Loading...
BPP-13-1136New Miami Shores Village r Building Department 1150 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING MAY 2�2 2013 ,JFBC 20 l Permit No. Master Permit No. JOB .ADDRESS: ) . C R S ) . City: Miami Shores County: Miami Dade zip: 3 3) 3 Folio/Parcel#:1. " r 0 Is the Building Historically I? tted: Yes NO ' Flood Zone: OWNER: Name (Fee Simple Titleholder): ()r i 'recko I/ Address:IS/ A� . s�° r'1 �� City: no 1 a fh 1 S « 6 State: =� Zi 3 3 • p: Tenant(Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Phone#: --IS Address: —L p 0 C) . A J , City: VAV!,-)g!0L —State: Tap: 1 s- State Name: ��, C, 0 � �` � Phone#: � � ��,® State Certification or Registration # ' - � � GJ Certificate of Competency #. _T Contact Phone#. -3' $f ( ®� �( Email Address: v�, nye pop r DESIGNER: Architect/Engineer Phone# Value of Work for this Permit: $ ��', [a(, (N Squareninear Footage of Work: T3 7 Type of Work: OAddition OAlteration W ew ORepair/Replace ODemofition Desalption of Work: 4- Color thm tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ CCF $ CO /CC $ DBPR $ Bond $ Notary $ TrWning/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1 -', Bonding Company's Name (if applicable) Bonding Company's Address City State 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 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 re' ection fee will charged. Signature 02�7 Signature ©lam � '� Owner or t Contractor The foregoing instrument was acknowledged before me this Q_ The foregoing instrument was acknowledged before me thisa' day of ('e1 , 20 L�, by _ ® day of 201%, by QW-Q -),!Q , who is kno n me or who has produced who is onall )m me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: I Print: _ My Commission APPROVED BY as identification and who did take an oath. NOTARY PUBLIC: Sign: aL7777-- Print: DAVID M DIPiJUua MY MY COMMISSION # DD935808 EXPIRES October 25, 2013 Plans Examiner ?� Structural Review (Revised 3 /12=12)(Revised 07 /1007)(Revised 061101M)(Revised 3/15/09) ­DAVID M DIPUGLIA MY COMMISSION # DD935608 EXPIRES October 25 2nas Zoning Clerk ' NOTICE OF COMMENCEMENT C N 2 0 13R 41 4697 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION OR 8l: 28646 P9 3538 e t 1 a 9 ) RECORDED 05/24/21013 12 :04:05 HARVEY RUVINP CLERK OF COURT PERMIT NO. TAX FOLIO NO. 3. �Otoj MIAMIFDADE COUNTY, FLORIDA IAST 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. 1. Legal description of property and street /address: a'"L cr `7 Qb -j2U(.) X-- c c�0­ W R C3 C` 15 � ' V d-_L®d 7 7cd_W ° 0 to y d 2. Description of improvement: 3. Owner(s) name and address: _ R _ Interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address: 5. Surety: (Payment bond required by owner from contractor, if any) Name and Address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner provided by Section 713.13(1)(a)7., Florida Statutes. Name and Address: �SL 61M 8. In addition to himself, Owners designates the following p5 ec nee a y{tie Lienor's Ryas 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) 0 0 )-Gt S-� (-� — qoy(�- U-41b 4. W-WL22880301705 -low * �lft 4 41�11,1, @r tale Fr 6iO3i6 of -11, t �xpirat3Qa clefs: AUG: -31,AO4 MARClai, 1A 8004 NW 1 EXAPEAR sir 40� M.,ZA-.30 . . . . . . . . . . . . . . x -41� V XN LAWSON 5 K DISPILAYAS- r F9W CLASS U.S. POSTAGE PAID MUM FL PERIM No. 231 617851 -1 THIS IS NOT A BILL -. Do NOT FAY RENEWAL eUWE6bWTftIGN & STATEEIq37609 644294-1 CONSTRUCTION INC 16423 NW 83 PL 33016 MIAMI LAKES "MANIC POOL DESIGN& S01 "ftxTY B rAX ter. R DOES Nor PEfHlOT T,te NOLDEp TO VtOLA,TE ANY EXu,EOO,Nm utm an XDwW IAWS OF nm cownv Oft MEL "m PUMT OR WCMGE CENMqaJWH OF Me HoLomm C AMJFWJ6 Tum PAVAUW RECBirEO N EECOMMTAX 09020204001 000045.00 SEE OTHER SIDE PLUMBING CONTRACTOR WORKEI /S DO NOT FORWARD OCEANIC POOL DESIGN 8 CONSTRUCTION INC LUIS GUERRA PRES 16423 NW 83 PL MIAMI LAKES FL 33016 Department of Regulatory and Economic Resources Board M 11805 SW 26d' Street (Coral nWay)ti Room 230 Miami, Florida 33175 -2474 Telephone 786 - 315 -2573 Fax 786 - 315 -2570 www.miamidade.goy /pera MEMO TO: Al uil VS, s i 'a ad unty FROM: Se retary of thrd Board of Rules ppeals DATE: October 23, 2012 SUBJECT: Certificate of Reinstatement Dennis Ulacia, Qualifying. Agent Oceanic Pool Design & Construction, Inc. State License #CPC1457609 8004 NW 154 Street, #406 (Pool Contractor) Hialeah, Fl. 33016 As a result of a formal hearing before the Board of Rules and Appeals on September 20th, 2012, it was advised that the above Contractor's permitting privileges were administratively suspended in Miami -Dade County. This is to inform your Department that the above Contractor's permitting privileges have been ADMINISTRATIVELY REINSTATED in Miami -Dade County as a result of compliance. with the Board Order. If you have any questions concerning this matter, please do not hesitate to contact Jose Lezcano, Contractor Enforcement Supervisor at 786 - 315 -2562 or via email at JL045@miamidade.gov. OP ID: CA CERTIFICATE OF LIABILITY INSURANCE 11/09H2 °"'1`" THIS CERTIFICATE IS 13SU® AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. N 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 ... � A- -- -.. A-M Road Suite 712 FL 33134 Jr. INSURED Oceanic Poo) Designs 8& INSURER A: Starr Indonrift ~ & Uability Co 383189 Construction, Inc. nmpm B: TechnolM Insurance Co. 42376 18600 NW 87 Ave #114 Hialeah, FL 33015 INSURER C: INSURER D INSURER E: INSURER F COVERAGES CERTIFICATE MH"RFR• nc.ne....a Kama nrs_ .W � awv.� nvanurra. 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. LT R TYPE OF INSURANCE POLICY NUM R POLICY LI11UTS A GENERAL LmRE Iry cOUmmCLALGENERALLIABArrY CLAIMSMADE ❑X OCCUR SIPG- GL0027341 11108H2 11AM13 EACH OCCURRENCE $ 1.900, X s s $ 69a MED EXP (Am am per) $ S. PERSONAL & AOV INJURY $ 1,000, GENERAL AGGREGATE $ 2.000, GEWL AGGREGATE LWr APPLIES PEk X POLICY F1 �O LoC PRODUCTS- COMPIOPAGG $ 2,0011, Ban. $ 1,0005 AUTOMOBILELIABUM ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWE AUTOS COMBINED SWGLELIM me -qftd) $ BODILY RJURY (Per person) $ BODILY RJURY (Par accident) $ PROPERTYDAMAGE (P­ $ $ $ B UMBRELLA LJAB EXCESS LIAR HCLA..... OCCUR NIA C3325ti0T 09123HZ X13 EACH OCCURRBdCE $ AGGREGATE $ DEDUCTMLE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY M ER EXCLUDED? Y❑ O b bNe ureter. D�s�cRIPnoN of OPEw►nONS W $ WC STATU- T1 E L EACH ACCIDENT E.L. DISEASE-EA EMPLOYEE S 009. EL. DISEASE - POLICY LUfIT $ 500, DESCRIPTION OF OPERATIONS I LOCATIONS I VMCLES (Attach ACORD 107, Addifto W Raab Schedrd% N mare apace is re*dreM Swimming Pool installation, Servicing or repair above ground. - Coverages are subject to the terms conditions, deductibles and exclusions as shown in the polices. 10 days ;;dice of cancellation for non payment of premium. CERTIFICATE HOLDER CANCELLATION VILLAG2 Miami Shores Village "g 10050 NE 2 Ave Miami Shores Fl 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL 13E r� i�Fn IN ACCORDANCE WITH THE POLICY PROVISIONS. ""TH,D�t �' REPRESIMAIM ®198&2009 ACORD CORPORATION. AN rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD Miami Shores Village Building Department RECEIPT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT #: N � P1 '�)- 113.6 DATE: 6 /Y /3 I, �G,rv-,,,i eJ Oe -red) c . (NAME) tractor • Owner • Architect Picked up 2 sets of plans and (other) Address: 1 '�7� U co 9 3 S77 co rrte C -h 0 tj S' 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: (Signature) PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Date Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the lega7eej- er of the property described as Vg/ . located at 1_"�- 1 ►��, ;, s��f',�� Gc :, 33 13 ' In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting and approved barrier prior to final inspection and use of the pool Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PRESENTS: 1 (� \ / l WHEREAS, the undersigned \) l� —CCSO `�Ca l ' istare the fee simple owner(s) of the following described property situated andbeing in Miami Shores Village, Florida: Address: _ �_ )kJ d Whereas, the undersigned owner(s) desire to utilize said Lots) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: I. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. . III. That If any of our adjoining neighbors remove any portion of their fence or wall, or if our /my property shad fail to meet code requirements for pool barriers, we, as owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. IV. That, [Ave, as owner(s) hold Miami Shores Village harmless for any negligence or injury that results from not having the enclosure. V. If enclosure belongs to said property, I agree to maintain & or replace said enclosure in the event that is damaged or removed by any case. NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set fortis herein. FURTHER, the undersigned declare(s) that this covenant is intended and shad constitute a restrictive covenant concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shad be binding upon the undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordan of sad lags en in effect. r VCL (5w SIGNtP W OWNER SING & PRINT I Hereby Certify that on this day personally appeared before me �FJ Y C4 and has produced ID # as identification and he/she acknowledge that helshe executed the foregoing, freely and voluntarily, for purposes there in expressed. SWORN TO AND SUBSCRIBED before me on this day of NA\:� 20 13 P (Revised 0512209 NOTARY PUBLIC STATE E 60Z '9Z Jeg0100 SaWdX3 8096E60(] # NOISSIWIN00 AV4 Vnendla IN 011"Cl Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimpool, spa or hot tub will be constructed or Installed at I.� I �p— � s J L Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346 -91. (Submit Manufacturer's Specifications). A continuous, one -piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non - dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type and location of all non dwelling walls. Florida Building Code, R4101.17.1 Any combination of protection which incorporates dwelling wags with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self - latching device with positive mechanical latching/locking installed a min. 54" above the threshold. If this option is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Code, the pool may not be filled with water without compliance with the Private Swimming Pool Safety Requirements, and upon expiration of the permit, the pool shall be presumed to be unsafe. I understand that not having one of the above installed will constitute a violation of Chapter 515, F.S ., an d will be considered as committing a misdemeanor of the second degree, punishable as provided in Section 775.082 or Section 775.083 F.S. This form must be signed by �7 adaq7d the p me contractor. —. CONTRACTOR'S SIGNATURE AND DATE -CONTRACTOR'S NAME (PLEASE PRINT) OWNEWS SIGMA -�rel (7 I Ill., ,, : DAViD DIPUG IA 81,0Z 'SZ aeg013O S381dX3 ?�a, �•= r MY COMMISSION # DD935608 8095£6ana^# NOIpS�,SIWWaO�(O EXPIRES October 25, 2013 vnefldl® W ®1"u i�sA o• rn� (407) 398 -0153 ElnriAwNntaevcn . m Miami Shores Village Building Department - 10010 N E 2nd Avenu NLarru Shores. Flonda 3313 Tel: (305) 795 220 Fax: (305) 7,i6 897 Permit 1.o. /3-113P Job Name PLUMBING CRITIQUE SHEET -VS/" 15 ;- Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 June 3, 2013 Permit No: BPP13 -1136 Planning Critique 1. Pool deck must be located not less than 10 feet from side plot line and water's edge must be located not less than 12.5 feet from side plot line. 2. Pool equipment must be located not less than 10 feet from side plot line and not less than 5 feet from rear plot line. PROVIDE HRS APPROVAL Plumbing Critique Building Critique 1. Provide HRS /DOH approval 2. Provide a 4 foot high fence around the property to comply with Miami Shores Village Ordinance. David Daquisto 305 - 762 -4864 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Mission:. , Rick Scott Governor To protect, promote & improve the health of all people in Florida through integrated John H. Armstrong, MD, FACE state, county & community efforts. HEALTH 1 TH State Surgeon General & Secretary Vision: To be the Healthiest State In the Nation 9 June 28, 2013 JUL 0 2 013 Janet Heredia 7850 NW 146 Street Miami, FL 33175 RE: Contingency Letter Application Document No: AP 1110670 Centrax Permit Number: 13 -SC- 1478481 OSTDS Number: 151 NE 93 St Miami, FL 33138 Lot:22 23 Block: 22 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 06/10/2013 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. This permit is granted for the construction of a new swimming pool. There will be no increase in sewage flow or characteristics and no impact on the unobstructed area. *********************APPROVED********************* If you have any questions on this matter,. please call our office at (786) 315 -4444. Since ly, Astrid Edwards, Engineer Supervisor III Enclosures cc: Florida Department of Health www.FloridasHealth.com in DADE COUNTY TWITTER:HealthyFLA 1725 NW 167 St, Opa Locka, FL 33056 FACEBOOK:FLDepartmentofHealth PHONE: (305) 623 -3500. FAX: (305) 623 -3645 1 YOUTUBE: fldoh Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 205997 Permit Number: BPP -5 -13 -1136 Inspection Date: January 22, 2014 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Dacquisto, David Inspection Type: Survey Final Owner: VALDES JR JTRS, ALFREDO Work Classification: Addition /Alteration Job Address: 151 NE 93 Street Miami Shores, FL 33138- Phone Number (305)975 -6413 Parcel Number 1132060133040 Project: <NONE> Contractor: OCEANIC POOL DESIGN & CONSTRUCTION INC Phone: (305)238 -6668 Building Department Comments NEW POOL AND SPA Infractio Passed Comments INSPECTOR COMMENTS False Passed E:1 Inspector Comments Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 January 22, 2014 Page 1 of 1 20 0 10 20 "A" = 89 °51'58 "(C) GRAPHIC SCALE (In Feet) 1 inch = 20 ft. 0 QN 0 Z Sri x °A° x FOUND 112 U a 0 IRONPIPE " NORTH AMERICAN VERTICAL DATUM 0.4' WEST 25.00' Lu a3'SOUTH ( I w PSM PROFESSIONAL SURVEYOR MAPPER S/T 2 ast H > ,. 12.1' 8 13.5' I POOL SPA :LULL TILED , , tiLLLLLL�Et^ LL LLLLLLLLLL ti LLLLLLLLLL iLLLLLt PUMP / LLLLLt LLLLL-! , ,ER HEATER 39.1' I C I B UILDBVG U') #151 I 0.5� I x z —z 0.2' 1 a . 123 19.6' EAST 1/2 OF LOT 22 BLOCK 22 (INCLUDED) FOUND 1/2" IRON PIPE A 75.00' (c&m) . . A I � I L a o Rb 9 :..: I9 II i 7' I� ... "K–PL—ANTER .. ' WALK cwt. . y 15.0'. FLOOD ZONE: X COMMUNITY NUMBER: 120652 PANEL: 0093 SUFFIX.• J LEGAL THE EAST 112 LOT 22 AND LOT 2; SECTION 1, ACCORDING TO RECORDED IN PLAT BOOK 10, RECORDS OF MIAMI -DAD ti CENTERLINE U a IDENTIFICATION 0 LICENSED BUSINESS a NORTH AMERICAN VERTICAL DATUM ; 25.00' OHL OVERHEAD UTILITIES I � I L a o Rb 9 :..: I9 II i 7' I� ... "K–PL—ANTER .. ' WALK cwt. . y 15.0'. FLOOD ZONE: X COMMUNITY NUMBER: 120652 PANEL: 0093 SUFFIX.• J LEGAL THE EAST 112 LOT 22 AND LOT 2; SECTION 1, ACCORDING TO RECORDED IN PLAT BOOK 10, RECORDS OF MIAMI -DAD f�2, MIA 91 SHORES '° -452O AT%DIIWAP NOM =W IE PLAT THER4OF; AS- AM" ° P._ IC COUWIKIp CERTIFIED T0: E4LF) EDO V46E0R. AND DIEGO A. SUAREZ; STAR TITLE SOLUTIONS, INC.; OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY; BANK OF AMERICA, NA, ITS SUCCESSORS AND /OR ASSIGNS TARGET SURVEYING, LLC SURVEY NUMBER: 181389 ORIGINAL BOUNDARY FIELD WORK: 10-16 -2012 11 DefV /1tT10A1,0 V1117-/ON.- A/C AIR CONDITIONER CENTERLINE 1%. IDENTIFICATION fz LICENSED BUSINESS NA. V. D. NORTH AMERICAN VERTICAL DATUM ; NATIONAL GEODETIC VERTICAL DATUM OHL OVERHEAD UTILITIES P -K PARKER KYLON NAIL PSM PROFESSIONAL SURVEYOR MAPPER S/T 2 ast H > ,. 8 D, i. .b Neste.. f�2, MIA 91 SHORES '° -452O AT%DIIWAP NOM =W IE PLAT THER4OF; AS- AM" ° P._ IC COUWIKIp CERTIFIED T0: E4LF) EDO V46E0R. AND DIEGO A. SUAREZ; STAR TITLE SOLUTIONS, INC.; OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY; BANK OF AMERICA, NA, ITS SUCCESSORS AND /OR ASSIGNS TARGET SURVEYING, LLC SURVEY NUMBER: 181389 ORIGINAL BOUNDARY FIELD WORK: 10-16 -2012 11 DefV /1tT10A1,0 V1117-/ON.- A/C AIR CONDITIONER CENTERLINE 1%. IDENTIFICATION LB LICENSED BUSINESS NA. V. D. NORTH AMERICAN VERTICAL DATUM N.G.V.D. NATIONAL GEODETIC VERTICAL DATUM OHL OVERHEAD UTILITIES P -K PARKER KYLON NAIL PSM PROFESSIONAL SURVEYOR MAPPER RN RIGHT OF WAY NOTES. 1. LEGAL DESCRIPTION PROVIDED BY CLIENT 2. NO SEARCH OF THE PUBLIC RECORD FOR THE PURPOSE OF ABSTRACTING TITLE WAS PERFORMED BY THIS OFFICE 3. NO SUBSURFACE IMPROVEMENTS WERE LOCATED AS PART OF THIS SURVEY 4. ALL ANGLES AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED UNLESS OTHERWISE NOTED Gf--� Clyde 0. McNeal PSM #2333 THIS SURVEY iS NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF FLORIDA LICENSED SURVEYOR AND MAPPER co Co o Wuj M °o cry pW Q: C13 � o oc O Co CL W LC m �Q E071-13-2014 2486 =20' 1OF1 �"Ri M o � H W� z x a., �I 4 JAN 312014 — --� na�ami Shores DATE ZONING BLDG DEpT MOft SUBJECT fO CCMPtiFPICEVOTH MI STATE ANu L'C:� Y +L=am 010 RMULATOO 20 0 10 20 o, W=89-51158-(C) `� i GRHI C SCALE In F eet .. + • • • - , ; I 2 0 r i inch - ft. FLOODZONE: X -- COMMUNITYNUMBEIZ 120852 o : °ASPHAL.T o PANEL: 0093 SUFFUG J PIATTEb 15'ALLEY -,. �c ...: : • d ' NAe m ., — - — — — n C ,. " 'ao 90 °Q$'w(C) F© 1 _.. ::93rd st c /R 1PE a r, .; a�' ?' co FOUND 112" 0.5` I 0 7 s IRON PIPE I : �, • •ffi ° 2�a�t o W cY, �E9 W vS POOL I • _ s 0:4 WEST , a t� a3,sou7H I E_ W o W A I LEGAL DESCRIPTION: _.., : `� c o 0 1 3- I °� �'. LLLLLL I A SPA LLLLLL b. Q LOCATtONMAP;WW� A&M SHORES VILLAC .� L LLLLLL THE EAST 112 LOT22 AND LOT23, BLOCK22, MIAMI SHORES O LLLLL LLLLLL I 'o•:.. W LLLLLLLLLLLLLLL I j SECTION 1, ACCORDING TO THE PLAT THEREOF, AS z Z co a W LLLL TIL :b L-LLL °` RECORDED IN PLAT BOOK 10, PAGE 70, OF THE PUBLIC m 0 121 13.5 LLLLL LLL L Lo BY DATE ( LLLLLDECK LLLL ': RECORDS OFMAMi -DADS COUNTY, FLORIDA - _ _ _ L- LL-LLLLL_LLL -- -- _ - - -1 S J. < , - - _ _ - . - - - _ _ � _ -- - -- - -- - - -- - - - - --- CERTIFIEDTO :- - - - — -- - - OT 22� I '� LLLLL PUMP/ L_L I I a ALFREDO VALDESJR. AND DIEGO A. SUAREZ ®Loy B OCK 23, - I LLLLUHEATER ... n. 02' v STAR TITLE SOLUTIONS, INC.; (NO INCLUD D) I OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY I ' 39.1' x I _ BANKOFAMERICA, NA, ITS SUCCESSORS AND /GRASSIGNS - I - TARGET SURVEYING LLC SURVEYNUMBER 181389 rRu�TURAL "' i BULDING , Lo N ORIGINAL BOUNDARYFIELD WOW 10-16 -2012 I I #151 9 I 100e, EVI7- 1ONTO ,ESCell7 -10Ab y 0.5' 127 10.1' F ELECTRICAL I I • : A/C AIR CONDITIONER X12488 - — x , —x ( 20.3' L6 PLANTER a ' : '.` " . CENTERLINE Oda 0�' I �" a :: 1%. IDENTIFICATION 01 -13 -2014 1 A PLUMBING I °:. : , I }. LB LICENSED BUSINESS 1 - 20' Cfi NAV.D. NORTHAMERICAN VERTICAL DATUM; 12.3 19.6! N G.V.D. NA77OW GEODETIC VERTICAL DATUM �.�- � LOT 23 �. � '.. oH1 OVERHEAD ur►imEs �AEC�tAN'CAL EAST 1 OF I �." BLOCK 22 LOT 2 I P-K PARKER KYLON NAIL �� 22 I g QLE ; PSM PROFESSIONAL SURVEYOR MAPPER RW RIGHT OF WAY j •. OUND 1/2° I NOTES. Si�OdECT i0 CC�BI� FALL FEDERAL c Tq�E A9V C ®ONT RULES AND REGULATIONS- 89 °51'58(Np r50'. 1. LEGAL DESCRIPTION PROVIDED BY CLIENT 75.0 25.00 ° 50 �, 2. NO SEARCH OF THE PUBLIC RECORD FOR THE PURPOSE OF . ABSTRACTING TITLE WAS PERFORMED BY THIS OFFICE ®' . • _ , 'a : 5' WALK• NO SUBSURFACE IMPROVEMENTS WERE LOCATEDAS PART OF THIS SURVEY 755. ' FOUND 1/27 4. ALL ANGLES AND DISTANCES SHOWN HEREON ME BOTH FOUND W IRONP/PE RECORD AND MEASURED UNLESS OTHERIMSE NOTED • e e NORTHEAST 93rd STREET ' Clyde r e O.- MCNeal PSN#2883 -- -- _ -- --- ,— .,� - -��- THIS SURVEY ISNOTVALIDMTHOUT - : 75 R /W(P) . THE S/GNATUREAND THE. ORIGINAL RAISED SEAL ' " : (IMPROV®j OFA FLORIDA LICENSED SURVEYOR AND MAPPER Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 205999 Permit Number: BPP -5 -13 -1136 Inspection Date: January 31, 2014 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Dacquisto, David Owner: VALDES JR JTRS, ALFREDO Job Address: 151 NE 93 Street Miami Shores, FL 33138- Project: <NONE> .1 Inspection Type: Survey Final Work Classification: Addition /Alteration Phone Number (305)975 -6413 Parcel Number 1132060133040 f: Contractor: OCEANIC POOL DESIGN & tO NSTRUCTION INC Phone: (305)238 -6668 Building Department Comments NEW POOL AND SPA Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 205997. setbacks'cn surrey must be dimensioned Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 January 31, 2014 Page 1 of 1 W* A(i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 197234 Permit Number: MC -8 -13 -1847 Scheduled Inspection Date: January 08, 2014 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: VALDES JR JTRS, ALFREDO Work Classification: Pool Heater Job Address: 151 NE 93 Street Miami Shores, FL 33138- Phone Number (305)975 -6413 Parcel Number 1132060133040 Project: <NONE> Contractor: VJ'S SERVICES GROUP INC Phone: (305)218 -0182 Building Department Comments INSTALL NEW POOL WATER AND HEATER HEAT PUMP Infractio Passed Comments INSPECTOR COMMENTS False January 07, 2014 For Inspections please call: (305)762 -4949 Page 4 of 27 Inspector Comments Passed 01 Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 07, 2014 For Inspections please call: (305)762 -4949 Page 4 of 27 4MENr�� FOUND 1/2' ui PLATTED - 15' ALLEY IRON PIPE 75.00' P:8951'58 °(C)" °. 5.0' FOUND 1/2" 0.5' 4' C.L.F. IRON PIPE 0.4' WEST 0.3' SOUTHi LOT 23 . FENCE BLOCK 22 WOOD 12.1' :: ~ ; N o Lo 13.50' I N hl a REMAINDER OF LOT 22 BLOCK 22 Ac 11 0.2' (NOT INCLUDED) I RI a 39.13' O BUILDING °o #151 N v- 0.5' ui 12.70' 10.1 ' ui 20.35' PLANTER 10 EAST 1/2 OF---,- zg LOT 22 12.3' 19.55 Qa BLOCK 22 (INCLUDED) FOUND 1/2" IRON PIPE 4: T 90 08'02 "(C) 89-51'58 (M) .15.0'',' 75.00' (C &M) 25.00' 50.00' 75.00'a 5' Siw SAY 2 2 2013 ` FOUND 1/2" IRON PIP2,, IRON PIPE /Y ASPHALT / " ✓ ✓11PAVEMENT. 6PP13- M � SURVEY NOTES CONCRETE DRIVE CROSSING PROPERTY BOUNDARY oT NORTHERLY : NORTHEAST 93rd STREET THERE ARE FENCES _75' R /W(P) NEAR THE BOUNDARY (IMPROVED). OF THE PROPERTY PAGE 2 OF 2 PAGES 0 - , BOUNDARY SURVEY LB #7893 a q ; N.. 288�, TARGET a p SURVEYORS CERTIFICATE '(�' .s� I.dcT9 LLC u / HEREBYCERTIFY THAT THIS BOUNDARYSURVEY Q IS A TRUE AND CORRECT REPRESENTATION OF A �P STATEOF SURVEY PREPARED UNDER MY DIRECTION. NO T VAL ID MTHOUT A N A UTHENTICA TED ELEC TRONIC SERVING ALL FLORIDA COUNTIES ° 2 o R t o% o a Y SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL, S U R E OR A RAISED EMBOSSED SEAL AND SIGNATURE. 6250 N. MILITARY TRAIL, SUITE 102 WEST PALM BEACH, FL 33407 PHONE (561) 640 -4800 FACSIMILE (561) 640 -0576 (SIGNED) STATEWIDE PHONE (800) 226-4807 CLYDE O. MCNEAL, PROFESSIONAL SURVEYORAND MAPPER #2883 STATEWIDE FACSIMILE (800) 741 -0576 The East 112 Lot 22 and Lot 23, Block 22, MIAMI SHORES SECTION 1, according to the Plat thereof, as reaoFJed in Plat book 10, Page 70, of the Public Records of MIAMI -DADS County, Florida. i Community Number. 120652 Panel: 0093 Suffix J Flood Zone: X Field Work: 10/16/2012 Certified To. ALFREDO VALDES JR. AND DIEGO A. SUAREZ; STAR TITLE SOLUTIONS, INC.; OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY; BANK OF AMERICA, NA, its successors and/or assigns. Property Address: 151 NE 93 STREET MIAMI SHORES, FL 33138 Survey Number. 181389 la l 1.. & F kAKj AWVTEX43t `, €N3r RW sda frOF M r AI AIRCMWTk^1F4 EV8rxVa&E+An&1 0R $ 'di44 RE=VS ^.HR, WrAWRODSCAP ER. SE4RNGREFERSKE FF FW5Hf1Y.RMq o,Pra L RA. FIP F=D 4WoV PE V'F. t i AW t..O& 7 '9+lAK OW Lm $0W POP praAwIvreakm PONT avu. FERA4ErER ?l: 4e d0 'RE(I P.R. EENrt$ E A?4i�YSl VT * A• PAOE CA.ry CMER&IMR wa S4"a'T nC0h+f R TB& r'E Qi"ARYBaCH~ 0 PEAT co 1MWAV-L6 FPPe A FR Ak TEL. TELEFM',t7EE,. CAflF3 AS PLArOWN go M1.00F ACM F ' �' MW If 40WP&k`r POB PaWTOF OFSAWN0 ciP? d4tT%d'A'TFaE ZF b 14 EEASEA F;RF ROUAVYMAW P,010. P0WF0FC0Mt EM&Vr t FaGAEAStWED `W z 9i v1Y L dErwTH P.cc A,4: E0="MVr A C` NTV4 AVQ4 = 7A L A L' JA#jSDACa5$E4SEMffr PC PMT+ CV- gVATWE &wVNfl'dy 9 C.M ca"rm"OWWwr A9.. M4.71MANCEEASMEPer PRA. FMr0XAV VAnM ly"'a Do 0 &IXW M.H. lAkWOtE P T fMr&F TAa18"Y CTf Chi DE RIP''F7d7r"aORDEED rN FSi"re"rl0' t N o"m KREDARE4 Esur EAMWhIr AWD NAk SDl iRaE ROOF `AM6Ee% MT COACREM EOW rowor"MZR MR A00RANA L t ; #-PP- IV= FWiE NT$ AOT7O AtF WTAL rEACE RACE I OF ? PACrRS GENERAL N07ES, - LEGAL DESCRIPTION AND `IFI A O W "WS a"YD W E N' OFR4,r MT AM M4 CFi£e"'� r-A&A Nr§ 04 MEA' aw T€ PL4 f_ fiMM POUTOVS OFJCOOM '", F AA &W0T#fRt4fu ,'EV &aTS e&FRE AIAU W AW W 7W FAM ff W IM AV Aa WIT TO N I D TORECMST$ ?WT ': Srdt3}YtH A 4T At e4R td4:tE i D S tgE,5 HL3"s X �LE�° A: PeSeSt4f; 4�4i ,A"�'�sr'if�lF�£'P'RM1`�3'`d�FAr 7L'H4.�.�t7. !� fbA4E���r �+^ PPS' 3' �" P�7�P� 'AW�S'��tAA'I�AF+�d37�tatt�'t ALd i��'� l�ES� add, ?h'r'd d,C"4717P�iaE'AtF�'� O' 6250 N. MILITARY TRAIL, SUITE 102 WEST PALM BEACH, FL 33407 PHONE (561) 640 -4800 FACSIMILE (561)640-0576 STATEWIDE PHONE (800) 226-0807 STATEWIDE FACSIMILE (600) 741 -0576 ELEVATION CERTIFICATE Owners Name: ALFREDO VALDES JR JTRS DIEGO SUAREZ JTRS Property Address: 151 NE 93 STREET, MIAMI SHORES, FLORIDA, 33138 LEGAL DESCRIPTION: FOLIO #: 11- 3206 -013 -3040 Lot E1/2 LOT 22 & LOT 23, Block 22 of "MIAMI SHORES SEC 1" according to the plat thereof as recorded in Plat Book 10 at Page 70 of the Public Records of Dade County, Florida. SURVEYOR'S NOTES: 1) Not valid without the signature and the original raised seal of a Florida Licensed Surveyor and Mapper. 2) Additions or deletions to this certificate by other than the signing party or parties are prohibited without written consent of the signing party or parties. 3) This certificate elevation is for the purpose of septic and drains repair and /or construction. 4) This certificate elevation must not be use for the purpose of acquiring flood insurance 5) Elevations are based on the National Geodetic Vertical Datum of 1929. TOP OF BOTTOM FLOOR: TOP OF NEXT HIGHER FLOOR: ATTACHED GARAGE (at the door): GRADE @ DRAINFIELD AREA CROWN OF THE ROAD: Field Date: 05/01/13 11.6' NIA 9.6' 9.4' 9.4' f/ Pablo J. Alfonso P.S.M. Professional Surveyor & Mapper State of Florida Reg. No.5880 ®Yi/� 'ice MW LAND SURVEYORS, 1 N G . 6175 NW 153rd STREET, SUITE 321, MIAMI LAKES, FLORIDA 33014 Phone: 305 - 822 -6062 "" Fax: 305 - 827 -9669 i., STATE OF FLORIDA DEPARTMENT OF REALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM 1 n EVALUATION. , SPECIFICATIONS PERMIT #. APPLICANT: Pr('�rqPA-v y ajCQes AGENT:1 r C(s LOT: BLOCK: a� SUBDIVISION:, S1�ore s� PROPERTY ID #: ` �aOCO ''Q� 3 t"� [Section /Township /Parcel No. or Tax ID Number] TO BE COMPLETED BY ENGINEER, HEALTH DEPARTEMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINNEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: � YES [ ] TOTAL ESTIMATED SEWAGE FLOW: r[3 GALLONS AUTHORIZED SEWAGE FLOW: GALLONS UNOBSTRUCTED AREA AVAILABLE: t> SQFT BENCHN)MVREFERENCE POINT LOCATION:_ ELEVATION OF PROPOSED SYSTEM SITE IS 4 NO NET USABLE AREA AVAILABLE: 2- 2 ACRES PER DAY SIDENCES° OTHER- TABLE21 PER DAY [1500 GPD /ACRE OR UNOBSTRUCTED AREA REQUIRED: mo SQFT THE MINIMUM SETBAC1WHICH CAN BE MAINTAINED �FROM THE :R O�POSED SYSNTpEM TO THE FOLLOWING FEATURES SELLS PU�BITIC: a m FT MITED USES/ f ' FT PRI TAE: -� - oN -P TABLE: No � _ `' _ Ir BUILDING FOUNDATIONS: FT PROPERTY LINES: FT POTABLE WATER LINES: f FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES N NO 10 YEAR FLOODING? [ ] YES 0 NO 10 YEAR FLOOD ELEVATION FOR SITE: _FT M$L /NGVD SITE ELEVATION: C{ FT MSLT /NGVD SOIL PROFILE INFORMATION SITE 1 MUNSELL /COLOR TEXTURE DEPTH fl TO To TO Toxt TO o TO TO TO USDA SOIL SERIES: ���� SOIL PROFILE INFORMATION SITZ L MUNSELL # /COLOR TEXTURE DEPTH o ill TO TO- 7�- TO TO USDA SOIL SERIES: lJl �(' bC� 1/� TO l OBSERVED WATER TABLE: INCHES [ABOVE I EXISTING GRADE. TYPE�PER D ,�PPAREN ESTIMATED WET SEASON WATER TABLE ELEVATION: _�6�P' INCHES [ABOVE h �� EXISATAW� G GRADE HIGH WATER TABLE VEGETATION: [ ] YES '[q] NO MOTTLING: [ ] YES NO DEPTH: /�AiNCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: '(; DEPTH OF EXC INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH BED L ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA: SITE EVALUATED BY: _r '10 DH 4015, 10196 (Replaces HRS -H Iform 4015 [page 3] which may be used) Page 3 of 4 � ] EXISTING TANK INFORMATION [ ��] SQUAM FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES [ I l SOUARE FEET SYSTEM NO. OF TRENCHES [ TYPE OF SYSTEM: [J STANDARD ( ] FILLED [ ] MOUND CONFIGURATION: I/] TRENCH (>°] BED ( ] DESIGN: [� ] HEADER [( ] D -BOX [�] GRAVITY SYSTEM ELEVATION OF BO OF DRAINFIELD IN RELATION TO EXISTING GRADE SYSTEM FAILURE AND REPAIR INFORMATION rl ] D32 ENSIONS: 0` X } D j DZMENsIONs: X ve -.. I SYSTEM INSTALLATION DATE TYPE OF IWTE DOMESTIC [ ] C0449RCIAL [ r��,, ] GPD ESTIMATED SEWAGE FLOW BASED ON [ j METERED ZT11 : R �] TABLE 1, 6$E -6, FAC SITE( [ ] DRAINAGE STRUCTURES [ j POOL j ] PATIO / DECK [� PARKING CONDITIONS: [ ] SLOPING PROPERTY [ ] NATURE OF [ ] RAULIC AD I ] L L ] t a sY3TE� D�1 FAILURE: [ D::MGM GE / FF I ] I ] MATER [ I FAILURE [ 7 ON [ ] [ ] D /HEADER [ ] DRA IESYMPTOM: [ ] PNG BA [ ] 18 QW ., 4ZY14,11 D . W' 41%•� 2 SUBbIITTED BY: q&lat, - TITLE /LICENSE 5kO 6 I �5aj ( DATE: DH 9015, 08/09 (Obsolete} previous editions which may not be used}. Incorporated 69E- 6.001, FAC Page 4 of 4 GALLON IC T GPD ATU LE %-3p-- MATZRIAL45fi`- ��PLED: [Y 164 [ ] GALLONS SEPTIC TANK/GPD ATU LEGEND: MATERIAL: BAFFLED: [Y / N] I ] GALLONS GREAsE INTERCEPTOR LEGEND: MATERIAL: [ ] GALLONS DOSING TANK LEGEND: MATERIAL: # PUMPS:[ ] [ ��] SQUAM FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES [ I l SOUARE FEET SYSTEM NO. OF TRENCHES [ TYPE OF SYSTEM: [J STANDARD ( ] FILLED [ ] MOUND CONFIGURATION: I/] TRENCH (>°] BED ( ] DESIGN: [� ] HEADER [( ] D -BOX [�] GRAVITY SYSTEM ELEVATION OF BO OF DRAINFIELD IN RELATION TO EXISTING GRADE SYSTEM FAILURE AND REPAIR INFORMATION rl ] D32 ENSIONS: 0` X } D j DZMENsIONs: X ve -.. I SYSTEM INSTALLATION DATE TYPE OF IWTE DOMESTIC [ ] C0449RCIAL [ r��,, ] GPD ESTIMATED SEWAGE FLOW BASED ON [ j METERED ZT11 : R �] TABLE 1, 6$E -6, FAC SITE( [ ] DRAINAGE STRUCTURES [ j POOL j ] PATIO / DECK [� PARKING CONDITIONS: [ ] SLOPING PROPERTY [ ] NATURE OF [ ] RAULIC AD I ] L L ] t a sY3TE� D�1 FAILURE: [ D::MGM GE / FF I ] I ] MATER [ I FAILURE [ 7 ON [ ] [ ] D /HEADER [ ] DRA IESYMPTOM: [ ] PNG BA [ ] 18 QW ., 4ZY14,11 D . W' 41%•� 2 SUBbIITTED BY: q&lat, - TITLE /LICENSE 5kO 6 I �5aj ( DATE: DH 9015, 08/09 (Obsolete} previous editions which may not be used}. Incorporated 69E- 6.001, FAC Page 4 of 4 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL YEN BY THESE PRESENTS: WHEREAS, the undersigned \) - --L C_ C -o \L t J, is/are the fee simple own") of the following desmibed properly situated and being in Hand Shores Village, Florida: Address: -S_A AJ . P r° 1 S Whereas, the undersignal oamer(s) IQ desire to utilize said Lots) as a single bwMfirg site, and the undersigned owner(s) do(es)hereby declare and agree as fogows: I. That the property wig not be used in violation of any ordirimm of Miami Shores Vigo or Mama -Dade County now In effect or hereinafter enacted. II. That the purpose of the covenant is to Fuca Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject properly where the pool Is lam. III. That if any of our adjoining neighbors remove any portion of their fence or wan, or if our/my properly shall fail to meet code requirements for tool barriers, awn, as owners will Immediately install a protective endosrre to meet cods requirements and will obtain a permit for such fence. IV. That M. as owner(s) hold Had Shores Village harmless for any negligence or Injury that results from not having the endosure. V. If endosure belongs to said property, I agree to maintain & or replace said enclosure In the event that is damaged or removed by any case. NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not convey or cause to be Comreyed the title to the above property without requiring the suer in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shag constitute a restrictive Covenant concerning the use, enjoyment and title to the above properly and shah constitute a covenant running with the hand and shall be binding upon the undersigrnal, histhar successors and assigns and may only be rdeased by Mani Shores VMag% or its sua essors, in accordanqa of snl in effect. cv VCL 0 SIGN POU OWNER SING & PRINT I Hereby Certify that on this day personally appeared before me ' 'S and has produced ID # as identification and he/she acMa wledge that he/she executed the begomg, freely and wdun * for purposes there in expressed. SWORN TO AND SUBSCRIBED more me on this day of 20 L-5 NOTARY PUBLIC STATE £LOZ'9Z JGqoPO S3M1dX3 8086£60d] # NOISSIM00 AIN mll9ndl® W CIIAVO Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWUMING POOL OWNER'S CERTIFICATION Date E i a I tt - Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal 0 er of the property described as located at 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 separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting and approved barrier prior to final inspection and use of the pool. � Legal Owner Note: This cerdfita<tion is to be submitted with a swimming pool permit appilca'tion in duplicate. Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL S)NIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new svd pool, spa or hot tub will be constructed or installed at ` Miami Shores, FL, and hereby affirm that one of the fopeowing methods will be used to meet the requhaments of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please Initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346-91. (Submit Manufactiuurer's Specifications). - A continuous, one -piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fend location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non - dwelling walls and fends (screen enclosure, chill fence, masonry fence walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type and location of all non dwelling walls. Florida Building Code, R4101.17.1 Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all window and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self - latching device with positive mechanical latching/locking installed a min. 54° above the threshold. If this option is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and We of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Code, the pool may not be filled With water without compliance with the Private Swimming Pool Safety Requirements, and upon expiration of the permit, the pool shall be presumed to be unsafe. I understand that not having one of the above installed will constitute a violation of Chapter 515, FS ., an d will be considered as committing a misdemeanor of the second degree, punishable as provided in Section 775.082 or Section 775.083 F.S . This form mtt be signed by �wnelrlagpntqno the 7me contractor. \J CONTRWTORS SIGNATURE AND DATE rNa ) \ac�C CONTRACTORS NAME (PLEASE PRINT) stow 'sz jeq=0 s32iidX3 90958600 # NOISSIRROO M wrie kilo w ®IAV® OWNERS SIGNA 'Po -�r 0 4 j DAVID M DIPUGLIA MY COMMISSION # DD93M EXPIRES October 25, 2013