiner Zoning Structural Review Clerk (Revised3 /12/2012XRevised 07 /10 /07XRevised 06 /10 /2009)(Revised 3/15/09) 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: PLUMBING JOB ADDRESS: City: 3 0-, FBC 20 .r Permit No. '' )4Z5 Master Permit No. r J� Miami Shores County: Miami Dade Zip: 33' / Folio/Parcel #: Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder): Address: ( 9 3 City `' v - -3/-1 State: Tenant/Lessee Name: Email: NO Flood Zone: `5� 2 C Phone#() 3 e $c1- r y r Phone #: Zip: 33/.3 CONTRACTOR: Company Name: ,. ` C C1 ' I P Phone #: (9 2 • ?73 /- Address: t( ,(:' (r , -5-1, OG, d"-e,4 L City: D eiv,i- 4 ( ; t : Zip: 3 33 r Qualifier Name: ' C ( U State Certification or Registration #: Cif(' v 3 'iT �'�, T Certificate of Compe ency : Contact Phone #: s(/ e • ( d C/ ,'N Email Addes : .re e (' C/ 7 0:, ! , q 0 % C 0,-,_, DESIGNER: Architect/Engineer :PGt ki ." -- Phone #: Phone #: �� crQ Value of Work for this Permit: $ %. ®® G ��Sgqu�uare%Linear Footage of Work: Type of Work: OAddress UAlteration New DRepair/Replace Work: UDemolition Description of Work: ,., X r) 1.-e- O© c * * * * **** * ** ** *, * **** * *** ** ** *err** ***** Fees *** ******* **** ** ******* *** *, *** * ** * * * **,r, *** 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 $ 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 ap.roved and a reinspect fee will be charged. Signature The foreg i day o identification and who did take an oath. PUBLIC: Sign: Print: My Commission Exp * * * * * * * * * * * * * * * * ** APPROVED BY Signature The forego' day of ho is 1' lI1SA 11 1 jfl L i erso Contractor ent was ackno led 201 2., by S -1 e e y known to me or who has produc OTARY PUBLIC: Sign: Print: My Co 11 cation and who did take an oath. -1- LA�p'A' State of Florida5 11 " ":. p� ., No Co m. Mites EE 1211810 .;:‘;:h114671:1, a1 Oomtnissih National E Notary assn. ,,, Bonded Throu9 ****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Structural Review (Revised3 /12/2012XRevised 07 /10 /07)(Revised 06 /10 /2009XRevised 3/15/09) * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Clerk Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 179733 tptql.-17,r1 Permit Number: MC -10 -12 -1892 Scheduled Inspection Date: May 15, 2013 Inspector: Perez, JanPierre Owner: LLC, BAGON 3850 Job Address: 9839 NE 13 Avenue Miami Shores, FL Project: <NONE> Contractor: MG EXCELLENCE SERVICE CORPORATION Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Pool Heater Phone Number Parcel Number 1132050090500 Phone: (786)247 -7067 Building Department Comments NEW POOL HEATER Infractio Passed Comments INSPECTOR COMMENTS False 13 Inspector Comments Passed Failed Correction Needed Re- inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 14, 2013 For Inspections please call: (305)762 -4949 Page 6 of 45 A 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) 7624949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): 35150 Phone#: OS33I» - Address: .L2,) itie30 Attie, City: State: Zip: ,33/26 Tenant/Lessee Name: Phonet Email: Permit No. in C-'1 2---1 R9 Z Master Permit No. r;'n JOB ADDRESS: 9D ? /3 City: Miami Shores County: Miami Dade Zip: 33/3 2' Folio/Parcel#: .3) ovq-0504 Is the Building Historically Designated Yes NO Flood Zone: CONTRACTOR: Company Name: Address: 49 0 e- City: 4-CA 43cte ,tkik State: L.■ Zip: 3a01 Qualifier Name: ki lakt,t (04WCA A- Phone#: State Certification or Registration #: k (_l 1 &tool- Certificate of Competency #: Contact Phone*: Email Address: (o solacks corphonet: 1-1-} D IGNER: ArchitectlEngineer: • ,.:••°VP4 1.16 :!p;•.Af'.4" Phonet $ 0 • .0 0 .• • • SqM!re/Ln w Footage Of Work: Type oft Work: 13Acidress DAlteration Description of Work: id.i—EX) -eswY-'.v.'qu'laRepair/Replace ODemolition s.• ***************** * *************************************** Submittal Fee $.". ')., OD 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 $ 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 FI.RCTRICAL 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 curs seven (7) days after the building permit is issued. In the absence of such <osted notice, the inspection will not be appro Signature ), ,. , a reinspection fee will be charged. ' The fo :oing instrument day of (® , 20 / who is personally known to4 Asi NOTARY PUBLIC: Sign: Print: C The foregoing instrument was • ',° -I day of i61 , 20 / -, y tarpRZMAgfillada My Comm. Expires May 31. 2016 Commission # EE 203790 IN IWO ho is personally known to me or who has produced as iden My Commission Expires NOTARY PUBLI Sign: Print: ca leg ` .. .. Pif e—1 who cligtatiAagatA PAZ Notary Public - State of Florida My Comm. Expires May 31.2016 Commission a EE 203790 My Commission Expires: (., c71-0 * * ** **** aye * * **********o * *** **** ** x* *e*x ,** ** * * * ** ** * * *** * *** * * * * ** *** *** *********e *s, *+rea,*,x****+s *a,*+x****** *** APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk Permit Number: DS -2 -13 -360 J Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 193746 Inspection Date: July 12, 2013 Inspector: Bruhn, Norman Owner: LLC, BAGON 3850 Job Address: 9839 NE 13 Avenue Miami Shores, FL Project: <NONE> Contractor: NCR CONSTRUCTION CORP Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050090500 Phone: (954)536 -3897 Building Department Comments NEW PATIO FOR POOL DECK Infractio Passed Comments INSPECTOR COMMENTS False 0 Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 191561. CREATED AS REINSPECTION FOR INSP- 191383. CREATED AS REINSPECTION FOR INSP- 186245. FRONT OF HOUSE MUST BE SODDED OR LANDSCAPED FOR FINAL. Deck must not extend into rear yard setback. NB ,, Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until July 12, 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: BUILDING JOB ADDRESS: 83 3 9" e T L3 74- ,4-' vim' City: FEh3 LA BY: C 20 Permit No. kib1 DG Master Permit No. ROOFING Miami Shores Folio/Parcel #: County: Miami Dade Zip: X3/3 g Is the Building Historically Designated: Yes NO ✓r Flood Zone: % OWNER: Name (Fee Simple Titleholder): / 4Gc.J% 3 3' L-L-C_ Phone #: -30-r- 33 • 4Z9 Address: W3 3 7 / 3 744 1A--1/&-- City: "7/A -A4 l' fi r+--7 State: "L0'L"2:,'4' Zip: 3 3 / ' 83 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: /VG'S '" �/ ®'" J C-0 Phone #: 9-5?-4 53 4. 3 g 417 Address: C .4cc' Se1.7 City: t e-.04-04-1 . State: °fi=r -- Zip: -3027 Qualifier Name: 4-40 /� 9 / • r2O °' „ :6"-' � Phone #: 9'S-41. -S--.3 6, 3 g 97 State Certification or Registration #: 2& G f5 -076'8/ Certificate of Competency #: Contact Phone #: `7,17:J 3 6. 3 4:' 9 7 Email Address: "- L1 v4-'41 9294' C ! ° c % DESIGNER: Architect/Engineer: Phone #: d Value of Work for this Permit: $ .,4'__a% 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, .f the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after t building permit is issued. In the absence of such posted notice, the inspection will not . e as , rove, ' n a reinspection fee will b, charged. The foregoing instrument w edged before day of f;C5 ,20/Y,by who is personally known to me or who has produced As identific . tion and Ny,10% dial - an oath. ;`moo, ..��3 ••s X119 �0 401901 >,� •` • . SBj.al: ?.. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY Signature The for day of wh. is ent was.ac rsonally kn 20 as iden NOTAR b tractor " d for °1 Y'G e or who has produced cation and who did take an oath. PUBLIC: . Sign: , Print: My Commissi sv Comm • Y• P• Bonded Through National Notary Assn. Plans Examiner Zoning Structural Review Clerk (Revised 5/2/2012XRevised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 RODRIGUEZ , CARLOS HERNANDO NCR CONSTRUCTION CORP 14835 SW 54TH STREET MIRAMAR FL 33027 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and team 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! cacis.4./6 a CERTXFX ROflRZ CONS DETACH HERE 1,4 1200226...46 THIS DOCUMENT HAS A COLORED BACKGROUND • MICROPRINTING .UNEMApKrpATENTEDpApEp SWEDE FLORIPA: BTJSINESS AND PROFESSIONAL REGULATION PC2.'15* INDUSTRY G SEQ# L12071101568 DATE BATCH NUMBER 07/11/2012 120022646 The GENERAL CONTRACTO Named below IS CERTI Under the provisions of Chapt • Expiration date: AUG 31, 2014r ' KEN LAWSON BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 - 954831 -4000 VALID OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013 DBA: Receipt #:GEENSr i CONTRACTOR (cERT Business Name: NCR CONSTRUCTION CORP Business T ype:GENERAL CONTRACTOR) Owner Name: CARLOS HERNANDO RODRIGUEZ Business Location: 14835 SW 54 STREET MIRAMAR Business Phone: 954 -441 -1028 Business Opened:02 /29/2008 State /County /C a rt/Reg : CGC 15 0 7 6 81 Exemption Code: Rooms Seats Employees Machines Professionals 1 For lending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00.. 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non- regulatory in nature. You must meet all County and/or Municipality planning WHEN VAUDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: NCR CONSTRUCTION CORP 14835 SW 54 ST MIRAMAR, FL 33027 Receipt #30A -11- 00004274 Paid 08/15/2012 27.00 2012 - 2013 /AIR ■f' -@'►A PI. tar f'■ rin►T OP ID: MCAR A`,°�`' °m CERTIFICATE OF LIABILITY INSURANCE �' o7J21/M /13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION 15 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement an this certflcate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 305.442 -9507 Insurance Marketers, Inc. 2800 Douglas Road Suite 712 305.447 -8527 Coral Gables, FL 33134 Evarist Milian, Jr. CONTACT PPS' FAX No. ExN: I INC. No): IC, ADDS: PRODUCER CUSTOMER ID a: NGRCO -1 INSURER(S) AFFORDING COVERAGE NAIC # INSURED NCR Construction Corp. 14835 SW 54th Street Miramar, FL 33027 INSURERA:State National Ins. CO. OCCUR INSURER B : INSURER C: 02105/13 INSURER D : EACH OCCURRENCE INSURER E : DAMAGE ES TO RENTED PREMIS tEa ocaarencel INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCCCEEyD BY PAID CLAIMS. INLTRR TYPE OF INSURANCE INSR WVD POUCY NUMBER (MMDD/YYYY1 (11M1DINYVYY1 LnrrFS A GENERAL X UABIUTY COMMERCIAL GENERAL LIABILITY X OCCUR 0S111434 02105/13 02/05/14 EACH OCCURRENCE $ 1,000,000 DAMAGE ES TO RENTED PREMIS tEa ocaarencel 100 000 $ � CLAIMS -MADE MED EXP (My one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEM_ AGGREGATE UNIT APPLIES PER )---el POLICY n TR+. n LOC PRODUCTS - COMP/OP AGG $ 2,000,000 Emp Ben. $ 0 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per acddent) $ $ $ UMBRELLA UAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION lm AND EMPLOYERS' UABILRY Y/ N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A I WC STATU- OTH- TORY LIMITS ER E.L EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ E.L DISEASE - POLICY UMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Sch ,rime, If mom space is required) General Contractor - Remodeling Coverage is subject to terms,conditions,deductible and excluision as shown in the policies. CERTIFICATE HOLDER I MIAMIS2 Miami Shores Village 9 Building Deparbnent 1 0050 NE 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE oc ACORD 25 (2009 /09) O 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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: BUILDING JOB ADDRESS: 1 v 3 q P6 ! 3 Ave, City: Miami Shores 9 -.°' ih FBC 20 Permit No. Master Permit No. ROOFING County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 0\( 7 t) 1 `C Address: 1 City I cuuLA _s State: Phone #: 1 Zip: Tenant/Lessee Name: Phone #: Email: Company Name: Address: ( City: tkieht-ke', Phone #: t j State: Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Additioonn Description of Work: ( J b 110 2 ❑Alton ONew ORepair/Replace ODemolition j Color thru tile: ***** * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** x. *F es******************************************** / Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ tural Review $ 1 (p1. [ O TOTAL FEE NOW DUE $ yr� I CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ Bonding Company's Name (if applicable) Bonding Company's Address fi 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 occurs seven (7) days , ' er the building permit is issued. In the absence of such posted notice, the inspection will not be a1'proved and a reinspection f; ll be charged. Signature The for going instrume day o who is ged r efore m NOTARY Sign: Print: o me or who has roduced As ' entification and who did take an UBLIC: My Commission Expires. Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ** * * * * * * ** * * * * * * * * * * *, * * ** * ** ** * * ** *** *, * * *** * ** **** * *, *** * * ******** * *** ** ** * * ** * ** ** r***** ** * ** *err ***** APPROVED BY Mk4k'°I�3 Plans Examiner Zoning Structural Review Clerk (Revised 5/2/2012XRevised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09)(Revised 7/10/2007) Permit N. Miami Shores Vinage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT ltig2 Owner's Name (Fee Simple Tie Holder : a_►i r > 5'0 Phone#: ' 3 ya Owner Address: qp 39 ' 3 City: IIti.' 5ko,e State : FL Zip Code: Job Address (Of where work is being done): "r o 15 4k... City: Miami Shores State: Florida Zip Code: 33 1 Contractor's Company Name: Phone #: Address: City: State: Zip Code: Qualifier's Name Lic. Number. Architect/ Engineer of Record Name: Viegit ✓ye 69 Phone #: AS-117(S 56 Addre O City: 1 l :Iii ` % State: 97-1— Zip Code: l . Describe Work: / MMAi 1 hereby certify that the work has been abandoned andlor the contractor /architect is unable or u willing to complete the contract. l hold the Building Official and the Miami Shores armless for all legal involve, ent. Signature ii ,1 Signature AO 4 The foregoing in ;�;ys �., r -,, � «. before me this day of Whoi Contras orAr heel The foregoing instrument was aknowledgad before me la . ` this 56 day of 11_720 by ,�/3 who is IIY known ii�ne or who has produced as indentification. • Indentr'f cation. CLAU IA V. CUBI.LLOS �.,� � P ii • �=,,. r ; Notary Public - State of Florida •;:.; My Comm. Expires Sep 23, 2015 Commission # EE 128810 . yr i► e` '' ov °` °o' Bonded Through National Notary Assn. Notary Pu bit State of Florida 00 0 Sanchez My Commission EE043995 ExD! 9s 12/05/2014