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BPP-14-925Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-225623 Permit Number: BPP -5-14-925 Scheduled Inspection Date: December 30, 2014 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Rodriguez, Jorge Inspection Type: Final Owner: ENCARNACION, SHIRLEY Work Classification: Repair Job Address: 1125 NE 92 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132050270380 Project: <NONE> Contractor: CLEARWATER POOL AND PATIO Phone: (305)986-2588 Building Department Comments. POOL RESURFACING Infractiio Passed comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-211949. Need full permit on site Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. December 29, 2014 For Inspections please call: (305)762-4949 Page 12 of 32 Miami Shores Village C y Building Department artment ff� 913050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 J INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PerWt No. PERMIT APPLICATION Master Permit No. Rf/Vs� Permit Tyx: WELDING ROOFING JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: !.3 Folio/ParceW Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Phone#; „?Ar- 9,59-65-W. Address: //,U-- N r 92 r7' City: 9ff—'en21 ' State: ----;zip: M -T-9 TenanVLessee Nam: Phone* Email: 3� - _ CONTRACTOR-. Company :u1 Address: , city: State. Zin:i Quali1 :1 r 11 - ,.� . :LL ./.F .iI _,. - - / ---Mone#- State Certificationor Registration i >, 4'r.Cl21--Ortificaba 1 Competency DESIGNER: Architect/Engineer: Phone#: 'L(QvV_r--, Valve of Work for this Permit: $, Sauare/Linear Footage of Work: � 96 a Type of Work: UAddition UAlteradon ONew WCeepair/Replace UDemolition DescAption of Work: F®o I oofjQaZ AS Cir thru dk: Submittal Fee $ Permit Fee $ CCF $ CO/CC Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Thdning/Educadon Fee $ Double Fee $StructwW Review $ Technology Fee $ TOTAL FEE NOW DUE $ 9e A Bondi% Company's Name (if applicable) ' Bonding Company's Address City State zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City _ State _ zip - Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, LTC..... OWNER'S AFFII?AVIT: 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 MPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:" Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged / Signature. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this -99 The foregoing instrument was acknowledged before me this Z" day of A%]l__, 2ii 114.by %ll2lEy e1oCAIiNAGo� day of APIU I- , 20 Lq, by kOLW��Tfl • H AA)( 4eW69 who is personally known to me or who has produced who is personally known to me or who has produced As identification and who €lid take an oath. NOTARY PUBLIC; Sign: Print: My Commission Expires: APPROVED BY Fwa - ate of fwab: 17 # FF 023094 4 Plans Examiner identification and who did take an oath. NOTARY PUBLIC: I Sign: --I Print: Structural Review (Revised 3/1212012}{iievised 07/1M)(Radsed 0i/lt?f2M)(1Le i,3115/09) My°Commission Pdit • I to of Florid: # FF 023094 zoning Clerk 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 ®z/ a 29 A N Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as located at l/25 NE qZ St In accordance with Section 33-12(f), Code of Metropolitan Dade County, I certify that 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 j obtaining a permit and erecting ani approved barrier prior to final inspection and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. ALLST-2 OP ID: SO .a►�ORv� CERTIFICATE OF LIABILITY INSURANCE °�051oi 5f� 4" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorse s . PRODUCER Insurance By Ken Brown, Inc. PO Box 948117 Maitland, FL 32794-8117IL David It Griffiths NAME AcTDavid R. Griffiths xa N •321-397-3$70 No: 3214974888 INSURER(S) AFFORDING COVERAGE NAIL d 07101/2013 INSURERA:Amerisure Mutual Ins. Co 23398 EACH OCCURRENCE $ 1,000. INSURED All Star Pools Inc DBA Clearwater Pools & Patio INsume:Amerisum Ins Company 19488 PO Box 832783 INSURERC: INSURER D: Miami, FL 33283 INSURER E: INSURERF: LIABILITY ANY AUTO AUTOSALLOY ED SCHEDULED NON -OWNED HIREDAUTOS IAUTO$ COVERAGES 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. am LIR TYPE INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village 10050 N.E. 2nd Avenue POLICY NUMBER Miami Shores, FL 33138 M LIMSUBR BS A X COMMERCIAL GENERAL LIABILITY CLAIMS•MADE 0 OCCUR )( Pool Pop GL13124329602 07101/2013 07/01/2014 EACH OCCURRENCE $ 1,000. PREMISES Me occugWice$ 100,0 MED EXP (Any one fin) $ 5, PERSONAL & ADV INJURY $ 1.000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY 0 IEC F] LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP40P AGG S 200. $ AUTOMOBILE LIABILITY ANY AUTO AUTOSALLOY ED SCHEDULED NON -OWNED HIREDAUTOS IAUTO$ M IN LE 1 $ BODILY INJURY (PerpM=) $ S BODILY INJURY (Peracdderd)AUTOS PROPERTY DAMAGE $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ B wORKE� COMPENSATIONAND EMPLOYERS' LIABILITYS ANY PROPRIETOR/PARTNERtEXECUTIVE YIN OFFICERIMEMBEREXCLUDED? EI (MandMM In Mq Idesaibe raider IPTION OF OP TI bel. NIA 38099 06104/2014 05/04/201$ I ACUTE E.LEACH ACCIDENT $ 100,0 — EL DISEASE - EA EMKO $ 100,000 L DISEASE -.POLICY LIMIT $ OQOrO DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AdMHOnal Remarks Schedule6 may be aaacrted H atone apace is MwArM) RE: Ren Manheimer, State License #CBC1457917 CERTIFICATE HOLDER CANCELLATION MIAMISH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village 10050 N.E. 2nd Avenue THE ION DATE THEREOF, E WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATNE 'D *J--4 d eq . q4w4l" 01988-2014 ACORD CORPORATION. All rights rsserv0d. ACORD 26 (2014101) The ACORD nams and logo are registerlei marks of ACORD 0=28 SBC. TPE OF 'fe R " " is nota CLEK 123-0 l i"+ sbECkWZARY DZ POOL& & kJ 9 12308 SW 117 Ct. Miami, FL 33180 T 305.278.9395 F: 305.278.9512 clearwatermiami@gmail.com May 19, 2014 To Whom It May Concern: Our Company has been contracted by Shirley Encarnacion at 1125 NE 92 ST MIAMI, FL 33138 to resurface her swimming pool with Florida Gem Sky Slue We will not be doing any electrical or plumbing work on this project. In addition, the homeowner has chosen to place door and window alarms on all doors and windows leading to the backyard to comply with the barrier law. They will use approved UL 2017 alarms. They will also have the gates retrofitted to comply with the barrier law. Existing fences are up and in place. Please feel free to contact me with any questions. Thank You, Ken Manheimer President Clearwater Pools 8 Patio 305-986-2588 Homeowner: W03—fl-A—) 6V-A20A.(21ak) Shirley Encarnacion 5-- z0-ry lain Link Fence 50' Tie 47.1. 19.9' r a' 0o u' 0 13.75' � P Tile a 0 BMWTO lmpyAoftf Lm�EAA{. w -, W= AM - Found Y2" aIron 71 o Pipe No !r S 00 00` W" E �+ 125.00' 5' Metal Fence I.D. 3.3 w Do Cn IA 3' Ln v w w in N W .20' w/ 6.9' 71e 44.65' Planter 3' s \ C, =r 11C 5'51 �-- 17T ��-1 5.9'� 4.5' wo Umi w \ Porch / ?, � % Z w \ A-) Two Story \/ o 001" -, If 7.1' 3.9' r Residence No. 1125 0 0 /\ 7c / v N �' 1��, i Q 0 v 0 x ;� Lot - 26 / \ ro � \',, — _ I , Block - 2 w I % 14' V 1 15.95' N 2 3 o O '00. Tile Sj 2 2.6' 0 6.2' N M 10.3'�'- t 6.7' w ® w 3' 15' N 0" 00' 00" P ro F 0 r W Q w '_. TD It 46.85' lie To oa w p 77.6' Chattahoochee. 5' Metal Fence rock 125.00' or Lot - 25 Block - 2 (P.B. 44 - PG. 63) THIS NOT A VALID CERTIfICATM WHOUT THE SURVEYORS ORIGINAL SIGNATURE AND RAISED EMBOSSED SEAL PRESENT LEGEND AND ABBREVIA77ONS PG. = PAGE. N.T.S. = NOT TO SCALE P.B. = PLAT BOOK B.O.B. = BASIS OF BEARING Ij = CENTER LINE I.D. = IDENTIFICATION No. =NUMBER A/C=AIRCONDITIONER (M) = MEASURED REVISIONS: Found Y2" Iron Pipe No I.D. 61 &x, LOC'AT! ON MAP IV. T.S LEGAL DESCRIPTION.- Lot ESCRIPTION.Lot 26, in Block 2, of BAY LURE, according to the Plat thereof as recorded in Plat Book 44, at Page 63, of the Public Records of Miami -Dade County Florida. CERTIFIED TO. o AGUST'IN ENCARNACION & W. SHIRLEY SURVEYOR'S NOTES. 1. The above captioned property was surveyed and described based on the above legal description furnished by client. 2. This certification is only for the lands as described, it is not a certification of Title, Zoning, Easements, or Freedom of Encumbrances, ABSTRACT NOT REVIEWED. 3. There may be additional restrictions not shown on this survey that may be found in the Public Records of this County. Examination of ABSTRACT OF TITLE will have to be made to determine recorded instruments, if any affecting this property. 4. Ownership subject to OPINION OF TITLE. S. Type of Survey: BOUNDARY SURVEY. 6. Location and identification of utilities on or adjacent to the property were not secured as such information was not requested. 7. Unless otherwise noted, this Firm has not attempted to locate Footings and/or Foundations (underground). 8. This BOUNDARY SURVEY, has been prepared for the exclusive use of the entities named hereon. The Certificate does not extend to any unnamed party. 9. Precision of Closure 1:7500 Suburban Class Survey. 10. Bearings shown are assumed and are based on the North Right of Way line of N.E. 92nd STREET, Being N .90'00'00"E., Found %" Point of BASE ROOD ELEVATION: ELEVATION: Iron Pipe Curvature AE No I.D. SHEET: w w Lana SURilESI®RS • kers® Pi.isannEiRs � ¢ '., 7725 S.W. 129TH COURT CERTIFICATION: � n t-- DRAWN BY: oF 1 SHEET(S) M. Gonzalez Found" BY: F RTHE FIRM 12' Iron Pipe 03-14-14 Jose M. Rives No I.D. JOSE M. RIVES JI P.S.M No. 6685 Water, SCS: 17.6' Meter S55tLarrtvc� PHONE: (786) 486-8088 FAX: (305) 382-4334 STATE OF FLORIDA � eJ w O OR Ti 33. N 0 w Drivew (Aspha Found Y2" Iron Pipe ELEVATIONS MOTE: (IF REQUESTED AND SHOWN).No I.D. 1. ) 0.00' Indicates existing Elevations. 2. ) Elevations are referred to the National Geodetic Vertical Datum 1929. FLOOD ZONE INFORMA710N: PROPERTYADDRESS: 1145 Nk: 92nd STREET ML4MI, FI, 3,3138 c LINmNAME: MIAMI SHORES, VILLAGE OF 1201552 BENCHMAWINFORMA77ON COMMUNITYMAP: I PANELNUMBER: SUFFIX: BENCHMARK: I DESCRIPTION: 8.5 MAP REVISED: FLOOD ZONE: BASE ROOD ELEVATION: ELEVATION: LOCATION: 09-11-2009 AE 8 SHEET: DESIGNED BY: Lana SURilESI®RS • kers® Pi.isannEiRs � ¢ '., 7725 S.W. 129TH COURT CERTIFICATION: � n t-- DRAWN BY: oF 1 SHEET(S) M. Gonzalez ,.i. �� Miami, Florida 33183 4i15 ? BY: F RTHE FIRM 12' CHECKED BY: 03-14-14 Jose M. Rives V JOSE M. RIVES JI P.S.M No. 6685 c d SCS: 17.6' 1" -15' S55tLarrtvc� PHONE: (786) 486-8088 FAX: (305) 382-4334 STATE OF FLORIDA � O h 2 0 d,) rn Found Y2" Iron Pipe ELEVATIONS MOTE: (IF REQUESTED AND SHOWN).No I.D. 1. ) 0.00' Indicates existing Elevations. 2. ) Elevations are referred to the National Geodetic Vertical Datum 1929. FLOOD ZONE INFORMA710N: PROPERTYADDRESS: 1145 Nk: 92nd STREET ML4MI, FI, 3,3138 c LINmNAME: MIAMI SHORES, VILLAGE OF 1201552 BENCHMAWINFORMA77ON COMMUNITYMAP: I PANELNUMBER: SUFFIX: BENCHMARK: I DESCRIPTION: 8.5 MAP REVISED: FLOOD ZONE: BASE ROOD ELEVATION: ELEVATION: LOCATION: 09-11-2009 AE 8 SHEET: DESIGNED BY: Lana SURilESI®RS • kers® Pi.isannEiRs � ¢ '., 7725 S.W. 129TH COURT CERTIFICATION: � n t-- DRAWN BY: oF 1 SHEET(S) M. Gonzalez ,.i. �� Miami, Florida 33183 4i15 ? BY: F RTHE FIRM DATE: CHECKED BY: 03-14-14 Jose M. Rives JOSE M. RIVES Jr. ., .�.„_xt� I i�� i P.S.M. No. 8888 • L.B. No. 78N JOSE M. RIVES JI P.S.M No. 6685 PROD. No: SCS: 140039 1" -15' S55tLarrtvc� PHONE: (786) 486-8088 FAX: (305) 382-4334 STATE OF FLORIDA BUILDING PERMIT APPLICA ❑BUILDING ❑ ELECTRIC Miami Shores Village PIP, CIV Building Department 7UG18 014 l 10050 N.E.2nd Avenue, Miami Shores, Florida 33138': Tel: (305) 795-2204 F„ ( 56-8972 - INSPECTIO H E V OSj762-4949 FBC 20 _ Master Permit No. ? 4 ,cas Sub Permit No. ❑ ROOFING REVISION ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CONTRACTOR ❑ EXTENSION ❑RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS JOB ADDRESS: //� 4%67 �Z2 s-y— City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder)::Phone#: Address /,/,�4r Ax67 R_i'6S" City: d&!2, � ® State: � Zip: Tenant/Lessee Name: a Phone#: Email: CONTRACTOR: Company Name: �c�td a'T a Phone#: Address: 493c- e 117C-3— City: 97C-3—City: ,e2a s4k--e i State: V:::ir— Zip:���� Qualifier Name: lzz�a Phone#: State Certification or Registration #: � /f®� Certificate of Competency #: DESIGNER: Architect/Engineer: siArn-Low Phone#: Address: ����� xw '26c- City: 4ico,� 1 State: Value of Work fortthis Permit: $ 0 400. ® Square/Linear Footage of Work: 90 Type of Work: 0 Addition '❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: G✓ ,2f>> 57eV �c AaA,� „C .f 4 4-a �Wl�,-®� ►mei— ,�� I ry L Specify color of color thru tile: Submittal Fee $03 Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (RevisedOZ/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information Is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certfed copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the Inspection will not be approved and a reinspection fee will be charged. Signature JZ4 /x WNER or AGENT The foregoing instrument was acknowledged before me this day oof� �tlGr� 20 /V by f -q who is persorta(ty nitlovar� to me or w o has produced as identification and who did take an oath. NOTARY P LIC: Sign: Print: AWA Seal• PYA NOA •+►Y P+dNlc - stye o1 Florida �+. 111► C�dni. Ertl im 9,, 2017, Signature CONTRACTOR The foregoing instrument was acknowledged before ,ma this �U day of W51- 20 I `9B by atnninry ,lr , who is rsonally kno to me or who has produced as identification and who did take an oath. NOTARY PUBrIC: APPROVED BY ' ( I I "v ' Plans Examiner 10 Structural Review (Revised02/24/2014) MOA May PWIC . swo a C i "# FF 023094 „Zoning Clerk ALLST-2 OP ID: GJ T ,d►C�QR®� CERTIFICATE OF LIABILITY INSURANCE �.•-� DATE(MNI/DD/YYYY) 0810612014 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s . PRODUCER Insurance By Ken Brown, Inc. PO Box 948117 Maitland, FL 32794-8117 David R. Griffiths CNAONMTSAC David R. Griffiths PHONE 321-397-3870 a No): 321-397-3888 E MAa ADDRESS: INSURERS) AFFORDING COVERAGE NAW # INSURER A:Amerisure Mutual Ins. Co 23396 07/01/2015 INSURED All Star Pools Inc INSURERS:Amerisure Ins Company 19488 Clearwater Pools St Patio DBA PO Box 832783 INSURER 0: PERSONAL a ADV INJURY $ 11000,00 Miami, FL 33283 INSURERD: PRODUCTS - COMP/OP AGG $ $ INSURER E: INSURER F: rnvewar_ce . r1=12TICHIATO ullMRI:D- 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. INR YPE OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village 9 POLICY NUMBER =Dr EFF O D EXP LIMITS A X COMMERCIAL GENERAL UABILrrY CLAIMS -MADE FiI OCCUR '�o.►� : d rpt . �-$j GL13124321802 07/01/2014 07/01/2015 EACH OCCURRENCE $ 1,000,00 -157NME TO RENTED PREMISES Esoaaurence $ 100,00 MED EXP (Any one pan=) $ 5,00 PERSONAL a ADV INJURY $ 11000,00 GEWL AGGREGATE LIMIT APPLIES PER r2.000,00 X POLICY ❑ PRO- LOC OTHER GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS AUTOSU D NON -OWNED HIRED AUTOS AUTOS Ea accVEDtSINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAROCCUR EXCESS LIAR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTME YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NN) lives describe under DESCRIPTION OF OPERATIONS below N ! A 38099 05/04/2014 05/04/2015 X S ATUTE ERS E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYEE $ 100,00 E.L. DISEASE - POLICY LIMIT I $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached B more space Is required) RE: Ren Manheimer, State License #CPC1457917 r_F0TI9:lt-ATF me -q nFR CANCFI 1 ATION MIAMISH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village 9 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 N.E. 2nd Avenue Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE '�o.►� : d rpt . �-$j ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD 'ehis property described as: .Lot 26, Block 2, BAY LURE; according to the Plat thereof, as recorded in Plat Book 44, Paye 63 of the Public Records of Dade County, Florida. Note: Underground encroachi,tents and Utilities, if any, not located. v,/o F- 004- VS' ` ! 73' _ ? % L. _ .r- J L I A rJ 5.�'i � ' 7g • .13• 10AW - FLOOD 'LONE: _,E FLOOD ! NF ORIuk,.e ZON Coi,ulunity No.- 1.25098 Panel llo .: 93 Suffix: h' Date Of Firri: li--4-87 Banc Elevation: #x-8.00 I-GVD Certif ied To: ;;cluity Mortgage Corporation, its successors and/or assigns, Lncarnacion, Agustin and Shirley and Union Title Services Inc.. Oi .�i�i7oS✓.��ilra,�. t .,:•T• i. �,. . , „_ .. % ��/✓r/i'!J%Y,rS S��y/i7 /��lli/t/.l /Q y .e.�.i j_ ::S ;;ylr;:y: r.� �i,�Y:`; 1.', i••/i�� G./C./, s Jo, r �,% ' `� �Jr �%� i � � /_'�!"� �� I 4 Y/,s i'O!�/�U r;'/J��r%� T � t!>°/J7r%/ /I.•.�.r Tri !� I`A1• +� ri �! a., 11�• i��/�/:/�/�.%SU/:�6/C'�/i�,C�/•fl�.!/J �,� .�''r,;;a.!tzt.�.�/Y%�!t//^ . • .J<�G� _ /_ c.�cr�% ,C�i4if,�%✓./! PROPER1Y OF Encarnacion, Agustin and Shirley, 1125 17.E. 92nd Street, sSiEs:�.'d�:i�u3r:;s�.^rg�*'.:8.��,+ un x.:.... aas .. ..� ,M.p�..���::�..�... ,..,.:.3'�:�,.k. l�c•s "�,",�. ,s�,°;;, .i ::.'a - v toot valid unless embossed 1 a}a} Shc�Ceti, Fara °1. A OMMARY St A�sr ry fi S id+] 4 Ji . �7 F with Suneyor's Seal, l hettly ce,tiy that tha v r.tlr IeFce• tented hereon meta the rani:n,in E/tiGLVEERS - LtND SURVEYORS - LUND PLANNERS technical aandarta set !ath Ey tha Seatse5li ;s, tand s r.e)GISst% s..tswm to Office address: 1030 S.W. 34th Awme,,Miami, floilda ))ISS Seytit�y24U,f!a.Stat tts.lF,eceare ngercToac�.trtnts,c e)�pt.eastan as Mailing address: P.O. Box ,61131, Miami, flodda 33156 acing on t�/ar, cher than as ' 8 , e.,n F.teeto. ;ro: 'r' L I DA Fj 5CASE DRAWN BY I Untiw. +`O. 190•-7015 Certif ied To: ;;cluity Mortgage Corporation, its successors and/or assigns, Lncarnacion, Agustin and Shirley and Union Title Services Inc.. Oi .�i�i7oS✓.��ilra,�. t .,:•T• i. �,. . , „_ .. % ��/✓r/i'!J%Y,rS S��y/i7 /��lli/t/.l /Q y .e.�.i j_ ::S ;;ylr;:y: r.� �i,�Y:`; 1.', i••/i�� G./C./, s Jo, r �,% ' `� �Jr �%� i � � /_'�!"� �� I 4 Y/,s i'O!�/�U r;'/J��r%� T � t!>°/J7r%/ /I.•.�.r Tri !� I`A1• +� ri �! a., 11�• i��/�/:/�/�.%SU/:�6/C'�/i�,C�/•fl�.!/J �,� .�''r,;;a.!tzt.�.�/Y%�!t//^ . • .J<�G� _ /_ c.�cr�% ,C�i4if,�%✓./! PROPER1Y OF Encarnacion, Agustin and Shirley, 1125 17.E. 92nd Street, sSiEs:�.'d�:i�u3r:;s�.^rg�*'.:8.��,+ un x.:.... aas .. ..� ,M.p�..���::�..�... ,..,.:.3'�:�,.k. l�c•s "�,",�. ,s�,°;;, .i ::.'a - v toot valid unless embossed 1 a}a} Shc�Ceti, Fara °1. A OMMARY St A�sr ry fi S id+] 4 Ji . �7 F with Suneyor's Seal, l hettly ce,tiy that tha v r.tlr IeFce• tented hereon meta the rani:n,in E/tiGLVEERS - LtND SURVEYORS - LUND PLANNERS technical aandarta set !ath Ey tha Seatse5li ;s, tand s r.e)GISst% s..tswm to Office address: 1030 S.W. 34th Awme,,Miami, floilda ))ISS Seytit�y24U,f!a.Stat tts.lF,eceare ngercToac�.trtnts,c e)�pt.eastan as Mailing address: P.O. Box ,61131, Miami, flodda 33156 acing on t�/ar, cher than as ' 8 , e.,n F.teeto. ;ro: 'r' L I DA Fj 5CASE DRAWN BY I Untiw. +`O. 190•-7015 EL LOCATION MAP N.T.S NE 93rd %/j j 1 lam\ 1 u 3 1VE $nd STREE7 LEGAL DESCRIPTION: Lot 26, in Block 2, of BAY LURE, according to the Plat thereof as recorded in Plat Book 44, at Page 63, of the Public Records of Miami -Dade County Florida. CERTIFIED TO. • AGUSTIN ENCARNACION & W. SHIRLEY SURVEYOR'S NOTES.- 1. OTES.1. The above captioned property was surveyed and described based on the above legal description furnished by client. 2. This certification is only for the lands as described, it is not a certification of Title, Zoning, Easements, or Freedom of Encumbrances, ABSTRACT NOT REVIEWED. 3. There may be additional restrictions not shown on this survey that may be found in the Public Records of this County. Examination of ABSTRACT OF TITLE will have to be made to determine recorded Instruments, if any affecting this property. 4. Ownership subject to OPINION OF TITLE. 5. Type of Survey: BOUNDARY SURVEY. 6. Location and identification of utilities on or adjacent to the property were not secured as such information was not requested. 7. Unless otherwise noted, this Firm has not attempted to locate Footings and/or Foundations (underground). 8. This BOUNDARY SURVEY, has been prepared for the exclusive use of the entities named hereon. The Certificate does not extend to any unnamed party. 9. Precision of Closure 1:7500 Suburban Class Survey. 10. Bearings shown are assumed and are based on the North Right of Way line of N.E. 92nd STREET, Being N 90' DO' 00" E. :■1 Found 1/2" Point of Iron Pipe Curvature No I.D. Iron Pipe w w = NUMBER iu N ELEVATIONS NOTE: (IF REQUESTED AND SHOWN). iw a� cn - 1. ) 0.00' Indicates existing Elevations. Found'/" N Iron Pipe c o I.D. PROPERTYADDRESS. .1125N.E92ndSn%Eff MGIIW,R,33138 Water_^„® BEIVCHMARKINFORMATION Meter COMMUNITY MAP: PANEL NUMBER: w BENCHMARK: O° Tie m z BOUNDARY SURVEY Scale: 1" =15' 5' Chain Link Fence 50' F Driveway (Asphalt) oo is o 19.9' 1 Lanlo SURUEsORS • Lwno PLIannERs CERTIFICATION. ' 7725 S.W. 129TH COURT( DRAWN BY* - BY: OF 1 SHEETS) M. Gonzalez Miami, Florida 33183 FOR THE FIRM DATE: CHECKED BY: ' 03-14-14 Jose M. Rives ° JOSE M. RIVES Jr. JOSE M. RIVES Jr. PRo1.No: SCALE: _ P.S.M. No. 6688 • L& No. 7836 P.S.M No. 6685 140039 ill -151 5u rven PHONE: (786) 486-8088 FAX: (305) 382-4334 STATE OF FLORIDA N Lot - 27 Block - 2 (P.B. 44 - PG. 63) Found'/z" Iron Pipe S 0' OD' 00" E i 125 not 71' c No I.D. = PAGE. Found 3/z" = PLAT BOOK Iron Pipe lo. = NUMBER No I.D. ELEVATIONS NOTE: (IF REQUESTED AND SHOWN). iw a� cn - 1. ) 0.00' Indicates existing Elevations. 2. ) levations are referred to the National Geodetic Vertical Datum 1929. FLOOOZOA►EINFORMATION: PROPERTYADDRESS. .1125N.E92ndSn%Eff MGIIW,R,33138 COMMUNITY NAME: MIAMI SHORES, VILLAGE OF 12062 BEIVCHMARKINFORMATION COMMUNITY MAP: PANEL NUMBER: SUFFIX: BENCHMARK: DESCRIPTION: 12086C 0306 L MAP REVISED: ROOD ZONE: BASE FLOOD ELEVATION: ELEVATION: 09-11-2009 AE 8 \ Planter SHEET: DESIGNED BY: - -- o BOUNDARY SURVEY Scale: 1" =15' 5' Chain Link Fence 50' F Driveway (Asphalt) oo is o 19.9' 1 Lanlo SURUEsORS • Lwno PLIannERs CERTIFICATION. ' 7725 S.W. 129TH COURT( DRAWN BY* - BY: OF 1 SHEETS) M. Gonzalez Miami, Florida 33183 FOR THE FIRM DATE: CHECKED BY: ' 03-14-14 Jose M. Rives ° JOSE M. RIVES Jr. JOSE M. RIVES Jr. PRo1.No: SCALE: _ P.S.M. No. 6688 • L& No. 7836 P.S.M No. 6685 140039 ill -151 5u rven PHONE: (786) 486-8088 FAX: (305) 382-4334 STATE OF FLORIDA N Lot - 27 Block - 2 (P.B. 44 - PG. 63) Found'/z" Iron Pipe S 0' OD' 00" E i 125 not 71' c No I.D. 6.7' 15' V 0' 00'00- Et 12S.00' Lot - 25 Block - 2 (P.B. 44 - PG. 63) THIS NOT AVAUDCERTIFICATION WITHOUT THE SURVEYOR'S ORIGINAL SIGNATURE AND RAISED EMBOSSED SEAT. PRESENT LEGEND ARID ABBREVIATIONS 'G. = PAGE. ' S' Metal Fence = PLAT BOOK = CENTER LINE lo. = NUMBER M) 0o iw a� cn - iu ' %J 31 w w Oo, fp b.9•.7ie _. 03` 44.65' \ Planter o w/X15 \ I .5 ' `I--- 17.7 S.9' ` 4.5' w \\ Porch / ,� ,., a Co /s \\\/ ✓ Pool O TWO Story o °3' 71' 3.9' Residence No. 1125 / �� 0NI Lot - 26 Block - 2 / \ I in 6.g. / 14' v V 15.95' 2 O 2 2.6' 10.3 V N 3 0 ►+ r74 W m °—' = 3 O 46.85' Tie 6.7' 15' V 0' 00'00- Et 12S.00' Lot - 25 Block - 2 (P.B. 44 - PG. 63) THIS NOT AVAUDCERTIFICATION WITHOUT THE SURVEYOR'S ORIGINAL SIGNATURE AND RAISED EMBOSSED SEAT. PRESENT LEGEND ARID ABBREVIATIONS 'G. = PAGE. '.B. = PLAT BOOK = CENTER LINE lo. = NUMBER M) = MEASURED 31.00' u? � N 77 6 Chattahoochee N rock 5' Metal Fence N.T.S. = NOT TO SCALE B.O.B. = BASIS OF BEARING I.D. = IDENTIFICATION A/C = AIR CONDITIONER Found Y2" Iron Pipe No I.D.