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BPP-13-2087 (3)Inspection Worksheet Miami Shores Village 4 10050 N.E. 2nd Avenue Miami Shores, FL b ' Phone: (305)795-2204 Fax: (305)756-8972 inspection Number: INS -213959 Permit Number: BPP -;9-13-2087 Inspection Date: June 11,'2014 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Dacquisto, Da id Inspection Type: Survey Final Owner: PICARD, M THIEU Work Classification: Addition/Alteration Job Address: 401 NE 103 itreet Miami Shon is, FL 33138-2456 Phone Number Parcel Number 112231015013.0 Project: <NONE> Contractor: FLORIDA POOL PATIP CORP Phone: (305)815-0181 Buildina Department POOL AND SPA PAVE (DECK infractio Passed Comments INSPECTOR COMMENTS False 09/30/2013 - bounce check for $200.0 ; plus 30 bounce check fee. 10/21/2013 - Paid with crodit card. 00 �l `7 Inspector Comments Passed Failed Correction Needed i Re -Inspection I ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. For Inspections please call: (305)762-4949 Pa e 1 of 1 June 11, 2014 �, 9 JA LEC IC � HRSI Af �o N FEES L Miami Shores Village Building Department 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762A949 I �Je b (d s IX IL INQ nG PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: -1 V I / �t l�f _t) —`V City: Miami Shores Country: Fofio/Parcel#• I I - -)- 5.- 31 - ® j ' n i V c. �..�� SEP 16 2 13 FBC 20(C� Permit No. Master Permit No. 13po 3 " may+ QOFING Is the Building Historically Designated: Yes NO `Flood Zone: OWNER: Name (Fee Simple us City:- YLQ State: TenantJfessee Name: ��horie# Emai): �I CONTRACTOR: Company Name: Address: V-2,2- LA City: PLO �- 10®O i'f I f'� �aw�$hnne# . a J �. s D S V o I FL zip: 331 Qualifier Name: I A 0 ci I n e,0-0 Phone#: State Certification or Registration #: Certificate of Competency #: _ Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 6 d Sgnare/Linear Footage of Work: Type of Work: OAddition OAlteration 9-4ew ORepmr/Replace ODemolition Description of Work: d�:), Color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $la2U. 619 AI.1. DAMAGED SIDEWALKS MUST BE REPLACED PRIOR TO FlNAI� IiiPMOM 1V1[" SHORES VILIAGIE For Driveways and/or Sidewalks, before final inspection and bond can be approved for refund; all sod and yard work mi iCt he rmmnlPted e � 3 `BoudhS Company's Name (dapplicable) 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. L°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 commence wt must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. Bence such posted notice, the inspection will not a approved reinspection fee will be charged. Signature � Sign Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me thi/s day of q . 20 �, by W A"r H ! e Q f I cixday of 20 (3 by (2 -L-A () D 10 VA L! who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Print ,,N,y1i1 QLADia MY LAiM1001- MY N' il" M sters APPROVED BY Le) � Plans Examiner Structural Review (Revised 3/12/2012XRevised 07/10/07)Wvised 06/1=009)ftvised 3/15/09) as identification and who did take an oath. NOTARY PUBLIC: Sign: X-4� t!=q v (3 0 Print. t My CO� / ? pivN� ``, —167 ILL_ Decembe17, 2014 gond l l ihru Notary PW#,r U zoning Clerk Y OP in. MA '`' CERTIFICATE 4F LIABILITY INSURANCE F °"'m( °'D"' m 08!11113 THIS CERTIFICATE IS ISSUED AS A (NATTER 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(Sj AUTHORLZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder le an ADDITIONAL. INSURED; the policy([") must be endorsed. if SMOGA11ON IS WAIVED, subjed to the terms and conditions of the policy, certain policies may require an endorsement A statement an this certificate does not confer rights to the certificate holder In lieu of such endorseme s PRODUCER 904645-384 The Holmes Organisation of FL P.O. Box 18327- 804-6454805 Jacksonville, FL 32245 Robert A Roldan P F NO' � Ina FLORIPO MRERM AFFORDING COVERAGE NAIL • INUIMA:Technology fns Co INSURED Florida Pool -Patio Corp P.O. Box 161491 Miami, FL 33186 INSURERS: INSURM C: INSURER 0: INSURER E: IAJS<J F RCY110IVNI IYUm6Cr(: SU THIS IS TO CERTIFY THAT THE POLICIES OF INRANCE 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. IRM LTR TYPE OF INSURANCEPOLICY ADOL NUMBERdAlAaDDfYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR o�$$ ��s MED EXP (Any one person) $ PERSONAL 8 ADV IN URY $ GENERAL AGGREGATE $ GEN'LAGGREGATELIMIT APPLIES PER: POLICY PRO LOC PRODUCTS-COMPlOPAGG $• $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ Is eeddent) BODILY IN,URY (Per pawn) $ ALL OVVNEDAUTOS BODILY INJURY (Per soddent) $ SCHEDULED AUTOS PROPERTY DAMAGE $ (Peraccident) HMREDAUTOS NON -OWNED AUTOS $ $ UMBRELLA LIMB EXCESS LIMB OCCUR CAMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ A RETENTION $ HERS CO MPENSAMoN AND EMIPLOYERS LIABILITY IN ANY OFFICERPRIETO PARTNEEXCLUDED? Ci v❑ N/A TWC3372018 KIWIS ONW14 $ WC TATO- OTH- X TRY I R E.L. EACH ACCIDENT $ $wii3O (Mandatory [n NH) I4yes, describe under DESCRIPTi F OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ i300, DESCFAMON OF OPERATION I LOCATIONS I VEHICLES (Atladt ACORD 101, Adcutlsnw Remarks Schedule, If morn BgaCe Is required) Miami Shores Village Bldg Dept 10050 NE 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE EXPINATt= DATE THEREOF, N0710E WILL BE DELIVERED IN ACCORDANCE WITH 7HE POLICY PROVISIONS. AUn4DRUND REPRESEIdTATIYE 01988-2008 ACORD CORPORATION. All rights Ar -0110 25 (20MM) The ACORD name and logo are registered marks of ACORD RE Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT#:��P�q� 13'��1a8' DATE: _ /©^C9 /— i w6ontractor (NAME) o Owner a Architect Picked up 2 sets of plans and (other) Address: -,401 A /E I ,* SJ From the building department on this date in order to have corrections done to plans And/or get County stamps. I Miami Shores Village Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAI that the plans need to be brought back to to conWe peWg process. (Signature) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 September 26, 2013 Permit No: BPP13-2087 Building Critique Review PENDING HRS APPROVAL FOR SEPTIC SYSTEM Ismael Naranjo Building Official 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. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1 8/o ,!i e mit No: 13 P P 13-'�-��� Structural Critique Sheet -fit "i D P -v SYA -6 c - 1,/X62 -(1,0.g Page 1 of 1 A4 X 6a./-► aig )r alz ASS ir'l.l® coq STOPPED REVIEW 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. Mehdi Asraf oet Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: 9 - -Zq _ ( 3 Permit No: t�?P - 13 - -2GPJ -,� Plumbing Critique t-- "3L 1 Q Iry 10 L hl-�A CT 1-1 P {? ► SPP 4)"A!) t Osvaldo "Ozzie" Diaz Chief Plumbing Inspector 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. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 September 26, 2013 Permit No: BPP13-2087 Buildina Critique Review PENDING HRS APPROVAL FOR SEPTIC SYSTEM Ismael Naranjo Building Official 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. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 l 6 Pe mit No: 13 P P 13 _ Structural Critique Sheet kv -6 C - 1.4/x62- Page 1 of 1 el : 2 - Ike, r 4 -110 'IrO 'D C `7" r(11y6' lWJ SAO 6?� e -JC- Pet-,4- (P et-,4CP ° '�,' ®F- gL'A- !3' Cy - a eps STOPPED REVIEW Plan review Is not complete, when all items above are convected, 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. Mehdi Asraf .I / Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: 9 2q d I _-� Permit No: b? P - 13 — 2 �4- Plumbing. Critique Osvaldo "Ozzie" Diaz Chief Plumbing Inspector 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. CERTIFICATE OF LIABILITY INSURANCE w pmonr""' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, Use poli) must be endorsed. 0 SUBROGATION IS WAIVED. subject to the terms and yrs of the poft, certaln policies may require an endorsement A statement on Udo coRUicate does not confer rights to the certificate holder in Rou of such endorsement(s). PRODUCER Chaplan & Castro Insurance 2552 NW 7 StreetADDRESS:*dwbw@beMwth.net ABami. FL 33125 Phone (W)541 -4W9 Fax (305)849-1513 ACT DOLORES CASTRO (305)5414009 (30049-1513 e1$U AFFORDING COVE NAm s INSURERA: GRANADA INSURANCE CO. INSURED FLORIDA POOL PATIO CORP 9285 SW 125 AVE #11303 MIAMI, FLORIDA 33180 INSURER B INSURER C : INSURER 0: INSURER E : INSURERF: GOVERA13153 CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE VAM POLICY NUMBER 10M. 09/0612013 t00% 08/0612014 LIMITS A GENERAL LIABMITY ® COMMERCIAL GENERAL L1ABILfrY El ElcLAmIISaADE ®OCCUR ❑ 0185FLOOD38979 EACH OCCURRENCE 1000 000.00 RENTED DAMAOSS a am�nen $ 100,000.00 MED EXP 5.000.00 on $ PERSONAL & ADV NJURY s 1.000,000.00 ❑ GENL AGGREGATE LWTAPPLIES PER: ❑ POLICY ❑ M ❑ LOC GENERAL AGGREGATE s 2,000,000.00 PRoDUCTs-CONIProP Am S 2,00,000.00 $ i AUTOMOINLE UABUTY ❑ ANY AUTO ❑ ALL OWNED ❑ AUTOS ❑HIRE ED AUTOS ❑ TN� AAUU ❑ ❑ COAABemcktent INGLE LNIT BMILY NJURY (Per per=) s (Per acdd�t s pSWIIL�YR7NJJURY S E S S 1 ❑ UMBRELLA LIAR ❑ OCCUR ❑ EXCESS LIAR ❑ CLAWS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTIONS S I WORKERS COMPENSATION AND EMPLOYERS' LlASM Y ANY PROPRIETORIPARTNERM(ECUTWE ! N OFFICENMEMBER EXCLUDED? IUMy���y 1n NN) ❑ DMOMMN W01OWPERATUM W. N /A ❑ 4VC STATU-❑ O� E.L. EACH ACCIDENT $ E.L. DISEASE - EA S E.L. DISEASE - POLICY LIMIT s l� I � DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (Atleeh ACORD 101. AddonM R 6 Sehedale i U cote apses is ►e*&eM SWIMMING POOL SERVICING i f CERTIFICATE HOLDER CANCELLATION VILLAGE OF MIAMI SHORES 10050 NE 2 AVE MIAMI, FLORIDA 33139 ACORD 26 (2010/06) QF SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. ®1988-2010 ACORD CORPORATION. All rights reserved. The ACORD creme and logo are registered marks of ACORD ke 213 Miami Shores Village 10111111111111 r Iding Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: 13051795 2204 Aft MUM IL AF Fax: (305) 756.8972 NOT IRE NTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We acknowledge that a now,swImiming pool, spa or hot tub will be constructed or installed at I D I L_1 ql_ I -) 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 i the method(s) to be used: The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346-91. (Submit Manufacturer's Specifications). A continuous, one-piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non -dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type and location of all non dwelling walls. Florida Building Code, R4101.17.1 Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self -latching device with positive mechanical latching/locking installed a min. 54" above the threshold. If this option is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Code, the pool may not be filled with water without compliance with the Private Swimming Pool Safety Requirements, and upon expiration of the permit, the pool shall be presumed to be unsafe. I understand that not having one of the above installed will constitute a violation of Chapter 515, F.S ., anted will be considered as committing a misdemeanor of the second degree, punishable as provi in Section 775.082 or Section 775.083 F.S is form must be signed by the ownedage 't�and t; prime contractor. / l COIN TOR'S SIGNATURE AND DATE OWNE 'S SIGNATURE AND DATE CONTRACTOR'S N OWNER'S NAME (PLEASE PRINT) .pY L t3 8 t3E8. 67 NOT ` ' Ex IRES: DROMb01 17,901 COiOR Aht15SI0N Y EE 048 01 ..... bonded Th'u K(" Fu4;�c "envnt�9 N ,�- L EXPIRES: December 17, 2014 I Bonded Thm Notary Public tlndenvriters 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 C1 13 Miami Shores Village Building & Zoning Department Attention: Building Official 1 certify that I am the legal owner of the property descried as ALL, T i �} S r z C 3 i� 2� y c l A r�._ �l- t, r2 rz LAocated at 4 c° i S� 1 03 c --)T 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-,/t4� Note: This certification is to be submitted with a swimming pool permit application in duplicate. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned i-1 AT l -t ('. C e1c cyy" 'U is/are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: / Address: "1 L ! A— �-, Iy Whereas, the undersigned owner(s) desire to utilize said Lot(s) 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 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 concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon the undersig , his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordan o s ' dlage then in effect. OWN R SIGN & PRINT OWNER SING & PRINT I Hereby Certify that on this day personally appeared before me tI(J ikt H I e L' P, G4k'-hand 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 201 zZ NOTA^ PUBLIC STATELOF FLORIDA (Revised 0512209 GLADYS SORDES MY COMMISSION # EE 048187 EXPIRES: Decstm�r 17�, 20114 Banded Thr, NAY -- i a BOUNDARY SURVEY GRAPHIC SCALE LOCATION SKETCH NOTTOSCALE. i 1 I ��FaUmd�i, I Faad ,jY Ppe Uw Id Farad IrcWe I 2d I It IN I=) 1 Inch - 20 R =19 mum ave man aawo% . %}40 AL!{a+Ttl18B®I Ya[WIWAa IWT •8N8A16 -'_ . >�slarAoeaaeamn . ulvavawxAwm�IvrpeoewruasvaoPamti astoasvaaotsamvsPAeavtroaaaaaA�awaara . mI�A1yNOOLL4 Aal901S A190A4t.A480908gi799Y OpFA Ag91W9�aQ PAWY' W;' .. . P1NR8pPBON�aCWf ap�aaswrWAa saNp PA91Yat PAAa�PO . .aaCa0a N6l�a1 Ab1 A�d8 WAIMMIt .lA0Pt96N m05aN - .. aaAW AaAAa W 1K 9A1�p, 0�6116198ID4L W¢y Willi I gNiOf�US akW>ma�9 A NffaACNm *=w =m WAN W . MIMIMIFfm sn iMm s 1 Ion as at 4s m �`L_aW WApgOaNNIACL —F I/••pp I* Aa RA70(AAWA _ . am" Al 11AAaA NOkA A� Aafa . . lol Agm a AfIL am. . F4AI A � AACiQ1 AS9Eta tMm � s sDA fir- mvm RAfi . 14.90• �r•(I•II h �� P24U A9Y I r��,pt°L�yd� \ Fo 11r *9 i . --103rd— _ -STREET TOTAL 75 RIGHTS—Of—WAY wad fir *o -zero �M �� m�eW,Is -zero b m0 b Omty a made6 b PL! Bpp N. P� la MMFM CM gM� amampnml�cea�® laa IlM � IAalW mm$ANand aft m ar m Ca aC!103W me/a *"aft*"aft M 0w d@o ola•oaw . 1I��7 Owl d omC Yb Ooe9'm�adyba 8�1-II NaImatio*TaM4dl WO.@p� �. �sQwpbr OcA. Ya"mt, le mu ma sl�mA � � �AuowrmAaaa seas NCC RO-�t-1Np I�►A9Yaes� amm O B�OFA9E AOT WC0.1� 100 aNRa[p�y, RLdtk. RAS 840. W A NWaI lD dWlfdAA JCO mmusumoma EIIIIIIIIII ' =19 mum ave man aawo% . %}40 AL!{a+Ttl18B®I Ya[WIWAa IWT •8N8A16 -'_ . >�slarAoeaaeamn . ulvavawxAwm�IvrpeoewruasvaoPamti astoasvaaotsamvsPAeavtroaaaaaA�awaara . mI�A1yNOOLL4 Aal901S A190A4t.A480908gi799Y OpFA Ag91W9�aQ PAWY' W;' .. . P1NR8pPBON�aCWf ap�aaswrWAa saNp PA91Yat PAAa�PO . .aaCa0a N6l�a1 Ab1 A�d8 WAIMMIt .lA0Pt96N m05aN - .. aaAW AaAAa W 1K 9A1�p, 0�6116198ID4L W¢y Willi gNiOf�US akW>ma�9 A NffaACNm *=w =m WAN W . MIMIMIFfm iMm s 1 Ion as at 4s m �`L_aW WApgOaNNIACL —F I/••pp I* Aa RA70(AAWA _ . am" Al 11AAaA NOkA A� Aafa . . lol Agm a AfIL am. . F4AI A � AACiQ1 AS9Eta tMm � s sDA fir- mvm RAfi . U.S. DEPARrMff OF HOMMJM sECURPrY ELEVATION "ERTIFICATE FEDERAL EkAE CMy MANAGEIAENT AGWXy OMB¢,�No. 1�0-0008 1�aiknQiR0i0d1nslPQ7fCf'pIwwn t..., ga�yjj��:J 3�, ImPotia+rti: Read the Instructions on pages 1--9. � � 2015 SECTION A - PROPERTY INFORMATION FOR INSURANCE COWPANY USE w• w __ A2. Bu401 NE dIRL 103"gTREET Addressu�9 � pL, Ung, Supe, aW*r Bldg. NO.) or P.O.. Route mW Boat Ano. Company NAIC Number City MAMI SHORES Stab FL ZIP Code 33138 .— Lot 13 LESS N34.28' & adof tot 14. MIRROR LAKE aj. '..... .U•, ..w...q,avu. �l SUB, SS, PG 15, Fob No. 112231.015-0130 A4. Building Use (e g.. Residential, NwftWftft fin. y, etc) R AS. tat udetlongfttrde: Let 8 WN Long. -=j 11IF �n Datum: ❑ NAD 1827 ® NAD 1983 AS. Attach at feast 2 photographs of the bJkft if the Cel Is Wft used to obtain flood Insurance. A7. Bukft Diagram Number 2 A8. For a building with a crawbpace or encostue(s): A9. For a bulft with an atm game: a) Square footage of OwAspace or enclosure(s) 3618 sq ft a) Square footage of mined garage 400 sq ft b) Number of penyment flood s in the crawbpece b) Number of pe nanent flood openings In the attached garage or endosure(s) wl* 1.0 foot above a*=9 grade q within 1.0 foot above adjacent gra § C) Total not area of flood openings in Asb 0 sq M c) Total net area of flood openings In A9b 400 sq to d) Engineered flood openings? ❑ Yes 19 No d) Eng ed flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE GAAP (FIRM) INFORMATION Bl. NFIP Commun8y Name & Community Number i nn u* ftw 8131 e V16dge of Miami Shores 120E35L 84. ma�Number 20� W. Sutthc W. FIRM Index Dab W. FIRM Panel - - it. Food 69. Bass Flood Ebvatlon(s) (Zona ❑ meters b) Top of the nwd Ngher door 09-11-09 Eff� Date Zo�s) AO, use b� ot�th) mffi�t ❑feet O meters d) Attached gale tip of slab) +8.Z9 0 teed Ulu- utas ate SOurgte Of tie Base Flood Elevation (BFE) dW or Ito to depth entered in hen► 89 ❑ FIs Profit ® FIRM ❑ Community D ❑ Oder/Sotmce: B11. Indicate elevation datum Used for BFE in Nnn B9: Ig NGVD 1829 ❑ NAVD 1= ❑ Oftw!Souoe: 812. ism mina Coastal Baniver Resources System ( CBRS or Othenaise Prod Area (OPA)? ❑ Yes ® No13 OPA SECTION C - SUILDINIS ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Conwindon Orewitgs• ❑ Buildheg Uri Consbtction• IN Fkdshed Construction "A new Elevation Certificate will be required when construcft of the buWS Is complete. C2. Elevations -Zones Al -A30. AE, AFI, A (wfih BFE), VE, Vi -V30. V Oft BFE). AR, AWA, ARAE, ARJA1-=, ARJAH, ARJAO. Compere Items C2.a-h below 8=1ding to the Mft diagram RMAed In item A7. In Puerto Rico arty, enter meters. 8ench;rjaik Ute: Vertloal Dattam KMV.D.1929 Indicate elevation datum used for the ebwaticrs in iters a) Uuough h) bebw. W NGVD 1929 I7 NAVD 1988 13Othedsource: Datum used for btu sWafts rust be the same as that used for the SM t) Lowes adjacent (finish grime nerd to building MO) +8.10 ® tem ❑ renters 9)Highest a4acent ( Waft fob8t+)® O letpq h) Lowest adjacent graft at lowest elevation of beck or slobs, IncludkV structural start j1& ❑ feet 0 melers SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certlflcation is to be signed and seated by a tend std, engineer. or ardtfted authorized by law to cerGy elevation infomtation. t cerW that the k9onnatfan on this Ceram Ards my best aroft to eltvpW the data avaffeW I understand that any false Mdemwnt maybe pwddW* by fire ortmprbonawd render 18 U.S. Codi Sema» 9001. ® Check tete 0 comments are provided on teak of form. Were tatdude and longitude In Sect A provided by a ® Check here fi attachments. &=sod land sunreyon'1 ® Yes [I No Certiner's Name WALDO F. PAEZ License Number 3284 TWO SURVEYOR C Y Narne DELTA MAPPM AND SURVEYING, INC. Address 13301 SWI ISP X117, t:Hy MPM State FL ZIPCode33186 Signabus %'' '" .- Dab 08-12-13 Tete 786429-1024 Ot A i���•.t I:.. s � !.l S r try a. FEMA Farm 086-0-33 (7112) See reverse side for continuation. KERNWA-M n"• Check the measurement teed. a) Top of bottom floor (iudbtg basement, crawl„ or enure floor) +3.8$ ® feet ❑ meters b) Top of the nwd Ngher door +10.S,�f' ® feel ❑ "eters c) Bottom of the lowest horizontal stnichual Inend r (V Zones ordy) mffi�t ❑feet O meters d) Attached gale tip of slab) +8.Z9 0 teed O meters e) Lowest elevation of machhaery or egmerd servicing tie building !9a ® fit O maters (Desaibe type of equipment and logon in Conmtentb) t) Lowes adjacent (finish grime nerd to building MO) +8.10 ® tem ❑ renters 9)Highest a4acent ( Waft fob8t+)® O letpq h) Lowest adjacent graft at lowest elevation of beck or slobs, IncludkV structural start j1& ❑ feet 0 melers SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certlflcation is to be signed and seated by a tend std, engineer. or ardtfted authorized by law to cerGy elevation infomtation. t cerW that the k9onnatfan on this Ceram Ards my best aroft to eltvpW the data avaffeW I understand that any false Mdemwnt maybe pwddW* by fire ortmprbonawd render 18 U.S. Codi Sema» 9001. ® Check tete 0 comments are provided on teak of form. Were tatdude and longitude In Sect A provided by a ® Check here fi attachments. &=sod land sunreyon'1 ® Yes [I No Certiner's Name WALDO F. PAEZ License Number 3284 TWO SURVEYOR C Y Narne DELTA MAPPM AND SURVEYING, INC. Address 13301 SWI ISP X117, t:Hy MPM State FL ZIPCode33186 Signabus %'' '" .- Dab 08-12-13 Tete 786429-1024 Ot A i���•.t I:.. s � !.l S r try a. FEMA Farm 086-0-33 (7112) See reverse side for continuation. KERNWA-M n"• IMPORTANT: in these spaces, Copy the corresponding Irif0fW, . "On from Section A. FOR INSURANCE COMPAW USE 401 O 1 S STREET Address fthiding �-• Mt sine, andlor Bldg. Ano.) or P.O Route and Box No. Pok? number: CRY NMI! State FL ZIP Code 33138 Company MAIC Number: SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agentibompany. and (3) bulldh>g owner. Comments How Crown of the Road 8M.=+9.W Me) denotes Eletrafton of AIr Conditw Slab. At•gilzde inkmnatimi obtained from Google. Signature Data 08-1213 SECTION E - BUILDWG ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A {tMTHOUT BFE) For Zones AO arid A (without BFE), ctarrhPlote items E1 -ES. t the Coftels Is Wended to support a LOMA or LOM -F nam, camlliiste Sections A. B. and C. For Items E1 -E4, use natural grade. If avaW*. Check the rrmscmnent used In Puerto Rico cl*, enter steers. E7. Provide elevation Worma*m for the MMft and cha& the appropriate bons to show whether the alavMon is above or below the highest a jacent grade (IG) and the lowed a0cent f> (LAG), a) Top of bottom floor (Inc besenwit„ crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (Including basernerht, cxawispece, or enclosure) is Q feet ❑ metes ❑ above or ❑ below the LAG. E2. For Building a1119 8-9 with permanent flood openhigs Provided in Section A Items 8 andfw 9 (am Pagss 8-9 of Irrstructons� the next higher floor (elevation C2.b in the diagrams) of the butft ❑ het ❑ meters ❑ above or ❑ below the HAG. E3- Aft hed garage (mP of am) is ❑ feet ❑ melem 0 above or ❑ below the HAG. E4. TOP of PWM of machtr and/or w9pment mvkft the builhg is ❑ feet ❑ niche ❑ above or ❑ below tie HAG. E5. Zone AO onb : 0 no flood deptfh murdher is available, is the top of tit baftn boor elevates In accordance vM the communis floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local a Ifirlpl must ceffy this iMomha tion In Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATPM CERTIFICATION The PnoWly owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA Issued or c ormrtumlY issued SM or Zone AO must sign here. The statements to Sem A, B, and E are correct to the beg of my lam. Property Owner's or Owner's Authorized Reptesentatn 9 Name Address Clly Siete 23P Code S9nsture Date Telepihone C.onmisihts ■ _ _7,1-77=7 law or ordinaries to admillidw the cwmvwWs floodpM CFdMMM I rte local Elevation Co 14 Compleft the bm(s) belm Check fbe measurement used In GI0. in Puerto Rico ardy��r maters. of this FJev�art Cada. G1. ❑ The hhforh>ration In Section C was taken tram other documentation that has been shied and sealod by a licensed surveyor. Pater. or archei who Is autltorined by law to certtjl elevation Ilftmetion. (irctktate the source and date of the eteadon data In the Comirse his area bskM ) G2. ❑ A community Simon E for a builke located In Zone A (without a FEMA -Issued or - munkJ43sued BM or Zone AO. G3. ❑ The bb wbV fifomnatim (ttems G4 -G10) is pwAled for co mm nfly ftodplafn managemesi purposes. G7. This Permit has been issued for ❑ New Construction © Submit hnprovernent G8. Elevation of as -butt lowest t floor (htctjhg basemerM of the building: ❑ feet ❑ meters Datum G9. BFE or Ch Zone AQ) depth of flooding at the building silex ❑ feet ❑ meters Datum G10. Corrvt uWs design flood elevation. ❑ feet ❑ meters Daman Local Otfr.Ws bIwt a Title Con"Mily Name Telephone 3gnature Date Comments [I rh,� here 8 atarhr+ents FEMA Form 085-4-33 (7112) Re0aces all previous editions. TABLE OF CONTENTS 1) FOR YOUR INFORMATION/PLEASE READ 2) Report Summary *Soil Stratas *Water Levels *Foundation Recommendations 3) Soil Boring Log(s) 4) Boring Location/Field Sketch 5) Key Classification and Symbols: 6) Limitations of Liability 7) Inside Back Cover Indicates Additional Testing and Engineering Services That May Be Needed On Your Project! Phone 954-789-2941 goo -M-1919 Fax 954-784-7875 fed-6erab-P�:; jrc_ Note -Please review your report, if any pages are missing or you have questions, please notify us immediately at 1-800-849-1919 fi Construction Material Engineerfig Council Army Corp of Engineers American Concrete Institute Miami Dade County Florida Department of Transportation 1) FOR YOUR li { Our findings in your report are based on soll conditions encountered in the test bore locations only, proposed structure to be built, if available at this stage, Florida Building Code requirements and standard engineering practices. If your report Is preliminary (e, vacant land or building to be demolished) additional borings are required within the foot print of the proposed structure. Please read our report in its entirety and follow all recommendations. Failure to do so may result in the permitting agency (Building Department, etc.) withholding the Certificate of Occupancy. This will cause delays and additional costs. The Permitting Agency will require a final certification or. signing off of the project prior to issuing the Certificate of Occupancy. All of our recommendations need to be followed to receive a final certification from FET, including densities on each lift, demucking verification, piling inspection, etc., whichever recommendation applies to your project. *On the inside back cover are additional Inspections/tests that are performed by Federal Engineering & Testing and may be needed on your site. Please schedule us at least 24 hours in advance for all tests and Inspections. If you chose to use another Engineering Firm, you must verify they will provide you with the proper certification in writing, as outlined in our report. Our firm will only provide a certification letter if it has verified all work as recommended in our report. If you have any questions, please call our office at 1400-848-1919 July 23, 2013 Kobi Karp Architecture 2915 Biscayne Blvd. Suite 200 Miami, FL 33137 Attn: Mathieu Picard RE: SUBSOIL INVESTIGATION Proposed Pool 401 NE 103" d Street Miami Shores„ FL Dear Mr. Picard: Order # 13-1992 Phone 954-784-2941 800-8484919 Fax 954-784-7875 fed-ers.cornh Pursuant to your request, Federal Engineering & Testing, Inc has caimpleWd a subsod investigation on 7/23/13 at the above referenced site. The purpose of our Wvcsdgdion was to verify subsoil conditions relative to foundation preparation and design. A total of one (1) SPT boring was performed according to ASTM D-1586 down to a depth of twenty (20) feet below the existing ground surface. A total of one (1) DCP boring was performed according to ASTM D-6951 down to a depth of fifteen (15) feet below the existing ground surface. (See attached field sketch for locations). The following is a general condition for the subject site: Depth From To Soli DEscrintic„► W 0'0" 016" Topsoil & Vegetation 016" 1'6" Dark Gray Sand 1'6" 16'0" Pale Brown Sand w/Rock 160" 2010" Very Pale Brown Sand wA fineoock Groundwater table elevation was measured immediately at the completion of each boring and was found at a depth of 1018" below existing ground surface in B-1 and a depth of 2'9" below existing ground surface in B-2. Fluctuation in water level should be anticipated due to seasonal variations and run off as well as varying ground elevation, construction dewatering and pumping activities in the area. Site contractor must familiarize himself with site conditions in the event groundwater controls and dewatering is needed. Surface flooding may result under hurricane conditions and should be taken into consideration in the design of the project. The contractor shall make sure that groundwater levels on adjacent properties are not affected by the contractors dewatering activities. Specialty Construction Material Engineering Council , Any Corp of Engineers American Concrete Institute Miarrd Dade County Florida Dement of Trarisportation 94z�; rr Page 3 7/23/13 401 NE 103`d Sheet Miami Shores, FL. The above foundation recommendations being achieved and verified; it is our opinion that the site soils are suitable for the construction of a swimming pool structure with a permissible soil bearing pressure not to exceed 2,000 P.S.F. Pool pad certification requires satisfactory completion and verification of all the above foundation recommendations. Slabs placed upon compacted fill may be designed using a modulus of subgrade reaction value of 200 pci. The following soil parameters shall be used for retaining wall designs: • Soil unit weight moist 110 pcf • Soil unit weight buoyant 60 pcf • Angle of urternal friction 309 • Active Earth pressure coefficient (Ka) 0.33 • Passive Earth pressure coefficient (Kp) 3.0 • Angle of wall friction for steel piles 309 • Angle of wall friction for concrete / brick walls 209 • Angle of wall friction for uncoated steel 150 Excavations shall not extend within one (1) foot of the angle of repose next to existing footings or structures unless underpinned. Trenching shall be in compliance with the Florida Building Code, OSHA and Trench Safety Act requirements. Shorings shall be designed and inspected by a Florida licensed professional engineer. Provisions shall be made by the architect, engineer of record and contractor to address differential settlements when tying in new to existing sem. Mixing of different foundation types shall not be used unless provided with expansion joints to address differential settlement. Detailed settlement analysis was beyond the scope of this report Comparing the field test data obtained in this exploration with our experience with structures similar to those proposed for this project, the estimated magnitude of these settlements is 0.5 to 1 inch Due to the granular nature of the subsurface materials, the foundation settlements should occur as the loads are applied and should be virtually negligible by the end of the building shell completion. All outside ground surfaces must be sloped away from the structure as to avoid water accumulation and ponding. All rain waters shall be discharged away from all building foundations. Verify all water, sewer, plumbing, sprinkler and drainage lines are properly functioning with no leaks in the vicinity of the foundation. 3) SOIL BORING LOG(S) (Z PAGES) ��1111111111111111111111111 IIIA1111111111111111111H �� lIll1I11111/I1I11IIIli11 ii'i 111111i!�11 111111111111111 '0 11111111411111111111 11111 111111!111111111111111111 f 111111VII IIIII IIIII IIIII IIIIIIil`I111111111111111 ©11111111K IIIII IIIII IIIII 1111111111011111111111111 �0Hill lllllUlllllllllllfl 1111111111111111111111111 111111111111011 Hill hili 1111111111111111111111111 �C IIIIIIIIIIINVIIIIIIIIIII IIIIII1111111111111111111 uwumm�rumnw uwuwmuumum ��uwummumuun� m��muuwummu Ilfllllllllliflllliliilll 1111111111111111111111111 -�1111111111i11111111111111 Client: Kobi Mm Architecture Hole No.: B -2 Address: 401 vv 103" Street Miami Shomes, FL Location of Test: See Attached Field Sketch Topsoil & vegetation ��IIIIIIIIIIIIIIINIIIIII IIIiI llill 11111 11111 lil Dark Gray Sand �mtll�l11111llllllllil111 nniununnnuuu Pale Brown Sand w/Rock �mnnucanNnnnim 11111iu�unnunun Very Pale Brown Sand w/ Lfinerock ��HIIIIIIilllillllllllll �Olillllllli NIIHIIIIN ,�iunnmmimi�m mm�mnnmmin ,�nnmimm�mnm IIIII I II'lll NNII 11111 lf� t Water Levet: 219" Below Land Surface Keith LeBlanc, F.E. 7 ft9/0' r Federal Engineering & Vesting, Inc A=Auger Florida Reg. No. 59394 Certificate of Authoriintion # 5471 . Lake NE 103rd Street KEY CLASSMCATIONS & SYMBOLS Correlation of Penetration Resistance sated 0.074mm - 4.76mm with Relative Density and Consistency �y °� MM '074mm Modifiers 0-50/0 Dynamic Cone Standard siityxuyey 30 - 50•/® Penetrometer netronleter Penetration (flaw"m Mims) Relathm 2- SO/e Resistance) 0- 10 0- 3 Very Loose 10-150/0 10- 25 3- 8 Loose >30% 25- 45 8-15 Firm Sands 45- 75 15-25 Very Fhm 75-120 25-40 Dense > 120 > 40 Very Dense 0- 6 0- 2 Very Soft 6- 15 2- 5 Soft silts & 15- 30 5-10 Firm Clay 30- 45 10-15 Stili' 45- " 15-30 Very stili " -150 30-50 Hard Particle Size Boulder > 12in Cobble 3 -12in Gravel 4.76mm - 3in Modifiers 0-50/0 Slightly Siltyiaayey 5-30% siityxuyey 30 - 50•/® Very Silty/Clayey 0- 2% Very Slight Trace 2- SO/e Slight Trace 5-10% Trace 10-150/0 Little 15-30% Some >30% With Rock Hardness Descriotion Soft Rock core crumbles when handled. Medlum Can break core with your hands. Moderately Hard Thin edges of rock core can be brolm with fingers, Hard Thin edges of rock core cannot be broken with Singers. Very Hard Rock core rings when struck with a hammer. We warrant that the services pwfomed by Federal Engineering and Testing are conducted in a manner consistent with the level of gill and care ordinarily exercised by members of the profession currently practicing under similar conditions. No other warranties, expressed or implied, are trade. While the services of Federal Engineering & Testing are an integral and valuable part of the design and construction process, we do not warrant, guarantee, or insure the quality or oomph of services or satisiactoy performance provided by outer mambas of the construction process and/or the construction plans and spe ificadons which we have not prepared, nor the ultimate performance of building site materials. As mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization fox publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. Reports are not kmmdcd for P party use. SUBSURFACE EXPLORATION Subsmfeee exploration is normally accomplished by test Dings. The soil boring log inclttdes sampling information, description of the materials recovered, approximate depths of boundaries between soil and rock strata and groundwater data The log represents conditions specifically at the locadon and time the boring was made. The boundaries b "m different soil strata are indicated at specific depths; however, these depths are in fact approximate and dependent upon the frequency of sampling. Tine transitions between soil stratum are often gradual. Water level readings are made at die time the Ding was performed and can change with time, precipitation, canal levels, local well drawdown, and other factor. Regardless of die thoroughness of a Geotechnical cw1oration there is always a possibility that conditions may be different frvm those of the test locations; therefore Federal Engineering & Testing does not guarantee any subsoil condition surrounding the bore test holes. For a more accurate portrayal of subsurface ,conditions, the site contractor should perform tests pits. If different conditions are encountered, Federal Engineering & Testing shall be notified to review the findings and make any recommendations as needed LABORATORY AND FIELD TESTS Tess are perfumed in accordance with specific ASTM Standards unless otherwise indicated. All criteria included in a given ASTM Standard are not always required and perfumed Each test report indicates the measuremments and determinations actually made. All test results and/or reports pared by F.E.T. pursuant to this agreement and/or Addendmri(s) thereto, shall remain the property of F.E.T. until all monies due and owing to F.E.T. under this Agreement and/or Addendum(s) thereto. are paid in full. ANALYSIS AND RECOilIi4ENDATIONS The Geotechnical report is prepared primarily to aid in the design of site work and strucwW. foundations. Although the information in the report is expected to be sufficient for these purposes, it is not intended to deterrnine the cost of construction or to stand alone as construction specifications. in accepting this report the client understands that all data from the soil boring is intended for foundation analysis only and is not to be used for excavating, backfilling or pricing estimates. The site contractor must familiarize themselves with the job site conditions. Soil boring(s) on unranked vacant property or existing structures) to be demolished is considered preliminary with further boring(s) to be performed alter proposed building pad is staked out. Report recomrnendatiam are based primarily on data from test borings made at the locations shown on the test boring resorts. Soil variations may exist between borings and may not become evident until mot. If variations are that noted, Federal Engineering & Testing must be contacted so that field conditions can be examined and regions revised if necessary. The Geolechnical report states our undemanding as to the luxation, dimension, and stracnual &attaes proposed of the site. Any significant changes in the nature, design, or location of the site improvements must be communicated to Federal Engineering & Testing so that the Gwkxbunical analysis, conclusions, and recommendations can be appropriately adjusted. CONSTRUCTION OBSERVATIONS Construction observation and testing is an important eft of Geotechnical services. The Geotechnical Engineer's Field Representative (Field Rep.) is the "owner's representative" observing the work of the oonhww, performing tests, and reporting data faonh such teas and observatiom The Geotechnical Enginee's Field Restive does not direct the contracto's construction means, methods, operations, or persormeL The Field Rep. does not interface with the hhdationship bmeen the owner and the contractor and except as an observer, does not become a substitute owner on site. The Field Repis only collecting data for ow Engineer to review. The Field Rep. is responsiible for his/her safety only, but has no responsibility for the safety of other personnel and/or the general public at the site. If the Field Rep. does not feel that the site is offering a safe environment for himllner, the Feld Rep. will stop MAer observation/ testing until hes:s w deems the site is safe The Field Rep. is an important member of a team whose responsibility is to observe the test and work being done and report to lite client whether that work is being carried out in general conformance with the plans and specifications. LINPi'ATIONS OF REPORT Federal Engineering & Testing shall have no liability, in contract, tort or otherwise, for any inaccuracy, defect, or omission in interpreting this report aid shall trot in any event have any liability for lost profits or any other indirect, special, incidental, consequential, exemplary or punitive doges. In the event of Mine conflict behwaxt owners and contractors the following applies: Federal Engineering & Testing% legal antler company representation and gyration for relircsentation fees will be billed on an hourly rate, ie deposition, expert witness, eta Federal Engineering & Testing has no obligation to amend its conclusions or ecornmendmons after the date of this report. Any alterations or changes in the location of the project should be brought to our attention at the earliest convenience for review and applicability of this report. --•... 41a safeP_ • AqY-2,� a®2 0O1 Plats. Ino 954- --` 22:41 Pp x1nonFg 760 8873 r•2 9s4 523418y P. iZ AEBF.,�gC� �a�a�a WSW nl.ac te�ac BMW Map 330 PK PlOdWd FAX M)173 -411p rjd 13 1 Pod Nift ass FI.33312 RE: UW 30 37 mr• kuwb 760 Y Nat Asyou bow, 6*gyl 6, has, the+ill qg cgWWm- mAsrJVtg l � 'U Wftber. to radon 8u�t ouj, _ YOW POdRft %ft lis MM mak. ARL ° Y �stys� W#d and Pan" �e o+e aarin Jr"u im my .MSP dmdiWaid wW OOOtM AItL. 8. ofF r'foresaw ICA.T o j A. X_ APPLIED RESEARCH LABORATORIES certifies that.. • has been found eligible far A.RL's Lisping, Labeling and Follow-up -1n * ectaon' program under laboratory :. number(e) 'LIN 30,137 .� +►or_April ,701 ;'' npr tl em iu: juHm . . • ..� • .. . � • . .. 954-760 9973 p. 1 (" APpMED RESEARCHLAB03RATORM • 5371 N.W.1maisteet;.m atni. Florida 33014 P,.MM =4-4= F #4—#*i. aa. srm,aa PRODIX S LISTED Kid Safe Pool Nets, Inc. Ft. Lauderdalk FL 33312 Pool SafetY Not, Model trade -name `Kid Safe" (File 30137) LISTING MARK (LABEL) 012$4 NOTE Only products which bear the ARL Listing Mark (Label) are considered Listed by ARL. UN 30137 Kid We Pool Nets; Inc. Issued M. � palaeM.e bAada, oa Prdnleand wri ar.euadsbon, roper andd==Cww wMeeApmp N"woom nude liras a wr. eyiadkd, "b r I odtVftPW4MVaw Wrimm aPPromaL n" mattasnobnoon a+rindspodvetsara+rerira iu0awonwwaweorrepra� eerd. "Wo l.Fb+i?;idililfic�lltYdtf i'C.S-.•t:z��'.G::r_l. .ia'.t:.:•S; �u<..a.:....,.......:.:.. I lul Page C-6 Ns riandeed, a.rll d mm baaeddNtn.aanWewaa�wvalapprsayll T i�'.?(�`l�rj�;e��3td�4»a,;r� ;?'tirr�eiTi'.?a� �jt�:�`.:i • g;.y,z"....tr.•i': P001 hats, Inc. S54-760-9873' p.3 --a- nm � PM Nd : - --• - ..a��, anc.954-780,9373-p.6 1°e by mems ofan 4212.10.3 D"kdn& pb� and be NPPt@d by the sdrj a siotta fee soy deviation tiom above o of any Portion Gramy such gymme in bswbmL in to seepage Pt shaft !!d gm o . atsttority by go Wa . " `. ,242.I18ap�stiaa tack, AMw&da taoicotaa • . meant ofw+nas water diaposti *i6ea=ooacted a4 used Um ofd- — 4U.2.12 Teats ; 4212.12) Amalie test. ARpad Ph&S don ��INVOiled 'ad'1tp"°"ed befoee Ging wed lw =Umd&L It ptessuta test of asa teat tbaa 33 pad for 13 oh". '• = dw a auric wafer ar sir bad "mt 6e rasped a. eogokd in dda seetloa. , o�ow s�� � be �� drok `�'�0 dp�a d" be taped by tilltsB wiah water to *a Point of 4242.13 Ds*h INIM 4U.Xl&l 81epe ft-dbdwmle. Dtais< av fig ttetviog iRa►ty attiow WNW b paovide meet" its to point oid�ebaegs. &eb8 tmd deet dtaiaa dtatl be • Cod4 4md lotats aad aommcdm dM be made as tregadrpd bytheFJorlda gds . 4242.14WaterH� .. - 424-X14.1 Labe& SWWMIag Pool waft bmwg 090mmW�Aabtdl eaoferm pa the design, ,and fausol an to in and *mR % �epw P� nerd shag bear ae 1 W of's, mgwmmatmr for wa�� iociade a mod oiaat of oa f skVendagamidgumply �. ItIL ar d form approved parva a t =am of tataidietg watef ht tke btater wLsa thei, �°ohm o in be �d to ptovida a : a When the Later b iMaftd in a p% tba pit BUR be p mvided wj* "VMVW C`Ovmftdoms� AD- ae�aroaa pa �a heatas: wwtrs heatieg egs;pma* "be losmtkd thogp of union • 424.2.14rS 8elKvatv4L When x►aaor L+e+udas tVnipmmt wtddt is betwesa the sad the pool, a pteasur�e te8ef valve shall be hatidieWmdW d s s Las a valve w"W h�i meat For mots• b std ioei stir of the rated by *@ Amaim GnWoft 200.A00 H>st/hoae• lapel, tta nailer varve p be " 424.2.1s rft HpiaF Ors >'*g datt.cc"ly whb the Fl vt& ardWgW Cd, rud Gas: 4242.16 Eireprleai, Eieottissi' g sad i oemidy wft s24.2.17 aaidetseW Swbmmiyspeet.Bstdmwi boTim WA 424217.1 *000i 4242.17j. � ' t�+ahaii comply - Zo 4/, . • �`�► A awimt"iaS poet witL a powers ssfery tttml env ' .. • •CFs,;i`a`t;.T^'�'F:•ti.,'-r'+i.sn'�n»J': ,+�t.;- :r. ..,..r•s{ �.-.•. t .' _. ON '�. 3...ii:L9.r .at: 2'^: z"`S. iri `SZS. •L-'.:.;' , r .. • :•�• .. •� •:tti� ::y..'«.d.:.-+r"''':.alk•' ..t%- .• " - ".,.. :: +'• •:'' .:: ners.. Inc. 954-760 ,9973 ' P-7 AS'I1r1 F 1391. _ 4Z4.2.17.1 Outdoor gwktmiog P084.Ontdoor- "p4* **1,1242-.17. 1-1 *=a* 444X 17-1.19 s I be yw{dod with a baitnier 4U4 LM 1.1 The top of tbs banice sha11 be at Iewrt 48 iscbes above b> faces awa Itom 1;b � on the side of 19ada and the 6odteen of ties bonier WWIi 7 be i vu*w dew== b� fsova away ftam the swami P�1- Whew the top of on the side of the bateier vrhieb • '. may 6s at grostnd htvd or�psd on opt p� �mee is sbova grade the laatiar Pte . Wban the barrier is mowftd on botioat of b "be 4 mdmmbetro�►am the top of dw pool Im cim wd 43LLIT:l t - a aee�ntga a! �� Opp iv fhe bea{sr trbW ' ••L, et'eh. bm� ti .w as raleiaYe�+ u.tr 1 . 424.L17.1j Sotid � aflow cera 4-insb dbmmww �- p* udovs battlers wMeb do not have opewass stall aaR aoatsm oas or except fls vernal totOMMM orad taobed nMsoary j�M wit i=.1.4 Wbete d e b "dW i• used ofboti�igy sad v ardtmi mmabe= Md the dimuce of the bmtacmW membms is les! dM 43 iecbl the b0cheould ==&MAO be IM *8 whombas seated Ili - pont side of the �. Spm batxrotm vended ummtbets d aA not m� is wh- Wbom three in demmadve within ve=dt al membeYs. B : wilbin 11te etttssds shill wt mtoeed 144 babes In widdL 424.2.17.]S Wbm dw l>adw Tsd p emd vu*W ==be= and the amme tbW not 4 *e abets h 43 %mA= or mwv spwbg is v sal mambo= - m ato.Where there are idtb. ve xFddnweetiesl mtsmbtss. w� ' � its tabor!! not e� 1.44 htehas In �- 42C2.17.1.i b1a>s6amn mm'sine lbsd uft lint faaem dwU be &'2-/4 -look aptnns salestbs feats Ir : povdd with sin at ie top or bowlhinebesSe olmiogs to no nmte them 144 . 434.2.17.1.7 Wbeu Sts btstiet is esten6s� the � � � - *0 etas &= shill be ==01!= 4:411T.1.te Aeiees gems- 268a amvided ' t ' wetahtbe 414217.1.7 nd 0" be e4dpP�mt of 217.1.1 denim . - inea a� Ae�enn. et - ewe . affe fnd � . ion of 11111-eL ..... 2.,�z_ or �,„. . the me seem ' away from the pool � seem im. Man 0 Of Ems ud budw. shall hpva tm opeuiog ga! dtan h bt6h within 18 ioobes " mL 124.2.17.1.! Whore a trap of a dwditg serves a part of the bada. oae ofthe fo • I. All doom �� dMmay° : 'shall be eq*pm wbb m rgt ahem oempiykg � m Wa pool tbreagirttrarwa@ dB w tc 7'bs alit ahem AM anrF � Il eon 4 gate°° dss door sad bs xmm we op. -, i rm darm homvdl"Wapable of beias bened tbroa Y aibsr the dear is opened and be : Moot the boase daring sal d ��� i•"fi� .z sY .a •s•�'•�T?����'F� a ..tS7^, .r .-f �•. •y ••rA ,°'-1 :;-'i :,fie .-••, ••' .�.. ••'... .r° '."., ��. . Mar 28 2003 la:26AM Kid Safe Pool Mets, Inc. 954-760 9973 p.e AFFLMCD EBF ARGIi.I:ABORATOiiIEB ; e 5371 ?LW. 161st StreetNOW, Florida 33014. • . �• Pee..pos�ait-aoo.rs��->aw•Ewmims�.a�l. ITST RECORD- Tlut fast risas.have been found to be in weosdance wilh ARL i+oquurao4euts and pertinent sections of.the applicable standards for ay, Test results sm edi n diepm duct file at ARL and are not reproduced in this report. CONCLUSION Repumenttdvo samples of the products covered in this report ban been found to comply 'witiu the repirameuta for •this category, and the products ate; judged eligible for Listing, Lsbeling and Follow -Up Scaviee. The manufacturer is andmizod to nee the registered ARL Lasting Marls (Label) on only such products. that are mamufactuting repiiaas of the paoducts.tested, and continue to be mmmhcbuW and tested in a with the Proredwe. The Procedure will be wed as requirements change. Only those products which properly bear the registered -ARL Listing Matk are considered Listed by Applied Rcsamh Laborataties, Inc.. . ' : - - . IM 30137 Kid Safe Pool Nets, Inc. Im ed 44!11!01 =MdnPgprtiotAPOPMd Page C-7 MOPr�iYarwvri7iorY.7AItApoRt{pIssdlbFIslldtnbI�M�Mb1fb/rrwp� ' RPMs s�iblULL�, d�eLhlr.�iry�na�rb�nemta/aMwawParMwd/r�IsdMletls�Mi�h���MSlsalal0l 00-1 v4" ••y.••t' •rl.. :+.�.• '`Yw'3{t•'1J.. e:�• ''.�+i ;�;y •�. �:•'•'t+;.+P•s.:'^.9.?s�Ui•�;°'aa4a.•�.�.�r,'7'..J::'>:...A�:-:r:�••i. e,.. {,r.. •'r''�'+�:•y^ ..r»' '�cYe�:•� �.tG:~'r ••K.s".st:�'.azi..•'•,ai . i'•• ; ..t' .J•�: IMP, *sv incr. 9973 P-10 - ----------- RESEJMCHLAJMTAjKW%uTww 5371 N.W. lelst Street Aflwd, Flodft 3301 t PhMMMWA-4M . oflloob% 44 WO 0 ftM ARLUP DWLCM 7P 11 IM 30137 Kid Safe Poul Neta, Inc. cd 04!11191 Page P-24 '"GINUUMplamama qorm� — at @amwaft = or Sarum Iran or — low" Is wmftuuocbftd at I'd I coft loo.Aveoftwomw or or on I % do w 0 ft 80141*1 Wsftd wW "M such wwwaven lokw warapponmw ift"gro Y r 'AWA E '��►. '•tn� . •vYt•f. _ b �. s <. h z IM 30137 Kid Safe Fool Nebt Inc. ed 04/11/01 Page P -ZS "i'wun�.�n.oaw. �a°"°°°u�r�n.eenaal.a,trr.�an.�ab.soaa., Ygpsfers�,l�s��a�tletmaf�a0pend�gaurwi�n�rpau����pW4� o►sisea►Pra4+asa�, �0^r'�""'"0�a►KP^�aMauraor,r aMaban�9ra�Mwatsgnoof� i ti,• rq ` ^°} y+` 'Y?�F:C.ir� ✓•l�fX':,• ,z.isv:�Yn7 ,.3r2?"b c .•..: 954-760 9973 ��d oaf e Pool Nets Product Specifications iNel Mesh Size: 3.5 Inches Braid: 100% Polyethylene Main Net K Inch Tension Lines 3/8 Inch Nylon Pulleys: 2 % inch Body Length Pulley Wheel, 1 Inch diameter, 5/16 Inch dth Net Strew8th: Spindall, 1 Inch overall length, 3/16 Inch hunel Tested up to 485 lbs Installation Fittings 2 1/4 Inch diameter Round Stainless Steel Anchor Plate 2 Y: Inch Anchor Hook, 3/8 Inch Body width, 9/16 Inch Head Nylon Anchor Sleeve, 3/16 Inch body diameter, 1.5 inch length Stainless Steel Screw, 15/8 Inch overall le igth,1/8 inch diame Y. inch x 2 inch Stainless Steel eye bolts Y. inch Stainless Steel drop anchors Stainless Steel S- hooks (Gate hook), min .141 x 1.5 incli 3101 SW 3RD AVENUE • FORT LAUDERDALE, n 33315.33'7 • TOLL FREE) vtIssnS vwvw.i idsafepoolnet • FAX: 954.760.9973 p.2 K10i 5 Pool Nets. (954) 463-5740 www.kideafopoolnets.com THIS MANUAL SAFETY COVER COMPLIES WITH ALL STANOARDS AS SPECIFIED BY ASTM DESIGNATION F1346-91 ann 7. eries byZMUCO Technical Specifications Part No. Description LRZ12SEN Legacy, 125K BTU, Digital, Nat, Poly Hdrs LRZ125EP Legacy, -125K BTU, Dkjitai, LP, Poly Hdm LRZ175EN Legacy, 175K BTU, Digital, Nat, Poly Hdrs LRZ17SEP Legacy, 175K BTU, Digital, LP, Poly Hdrs LRZ250EN Legacy, 250K BTU, Digital, Nat, Poly Hdrs LRZ250EP Legacy, 250K BTU, Digital, LP, Poly Hdm LRZ325EN Legacy, 325K BTU, Digital, Nat, Poly Hdrs LRZ325EP Legacy, 325K BTU, Digital, LP, Poly Hdrs LRZ400EN Legacy, 399K BTU, Digital, Nat, Poly Hdra LRZ400EP Legacy, 399K BTU, Digital, LP, Poly Hft LRZ Specifications Legacy'm Heaters LRZ125MN Legacy, 125K BTU, M1111volt, Nat, Poly Hdrs LRZf26h4IP Le y,125K M. A&Rhm% LP, Poly Mft LRZ176MN Legacy, 175K BTU, L Nat, Poly Hdrs LRZ176W UXJBCY,175K BTU, , LP, Hdr3 LRZ25OMN Legacy, 250K BTU, MUIvolL NK Poly Hdrs LRZ26OMP Legacy, 250K BTU,, M0401L LP, Poli Hdrs LRZ326MN Legacy, 325K BTU, MiNivalt, Nat, Posy Hdrs LR2326MP Legate 325K M. MBivolL LR Poly Mrs MN-_- --- , 39�C BTtI, Snap, NPoly_ LR940MP Legfty,, 399K BTU. LP. Pdyf idts www2odiacPoolSystems.com Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 ,IAN A 194 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): i L d -_B- .i. Phone# City: State: - - Zip: Tenant/I.essee Name: Phone#: Email: CONTRACTOR: Company Name: s ��e� (� _) d Phone#: Address: 1-272 d ` City: L-" -t l � � oi a State: �_"- Zip: � s �- Qualifier Name: (—° �-- J�-\ � 7 I r \ d: "_ I_ (- g - State Certification or Registration #: �_ k L �_�� @ s - Certificate of Competency #: _ Contact Phone#: Email Address: DESIGNER: Architect/Engineer. Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: OAddition Alteration ONew ORepairMeplace Description of Work: M C—f- ODemolition �/✓ �*��*�x��������e�x������e��x���������a����x�F�e�x�*������a�e����+����ms�����a�����*�e���*���* Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training(Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ q t9, 1 i r,%. qpv- 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, MATERS, 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 CONMENCEVIENT MAY RESULT IN YOUR PAYING TWICE FOR R"ROVEMENTS 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 excee '500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law broc re will a delive ed to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of co ement ust b osted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. n the ab nce suc posted notice, the inspection will not be approved and a reinspection fee will be charged. �r/12-7 Signature �yf� %� ° Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoinstrument was acknowledged beforeme this +,� day of 20,by-1.11-�A�"� ._��d;;dayof ;;� -t20—by(-1 who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: --- Print: My Commission Exp APPROVED BY as identification and who did take an oath. NOTARY PUBLIC: Sig, Prin MY 10 MIl" t EE 60167 11 MY EXPIRES: December 17, 2014 awed Thru Notary Pubtic UWwm ter$ (Revised 07/10/07XRevised 06/10t2009xRevised 3/15/09) � �// �� ( Plans Examiner v Zoning Structural Review Clerk