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BPP-13-1593Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 195375 Scheduled Inspection Date: November 05, 2013 Inspector: Rodriguez, Jorge Owner: SILVERMAN, SCOTT Job Address: 1321 NE 103 Street Miami Shores, FL Project: <NONE> Contractor: ALL FLORIDA POOLS AND SPA CENTER dunamg uepartment comments Permit Number: BPP -7 -13 -1593 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: Repair Phone Number Parcel Number 1132050300120 Phone: 305 - 893 -4036 COPING TILE RESURFACE EXISTING POOL Infractio Passed Comments TRAVERTINE SET IN OVER EXISTING I INSPECTOR COMMENTS False November 04, 2013 For Inspections please call: (305)762 -4949 Page 2 of 40 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 04, 2013 For Inspections please call: (305)762 -4949 Page 2 of 40 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA COUNTY OF DADE TAX FOLIO NO. .I1'"'P3' 26L'Y QZ2 :j,9 ., 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. OR St; 28733 Ps 06388 tl.ps) RECORDED 07/22/2013 09:34:15 HARVEY RUVINP CLERK OF COURT MIAMI -DACE COUNTY? FLORIDA LAST PAGE 0 1. Legal 'on of and street /_-52/ 2. :z 3. Owner (s) name and address: -12/ A,4 A_ /A Interest in property: Name and address of fee simple titleholder: 4. name and address: W NT OF FLORIDA, OOUN d I S. Surety: (Payment bond required by owner from contractor, y CERTIFY Od this is a OR Name and address: .i.j MAd kLtw ® Amount of bond: $ WITNESS my Fund and Official Se 6. Lender's name and address: WVEY RUVIN, CLERFL d 00 t 7. Persons within the State of Florida designated by Owner upon whom notices or other provided by Section 713.13 (1) (a) 7., Florida Statutes: Name and address: 8. In addition to himself, Owner designates the following person (s) to receive a copy _qf the Lienoz's Notice as provided in Section 713.1 '(1) (b) 7., Florida Statutes. i,ltime and address: : -KKy• may be served as 9. Expiration date of this Notice of Commencement (the expiration date is I year from the date of recording unless a different date in specified) CA OVA Signature of Owner * a 'wod�,N Print Owner's Name rTokrj 5 k Sworn to and subscribed a me this day o 20 1 _ Prepared by: •�o�` �� Notary Public Address: !1."laro 6t%,, �EvD Print Notary's Name Mt�p„y�` 3�1g 1 My Commission Ex it P ALLFL -2 OP ID: GJ .4COJz"0 �- CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 0610712013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT, If the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: 321-397-3870 insurance By Ken Brown, Inc. Fax: 321 - 397 -3888 PO Box 948117 Maitland, FL 32794 -8117 David R. Griffiths NAME; CONTACT PHONE FAX C No Ext : WC, No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC If INSURERA:Amerisure Ins Company 19488 INSURED All Florida Pool & Spa Center All Florida Distributors, Inc. 11720 Biscayne Boulevard Miami, FL 33181 -3110 INSURERB:Amerisure Mutual Ins. Co 23396 INSURERC: EACMOCCURRENCE INSURER D : PREMISES Ea occurrence INSURER E: MED EXP (Any one person) INSURER F : PERSONAL & ADV INJURY nnVFRAr%PA CFRTIFICOTF NIIMRFR- REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE POLICY NUMBER EFF MMOIIDDD MOMIDD EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_1 OCCUR AUTHORIZED REPRESENTATIVE 10050 NE 2nd Avenue Miami Shores, FL 33138 CPP2030900070013 07/15/2013 07/15/2014 EACMOCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE U MIT APPLIES PER: POLICY X PRO- LOC PRODUCTS -COMPIOPAGG $ 2,000,000 $ A AUTOMOBILE LUU31LnY X ANY AUTO ALL OWNED SCHEDULED AUTOS NON-OWNED X HIRED AUTOS X AUTOS CA20562960602 07/15/2013 07/15/2014 Ea acdderOttSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Par accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LUU3 X OCCUR CLAIMS MADE CU205629704031B 07/15/2013 07/1512014 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED X RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVEY� OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC205115705 1213112012 I 12/31/2013 WC STATU- OTH- X TORY LIMIT X E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE $ 500,000 E.L DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more space Is required) Swimming pools - installation, service, or repair - below ground. nCeTiCt/�A TL' VAl nro PAMf`r-I 1 ATIf1N MIAMISH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION E WILL BE DELIVERED IN Village of Miami Shores ACCORDANCE POLICY PROVISIONS. Building & Zoning Dept. Angie AUTHORIZED REPRESENTATIVE 10050 NE 2nd Avenue Miami Shores, FL 33138 —via" U 19tlItf --TU1 U AUUKU UUKYUKA 1 Iulrv. Au ngnrs resarvuu. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 PERMIT APPLICATION FsC 20 F Permit No. Master Permit No V) Tenant/lessee Name: Phone#: Email: JOB ADDRESS: _ /J2/ .-V, �-: /d am City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: /f' 5.266 C7--'b- � /Zb Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name:�iC -+°.OA Phone#: 6-J 7� "7 Address: City: e9 % tate: Zip: 5/'�Jc Qualifier Name: Phone#: State Certification or Registration #: 0.2 -51'75-0 Certificate of Competency #: Contact Phone#: yl2 V ,90 5 Email Address: DESIGNER: Architect/Engineer. Phone#: Value of Work for this Permit: $ �yi 4W Squama inear Footage of Work: 0 Type of Work: (]Addition ^ OAlteration ClXem n " Clftair/Replacp ODemolition Descripgogof Work: www** seas* swsssww** ss*** ssww** wws* wssssF�s** ss*** wswwwwwws * * *wswswwwwww **s*www *wwswws Submittal Fee $ l� ® Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ S 7 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State zip 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 ELECI`AICAI WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETiC..... OWNER'S AFFWAVIT: 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 1WROVEMENTS 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 brgchkre 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_ / `'� I. Owner or Agent The foregoing instrument was ac owledged fore me this 1 �O day of4, 20 L, Who i na y cn� me or who has produced APPROVED BY _/J- Ii�(%YI'Ilo I l (Revised 07 /10/07)(Revised 06/10=09XRevised 3 /15/09) v Signature Contractor The foregoing instrument was acknowledged before me this day of Z .201-S by Z14vaCW,. who i nauy knows -to me or who has produced_ as i ntification and w e an oath. NOT Y PUB C: �pE4 ttirc6'f� r w� ASS ne ''i pU My Commission Expires: Structural Review Clerk 1 !! �! MINIMUM �J I. l 10.13 14.60 0 .� ai ASPHALT DRIVE WAY4r •', ,U ® w _ L o i 18.00' N 46.80 4 f z.3s'�ns) l� , Pi ® �- U F.I.P. f /2» o 3 ,a 'b- 0 k A S P H A L T PA VFMENT ® L ? 3' ONE STORY e r r RESIDENCE m o #1321 u°� 4 co mot° o • qr� 31.20' N 0 � M 21.40 ��. 0 15.45, 0.32' 10.13 14.60 0 .� ai ASPHALT DRIVE WAY4r •', ,U i.P. 112» 18.00' 16.00' F. P. I/ 2„ f z.3s'�ns) S890 154"W 917.0 '(P)( F.I.P. f /2» BLOCK CORNER o 0 N 20' A S P H A L T PA VFMENT N � N. E. 103rd STREET PROPERTY LINE STRUCTURE CONC, BLOCK WALL —X —X— CHAIN -LINK FENCE OR WIRE FENCE WOOD FENCE - 0 - 6-- IRON FENCE — — — - EASEMENT -- - - - CENTER LINE Property Address: 1321 N.E. 103 STREET MIAMI SHORES, FL 33138 Flood Information: Community Number. Panel Number: Suffix: Date of Firm Index: Flood Zone: Base Flood Elevation Date of Field Work: Date of Completion: 120652 12086CO306 L 9/11/2009 AE 8.0 5/8/2013 5/8/2013 FND LB/ CALC SET 1 ELEV P.T. P.C. P.R.M. P.C.C. P.R.C. P.O.B. P.O.C. P.C.P. M P D., C, L.M.E. R.O.E. Surveyor's Legend FOUND IRON PIPE / PIN AS NOTED ON PLAT LICENSE B - BUSINESS LICENSE # - SURVEYOR CALCULATED POINT SET PIN CONTROL POINT CONCRETE MONUMENT BENCHMARK ELEVATION POINT OF'TANOENCY POINT OF CURVATURE PERMANENT REFERENCE MONUMENT POINT OF COMPOUND CURVATURE POINT OF REVERSE CURVATURE POINT OF BEGINNING POINT OF COMMENCEMENT PERMANENT CONTROL POINT FIELD MEASURED PLATTED MEASUREMENT DEED CALCULATED LAKE OR LANDSCAPE MAINT. ESMT. ROOF OVERHANG EASEMENT B.R: WOOD DECK �® CONCRETE ASPHALT ® BRICK / TILE C.U.E. WATER I.E. /E.E. APPROXIMATE EDGE OF WATER Property Address: 1321 N.E. 103 STREET MIAMI SHORES, FL 33138 Flood Information: Community Number. Panel Number: Suffix: Date of Firm Index: Flood Zone: Base Flood Elevation Date of Field Work: Date of Completion: 120652 12086CO306 L 9/11/2009 AE 8.0 5/8/2013 5/8/2013 FND LB/ CALC SET 1 ELEV P.T. P.C. P.R.M. P.C.C. P.R.C. P.O.B. P.O.C. P.C.P. M P D., C, L.M.E. R.O.E. Surveyor's Legend FOUND IRON PIPE / PIN AS NOTED ON PLAT LICENSE B - BUSINESS LICENSE # - SURVEYOR CALCULATED POINT SET PIN CONTROL POINT CONCRETE MONUMENT BENCHMARK ELEVATION POINT OF'TANOENCY POINT OF CURVATURE PERMANENT REFERENCE MONUMENT POINT OF COMPOUND CURVATURE POINT OF REVERSE CURVATURE POINT OF BEGINNING POINT OF COMMENCEMENT PERMANENT CONTROL POINT FIELD MEASURED PLATTED MEASUREMENT DEED CALCULATED LAKE OR LANDSCAPE MAINT. ESMT. ROOF OVERHANG EASEMENT B.R: COVERED AREA TEL TREE POWER POLE ® CATCH BASIN C.U.E. COUNTY UTILITY EASEMENT I.E. /E.E. INGRESS / EGRESS EASEMENT U.E. UTILITY EASEMENT Property Address: 1321 N.E. 103 STREET MIAMI SHORES, FL 33138 Flood Information: Community Number. Panel Number: Suffix: Date of Firm Index: Flood Zone: Base Flood Elevation Date of Field Work: Date of Completion: 120652 12086CO306 L 9/11/2009 AE 8.0 5/8/2013 5/8/2013 FND LB/ CALC SET 1 ELEV P.T. P.C. P.R.M. P.C.C. P.R.C. P.O.B. P.O.C. P.C.P. M P D., C, L.M.E. R.O.E. Surveyor's Legend FOUND IRON PIPE / PIN AS NOTED ON PLAT LICENSE B - BUSINESS LICENSE # - SURVEYOR CALCULATED POINT SET PIN CONTROL POINT CONCRETE MONUMENT BENCHMARK ELEVATION POINT OF'TANOENCY POINT OF CURVATURE PERMANENT REFERENCE MONUMENT POINT OF COMPOUND CURVATURE POINT OF REVERSE CURVATURE POINT OF BEGINNING POINT OF COMMENCEMENT PERMANENT CONTROL POINT FIELD MEASURED PLATTED MEASUREMENT DEED CALCULATED LAKE OR LANDSCAPE MAINT. ESMT. ROOF OVERHANG EASEMENT B.R: BEARING REFERENCE TEL A CENTRAL ANGLE OR DELTA U.P. i R RADIUS OR RADIAL E.U.B. RAD. RADIAL TIE SEP. N.R. NON RADIAL D.F. TYP. TYPICAL A/C I.R. IRON ROD S/q I.P. IRON PIPE DWY N &0 NAIL & DISK SCR, PK NAIL PARKER -KALON NAIL o• GAR D.N. DRILL HOLE ENCL. ® WELL N.T.S. ® FIRE HYDRANT F.F. ® M.H. MANHOLE T.O.B. O.H.L. OVERHEAD LINES E.O.W. TX -.TRANSFORMER E.O.P CAN CABLE TV RISER C.Y.G. W.M. WATER METER B.S.L. P/E POOL EQUIPMENT S.T.L. CONC. CONCRETE SLAB ESMT EASEMENTS R/W D.E. DRAINAGE EASEMENT P.U.E. L.B.E. LANDSCAPE BUFFER EASEMENT C.M.E. L.A.E. LIMITED ACCESS EASEMENT A.E. TELEPHONE FACILITIES UTILITY POLE ELECTRIC UTILITY BOX SEPTIC TANK DRAINFIELD AIR CONDITIONER SIDEWALK DRIVEWAY SCREEN GARAGE ENCLOSURE NOT TO SCALE FINNISHED FLOOR TOP OF BANK EDGE OF WATER EDGE OF PAVEMENT CONCRETE VALLEY GUTTER BUILDING SETBACK LINE SURVEY TIE LINE CENTER LINE RIGHT -OF -WAY PUBLIC UTILITY EASEMENT CANAL MAINTENANCE EASEMENT ANCHOR EASEMENT General Notes: 1. The Legal Description used to perform this survey was supplied by others. This survey does not determine or is not to imply ownership. 2. This survey only shows above ground improvements. Underground utilities, footings, or encroachments are not located on this survey map. 3. If there is a septic tank; well, or drain field on this survey, the location of such items was shown to us by others and the Information was not verified. 4. Examination of the abstract of title will have to be made to determine recorded instruments, if any, effect this property. The lands shown herein were not abstracted for easement or other recorded encumbrances not shown on the plat. 5. Wall ties are done to the face of the wall. 6. Fence ownership is not determined. 7. Bearings referenced to line noted B.R.' 8. Dimensions shown are platted and measured unless otherwise shown. 9. No identification found on property comers unless noted. 10. Not valid unless sealed with the signing surveyors embossed seal. 11. Boundary survey means a drawing and /or graphic representation of the survey work performed in the field, could be drawn at a shown scale and/or not to scale. 12. Elevations If shown are based upon NGVD 1929 unless otherwise noted. 13. This is a BOUNDARY SURVEY unless otherwise noted. 14. This survey is exclusive for the use of the parties to whom it is certified. The certifications do not extend to any unnamed parties. Legal Description: LOT 3, BLOCK 6, OF SUBDIVISION REPLAT OF TRACT "B" MIAMI SHORES BAY PARK ESTATES, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 63, PAGE 17, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA PRINTING INSTRUCTIONS: .,.....,.,.. . - - @ . ,,. __ — . ­­ ""v %9n "I&.V V1.1Y1"1 Y TEVEN A. GREENSPAN; OLD REPUBLIC NATIONAL TITLE While viewing the survey in any Acrobat Reader, select the File NSURANCE COMPANY ISSUED THROUGH ATTORNEY'S Drop -down and select "Print" ITLE FUND SERVICES, LLC; CALIBER FUNDING, LLC ; . - - - -- ..