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BPP-88-1650to Ca cxti Mimi 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 Permit No. Master Permit No. Permit Type: BUILDING °{ P OWNER Name (Fee Sp Titleholder): PCP4 &P et 14etJLlNe ©P IA kl 30J : ?� �' JYOr �a Y Phone #: Address: /2 /S-1111A; p° C s City: M a � I A 6 i'! 5 State: Zip: -aoa Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: /2 / S N d P. 9 y.t't City: Miami Shores County: Miami Dade Zip: 3313 11 -c9a 0 Folio/Parcel #: 1/ °° 32 Or /6 40 2-S`"° Is the Building Historically Designated: Yes NO Flood Zone: _ n J` CONTRACTOR: Company Name: ,' Lip w G. of t e,` /�.> Phone #:30cf - 237` -(222— Address: 731 , S., , ge City: f /441 State: /C, ° Zip: 33/ Qualifier Name: L i i / / 9 / 1 Ala &fl 4 r L Phone #: S °213 ° ze State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER Architect/Engineer: Phone #: Value of Work for this Permit: $ % 5/70 C.) o®6 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alt n ❑New ❑R /Rep ace ❑Demolition Description of Work: Zeioeede r42/l�j> f �4) C '� z COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: ***************************************Fees******************* * aye *e * * * * * *** **** *s***** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of . 20 _, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Signature Contractor The foregoing instrument was acknowledged before me this day of ,20_,by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: **** * **** *** * *** x**** *****w ****** ******** **********w******* * * * *** ********* ** ***+x*+x+x**** *** **** *+a ***s * ** APPROVED BY ** Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09Xrev6/4/10) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 0U" 1(60 Master Permit No. BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address f( City Ln� air i Tenant/Lessee Name State rg r^ra o 908 BY: V, Electrical Plumbing /�� ( -. ()Jaya). Phone '# _ s Cyr BOA' g4 ji Mechanical Roofmg Zip 2 3 Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade FOLIO / PARCEL # d At3rds o' O etk4s Zip 36. /,3R Is Building Historically Designated YES NO Contractor's Company Name k?, Contractor's Address t �, City k n' State Zip 3.31 tek Qualifier Name �a ' c It OA' t Phone # =2 �� State Certificate or Registration No. Certificate of Competency No. Phone # Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 41j (/ a Type of Work: ['Addition Describe Work: ['Alteration phs1/ S uare / Linear Footage Of Work: E4p New 0 Repair/Replace 0 Demolition aEF' 0 9 pAuji Submittal Fee $ Notary $ * * * * * * * * * * * * * ** * * * * ** Fees* * * * * * * *** ** * * * *** ** * * * * ** * *** ** Permit Fee $ GJ Oita CCF. $ ue.'c coicc ISO • l Technology Fee $ /11S ( * * * * * * * * ** Training/Education Fee $ :4 00 Scanning $ Radon $ DPBR $ Bond $ '� rvi Code Enforcement $ Double Fee $ Structural Review. $ 4O, a+► Total Fee Now Due $ 35%11 See Reverse side --* Zoning $ Bon Bon. City Mo Mo City Appl co cons WE OWI appli "WA PAY CON CO1V Notic prom whos for tl inspection will not be approved and a reinspection fee will be charged ling Company , , ling Company' t tgage Lender' gage Lender's t 6 ication is here Owner or Agent The foregoing instrument was acknowledged b day of 20 , by 100-0-/- r ?y who is pe . nally known to me or who has p oduced F11 As identification and who did take an oath. D )' 6'1.1" _fad 0 My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Signature The foregoing ins day of who ontractor ment was acknowledged before rsonally kno NOTARY P Sign: Print: My Co * * * * * * * * * * * * * * * * * * * * * * * * ** 200, , by as id A, to me. " o has produced e ` and who did take an oath. ;tficatio MY CO MISSION # OD 428255 kEs may 11, 2005 * * * * * * * ** 14.01"` Plans Examiner Engineer Zoning Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756-8972 Permit NO. BPP -9 -08 -1650 Issue Date: Not Issued Expires: of issued Folio Number: 1-3205-010-0025 Owner's Name: EDWARD & JACQUELINE O'DONNELL Job Address: 1215 94 Street NE Total Square Feet: 471.75 Miami Shores, FL 33138 -0000 Total Job Valuation: $ 20,000.00 Owner's Phone: Contractor(s) Phone Primary Contractor A- LEAGUE CONTRACTORS (305)324 -5222 Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 9/24/2008: Yes Comments: SCALE IS NOT AS INDICATED ON THE PLAN PLEASE FIX. POOL DECK MUST BE LOCATED NOT LESS THAN10 FEET FROM THE SIDE LOT LINE ANDS FEET FROM THE REAR LOT LINE. POOL WATERS EDGE MUST BE LOCATED NOT LESS THAN12.5 FEET FROM THE SIDE LOT LINE AND7.5 FEET FROM THE REAR LOT LINE. POOL EQUIPMENT AND PAD MUST BE LOCATED NOT LESS THAN10 FEET FROM THE SIDE LOT LINE. 9/24/08 NEW PLAN OK Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Issue Date: Not Issued Expires: Not issued Folio Number:11- 3205 -010 -0025 Owner's Name: EDWARD & JACQUELINE O'DONNELL Owner's Phone: Job Address: 1215 94 Street NE Total Square Feet: 471.75 Miami Shores, FL 33138 -0000 Total Job Valuation: $ 20,000.00 Contractor(s) Phone Primary Contractor A- LEAGUE CONTRACTORS (305)324 -5222 Yes Planning and Zoning Criteria and Comments Approved: No Comments: SCALE IS NOT AS INDICATED ON THE PLAN PLEASE FIX. Date Denied: 9/9/2008 POOL DECK MUST BE LOCATED NOT LESS THAN10 FEET FROM THE SIDE LOT LINE ANDS FEET FROM THE REAR LOT LINE. POOL WATERS EDGE MUST BE LOCATED NOT LESS THAN12.5 FEET FROM THE SIDE LOT LINE AND7.5 FEET FROM THE REAR LOT LINE. POOL EQUIPMENT AND PAD MUST BE LOCATED NOT LESS THAN10 FEET FROM THE SIDE LOT LINE. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. ,64, / /45-6 Job Name V• Date BUILDING CRITIQUE SHEET praei,L 0 6 L%r i bai 7 4/i Reviewer: Claudio Grande C.B.O 305 - 795 -2204 Ext 1430 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 RECEIPT PERMIT #; -PIP0 � jco so DATE: 9 -0 g 1, -: uR L-• Sem/9 216 42 . ❑ Contractor ❑ Owner ❑ Architect • Picked up 2 sets of plans and (other) Address: / 7 2 0 /v E /O S E 1 7 // ). From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledge PERMIT CLEARK INITIAL: RESUBMITTED DATE: PERMIT CLEARK INITIAL: Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 RECEIPT PERMIT #; IM 9N--10S0 l(SO SovJi?R 8 DATE: X Contractor ❑ Owner ❑ Architect • P eked up 2 sets of plans and Address: )% 1ak, .IaraS N b2, I Ne 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: PERMIT CLEARK INITIAL: RESUBMITTED DATE: PERMIT CLEARK INITIAL: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Edward O'donnel PERMIT #: 13-SG-901236 APPLICATION #: AP843955 DATE PAID: 1/1/1899 FEE PAID: $55.00 RECEIPT #: 13- PID- 987034 DOCUMENT #: PR704425 PROPERTY ADDRESS: 12xa NE 94 St MIAMI, FL 33138 LOT: 3 BLOCK: n/a SUBDIVISION: Miami Shores Bay View PROPERTY ID #: 11- 3205 - 010-0025 (SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 1,200 ] GALLONS / GPD Septic CAPACITY A I ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY (MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS S( ]DOSES PER 24 ERS *Pumps [ ] D [ 625 ] SQUARE FEET SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [X] TRENCH [ 3 BED [ ] N F LOCATION OF BENCHMARK: 6.84 "" NGVD GIL NE 94 ST [ 4.32 1 [I INCHES i FT ] [) ABOVE If BELOW ]BENCHMARK /REFERENCE .POINT [ 22.08 ] Il INCHES 1 FT ] [ ABOVE A BELOW b BENCHMARK /REFERENCE POINT I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: [ 0.00 ] INCHES 0 T H E R SPECIFICATIONS BY: APPROVED BY: EXCAVATION REQUIRED: [ 26.40] INCHES 1.-Install a 1200 gal min. category -3 septic tank with an approved filter. 2.-The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E- 6.013(3)(f), FAG. 3.-Install 625 sf of drainfield in trench configuration. 4.-Invert elevation of drainfield to be no less than 5.5' NGVD. 5.-Bottom of drainfield elevation to be no less than 5.0' NGVD. V Edwards Astrid v Edwards DATE ISSUED: 02/07/2008 TITLE: Engineer Specialist II TITLE: Engineer Specialist II DH 4016, 10/97 (Previous Editions May Be Used) v 1.1.4' AP843955 Dade CHO EXPIRATION DATE: 08/07/2009 55721739 Page 1 of 3 Charlie Crist Governor Ma M. Viamonte Ros, M.D., M.P.H. State Surgeon General October 03, 2008 (A- League Contractors) 7719 NW 48 St 320 MIAMI, FL 33166 RE: Contingency Letter Application Document No: AP897808 Centrax Permit Number: 13 -SG- 956813 OSTDS Number: 12xx NE 94 St MIAMI, FL 33138 Lot: 3 Block: Subdivision: Miami Shores Bay View Dear Applicant: This will acknowledge receipt of an application dated 10/02/2008 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. From a review of your completed application, it has been determined your existing system is adequate for the proposed use: "APPROVED" 1.- There is no increase in sewage flow, change in characteristics compromsing the integrity or function of the system installation. 2.- This project entails: "Installation of a Swimming Pool." If you have any questions on this matter, please call our office at (305) 513 -3459. Enclosures cc: Sincerely, Astrid Edwards, Engineer Specialist II Miami -Dade County Health Department 1725 NW 167th St, OPA LOCKA, FL 33056 S'ivie4fielage 7,eftentswite 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305-756-8972 www.miamishoresvillage.com NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming p ol, spa or hot tub will be constructed or installed at qit Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues. Please initial the method(s) to be used: The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29; The pool will be equipped with an approved safety cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $501 and/or up to 60 days in jail as established in Chapter 775, F.S. CONTRACT A D-TE CO TRAC OR NAME (PL ASE1PRINT) NOTARY SARIMA BATISTA MY COMMISSION # DO 428255 EXPIRES: May 11, 2009 Borr tflm E;,, Publlo un e t . AAIIt: s SATJ•STA COMiOiE3ION # OD 428255 M4y 19: 2o09 'P r x' { ,71.9; ;iil UNervtgrs S4 Vice 't 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305-756-8972 www.miamishoresvillage.com /S SWIMMING POOL OWNER'S CERTIFICATION DATE f( c�be MIAMI SHORES VILLAGE BUILDING AND ZONING DEPARTMENT ATTENTION: BUILDING OFFICIAL I certify that I am the legal owner of the1 property located at: 1215 tac 9 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 a 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 an approved barrier prior to final inspection and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Expiration: 04/07/2009 Applicant 1215 NE 94 Street Miami Shores, FL 33138 -0000 11- 3205 - 010 -0025 Block: Lot: EDWARD & JACQUELINE Owner Information Address Phone Cell EDWARD & JACQUELINE O'DONNELL 1700 NE 105 Street MIAMI SHORES FL 33138- Contractor(s) A- LEAGUE CONTRACTORS Phone Cell Phone (305)324 -5222 Valuation: $ 20,000.00 Total Sq Feet: 471.75 Approved: Yes Comments: SCALE IS NOT AS INDICATED ON THE PLAN PLEASE FIX. Date Approved: 9/24/2008: Yes Date Denied: 9/9/2008 Type of Work: Swimming Pool Additional Info: Classification: Residential Occupancy: Private Bond Retum : Fees Due Bond Type - Contractors Bond -01 CCF CO /CC Fee DBPR Surcharge Education Surcharge Permit Fee Plan Review Fee (Engineer) Scanning Fee Submittal Fee Technology Fee Total: Amount $300.00 $12.00 $150.00 $2.36 $4.00 $450.00 $60.00 $18.00 ($250.00) $12.75 $759.11 Available Inspections : Inspection Type: Pool Deck Fence Final 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. October 09, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date Thursday, October 9, 2008 1 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 1 3 2 psi °va STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following Information is provided in this Notice of Commencement. 11111111111111111111111111111111111111111 1111 CFN 2008R081370 OR 2k 26597 Ps 3075'i (ips'r RECORDED 10/06/200B 09:55:37 HARVEY RUVIHv CLERK, OF COURT MIAMI -DADE cOUNT'Yr FLORIDA LAST PAGE 1. Legal description of property and street/address: /4)1(5 A/C ciy Fl 3413 2. Description of improvement: 3. Owner(s) name and address: --�(t) IQ, 16674 41143- Interest in property: Name and address of fee simple titleholder: g / * 4. Contractor's name and address: 5. Surety: (Payment bond required Name and address: Amount of bond $ by owner from contractor, If any) STATE OF FLORIDA, COUNTY OF DADE HEREBY CERTIFY that thie is AFrua coca o`the original filed in this office on day cf �%21f___ , A 0 20 eke HARVEY 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner u provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Sig tire of : wner Print Owner's Name Sworn to and subscribe Notary Publi Print Notary's Name My commission expires: 123.01 -52 PAGE 4 8/02 „ , 04t0hhe Prepared by this 3 day of 2j/ ' b4 , 20 d 2*: ; • MY COMMISSION # 00 428255 EXPIRES 1/ Ma P 1Gt, 200g Bonded rue Uryritere Tort" r4 �( 4.0.11$444) �N 3?`(1 N W ¶ -1$3zb ;4L4.42: . 'GC 33 t (1L Miami Shores Village Building Department • 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: t305) 795.2204 Fax: (305) 756.8972 Perniit No. (r) F-7./46(37° :lob Name • e_ 9‘1g -74ext BUILDING CRITIQUE SHEET Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, F Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: December 16, 2008 Inspector: Levrock, James Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 94 Street NE Miami Shores, FL 33138 -0000 Project: <NONE> Block: Contractor: A- LEAGUE CONTRACTORS tC-P I(v50 Permit Type: Plumbing - Residential Inspection Type: Rough Work Classification: Pool - Private Phone Number Parcel Number 11- 3205 -010 -0025 Lot: Phone: (305)324 -5222 Building Department Comments Monday, December 15, 2008 Page 1 of 1 Passed Insp ; . m ents cc Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Monday, December 15, 2008 Page 1 of 1 A., Inspection Worksheet Miami Shores Village Phone: (305)795-2204 Fax: (305)756-8972 10050 N.E. 2nd Avenue Miami Shores, FL Inspection Date: 12/18/2008 Inspector: Devaney, Michael Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 94 Street NE Miami Shores, FL 33138-0000 Project: <NONE> Contractor: JES ELECTRIC, INC XjilriltkW Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Pool - Private Phone Number Parcel Number 11-3205-010-0025 Block: Lot: Phone: 305-218-9492 Building Department Comments CREATED AS REINSPECTION FOR INSP-102326. CC Passed Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. Inspector Comments z779 7Z2Z Pr, i2 ( FO-,e,z-ae9 e' Thursday, December 18, 2008 Page 1 of 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 >'t-MTVt Inspection Date: 10/14/2008 Inspector: Devaney, Michael Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 94 Street NE Miami Shores, FL 33138 -0000 Project: <NONE> Block: Contractor: JES ELECTRIC, INC Permit Type: Electrical - Residential Inspection Type: Bonding Work Classification: Pool - Private Phone Number Parcel Number 11- 3205 -010 -0025 Lot: Phone: 305 - 218 -9492 Building Department Comments ELECTRICAL WORK FOR NEW POOL i0 1 26% Passed Inspector Comments :! 7 di's* .- drfr fr72- 7-Ciff a/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid until Friday, October 10, 2008 Page 1 of 2 Inspection Date: 10/17/2008 Inspector: Levrock, James Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 94 Street NE Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: A- LEAGUE CONTRACTORS Block: MI 2 0 2000 Permit Type: Plumbing - Residential Inspection Type: Main Drain Work Classification: Pool - Private Phone Number Parcel Number 11- 3205- 010 -0025 Lot: Phone: (305)324 -5222 Building Department Comments PLUMBING FOR NEW POOL vv yO() Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 97307. NO PRESSURE Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Thursday, October 16, 2008 Page 1 of 2 � Z Inspection Date: 10/22/2008 Inspector: Levrock, James Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 94 Street NE Miami Shores, FL 33138 -0000 Project: <NONE> Block: Contractor: A- LEAGUE CONTRACTORS Permit Type: Plumbing - Residential Inspection Type: Main Drain Work Classification: Pool - Private Phone Number Parcel Number 11- 3205 - 010 -0025 Lot: Phone: (305)324 -5222 Building Department Comments PLUMBING FOR NEW POOL Obi 2 2 2000 Passed Inspector Comments EATED AS REINSPECTION FOR INSP- 97490. CREATED AS EINSPECTION FOR INSP- 97307. NO PRESSURE 10/17/08 NEED 40 LB YOU HAVE 0 JR j Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Tuesday, October 21, 2008 Page 1 of 2 Inspection Date: December 16, 2008 Inspector: Devaney, Michael Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 94 Street NE Miami Shores, FL 33138 -0000 Project: <NONE> Block: Contractor: JES ELECTRIC, INC 1%1 Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Pool - Private Phone Number Parcel Number 11- 3205 -010 -0025 Lot: Phone: 305 - 218 -9492 Building Department Comments ejc „ /17.6z //Lets Monday, December 15, 2008 Page 1 of 1 Passed Inspector Comments cc l� / / , p 0/ 4 / & ,"7Z 91 II j0 'f �,/ / G �e't G` —(® Failed Correction Needed 67/44° /� ` �'Gn 1 �� 2-- %Z � d.�i`°9L a g I 1,,�/ �i'' �� air c)9 re2 �°� ~� ..�- f.. 9 Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. / until ejc „ /17.6z //Lets Monday, December 15, 2008 Page 1 of 1 Inspection Date: 10/23/2008 Inspector: Rodriguez, Jorge Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 94 Street NE Miami Shores, FL 33138-0000 Project: <NONE> Contractor: A-LEAGUE CONTRACTORS Permit Type: PoolsNVhirlpools/Hot Tubs Inspection Type: Wall Steel Work Classification: New Block: Phone Number Parcel Number 11-3205-010-0025 Lot: Phone: (305)324-5222 Building Department Comments NEW SWIMMING POOL OCT • 2, 3 200B Passed TUA Inspector Comments Failed Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled re-inspection fee is paid . until Thursday, October 23, 2008 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: January 29, 2009 Inspector: Devaney, Michael Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 NE 94 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: JES ELECTRIC, INC Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Pool - Private Phone Number Parcel Number 11- 3205 -010 -0025 Phone: 305 - 218 -9492 Building Department Comments January 28, 2009 Page 1 of 1 NO °Cill Passed / Inspector Comments CREATED AS REINSPECTION FOR INSP - 102326. See ticket. /// 9 j-01',.e-- e9ti 1/' Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until January 28, 2009 Page 1 of 1 12eturn to: Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Bill To EDWARD & JACQUELINE O'DONNELL 1700 105 Street #112 MIAMI SHORES, FL 33138- c6V ot'M b Invoice Number: EL -12 -08 -33525 Invoice Date: December 19, 2008 Permit Number: EL -9 -08 -1652 Bond Number: Comments: Date Fee Name 12/19/2008 Reinspection Fee Fee Type Fixed Fee Amount $75.00 Total Fees Due: $75.00 Payments Date Pay Type Check Number Amount Paid Change 01/28/2009 Check 1149 $75.00 $0.00 Total Paid: $75.00 Total Due: $0.00 Wednesday, January 28, 2009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -94426 Permit Number: PL -9 -08 -1651 Scheduled Inspection Date: December 04, 2009 Inspector: Levrock, James Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 NE 94 Street Miami Shores, FL 33138 -0000 Project <NONE> Contractor: A- LEAGUE CONTRACTORS Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 11- 3205 -010 -0025 Phone: (305)324 -5222 Building Department Comments PLUMBING FOR NEW POOL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. ctor Comments December 03, 2009 For Inspections please call: (305)762 -4949 Page 20 of 20 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 (bQP fly' -1L95v Inspection Number: INSP - 131836 Permit Number: PL -9 -08 -1651 Scheduled Inspection Date: December 18, 2009 Inspector: Levrock, James Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 NE 94 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: A- LEAGUE CONTRACTORS Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 11- 3205 - 010 -0025 Phone: (305)324 -5222 Building Department Comments PLUMBING FOR NEW POOL Passed Failed n e or Comments Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. December 17, 2009 For Inspections please call: (305)762 -4949 Page 11 of 11 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 165967 Permit Number: BPP -9 -08 -1650 Scheduled Inspection Date: November 09, 2011 Inspector: Bruhn, Norman Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 NE 94 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: A- LEAGUE CONTRACTORS Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Phone Number Parcel Number 11- 3205 -010 -0025 Phone: (305)324 -5222 Building Department Comments NEW SWIMMING POOL Passeda / /� Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 142242. CREATED AS REINSPECTION FOR INSP- 94425. Final survey is required. NB please call chip. 305.586.1856 10/27/2011 - NO SURVEY ON SITE. SIDE GTES MUST BE SELF CLOSING.JR (Y November 08, 2011 For Inspections please call: (305)762 -4949 Page 17 of 32 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 inspection Number: INSP - 143745 Permit Number: BPP -9 -08 -1650 Inspection Date: January 01, 2999 Inspector: Dacquisto, David Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 NE 94 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: A- LEAGUE CONTRACTORS Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 11- 3205 -010 -0025 hone: (305)324 -5222 Building Department Comments NEW SWIMMING POOL Passed Inspector Comments 40-"A•'-gfiL%--r. 4,2c t 4 t.4-6) 4 1.--Y l v.—Q.4_ 4 4.64t- s /,'�% i .B Q 4, 4 . k Qj Failed ` ' /"13 Ofj ue -i 5,1a — �L4_, Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until May 18, 2010 For Inspections please call: (305)762 -4949 Page 1 of 1 SKETCH OF BOUNDARY SURVEY DESCRIPTION: Lot 3, MIAMI SHORES BAY VIEW, according to the plat thereof, as recorded in Plat Book 40, Page 16, of the Public Records of Miami -Dade County, Florida. SURVEYORS REPORT /NOTES: (1) property address: 1215 NE 94th Street, Miami Shores (2) Flood Zone AE; base elevation B'; per Flood Insurance Rate Map 120652 0093 J, map index dated 7/17/95. (3) Benchmark: Miami -Dade County Engineering Benchmark #B -62; elevation +8.65' National Geodetic Vertical Datum 1929. (4) Angles are based on the record plat. (5) Unless stated otherwise hereon, this survey was prepared without the benefit of an abstract of title. No liability is assumed by the undersigned for loss relating to any matter that might be discovered by an abstract of title of the property. (6) No underground foundations, buried utilities, setbacks, uses or visible easements are located hereon. No liability is assumed by the undersigned for any loss that may be associated with the existence of any of the above stated. (7) Miami -Dade Folio Number: 11 -3205- 010 -0025 (B) Minimum Technical Standards for the State of Florida certified to: Mortgage Service Edward J. O'Donnell I V Attorneys' Title insurance Fund, Inc. PP (date of last field work 9- 23 -09) LEGEND: Q. centerline + elevation A/C air conditioner ARF aluminum rail fence CLF chain link fence COL column FIP found 1/2" iron pipe FND found nail & disk FNT found nail & tin M measured P plat PP power pole ijj SIR set 5 /8" iron rod & cu cap * 4545 SNT set nail & tin WM water meter ( e D`i3 . i arni Shores Village W ( 1 2 �j 4 5 6 7 10-21 -08 NE 94 STREET 26 25 24 23 22 21 20 10-21 -08 27 LOCATION MAP NOT TO SCALE 75.00 SIR 1, S ‘9, 5' CLF 0.5'S 0.3' E O wgz DINING DEPT CD N DWG DEPT n P R 0'7D D :L./ STATE AND NLUN iY RULES AND REGULATIONS FND FIP SLAB N/ ELEVATED A/C UNITS BRICK D O PAVERS 11.0' COL 11. 0' 0516 19.3' STONE TILE DECK 5' CLF 0.4'S 0.3'N 25.3' ci POOL COVERED STONE TILE 33. 1' 4 2 STOR S+I9ECE - / `O � 2ND FLOOR +21.09' `i X CDL GARAGE +7. 14' FIP CU 22. 7' 14.8' m • BRICK PAVER DRIVE 204.61' P 204. 51' N 4,., SNT • N 75. 00' 20' PAVEMENT STONE TILE PORCH COLUMNS `— STEPS BRICK PAVER WALK 11.6' 11. 6' 5' CLF 0.6'N FIP 0.2' S NE 94TH STREET Roge ` J. P. S. . N Stat of for LB45 etz 461.1 lorida 5 not valid without the signature and the original raised seal of a Florida licensed surveyor and mapper D ITTZ & D I ETZ LAND SURVEYORS, I NC. 1002 NE 35th Street, Oakland Park, Florida 33334 (954) 327 -0988 4 FOR: 0' DONNELL DATE: 9-15 -08 ORDER NO.: 0809015 FIELD BOOK: 249 -15, 16 & FILE DATE REVISION ORDER NO. 10-21 -08 SPOT SURVEY 0810030 9-16-09 FINAL SURVEY 0909010 9 -23 -09 LOCATE MODIFIED FENCE 0909010 12 -01 -09 ADD CERTIFICATIONS 0912000 DATA FILE: MSB -3 AP Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 153724 Permit Number: BPP -9 -08 -1650 Inspection Date: May 13, 2011 Inspector: Dacquisto, David Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 NE 94 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: A- LEAGUE CONTRACTORS Permit Type: Pools/Whirlpools/Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number . 11 -3205- 010 -0025 Phone: (305)324 -5222 Building Department Comments NEW SWIMMING POOL • • • •• • • • '. Vj .51177,44••: • • •• • • '• P�SSred ••• ��-•`•� ° °•••■ Inspector Comments CREATED AS REINSPECTION FOR INSP- 153522. CREATED AS REINSPECTION FOR INSP- 143745. SURVEY MUST SHOW DIMENSIONS FOR POOL LOCATION, EQUIPMENT LOCATION AND SIZE. SAME COMMENTS ' r • • .ailed • .. ••• • • • . • •.. • • •• • . . •• . •••• • Correction—. Needed • Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 May 13, 2011 Page 1 of 1 • • •••••O • •••••41 • • • •••••r •• ••.• • • ••••O • • • • • • •N • • • •••O • • • •••••S T NE 97TH ST NE SHORELA, ND BD NE 95TH ST Ei7111 ,. :!4111111p N mairoomm. IN MOM . • MOO • • • • • • • •• • • • • • ••' S. • • • • •• • • • ••• • •••• • • •••• LOCATION MAP NOT TO SCALE • •• • • • • • • p. •• • •• • •eV:, • • •••• • • •• • • • • • SURVEYOR'S NOTES I —DATE OF COMPLETION: 11 -11 -2010 ou- Il—LEGAL DESCRIPTION AND PROPERTY ADDRESS: T 87sVT Shores Village ZONING BLDG - - - -, SUIIJI (1 I I ) (:OMP'LIANCE WITH ALL FEDERAL ST All AND COUNTY RULES AND REGULATIONS LOT 3, MIAMI SHORES BAY VIEW, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 40, PAGE 16, PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. WARRANTY DEED RECORDED IN OFFICIAL RECORD BOOK 23086 AT PAGE 4662 (MIAMI -DADE COUNTY) PROPERTY ADDRESS: 1215 N.E. 94th ST., MIAMI SHORES, FL 33138 FOLIO: 11- 3205 -010 -0025 CERTIFIED TO: EDWARD 0 DONNELL & WIFE JACQUELINE I I I — ACCURACY: ALTHOUGH THIS IS WITHIN PUBLIC PROPERTY, THE SURVEY WAS PREDICATED ON THE EXPECTED USE OF LAND, AS CLASSIFIED IN THE "MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA," PURSUANT TO RULE 5J -17 OF THE FLORIDA ADMINISTRATIVE CODE IS "SUBURBAN" THE MINIMUM RELATIVE DISTANCE ACCURACY FOR THIS TYPE OF SURVEY IS 1 FOOT IN 7,500 FEET. THE ACCURACY OBTAINED BY MEASUREMENT AND CALCULATION OF CLOSED GEOMETRIC FIGURES WAS FOUND TO EXCEED THIS REQUIREMENT. IV— SOURCES OF DATA: THIS SURVEY IS BASED UPON RECORDED INFORMATION AS PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY 3TCI. NORTH ARROW DIRECTION IS BASED ON AN ASSUMED MERIDIAN. BEARINGS AS SHOWN HEREON ARE BASED UPON THE CENTER LINE OF NE 94th ST, WITH AN ASSUMED BEARING OF N87 °14'17"E SAID LINE TO BE CONSIDERED A WELL MONUMENTED LINE. THIS SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON ONLY AND THE CERTIFICATIONS HEREON DO NOT EXTEND TO ANY UNNAMED PARTIES. THE 1 -800 432 -4770 SUNSHINE STATE ONE CALL OF FLORIDA INC. 3Tc I, I I 1 G_ LB7799 PROFESSIONAL LAND SURVEYORS AND MAPPERS 1262 SW 1 44th CT. MIAMI FL 33184 tel: 305 - 316 -8474 fax: 305- 220 -3762 www.3tci.com PROFESSIONAL LAND SURVEYORS AND MAPPERS IN SOME CASES GRAPHIC REPRESENTATION HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE A PARTICULAR AREA WHERE DIMENSIONS SHALL HAVE PREFERENCE OVER GRAPHIC LOCATION. V- VERTICAL CONTROL: NO ELEVATIONS WERE DEPICTED IN THIS SURVEY. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS SPECIFICALLY SHOWN. SUBSURFACE SOIL CONDITIONS WERE NOT DETERMINED, AS THIS FALLS OUTSIDE THE PURVIEW OF THIS SURVEY. THESE CONDITIONS MAY INCLUDE THE DETERMINATION OF WETLANDS, FILLED -IN AREAS, GEOLOGICAL CONDITIONS OR POSSIBLE CONTAMINATION BY HAZARDOUS LIQUID OR SOLID WASTE THAT MAY OCCUR WITHIN, UPON, ACROSS, ABUTTING OR ADJACENT TO THE SUBJECT PROPERTY. VI— SURVEYOR'S CERTIFICATE: I HEREBY CERTIFY: THAT THIS "BOUNDARY SURVEY" AND THE THEREFROM WAS PERFORMED UNDER MY DIRECTION AND IS TIED BEST OF MY KNOWLEDGE AND BELIEF AND FURTHER, THAT SAI." MEETS THE INTENT OF THE APPLICABLE PROVISIONS OF THE "MIN STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORID THE FLORIDA ADMINISTRATIVE CODE AND ITS IMPLEMENTING FLORIDA STATUTES. • • • • • •••s • • • •••• 1• • •••• • • 7 •F • • • •• •• ®• ••••r• 3TCI, Inc., A FLORIDA CORPORATION FLORIDA CERTIF 4TE OF AUTHORIZATION NUMBER LB7799 BY: ROLANDO RTIZ REGISTERED SURVEYOR AND MAPPER LS4312 STATE OF FLORIDA NOTICE: NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. ADDITIONS OR DELETIONS TO SURVEY MAPS BY OTHER THAN THE SIGNING PARTY ARE PROHIBITED WITHOUT THE WRITTEN CONSENT OF THE SIGNING NOT VALID WITHOUT SHEET 2 OF 2 (SHEET 2 OF 2 CONTAINS THE AS -BUILT SURVEY MAP) I DRAFTER: CHECKED: FIELD BOOK: JOB NUMBER: SCALE: SHEET: FS I RO 2010 -B-27 I 10 -109 N/A I OF 2 0 GRAPHIC SCALE 0 12.6 25 FEIN1 1 inch = 25 ft. • • • • •• • • • s • • • • • • • • • • •• • •• -•• • • • • • • •• • •••• • • • • •••• • • • •• • • • ••• • • •• • • • •••• • • • • •••• FOUND NAIL MAP OP BOUNDARY RY I' Y FOUND (P.B. 10, PG. 37) OVERHEAD UTILITY 5 /8" LP. FOUND –NOT A PART – LINE 7 o (NO ID CAP) 5/8" I.P. (NO ID CAP) N8714'17 "E 75.40' _ L ... .^ -,_ _ — — 0.5' 1.3' w cv 0.2 FOUND 5/8" I.P. (NO ID CAP) FOUND 5/8" I.P. (NO ID CAP) c1 75. LO N LOT 24 3Tc I , I n c - LE17799 PROFESSIONAL LAND SURVEYORS AND MAPPERS 1262 SW 1 44th CT. MIAMI FL 33184 tel: 305- 316 -8474 fax: 305 - 220 -3762 www.3tci.com PROFESSIONAL LAND SURVEYORS AND MAPPERS LEGEND: — CENTER LINE • — WOOD POLE WP ABBREVIATIONS: N & D NAIL AND DISC CONC. CONCRETE P.B. PLAT BOOK PG. PAGE S.W. SOUTHWEST S SOUTH E EAST F.F.E. FINISH FLOOR ELEVATION I.D. IDENTIFICATION I.P. IRON PIN W WEST (TYP) TYPICAL (R &M) RECORD & MEASURED C.L.F. CHAIN LINK FENCE CBS CONCRETE BLOCK STRUCTURE MB MAILBOX A/C AIR CONDITIONER • •• • • • • • • • ••• • • • • •4 • • • 1 • ••• • • • • ••• •• •f 55••/ • • • • • • 5555 • ••••a • • 5555 • • • • • •• • ••••■ • • • •• • • ••• • • • • • • •••• •••• •• •••• NOT VALID WITHOUT SHEET 1 OF 2 (SHEET 1 OF 2 CONTAINS THE SURVEY REPORT) I DRAFTER: CHECKED: FIELD BOOK: JOB NUMBER: SCALE: I SHEET: FS I RO 2010 -B-27 10-109 ` 1 " =25' 2 OF 2 • • • • • • • • • • • Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: I NSP- 153522 Permit Number: BPP -9 -08 -1650 Inspection Date: November 18, 2010 Inspector: Dacquisto, David Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 NE 94 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: A- LEAGUE CONTRACTORS Permit Type: PoolsNVhirlpools/Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 11- 3205 - 010 -0025 Phone: (305)324 -5222 Building Department Comments NEW SWIMMING POOL Inspector Comments CREATED AS REINSPECTION DIMENSIONS FOR POOL SIZE. --s-' 'd FOR LOCATION, 41 INSP- 143745. SURVEY MUST SHOW EQUIPMENT LOCATION AND 7 -� / 1C 1 -I Passed Failed f Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid...;_,,,�> For Inspections please call: (305)762 -4949 November 18, 2010 Page 1 of 1 A NE 97TH ST NE SHORELAND BD illiUlli A ,. NE 95TH ST widow r411111- N =know IIII WNW moss011 LOCATION MAP NOT TO SCALE SURVEYOR'S NOTES OP B JUDY.) S I —DATE OF COMPLETION: 11 -11 -2010 II —LEGAL DESCRIPTION AND PROPERTY ADDRESS: LOT 3, MIAMI SHORES BAY VIEW, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 40, PAGE 16, PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. WARRANTY DEED RECORDED IN OFFICIAL RECORD BOOK 23086 AT PAGE 4662 (MIAMI -DADE COUNTY) PROPERTY ADDRESS: 1215 N.E. 94th ST., MIAMI SHORES, FL 33138 FOLIO: 11- 3205-010 -0025 CERTIFIED TO: EDWARD 0 DONNELL & WIFE JACQUELINE III— ACCURACY: ALTHOUGH THIS IS WITHIN PUBLIC PROPERTY, THE SURVEY WAS PREDICATED ON THE EXPECTED USE OF LAND, AS CLASSIFIED IN THE "MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA," PURSUANT TO RULE 5J -17 OF THE FLORIDA ADMINISTRATIVE CODE IS "SUBURBAN" THE MINIMUM RELATIVE DISTANCE ACCURACY FOR THIS TYPE OF SURVEY IS 1 FOOT IN 7,500 FEET. THE ACCURACY OBTAINED BY MEASUREMENT AND CALCULATION OF CLOSED GEOMETRIC FIGURES WAS FOUND TO EXCEED THIS REQUIREMENT. IV— SOURCES OF DATA: THIS SURVEY IS BASED UPON RECORDED INFORMATION AS PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY 3TCI. NORTH ARROW DIRECTION IS BASED ON AN ASSUMED MERIDIAN. BEARINGS AS SHOWN HEREON ARE BASED UPON THE CENTER LINE OF NE 94th ST, WITH AN ASSUMED BEARING OF N87 °14'17 "E SAID LINE TO BE CONSIDERED A WELL MONUMENTED LINE. THIS SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON ONLY AND THE CERTIFICATIONS HEREON DO NOT EXTEND TO ANY UNNAMED PARTIES. SHE 1- 800 - 432 -4770 SUNSHINE STATE ONE CALL OF FLORIDA INC. LB7799 PROFESSIONAL LAND SURVEYORS AND MAPPERS 1262 SW 144th CT. MIAMI FL 33184 tel: 305 - 316 -8474 fax: 305 -220 -3762 www.3tci.com PROFESSIONAL LAND SURVEYORS AND MAPPERS IN SOME CASES GRAPHIC REPRESENTATION HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE A PARTICULAR AREA WHERE DIMENSIONS SHALL HAVE PREFERENCE OVER GRAPHIC LOCATION. V- VERTICAL CONTROL: NO ELEVATIONS WERE DEPICTED IN THIS SURVEY. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS SPECIFICALLY SHOWN. SUBSURFACE SOIL CONDITIONS WERE NOT DETERMINED, AS THIS FALLS OUTSIDE THE PURVIEW OF THIS SURVEY. THESE CONDITIONS MAY INCLUDE THE DETERMINATION OF WETLANDS, FILLED -IN AREAS, GEOLOGICAL CONDITIONS OR POSSIBLE CONTAMINATION BY HAZARDOUS LIQUID OR SOLID WASTE THAT MAY OCCUR WITHIN, UPON, ACROSS, ABUTTING OR ADJACENT TO THE SUBJECT PROPERTY. VI —SURVEYOR'S CERTIFICATE: I HEREBY CERTIFY: THAT THIS "BOUNDARY SURVEY" AND THE SURVEY MAP RESULTING THEREFROM WAS PERFORMED UNDER MY DIRECTION AND IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AND FURTHER, THAT SAID "BOUNDARY SURVEY" MEETS THE INTENT OF THE APPLICABLE PROVISIONS OF THE "MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA ", PURSUANT TO RULE 5J-17 OF THE FLORIDA ADMINISTRATIVE CODE AND ITS IMPLEMENTING LAW, CHAPTER 472.027 OF THE FLORIDA STATUTES. 3TCI, Inc., A FLORIDA CORPORATION FLORIDA CERTIFICA),,.,�' "AUTHORIZATION NUMBER LB7799 BY: ROLANDO RTI REGISTERED SURVEYOR AND MAPPER LS4312 STATE OF FLORIDA NOTICE: NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. ADDITIONS OR DELETIONS TO SURVEY MAPS BY OTHER THAN THE SIGNING PARTY ARE PROHIBITED WITHOUT THE WRITTEN CONSENT OF THE SIGNING NOT VALID WITHOUT SHEET 2 OF 2 (SHEET 2 OF 2 CONTAINS THE AS -BUILT SURVEY MAP) I DRAFTER: I CHECKED: I FIELD BOOK: JOB NUMBER: SCALE: SHEET: FS RO 2010 -B -27 I 10 -109 1 N/A 1 OF 2 0 GRAPHIC SCALE 0 12.6 25 (IN ITEET ) 1 inch = 25 ft. FOUND NAIL FOUND (NO 5/8" ID ICAP) MAP OP BOUNDARY Ste" V FOUND (P.B. 10, PG. 37) OVERHEAD UTILITY 5/8" I.P. —NOT A PART— UNE7 o (NO ID CAP) N87-14'17"E _ 75.00' -I ar 1:3 S ' td co Q N co ci C'( N c ~O O Nm w N 0 1 0 0.2' FOUND 5/8" I.P. (NO ID CAP) FOUND 5/8" I.P. (NO ID CAP) 75 LOT 24 "t- IT'S THE LA 1- 800 -432 -4770 SUNSHINE STATE ONE CALL OF FLORIDA NCB LB7799 PROFESSIONAL LAND SURVEYORS AND MAPPERS 1262 SW 144th CT. MIAMI FL 33184 tel: 305 -316 -8474 fax: 305 - 220 -3762 www.3tci.com LEGEND: - CENTER LINE • — WOOD POLE WP ABBREVIATIONS: N & D NAIL AND DISC CONC. CONCRETE P.B. PLAT BOOK PG. PAGE S.W. SOUTHWEST S SOUTH E EAST F.F.E. FINISH FLOOR ELEVATION I.D. IDENTIFICATION I.P. IRON PIN W WEST (TYP) TYPICAL (R &M) RECORD & MEASURED C.L.F. CHAIN LINK FENCE CBS CONCRETE BLOCK STRUCTURE MB MAILBOX A/C AIR CONDITIONER S(IR.IFCT TO COMPLIANCE WITH ALL FE D ERAAL S TATF AND COUNTY RULES AND REGULATIONS smamgwimp 's' W NOT VALID WITHOUT SHEET 1 OF 2 (SHEET 1 OF 2 CONTAINS THE SURVEY REPORT) I DRAFTER: CHECKED: ' FIELD BOOK: JOB NUMBER: FS RO 2010-B-27 10 -109 SCALE: I SHEET: 1"=25' 2 OF 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP- 153522 Permit Number: BPP -9 -08 -1650 Inspection Date: November 18, 2010 Inspector: Dacquisto, David Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 NE 94 Street Miami Shores, FL 33138 -0000 Project <NONE> Contractor: A- LEAGUE CONTRACTORS Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 11- 3205 -010 -0025 Phone: (305)324 -5222 Building Department Comments NEW SWIMMING POOL Passed Inspector Comments CREATED AS REINSPEC`IyON aOR'SP -143 DIMENSIONS FOR POOL LOCATINlal, 'MINCE WI SIZE. ' , p ,,; -3 1°.5 „, o Iv yo ✓ 4 / k 4C lc `+ i .i � a79 IP • • • • •• • • 1• •• • • • •• = ` ; m • ••• ••• ••• • • • • • • • • • • • • • • `'SURVEY MUST SHOW LOCATION AND Failed r------ `/ °gyp` G --,6 Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. • ••• • until ••• • • • • •• • • • • • • • • ••• • • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• • For Inspections please call: (305)762 -4949 November 18, 2010 Page 1 of 1 NE SH(JRELAND BD .., NE 95TH ST ti araimmmow 1111111111 11100111111 Ilislililli LOCATION MAP NOT TO SCALE •• ••• • • • • • •• • • • • • • • • • •• ••• •• • • • •• • ••• • ••• 00411,111w • • GAL 48 HOURS BEFORE YOU DIG IN FLORIDAt • • • • • • • • •• • 7 • • • SURVEYOR'S NOTES I —DATE OF COMPLETION: 11 -11 -2010 B viv II —LEGAL DESCRIPTION AND PROPERTY ADDRESS: LOT 3, MIAMI SHORES BAY VIEW, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 40, PAGE 16, PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. WARRANTY DEED RECORDED IN OFFICIAL RECORD BOOK 23086 AT PAGE 4662 (MIAMI -DADE COUNTY) PROPERTY ADDRESS: 1215 N.E. 94th ST., MIAMI SHORES, FL 33138 FOLIO: 11- 3205 - 010 -0025 CERTIFIED TO: EDWARD 0 DONNELL & WIFE JACQUELINE III— ACCURACY: ALTHOUGH THIS IS WITHIN PUBLIC PROPERTY, THE SURVEY WAS PREDICATED ON THE EXPECTED USE OF LAND, AS CLASSIFIED IN THE "MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA," PURSUANT TO RULE 5J -17 OF THE FLORIDA ADMINISTRATIVE CODE IS "SUBURBAN" THE MINIMUM RELATIVE DISTANCE ACCURACY FOR THIS TYPE OF SURVEY IS 1 FOOT IN 7,500 FEET. THE ACCURACY OBTAINED BY MEASUREMENT AND CALCULATION OF CLOSED GEOMETRIC FIGURES WAS FOUND TO EXCEED THIS REQUIREMENT. IV— SOURCES OF DATA: THIS SURVEY IS BASED UPON RECORDED INFORMATION AS PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY 3TCI. NORTH ARROW DIRECTION IS BASED ON AN ASSUMED MERIDIAN. BEARINGS AS SHOWN HEREON ARE BASED UPON THE CENTER LINE OF NE 94th ST, WITH AN ASSUMED BEARING OF N87 °14'17 "E SAID LINE TO BE CONSIDERED A WELL MONUMENTED LINE. THIS SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON ONLY AND THE CERTIFICATIONS HEREON DO NOT EXTEND TO ANY UNNAMED PARTIES. 1 n c _ LB7799 PROFESSIONAL LAND SURVEYORS AND MAPPERS 1 -8005 432 -4770 11 R •SW :1 44th CT. MIAMI FL 33184 SUNSHINE STATE ONE CHU OF FLOtBDA, INC. heir a M5414 &47'4 fax: 305 - 220 -3762 Www.3tcl.com IN SOME CASES GRAPHIC REPRESENTATION HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE A PARTICULAR AREA WHERE DIMENSIONS SHALL HAVE PREFERENCE OVER GRAPHIC LOCATION. V- VERTICAL CONTROL: NO ELEVATIONS WERE DEPICTED IN THIS SURVEY. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS SPECIFICALLY SHOWN. SUBSURFACE SOIL CONDITIONS WERE NOT DETERMINED, AS THIS FALLS OUTSIDE THE PURVIEW OF THIS SURVEY. THESE CONDITIONS MAY INCLUDE THE DETERMINATION OF WETLANDS, FILLED -IN AREAS, GEOLOGICAL CONDITIONS OR POSSIBLE CONTAMINATION BY HAZARDOUS LIQUID OR SOLID WASTE THAT MAY OCCUR WITHIN, UPON, ACROSS, ABUTTING OR ADJACENT TO THE SUBJECT PROPERTY. VI— SURVEYOR'S CERTIFICATE: I HEREBY CERTIFY: THAT THIS "BOUNDARY SURVEY" AND THE SURVEY MAP RESULTING THEREFROM WAS PERFORMED UNDER MY DIRECTION AND IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AND FURTHER, THAT SAID "BOUNDARY SURVEY" MEETS THE INTENT OF THE APPLICABLE PROVISIONS OF THE "MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING IN THE STATE OF FLORIDA ", PURSUANT TO RULE 5J -17 OF THE FLORIDA ADMINISTRATIVE CODE AND ITS IMPLEMENTING LAW, CHAPTER 472.027 OF THE FLORIDA STATUTES. 3TCI, Inc., A FLORIDA C FLORIDA CERTIFIC BY: ROLANDO ORTIZ REGISTERED SURVEYOR AND MAPPER LS4312 STATE OF FLORIDA RPORATION AUTHORIZATION NUMBER LB7799 NOTICE: NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. ADDITIONS OR DELETIONS TO SURVEY MAPS BY OTHER THAN THE SIGNING PARTY ARE PROHIBITED WITHOUT THE WRITTEN CONSENT OF THE SIGNING NOT VALID WITHOUT SHEET 2 OF 2 (SHEET 2 OF 2 CONTAINS THE AS -BUILT SURVEY MAP) I DRAFTER: FS CHECKED: RO FIELD BOOK: 2010 -B -27 JOB NUMBER: 10 -109 SCALE: N/A SHEET: 1 OF 2 0 GRAPHIC BCALE 0 12.5 25 #_6511 (114 MET ) 1 inch = 25 ft. FOUND NAIL FOUND 5/8" LP. (NO ID CAP) AP O BOUNDARY (P.B. 10, PG. 37) —NOT A PART- OVERHEAD on LINE N5714'17"E 75.00' FOUND 5/8" I.P. (NO ID CAP) 0.5 0.5' 4- 0 0 FOUND 5/8" I.P. (NO ID CAP) 0.2' FOUND 5/8" LP. (NO ID CAP) 75. •• ••• • •• • • • • s-•-• —0 • • • • • • • • •s ••• •• • • • •• • • • • * • • LOT 24 .. • • 4,11it CAL 48 HOURS BEFORE YOU wsTHE 1-800-4.32-4770 SASH* SIVE ONE CALL OF FLORCA . . , 1 rl L137799 1430:FESSIONAL LAND SURVEYORS AND MAPPERS 14262 SIM144th CT. MIAMI FL 33184 .i.tektkbiE-84r.4 fax: 305-220-3762 www.3tci.com • • • MVUT Miami Shores Village APPROVED BY DATE ZONING DEPT BLDG DEPT SUBJECT TO COMPUANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS 11. ,tb.745W' PROFESSIONAL LAND SURVEYORS AND MAPPERS LEGEND: — CENTER LINE • — WOOD POLE WP ABBREVIATIONS: N & D , NAIL AND DISC CONC. CONCRETE P.B. PLAT BOOK PG. PAGE S.W. SOUTHWEST S SOUTH E EAST F.F.E. FINISH FLOOR ELEVATION E.D. IDENTIFICATION I.P. IRON PIN W WEST (TYP) TYPICAL (R&M) RECORD & MEASURED C.L.F. CHAIN LINK FENCE CBS CONCRETE BLOCK STRUCTURE MB MAILBOX A/C AIR CONDITIONER iraMV31 Einr: _AA/ NOT VALID WITHOUT SHEET 1 OF 2 (SHEET 1 OF 2 CONTAINS THE SURVEY REPORT) I DRAFTER: CHECKED: I FIELD BOOK: JOB NUMBER: SCALE: I SHEET: FS RO 2010-B-27 10-109 1"=25' 2 OF 2 Vr. Chip Derrer W.R. Derrer Construction 900 SE 6th Court diatI(/ (014 willow rArio Kith Ft. Lauderdale, Florida 33301 Phone: 305 - 586 -1856, Fax: 954- 763 -3920 May 18, 2006 yy \\ Reference: Report of Geotechnical Recommendations O'Donnell Residence 1215 NE 94th Street Miami Shores, Florida GFA Project No. 06-0285 Dear Mr. Derrer: pr,r t°'r:' 0; `�7l0 e.a v 0 v' GFA International is pleased to submit this report of geotechnical soil exploration at the above referenced project. The proposed site plan and existing site elevations were not provided at the time of fieldwork. The proposed project site is an empty lot. The existing empty lot was identified in the field and executed our fieldwork based on approximate building footprints. No Finish floor elevations (FFEs) and the structural loads were provided. However, we anticipate that maximum column and wall loads will not exceed 50 kips and 4 kips per linear foot, respectively. If actual loads and final structure locations are significantly different than the above assumption, GFA International should be provided the opportunity to re- evaluate our recommendations. We understand that the proposed project consists of the construction of two -story residential building and a pool. Our geotechnical exploration consisted of performing a total of two (2) standard penetration test (SPT) borings to depths of 20 feet below ground surface (BGS) at the above location. In addition, one (1) exfiltration test was performed in accordance with the South Florida Water Management District (SFWMD) Constant Head "Usual Condition" Open Hole Test Method. In general, the subsurface conditions encountered consisted of very loose to loose fine to medium grained sand with varying amount of limestone and shell fragments that extended approximately 6 feet and followed very loose to firm (weak) LIMESTONE with varying amount of fine to medium grained sand. The apparent groundwater tables were encountered in the borings at depths about 6.0 feet BGS. In general, the ground water table will fluctuate seasonally depending upon local rainfall or other local influences. Environmental Geotechnical Structural Design Construction Materials Testing Threshold and Special Inspections Corporate Office 442 N.W. 35th Street Boca Raton, FL 33431 (561) 347-0070 (561) 347 0809 Fax Gulf Coast Office 5851 Country Lakes Dr. Fort Myers, FL 33905 (239) 489-2443 (239) 489 -3438 Fax Treasure Coast Office 7882 S.W. Ellipse Way Stuart, FL 34997 (772) 489 -9989 (772) 489 -2989 Fax Orlando Office 9659 Tradeport Dc Orlando, FL 32827 (407) 447 -9865 (407) 447-9868 Fax O'Donnell Residence 1215 NE 94Th Street Miami Shores, Florida, FL GFA Project No.: 06 -0285 May 18, 2006 Page 2 of 2 The calculated hydraulic conductivity coefficient for the exfiltration test was 4.8 x 1e ft3/sec/ft2-ft of head for EX -1. For detailed information on subsurface soil conditions encountered in the borings and exfiltration test locations, please refer to the "Record of Test Boring and Hydraulic Conductivity Test Result" sheets attached to this report. Based on the presence of very loose SANDS found within the foundation's load bearing zone of influence, anticipated design loads associated with the proposed development, and our experience on similar project, it is our opinion that the soils at the site are generally suitable for shallow foundations to support the proposed structure, once a ground improvement technique (Excavation and Heavy Proof Roll) has been completed. Excavation and Heavy Proof Roll, Our recommendations of site preparation for continuous footings and /or isolated footings are noted below. This approach to improving and maintaining the site soils has been found to be successful on projects with similar soil conditions. 1 Based on the existing soil conditions, the geotechnical site preparation must include excavation to a minimum depth of three (3) feet of the loose sands found in the subsurface soil profile extending to at least five feet outside the building footprint. The bottom of excavated subgrade should be compacted before placing any new fill. The excavated soils may be used as backfill material. 2. If the excavation extends below the water table, imported #57 -Stone or Crushed Rock should be used as backfill material to a minimum elevation of 12 inches above the water table. After the site has been backfilled to a dry stable elevation, compaction with a vibratory roller should then be performed. 3. We recommend a steel drum vibratory roller with a minimum static weight of 20,000 lbs. and minimum vibratory impact energy of 36,000 lbs.; (e.g., Dynapac CA -250D or equivalent) be used to compact the project area. The roller should be operated at 2 mph making at least 20 perpendicular overlapping passes. Upon completion of the proof rolling, density tests shall be performed to confirm minimum compaction compliance is achieved. Additional passes may be necessary if compliance compaction is not achieved. 4. Place additional fill material (excavated soil free of deleterious material), as required. The fill material should be inorganic (classified as SP, SW, GP, GW, SP -SM, SW -SM, GP -GM, GW -GM) containing not more than 5 GfF O'Donnell Residence 1215 NE 94 Street Miami Shores, Florida, FL GFA Project No.: 06 -0285 May 18, 2006 Page 3 of 3 percent (by weight) fibrous organic materials. Fill materials with silt -size soil fines in excess of 10% should not be used, this includes cyclone sand material. Place fill in maximum 12 -inch lifts and compact each lift to a minimum density of 95 percent of the Modified Proctor maximum dry density (ASTM D -1557) with a vibratory roller as mentioned in item # 3. 5. Perform compliance tests within the fill, to a depth of 12 inches, at a frequency of not less than one test per 2,500 square feet per lift in the building areas, or a minimum of 2 test locations per lift, whichever is greater. 6. The bottom of all footings shall be examined by the engineer or his representative to determine if the soil is vertically free of all organic and/or deleterious material, and if the compaction and soil pressures are achieved or if additional compaction is required. We recommend testing all footing cuts for compaction to a depth of 1 foot. A minimum of one density test per perimeter wall footing shall be recorded. 7. The contractor shall take into account the final contours and grades as established by the plan when executing his backfilling and compaction operations. Use of vibratory compaction equipment at this site may disturb adjacent structures. If the location of the adjacent structures is within very close proximity of the new development, then a representative from this office can monitor the vibration disturbance to the adjacent structures using seismograph equipment under a separate proposal. Foundation Design Provided that the site improvement and preparation recommendations (Excavation and Heavy Proof Roll) presented in this report have been completed, an allowable soil load bearing capacity of 2,500 psf can be used for foundation design. Shallow foundations can consist of strip foundations, isolated foundations beneath columns or a monolithic slab foundation. Shallow foundations shall be embedded a minimum of 12 inches into the bearing soils. This embedment shall be measured from the lowest adjacent grade. Isolated column footings should be at least 36 inches in width; continuous strip footings should have a width of at least 18 inches regardless of contact pressure. Gri O'Donnell Residence 1215 NE 94Th Street Miami Shores, Florida, FL GFA Project No.: 06 -0285 May 18, 2006 Page 4 of 4 Based on the test results, assumptions, and the recommended bearing capacity, settlements have been projected to be of 1 -inch or less total and '/Z -inch differential Floor Slab The ground floor slab may be supported directly on the granular fill pad following the foundation site preparation procedures depicted in this report. For purposes of design, a modulus of subgrade reaction of 150 pounds per cubic inch can be used. The floor slab should be structurally separated from all walls and columns to allow for differential vertical movement unless a monolithic slab is used. Water vapor is likely to rise through the granular fill building pad and condense beneath the base of the floor slab. If moisture entry into the floor slab is not desirable, an impermeable membrane should be installed at the slab bottom - subgrade interface. Report Limitations This preliminary consulting report has been prepared for the exclusive use of the current project owners and other members of the design team. Any third party reliance of our geotechnical report or parts thereof is strictly prohibited without the expressed written consent of GFA International. The methodology (ASTM D- 1586) used in performing our borings and for determining penetration resistance is specific to the sampling tools utilized and does not reflect the ease or difficulty to advance other tools or materials. The evaluation submitted in this report, is based in part upon the data collected during a field exploration. This report has been prepared in accordance with generally accepted local geotechnical engineering practices; no other warranty is expressed or implied. This report does not reflect any variations, which may occur between borings. While the borings are representative of the subsurface conditions at their respective locations and for their vertical reaches, local variations characteristic of the subsurface soils of the region are anticipated and may be encountered. The delineation between soil types shown on the soil logs is approximate and the description represents our interpretation of the subsurface conditions at the designated boring locations on the particular date drilled. The evaluation submitted in this report, is based in part upon the data collected during a field exploration, however, the nature of extent of variations throughout the subsurface profile may not become evident until the time of construction. If variations then appear evident, it may be necessary to reevaluate information and professional opinions as provided in this report. In the event changes are made in the nature, design, or locations of the proposed structure, GFA GfF O'Donnell Residence 1215 NE 94" Street Miami Shores, Florida, FL GFA Project No.: 06 -0285 May 18, 2006 Page 5 of 5 International shall not consider the evaluation and opinions contained in this report valid, unless the changes are reviewed and conclusions modified or verified in writing. Closure We appreciate the opportunity to be of service to you and if you have any questions or comments, please don't hesitate to call our office. Respectfully Submitted, LM Engineering dibla GFA INTERNATIONAL /. • . W1812006 a Mohammed:A. Hai, P.E. Wins o Professional Engineer #59345 Project Eng' eer State of Florida Corporate Office GF1 fit B-1 EX-4 NE 94 *h STREET 1 w- N °' WANG LOOATiON EXPILTRATION TEST LOCATION SCALE: NTS DATE: 5/15/2006 PREPARED: MH CHECKED: PROJECT NO: 06 -0285 REVISIONS: CLIENT: W.R. DERRER CONSTRUCTION TITLE: BORING AND EXHUMATION TESTS LOCATION PLAN °DO'NNELL.RESIDENCE 1215 NE 94th STREET, MIAMI SHORES, FL LM Engineering, Inc. d/bta GFA INTERNATIONA 442 NW 35th Street, Boca Raton, Florida 33431 ' " IYA 1t PROJECT/LOCATION: O'Donnell Residence BORING NO: B-1' -- PROJECT NO: 06 -0285 START: 4/10/06 FINISH: 4/10/06 WEATHER: Warm BORING LOCATION: Refer to Boring Location Plan DRILLER: Ozzy & Wesley DRILL: CME 55 DRILL CONTRACTOR: GFA International ELEV.: N/A GROUNDWATER: 6.0 feet DATE CHECKED: 4/10/06 BORING METHOD: Standard Penetration Test (SPT ) & Auger FLUID LOSS: N/A RECORD OF TEST BORING ELEV./ DEPTH SOIL SYMBOLS AND FIELD TEST DATA MAJOR SOIL COMPONENT OTHER COMPONENTS. STANDARD PENETRATION DEPTH N C LI .R V 19 30 p SAND LIMESTONE Loose, light brown, fine to medium grained, trace of shell fragments. Very loose, light brown to brown to grayish brown, fine to medium grained, light trace of shell fragments. Very loose, grayish brown, fine to medium grained, trace of limestone and fine root. Very loose, with some light rY g brown, fine to medium grained sand. Loose, with some light brown, fine to medium grained sand. Loose, trace of light gray, fine grained sand. 2.5 5 i33 t 3 i so 0'4 6 { 80 2'-4' 4 f so 4'.8 2 . arla�oa 7.5 10 .-VEIN IruRRI IN aRa IIIMMIMMIIIMI IRa.RRi IIMINNIMENZ IR.■RRI 12.5 aR.•RRI .R..RRI ."■■VEIN.■ .R I"" rR..Rr[ Iw..•w[ 15 Raa.M• IR..RRI MEMIIIIIIIIM w' ":'" 3 EMI ; 3 „;;; 2 • iIR' i =m wraw Rl uw■RRi R.. ■a•• IR..w RI •..RRI 9p ��-$� 4 :MNWU 3 : -=: 3 .RUwRI IRI.[1•ii ti R i i w• i IR•.RRI MINIM .■ I a....[ R.•—a I•..R•[ 80 8 -1 o' • Ma.-M. ii. � :. . .•..Ral w■.•_■ RR. =Ma. =•1111•11/1111V R..RRI . ..all■ ■R al w...IIM• ur.RRI ...aw• u..••1 M:� :' ....r. MMI' =... ' 14 3 ■.RR[ =.N. x R■oR■ RININRR[ 75 131-15 7 MINIMIIMIIIM u■.Rw[ MINISMINIIN •IN.RRI INNIMINIIMS IR..RR[ u..•1111[ •.•R1 .R.I.RRI NM •MMIll w. .RRI Soil and rock samples recovered using ASTM D -1586 test procedures. GFA INTERNATIONAL Sino'�P� PROJECT/LOCATION: O'Donnell Residence RECORD OF TEST BORING BORING NO: B -1 ELEV./ DEPTH SOIL SYMBOLS AND FIELD TEST DATA MAJOR SOIL COMPONENT OTHER COMPONENTS REC STANDARD PENETRATION DEPTH N 17.5 20 22.5 25 27.5 30 32.5 35 37.5 Firm, trace of light gray, fine grained sand. CURV 10 30 70 19'20' 11 ■1t MN NEI 1111111 IMO ■t■ ■t■ ■t■ GFA INTERNATIONAL i . A�NA PROJECT/LOCATION: O'Donnell Residence BORING NO: B-2 PROJECT NO: 06 -0285 START: 4/28/06 FINISH: 4/28/06 WEATHER: Warm BORING LOCATION: Refer to Boring. Location Plan DRILLER: Mike & Oswald( DRILL: Simco DRILL CONTRACTOR: GFA International ELEV.: N/A GROUNDWATER: 5.9 feet DATE CHECKED: 4/28/06 BORING METHOD: Standard Penetration Test (SPT) FLUID LOSS: N/A RECORD OF TEST BORING ELEV./ DEPTH SOIL SYMBOLS AND FIELD TEST DATA MAJOR SOIL COMPONENT OTHER COMPONENTS REC. ( %) STANDARD PENETRATION DEPTH N 2.5 7.5 10 12.5 15 ter -r-rIM E. IMrwMMI MrMrwr ur MEMO MMrrwr MEEMENIN lawn �� Mrrr Mlw i n . rr EN{ MMMwr ' n_-a' iMr■Mal Mrrrwa IMMwMr _M:n_u MEW WEER IMr■MEi • Iii OMMEI MIME wr MO M-n- wr IMrnMEO Mwrrw• ilMrrEri r ■r Mw■ ME EMMEN IMMwEMI M■rrwa NINE ENEMI Mrrrw■ iErrr Mi 'rrrw■ IMwrMEI Moww■ MEMENIIMI Mrwrw• MrrrM■ NMINMEMMI Mures., IE MrMMI MMrMw■ IEMrM MI MEUSE MN --n-- u OMMENEMI =MIME I O •n_n_ i0.1 11M Mures■ IM rrEMI Mr MI INN• iu_. u l■rrw■ M JIINNININENEI NIMMEINEN NE NM IE IMO IMrrMMI ilia -Er irr Mlr■ Mrwrw• IIMMEMMI MrwMw■ IE•MEMI MEW MEM IMrMMMI IMaEwa r MMI Mwr ■w■ IMMMMMI MMrrMM Inn rMMO arwr EEMI T MEi r ww■ i■ wws — 4 5 3 2 5 3 5 5 10 9 5 5 7 5 5 4 SAND LIMESTONE Loose, grayish brown to light grayish brown, fine grained, with some fine root, trace of limestone and shell fragments. Loose, light grayish brown, fien grained, trace of limestone and shell fragments. Very loose, grayish brown to brown, fine grained, with limestone. Loose, with light brown to light grayish brown, fine to medium grained sand. Firm, with light brown to fight grayish brown, fine to medium grained sand. Loose, with light gray, fine to medium grained sand. 95 CUR% 30 100 100 100 6'-6' 100 14 • 100 13' -15' 10 Soil and rock samples recovered using ASTM D -1586 test procedures. GFA INTERNATIONAL • ,411),■ PROJECT/LOCATION: O'Donnell Residence RECORD OF TEST BORING BORING NO: B-2 ELEV./ DEPTH SOIL SYMBOLS AND FIELD TEST DATA MAJOR SOIL COMPONENT OTHER COMPONENTS REC. en) STANDARD PENETRATION ' DEPTH N 17.5 20 22.5 25 27.5 30 32.5 35 37.5 MAW 4 4 5 4 Loose, with light gray, fine to medium grained sand. 100 18' -20' CURV iimi t1■ IMO WOO Hil MEM NMI MIN I'll 'III 1111 NMI GFA INTERNATIONAL Symbol Description Strata symbols Sand Limestone MMINVM Misc. Symbols Water table at boring completion Boring continues Soil Samplers Notes: • in vow a aw•pow v IMO Standard penetration test avert 1. Exploratory borings were drilled on 4/28/06 using a 4 -inch diameter continuous flight power auger. 2. No free water was encountered at the time of drilling or when re-checked the following day. . Boring locations were taped from existing features and elevations extrapolated from the final design schematic plan. . These logs are subject to the limitations, conclusions, and recommendations in this report. 5. Results of tests conducted on samples recovered are reported on the logs. HYDRAULIC CONDUCTIVITY TEST RESULTS Q Water Table Elevation A K = Hydraulic Conductivity (cfs/ /ft.2 ft.Head) Q = "Stabilized Flow Rate (cfs) d = Diameter of Test Hole (feet) H2 = Depth of Water Table (feet) Ds = Saturated Hole Depth (feet) Elevation "A" = Proposed Trench Bottom Elevation H� = Average Head on Unsaturated Hole surface (ft. Head) Test was performed and calculated as presented in the manual "Design of Exfiltration Trench to meet SFWMD Regulatory Criteria ". Gfi /0Q: re Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) Owner's A' ress ( -7) M City //2,,-7,72 State Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) " . 2106 BY: .................... Permit No. t�V U"RO�3 Master Permit No.b9P (3 1I City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name lii/ Contractor's Address % t� oo— City ile01 Qualifier Name t0 .60A L f4 State Certificate or Registration No. E -MAIL: tea! 44, 4)7 Sta 66 .31F Certificate of Competency No. Phone# l ' .577-1/ 3‘ Zip 3 c2a Phone # Architect /Engineer's Name (if applicable) Value of Work For this Fermi Type of Work: ■ ddition ['Alteration Describe Work: quare / Linear Footage Of Work: ii_l New Phone # ❑ Repair /Replace ❑ Demolition **** ,r*** * *** * ***x ****** ******* * *It t* ** Submittal Fee $ Permit Fee $ Notary $ Training /Education Fee $ Scanning $ Radon $ ************ * * * * ** ** * * * * * * * *** * * * * * * * * *** ** DPBR $ Bond $ Code Enforcement $ Structural Review. $ CCF$ CO /CC Technology Fee $ Zoning $ Double Fee $ Total Fee Now Due $ See Reverse side -> 9,9 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. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable Laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be > :e. Signature Signature Owner or Agent / Contractor The fore oing in trument was acknowle ed be re e this � p The fore ynst m ent was acknowledged before me this day of i', ',: , 20 , by n 1 / , day of ,`"' x4'20 03, by d . . — 0 who is per ona ly known to me or who has produced bP who is p sonally known to me or who has produced entification and who did take an oath. 1 ck.0 70 eXPc)-() NOTARY PUB Sig Print: as iden . ation and who did take an oath. My Commission Expires: ** ****** ***,4**** **** APPLICATION APPRO (Revised•02/08 /06) ,,, , SARIMA BAIISTA g EXPIRES: May 11, 2009 Floated ThrU Notary Public un____. nd ere° Sign: Print: My Commission Expires: **Ittt'it'IC'****** M*** lit** V-62 go/8 *,a.1'its «xF,YCOISN#UD4?2 *x :. tT EXPIRES: May 11.2009 `T.e,... Bonded Tin Voter; ?UF=':C J:,uenvrders ans xammer Engineer Zoning 79; ' z 5-3 / el/e • September 23, 2010 Ref: 1215 N.E. 94 St To Whom It May Concern: Rit SEP23 2010 BY:�`� '15g7 06-1C950 In reference to above address I'm requesting the cancellation of process number CMC 9- 081653 (Mechanical). The permit was never issued and the work was never done at the above address. If you have any questions please feel to contact me at 305- 389 -3272 Sincerely sv . s o orrel President Havana Air Condition CAC 056638 STATE OF FLORIDA: COUNTY OF DADE: I, hereby acknowledged that the statements contained in this letter are true and correct. Sworn to and subscribed before Notary Public , is ow trIP- My Commission Ex •j, es: day of Ate" tAm4 ... ^$DD885428 FSrr. ':�EAES. May 11, 2013 Ea ^.:led Thru *airy Pu'�Iw jhida e 20 16 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 131986 Scheduled Inspection Date: February 10, 2010 Inspector: Devaney, Michael P it • er: EL -9 -08 -1652 Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 NE 94 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: JES ELECTRIC, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 11- 3205 -010 -0025 Phone: 305 -218 -9492 Building Department Comments ELECTRICAL WORK FOR NEW POOL Passed Failed V Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 131961. Canceled by Sarima AS /Z-e6 .0 PrF "fit°- H0sr / /0 /2e p 7,/,77----2/9 7'0 February 09, 2010 For Inspections please call: (305)762 -4949 Page 8 of 21 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -94430 e-citg-t(p60 Permit Number: EL -9 -08 -1652 Scheduled Inspection Date: November 16, 2009 Inspector: Devaney, Michael Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 NE 94 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: JES ELECTRIC, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 11- 3205 -010 -0025 Phone: 305 - 218 -9492 Building Department Comments ELECTRICAL WORK FOR NEW POOL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments ova- 01 e November 13, 2009 For Inspections please call: (305)762 -4949 Page 36 of 36 Project Address 1215 NE 94 Street Miami Shores, FL 33138 -0000 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Owner Information Address Parcel Number 11- 3205 - 010 -0025 Block: Lot EDWARD & JACQUELINE O'DONNELL 1700 NE 105 Street MIAMI SHORES FL 33138- Applicant EDWARD & JACQUELINE Contractor(s) JES ELECTRIC, INC Phone Cell Phone 305 -218 -9492 (786)251 -2207 Phone Cell Valuation: Total Sq Feet $ 1,000.00 471.75 Type of Work: ELECTRICAL Additional Info: POOL Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $225.00 $3.00 $5.63 $234.43 Total Amt Paid I Amt Due $ 0.00 $ 0.00 Payment Type: $ 0.00 1) OCT 1 7 ?OM 1131) MIAMI SHORES VILLAGE Available Inspections : Inspection Type: Light Niche Bonding Final Alarms 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. October 09, 2008 Authorized Signature: Owner / Applicant I Contractor / Agent Building Department Copy Date Thursday, October 9, 2008 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) O Add 170 AID' /©e"' Owner's Permit No. Master Permit No. � Pu/1 t-r-a7 9 218 BY: Phone # 590c r ss City LArni State 1 Zip 3,ai Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade FOLIO / PARCEL # �'% 320c 010 mar Is Building Historically Designated YES NO y Contractor's Company Name J 6S (42 tiC. Zip 03/319 Phone # Contractor's Address (am. rQt ,UGC! f...3 g°7 City !�( %).(e State 'i Zip .. / - QualifierName I ct9l /ro & . ' ®?"* Phone # Q-gc0 2S '/— 2-2.0 . State Certificate or Registration No E_C , 1 300 - 2-0(2.. Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ iteD0 uare / Linear Footage Of Work: Type of Work: ['Addition ['Alteration New ❑ Repair /Replace ❑Demolition Describe Work: ****************** xxxxxx***x*x** xxxx xxwFees**..************************************* Submittal Fee $ Permit Fee $ 72,y 7 6' Notary $ Training /Education Fee $ Scanning $ Radon $ Bond $ Code Enfor Structural Review. $ CCF $ CO /CC Technology Fee $ Zoning $ ble Fee $ J�� : ti Total Fee Now Due $ ®�C t131)' See Reverse side ---> MIAMI SHORES VILLAGE 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 com w ; ' ent must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued ! absence of such posted notice, the inspection will not be approved and a reinspection fee will be cha Signature Signature Owner or Agent The foregoi instrument was acknowledged before me this g The fore day of , 208e , by S ?ice day of Contractor ment was acknowledged before me this , 2000 , byackb who is personally known to me or who has produced F/B1... who is pe sonally known to me or who has produced ification and who did take an oath. as iden NOTARY PUB ®'°� � ® NOTARY P Sig Print: ✓� 4p%1 t ion and who did take an oath. My Commissi *xx,Yr.x,Y*x * Sig Print: $ARIMA BATISTA s: MY COMMISSION # Dd 428255 Vinceti My Commissio 4e'+k********dc,Y* xxxxxxxxxx ********* SciiiIMA UINTA MY ^OMMISI ;UM I OD 4311 Oeritie mru Palle linen'', APPLICATION APPROVED BY: (Revised 02/08/06) ary Plans Examiner Engineer Zoning 4' Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 OPP1 -OR-1650 CL' Inspection Number: I NSP- 135322 Permit Number: EL -9 -08 -1652 Scheduled Inspection Date: March 31, 2010 Inspector: Devaney, Michael Owner: O'DONNELL, EDWARD & JACQUELINE Job Address: 1215 NE 94 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: JES ELECTRIC, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 11- 3205 - 010 -0025 Phone: 305 - 218 -9492 Building Department Comments ELECTRICAL WORK FOR NEW POOL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 131986. CREATED AS REINSPECTION FOR INSP- 131961. Canceled by Sarima ASReceptacle must be 10 ' fromthe inside edge of the pool. March 30, 2010 For Inspections please call: (305)762 -4949 Page 4 of 23 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Expiration: 04/07/2009 Applicant 1215 NE 94 Street Miami Shores, FL 33138 -0000 Owner Information Address 11- 3205 -010 -0025 Block: Lot EDWARD & JACQUELINE O'DONNELL 1700 NE 105 Street MIAMI SHORES FL 33138- Phone EDWARD & JACQUELINE Cell Contractor(s) A- LEAGUE CONTRACTORS Phone Cell Phone (305)324-5222 Type of Work: PLUMBING Type of Piping: POOL Additional Info: Bond Return : Classification: Residential L Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $180.00 $3.00 $4.50 $188.30 Total I Amt Paid I Amt Due $ 0.00 $ 0.00 Payment Type: $ 0.00 ,04 1122 fo 0 9 PAS 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 October 09, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date Thursday, October 9, 2008 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple TitleWider) Owner's A City ress f 7t) eV>d `i✓7 o /Y r' State Tenant/Lessee Name E -MAIL: 1I? y ?i, /12 Permit Noll Master Permit No. 0 C.72 0 9 g8 Phone # 0 Zip 3343A Phone # Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # I/ 32) OJ Is Building Historically Designated YES NO %Q sit)is svc q4 County Miami -Dade Contractor's Company Name -X) City, State Qualifier Name �� f �?t�✓ . ' d ;'0 Zip �+ Phone # Contractor's Address Zip 0 /'� Phone # State Certificate or Registration No. Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Type of Work: ElAddition ❑Alteration Describe Work: A S uare / Linear Footage Of Work: S El Repair /Replace ❑ Demolition ******** **** * *** *** ** * ** * * * * ** ** * * * * * ** Fee * . xtk*+k9 **** sir**** *xscic******* ******ic*** ** **** Submittal Fee $ Notary $ Training /Education Fee $ Scanning $ Radon $ Permit Fee $ DPBR $ CCF$ CO /CC Technology Fee $. Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $_ Total Fee Now Due $ See Reverse side --> Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip 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: [ certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence o. h posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this Y 3 ,20&,by day of who is personally known to me or who has produced`°Oft`.tf (t4k ' entification and who did take an oath. NOTARY PUB Sign: Print: My Commission Expires: Signature 11� i ctor The foregoing instrument was acknowledged before me this 2.1 200 ,by IL) iI@ day of who is to me or who has produced as iden %'r . tion and who did take an oath. 51-i-0 - -Z62_ ° NOTARY P * * * * * * * * * * * * * * * * * * * * ** Si Print: My Commission Exp * * * * * * * * * * ** * * * * * * * * * * * ** o� oe.`- i. {'S'�C:.. rill►( dlyWub!i APPLICATION APPROVED BY (Revised 02 /08/06) SARIMA BATISTA MY COMM SSICN # DD 428255 Bontlau Thru Nnry Pubic Uncierwrrters Plans Examiner Engineer Zoning