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BPP-10-1442Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 410 NE 94 Street Miami Shores, FL 33138- 1132060140360 Block: Lot: GREGORY & CHAE HAILE 1 Owner Information Address Phone Cell GREGORY & CHAE HAILE 410 NE 94 Street MIAMI SHORES FL 33138 -2846 1 Contractor(s) DOT CONSTRUCTION CORP Phone Cell Phone (786)295 -0499 Valuation: Total Sq Feet: $ 20,000.00 1021 1 Approved: No Comments: POOL DECK MUST BE NOT LESS THAN 5 FEET FROM REAR LOT LINE. Date Approved: : No Date Denied: 8/13/2010 Type of Work: Swimming Pool Additional Info: Classification: Residential Occupancy: Private Bond Retum : Scanning: 4 Fees Due Bond Type - Contractors Bond CCF CO /CC Fee Education Surcharge Permit Fee Plan Review Fee (Engineer) Scanning Fee Technology Fee Total: , Amount $300.00 $12.00 $150.00 $4.00 $600.00 $60.00 $12.00 $16.00 $1,154.00 Pay Date Pay Type Invoice # BPP -8 -10 -38661 09/17/2010 Cash 08/11/2010 Cash Bond #: 1991 Amt Paid Amt Due $ 1,004.00 $ 150.00 $ 150.00 $ 0.00 Available Inspections: Inspection Type: Fence Final Pool Deck Wall Steel In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. September 17, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date September 17, 2010 1 • 4 61410eakb Miami Shores Village R rak Building Department " AUG 1 1 2010 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 8 Y: ° e m e o a _ Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit No. vP T-10 - 149 Z_ Master Permit No. Permit Type: BUILDING �L// C OWNER: Name (Fee Simple Titleholder): CM / ., C / /� Phone#: 3 d g �.3 ` 8i7 Address: .910 g Sf' City: / a 4-ii efr State: Tenant/Lessee Name: Zip: 33 %Il Phone#: {� Email: JOB ADDRESS: q/ti E q4fr III- City: Miami Shores County: Miami Dade Folio/Parcel #: /9 12- ( 4 /q• /13 (c-j Is the Building Historiadly Designated: Yes NO 17 Zip: 73/i/ / Flood Zone: f'6) CONTRACTOR Company Name: od f 6", t 'I )t & t/ - - Phone #: / d G'' 619 Address: 93 /1 S Gt) r ter/4- City: 6'� ''�� ✓,G/ State: Qualifier Name: ,E C,/-4 YL E J9/' //Ol Phone#: 7,19/ragi—sa 't 9 State Ca lineation or Registration #: C (4 C Certificate orCoinpeteniy #: Contact Phone#: 56t1/"4- Email Address: 19 DESIGNER: Architect/Engineer: ___K C -e/sv/ 4'61A" , e...Q • PE as-.3 /Phone: 3ors 1 i f ' s--‘3 Value of Work for this Permit S (3. ,4)°° • AO Square. ear Footage of Work: 3 > ' ,' 1 GZ /, Type of Work: DAddress ❑Alteration - ' ' 1 ew ORepair/Replace ODemoli 'i on Description of Work: Ped i. eC n 5 Zip: 510 e COLOR THROUGH ROOF TILE LS REQUIRED acknowledged by: ******** * * * * ** * ** **** * * * * *** * ** * * * * ** ** Ii************* ** * * * * **** * * * * * * **A*!* ** * * ** * ** Submittal Fee $ (50.00 Permit Fee $ o/ t516 CCF $ CO /CC $ ��v,^^�� Scanning Fee $ PAL Bond Fee $ DBPR $ Bond $ 3 W -CO Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 60 Q rz-" TOTAL FEE NOW DUE $ f 1,004 CD }Bonding Company's Name (if applicable) Bonding Company's Address City State Zip IVIortgage Lendees 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, BORERS, 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 fast inspection which °emus seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved arnd a ° t s ion fee will be chargca'. Signature Owner or Agent instnunent was edger] before me this,Z7 20 (,by Signature The foregoing day of 7 _111 ral Contractor t was acknowledged before me this ,20 /by who is personally known to me or who has produced who is personally known to me or who has produced As identi ti i and andROMMIttfigE oath. 9 G MY COMMISSION # DD 619936 EXPIRES: December 5, 2010 °` Bonded Thru Budget Notary Services NOTARY C: Sign: Print: My as identification and who did take an oath. NOTARY ' • LI 4 4/ ` , S' Pd 5 6 Print: 4`11i11 Si ! ctrl My U111111— 'at Pt'k ROBERTO SANCHEZ a� c , MY COMMISSION # DD 619936 Hui EXPIRES: December 5, 2010 nom 4. Bonded Thru Budget Notary Services Expires: /27S/2/l0 * * ******** *** a****>] *** ** *** ** * **** b> ***** ** *** **r*************** lve**** *mgr * * *,act+a,A****** * **** * ***** 1rer * * * *r *a APPROVED BY t/I / 01/1° .S�f�"GDGT • Plans Examiner Zoning 9`—!v /6 Structural Review Clerk (Revised 07 /10A67)(Revised 06110 /2009)(Revised 3 /15/09Xnw6/4/10) ALEX SINK CHIEF FINANCIAL. R STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * 09 -07 -2010 CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below h EFFECTIVE DATE: PERSON: FEIN: 10/04/2010 SAMLUT 651104597 BUSINESS NAME AND ADDRESS: DOT CONSTRUCTION INC 9341 SW 82ND TERRACE MIAMI FL 33165 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED GENERAL CONTRACTOR elected to be EXPIRATION exempt from Florida Workers' Compensation law. DATE: 10/03/2012 HECTOR E * IMPORTANT. Pursuant to Chattier 440. 00114), F.3., en o section may net recover benefits or compering scope of the business or trade listed on the e election to be exempt shall be noblest to revocation certificate no longer ,meets the requirements of this named on the certificate to meet the requirements of thi DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 car of a cnrpotetIop who elects 0xemption Moto [tits chaplet by filing a certlticate of election under this er oils tempter. Pursuant to Chapter 440,05(12), F.S., Certiiicales of election to be exempt... ripply only within the exempt. Perused to Chapter 44105(13), F.S., notices 01 electron to be exempt and certificates of after the filing of the notice or the issuance of the certificate, the person named en the notice or al a certificate. The department shall revoke a certificate et any time for Lailore oI the person QUESTIONS? (850) 413 -1609 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT O FINANCIAL. SERVICES DIVISION OF WORKERS COMPENSATION CONSTRUCTI ON INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE 10/04/2010 EXPIRATION DATE: PERSON: HECTOR E SAMLUT FEIN: 651104597 BUSINESS NAME AND ADDRESS: DOT CONSTRUCTION INC 9311 SW 52ND TERRACE MIAMI, Ft 33105 SCOPE OF BUSINESS OR TRADE 1- CERTIFIED OENERAL CONTRACTOR 10/03/2012 IMPORTANT Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who , elects exemption from this chapter by filing a certificate of election 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 Rthe notice of election to be exempt 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 09 -06 Permit No: 10 -1442 Job Name: August 23, 2010 Miami Shores Vi lage Building Depart ent Building Critique Sheet 10050 N.E.2nd '• venue Miami Shores, Florid., 33138 Tel: (305) 7 5.2204 Fax: (305) 7 6.8972 Page 1 of 1 1) Plans must be approved by HRS for the septic system. 2) Corrections for plumbing and zoning must be completed. 3) Provide permit applications for electric, plumbing, and fence. 4) Show method to make double gates at driveway self closing self latching to compl, with pool barrier requirements. Plan review is not complete, when all items above are corrected, we will do a complete pl; n review. If any sheets are voided, remove them from the plans and replace with new revised shee s and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. RC -7 -10 -1212 Issue Date: 8/3/2010 Expires:8 1312010 Folio Number:1132060133400 Owner's Name: JAVIER REYNALDOS Job Address: 246 92 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 150 Total Job Valuation: $ 15,000.00 Contractor(s) Phone Primary Contractor CUSTOM TEN INC (305)932 -3299 Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 9/9/2010 : Yes Comments: NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. 10- y l TAX FOLIO NO. // -124/ d/ ji 3fd STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. BY 1 111111 11111 11111 11111 11111 11111 11111 1111 1111 CF44 201 00575:.566 OR Bit 27398 Ps 2842; Ups) RECORDED 088/225/2010 09:42:17 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE STATE OF FLORIDA, COUNTY OF DADE 1 HEREBY CERTIFY theft's copy (OM. urigioal Sect i County cows r D.c. 1. Legal description of property and street/address: '/J4 4 fi ®t P /# `' 3 9 Zrt t' ,E9 /.z. 3f te.k: / 4/4 row- 91 s# A41 % 5fie 4r A 51/0 2. Description of improvement: PO 121 fi?&. 3. Owner(s) name and address: Cif-ea/5_44V //4��r/'C 4//a / 9 ,mot 12461741A: Aie _f! 7 i Interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address: •I6 4344974/2.4/640,._ 0,._ A-1- f Tit 14/ �": - � c,� � ?,3t 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: r/ 5 &vPZ 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: &_ 1 `L 91_ i /4 a " ;,/4 77/0 3 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differ . •ate,° specifi ir4Or Sign • re • • Print Owner's Name Sworn to and subsc Notary P Print Notary's Name My commission expires' 123.01 -52 PAGE 4 8/02 ROBERT ION 1kS DD61 EXPIRES: December 5, 2010 Prepared by Ciiitie 20 p Address: 9,l 1 /441,14/444: / i ;/ 93 Charlie Crist Governor Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General August 17, 2010 Carlos Ruiz 7109 SW 184 Ct Miami, FL 33175 RE: Contingency Letter Application Document No: AP975262 Centrax Permit Number: 13 -SC- 1272618 OSTDS Number: 410NE94 St Miami, FL 33138 Lot: 11 -12 Block: 51 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 08/11/2010 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. Propose pool is not interfiering with ostds From a review of your completed application, it has been determined your existing system is adequate for the proposed use. If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: Sincerely, Walf o •'• a,_yr� i , Specialist I I Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500 Fax: (305) 623 -3645 Miami Shores Viiiage Building Department RECEIPT 6/qq/faab PERMIT #: ' l 0 )LI � DATE: I, contractor ❑ Owner ❑ Architect 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Picked up 2 sets of plans and (other) `(�' ? -� Address: zi / Q A '' 57— 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: 64%, ///r PERMIT CLERK INITIAL:.. RESUBMITTED DATE: PERMIT CLERK INITIAL: 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Folio Number:1132060140360 Owner's Name: ABELARDO DOCAL Job Address: 410 94 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 1021 Total Job Valuation: $ 20,000.00 Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: No Date Denied: 8/13/2010 Comments: POOL DECK MUST BE NOT LESS THAN 5 FEET FROM REAR LOT LINE. 7.5 FEET MINIMUM DISTANCE TO WATERS EDGE FROM REAR LOT LINE. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name PLUMBING CRITIQUE SHEET ,e4.1"...e ea kwe--/pz)-,e--, e e ffv A/4 TyjA \koi Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 30MY31) FEB 1 4 2011 Permit No. Master Permit No. R PP 1 -% d° B N Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): CiNg-,C.. 7 /X. l Q 1 I Phone #: 7Ir 3 z 3 - `�Z..-3 Address: if id / f 5.--t- City: Pt a. 124,,: Siq J ?`d State: Zip: 331 V Tenant/Lessee Name: I'M Phone #: 7 Ai- 343 Z f2.3 Email: JOB ADDRESS: (fit) N £ q ` City: Miami Shores County: Folio/Parcel #: %/ 72- / 4td 3 id Is the Building Historically Designated: Yes Miami Dade Zip: 33131 NO V Flood Zone: rd Phone #: ?f OF' 6 4( CONTRACTOR: Company Name: d 4;-4711244)610 PNI 41410. Address: ?3'i ,6v STh f a. City: OA, I G:yllfi State: Qualifier Name: /-/ d� t't Zip: YJ /ff Phone #: Z�1' 7'fr- -d i f C p f State Certification or Registration #: Ct' C d4'j2�/ 9 Certificate of Competency #: Ca 0 1P/ t1 Contact Phone #: -ref" -6, Email Address: DESIGNER: Architect/Engineer: ', C/ fAh✓ fl ' "Cry 12. ,E7 /riii Phone #: J/J irr ' 3-13/ Value of Work for this Permit: $ Square/Linear Footage of Work: f//L- ,&-Q Type of Work: ❑Address ❑Alteration UNew ❑?Repair/Replaace Description of Work: ChilVi"J � , fi i ,% II' M %2 /rJ7a- PO'L 1® ❑Demolition , COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: ******** * ** * * * * *** * * ** * * * ** * * * * * * * ** * ** Fees************* * * * * **** ** * * * * ** ** *** * * * ** * * * ** ��1 Permit Fee $ ,;jam CCF $ CO /CC $ toScanning Fee $ ,DO Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ Submittal Fee $4 TOTAL FEE NOW DUE $ k 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 s en (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not ke appro e'' .' a ra nspection fee will be charged. II, Signature Owner or Agent The foregoing instrument was acknowledged before me this 1 day of , 20 /l, 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 Ex.ires: * * * * * ** • l ** APPROVED BY ERIK ROSAARIO Notary Public, State of Florida My corm. expire Dec. 21, 2012 Signature e smirt- Contractor The foregoing instrument was acknowledged before me this IV- day of , 20 !1 , by who is personally known to me or who has produced as identification and who did take an oath. NOT AR LIC: Sign: Print: ` ,p0e Notary Pubh' State of Florida My Commis" I tF res: Roberto Sanchez 'g ` My Commission EE043995 n` os co Expires 12/05/2014 ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10) Plans Examiner Structural Review * * * * * * - * * * ** * ** Zoning Clerk Permit No: 115 i`1441- Job Name /,‘" ,2011 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 � gCriieS et cb Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 rc' 1 8 291 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowleec ge that a new swimming pool, spa or hot tub will be constructed or installed at °l 1' "p J Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346 -91. (Submit Manufacturer's Specifications). A continuous, one -piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non - dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type and location of all non dwelling walls. Florida Building Code, R4101.17.1 Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self - latching device with positive mechanical latching /locking installed a min. 54" above the threshold. If this option is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Code, the pool may not be filled with water without compliance with the Private Swimming Pool Safety Requirements, and upon expiration of the permit, the pool shall be presumed to be unsafe . I understand that not having one of the above installed will constitute a violation of Chapter 515, F.S ., an d will be considered as committing a misdemeanor of the second degree, punishable as provided in Section 775.082 or Section 775.083 F.S . T is form must be signed by the owner /a ent and the prime contractor. / VII ONTRACTOR'S SIGNATURE AND DATE 0 C1-691, -r jit° �• '' ' CTrR'S NAME (PLEASE PRINT) //% /# .ii,; Roberto Sanchez My Commtaeion EE043995 of n Expires 12/08/2014 NER'S SIGNATURE AND DATE Ohre L. H1( 67)// OWNER'S NAME PL :e /go pu Notary Public State of Florida n Roberto Sanchez isoion EE043995 L , • Expires 12/0512014 WIlY1 FEB 1 8 2011 filL BY: ---- ENVIRONMENTAL TEST REPORT For POOL GUARD MANUFACTURING, INC. ON ONE (1) PROTECTIVE MESH FENCING GAR WOOD LABORATORIES, INC. Tel: 562-949-2727 Fax: 562 -949 -8757 January 7, 2008 Since 1954 ENV ON 1 ENTAL TEST q + 0 T ON ONE (1) PROTECTIVE MESH FENCE FOR POOL GUARD MANUFACTURING, INC. 'Report No.: R5052 Rev.: N/C Page 1 of 7 PERFORMED For. POOL GUARD MANUFACTURING, INC. 64381261' Avenue North Largo, FL 33773 PERFORMED By: GARVVOOD LABORATORIES, INC. 7829 Industry Ave. Pico Rivera, CA 90660 Garwood Laboratories, Inc, does hereby certify that all inspection(s) and test(s) have been performed in aco rdanre with the documents referenced herein with exceptions as noted in this report. The results in this report pertain only to the specified equipment tested This report shall not be n produoe4 except in fun, without the written authorization of Garwood Laboratories; Inc Prepared By: R.M. "RICK' CLEM NS, Tec cat Writer -----�� GL Approved By � � I- v 't g� WILLIAM FLOWER, Quality Approved By SCOTT A. MILLER, boratoryManager 17829 Industry Ave. • Pico Rivera, CA 90660 vwww.garwoodiabs.com 1 TeSTING SERVICES SINCE 1854 GARWOOD LABORATORIES, INC. 7829 Industry Ave. Pico Rivera. CA 90860 Tel; (562)949 -2727 Fax: (562)949.8757 ENVIRONMENTAL TEST REPORT REPORT NO.:'" R5052 Page No.: 4 of 7 1.0 PURPOSE 1.1 The purpose of this report is to present the procedures employed and the results obtained, white conducting the specified Environmental Tests of Vertical Loads, and Impact, on one (1) Protective Mesh Fencing, P /N: IN/A, S/N: N/A, submitted by Pool Guard .Manufacturing, Inc. 1.2 The Environmental Tests specified herein were performed in accordance with the references of Para. 2.0 of this report. 2.0 REFERENCES 2.1 ASTM F 2286 -05 ASTM International, Standard Design and Performance Specification for Removable Mesh Fencing for Swimming Pools, Hot Tubs, and Spas 2.2 S.O.W. Pool Guard Manufacturing, Inc., Statement of Work 2.3 ANSIVNCSL 2540 -1 -1994 Calibration Laboratories and Measuring and Test Equipment General Requirements 3.0 SUMMARY 3.1 The Protective Mesh Fencing was subjected to the specified Environmental Tests of `Vertical Load and Impact, with results as noted in the data sheets of Appendix A, and stated in this report. 32 The Protective Mesh Fencing was then returned to Pool Guard Manufacturing, Inc., for further evaluation after testing. TEST4vG SERVICES SINGE 7829 Industry Ave. l3Lt 18SQ GARWOOD LABORATORIES, ;INC. 0 Pico Rivera. CA 90660 Tel: (562)948-2727 Fax (502}949.8757 REPORT NO.: 85052 Page Ito.: 5 of ENVIRONMENTAL TEST REPORT 4.0 TEST CONDITIONS AND EQUIPMENT 4.1 Ambient Conditions: Unless otherwise specified herein, all tests were performed at an atmospheric pressure of 28 ±2.5 inches of mercury absolute, a temperature of 75 ±15 °F, and a relative humidity of 50 ±30 %. 4.2 Instrumentation and Equipment: 4.2.1 Measuring and test equipment, utilized in the performance of these tests, was calibrated in accordance with ANSVNCSL 2540 -1 -1994, by Garwood Laboratories, Inc., or a commercial facility, utilizing reference standards (or interim standards) whose calibrations have been certified as . being traceable to the National Institute of Standards & Technology (MST). All reference standards utilized in the above calibration system are supported by certificates, reports, or data sheets attesting to the date, accuracy, and conditions under which the results furnished were obtained. All subordinate standards, measuring and test equipment are supported by like data, when such Information is essential to achieve the accuracy control required by the procedure. 4.2.2 Garwood Laboratories, Inc., attests that the commercial sources providing calibration services on the above referenced equipment, other than the NIST Standards are in fact capable of performing the required services to the satisfaction of Garwood Laboratories, Inc., Quality Assurance. Certifications of all calibrations performed are retained on file in the Garwood Laboratories, Inc., Quality Assurance Department, and are available for inspection upon request by customer representatives. 4.2.3 The test equipment utilized during this test program is listed on individual Data Sheets, beginning on page number Al of Appendix A of this report. 4.3 Tolerances: 4.3.1 Unless otherwise stated, test conditions were maintained within the tolerances specified in the references of Para. 2.0 of this report. TESTING SERVICES SINS 1914 7829 Industry Ave. ® Pico Rivera, CA 90880 GARWOOD LABORATORIES, INC. Tel: (562)949.2727 REPORT NO.: R5052 Fax ($62)949.8757 Page } o.: 1.2f 7 ENVIRONMENTAL TEST REPORT 5.0 TEST SEQUENCE 5.1 The specified Environmental Test of Vertical Loads, was conducted on December 20, 2007, and December 31, 2007. The specified Environmental Test of Impact was conducted on December 31, 2007. 6.0 TEST METHODS AND RESULTS 6.1 VERTICAL LOAD: (Ref.: ASTM F 2286 -05, IAW Pool Guard, $.0 W.) 6.1.1 One (1) Protective Mesh Fencing Assembly, P /N: N /A, S/N: N/A, was set up, using the Assembly's normal mounting means, and mounting hardware, provided by the customer, and subjected to the Vertical Load Test. See photo(s) of test set up. 6.1.2 With the Fencing secured to it's posts, and with a 1/8" steel wire looped through the mesh fencing at a height of 36" above grade, a Calibrated force gage was then used to apply and measure, the required Vertical Load, at the points noted in Table I, for a duration of one (1) minute. BLE I LOAD DURATION TEST POINT(S) 20 Ibs. 1 min. "A" 20 lbs. 1 min. 5' from "A" 20 Ibs. 1 min. 10' from "A" 20 lbs. 1 min. 15' from "A" 6.1.3 Upon completion of each one (1)‘ minute period, the Fencing was examined. See data sheets. 6.1.4 The Protective Mesh Fencing Assembly completed the Vertical Load Test with a slight (1/4") deformity at the entry points of the steel wire with the mesh fencing. There was no further ` visible evidence of damage or deformation noted due to testing. All pass or fail criteria to be determined by the customer. 6.1.5 The one (1) Protective Mesh Fencing Assembly, P /N: N/A, SIN: N/A, was subjected to and completed the Static Load Test, as conducted by Garwood Laboratories, Inc., in accordance with ASTM F 2286 -05, and Pool Guard Manufacturing, Inc., Statement of Work. G __ ' >_ 4 GARWOOD LABORATORIES, . INC. 7829 Industry Ave. MMI: {s62) M 949 -2 REPORT NO. ' R5052 Pico Rivera. CA 90680 Roc (662)949 -9757 Page;No.: 7 of 7 ENVIRONMENTAL TEST REPORT 62 IMPACT LOAD: (Ref.: ASTM F 2286 -05, IAW Pool Guard, S.O.W.) 6.2.1 One (1) Protective Mesh Fencing Assembly, P /N: N/A, S /N: N /A, was set up, using the Assembly's normal mounting, means, and mounting hardware, provided by the customer, and subjected to the Impact Load Test. See photo(s) of test set up, 6.2.2 A free - falling pendulum, weighing 52 .Ibs., suspended 36" above grade, and positioned 2" from the fencing, while at rest, was used to impact the Mesh Fencing. 6.2.3 With the Fencing secured, the pendulum was then dropped, one (1) time, and allowed to impact the Fencing, at the points noted in Table 11. See data sheets. TABLE I WEIGHT NO. DROPS TEST POINT S 52 lbs. 1 6" from "A" 52 lbs. 1 5' from "A" 52 lbs. 1 10' from "A" 52 lbs. 1 15' from "A" 6.2.4 Following each Impact, the Fencing was examined. See data sheets. 6.2.5 The Protective Mesh Fencing Assembly completed the Impact Load Test with no visible evidence of damage or deterioration noted due to testing. All pass or fail criteria to be determined by the customer. 6.2.6 The one (1) Protective Mesh Fencing Assembly, P /N: N/A, S /N: N/A, was subjected to and completed the Impact Load Test, as conducted by Garwood Laboratories, Inc., in accordance with ASTM F 2286 -05, and Pool Guard Manufacturing, Inc., Statement of Work. 6.3 The Protective Mesh Fencing Assembly was returned to Pool Guard Manufacturing, Inc., for further . evaluation after completion of testing. Garwood Laboratories Inc. "EXCELLENCE BUILT ON INTEGRITY" JOB NO.: 5052 Page No.: A -1 ** *DYNAMICS GENERAL DATA LOG SHEET * ** Customer: Poo! Guard Manufacturing Inc. Date: 12/20/07 Test Title: Vertical Load Test I Witness? N Photos: 1030821 to 25 Test Item: Protective Mesh Fencing for Swimming Pools, Hot Tubs and Spas Quantity: 1 Part/Model: None Serial No(s).: None Specification: ASTM F 2286 -05 Rev: Method/Para: 5.1 DATE TIME AXIS LOG ENTRIES Initials 12/20107 13:00 Installed the plastic sleeves into the asphalt area using a 1 1/8" drill bit. The RWF holes were placed 36" apart based on the pole spacing of the mesh fencing. 12131/07 13:30 The mesh fencing was installed in the test area were the plastic sleeves RWF were previously installed. A 118" steel wire was looped through the mesh fencing at a height of 36" above grade. The steel wire ends were secured at the outer most poles. Used the following force gage to perform the vertical Toad test. RWF GLI NN 0403 - 0-50# Force Gage - Cal Date: 02/23/07 to 02/23108 13:45 Performed the vertical Toad test of 20 lbs. for 1 min at point "A" RWF 13 :47 Performed the vertical loaf test of 20 Ibs. for 1 min at 5' from point °A" RWF 13:49 Performed the vertical load test of 20 Ibs. for 1 min at 10' from point "A" RWF 13:51 Performed the vertical load test of 20 Ibs. for 1 min at 15' from point °A" RWF 1 13:53 Inspected the mesh for any damage from the vertical load test and found RWF slight deformity (less than 114") at the entry points of the steel wire with the mesh fencing. Photos were taken of the test areas. TEST Test Technician(s): est Engineer(s): /11,k El I per Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 162963 Permit Number: BPP -8 -10 -1442 Inspection Date: August 09, 2011 Inspector: Dacquisto, David Owner: HAILE, GREGORY & CHAE Job Address: 410 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: DOT CONSTRUCTION CORP Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132060140360 Phone: (786)295 -0499 Building Department Comments POOL AND SPA CAI(1LOS T(P - Q iS -fly�� Passed Inspector Comments Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. d 140-6/ rf d to ` /,4 For Inspections please call: (305)762 -4949 August 08, 2011 Page 1 of 1 LOCATION MAP N.TS BOUNDARY SURVEY Scale: 1" = 25' N E" 93rd. STREET 22' Parkway LEGAL DESCRIPTION: Lot 11 and 12 , Block 51, MIAMI SHORES SEC 2 , according to the plat thereof as recorded in Plat Book 10, at Page 37, of the Public Records of Miami -Dade County, Florida. Found W Iron Pipe Found W" iron Pipe Found'/" Iron Pipe FOR THE BENEFIT OF: • Chae Haile SURVEYOR'S NOTES: ound 31" F3 ron Pipe 1. The above captioned property was surveyed and described based on the above legal description furnished by client. 2. This certification is only for the lands as described, it is not a certification of Title, Zoning, Easements, or Freedom of Encumbrances, ABSTRACT NOT REVIEWED. 3. There may be additional restrictions not shown on this survey that may be found in the Public Records of this County. Examination of ABSTRACT OF TITLE will have to be made to determine recorded instruments, if any affecting this property. 4. Ownership subject to OPINION OF TITLE. 5. Type of Survey: BOUNDARY SURVEY. 6. Location and identification of utilities on or adjacent to the property were not secured as such information was not requested. 7. Unless otherwise noted, this Firm has not attempted to locate Footings and /or Foundations (underground). 8. This BOUNDARY SURVEY, has been prepared for the exclusive use of the entities named hereon. The Certificate does not extend to any unnamed party. 9. Precision of Closure 1:7500 Suburban Class Survey. 15.»0 T» Concrete Slab Pump Pool _ 14.00' I1 Porch Brick One Story Building No. 410 Lot -11 -12 Block - 51 16.10 8.00' 1r 11.65' 4' Concrete Block Wall ELEVATIONS NOTE: (IF REQUESTED AND SHOWN). 1. ) 0.00' Indicates existing Elevations. 2. ) Elevations are referred to the National Geodetic Vertical Datum 1929. Found W' Iron Pipe FLOOD ZONE INFORMATION: PROPERTY ADDRESS: 410 NE94thSTREET, MAW , FLORIDA 33138 COMMUNITY NAME: MIAMI SHORES, VILLAGE OF 120652 BENCHMARK INFORMATION 4 SUFFIX: BENCHMARK: DESCRIPTION: L N -603 -R PK NAIL AND BRASS WASHER IN CONCRETE SIDEWALK AT NORTHEAST CORNER OF FLOOD ZONE BASE FLOOD ELEVATION: ELEVATION: LOCATION: X 8.06' NE 96 ST — 36' NORTH OF C/L NE6 AVE — 44' EAST OFC/L COMMUNITY MAP: 12086C MAP REVISED: 09-11 -2009 SHEET: 1 OF 1 SHEET(S) DATE: 08-04 -11 PROD. No: 110094 PANEL NUMBER: 0302 DESIGNED BY: DRAWN BY: M. Gonzalez CHECKED BY: Jose M. Rives %rat F• 1 " -25' LAUD SURVEYORS • Llano PLR1111ERS CERTIFICATION: 7725 S.W.129TTH COURT Miami, Florida 33183 THIS NO A 9 ORIGIN AT SURVEYOR'S PRESENT emu: Ate.' = i LlJL' REVISIONS: DATE: JOSE M. RIVES Jr. P.S.M. No. 8885 • L.B. No. 7838 PHONE: (786) 486 -8088 FAX: (305) 382 -4334 FOR ' E FIRM JOSE M. RIVES Jr. PS:I17I No. 6685 STATE OF FLORIDA Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP- 162963 Permit Number: BPP -8 -10 -1442 Inspection Date: August 09, 2011 Inspector: Dacquisto, David Owner: HAILE, GREGORY & CHAE Job Address: 410 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: DOT CONSTRUCTION CORP Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132060140360 Phone: (786)295 -0499 Building Department Comments POOL AND SPA Passed Faile� d� �/� Correction Needed Inspector Co Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. THIS MUST BE JOB A TIME INS PECTIOIti /914(2-1-r `tom August 08, 2011 For Inspections please call: (305)762 -4949 Page 1 of 1 LOCATION MAP N.T.S N.E. 94th. STREET N E STREET 22' Parkway LEGAL DESCRIPTION: Lot 11 and 12 , Block 51, MIAMI SHORES SEC 2 , according to the plat thereof as recorded in Plat Book 10, at Page 37, of the Public Records of Miami -Dade County, Florida. 41 FOR THE BENEFIT OF: • Chae Haile SURVEYOR'S NOTES: 1. The above captioned property was surveyed and described based on the above legal description furnished by client. 2. This certification is only for the lands as described, it is not a certification of Title, Zoning, Easements, or Freedom of Encumbrances, ABSTRACT NOT REVIEWED. 3. There may be additional restrictions not shown on this survey that may be found in the Public Records of this County. Examination of ABSTRACT OF TITLE will have to be made to determine recorded instruments, if any affecting this property. 4. Ownership subject to OPINION OF TITLE. 5. Type of Survey: BOUNDARY SURVEY. 6. Location and identification of utilities on or adjacent to the property were not secured as such information was not requested. 7. Unless otherwise noted, this Firm has not attempted to locate Footings and /or Foundations (underground). 8. This BOUNDARY SURVEY, has been prepared for the exclusive use of the entities named hereon. The Certificate does not extend to any unnamed party. 9. Precision of Closure 1:7500 Suburban Class Survey. ELEVATIONS NOTE: (IF REQUESTED AND SHOWN). 1. ) 0.00' Indicates existing Elevations. 2. ) Elevations are referred to the National Geodetic Vertical Datum 1929. FLOOD ZONE INFORMATION: MIAMI SHORES, VILLAGE OF 120652 PANEL NUMBER: SUFFIX: 0302 L COMMUNITY NAME: COMMUNITY MAP: 12086C MAP REVISED: 09 -11 -2009 SHEET: OF I SHEET(S) DATE: 08 -04-11 FLOOD ZONE: X DESIGNED BY: DRAWN BY: M. Gonzalez CHECKED BY: Jose M. Rives PROJ. No: 110094 SCALE: 1 " -25' Found 32° Iron Pipe Found W Iron Pipe Found W' iron Pipe 15.20' 15.00' Concrete Slab Pump Pool - 14.00' Porch Brick One Story Building No. 410 Lot -11 -12 Block - 51 16.10' 34.20 4' Concrete Block Wall y 100.00' 11.65' Found W' Iran Pipe PROPERTY ADDRESS: 410 NE 94th STREET, MIAMI, FLORIDA 33138 BENCHMARK BENCHMARK: N -603 -R BASE FLOOD ELEVATION: DESCRIPTION: - - - PK NAIL AND BRASS WASHER IN CONCRETE SIDEWALK AT NORTHEAST CORNER OF ELEVATION: LOCATION: 8.06' NE 96 ST— 36' NORTH OFCLL NE 6 AVE — 44' LIVID SURUEBORS • LIIanD PLAnnERS 7725 S.W. 129TH COURT Miami, Florida 33183 THI NOTAV 1:!< NAL SI<. CERTIFICATION: REVISIONS: DATE: BY: JOSE M. RIVES Jr. P.S.M. No. 6685 • L.B. No. 7836 PHONE: (786) 486 -8088 FAX: (305) 3824334 FO ` E FIRM JOSE M. RIVES Jr. PS.M No. 6685 STATE OF FLORIDA = PLAT BOOK = AIR CONDITIONER I, Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 162963 Permit Number: BPP -8 -10 -1442 Inspection Date: August 23, 2011 Inspector: Dacquisto, David Owner: HAILE, GREGORY & CHAE Job Address: 410 NE 94 Street Miami Shores, FL 33138- Project <NONE> Contractor: DOT CONSTRUCTION CORP Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132060140360 Phone: (786)295 -0499 Building Department Comments POOL AND SPA io r*/// Passed Inspector Comments 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 August 23, 2011 Page 1 of 1 LOCAT! ON MAP N.T.S BOUNDARY SJJRVEY Scale: 1" = 25' L �__L N.E. 94th STREET N.E. 93rd. STREET 22' Parkway LEGAL DESCRIPTION: Lot 11 and 12 , Block 51, MIAMI SHORES SEC 2 , according to the plat thereof as recorded in Plat Book 10, at Page 37, of the Public Records of Miami -Dade County, Florida. FOR THE BENEFIT OF: • Cbae Haile AUG 2 :�` 201 SURVEYOR'S NOTES: Found W' Iron Pipe 10.25' 3'4.9 1. The above captioned property was surveyed and describedybesed on the above legal description furnished by client. 2. This certification is only for the lands as described, it is not a certification of Zoning, Easements, or Freedom of Encumbrances, ABSTRACT N 3. There may be additional restrictions not shown on this survey ti, a the Public Records of this County. Examination of ABSTRACT O made to determine recorded Instruments, if any affecting this pro 4. Ownership subject to OPINION OF TITLE. 5. Type of Survey: BOUNDARY SURVEY. war-- 6. Location and identification of utilities on or adjacent to the property wet secured as such information was not requested. 1��1 7. Unless otherwise noted, this Firm has not attempted to locate Footings aid /or Foundations (underground). 8. This BOUNDARY SURVEY, has been prepared for the exclusive use of the entities .� a , ,c named hereon. The Certificate does not extend to any unnamed pare AP 9. Precision of Closure 1:7500 Suburban Class Survey. Miami Shc Concrete Slab —' Pump Pool 70' Porch/ Brick One Story Building No. 410 Lot -11 -12 Block - 51 3 Steps 16.10 ELEVATIONS CTE # °F 0 ' END N9 SHOWN). ,ter 1. ) 0.00' In i V k s I; ill levati n 2. ) Elevations erre ed the Nitional Geodetic Vertical Datum 1929! FLOOD ZONE INFORMATION: COMMUNITYNAME: MIAMI SHORES, VILLAGE OF 120652 COMMUNITY MAP: 12086C MAP REVISED: 09-11 -2009 SHEET: 1 OF 1 SHEET(S) DATE: 08 -04 -11 PROD. No: 110094 PANEL NUMBER: 0302 FLOOD ZONE: X DESIGNED BY: SUFFIX: L BASE FLOOD ELEVATION: Shores Village APPROVED L BY DATE ZONING DEPT BLDG DEPT SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGUI AI IONS PROPER7YADDRESS: 4m NE 9ath STREEG MMMJ, FLORIDA 33.138 BENtIMARK INFORMATION BENCHMARK: N -603 -R ELEVATION: 8.06' DRAWN BY: M. Gonzalez CHECKED BY: Jose M. Rives sous: 1" - 25' Found 3 " Iron Pipe DESCRIPTION: PK NAIL AND BRASS WASHER IN CONCRETE SIDEWALK AT NORTHEAST CORNER OF NE 96 ST — 36' NORTH OF C/L NE 6 AVE — 44' EAST OF C/L i. CERTIFICATION: BY: Lam SURUE+J.ORS • LlnD PLnnnERs 7725 S.W. 129TH COURT Miami, Florida 33183 JOSE M. RIVES Jr. P.S.M. No. 6888 • L.S. No. 7836 PHONE: (786) 486 -8088 FAX: (305) 382 -4334 THIS NOTA VAUD CERTIFICATION WITHOUT THE SURVEYORS ORIGINAL SIGNATURE AND RAISED EMBOSSED SEAL PRESENT LEGEND AND ABBREVIATIONS PG. = PAGE. P.B. = PLAT BOOK N.T.S. = NOT TO SCALE A/C = AIR CONDmONER REVISIONS: DATE: Pool and Deck dimensions 8/14/2011 Miami ELEVATIONS CTE # °F 0 ' END N9 SHOWN). ,ter 1. ) 0.00' In i V k s I; ill levati n 2. ) Elevations erre ed the Nitional Geodetic Vertical Datum 1929! FLOOD ZONE INFORMATION: COMMUNITYNAME: MIAMI SHORES, VILLAGE OF 120652 COMMUNITY MAP: 12086C MAP REVISED: 09-11 -2009 SHEET: 1 OF 1 SHEET(S) DATE: 08 -04 -11 PROD. No: 110094 PANEL NUMBER: 0302 FLOOD ZONE: X DESIGNED BY: SUFFIX: L BASE FLOOD ELEVATION: Shores Village APPROVED L BY DATE ZONING DEPT BLDG DEPT SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGUI AI IONS PROPER7YADDRESS: 4m NE 9ath STREEG MMMJ, FLORIDA 33.138 BENtIMARK INFORMATION BENCHMARK: N -603 -R ELEVATION: 8.06' DRAWN BY: M. Gonzalez CHECKED BY: Jose M. Rives sous: 1" - 25' Found 3 " Iron Pipe DESCRIPTION: PK NAIL AND BRASS WASHER IN CONCRETE SIDEWALK AT NORTHEAST CORNER OF NE 96 ST — 36' NORTH OF C/L NE 6 AVE — 44' EAST OF C/L i. CERTIFICATION: BY: Lam SURUE+J.ORS • LlnD PLnnnERs 7725 S.W. 129TH COURT Miami, Florida 33183 JOSE M. RIVES Jr. P.S.M. No. 6888 • L.S. No. 7836 PHONE: (786) 486 -8088 FAX: (305) 382 -4334 THIS NOTA VAUD CERTIFICATION WITHOUT THE SURVEYORS ORIGINAL SIGNATURE AND RAISED EMBOSSED SEAL PRESENT LEGEND AND ABBREVIATIONS PG. = PAGE. P.B. = PLAT BOOK N.T.S. = NOT TO SCALE A/C = AIR CONDmONER REVISIONS: DATE: Pool and Deck dimensions 8/14/2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 162963 Permit Number: BPP -8 -10 -1442 Inspection Date: August 23, 2011 Inspector: Dacquisto, David Owner: HAILE, GREGORY & CHAE Job Address: 410 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: DOT CONSTRUCTION CORP Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132060140360 Phone: (786)295 -0499 Building Department Comments POOL AND SPA 00 Passed / Inspector Comments 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 August 23, 2011 Page 1 of 1 LOCAT! ON MAP N.T.S BOUNDARY SURVEY • Scale: 1" = 25' N E . 93rd. STREET 22' Parkway LEGAL DESCRIPTION: Lot 11 and 12 , Block 51, MIAMI SHORES SEC 2 , according to the plat thereof as recorded in Plat Book 10, at Page 37, of the Public Records of Miami -Dade County, Florida. FOR THE BENEFIT OF: • Chat Haile Found W Iron Pipe Found W Iron Pipe Found 34" Iron Pipe 161 AUG 2 2U11 SURVEYOR'S NOTES: ��aee°oaooeva000e 1. The above captioned property was surveyed and described based on the above legal description furnished by client. 2. This certification is only for the lands as described, it is not a certification of Title, Zoning, Easements, or Freedom of Encumbrances, ABSTRACT NOT REVIEWED. 3. There may be additional restrictions not shown on this survey that may be found in the Public Records of this County. Examination of ABSTRACT OF TITLE will have to be made to determine recorded instruments, if any affecting this property. 4. Ownership subject to OPINION OF TITLE. 5. Type of Survey: BOUNDARY SURVEY. 6. Location and identification of utilities on or adjacent to the property were not secured as such information was not requested. 7. Unless otherwise noted, this Firm has not attempted to locate Footings and /or Foundations (underground). 8. This BOUNDARY SURVEY, has been prepared for the exclusive use of the e _0'°1 44-L" named hereon. The Certificate does not extend to any unnamed party. Miami Shores Village 9. Precision of Closure 1:7500 Suburban Class Survey. ELEVATIONS NOTE: (IF REQUESTED AND SHOWN). 1. ) 0.00' Indicates existing Elevations. 2. ) Elevations are referred to the National Geodetic Vertical Datum 1929. FLOOD ZONE INFORMATION: COMMUNITY NAME: MIAMI SHORES, VILLAGE OF 120652 COMMUNITY MAP: PANEL NUMBER: 12086C 0302 MAP REVISED: FLOOD ZONE: 09 -11 -2009 X SHEET: DESIGNED BY: ound Iron Pipe 15.20' 15.00' m Concrete Slab Pump Pool 10.25' 3'4.9 14.00' Porch Brick One Story Building No. 410 Lot -11 -12 Block - 51 APPROVED BY DATE ZONING DEPT Illl1•' /�� ' BLDG DEPT SUBJECT TO COMPI IANCF WITH Al I_ FEDERAL STATE AND COON I Y f iufFS AND 10 ;! ILATIONS 100.00' PROPERTY ADDRESS: 410 NE 94th STREET, MIAMI, FLORIDA 33138 BENCHMARK INFORMATION DESCRIPTION: PK NAIL AND BRASS WASHER IN CONCRETE SIDEWALK AT NORTHEAST CORNER OF BASE FLOOD ELEVATION: ELEVATION: LOCATION: 8.06' NE96ST- 36'NORTHOFC/L NE6AVE- 44'EASTOFC/L Lana SURUEHORS • Lana PLannERS CERTIFICATION: 7725 S.W. 129TH COURT Miami, Florida 33183 SUFFIX: BENCHMARK: L N -603 -R 1 DRAWN BY: OFISHEET(s) M. Gonzalez DATE: CHECKED BY: 08 -04-11 Jose M. Rives PROJ. No: grAI F: 110094 1" - 25' 11 L. JOSE M. RIVES Jr. P.S.M. No.6685 • L.B. No.7836 PHONE: (786) 486 -8088 FAX: (305) 382 -4334 BY: E FIRM JOSE M. RIVES Jr. P.S.M No. 6685 STATE OF FLORIDA THIS NOT A VAUD CERTIFICATION WITHOUT THE SURVEYORS ORIGINAL SIGNATURE AND RAISED EMBOSSED SEAT. PRESENT LEGEND AND ABBREVIATIONS PG. = PAGE. P.B. = PLAT BOOK N.T.S. = NOT TO SCALE A/C = AIR CONDITIONER O REVISIONS: Found W Iron Pipe DATE: Pool and Deck dimensions 8/14/2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 149966 Permit Number: BPP -8 -10 -1442 Scheduled Inspection Date: August 30, 2011 Inspector: Bruhn, Norman Owner: HAILE, GREGORY & CHAE Job Address: 410 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: DOT CONSTRUCTION CORP Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060140360 Phone: (786)295 -0499 Building Department Comments POOL AND SPA Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. August 29, 2011 For Inspections please call: (305)762 -4949 Page 1 of 22 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 149966 Permit Number: BPP -8 -10 -1442 Scheduled Inspection Date: August 30, 2011 . Inspector: Bruhn, Norman Owner: HAILE, GREGORY & CHAE Job Address: 410 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: DOT CONSTRUCTION CORP Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060140360 Phone: (786)295 -0499 Building Department Comments POOL AND SPA Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. August 29, 2011 For Inspections please call: (305)762 -4949 Page 1 of 22 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 150689 Permit Number: FW -9 -10 -1568 Scheduled Inspection Date: August 02, 2011 Inspector: Bruhn, Norman Owner: HAILE, GREGORY & CHAE Job Address: 410 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: DOT CONSTRUCTION CORP Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1132060140360 Phone: (786)295 -0499 Building Department Comments GATES FOR FENCE WOOD GATES Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. August 02, 2011 For Inspections please call: (305)762 -4949 Page 2 of 26 1 1 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 410 NE 94 Street Miami Shores, FL 33138- 1132060140360 Block: Lot: GREGORY & CHAE HAILE Owner Information Address Phone Cell GREGORY & CHAE HAILE 410 NE 94 Street MIAMI SHORES FL 33138 -2846 Contractor(s) DOT CONSTRUCTION CORP Phone Cell Phone (786)295 -0499 Valuation: Total Sq Feet: $ 800.00 25 Approved: Yes Comments: SEE POOL PLANS FOR GATE LOCATION Date Approved: 9/1/2010 : Yes Date Denied: Type of Construction: Wood Fence Classification: Residential Additional Info: GATES FOR FENCE Scanning: 1 Fees Due CCF Education Surcharge Permit Fee - Wire & Wood Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $100.00 $3.00 $0.80 $104.60 Pay Date Pay Type Amt Paid Amt Due Invoice # FW -9 -10 -38816 09/24/2010 Cash $ 104.60 $ 0.00 Available Inspections: Inspection Type: Final Foundation 1 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. September 24, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date September 24, 2010 1 Miami Shores Village Building Department 10050 N.E2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit No. Master Permit No. Wr.. FI) BY: FLO 10'1G66 Permit Type: BUILDING ''� X/e&i7 (% (Fee Simple Titleholder): C `e. Phone#:.a , 7 z- ! 9 /-3 Address: 9-le `�✓ 99 ,sf City: ftt ii,. Sid ®f f' P State: Tenant/Lessee Name: Zip: 33/ Phone #: Email: JOB ADDRESS: % C f l 5-7L- City: Miami Shores County: Folio/Parcel #: fir% 3 4,7 /4 4'314 Is the Banding Historically Designated: Yes Miami Dade NO Zip: 1„37 a% Flood Zone: //-1) CONTRACTOR: Company Name: 19 ✓$ & ems Phone #: 7/' .-7J 6 42q Address: ?J1/ rt./ £z st City: ;' , .. _ State: Qualifier Name: rc ' Ia $4,k7-4/17 Phone & State Certification or R #: C 6"C 9-0'7 Certificate of Competency #: r Contact Phone#: e ° p� 2yr '1j 9 1 Email Address: DESIGNER: Architect/Engineer: VI c-e / M't fi, (z3) Phone#: Ya° 36 S fir/ Value of Work for this Permit: $ Ala° AO Square/%eur F of Work: Type of Work: ❑Address ❑Alteration New ❑Repair/Replace ❑Demolition Description of Work: " ' le- CAP - otielP Ca _ _ s COLOR THROUGH ROOF TILE LS' REQUIRED acknowledged by: Submittal Fee $ Permit Fee $ /ice Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ ► A kr2AD 9 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 fast inspection whirdi occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be , ved and a reinspectum fee will be charged. Signature The Owner �a or Agent .he 1 forego was 4. !' ', 1 1 f day of 0 g , 20 !2, by who is personally known to me or who has ROBERTO SANCHEZ * MY COMMISSION # DD Contractor The foregoing instrument was acknowl day of r ,20 JD, by who is personally knownn me or who has as identification and 1 o did take an oath. NOTARY 1 •.! Sign: Print: My Commissi t:.1 pires: * * * * * **** ** **** ,s, ,>b>d**** * * *** ** *** era ****** * ****+ *>b******* * * *** * ** * **** APPROVED BY 7AcJ' Plans Examiner Structural Review (Revised 07 /101W)(Revised O6 /10 /2009)(Revised 3/15109)(rev6/4/10) * ROBERTO SANCHEZ MY COMMISSION # DD 619936 0 Bonded Thru Budget Notary Services * * * * * *,*. * * * * * * * ** Zoning Clerk ita9F.,t,'-m-Z1 CERTIFICATE OF LIABILITY INSURANCE This CiERni> ={GATE Is SITED RI A MATTER INF©RMAT1ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER MS CERTIFICATE Dan NOT Ate, EXTEND OR ALTER THE covE AGE AFFORDED SYITIO POLICES MOW. DA OP ID I mwmuNN >koraris & Reyz01d Inc 14$21 Soutb Dixie Uigbwmy Miami FL 33176 phenai 305 - 238.1000 ka'ax3305- 255 -9643 DOT ccN&�ION CORP T>) 37nt 52 Terrace INSURERS AFFORDING COVERAGE 1N RTR Nautilus Insurance Company INt$URtR C: _ INSURED NAIC # COVERAGES - 1MR polio= OP tN5i1Ht fi ulna CtLOW HAVE BEEN tssum TO THE WSURFP NANEDABDVE FOR THE PDL.ICY PERIOD PIOICATED. NOTWRHSTAWDING ANY F+FOERF1130; -Fuel OR CONDITION OP ANY CONTRACT OR amen OOCUA1NNTWITHIU {.5PECTTOWlUCii7hIBcERTTKGATCM YNEISSUEDOR MAY MOAOi'TIE boicEAITODECRDY M:POLICI SO SCRIXO HEREIN IS SURECT itt ALL THE Mg& ExcilISIONSPRO CoNDITIONSOFSUCH tit A AfELrAli[SS►OWN NAY HAVE OFEN BYMeCLAW ;HAte,,, IHgt�t� ....... GPI It3 k.,. ---- • POLMFYN ihmiet .; V '� 10/24/09 10/24f 0 ^ .. _.....r_. _ , LDNFFS EACH occuR►icraz i 1000900 A GENERAL -1 X _..._�"_ LtANSSM COMMPTICIAL 01.148404.4.1Arift rtY ciA MADE t OCCUR MC822554 PPaf:MiSEs(EavO'IVi? ) x100000 KOECP{Anyoroparson) s 5000 . FERI M*$ADVIWJUgY $3.000000 • . _ _ . >.... __ _ ^_ AaQn1 cAf E LIMIT APPL its rat t aur.. _ . , f Lboc LEUM111 TY ANYAUTO A LOWER ROOS 5aHE LED AUTOS IttfREUAUTOS NON OWNfOWNER JtU I q.9 ARE r& 2000000 0I'N'b mom!. COMPIOP Ma 52000000 AUTOMba I �81NG E LG*1T ._ ... , S ...- ..... , , - �^ ENIONYKRIRY L URY PROPERTY DAMAGE tpe) ..a _...,.*._ -. _. ISANANIE -tl � .»_ �: LIABILITY .. 1 not AUrO AUjOON<Y -rA $ . . EA ACC LTG ONJ MD 1 0 ,__i EXCESS I UM11NELI L tAINLUTY 1 OCCUR Li WADE tAKIOCTINII5 REu- NTU)N 5 EACH OCCURRENCE S s _ _._.. _ , _. —" RODATE. $ 8 -- ..... -- $ Rlik ¢tslyH+E[i6ATIUN AND CMPL0YEIS' uMBlUiY eANY Pfta�{iRTlY1 1C CUl Y t N t U11 4 ttUEOT - _ _ PE3tk 1 s . 1s.` E.L. EACH ACCIDCNT ....� .�. . EL DISEASE • CA MIA - S EL MERGE • PAtCt*utlti $ Commercial App1ica M / Fni.mioNs ADD) BY ENDORSEMENT /VOCAL PR YMONS r-OESCRIPRON OF OPcIAT 11. NS J i CERTIFICATE HOLDER CITY OF MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2 AVENUE MIAMI SHORE , FL 33138 CANCELLATION SHOULD ANY OF THE ABOVE MCCRAW POLICES HE CANCELLED arrow VIE EXPICATIO1 bATg newt*, THE ISSUING >AISt *R NOTICE TO THE CERTWICATE WILDER !eiPODE NO DamlOAI10N OR LIABILITY OP DEPRESENTATIV®. AUTHDr11ZeDtENTATIYE Alejandro Bianco �, GAYS WRITTEN t 1TODOsDSHALL 'T'S AGM'S OR X08=05 -2008 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: PERSON: 10/04/2008 EXPIRATION DATE: 10/04/2010 SAMLUT HECTOR E FEIN: 651104597 BUSINESS NAME AND ADDRESS: DOT CONSTRUCTION INC 9311 SW 52ND TERRACE MIAMI FL 33165 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED GENERAk°CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by ffling a cenificate of election under this section may ad recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(121, 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 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 DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 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 10/04/2008 EXPIRATION DATE: 10/04/2010 PERSON HECTOR E SAMLUT FEIN: 651104597 BUSINESS NAME AND ADDRESS: DOT CONSTRUCTION INC 9311 SW 52ND TERRACE MIAMI, FL 33165 SCOPE OF BUSINESS OR TRADE 1- CERTIFIED GENERAL CONTRACTOR IMPORTANT ®Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05112), 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 he.. 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. H E R E 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 09-06 V B OM i 6. VII II 6n01,E Olidrl DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 SANLUT, HECTOR E DOT1CONSTRUC TON CORPORATION MIAMI FL 33165 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our boxerprofessionals berbeque restaurants, and they p Florida's economy from Every day we wont to improve the way we do business in order to serve you better. For information about our services, please log onto ew.myiioridatieafse.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 Flor lda. and congratulations on your new license) DETACH HERE STA,TE..QF FLORIDA FAR ON STIgnusgan PROFESSIONAL .RE ION OI STRUCCZOIL ;INDUSTRY;- _LICENSING BOA ... SE X88073301159 ... STATE OF Fl.gitroA AC# 3 8 7 0 8 21. DEPARTMENT :0711c. BUSINESS AND `PROFESSIONAL REGULATION CGC4809'- 07/33/08. 080054673 CERTIFIED GENERAL CONTRACTOR SANLUT, HECTOR E DOT CONSTRUCTION CORPORATION I8 .CERTIFIED uu4ex' 8h® provisions Of .ch.489 ra date a AUG _ _31, 2010 LR807 301159; L CEN 07/23/2008 080054673 CQ4 8.(f The GENERAL CONTRACTOR = Named below IS CERTIFIED- Under the-provisions of' Chapter 489 FS Expiration date: AUG 31, 2010 SkifLUT HTOR E T CON .Rt CTI.ON CORPORATION 9a 1: Dam' W�.-`5_ZEfl 'TER FL 33165 DII HARLIE. CRIST CHUCK DRAGO DO NOT FORWARD DOT CONSTRUCTION INC HECTOR E SANUT PRES P 0 BOX 160278 HIALEAH FL 33016 1111 11111!1 111111 11111111111111111111 11111f1111111t1111nli SEE OTHER SIDE Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax (305)756 -8972 Permit NO. FW -9 -1 0 -1568 Issue Date: Not Issued Explres:NOt Issued Folio Number:1132060140360 Owner's Name: GREGORY & CHAE HAILE Job Address: 410 94 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: Total Job Valuation: 25 $ 800.00 Contractor(s) DOT CONSTRUCTION CORP Phone (786)295 -0499 Primary Contractor Yes 1 Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 9/1/2010 : Yes Comments: SEE POOL PLANS FOR GATE LOCATION Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 150687 -Nu 2, Permit Number: EL -9 -10 -1567 Scheduled Inspection Date: August 02, 2011 Inspector: Devaney, Michael Owner: HAILE, GREGORY & CHAE Job Address: 410 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: F JIMENEZ ELECTRICAL CONTRACTOR, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Public Phone Number Parcel Number 1132060140360 Phone: 305/556 -5759 Building Department Comments POOL AND SPA ELECTRICAL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments. 7/./ August 02, 2011 For Inspections please call: (305)762 -4949 Page 1 of 26 1 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 410 NE 94 Street Miami Shores, FL 33138- 1132060140360 Block: Lot: GREGORY & CHAE HAILE i Owner Information Address Phone CeII GREGORY & CHAE HAILE 410 NE 94 Street MIAMI SHORES FL 33138 -2846 Contractor(s) Phone F JIMENEZ ELECTRICAL CONTRACT( 305/556 -5759 CeII Phone Valuation: Total Sq Feet: $ 1,200.00 102 Type of Work: ELECTRICAL FOR POOL AND SPA Additional Info: ELECTRICAL Classification: Residential Scanning: 1 Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $300.00 $3.00 $1.60 $306.20 Pay Date Pay Type Invoice # EL -9 -10 -38815 09/24/2010 Cash Amt Paid Amt Due $ 306.20 $ 0.00 Available Inspections: Inspection Type: Final Light Niche Alarms Bonding In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes: I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. September 24, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date September 24, 2010 1 CERTIFICATE OF LIABILITY INSURANCE PRODUCER (305) 470 -8500 FAX: (305) 470 -0111 Dopazo and Associates 3900 NW 79th Ave Suite 700 Miami INSURED F Jimenez R1ectrial Contractor In 12401 W Okeechobee RD Lot 419 FL 33166 Hialeah] COVERAGES FL 33018 DATE (MM/DD/YYry) 9/7/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON' THE CERTIFICATE HOLDER. EHCOVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC INSURER A: Charter Oak Fire Insurance Co 25615 INSURER 8: INSURER C: INSURER D: INSURER E: HOLDER City of Miami Shores 10032 NE 2nd Avenue Eland Shares, FL 33138 ACORD 25 (2009101) IN5025(2 1).01 V0/170 394god ANCELLAT1ON SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CAW CELLED BEFORE THE EXPIRATION DATE THEREOF, THE iSSulN0 INSURER WILL ENDEAVOR YO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMLO TO THE LEFT, BUT FAILURE YO no so SHALL IMPOSE NO OEUGATtON OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUYH0RIZBD REPRESENTATIVE A Dopazo CIC /AD l p,ssessa " The ACORD name and logo are registered marks Of Of CORPORATION' All rights reserved. 1NO3 10313 Z3N3l'.JIr 3 LLZ05Z890E 0:0T 0I Z /LT /60 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. ANY REQUIREMENT, TERM OR CONDFTION OF ANY CONTRACT OR O'il-ICR DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NOTWITHSTANDING MAY BE ISSUED OR OISUCH eS LTR_INSRE ,CIpDD°I TYPE OF IHSIIRA.Ner POLICY NUMB$R FOUCYEFFECTIVE BATE IMEDDECOI) 9/10 /2010 POLICY EXPIRATION IA` A"^ A GENERAL UAWUIY CDM1N0Itr,IAL GENERAL UABiuTY 860- 431aN411 E supo,y 9/10/2011 LIMITS EACH OCCURRENCE $ 1,000,000 $ 10 F p00, $ 5,000 X P �FSo RE l CLAIMS MADE C OCCUR MED EXP (Any ono parson) PERSONAL & ADV INJURY $ 1, $ 2 $ 2 000 , 000 GEN GENERALAOr3RE3ATE 000,000 000 000 L ACr.RPGATE LIM1Y APPLIES MB: PRODUCTS - OOMP /OP AGO X POLICY PRQ- L00 _ .. AutTONIOEIL,E —I _ UABILJ Y ANY AUTO , ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS —, sol deDWSiNGLE LIMIT BODILY INJURY ) (Per' son) Pel $ .� BODILY INJURY (Per accident) — — ' PROP�EER DAMAGE $ CARACE UABIL' L .71 ANY AUTO AUTO ONLY - EA ACOIDt1Y 1 $ OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCE$B ,7 r UMBI�LLA moony OCCUR 0 CLAIMS MADE DEDUCTIBLE _RETENTION $ T • EACH I OCCURRENCE $ AGGREGATE $ .. WORKERSCOMPEN$ATION AND EMPLOYERS' ANY PROPRIETOR/PARTNERIEXECU OFFICER/MEMBER (M ndetory IT describe SPECIAL PROVISIONS LWBWTY Y! N W STATU• OTH- t+ : I iIV) EXCLUDE61 E.L. EACI f ACCIDENT n NHI under below E.L. DISEASE - EA EMPLOY $ E.L. DISEASE - POLICY LIMIT 5 DESCRIPTION .eetricisn /•CET101"4 OTHER OF OPERATIONS/ LOCATIONS 1 VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS . Y HOLDER City of Miami Shores 10032 NE 2nd Avenue Eland Shares, FL 33138 ACORD 25 (2009101) IN5025(2 1).01 V0/170 394god ANCELLAT1ON SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CAW CELLED BEFORE THE EXPIRATION DATE THEREOF, THE iSSulN0 INSURER WILL ENDEAVOR YO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMLO TO THE LEFT, BUT FAILURE YO no so SHALL IMPOSE NO OEUGATtON OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUYH0RIZBD REPRESENTATIVE A Dopazo CIC /AD l p,ssessa " The ACORD name and logo are registered marks Of Of CORPORATION' All rights reserved. 1NO3 10313 Z3N3l'.JIr 3 LLZ05Z890E 0:0T 0I Z /LT /60 ALEX SINK CNIEP PIAM CIAL OFPfCER e STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW ae CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. 08-18-200s EFFECTIVE DATE: PER$QN: FEIN: 10123/2009 EXPIRATION DATE: 10/2312011 JIMENEZ FRANCISCO 081713934 BUSINESS NAME AND ADDRESS: F.JIMENEZ ELECTRICAL, CONTRACTOR INC 12401 W OKEECHOBEE ROAD LOT 419 HIALEAH GARDENS FL 33010 SCOPES OF BUSINESS OR TRADE: 1- CERTIrXEo ELEcTRkCAL cn rrRA= IMPORTANT: Parsee* to Chapter 440. 00(14), ?.3., o0 officer of s eerparatiao was efaets exemption from tins chapter by !Meg a certificate of election ander Ibis section may we recover betroths or componsotioa odder nfa dopier. Personal to Meter 440.06112), F.S., Certificates of election to be exempt... apply only within the scope of me ersfoess or who listed no the settee of deeded to be exempt. Perenaot to theater 440,06(1*, F.S., Notices of erection to be exempt tad certificates of (Mediae re he exempt shah be subject to revocation if, at nay thee after the fffiuq of the miles or Me lsseetme of the certificate, the person earned ee the notice or cerlitfcaie oa Weyer meets the (ephemeras of *is section far Isomer of a teraficete. The department shaft revoke a certificate 81 soy time for Were of the person named 06 the certificate to meat the ratidfromanttr of tfiia socttOo. QUESTIONS? I86O1 4131609 IWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -00 PLEASE CUT OUT THE CARD BELOW AND. RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DfVM$TQN WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OP ELECTION TQ SE EXEMPT FROM PLOT DA WORKERS' COMPENSATION LAW EFFECTIVE 10/23/2009 EXPIRATION DATE: PERSON FRANCISCO 'JIMENEZ FEB* 081713534 BUSINESS NOME AND ADDRESS: F JIMENEZ ELECTRICAL CONTRACTOR 1 13401 W OKEISC11O9EE ROAD LOT 418 FitAL(SAN GARDENS, FL 33018 SCOPE OF BUSINESS OR TRADE t • CERTiptco F:LECTRICAI, CONTRACTO 10/23/2011 IMPORTANT F Pursuant to chapter 440.05114), F.S. en officer of a corporation who elects exemption from this chapter by filing a certificate of election I. rider this section May not recover beiretits or Compensation tinder this D chapter, H Pursuant to Chapter 440110(12), F.S., Certificates of election to be exempt.,, sooty only within the =Opts tit The Itchiness or trade fitted on Ethe notice of election to be exempt E Pursuant to Chapter 444.05(13 ), F.S.. Notices of election to be exempt and certificates of election to be exempt shell be sub}ect to revocation if, et 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 requ romeRtt of this Section for izstrar*oe t:f a certificate The department shall revoke a certificate et any time for failure of the person named en the certificate to react the requirements of this section. t1UESTIONS? (854} 413 -1609 CUT HERE * Carry bottom portion on the job. keep upper portion for your records. WC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-09 b0 /t0 39tid _WOO 10313 Z3N34VIP J LLZ05Z850E LO:Ot 0TOZ /LT /60 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 JIMENEZ, FRANCISCO F JIMENEZ ELECTRICAL CONTRACTOR INC 12401 WEST OKEECI OBEE ROAD * 419 RTALEI GARDENS FL 33018 Congratulations! With this license you become one of the nearly one minion Floridians li ertsed by the Department of Business and I rofessionat 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. bett For information about our services, please log onto www.m3rftoridalicense.com. There you can find more information about our divisions and the regulations that impact you subscribe to department newsletters and learn mare 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! DETACH HERE .STATE :OF.FLo IDr4 .. '. o `S '. ,RE �46 TIVip!', ::.;; .:.? ; e ..�- ;:.:,. • : r . ...• �. •. 4r1AE.4''''TRICiO':.Mifra LC"1"0R , • a :%a1o:.J' fix. • .1740,0*- 'the :.%*ov oz*.'o Expiration ,date: •.1 G 314 '2t1 J EIxA E I;` .CV CT g2: I1 ' •'�SSr.: t5R ,�CH�BEE'•. RO. , RIALEA % GARD S PL ' 3 311 GOFER 170/60 39 d DISPLAY A s REt tR D BBY LAW 1NO3 10313 Z3N3WIP d LL6056850E L17:0t 0Z06/Lt/60 geAM .Ai c • via.lbli Gan ifr• • ' . • • • LOCAL SU6 s'TAx RCCEipT. . • BEAIN- DAD€•t � :STATE:QF,Ft. DA • . S'1RE$ . SO; .2 1a • •F'11145<iA17#%°#E1►'CO404Tir ompuiPO'E(6 b ;A10' ;• 0 THIS IS NOT A SILL -- DO NOT PAY FSIBTCL1ISS U.S. POSTAGE ft PAO n+ MAIN, te o.. 3806 -2 RENEWAL• ,NAME 1 Loc:A�10N NECEIPT NO. •577553 -6 . • JIMENEZ F• €LECTRICAL CONTRACTOR' STATED EC13002779 INC • 9802 BIRD RD .3316D UNIN DADE .COUK'TY. OWNER 0 JIMENEZ ELEC CONTRACTOR INC • • 8ew•Type of sustnass • WORKERIS 1• 7,6AMCTRICAL CONTRACTOR vtinirr somarezummagsva VIZ lescena WANUARIXcalta t av/is 41o1e of tammifeiromavEzi y rA{TYTA% 09p0y�1/�0042401 00007.5. 0 SEE OTHER SIDE DO NOT FOHWARO JIMENEZ F ELECTRICAL CONTRACTOR INC JIMENEZ PRES 12401 W OKEECHOBEE RD APT 419 HIALEAH GARDENS FL 33018 I JIF11JIIll 04it i /JA1►11i7iiltJel..r hi, ll b2 /E0 30Vd 1N00 10313 Z3N3l If d LLZ05Z850E LV :OT OTOZILT/60 Miami Shores Village Building Department 10050 N.E2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 �, INSPECTION'S PHONE NUMBER: (305) 762.4949 BY: r BUILDING PERMIT APPLICATION FBC20 Permit No. LlP''' t 6" Master Permit No. Cif PIO " 14 t_ Permit Type: Electrical �/ / q OWNER: Name (Fee Simple Titleholder): CX4 C 4 (,l k Phone#: 3e� 3 �� - e (PZ Address:�j,, /6 N> E q �( S City: s "Li &O4./ file ,v--ex State: Tenant/Lessee Name: ft.-O4 Zip: Y/O / Phone#: 1416 Email: m4 JOB ADDRESS: 11//) 9 (e s� tCity: Miami Shores County: Folio/Parcel #: 1/ 3 2-0 ( ,e / 4 3 (d Is the Building Historically Designated: Yes Miami Dade Zip: 3'3 /�/ NO Flood Zone: r"./) %6 C�+- e, Monet 365-- 6-6-6 5-7 cl �...r CONTRACTOR: Company Name: Ole �b�/� ( �� ' •r Address: 12 q0 ® Kee do we t # c114 city: L2t0( QJtft' O6t 4O Bb4 g1 -` to : FC• Qualifier Name: Fe -A0(66 d; 3/7,1 er 1' State Certification or Registration #: 13 U d .? 7 Ce ' Contact Phone#: b45"" SAC 615-/ Email Address: DESIGNER: Architect/Engineer: Zip: ,3 Ole Phone#: rttficate of Competency #`: f2'1 b)�d°t- t ' t 3 61/ S � . »o 1 ��J^' LC dZS3 /Phone#: AP-3 Z J -563 / Vale of Work for this Permit $ 1/ 1--N®- de) Square/Linear Footage of Work: Type of Work: ❑Address ©Alteration Tew ❑Repair/Replace Description of Work: PeeZ PdoZ/s/k /zsf ODemolition *************************************** F************* * * * * * * * * * * * * * * * * * * * * * * * ** * * * * ** Submittal Fee $ Permit Fee $ 747.' -',0°) CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ,",1 • " 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 n which occurs seven () days after the building permit is issued In the absence of such posted notice, the inspection wi n b approved at re nspe 'on fee will be charged. Signature Signature /L Owner or Agent The foregoil instrument was acknowledged before me this -I-= day of 0 ,, 20 /0, by who is personally known to me or who has produced As identification and who did take an oath. 414N ROBERTO SANCHEZ 1 _y 1, MY COMMISSION # DD 619936 EXPIRES: December 5, 2010 Bonded Thru Budget Notary Services APPROVED BY Expires: * * * * * * ** Contra I The foregoing instrument was acknowledged before me this ! D day of oI ,201 ,by who is personally known to me or who has produced as identification and who did take an oath. /0 Plans Examiner Structural Review (Revised o7 /tM 7XRevised 06/1012OO9)(Revised 3/15109) a°`;.' .. °,Be/0 ROBERTO SANCHEZ * MY COMMISSION # DD 619936 EXPIRES: December 5, 2010 Bonded Thru Bud at Nota S ,u ces Zoning Clerk 01-111 06:51 FROM- T -278 P000310003 F -873 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 150683 Scheduled Inspection Date: July 29, 2011 Inspector: Hernandez, Rafael Owner: HAILE, GREGORY & CHAE Job Address: 410 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NOVO & SONS, INC lb -Ik-\t-tz Permit Number: PL- 9 -10 -1 566 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Public Phone Number Parcel Number 1132060140360 Phone: (305)444 -7177 Building Department Comments POOL PIPING POOL AND SPA Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid Inspector Comments P�OL AR4414 71: July 28, 2011 For Inspections please call: (305)762.4949 Page 1 of 5 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 \ Inspection Number. INSP- 150683 Permit Number: PL -9 -10 -1566 Scheduled Inspection Date: July 29, 2011 inspector. Hernandez, Rafael Owner: HAILE, GREGORY & CHAE Job Address: 410 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NOVO & SONS, INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Public Phone Number Parcel Number 1132060140360 Phone: (305)444-1177 Building Department Comments POOL PIPING POOL AND SPA Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee Is paid. Inspector Comments poot__ pa/ MJ4 -2q // July 28, 2011 g•d For Inspections please call: (305)762 -4949 Page 1 of 5 LL98-iZ8 -908 1VNOLLVN2i21NI e9i7 90 1.0 CO .idy STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 NOVO, ROBERTO NOVO & SONS INCORPORATED 4470 SW 2 ST MIAMI FL 33134 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 berbeque 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.myfioridaiiceneccam. 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 ()apartment is: License Efficiently. Regulate Fairly. W 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•. DETACH HERE REGULATION (850) 487-139: STATE OF FLOR'DA DEPARTMENT OF BUSINESS R' PROFES a ZONAL REGl7LATIO: CFC1426337 06/21/10 0904 CERTIFIED PLUMBING CONTRACT NOVO, ROBERTO NOVO s SONS INCORPORA BD IS CERTIFIED uaclar ana provide Ems 0621 ttaisr.nsoa a.ti., 1stfG 31, 2012 STATE OF FLORIDA DTPARTMCONSTRUCTIONEINDUSTRYRLICENSINGLBOARDLATIO SEQ#L10062 i)A7f; BATCH NUMBER LICENSE NBR 06 21 2010 090487585 CFC1426337 The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2012 NOVO, ROBERTO NOVO & SONS INCORPORATED 4470 SW 2 ST MIAMI FL 33134 C GOVERNORISx 312) 3910d CHARLIE LIEM INTERIM SECRETAR. niSPLAY AS REQUIRED BY LAW • Z bS :VT 010Z/91/6g Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 INSPECTION'S PRONE NUMBER: (305) 762.4949 Permit No. R- l0 "° i Master Permit No. %I 0 `R" 9 LIZ BUILDING PERMIT APPLICATION FBC 20 EP 0 )1I1C BY: ,....`"�...:... Permit Type: PLUMBING ' ? OWNER: Name (Fee Simple Titleholder): e Q, /e Phone#: 36J 3z3 - 9/z3 Address: ¥/' City: 41/ State: Tenant/Lessee Name: zip: 3�/tl Phone#: Email: JOB ADDRESS: We /1/.1 ..1 d ft City: Miami Shores County: Folio/Parcel #: 1/ 3 2 a‘ (1/ /3 3 6 i Is the Building Historically Designated: Yes NO Miami Dade Zip: 31(1 Flood Zone: v() CONTRACTOR: Company Name: M® !i t / f-e' .r Phone#: ' 05.4/ "1 '% ). Address: 4( f(N 1_ Pr City: /1'f/A /t'i/ State: p4_ d je / /OA Zip: ,? Z LI Qualifier Name: , O `i ale j%J eva,6 b Phone#d irs o '/ x /// State Certification or Registration #: c F C 3 A Certificate of Competency #: ® c, 04) f ?Y J Contact Phone#: C 1 e75- 3 P3 / P!/ Email Address: DESIGNER: Architect/Engineer: Vie -crit--e 69,01.P-1 ,1"• ,/� .E (2.5 3 Phone#: Value of Work for this Permit: $ 4, 9-.00 . D Type of Work: Address Ca Alteration Description of Work: Pd /i /. Pip; /u �. e tLincur Footage of Work: ❑Repair/Replace PAJL/ s Pte. '6f df' -76:7/ /42. l� ODemolition ** **********c+******** ors * ****+ +e****** ***F ****o *m****** * ******* * * ** ** * ** +********a+a*** Submittal Fee $ Permit Fee $ c2 a ✓`r Scanning Fee $ Radon Fee $ Notary $ Train in' d.cation Fee $ Double Fee $ Structural Review $ CCF $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 3 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, RS, 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 CO MMENCEMENT." 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) , r ; after the building permit is issued In the absence of such posted notice, the inspection will n ; . be , , proved an a ei r specti fee will be charged Signature 11( Signatur C,I Owner or Agent Contractor The ipng instrument was acknowledged te before me this /0 The foregoing instrument was �knowl ged before me this day of f:21 , 20/0, bx , day of . �.., , 20 61 rby e9 who is personally known to me or who has produced who is perso r y known to me or who has produced As identification and who did take an oath. NOTARY '' LIC: Si Print: ROBERTO SANCHEZ MY COMMISSION it DD 619936 EXPIRES: December OF FL° " =' N : udget Notary Services ,�o 0 �1d . s' cry 2 My Co Expires: APPROVED BY Pew - 24/6 as identification and who did take an oath. NOTARY PUBLIC: Si Plans Examiner Structural Review (Revised Cat1O07)(Revisect t 6/1W2009)(Revised 3/15/19) ................. 7 `l 76 Zoning Clerk 1 1 1 Protect Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 410 NE 94 Street Miami Shores, FL 33138- 1132060140360 Block: Lot: GREGORY & CHAE HAILE Owner Information Address Phone Cell GREGORY & CHAE HAILE 410 NE 94 Street MIAMI SHORES FL 33138 -2846 Contractor(s) NOVO & SONS, INC Phone Cell Phone (305)444 -7177 (305)303 -1811 Valuation: Total Sq Feet: $ 1,400.00 102 Type of Work: POOL PIPING POOL SPA Type of Piping: POOL Additional Info: PLUMBING Bond Return : Classification: Residential Scanning: 1 Fees Due CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $225.00 $3.00 $1.60 $231.20 Pay Date Pay Type Amt Paid Amt Due Invoice # PL -9 -10 -38814 09/24/2010 Cash $ 231.20 $ 0.00 Available Inspections: Inspection Type: Final In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. September 24, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date September 24, 2010 1 Rpr 14 10 07:21p Allison Associates Ino 954- 771 -0522 75 AV, 2Opa✓t N.E. 94TH ST. P.4 1.00. • 060000 .000 0.... FLOOD ELEVATION INRORMATTOPt & y a . Eavanionret smark pad lu fj a) Top of tattoo) 1 BacludInpbesemerdor memos) b Tcpof nod legkerRoot o) Bottom onNavat horizontal strodural member (V moos only) (I) Meshed gamM (mpet slab) e Lowest elms= C a ry taandforoqulD! d9erv�ingbd9• f) Lomat Adjacent p) Higbee hilomet dlade( t*) (Rood mall withal 1 RL Mon a acstgrade 4 T o t e d area of RD D #exam (lb)d veetr) in ca MOMS fl aG AM HUMBER +V /A BASE Maim S. NM RIM ZONE cowman /26a? FIRM fNDEll '69 ' PANEL SOFFIX LGEND: O c+.) O 0110(11101 (Oa) e- ANCHOR &GOY o SEr EAl• NON ROO &CAPSA2T8 + WODO POWER POIE (AO. P.P4 CCNCREE POWER POLE (COIF P.P.) • PERMAANN COWEN. FONT Q!C.P.) • O MIER LETER tuaM4 t7 CASET.L(CAM ® TELEPHONE (TBE) +� aALTAL FENCE t+ MUD FAKE EZ ELECTRIC TRANSFORMER PA' OVERHEAD POPS NI CONCRETE ADDENDUM F.BJPB. DATE BY CK'Q LIT SQUARE FEET /4 4/7i SHEET 2 OF 2 SHEETS .. • .. • 00• • • .0 • • .. 0. • • • • • • • .000 • • 0 0 0 0 Apr 14 10 07:21p Allison Associates Inc 954 - 771 -0522 p.3 AA ALLISON ASSOCIATES, INC. Professional Land Surveyors 4570 N.E. 4th Avenue Ft. Lauderdale, FL 33334 Phone (954) 771 -2231 Fox (954) 771.0522 BOUNDARY SURVEY LOTS 11 AND 12, BLOCK 51, "MIAMI SHORES SECTION NO. 2 ", ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 10, PAGE 37, OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. ABBREVIATIONS: ' A AC 01• w "O• 001 pc 010001 w - wna,ewacv UP - MCCAW1 r MI M1BU cm• IMMO wow= mason err 10D CS •CANAJAMIlla Ca 0 COW .CONCREI 00* •COATO1Cw tacetat MC • ••eo COS CAP •COPECIEMaCCD m IWC0MP=OM C as usteooR 4ARIRBNrr .aRRRM• 4A= -WS= COMP 01 .OtAQ4101411R11 Wf040 •DRAWACT4 WM1DY* MAROPPIANC mama Da -DRauROIE SwR EP 40010F 10 01 4.8030011 a .unw*R PP 419001400110 ROW 00011 N 4100101400 WHIM PRa 401140 EP -SAWN ROHR PHI 01141 V •IIPOi; 0 *301 410114 R W COlb O 1 w int .MX Kee 410NI0011w IAA MTH 10I110110E IPS •UM ACCESS MEM IF 409010R002 0 PAWNS I - wma�>wama 009 41020113 10 4011. ACIa MOW 4CCORA010001 NO EN V0109 .DAteI MR NA NA 440tAPPLICASTI Mc 44020 MI 4401101441 IAA 9444SH*CTIAR ACCRpuUe of •COPSU SAS .IRRIR0PWAY HO •01190114 R 30 4100F 0441041111110 @@ ) MOM DOOR � 0R •090 , 41R1T LIME MEOW MO 4ORMU•a K PSC* AEU 11041400141, 8V 410@1LL1 011044 4! • 008 *R0g051 MI 41084 147 STY 40E4 PCP 4112411414004401 TOE 4OPOPSANE MEE POI •r64011Q R W 4 PH ON OM 44110.0461.11 PR {{,00001 RR 411*91 ASIMINi 944 4011010 0CMPOWID URA 440.0Y1060841 F00 OP4014 1140110PI• 1161418 onntrthvareuutal ROC 40INT OY COMMENC0440 *A ®0 NIZOICSIg u4;•�•f. :.TI .9' PC 4C0110900*4w0 N •P00R011 01 40010PREISSI 00444 rr - POUROPTAPwfi11W' C •PR0POITEL • R01 RP .9*014POOR M -Rf00A• RS1 40468tG ADDRESS: 410 N.E. 94TH ST., MIAMI SHORES, FL. CERTIFIED TO: GREGORY A. HAILE & CHAS L. HAILE BERGER SINGERMAN, P.A. CHICAGO TITLE INSURANCE COMPANY • • • • • •• • THIS SURVEY IS PREPARED FOR MORTGAGE AND/OR Till8 PERMITTING ORADDISON* CONSTRUCTION WTI! NEC888301! NOTES: ® LANDS SHOWN HEREON WERE NOT ABSTRACND FOR EASEMENT& OWNERSHIP M D/OR RIGHTS- CP.WAVOF RECORD UNLESS COVED ABOVE WEN COMMITMENT NO. ® AU. EASE&RN13 SHOWN ARE PER RECORD PLAT UNLESS bruereYIS6 NOTED. ® 114E BOUNDARY LINES MOWN HEREON ARE BASED ON 1HE LEGAL DESCRIPTION FURNISHED SYTIE CUENI NO HARMS OP THE PUBLIC REC!?RDS 8Pr ALLISON ASSOC., INC. TO VERIFY OWNED ® BinLDIV0 TIES MI Mr OR RADIAL TO 1HE PROPERTY LS�IB. • UNDERGROUND OR INTERIOR IMPROVEMENTS ARE NOT LOCATED EXCEPT AS NOTED. ® BEARINGS BASED ON RECORD PLAT WITHIN INN DESCRIPTION. ® ALL ELEVATIONS ARE BASED ON N.0.VD. 1929 AND SHOWN MIS FORTHE PARSES SOWED ABOVE. ANY INTENTION TO USE TFE8 SURVEY FOR . INFORMATION 10 BE 00*400BD FROMAUJSON ASSOCV*EB, INC. I HE WITH CO LAST FIELD WORK: 4/131/0 CERTIFY THAT THE SURVEY SHOWN HEREON COMPLIES MINIMUM TECHNICAL STANDARDS FOR SURVEYS AS IN CHAPTER 61017, FLORIDA ADMINISTRATION CODE. ROBERT L. ALLISON PROFESSIONAL LAND SURVEYOR FLORIDA REGISTRATION No. 4278 REPRODUCTIONS OF 1118 Situ ARE NOT VAUD WITHOUT THE SIGNATURE AND DIE ORIGINAL RAISED SEAL OF A ROOM LICENSED SURVEYOR & MAPPER. JOB NO: V•O4e FILE NO: V /0.0 FBJPG: /GCE /57 SHEET 1 OF 2 SHEETS • •• • • • •••• • • •• •• • • • • • • • • • • •• • 0••• ••0• 0• • • • • •• • • • • • • • • • • • •••• • • •••• OPERATION The Safe Pool is designed to sound a loud alert-i#en children enter through a Safe Pool protected do,te. When properly installed, the Safe Pool will and*: adults to pass through the protected door/gate and imMOitely shut off the sounding alarm. When powered, the Safe Pool is always in prOte#101 mode. The alarm will activate the instant when the d. te opens by more than 1 inch (when the magnetic sensors apart by more than 1 Inch). Once the alarm activates, -#*111 sound continuously unfit the BYPASS button is pressed.' When passing through the door/gate from the;s4fikwhere the alarm is mounted. press the BYPASS buttor1:1*Jan Open the door/gate, pass through and close the door/gate within 10 seconds and the alarm will not activate. WhariOassing Through the door/gate from the opposite side, open the door and quickly press the BYPASS button and close door quickly. The unit will re-arm within 7-13 seconds MAINTENANCE _ • 1 When the alarm volume becomes low, Or the does not produce normal alarm sound, the red light williMiltlate, replace the 9-volt battery. The Safe Pool's plastic resists ultraviolet rays from direct sunlight exposure. However, slight discoloration : over time is normal. WARNING! THE SAFE POOL ALARM IS EXTREMELY LOUD WHEN ACTIVATED. FOR YOUR SAFETY, NEVER PLACE THE UNIT CLOSE TO YOUR EARS. TO TEST THE ALARM, ALWAYS USE EAR PROTECTION AND DIRECT THE UNIT AWAY BEFORE TESTING/ACTIVATING THE ALARM. • important Warranty Information A dated proof of purchase is required for warranty service Type SM System is intended to be self-monitored. Customer Service: 1-888-8TECHK0(1-888-883-2456) Monday - Friday 09:00 AM - 4:00 PM Pacific Standard Time support@techicousa.corn Web site: www.techkousa.com Mfg. By TEalieY 9767 Research Drive, Irvine, CA 92618-4626 MADE IN CHINA USI2ATE't4T#S,473.,310 Notice. THIS PRODUCT IS PROTECTED UNDER FEDERAL PATENT TRADEMARK AND COPYRIGHT LAWS AND LAWS PREVENTING uNFAIR COMPETITION. NO DUPLICATION. OR SIMULATION OF THIS PRODUCTS IS PERMITTED EXCEPT BY WRITTEN AUTHORIZATION OF TECHKO; INC. . • ,TECHKO AND THE CONFIGURATION OF THIS PRODUCT ARE TRADEMARKS OF TECHKO INC. COPYRIGHT 1994 TECHKO, ALL RIGHTS RESERVED MADE IN CHINA TECHED Safe POOrm Model S087 Area Entry Alarm INTRODUCTION Congratulations on your purchase of the Techko Safe, Pool model S087 safety alarm. The Safe Pool can be used to provide a high volume alarm alert when children have entered a pool or spa area. The S087 can be used outdoors on wood or metal gates, or indoors on doorways leading directly to potentially dangerous areas. FEATURES Easy installation for gate or door protection *Water / weather resistant 9 Volt battery power (not included) " High output 110 dB alarm siren • One button BYPASS operation " Low Battery LED display IMPORTANT SAFETY TIPS • Alarm siren is VERY loud; NEVER place the unit close to ears • Install the unit high enough to be out of reach of children *Keep this manual for future reference The Safe Pool can provide valuable protection when used correctly. However, it cannot guarantee complete protection against accidents or injuries. Therefore, Techko cannot be held responsible for any loss, damage, or injury that may occur. INSTALLATION.:, WARNING: Read all installation and operation instructions thoroughly before proceeding with installation. Before installing the battery, use a rubber band to temporarily secure the two magnetic sensors together with the arrows pointing toward each other to avoid setting off the alarm unintentionally during the installation of the alarm. INSTALLING THE BATTERY: 1. Remove the battery cover of the unit and install a new 9 Volt battery (See Fig. 1) 2. If you are sensitive to loud sound, please wear ear protection against the loud alarm siren before testing the alarm. 3. Once the battery is connected the unit Is now ON and Working. To test the alarm siren, make sure you have ear protection before testing. After ear protection is in place, separate the magnetic sensors apart by more than 1 inch. The alarm should sound immediately after the sensors are separated. Press the BYPASS button Fig 1 and immediately secure the two magnet sensors together again to avoid the alarm sounding off unintentionally. MOUNTING: WARNING: The alarm should be positioned close to the door high enough to be out of the reach of children. As each mounting application varies, Techko suggests testing the unit's installation location and effectiveness before permanently mounting the S087. REMOVING THE SCREWS AND TAPE FROM THE SENSOR HOUSINGS Mounting screws and double - sided tapes are located inside the sensor housing (See Fig. 5). Using a small flat head screwdriver, gently pry open the recessed sensor spacer of the sensor housing up and remove the screws and double -sided tapes. MOUNTING INDOORS USING DOUBLE -SIDED TAPE Make sure thatthe mounting surfaces for thedouble -sided tapes are completely clean. Attach the double - sidedtapes onto the rearof the unit,and then securethe unit onto the desired mounting surface. MOUNTING INDOORS USING SCREWS Using the provided mounting template printed in this manual, mark the position of the screw holes on the desired mounting surface. Drill the screws onto the mounting surface with approximately 1/8 inch of thread remaining. Slide the unit over the screws and secure the unit by pushing it downward u .rt= MAXRwN DISTANCE Fig 3 Fig 4 as shown in Fig. 2. You may need to adjust the screws towards or`away from the mounting surface to provide a more secure fit. MOUNTING THE SENSORS INDOORS Make sure`that the arrows of each sensor are pointed towards each other:, Using either the double -sided tape or the strews provided, mount the sensors so that they are less than 1 inch away from each other. Please make sure that the wired portion of the magnetic sensor is mounted on the non - moving portion of the mounting surface and the standalone sensor is mounted on the door/gate (See Fig. 3). MOUNTING OUTDOORS ON WOODEN GATES Using the provided mounting template printed in this manual, mark the position of the screw holes on the desired mounting surface. Drill the screws onto the mounting surface with approximately 1/8 inch of thread remaining. Slide the unit over the screws and secure the unit by pushing it downward as shown in Fig. 2. You may need to adjust the screws towards or away from the mounting surface to provide a more secure fit. MOUNrottp OUTDOORS ON METAL GATES Using the`provided nylon wire ties, attach the alarm body to the metal gate frame (See Fig. 4). MOUNTING THE SENSORS OUTDOORS (WOODEN OR METAL GATE$) Break off the tabs on the side of each sensor (See Fig. 5). Make sure' that tha arrows of each sensor are pointed in the same direction as the sensor housing before placing the magnetic sensors inside the sensor housing. Snap the sensor spacers (the two cover -like plastic pieces you pried open to get the double -sided tape and the screws) back into the sensor housing this creates weatherproof protection for the magnetic sensors. Secure the sensors using the nylon wire ties onto the gate frame, make sure that the sensors' arrows are pointed towards each other and that the sensors are less than 1 inch apart (See Fig. 4). Tape & Screws EIREAK Off TAB Located Inside SPACER Sensor Housing Fig 5 ... • • • .... • • • • • • • • • • • .. . -. • • .. •••• Apr 14 10 07121p Allison Associates Inc 254- 771 -0522 p.4 • • .. • • . .. • .... • • • .. .. • 75'0W, 20 f N. E. 94TH ST. /1;;: FWA/fr NE W0Sr FLOOD OVA iON INFORMOOM tuA Devotion referents (nark �d auTopot eotmm tiara dsoluang bosameetorerasure) Top of next MOT flow 0 Bottom of West *MAR Orotund mobs, (Y tons only) Attached MP e) Lowest ei ofanaltm odor a t SorvIdng Oktg. O LarastAdlaoeatftade MR HIOneAdlaciat Made(F3 1( a � ) To a� of a oe n iI4 to Ca MOMS OMORA9d NUMBER ,(I /A HUE A.ODD El. N/A FIPS4ZONE cOMn it /266, FIRM INDEX 'a9 PANEL . MP ` , SUFFIX bU 15• ALLEY LOT 14 0 7• ScALrr I. a SO � LEGEND: ® MANHOLE ( • CM CH e- ANOKA &P,UY o sET Sir ROB ROD S CAP S42T0 -o' COFH2EIE POWER PQE CONC. P.P4 • pERANIENITCONTIitI POINT(P.CBJ • PERMANair RED WONT (PAN ® RdEHYU AHT(EH.) ® w. Mir M3 • CPE ET.tt (CAD.) • T9.EPH01E (TEE) - LeBDUEMI '" WOOD FENCE ® B.ECTRICTfANSFORMER •■+^ oVEAfiEAOPOWER ® CONCRETE ADDENDUM Ed./PD. DATE BY CK'D LOT SQUARE FEET 12,6/71 SHEET 2 OF 2 SHEETS ••• • • • •••• • • • • • • • • • • • • 00 • • 0 • 0• •••• • • •••• Apr 14 10 07:21p Allison Associates Inc • 0• ••• • • • •• • • • ••• • ••• •••• • •••• • • • • • • 954- 771 -0522 p.3 4\ALLISON ASSOCIATES, INC. Professional Land Surveyors 4670 N.E. 4th Avenue Ft. Lauderdale, FL 33334 BOUNDARY SURVEY LOTS 11 AND 12, BLOCK 51, "MIAMI SHORES SECTION NO. 2 ", ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT HOOK 10, PAGE 37, OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. ABBREVIATIONS: ' A -spa AR JlIODNONnisam M .•a7100 wawa PM wagon PV M NI •0•M•q!p acos -maw tiC ICI MORRO !'WW sacipma au -mums alama !a -Noupl l*MAiawr • aNcsallo • CmD aWL MAW CPP •IPAICRAMO RID MOM • •r W russamNOItPW • • -Cala WE ea • • cala amain c011 •comma% as •conailitIDCKBAaa70 cra -cacao am Nana cal -cacao CM •CONCRIU•IKORD ace asacoutormulas DO Ania0008 01 . 1WONNM WO NNWOWMANOM DB •OtmL Y •l0f NO NMMOVINO . •t2 a 41.SU 2N 1* 411161115Coae 1010 WM N •MOOOIWWMW • W 4AEMOtit00l I W •D1Y:RT q 4POISP1 tlPP. TM -ma Ma MICRO IR • OS N W >arlc •I*0MI00• AP u•e •1.01 MAISIROIC1 FAPEMe1T 125 •WTOt0A0CF, PAIMHO IP - 0Wm1R02 UatRa' -MAIRMANCE GM 4RD000YIC2*210* ADDRESS: 410 N.E. 94TH ST., MIAMI CERTIFIED TO GREGORY A. HAILE & CHAE L. HAILE BERGER SINGERMAN, P.A. CHICAGO TITLE INSURANCE COMPANY Phone (964) 771 -2231 Fax `964) 771-0522 Wasala NO +MAWR REM, 4UT*W OOeIC vamALUMW NR 405111 MC Pa 4AWT70YG•AI1 NM •NoRale01g10 01I tO11 alp 4MCIALNOMM WOE 5 *NM OR mtioMa P• .PARE ' RCN - PAIMEOWRGOWN PAY. .92 R PCt •P4NM1 Pacca 101 P0D0 PqM •PERMAPRo Mama MONUMENT PI -PPM Pt -PIN SON P00 i0•AOfC MOM Pal .POORap aamasa PDC 40110200MMTN 0 SHORES, FL. PC •POD00fCMYAWI N -POMP INA EW Pm -maOOf CUEATINER IT - OFTAN081CY PIPA [•�� 2100*• EP MMUS PORN RN MR! CP UM 09 Ralf 8 AR• IT MOW aIC 1E20M 0B 3TRBEI mausolea 002 NIRO& unit 0IW Mato= MERAIXESSEINANON Ea Mat Tot .00P Ma TEO •0WNOW 1R mar ttM1 40WNI4OMH U@ osmosis 01 - N8WPASMNT aft 4.01.0Y EASEMENT AccES ' Otl0 mu*tMPe0owall Rama NM SURVEY IS PREPARED FOR MORTGA1EAND /OR ME PIEPO PERMITTING OR ADDIRONAL CONSTRUCTION WILL N*OSSS TABS NOTES: !ANDS SHOWN HEREON WER9 NOTABBTRACIED FOR EASEMENTS, OWNERSHIP RIGMS- OPAHAY OF RECORD UNLESS SW!D ABOVE WAIN COMMITMENT NC • ® AU. EASEMENTS SHOWN ARE PER RECORD PLAT UNLESS OTHERWISE NOTED. THE BOUNDARY UNES SHOWN HEREON ARE EASED ON 1HE LEGALDE2CRIPTION FURNISHED BY TIM CLIENT: NO SEARCH OPINE 44581IC REC/)RDS BY AW SON ASSOC., INC. 10 VERIFY OWNERSWR ® NAMING TIES ARE 90* OR RADIAL TO THE PROPERTY LBV$. ® UNDERGROUND OR INTERIOR IMPROVEMENIE ARE NOT LOCATED EXCEPT AS NOTED. BEARINGS BASED ON RECORD PLAT WORN DES DESCRIPRON. AU. ELEVATIONS ARE BASED ON N.®1LD. 1929 AND SHOWN 11415 MY FOR TIM PARTRS STATED ABOVE. ANY INTENTION TO USE DOSE VET' FOR . EVOR ATION1O BE OBTAINED PROM AWSONASSOCUVES. INC. DA •' LAST FIELD WORK: 4/13/10 IHE• t WITH CON CERTIFY THAT THE SURVEY SHOWN HEREON COMPUES MINIMUM TECHNICAL STANDARDS FOR SURVEYS AS DIN CHAPTER 61 G1 7, FLORIDA ADMINISTRATION CODE. ROBERT L. ALLISON PROFESSIONAL LAND SURVEYOR FLORIDA REGISTRATION No. 4278 REPRODUCTIONS OF THIS SKETCH ARE NOT VAUD WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEX OF A FLORIDA LICENSED SURVEYOR & MAPPER. JOB NO: IQ•04E FILE NO: 2./0•37 F.B./PG: /21/57 SHEET 1 OF 2 SHEETS Date 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 2//40//4 Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as ,WW' / //i z P 8 lo-39 14m / , located at 4'/ e'`! '941 Sf ei/ 13 kg {Mites 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 CHete. 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 6/fete is/are the fee simple owner(s) of the following described properly situated and beefing in Pang Shores Village, Florida Address: 4/ i W E 9i6 S t' 142ta44 . Effi e.sl 3 3 /x/ Whereas, the undersigned owners) C /riet`e, 4/6b, u /e desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as fdtows: L That the prepeity a not be used in violation of any ordinan=s of kiwi Staves Village or !viand-Dale County now in effect or hereinafter enacted. 11. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pod where the required enclosure is not on the subject property where the pool is located. AI. 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 pod barriers, we, as owners WI immediately install a protective enclosure to meet code requirements and will obtain a pemrit for such fence. fV. That Urwe, as s) hold Mani Shores Wage harmless for any nerffigence er 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 tide to abide by all terms and conditions setfate herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjoyment and tide to the above property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her su ► «:.. - . and assigns and may only be released by Miami Shores Village, or its su�� •;� in accordan of .' illage v in effect (Veci(e 0 R SING & RINT R I Hereby Certify that on this day personally appeared before me CC 1° &`e % t/ k and has produced ID # D / as identification and he/she acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there in expo. SWORN TO AND SUBSCRIBED before me on this / 0 day ot ERY® sly' 9936 4 * * ** a My�p MISSION sly) EXPIRES•.Decembev5201 ee wpdadThr'Bud9etNotaPis tea (Revisers 05/2209 Miami Shores Vtiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming pod, spa or hot tub will be constructed or installed at Wl® _Si Miami Shores, FL, and hereby affirm that are of the Mowing methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346 -91. (SutrnitMaiuteturees 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 conitination of ing was and fences (screen enclosure, child fence, memory 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 V Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all window and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Malufmturees Specs). 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 latchingnocking installed a min. 54° above the threshold. If this option is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Code, the pool may not be filled with water without compliance with the Private Swimming Pool Safety Requirements, and upon expiration of the permit, the pool shall be presumed to be unsafe . I understand that not having one of the above installed will constitute a violation of Chapter 515, F.S ., an d will be considered as committing a misdemeanor of he second degree, punishable as provided in Section 775.082 or = on 5.083 F. T st be signed by the ag -,.i -d ,, prime contractor. RACTOR'S SIGNATURE AND DATE NAME (PLEASE PRINT) NOTA 701:_ CHEZ MY COMMISSION # DD 619936 EXPIRES: December 5, 2010 r az ee'" Bonded Thm Budget Notary Services 0 SE PRIKte,,, • -v/1 PUBLIC 'qT� ROBERTO SANCHEZ MY COMMISSION # DD 619936 EXPIRES: December 5, 2010 Bonded Thru Budget Notary Services