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BPP-13-1557Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 210339 Permit Number: BPP -7 -13 -1557 Scheduled Inspection Date: April 07, 2014 Permit Type: Pools/Whirlpools /Hot Tubs Inspector: Rodriguez, Jorge Inspection Type: Final Owner: GARCIIA, JOHN Work Classification: New Job Address: 169 NW 104 Street Miami Shores, FL Project: <NONE> Phone Number Parcel Number 1121360131370 Contractor: ROSMEL POOL INC Phone: (305)592 -7900 euiming uepartment comments NEW POOL AND PAVERS HOLD UNTIL SECTION OF DAMAGED SIDE WALK IS REPLACED AS PER B.O ISMAEL INSPECTOR COMMENTS False April 04, 2014 For Inspections please call: (305)762 -4949 Page 10 of 17 Inspector Comments Passed i�it Failed E:1 Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 04, 2014 For Inspections please call: (305)762 -4949 Page 10 of 17 ,a Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP- 207634 Permit Number: BPP -7 -13 -1557 Inspection Date: February 24, 2014 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Dacquisto, David Inspection Type: Survey Final Owner: GARCIA, JOHN Work Classification: New Job Address: 169 NW 104 Street Miami Shores, FL Project: <NONE> Phone Number Parcel Number 1121360131370 Contractor: ROSMEL POOL INC Phone: (305)592 -7900 Buildina Department Comments NEW POOL AND PAVERS Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed ° Failed El Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 February 24, 2014 Page 1 of 1 HOUNTING THE•SENSORS Make Surelhatthsarrows of each senaorare pointed towards each other. Using either the double-sided tape or the screws Pnaided' mount the sens so that they are foss than A Inch away fmm each other. Senors must be mounted lush in helgbl and depth, so with sorro doors or windrlxs, specraT x019110 l felting may be necessary. Please make sure thal the wired poAlon of ft magnatle aensor Is mounted on the mn••movfig portion al the mcc nUng surfeacs and the slandalene sensoris mounted on Bra dooA700. (See Mg. 5 /Rg. 0 MVVNT)NG OUTDOORS ON WOODEN GATES Using the pmolobd mounting lemplale printed N [his rmgwnx+garmuaas menUal, mark the position of AMMM tar the screw toles on the a+* destealmountlrh®axnrtace. Dril the strhaiws onto the . I mounting sudece Ah I approximately UB inch or Thread romakdng, Slide the ,a unit overths ecreacsand secure the unit by pushing Frm S it dowromrd an shom in Fig. 5. You nary need to at�aet the screws towards or WAY kam the mounting surface to provide a more somm AL Make sure thal the arrows of each sensor are pointed in Ihesame dheolton. Nola: Wooden gates coo not require Iha sensor houskigS. NOUNTING OUTDOORS ON METAL Q47ES Using the pravided zp gas, xvuvrgao ourooaes allac h the alamt body to ft avxeaa,0Zr M8181 2869 fame. (See Fig. 6) Using a smal2al hand WV&drI%W gently pry open D I* regressed sensor Spacer rygQ _ of the sensor ho=bff. ( Fig.6) fl} fkeka sure that the arm we of es h sensor are pointed In the same cdmgcn as the sensor Fla• e housing before placing the rragnetio sensors Inalde the sensor tnoualrtiq Noft: Iwlelalgateane yislerferewithMemagnedcsensor tancltcrh. Vag spa ers prav0ded to assure eer8s opamle piVer6p. Segue the Sensors using the zip Lies onto 60 gets Trme. Melee s»sa Brat the saesora` IDIOM are pobled towwds, each 4:dherard that the MOM are 1999 than inch apart, `.sillAIYE ANA When the alarm volume becomes low, or the unit does no% produce normal alarm sound. the rent light will itlumihat®. you must replace the 8 -woll battery. The Safe Poops plasGc parts resists tritravlofet rays from direct sunight exposure. However, slight diseoloraUon i DMf time s norrna L WARNING! THE SAFE POOL ALARIA IS EIt•rR, E140E1 Y LOUD WH EN ACTIVATED. FOR YOUR SAFETY, NEVER PLACE THE UNIT CLOSE TO YOUR EARS. TO TEST THE ALARM, ALWAYS USE EAR PROTECTION AND DIRECT THE UNIT AWAY BEFORE TESTRWACTIVATIN G THE ALARM. Safe Pool" Model S187D 1T IS PROHIBITED BY LAW TO REMOVE TriE INSTALLED Area Entry Alarm ALARM AFTER IT HAS PASSED INSPECTION I Important Whyranty Informidlon: A dabd proof of purchase is required for warranty service h CUStOmer Service: > 9- 888- 8TECHKO(4 -81MI-888 245S) WGbsft wwwtechkomotd.com Mfg. 81/ 9767 Research Drive, Irvine, CA92618.462$ IifADE IN CH INA E1�� 0700127 COMAUES IVITH UL2017 i USA Patent No 5,473,310 i No. 6,727,819 NOTICE THIS PRODUCT 18 PROTECTED UNDER FEDERAL PATENT, TRADE6tlt4pK AND COPYRIGHTLAWWS AND LAS DUUPLICATIN OR SIMULAAITION OFTHIS P1tODLar JI IS PERMITTED EXCEPT BY WRITTEN AUTH ORI7ATION OFTECHKO, INC. I VECHKO ANDTHECONFIGURATION OF rRis FROouC7 ARETRADELTARKSOFTFCHKO U C. COPYRIGHTIBB4 TECIIKO,111C ALL ROMSRESERVED MADE M CH INA ; '�:`;. :•i. EKE .aa �aae'i.: ..fie .qy `j INTOODUCTIONI ;ongretulaflons on your purchase or the TECHKO Safe wool model S1870 safety alarm. The Safe Pod can be ised to provide a high vdurre alarm alert when children rave entered a pool or spa area. The S187D can be used huldoors on wood or metal gates, or Indoors on doom end wrrdow leading directly to potentially dangerous areas. ...OPERATION 'he Safe Pod$ is designed to sound a loud alert when hildren enter through a Safe Pod protected door /ggaste. Vhen property Installed, the Safe Pool will allow adults to ass through it* protected doon'gale and immediately shut 4 the sounding alarm. Vhen powered, the Safe Poo[ is always in protection node. 'he aim will activate the Instant when the doorfgate opens y mere than f 12 Inch (when the magoetic sensors are apart y more then f12 Inch). Once fie alarm activates, it will sound onthuou*untflthe BYPASS button is pressed. Vhen passing through the doorigats press Lite BYPASS wdton, Brun open the doorfgate, pass through and dose be door/gate within 8-12 seconds and the alarm will not Cthrate. -FEATUPjSS -.- _ Easy Installation for gate, door oe window protection Vfteri weather resistant 9 Volt battery power (not included) High output 1`10 -11`5 dB alarm siren Low Battery/ signal LED Indicator Optional additional BYPASS bulloo for delayed entry From other side of door or fence OpOaml additional magnstla sensor for screen door e:dllent y 'ARTS LIST $9970 u s w 2IPTIE i ew Fig.1 (eeraaohr 0 0 .ao..o„x� .s�,..a,eosinvw. esea.ew u Varm siren is VERY loud; NEVER place the unit close to ears. Install the unit high enough to be out of reach of children 50 or higher is recom rrerrded. ' Keep this manual for (inure refea®noa. The Safe Pool can provide valuable protection when used oarreclly_ However. B cannot guarantee complete protection against accidents or injuries, Therefore, Techko cannot be held responsible for any loss. damage, or injury that may occur: INS' -Ai.L AT- 19 - iNARNING: Read all Installation and operation Instructlons thoroughly before proceeding with InstallatforL Note: Net all parts included are need act fat Installation. Please read the different mounting instructions to see what is needed for your specific applic allon. INSTALLING THE HATiER1' 1. When testing, before Installing the battery, use a rubber band to temporarily secure the hvo magnago sensors together vAth the amass pointing toward each other to avoid salting off the alarm uninlenlonally, During the actual installation of the alarm, it's best to install the battery after We nnounted to avoid the alarm going of unintentionally. 2. Remove the battery cover of the unit and instal a new 9 Volt battery, Replace ter. (See F7q. 2) 3. If you are sensitive to loud sound, please wear ear protection against the foud alarm siren before testing the alarm. 4. Once the battery is connected. fie unit Is now ON and working. Toted the alarm siren, make arre you ' have ear pmtactbn before testing. wr After ear pratecF:on Is in place, separate the magnetic sensors R1.2 apart by more than % Inds. The alarm should sound Immediately after the sensors are separated. Press the BYPASS button and Immediately severe the two magnet sensors togatfheragain to avoid the alarm sounding off unintentionally. LED LIGHT WARNINGS 1. When the battery becomes Ira In charge cc the volume becomes week the LED light YA illuminate. The 0 volt battery trust be replaced. 2. Upon battery Installation, the unit will beep once and the LED light will flash 10 limes as it prepares to become armed. 3. When a bypass button is pushed, the LED fight tllumfnates to indicate acknowledgement to PASS through. 4. After the bypass buton Is pushed in acid released, the LED light will flash 10 ilrms to allow pass through and to propose the unit to become armed again. fl40unriss: WARNING: The alarm should be positioned close to the door high enough to be out of the reach of chlldre n. As each mounting application varies, Techko suggesis testing the unit's installation location and effectiveness before peanene+rly mounting the 8187D. MOUNTING INDOORS Using the provided mounting template printed in this manual. mark the position of the screw holes on the desired mounting surface. e The AddItImI delay button may be mounted on the other side of the entrance. Whon pressed, it will delay the alarm 8-12 seconds before alarm Is triggered, allowing tithe to secure the doorigats. * The Additional magnetic sensors allow the unit to be used on slidfng door with screens. * Alarm will sound only when BOTH sets of magnetic sensors are apart, there for etiowhhg the surer to be open wile still providing protection at the screen door. MOf WIM INDOORS USING DOUR -SIDED TAPE Make sure that the mounting suftow for fhe double olded + tapes are completely dean. Attach the double -sided lopes onto the rear of the unit, and then shrove the unit cdo. the destrad mounting surface. MOtINTlNS INDOORS USfiWG SCRE179 Using the provided mounting templede primed in lids manual. mark the position of the screw holes on the des[ted mounting surface. Drill the screws in to the mounting surface with approximately 1 /8 inch of thread remaining. Slide the snit over the straws and secure the unit by i7 pushing it downward, as shown In Fig. 4. You may need to adjust tits scism towards or away from the ure lnsurface to provide a more ?W.4 sec i TEMPLATE MODEL S187D I fscR�rrsoLe I 8CFM HOLE SKETCH OF FINAL SU SCALE; f`=2®` ro __ _*W.P.P_. — °per T L.F X i 15' ALLEY FND.I.P.1I2" .� w (NO ID) r �pyp 1W.00' - - ---- - - - X 3' �� X - �o 900' N I .- w 12 I CL 9.30' l Stone W N C, I °c• X10.00' I Lot 14 Block 126 °per T L.F X X Stone �pyp 9.00' Pool Pump �a 20' Asphalt 75.00' Total R/W dritX f0ft STREET 16.00' —,ta80 FND.I.P.10 LL Lot 17 Block 126 890 ` 'p',�� 23' Parkway-5 u�s FO& JOHN GARCIA JOB NO: 1205 -024B FIELD DATE: O 1 -14 -2014 PROP. ADD. 169 N.W. 104th STREET. MIAMI SHORES, FL 33150 FEB 2 2014 CERTIFIED JOHN GARCIA. ilk / 18.00' I w Stone 27.50' I 11.00, - C -4) X10.00' I Lot 14 Block 126 2715, I r. E.NI. 1520' I `r 20.80' - 0. 11.00_' p C7 0 X a WAGE ONE STORY C4 RESIDENCE # 1169 [� LU $ N 1 13.07' ' AtC C PL 0 O N CO 28.65' I FF Tank 15.45' 12.x' _ _ _ CS 19.05' Bdck Planter I I I V' I N N �''� � I � 100.00' 4101 I B.C. FND! P.112" 100.00' S' Conc.Walk 20' Asphalt 75.00' Total R/W dritX f0ft STREET 16.00' —,ta80 FND.I.P.10 LL Lot 17 Block 126 890 ` 'p',�� 23' Parkway-5 u�s FO& JOHN GARCIA JOB NO: 1205 -024B FIELD DATE: O 1 -14 -2014 PROP. ADD. 169 N.W. 104th STREET. MIAMI SHORES, FL 33150 FEB 2 2014 CERTIFIED JOHN GARCIA. ilk C -4) p C7 0 cc .3 LLI LU �. 0 O N CO 1a- to to LEGAL DESCRIPTION: AN AMENDED PLAT OF SECTION NO.5 OF MIAMI LOT, 15& 16 BLOM 126 SUBmIONt SHORES PLAT BOOMS 10 PA6Ed 47 OF: MIAMI DADE COUNTY, FLORIDA, SURVEYORS NOTES. 1) THE SURVEY OF THE PROPERTY &Ii04VN HEREON IS IN ACCORDAN(2 WITH THE DESCRPTION FURNISHED BY CLIENT. 2.y UNLESS A COMPARISON IS SHOWAN, ALL BEARING, ANGLES AND DISTANCES SHOWN ARE THE SAME AS PLAT VALUES. j 3. THE LANDS 8HOWM HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORD ENOUMBERANCES NOT SHOWN ON THE PLAT AND THE SAME, IF ANY MAY NOT BE SHOWN ON THE SKETCH. 4.j UNDERGRAUND PORTWN8 OF FOOTINGS, FUNU4TIONS OR OTHER IMPROVEMENT WERE NOT LOCATED 6. FENCES TIES ARE TO THE CENTER LINE OF THE SAME. 6. WAIL TIES TO THE FACE OF THE SAME. 7. EVATION WHEN SHOWN ARE BASED ON NATIONAL GEODETICVERTICAL DATUM 1928 UNLE98OTHERNOTED 8. THE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN. (FLED ZONE INFORIEATION) ZONE: X C MM:12Q652PANEL' 1208600302 SUFFIX: _L_DATE-�09 EASE:_VLA _ NOTE: DETERMINATION OF FLOOD ZONE LINES WERE BASED ON SCALING OF FEMA MAP LISTED ABOVE. NOTDI ALL BEANNO HEREON ARE BAKED TO THE PLAT WMNO OF N/A ON TH9 CENTER LINE OF N/A PROPERTY UNL EASEMENT VIOLATIOW O YES E NO APPARENT VWKI ENCROACHMENTS) ❑ YES ENO COMEM a-- NSIONS INCs Land Surveying Services OFFICE: 14770 SW 43rd WAY, WM, FL 33186. PHONE: (306) 6124226 FAX: (306) 612 -1814 tore, CLF= Chain Unk Fence, Bement, IP= Iron Pipe, net, DIH= Drilled Hole Nor, IR= Iron Rebar, t)E- UBIty A Way, DE= Drainage Easement, d, M= Measured, R- Recorded, ,SPH= Asphalt, NID- Nail & Disc., ilse, PIP= Power Pole, er WPP= Wood Power Pole, Nai is Fence, R.M.E. =Drainage Wwce Easement, LM.E. =Lake Easement, B.0 =8loc k Comer. =No IderiNcaftL i DAVID L. FUTCH REGISTERED LAND SURVEYOR # 4843 STATE OF FLORIDA LB # OODS874 d Unless SHEET 1 OF 1 and Sealed. r Oa(43 Miami Shores Village L`-' Buildin g Department artment 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 { of c� JUL 1 ,2 203 FBC 26 ( BUILDING °0 Permit No."" PERMIT APPLICATION Master Permit No. Permit Type: ' , BUILDING ROOFING JOB ADDRESS: /& City: Miami Shores County: Miami Dade Folio/Parcel #: //- -?/3� ' x''13 - 1-:3 2 L' Is the Building Historically Designated: Yes NO .y. Flood Zone: OWNER: Name (Fee Simple Titleholder): - Phone #: Address-* %13 flu /0 q/ -4 City: ��a®s�� SLa6r� /' State: Zip: 3/S� Tenant/Lessee Name: ) ) / A Phone #: Email: CONTRACTOR: Company Name:�� »% /s, �c. Phone #: Address: 4 L' 4l�5 City: i State: -- zip: 3.3 Qualifier Name : Phone#: State Certification or Registration #: C' o,"9C AI S' L f 0Y Certificate of Competency #. Contact Phone #: Email Address: DESIGNER: Architect /Engineer :�/��e.,),U Ae .,E� . Phone#: Value of Work for this Permit: $ 0 3, z 5d Square/Linear Footage of Work�� ,00 Type of Work: UAddition OAlteration UNew ORepair/Replace ODemolition Description of Work': _ ,422 Color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ �' i �.J • K? 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 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 promise in good faith that whose property is subject i for the first inspection w inspection will n app caner or The foregoing instrumen as ac day of _cam+ Ag .20 a, by _ to the issuance of a building permit with an estimated value exceeding $2500, the applicant must r he notice of commencement and construction lien law brochure will be delivered to the person t. Also, a certified copy of the recorded notice of commencement must be posted at the job site rs seven (7) days after the building permit is issued In the absence of such posted notice, the a einspection fee will be charged. before me this who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expire APPROVED BY 1& 2— MARCOS A MA.9TINEZ MY COhNSSICy # FF OWN EXPIRES: May 15, 2017 ftWed TW Nolmy Nbrr Lhidery brs Signature ' Contractor The foregoing instrument was acknowl ge ,befo a me day of , 20 // 3 , by C tO , who is personally known to me or who has produced as identification and who did take an oath. Plans Examiner 14 Structural Review (Revised 3 /12/2012)(Revised 07 /10 /(Y7)(Revised 0611012009)(Revised 3/15/09) NOTARY PUBLIC: Print: - — MARCOS A MARTINEZ My C�WB*mWThmNftyPuwkUndembm MY C�NSSO # FF EXPIRES: May 15, 2017 Zoning Clerk NEW POOL CONTRACT DATE: 6118113 ' OWNER COMRF &OR CUST NAME: John Garcia p O ! EL CPC - 1456804 CUST ADDRESS: 169 NW 104 ST MIAMI SHORES FL 33150 1R J PHONE: 305.592.7900 CUST NUMBER: 917 573 0947 POOLS & OUTDOORS 8045 NW 36 ST SUITE 540 MARCOS @ROSMELPOOLS.COM OUST EMAIL: ohn arch msn.com• Info tanod i n.com avik hoo.c DORAL, FL 33166 W W W.ROSMELPOOLS.COM POOL FORM: RECTANGULAR POOL SIZE: 10' X 33' SPA TYPE: N/A SPA SIZE: N/A NEW POOL SCOPE OF WORK [WHAT'S INCLUDED] EXTRAS OR UPGRADES (IF ANY) EXCAVATION [NO DE- MUCKING / DE- WATERING INCLUDED IN PRICE] AWAY OF EXCAVATED MATERIAL DEPTH [4 FT - 5 FT] REINFORCEMENT FORM 1#3 RE -BAR [101N]1 ONE LAYER] DOL CONCRETE SHELL [ SHOTCRETE USED] DNCRETE STRENGTH: 3500 PSI IN CONCRETE WALLS IN -101N BOTTOM CONCRETE SHELL SHALLOW -END STEPS ) FT SWIM -OUT BENCH AT DEEP -END OF POOL FIST AND SECOND BACKFILLS SCHEDULE 40 PVC PLUMBING [BY CODE] 12 IN DOUBLE WIDE MOUTH SURFACE SKIMMER ANTi VORTEX MAIN DRAINS WITH VENT LINE 3-6 RETURN LINES WITH ADJUSTABLE HEADS [DEPEND ON POOL SIZE] VACUUM UNE .ECTRICAL WORK [SOFT OF EXPOSED PIPE INCLUDED] _ECTRICAL UPGRADES, UNDERGROUND OR ATTIC WORK WILL BE QUOTED SEPARATELY .ECTRICAL HOOK -UPS, TRANSFORMER AND 24 HOUR TIMER JANDY WHITE SPA LIGHT INCLUDED PRE - FABRICATED EQUIPMENT PAD JANDY FLOWPRO PUMP 1.5 HP, 12 SPEED] JANDY 150 SOFT. CARTRIDGE FILTER IN LINE CHLORINATOR [NOT INCLUDED IF CUSTOMER BUYS SALT SYSTEM] 6° X 12° TRAVERTINE COPING (INST.ONLY) COPING BULLNOSE AFTER INSTALLED 6 I WATERLINE TILE ($5.00 SO, FT. ALLOWANCE) STEPS AND SWIM-OUT BENCH EDGE TILE [BY CODE] DIAMOND BRITS POOL INTERIOR SURFACE PLASTER SITE CLEAN UP AND 30 DAYS CHEMICAL MAINTENANCE iL WALKTHROUGH WITH CUSTOMER lye'" PLANS & PLAN RUNNER $ 1,500.00 ELECTRICAL UNDERGROUND TO POOL EQUIPMENT $ 1,600,00 (INCLUDING PIPE, CABLES & CONNECTIONS) 29,750.00 10.50 WHEN CONTRACTSIGNED $ 15% WHEN EXCAVATION COMPLETED $ 30% WHEN SHOTCRETE APPLIED $ 15% WHEN TILE & COPING INSTALLED $ 15% WHEN PUMP & FILTER INSTALLED $ 15% WHEN POOL PLASTER APPLIED $ (ANDY HEAT PUMP 120K BTU MODEL:EE 2500T $ 4,800,00 SALT SYSTEM $ 1,600.00 3 MASSAGE JETS AT BACK BENCH $ 750.00 NOTE: CONSTRUCTION TIME 8 TO 10 WEEKS FROM payment (whichever applies) at the time of each payment Is Issued. PERMIT APPROVAL (PENDING DECK WORK BY OWNER). NOT INCLUDED IN THIS CONTRACT SUMMARY OF QUOTED PRICES POOL PRICE _ $ 19,500 00 SUM OF ALL EXTRAS OR UPGRADES- $ 101250.00 TOTAL COST FOR POOL+ EXTRAS= $ 29,750.00 10.50 WHEN CONTRACTSIGNED $ 15% WHEN EXCAVATION COMPLETED $ 30% WHEN SHOTCRETE APPLIED $ 15% WHEN TILE & COPING INSTALLED $ 15% WHEN PUMP & FILTER INSTALLED $ 15% WHEN POOL PLASTER APPLIED $ 2,975.00 4,462.50 8,925.00 4,462.50 4,462.50 4,462.50 Excluding the 109A down payment when contract Is signed, owner shall pay every subsequent payments once the corresponding work and inspection (if applicable) is completed and approved by Miami Shores Village and /or any other governmental agency. Contractor must sign a waiver and release of lien upon progress payment or final payment (whichever applies) at the time of each payment Is Issued. NOT INCLUDED IN THIS CONTRACT ANY DEWATERING OR DEMUCKING; ANY STRUCTURAL REINFORCEMENT; POOL BARRIER, PERMIT FEES, DECK WORK WARRANTIES LIFETIME WARRANTY ON POOL STRUCTURE 10 YEARS OF DIAMOND BRITE WARRANTY 3 YEARS OF WARRANTY ON ALL POOL EQUIPMENT 1 YEAR OF WARRANTY ON ALL OTHER WORK PERFORMED OPTIONAL DARK PLASTER (TO BE DETERMINED). THIS YOU CAN SELECT LATER, EVEN WHEN THE COPING & TILE IS DONE TO MATCH �COL Ion of the dark plaster will not be considered a change order and t oref n subJe to , an order fee of $150 or 5% of the change order amount, chever. Is ar afar. `� ' I<- THIS CONTRACT IS NOT VATIL FINAL APPROVAL I ROSMEL POOLS, INC. OWNER FROM ROSMEL POOLS, C ADMINISTRATION This contract including the general terms and conditions on the reverse side hereof, which are Incorporated herein by reference, constitute the entire agreement between the parties hereto and is not binding upon contractor unless and until same Is accepted in writing by a duly authorized officer or agent of contractor. Contractor shall not be bound by any oral or written statements or representations not included in this contract which have been made or may be made by any persons purporting to act for or on behalf of contractor. This contract supersedes any prior written or verbal agreements, which shall all become null and void with the signing of this contract All prior agreements must be included In writing in this contract In order to be valid. I 10 t3 i t iii l i ail sill l l l i ill i i ii i i l CFN 2013RO5398 1 NOTICE OF COMMENCEMENT OR 8k 28715 Ps 32931 (1R9) A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION RECORDED 07/09/2013 10 :58 :18 HARVEY RUVINP CLERK OF COURT 13 4 1 � MIAMI -DADE COUNTYP FLORIDA PERMIT NO TAX FOLIO NO. / / -� /.�� CJ /� -J37® LAST PAGE 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. of Drooerty and street / address: 2. Descripti on of improv ment: ��1 3. Owner(s) name nd address: , x•uJ t0(�- S+ dcw-)i Interest in property: ed,W Name and address of fee simple titleholder: 4. Co tractor's n ime and address: . �JcJ� ��e,�o.�d/�33 /�G Ate A®� .331 - D 5. Surety: (Payment bond required by owner from contractor, if any�1A of o� Name and Address: I HEREBY CMPFYOW is 8 s► Wow nf Amount of bond $ origins A.D 6. Lender's name and address:] Wl NESS My 110d 8W OMOi4 �" MAR 7. Persons within the state of Florida designated by Owner upon wh en ay be served as 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. Expjxa#i�n-=1sZifiecn s Notice of Commencement: (the expiration date is 1 year from the date of recording unless a ere da �S' re �ole Print Owner's Nam i40 +��� Prepared by vj,�� fA Sworn to and subscribed before me this g day of f0)!.j 20 1.3 =46 Address: Note 1c: X Publi A., n" 4r 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 swimming pool, spa or hot tub will be constructed or installed at A `3 Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346 -91. (Submit Manufacturer's Specifications). A continuous, one -piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non - dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type and location of all non dwelling walls. Florida Building Code, R4101.17.1 Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self - latching device with positive mechanical latching/locking installed a min. 54' above the threshold. If this option is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Code, the pool may not be filled Private Swimming Pool Safety Requirements, and upon presumed to be unsafe. I understand that not having violation of Chapter 515, F.S ., an d will be consider degree, punishable as provided in Section . 82 o S by the owneiagejrt and the prate contr. or. CONTRACTOR'S SIGNATURE-AND DATE Ow 1.1�r4 -�A \J&-,ye !Q W -watbr without compliance with the ;piratio ` of the permit, the pool shall be of the a ove installed will constitute a :ommitti g a misdemeanor of the second ao 5. 83 F.S . This form must be signed 'S S NATU AND DATE X73 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned =D h /1 �% is/are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: O�y `� .UI.eJ 0 ®� �a °�?m� Fe— 3315-0 Whereas, the undersigned owners) desire to utilize said Lot(s) as a single building site, and the undersigned owners) do(es) hereby declare and agree as follows: I. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. III. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our /my property shall fail to meet code requirements for pool barriers, we, as owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. IV. That I/we, as owners) hold Miami Shores Village harmless for any negligence or injury that results from not having the enclosure. V. If enclosure belongs to said property, I agree to maintain & or replace said enclosure in the event that is damaged or removed by any case. NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant conce a use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be bindin upon the undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its succes ors, n accordance of said Village then in effect SIGN RINT OWNER SING & PRINT I HerebiCertify that on this day personally appeared before me �` �' � 'L`�`- ` "�" and has produced ID #.. as identification and he/she acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there in expressed. SWORN TO AND SUBSCRIBED before me on this day of (Revised 05/2209 0 My COMMISSION 0 FF 00898.9 EXPIRES: May 15, 2017 .401 6oAded ihru Notary Pubk Unde1WbM 'r 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 70 e- / f � ?&,13 Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the properly described as `51 bd) Y ;; r 1 located at _ % �`� /� 1 Ca r /ql ,�� r ;r-L 3 3/ S2 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 liminate the need for obtaining a permit and erecting and approved bamer or to fin I inspec ' nd use of the pool. A , Note: This certification is to be submitted with a swimming pool permit applWation in duplicate. 08/26/2013 15:58 3052281525 CITINSURANCE PAGE 01/01 m" T. CERTIFICATE OF LIABILITY MURANCE DATE (wm 08126120 THIS CMFICA-M IS ISSUED AS A MATTER OF INFORMATION MtWz AGRIrar coap ONLY AND CONFERS NO RIGHTS UPON THE COMFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 'WOW FTJAGZB)t ST SUXrZ 213 ALTER THE COVERAGE AFRWED By THE POLICIES BELOW. FZ 33144 INSURED 228-1-533 INSURERS AFFORDING COVERAGE ► AOSAWZ POOLS, xmc. INSURSRA. DZ,*,r TI_qo, NS ' COZONr X1701013LANCE COMPANY INSURERS., 8043 NW' 36 ST., S=%rg 540 i 751 W&URGR C- DORAi, Fir 33166 'V, kC to IN3VFk9FR 0. COVERAGES INSURER R; ANYTHIt POLICIES OF INSURANCE LISTED BELOW HAVE IDEEN ISSUED TO THE INSURED NAMED A RESPECT PO Y I D REQUIREMENT, TERM OR CONDITION OF ANY CONT B O HE WHICH PER 0 INDICATED. NOTWITHSTANDING �'!i%MAY PER RACT OR OTHER DOCUMENT WITH To WHICH THIS CERTIFICATE MAY BE SS OR :SCRISED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH '` .'ROJUClr TA'N' T145 INSURANCE AFFORDED BY THE POLICIES Or I LIED :8 . AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPEOFINSURANCE pOLIOYNUAI6ER POLII YEFFISrTTIVE POU PAY9 bw DATE M TGN LIABILITY WMITS .COMMERCIAL CA04 =URP04CE s2,000,000 - I - FIRE DAMAGE (Anyone Are) $ CLAIMS MADC DZ OCCUR MED E(p (Any one pow GU026239 06120113 f 'HIRMOIAL &AOV INJURY t.2-AAA AAA rLAGGRE 3ATE UMrr APPLIES PER; Loc FRD`- POLICY 0MOBILELIABILITY ANY AUTO ALL OWNED AUTOS 801,19DULODAUT08 HIRED AVI% NON-OvvwEDAUTos G gUARILITY '.A NY AUTO sFRCESS LIABILITY O=R CLAIMS MADE f [ON s RORS WMPBOA71ON AND 'LIABILITY ?ESC PTIOM OF -OPEMPONMOCATI nr-�Oz comrivacroit HOLDER ADDITIONAL INSURED, INSURER LErrm MXAW SXt)jWS VXZZAGE 10050 ME 2 AVE. KXANX -qjrojWo VXLZAGEO *VZ 3j,38 PAX:305-592-7997 305-754r-AQ79 t3ENewv.AC�REt�are s3, 000, 000.:° COMBINED SINGLE LIMIT (Ha owdent) 1 $ BODILY INJURY (P&Pmm) 9=Lr%u)IlY COMBINED dE SNMF LIMIT PRO JYDAMAGE $ AUTO ONLY - EAA=OeNr 8 C OTtiM THAN EA =ACC $ 5-OR T Ly. AUTO CONLY ACS F-ACH 0="RREI' AC4RUOATE &L EACH ACCIDENT $ F-LDISE4W-F-:AEMPLOYEE $ E.L. DWAM -POLICY LIMIT il $ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RE CANCRIJAb mwoRr; TM p Wn A TIC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MALL j_0 DAYS wRFrrjEN:.' NOTICE TO THE CPA71RCATFE HOLDER NAMOD TO T"r; LWT, BUT FAIWp $0 SMALL . 4-. .E To Do IMPOSE NO OSUOATION OR LIABILITY OF ANY rJND UPON THE INSURER, ITS A*W$ OR - 25.S(7197) T- U015eqr 0 ACORD CORPORATION 1988 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. State Surgeon General & Secretary Vision: To be the Healthiest state In the Nation August 07, 2013 Luz Helena Aragon (Rosmel Pools) 8045 NW 36 Street Ste 540 Miami, FL 33166 RE: Contingency Letter Application Document No: AP1115349 Centrax Permit Number: 13 -SC- 1486505 OSTDS Number: 169 NW 104 St Miami, FL 33150 Lot: 15, 16 Block: 126 Subdivision: Miami Shores Sec 5 Dear Applicant: This will acknowledge receipt of an application dated 07/26/2013 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. This permit is granted for the construction of a new garage. There will be no increase in sewage flow or characteristics and no impact on the unobstructed area. ********* * **** * * **** *APPROVED* * ******** ***** ****** From a review of your completed application, it has been determined your existing system is adequate for the proposed use. If you have any questions on this matter, please call our office at (305) 623 -3500. Sincerely, C gyvange, B Engineering Specialist II Enclosures cc: Florida Department of Health www.FloridasHealth.com In DADE COUNTY TWITTER:HealthyFLA 1725 NW 167 St, Opa Locks, FL 33056 FACEBOOK:FLDepartmentofHealth PHONE: (305) 623 -3500. FAX: (305) 623 -3645 1 YOUTUBE: fldoh Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. __COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: �R�sn'►�1 Q10,n 1 s :T-,-,,c- BUSINESS ADDRESS: 9045 0J-3 3 4 51. 5-}e s¢o CITY Tkc�r-cz�-1 STATE —FL ZIP CODE .33 14 4 BUSINESS PHONE: 3( 5) S'71-2--?94:0 FAX NUMBER 36�5 CELL PHONE (---) QUALIFIER'S NAME: *-hi( -I " \IQ veJ..C.) QUALIFIER'S LIC NUMBER: l 4 © ¢ E -MAIL ADDRESS (IF APPLICABLE): Created on 3119109 BY MLDV I RV 3126109 MLDV I AC# 6338596 STATE OF FLORIDA j DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L12090501775 LICENSE NBR 09/ 5/2012-1128069744 ICPC1456804 ` The C014MRCIAL POOL /SPA CONTRACTOR ! Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 4 f i VARELA, MIRTHA ROSMEL POOLS INC 8045 NW 36 STREET, MIAMI SUITE 540 FL 33166 RICK SCOTT GOVERNOR ,DISPLAY AS REQUIRED BY LAW t i i� KEN LAWSON } SECRETARY FUNiT -CLASS U.S. POSTAGE PAID MWA FL PERMIT NO. 231 633330 -6 THUS 18 NOT A BILL - DO NOT PAY RENEWAL auRi EM NAM/ LOTION . RECSIPT NO. 660017 -6 ROSMEL POOLS INC STATE# CPC1456804 8045 NW 36 ST 540 33166 DORAL OWNER ROSMEL POOLS INC WORKER /S Sac. Type Ot Busters 1%- SPECIALTY PLUMBING CONTRACTOR 1 wounm aamm WS ap "m DO NOT FORWARD COMY OR C"M MM mm ff WON" nm anum ROSMEL POOLS INC BY UK MARCOS A MARTINEZ PRES ,nmNOLOuAU 8045 NW 36 ST 540 DORAL FL 33166 Ari�1TR�it®TYTAX 07/17/2012 60000000520 000045.00 lot l isI1ii81„ it1i f, 8 flits 1 li, #f ilt1i}ti1i *11111#,lll14a11 SEE OTHER SURE MICRO'PRINT SIGNATURE LINE SHOWS.UP UNDERiMAGNIFICATION < 2012-2013 2013004413 LOCAL BUSINESS TIC RECEIPT CITY OF DORAL, FLORIDA 196PLUD SPECIALTY PLUMBING CONTRA Northwest 53'' Terrace MACHINES: oral, Florida 33166 SEATS; (305) 593 -6631 STATE L1C:#: EMPLOYEES: 1 FOR THE PERIOD COMMENCING OCTOBER 1.2012 LICENSE FEE: $30.00 AND ENDING SEPTEMBER 30, 2013 LICENSED TO ENGAGE IN THE FOLLOWING BUSINESS: Business Name: ROSMEL POOLS, INC DBA: ROSMEL POOLS & ENVIRONMENTS 8045 NW 36 ST UNIT 540' Address: DORAL, FL 33166 OFFICE USE ONLY; DRY USE ONLY, NO OUTSIDE STORAGehief sing ofticiai Conditions: OR DISPLAYS. • ARTIFICIAL WATERMARKSCRFENED ONTO BACK OF DOCUMENT• 03- 21-2012 JEFF ATWATER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES �"I��NANc DIVISION OF .WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 03/21/2012 PERSON: VARELA FEIN' 263013092 BUSINESS NAME AND ADDRESS: ROSHEL POOLS INC 8045 NY 36TH ST STE 540 DORM. FL 33166 -6687 SCOPES OF BUSINESS OR TRADE: 1- CONSTRUCTION SUPERVISOR ( SSW ) EXPIRATION DATE 03/21/2014 MIRTHA 2- CERTIFIED POOL /SPA CONTRACTOR IMPORTANT. Pursuant to Chapter 440 . 05(14). F.S.. an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12). F.S.. Certificates of election to be exempt... apply only within the scope of the business or trade listed an the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the isseence of the certificate, the person named an the notice or certificate so longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -16: OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERT COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE .OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS COMPENSATION LAW ° ..� EFFECTIVE 03/21/2012 EXPIRATION DATE: 03/21/2014 PERSON: NIRTHA VARELA FEIN: 263013092 BUSINESS NAME AND ADDRESS: ROSMEL POOLS INC 6045 NW 36TH ST STE 540 JORAL. FL 33166-6687 SCOPE OF BUSINESS OR TRADE: 1 - CONSTRUCTION SUPERVISOR (5606) 2- CERTIFIED POOL. SPA CONTRACTOR IMPORTANT F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who 0 elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt.. apply only within the scope of the business or trade listed on E the notice of election to b@ exempt R E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 i �+ 03-21-2012 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensaticn law. EFFECTIVE DATE: PERSON: 44FiN 03/21/2012 EXPIRATION DATE: 03/21/2014 MARTINEZ MARCOS A 263013092 BUSINESS NAME AND ADDRESS: ROSMEL POOLS INC 8045 NW 36TH ST STE 540 DORAL FL 33166 -6687 SCOPES OF BUSINESS OR TRADE: 1- CONSTRUCTION SUPERVISOR (5606) 2- CERTIFIED POOL /SPA CONTRACTOR 3- CONTRACTOR - PROJECT MANAGER, CO IMPORTANT. Pursuant to Chapter 440 . 05114). F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -160 OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DNISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW 'w.. EFFECTIVE 03/21/2012 EXPIRATION DATE: 03/21/2014 PERSON: MARCOS A MARTINEZ FEIN: 263013092 BUSINESS NAME AND ADDRESS: ROSMEL POOLS INC 8045 NW 36TH ST STE 540 DORAL, FL 33 166 -668 7 SCOPE OF BUSINESS OR TRADE: 1- CONSTRUCTION SUPERVISOR (5606) 2- CERTIFIED POOL /SPA CONTRACTOR 3- CONTRACTOR- PROJECT MANAGER, CO IMPORTANT OPursuant to Chapter 440.05114), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.0502), F.S., Certificates of election to be H exempt.. apply only within the scope of the business or trade listed on Rthe notice of election to be exempt E Pursuant to Chapter 440.0503), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. CUT HERE QUESTIONS? (850) 413 -1609 * Carry bottom portion on the job, keep upper portion for your records. OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 r� e r 03-21-2012 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensati3n law. EFFECTIVE DATE: 03/21/2012 PERSON: MARTINEZ FEIN: 263013092 BUSINESS NAME AND ADDRESS: ROSMEL POOLS INC DBA ROSMEL POOLS AND OUTDOOR EQUIPMENT 8045 NW 36TH ST STE 540 DORAL FL 33166 -6687 EXPIRATION DATE: 03/21/2014 ALINA SCOPES OF BUSINESS OR TRADE: 1- CONSTRUCTION SUPERVISOR (5606) 2- CERTIFIED POOL /SPA CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . 05114), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.051[3), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation it, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -16( OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW 0 EFFECTIVE: 03/21/2012 EXPIRATION DATE: 03/21/2014 PERSON: ALINA MARTINEZ FEIN: 263013092 BUSINESS NAME AND ADDRESS: ROSMEL POOLS INC DBA ROSMEL POOLS AND OUTDOOR EQUIPMENT 8045 Nut 36TH ST STE 540 CORAL FL 33166 -6687 SCOPE OF BUSINESS OR TRADE: 1- CONSTRUCTION SUPERVISOR (5606) 2- CERTIFIED POOL /SPA CONTRACTOR IMPORTANT Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt... apply only within the scope of the business or trade listed on Rthe notice of election to be exempt E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 06,/19/2013 11:30 3052281525 CITINSURANCE PAGE 01/01 `- FORD., CERTIFICATE OF LIABILITY INSURANCE 'aRnnpca; 06/t9/t'Ot3 THIS CE"FICATE Rs I=JM AS ARM A � WFORMAI ION r... ONLY AND CONFERS NO RIGHTS i1PON THE CERi1FICAiE CITIRgGRAATCS AGSRCT' CARP HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 839Q WEST FLAGL.SR Or StT rZ 213 ALTER THE COVERAGE AFFORDED BY THE POLICIES BI= L..OW. AXAAfX FL 33144 30.4- 229 -1533 INSURERS AFFORDING COVERAGE ROSML POt?LS, i21TC. VMLSMORA. X SGRAJ= COAZBAmv 8: 804S NW 36 ,ST., 8'RZR'l+Ji ,540 E :COVERAGES THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PpLtfYY PEI�lOD INDICATED. NOTWiYIi$TANDIiVG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMT WITH RESPECT TO WHtCCN THI CERTIFICATE MAY BE IS TAN OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, FXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, Mm TYPEOFtldBURANCE POUCYN'pMN3ER DATE Off'IRATiON GMWMAL UARIM umirs EACHoCURR90rm ,s Y, 000 00G "� '. ••aalw,allRau,L �nl�,vl. L,A6ILFI`Y FIRQ DAA�AGE tanv ais ete) � 1 P 0, 0 0 Q: tal, CLAIMS MADE ® OCCUR M80 6XP ynyone Pereoni L. 51000-, � ! .la' 185N 00010952 07 -39 -12 07 -29 -13 aADVINAMY s1, 000, 000 GF1dERALAGCMC,ATE $1, 000, 000 LRCsC9REGRTELIMITAPPUES4PER PRODUM-00m/OPAGG 5 + n MYA M �E �SWGLELw $ Ail CIMM AUMS SMILYMURY SDMMULEDAI}Tp$ $ MftWA YM ,aa M WIlYM ED AUTOS BODILY INJURY {PorasldWit) $ .. �i .• --- . � DAMAGE . $ :.s GAI IJAMU7Y $ ' ANYALiTO AUTOONL.Y.6AASrid ZW NS . n EAACO $ AUTOUNLY, AC3Ci $ UABiUtY a'c0=-UR CuWMSMADE: _ $ Ac >"oa .. $ is C' vG.'RETGNTCN $ $ '� RSCOAdaEV8A1i0NAND $ . "wLOYFR.,�PUAMM $ TORYL] tIL ER E.L EACH ACCIDENT c syi : EL DISFEAM. CA MMPLOYEE $ OTHM E I - POLICY UAfVT $ ry D PF[ OPIOFOP6iAT10NSROCA170N3t11QpCLMIp (DMONS ADDED BYENDDPAM MSPECIALPROVISIONS `:PiROL COZIENACTOR •E HOLDER 1, AOGI WAL IN>BJttW; IIV qM L67TER; =fit' 8E'ORB9 9XZZAMN J;UX ,,VXXG DSPAMAMW 10050 R.R. 22M ,Ay; AMA= SHMMS, FL 33138 FAS: 903— 756' —A A 79 CANCELLATION SKOULD ANY OF THE ABOVE OMCRMM POU*M 96 CANCELLED BEFORE THE EXPIRATION . c' DATE THEMOP, THE =tfiNG M WJM VWLL aaMVM TO ARAN_ 10 DAYS Vl UMl N Z NiMCL YO THE GIMMIGATE }{OLDER NASD To THE LEFT, MR PAIUURETO DO SO SHALL MME NO OBUGATION OR UABIUN OF ANY I= VM TM WWMK ITS AGMTS OR A Rl�RSSEMATIVES. •. . r j o ACORD CORPORATION 421IB ,,,d� II Ih ►,. FOR: JOHN GARCIA JOB NO: 1205 -024A SKETCH iJ F B n U N GARY' SURVEY FIELD DATE: 08 -07 -2012 'o FND.I.P.1 12" (NO ID) - - - - - -7-� ;:n _X� CL Lot 14 Block 126 1-00 0.00' X ' B.C. V 16.00' Q' /C' 'v 4. SCALE: 120' ®W.P.P. 41 LL' v o tT k U � \89, oncrete A E.M. FND.I.P.1 23.00' _11.00' GARAGE 15' ALLEY ',, _ 9, of tt> 27.16 I b 1222 I I `r ONE STORY C S RESIDENCE # 169 1 13.07' ` 28.65' 1 FF Gas Meter & Tank 0 N M CD CD 19.05' I Brick Planter tv i QU U I CR th I N N I I 100.00' 5' Conc.Walk 33.80' 20' Asphalt 75.00' Total R/W N, iN, ' ®4th ,STREET 25.00' .,. _,,. .• � loll [: a ► :u .�: .� CERTIFIED. FND.I.P.112" _ ENO ID) JOHN GARCIA. SUNTRUST MORTGAGE, INC., ITS SUCCESSORS AND /OR ASSIGNS. GUARANTY TRUST & TALE, INC. I n an' FIDELITY NATIONAL TITLE INSURANCE COMPANY. LEGAL DESCRIPTION., AN AMENDED PLAT OF SECTION NO.5 OF MIAMI LOT. 15 & 16 SLOrA 126 SUBDIVISION: SHORES LL _I ci PLAT BOOM 10 PAGE: 47 OF: MIAMI -DADE COUNTY, FLORIDA. SURVEYORS MOTES. 1.} THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCORDANCE WITH THE DESCRIPTION FURNISHED BY CLIENT. 2.) UNLESS A COMPARISON IS SHOWN, ALL BEARING, ANGLES AND DISTANCES SHOVM ARE THE SAME AS PLAT VALUES. 3.) THE LANDS 3HONM HEREON WERE ITT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED ENCUMBERANCE , NOT SHOWN ON THE PLAT AND THE SAME, IF ANY MAY NOT BE SHOWN ON THE SKETCH. 4.) UNDERGRAUND PORTIONS OF FOOTINGS, FUNNDkTIONS OR OTHER IMPROVEMENT Lot 17 WERE NOT LOCATED. C4 Block 126 5.) FENCES TIES ARE TO THE CENTER LINE OF THE SAME. p 6.} WALL TIES TO THE FACE OF THE SAME 7.)ELEVATION WHEN SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM ( 1829) UNLESS OTHERdMSE NOTED. 8.) THERE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN. (FLOOD ZONE INFORMATION) ZONE: X COMM: 12 EL- 1208600302 SUFRX: L DATE- 9 -11 -2009 BASE: NIA NOTE: DETERMINATION OF FLOOD ZONE LINE=S WERE BASED ON SCALING OF FEMA MAP LISTED ABOVE 0 40' NOTE: ALL BEARING HEREON ARE BASED TO THE PLAT BEARING OF ON THE CENTER LINE OF PROPERTY LINE. — EASEMENT VIOLATIONS: El YES ® NO 23.95' APPARENT VISIBLE ENCROACHMENTS: ❑ YES ® NO COMENT& ABBREVIATIONS: 19 SWK= Sidewalk CBS= Concrete Block Structure, CLF= Chain Link Fence, • X89 PL= Property Line, DUE = Drainage Utility Easement, IP= Iron Pipe, ���• +� ' ,�� AfC= Air Condoner Pad, PIC= Praparty Comer, DM= Drilled Hole, WIF= Wood Fence, RES= Residence, CL= Clear, IR= Iron Rehr, UE= Utilty Easement, CONC= Conc. Slab, RNV- Right of Way, DE= Drainage Easement, N5.I.P.1 /2" , CIL- Center Une, O= Diameter, TYP= Typical, M= Measured, R= Recorded, NO ID) ENCR= Entroachrrent, COMP= Computer, ASPH= Asphalt, NID= Nail & Disc., S= Set, FFE= Finish Floor Elevation, OIS= Offset, PIP= Power Pole, OHP= Overhead Poweriine, WM= Water Meter, WPP= Wood Power Pole, EM =EWcbie Meter, M.F =Metal Fence, P.F. = Plastic Fence, D.M.E= Drainage Maintenance Easement, C.M.E.=Canal Mantenence Easement L.M.E =Lake Maintenance Easement, M.E= Maintenance Easement, B.C. =Block Comer, 23' Parkway P.0 =Point of Curvature FND=Found NO ID No identincatlon. TW the etemhed BQUN0M SLM rr tddre iwde dt mn hereon istra ens corm ti to eftmlrmmyy rec ftmeeenawvetam"y ec&e"Pa T * Seward ftOd byffie T'.Ye mavep Bond 11'r thoeppliceiae m;SW Teehda M.W SIGNS INS. Standardmd fn hqt. eFl7, nwi ate aoard rail" C.1% 8wot to Ctm$w P� huh ae cow d Chapter S.! -S7, Florida Admirastrmke Code, paSwima w pmpter 472627, Florida Stdutea Land Surveying Services (�• OFFICE: DAVID La FUT PH 14770 SW 43rd WAY, REGISTERED LAND SURVEYOR # 4843 MIAMI, FL 33185. STATE OF FLORIDA f 305 .4225 LB # 0006874 1 PHONE: t ) 512 Note: Not Valid Unless FAX: 305 512 -1914 SHEET 1 OF 1 � } Signed and Sealed.