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BBP-14-264Ilianu Shores Villag Building Department X18 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 EIY0 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20 BUILD G PERMIT APPLICATION Permit Type: BUILDING Permit No. Master Permit No./D ROOFING 2014 JOB ADDRESS: Z) - t) 6- q 8 s+ City: Miami Shores County: Miami Dade Zip: 381 Folio/Parcel#: 11 — ;L ®c -o , C)L3 > 5(00-0 Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder): 1 -A Address: �Z PR S City: ! (X bzl sL LY(® 5, State: Tenant/Lessee Name: Email: CONTRACT R: Company Name: ��-} 1 (Y) Address: (6 "l I q muJ.�) C� City: �=4� Qualifier Name: NO Flood Zone: A10 CJ State Certification or Registration #:n Certificate of Competency #: Contact Phone#::7 q "7.� % Email Address: fel 4 b Y! DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 5, 0 ® G) . Struare/Linear Footage of Work: Type of Work: ❑Addition _ ❑Alteration ,� 1 r❑New ❑Repai /Replace ❑Demolition of W Color thru tile: Submittal Fee $ �Fa,�2e) Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 0 Bonding Company's Name (if applicable) _ Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State C Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the labsence of such posted notice, the inspectlon,wxtll,�ot be ap�oved a d a inspection fee will be charged. % 1 , Signature ��" ` Signature Owner or Agent e C tractor q The foregoing instrument was acknowledged before me this \ The foregoing instrument was acknowledged before me this ®� day of t` O AA by -RVSP q� \ (�f rive day of -,20 t LA by y an �,1 e � 1� , w is personally known to me or who has 1 tCk V1 Se As identification and NOTARY Sign: Print: C1 My Commission Expires: who ' personally known to me or an oath. U as identificati NOTARY P �yCOrypU6�CFIq B 1ro., S/ qFI ��Ssi x0j�e a/e o rant: Fr�s93B mmission Expires: produced %w did take an oath. .Is -0" / p � %, /0 690;016 j F r** APPROVED BY 1 Plans Examiner / Zoning AM I $ I /I Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Ulm 4 � w , I fey. 4. ^1014 IOM40 lk A ' CERTIFICATE OF LIABILITY INSURANCE#SATEIAIRtIiROfY1#�tj `_ { 02112114 'fins CERTIFICATE I$ ISSUED AS A MA77ER Of INfORMA PION ONLY AND CONFERS NO RIGHTS UPON T14E CERTIFICATS EMLOCk T14M CERTIFICATE DOES NOT AFfOMTWELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED HY THE POLICIES SELODU. THIS CERTIFICATE OF INSURANCE D iE$ NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSuRER(sh AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTAfi'i II tho ort cottaet to ata-A —o' � IMsuRjo tt# pal Gyle„I'ie uA fie endorses. It S S T-10-15 W ci to the terltts arta €rom"alts r#i the rMicY ""Sin Policies way loquim ala'elloCtnentent< A statement on fits te#llika'ttU d0cl #ar t coal" Fitil#ts to the ' € cettllkate t#9I r III s v Of StrohrAffiTAC s IsI, PRODWER raam MAYS OARCIA Okay InslealIrA N Iao, e�nl: (305) T 7"i32 la Noy. 17 j S•# 192 7293 W, Ftooter Sired 6 AILEar er rens ,yin�;cor#t 1€ iami,FL33149MAIC# Mite (305) 267.7232 Fax 1780)' .pew INSURER A: 300TT OALE INSU E INSURED INSURER t1 ° SttWMMING POOLS OF FLORIDA INC...igEQNaR O 6914 NW 60 ST I ueee n, Miatol. FL 331 (30.5) 597.35JO €NSAER � :.. _ �...,..., ..�, lM9UEA F �COVERAGES REVISION NU seRl 71110 10 TO CEItT—f THAT Tt 5 3i sit G tisTSli l#I tlaL HAVE tfifn ISSUED TO THE ltdtelJRE:O OlasCttlE F TItE tOY PL°R O INDICATED.NOTWiTHSTAt� (ZANY IRE-MENTIEWAORCON1211IONOFAPJ'ti'CONTRACTcoOT'1tER �dIT ITHR6060T7O°4tsWC4TWS ° CERTIFICATE MAY i�flUfr0 MAY PENtAit, THE-INSURANCE AFF0110ED BY THE POLICIES DESCRIBED HERON Iw StWJECT TO AtL THE TERMS, _EXCLUSIONS AND COWIT9ft Of POLIC". MATS SHOWN M0 HAVE 99EN 1RECUCEO M PA* CtAWS> i TEi TYr+@ INSURANCE PO_trcY "=R ...._.... tMU'VV;1RM yl Limits OKNOIAL LIA ZTV N wFd AC AIRRdNe �aQ= O COMM0CIAL CORAL LAd tt`i Q cu ass selA CP51 X947 reiNt3 IatsaYeao s S, � A 17118t2i1i 3 1211812814 PO- SONAL S AW aI"r�sIY S 1,II%t1i8Ci<(� atAt rICG,�Ts 1 2a,.00� QCRi L not rltt#E tt AM €FS PflCtA;R. cot» AaC g i a0txi9.tLi. "" t tit 5 AUT0100"E LtA tTY S �ANY AL1atR o At AUTOS Rw L-.:! fic w AYit§�tvINJURYt�'a;€€s€444 'S ._,. AUTOS 13 f aadi€ to ft g I ❑ k€RGO AUIYO s ElS € ® UMORMALIAO { FRa"aTPsfral n NnE ffi EAaES ttA� (4AIFA iW± A€SL3 lAIS S VAMNERS± OMP94SAT H� Mav01%,aS..u. eFt AND EMPLOWAV LIABILITY VIN Atd� Pit Ft33L+#'AA3( OF L FAC#I $ ria i CGltiir5.13 P¥ �iC# tF #? NIA .t, 1 tlD �Aa i A fF .LL th9aneaur N# i ,t 6 67ca ureter f t, WASE. itS Y.LNttT S MbeS� NIMTIaN t3PIRnAT taA81�AT#tl191 R YLEa gATiacfi AaQ�#tD t0#< AflA#tioreti# Relwar�s sedeaterla, Ia bra eep.•s€o!� sgggt) POOLS CONTRACTOR I I +CERTIFICATE HOLDER CANCELLATION sHOULO ANY OF Tlt6 A13OVE DESCRIBED POMIES 96 CMELLL60 BEFORE NI1Ai�Ai 56iL}RE W"GE YKE EXPIRATION OAT9- 1CM EOF* NOTICE WILL DEUVEREOIN IdE A ACCORDANCE WITH47ICY PR iISION11. y 1 MIAMI SHORES, FL3313$ Aualaa�rzEo aerz$eeEt� 4��• AARYS GARCIA 4 A€ 0RD CORPOIRATION. All tights tastIV sit. AO Tt318Tr The ACORD O and lop are ISlaread maAs art ACORD AC ORO 28 20 , R I OF 04/28/2010 00:37 3055979121 SWIMMING_POOL OF FLA PAGE 01/02 CERTIFICATE OF LIABILITY INSURANCE 2// 10/10/ ° 20014'14 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATES HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ins) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, Certain POUCIAS may require an endorsement. A Statement on this certificate doss not confer rights to the Certificate holder in lieu of such endorsement(s), PRODUCER CONTACT Becky SClafani Keen Battle Mead E Company PHONE(305)558-1101 Fax (305) 522-4722 7850 Northwest 146th Street E-MAIL Suite 200 ADDRFm,bsc1afani0kbmco. INSURERS] AFFORDING COVERAGE MAIC 0 Miami Lakes FL 33016 INSURED INSURPRARetail First Insu>r nCe Company , Swimming pools of Florida Inc. N15URER B ;aasuRERcI c/o Automated Business Services INSURER Di 999 Vanderbilt Beach Rd, Ste 200 INSURER E: Naples FL 34108 _COVERAGES CFRTrGrr`ATGAIillunro.7n� a/nnie -- --.------------ 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 CERTIFICATE; MAY BE ISSUED OR MAY PERTAIN, THE. INSURANCE AFFORDED DOCUMENT VVITH RESPECT TO WHICH THIS BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN I REDUCED BY PAID CLAIMS• TR TYPE OF INSURANCE DDL SUER POLICY EFF POLICY EXP POLICY NUMBER MNUD M LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGETORENTED CWMS-MADE OCCUR PREMISES Ea v= me S MED EXP (Any one Perms) 0 PERSONAL s ADV INJURY S OEN'L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $ POLICY PRODUCTS • COMPIOP AGG S LOC s AUTCOMILE UA13ILITYANY IT acrrden AUTO ALLOWNBDBODILY INJURY (Per peraarl) S AUTOS AAUTOSULEO NON-OINNEO �DILY INJURY (Per aco�etm 3 HIRED AUTOS AUTOS PPROr PERT � E 9 5 uM13' L1A13 OCCUR EXCESS UAB EACH O=ulq (ENCF, S AGGREGATE $ CLAIMS -MADE DED RETENTIONS A woRKERs COrRPENSAnON `+ AND EMPLOYERS' UABILITY X WC STATU-� OTH- ER ANY PRoMEMSERrEXCLUDErEKECvrrvE YIN ELL EACH ACCIDENT 8 11000,000 OFFiCERlMEMBER EXCLUDED? � (Mantld In NHI N!A If yes, tlescltbe unaor v- 52049656 2013 /i4/8014 E.L. 015WF - EA 5MPLOYE S 11000,000 DESCRIPTION OF OPERATIONS pgloyy E.L. DISEASE - POLICY LIMIT 5 1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS f VENICLES IAtaull ACORD 101, Addilianal Reraarks schedule, if nmre space is eequ;,ed) POOL CONTRACTOR 3110UL D ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE JOELIVeRED IN Miami Shores Village ACCORDANCE %MTH THE POLICY PROVISIONS. 10050 NE 2nd AVE Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Alex Perez/ITAC ACORl3 26 (2090/06) ®1988.2010 ACORD CORPORATION. All rights reserved. IN8028mn1nnm n, The. ARr10111 name anA Inrin era ren:e�drnrl ,rr�rl,e , f Ar:nRri ANTONIO CANELAS, P.E. LIC. No. 74099 7805 SW 24 ST SUITE 106 MIAMI FL, 33155 305 2610321 Miami Shores Village Building and Zoning Department Miami Shores, Florida. Reference: Soil Statement Residential Swimming Pool Property of Chelsea K Gorman & Sean S Gorman. 372 NE 98 Street Miami Shores, FL 33138 To Whom It May Concern: Soil Statement: Date 4-08-14 /1" /cf� filo. A field inspection was conducted on 4-08-14 of the swimming pool excavations for the above - referenced property. The existing site has been observed and evaluated, and we conclude that the conditions are similar to those upon which the design was based (allowable bearing capacity equal to 2000 ps fl. In addition, we conclude that the soil is adequate to support the Required Bearing Pressure of 650 PSF imposed by the new swimming pool. If you should have any questions regarding this matter, please do not hesitate to contact us. Sincerely, 41 EN cA 0. 090 ��,t► ORIDA NAt�� 4---OY44- Antonio Canelas, P.E. Lic #: 74099 Attached Photographs of Excavation f o w i 00, r V �i, -40 �,. Ig At �w?.'.,kFkkFAAki 1 � k' F� r e'fr� � i�16►�Ir cf SVa� %t'P ^""` Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-219638 Permit Number: BPP -2-14-264 Scheduled Inspection Date: March 09, 2015 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Rodriguez, Jorge Inspection Type: Final Owner: GORMAN, SEAN CHELSEA Work Classification: New Job Address: 372 NE 98 Street Miami Shores, FL 33138 - Project: <NONE> Phone Number Parcel Number 1132060135680 Contractor: SWIMMING POOLS OF FLORIDA INC Phone: (305)597-3950 comments NEW POOL, SPA AND DECK INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-219394. CREATED AS REINSPECTION FOR INSP-207098. PERMIT PACKAGE INSIDE BLACK MAIL BOX Pool deck requires electrical and plumbing permit and inspections as of July Failed ❑ 17 inspection Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid March 06, 2015 For Inspections please call: (305)762-4949 Page 5 of 28 • Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 inspection Number: INSP-223897 Permit Number: BPP -2-14-264 Inspection Date: March 03, 2015 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Dacquisto, David Inspection Type: Survey Final Owner: GORMAN, SEAN CHELSEA Work Classification: New Job Address: 372 NE 98 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060135680 Project: <NONE> Contractor: SWIMMING POOLS OF FLORIDA INC Phone: (305)597-3950 Building Department Comments NEW POOL, SPA AND DECK Infractio Passed comments INSPECTOR COMMENTS False (aD 3 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-223243. POOL EQUIPMENT MUST BE SET BACK NOT LESS THAN 5 FT. FROM REAR PLOT LINE. 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 March 03, 2015 Page 1 of 1 f•�1ND LP (NO ID MAP OF BOUNDARY SURVEY 15' ALLEY FOUND I P.$1/2° NO iD - 10' ASPHALT +` by . ( ),� u 03 ' P /L 75.00, 2.4 P lip`� _. SPA z z O ,c 0 w ZZZ V) w 00 C � r. C � n r Q r. ag d cn 'T L' g' R/W UJI aI L O ¢ it Q U LD rc Utility Easement k�k. p Center Line E M 6LU _ J<d z IP w 0 y Monument Line �d r zCP o—o-- Metal or plastic Fence 677 MAP OF BOUNDARY SURVEY 15' ALLEY FOUND I P.$1/2° NO iD - 10' ASPHALT +` by . ( ),� u 03 ' P /L 75.00, 2.4 P lip`� _. SPA z z O ,c 0 w ZZZ V) w 00 C � r. C � n r Q r. ag w FOUND I.P.01/2° Z 103.56' (NO ID.). FOUND N.&D. (N0 ID.) BLOCK CORNER 10.1 SOD 1.5' Cq 36.0' oo C:) POOL o _ L ,12 4' - FENCE BBQ cu C -. � � II IN 1 1 1 1 1 1 /,0 w F1►, WATER PUMP NIZI, A/C GATE 3.6',` THE E 1/2 OF LOT 4 PORGN BLOCK 42 STAIRS I LOT 3 0� g� SOD BLOCK 42 CONCRETE to Cb. WALKWAY I 1 9 I d'�9. JK s51 R / w - 75.00' � 5 SIDEWALK W coNCRETE moo DRIVEWAY ori tib' ° u 4. T 25' O Z N Z d O_ U Y F- C) - U W O� ` J M d= � 0000 J U)LL- :20- 0< OQ Z� J O LL � o am a_ q °� LLj 00 Z Ld ¢z �w w:2 CK Q Z d 0 gam^ CV �. �OO� SPO g°' a' T.B.t� 7y \.-23' ASPHALT PAVEMENT ELU=10:09' ho?b 1 Via:,\N*E . 98th STREET This Survey Map and Report are not full and complete without the other. A Arc P P ABBREVIATIONS 2. LEGEND I FND Found g' R/W N� T O m \0 --x— Chain Link Fence U.E. Utility Easement o ' Center Line _ J<d Wood Fence IP Iron Pipe y Monument Line �d Sewer Manhole E Electric Box o—o-- Metal or plastic Fence i T TBM Temporary t�.•T�I�hpng �IapRale; ' " ' ' • w 10.1 WL —Overhead N&D Nail &Disc PWY Benchmark Parkwa y ® Kr ter• a er• • • •' ' _ • • • • • • Utility Pole w .moi Column �q Q d'T I� ' CLPConcrete Light Pole z P.B. PLat Book ENC d w FOUND I.P.01/2° Z 103.56' (NO ID.). FOUND N.&D. (N0 ID.) BLOCK CORNER 10.1 SOD 1.5' Cq 36.0' oo C:) POOL o _ L ,12 4' - FENCE BBQ cu C -. � � II IN 1 1 1 1 1 1 /,0 w F1►, WATER PUMP NIZI, A/C GATE 3.6',` THE E 1/2 OF LOT 4 PORGN BLOCK 42 STAIRS I LOT 3 0� g� SOD BLOCK 42 CONCRETE to Cb. WALKWAY I 1 9 I d'�9. JK s51 R / w - 75.00' � 5 SIDEWALK W coNCRETE moo DRIVEWAY ori tib' ° u 4. T 25' O Z N Z d O_ U Y F- C) - U W O� ` J M d= � 0000 J U)LL- :20- 0< OQ Z� J O LL � o am a_ q °� LLj 00 Z Ld ¢z �w w:2 CK Q Z d 0 gam^ CV �. �OO� SPO g°' a' T.B.t� 7y \.-23' ASPHALT PAVEMENT ELU=10:09' ho?b 1 Via:,\N*E . 98th STREET This Survey Map and Report are not full and complete without the other. A Arc P P ABBREVIATIONS 2. LEGEND I FND Found g' R/W age —x Right–of–Way ® Unknown Manhole Fire Hydrant --x— Chain Link Fence U.E. Utility Easement Center Line Wood Fence IP Iron Pipe y Monument Line s Sewer Manhole E Electric Box o—o-- Metal or plastic Fence IR Iron Rebar TBM Temporary t�.•T�I�hpng �IapRale; ' " ' ' • : Light Pole • WL —Overhead N&D Nail &Disc PWY Benchmark Parkwa y ® Kr ter• a er• • • •' ' _ • • • • • • Utility Pole O Utility line COL. Column W/P Water Pump wv • • • • • • • • ' Water Valve ' CLPConcrete Light Pole QO + Spot Elevation P.B. PLat Book ENC Encroachment D.M.E.Draina a Maintenance Easement mm Catch basin ® P operty Corner' FormTech • • � • • • • • • • Job # 14-1028 Up -Date • • • • ' Date: 02-25-2015 000 :' s o * ' .' :. cSMe: 1 = 20 Land Surveying, Inc. State of Florida LB # 7980 140' 20' ¢0' 12209 S.W.129th Court, Miami, Florida, X186: ; • ; ; ' Ph: (786)429-3034 (786)443-0285.:7.Rf43'-Q67%0 .:.:� PHIC SCALE _-� www.formtechsurveyors.com email:info@formtechsurveyors.com Page 2 of 2 MAP OF BOUNDARY SURVEY Property address: 372 N.E. 98th Street City: Miami Shores County: Miami -Dade State: Florida Zip Code: 33138 Folio # 11-3206-013-5680 SUBJECT PROPERTY SURVEYOR'S REPORT: AlII DOA. ITDIICT N.E. 97th STREET LOCATION SKETCH NOT TO SCALE 1. MAP OF BOUNDARY SURVEY, Fieldwork date of data acquisition: February 25, 2015. 2. LEGAL DESCRIPTION: Lot 3 and the E 1/2 of Lot 4, Block 42, AN AMENDED PLAT OF MIAMI SHORES SECTION No. 1, according to the pi thereof, as recorded in Plat Book 10, Page 70, of the Public Records Miami—Dade County, Florida. 3. AREA. Containing 8,625 Square Feet or 0.20 Acres more or less by calculations. 4. ACCURACY: The accuracy obtained by measurement and calculations of a closed geometric figure was found to exceed this requirement. Linear 1 foot in 7,500 feet. 5. DATA OF SOURCES: HORIZONTAL CONTROL —The Legal Description was furnished by client. —North Arrow as per Plat Book 10, at page 70 of the Public Records of Miami—Dade County, Florida. VERTICAL CONTROL- Elevations are referred to N.G.V.D. 1929. Benchmark used: Miami—Dade County Benchmark No. N -603—R, Elevation=8.05' (N.G.V.D. 1929) Located ® N.E. 96th Street and N.E. 6th Avenue. 6. FLOOD INFORMATION: By scale determination this property is located in Flood Zone X, as per Federal Emergency Management Agency (FEMA), NFIP Community Name: Village of Miami Shores and Community Number 120652 Map/Panel Number 12086C0302, Suffix L, FIRM Panel Effective/Revised Date 09-11-2009. 7. utwITATIONS: No research was made for other instruments than the existing in the plat and provided by client. There may be additional restrictions or instruments that are not shown on this Survey that may be found in the Public Records of Miami—Dade County. No determination was made as to how the site can be served with utilities. Fences and walls ownership by visual means only, legal ownership not determined. No underground utilities and/or structures(foundations) was located within or abutting the Subject property. SURVEYOR'S CERTIFICATION: I certify. This Map of Boundary Survey meets all applicable requirements of the Florida Minimum Technical Standards as contained Chapter 5J-17. Unless indicated to the contrary, the measured distance and directions shown on the Map of Boundary Survey are the same as the deed distances and directions. Not valid without the signature and the original raised seal of Florida Licensed Surveyor and Mapper. Additions or deletions to Map of Boundary Survey by other theta s*ir�gopar#y ®r�parties is prohibited without written consent of the signing party or parties. •• 0 •• . .. . . . . :11:. . .. Goo .. . . . .. This Survey Map and Report are not full and complete without the other. FormTech 'S�i' ' = Job # 14-1028 .a 00 . Land Surveying; Inc. State of Florida LB # 7980 ... .. 12209 S.W.129th Court, Miami, Florida, 13184 : :.: : date:' �� —W( s Ph: (786)429-3034 (786)443-0285 *(78e449618 : Eugenia L. Forinoso, P.S.M. -__� www.formtechsurveyors.com email:info@formtechsurveyors.com State of Florida LS # 6660 Page 1 of 2 I �j 12 11 10 s s 7 s s 4' 2 1 42 1 N.E. 97th STREET LOCATION SKETCH NOT TO SCALE 1. MAP OF BOUNDARY SURVEY, Fieldwork date of data acquisition: February 25, 2015. 2. LEGAL DESCRIPTION: Lot 3 and the E 1/2 of Lot 4, Block 42, AN AMENDED PLAT OF MIAMI SHORES SECTION No. 1, according to the pi thereof, as recorded in Plat Book 10, Page 70, of the Public Records Miami—Dade County, Florida. 3. AREA. Containing 8,625 Square Feet or 0.20 Acres more or less by calculations. 4. ACCURACY: The accuracy obtained by measurement and calculations of a closed geometric figure was found to exceed this requirement. Linear 1 foot in 7,500 feet. 5. DATA OF SOURCES: HORIZONTAL CONTROL —The Legal Description was furnished by client. —North Arrow as per Plat Book 10, at page 70 of the Public Records of Miami—Dade County, Florida. VERTICAL CONTROL- Elevations are referred to N.G.V.D. 1929. Benchmark used: Miami—Dade County Benchmark No. N -603—R, Elevation=8.05' (N.G.V.D. 1929) Located ® N.E. 96th Street and N.E. 6th Avenue. 6. FLOOD INFORMATION: By scale determination this property is located in Flood Zone X, as per Federal Emergency Management Agency (FEMA), NFIP Community Name: Village of Miami Shores and Community Number 120652 Map/Panel Number 12086C0302, Suffix L, FIRM Panel Effective/Revised Date 09-11-2009. 7. utwITATIONS: No research was made for other instruments than the existing in the plat and provided by client. There may be additional restrictions or instruments that are not shown on this Survey that may be found in the Public Records of Miami—Dade County. No determination was made as to how the site can be served with utilities. Fences and walls ownership by visual means only, legal ownership not determined. No underground utilities and/or structures(foundations) was located within or abutting the Subject property. SURVEYOR'S CERTIFICATION: I certify. This Map of Boundary Survey meets all applicable requirements of the Florida Minimum Technical Standards as contained Chapter 5J-17. Unless indicated to the contrary, the measured distance and directions shown on the Map of Boundary Survey are the same as the deed distances and directions. Not valid without the signature and the original raised seal of Florida Licensed Surveyor and Mapper. Additions or deletions to Map of Boundary Survey by other theta s*ir�gopar#y ®r�parties is prohibited without written consent of the signing party or parties. •• 0 •• . .. . . . . :11:. . .. Goo .. . . . .. This Survey Map and Report are not full and complete without the other. FormTech 'S�i' ' = Job # 14-1028 .a 00 . Land Surveying; Inc. State of Florida LB # 7980 ... .. 12209 S.W.129th Court, Miami, Florida, 13184 : :.: : date:' �� —W( s Ph: (786)429-3034 (786)443-0285 *(78e449618 : Eugenia L. Forinoso, P.S.M. -__� www.formtechsurveyors.com email:info@formtechsurveyors.com State of Florida LS # 6660 Page 1 of 2 I 42 1 1 I Z 13 14 18 18 17 18 19 20 21 22 23 24 N.E. 97th STREET LOCATION SKETCH NOT TO SCALE 1. MAP OF BOUNDARY SURVEY, Fieldwork date of data acquisition: February 25, 2015. 2. LEGAL DESCRIPTION: Lot 3 and the E 1/2 of Lot 4, Block 42, AN AMENDED PLAT OF MIAMI SHORES SECTION No. 1, according to the pi thereof, as recorded in Plat Book 10, Page 70, of the Public Records Miami—Dade County, Florida. 3. AREA. Containing 8,625 Square Feet or 0.20 Acres more or less by calculations. 4. ACCURACY: The accuracy obtained by measurement and calculations of a closed geometric figure was found to exceed this requirement. Linear 1 foot in 7,500 feet. 5. DATA OF SOURCES: HORIZONTAL CONTROL —The Legal Description was furnished by client. —North Arrow as per Plat Book 10, at page 70 of the Public Records of Miami—Dade County, Florida. VERTICAL CONTROL- Elevations are referred to N.G.V.D. 1929. Benchmark used: Miami—Dade County Benchmark No. N -603—R, Elevation=8.05' (N.G.V.D. 1929) Located ® N.E. 96th Street and N.E. 6th Avenue. 6. FLOOD INFORMATION: By scale determination this property is located in Flood Zone X, as per Federal Emergency Management Agency (FEMA), NFIP Community Name: Village of Miami Shores and Community Number 120652 Map/Panel Number 12086C0302, Suffix L, FIRM Panel Effective/Revised Date 09-11-2009. 7. utwITATIONS: No research was made for other instruments than the existing in the plat and provided by client. There may be additional restrictions or instruments that are not shown on this Survey that may be found in the Public Records of Miami—Dade County. No determination was made as to how the site can be served with utilities. Fences and walls ownership by visual means only, legal ownership not determined. No underground utilities and/or structures(foundations) was located within or abutting the Subject property. SURVEYOR'S CERTIFICATION: I certify. This Map of Boundary Survey meets all applicable requirements of the Florida Minimum Technical Standards as contained Chapter 5J-17. Unless indicated to the contrary, the measured distance and directions shown on the Map of Boundary Survey are the same as the deed distances and directions. Not valid without the signature and the original raised seal of Florida Licensed Surveyor and Mapper. Additions or deletions to Map of Boundary Survey by other theta s*ir�gopar#y ®r�parties is prohibited without written consent of the signing party or parties. •• 0 •• . .. . . . . :11:. . .. Goo .. . . . .. This Survey Map and Report are not full and complete without the other. FormTech 'S�i' ' = Job # 14-1028 .a 00 . Land Surveying; Inc. State of Florida LB # 7980 ... .. 12209 S.W.129th Court, Miami, Florida, 13184 : :.: : date:' �� —W( s Ph: (786)429-3034 (786)443-0285 *(78e449618 : Eugenia L. Forinoso, P.S.M. -__� www.formtechsurveyors.com email:info@formtechsurveyors.com State of Florida LS # 6660 Page 1 of 2 • C7 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 Dgte ` h,I I I �7 Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as '?Yo (.P - ®1 -� - 5(a i6c) , located at N TAI axl-k'� 5�\\0V e S 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 prioto nal ins ection d use of the pool. Legal Owner n, Note: This certification is to be submitted with a swimming pool permit application in duplicate. STATE OF (FLORIDA) COUNTY OF (DADE) Miami shores Vilia,ge. Building Department 10050 N.E.2nd Avenue. Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT The undersigned Affiant, 01-elSeck, 6rrm 'Noes hereby attest that (Property owner) The attached survey, performed by Y& . 2 • CGIS40 For address: -y) a of surveyor's company) Performed on (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. Further ffiant eth naught. Property Owner Signature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this a9 day of 710,n d `�. aO►y Affiant is personally known tome, produced ^ h SQ as idenAcation. ANGELA BAEZ _ Notary Public - State of Florida Notary 'Q.= My Comm. Expires Mar 7, 2016 Revised on 5/2212009/ Revised on 6112/09 ::�or F��:` Commission # EE 176938 P• �4nnnN 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 Weacknowledge that t new swimming pool, spa or hot tub will be constructed or installed at �'�16 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 R410 .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 ., an d will be considered as committing a misdemeanor of the second degree, punIsLfLIe as provided in Section 775.082 or Secti 775.083 KS . This form must be signed by the o",_?wner g t nd the prime contractor. °+(��►�� CONTRAC R'S S ATURE AND DATE 0 'S SIGNATUR AND DATE CONTRA AE` � � "�'E PRINT) ANGELA BANNER'=tMw'.. ANGELA BAEZ -r' :°? Notary Public State of F Notary Public -State of Florida �-- �� '.N' : Q= My Comm. Expires Mar M Comm. NOTARY PUBLIC F, „° N ARY P LIC y isExpires Mar 7, tots °Pt`s Commission # E ,join Commission # EE 176938 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 is/are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: 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 covenantis 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 looted. 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 owner(s) hold Miami Shores Village harmless for any negligence or injury that results from not having the enclosure. V. If enclosure belongs to said property, I agree to maintain & or replace said enclosure in the event that is damaged or removed by any case. NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set 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 undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its s ccessors, i rdance of said Village then in effect MVL SIGN OWNER SING & PRINT C,1N6Y,c. (,rte I Hereby Certify that on this day personally appeared before me �'e Sept 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 1`1 UCid % 20 NOTARY PUB C STPEOF �Z LORIDA (Revised 05/2209 BE69L133 # uolssiwwo3 9LOZ'L JeW 981ldx3 •ww03 dW eplJold to alets - o!Ignd AivloN Z3t/9V13DNV saffiluuill r U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY .National Flood Grsuronce Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION F B No. 1660-0008 piration Date:July 31, 2015 FOR INSURANCE COMPANY USE Al. Building Owner's Name: CHELSEA K & SEAN S GORMAN 13-0916 A2. Buildin�Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and=BoxNo.=d Company MAIC Number. 372 N.E. 98 STREET City MIAMI SHORES State FL ZIP Code 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 3 and the E1/2 of Lot 4, Block 42, AN AMENDED PLAT OF MIAMI SHORES SECTION 1, P.B. 10, PG. 70, Miami -Dade County, Florida. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. N25°51'54.93" Long. W 80*11'23.86" Horizontal Datum:❑ NAD 1927®NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 8 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1501 Sq ft a) Square footage of attached garage 223 sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade 18 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 2496 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? []Yes ®No d) Engineered flood openings? ❑ Yes ®No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number T62. County Name 63. State Village of Miami Shores, 120652 Miami -Dade Florida B4. Map/Panel Number B5. Suffix B6. FIRM Index Date�Effectiive/Revised B8. Flood B9. Base Flood Elevation(s) (Zone Zones) AO, use base flood depth) 12086CO302 L 09-11-2009 X N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑Community Determined ❑Other/Source: Bl 1. Indicate elevation datum used for BFE in Item B9:0 NGVD 1929 ❑ NAVD 1988 ❑Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: N/A ❑CBRS ❑OPA cerrrnru c - rar m ninrr. PI FVOTInN INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: []Construction Drawings* []Building under Construction* ®Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. AR/A, ARAE, AR/A1-A30. AR/AH, AR/AO. Complete Items C2.a-h C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, Address: 2243 S.W. 153'" PATH City: MIAMI State FL ZIP Code 33185 below according to the building diagram specified in Item A7.In Puerto Rico only, enter meters. Telephone (786)443-0285 OR (305) 640-5588 Benchmark Utilized: N -603-R Elevation 8.05 Feet Vertical Datum:NGVD-1929 Indicate elevation datum used forthe elevations in items a) through h) below. ®NGVD 1929 ❑NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 10.16 ®feet ❑meters b) Top of the next higher floor 12.34 ®feet ❑feet ❑meters []meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ®feet ❑meters d) Attached garage (top of slab) 10.17 10.35 ®feet ❑meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) ®feet ❑meters f) Lowest adjacent (finished) grade next to building (LAG) 10.1 ®feet []meters g) Highest adjacent (finished) grade next to building (HAG) 10.3 ❑feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs, includingstructural support N/A SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. Licensed land surveyor? ® Yes ❑ No Certifiers Name: EUGENIA L. FORMOSO License Number. LS 6660 Title: PROFESSIONAL SURVEYOR AND MAPPER Company Name: FORMTECH LAND SURVEYING, INC Address: 2243 S.W. 153'" PATH City: MIAMI State FL ZIP Code 33185 Signature Date 09-25-2013 Telephone (786)443-0285 OR (305) 640-5588 LS # 6660 FEMA Form 086-0-33 (7/12) See reverse side for Continuation_ Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 372 N.E. 98"' STREET FOR INSURANCE COMPANY USE Policy Number. City MIAMI SHORES State FL ZIP Code 33138 I Company NAIC Number. SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments C2a)Top of bottom floor(Crawlspace): 10.16', Loundry F.F.: 10.26', C2b)Top of the next higher floor(Living Area):12.34' C2e) Lowest elevation of machinery: A/C pad elevation: 10.35' Crown of road elevation (NE 98 ST): 10.30' Crown of road elevation (Alley) 10.36' ground(Septic Tank Area): 10.20' Horizontal Collection Method used for Latitude and Longitude: GLOBAL POSITIONING SYSTEM (GPS) DEVICE. Signature Date 09-23-2013 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A. B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑feet❑ meters ❑above or❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑feet❑ meters ❑ above or[] below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑feet❑ meters❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑feet❑meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet❑meters ❑ above or[] below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments []Check here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A. B, C (or E), and V of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8-G10.In Puerto Rico only, enter meters. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4 -G10) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑feet ❑meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑feet []meters Datum G10. Community's design flood elevation: [-]feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ®Check here if attachments. FEMA Form 086-0-33 (7/12) T Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 372 N.E. 98" STREET City MIAMI SHORES State FL ZIP Code 33138 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View", and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. FRONT VIEW 09-25-2013 REAR VIEW 09-25-2013 LEFT SIDE VIEW 09-25-2013 RIGHT SIDE VIEW 09-25-2013 FEMA Form 086-0-33 (7/12) Replaces all previous editions. 4 ELEVATION CERTIFICATE, page 4 " Building Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section 1A.FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.Policy Number: 372 N.E. 98"' STREET City MIAMI SHORES State FLZIP Code 3Company NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. NF Sz, St 11 s �E- 96th St NE �f NE 95t11 t St NE 94tb 3 . 1a41..1 2" c` r= ; y NE 93rd St �-JF 91st St NF 91-A St �� r1 VICINITY MAP NOT TO SCALE FEMA Form 086-0-33 (7/12) Replaces all previous editions. M 1 SKETCH OF BOUNDARY SURVEY ............................................................... ... ........... ........... -- .. ................ ... ........ ...... .. ............................ ............ $3 f. ASPH:AL T PA VEMENT 75' (RlG'H7'=:OF'-�•:IA?AY (�Bi' PC;4:T) _.... _ _. .. ......... ...... _ ...._... ............. ..... .. w 19' PARKWAY 'CONCR€ TE " DRAEM4.Y << s� rm, ' S' CON S/D WAf,K 75.q�� (1 8�M� ;° a "� ' `, - > `9-03.5'(P&M) - BENCHMARK B BASES O: BEARINGS i/ 7 25.0' t' k9 CONCRETE BLOC( STRUCTURE g • ch O �� CONC o —X—X So ,,7SF 0 Z LL U— O �o NAD NAIL AND DISC 9op� FINISHED FLOOR ELEVATION A = �a LL HOLE MAANN IkOI a ON PL OUL OVERHEAD UTILITY LINES EL �. EX m ELECTRIC METER E.M H - ELECTRIC MAN HOLE ta ELECTRIC TRANSFORM � _ E ENCROACHMENT SIP a CONC. FIP FOUND IRON PIPE FIR - FOUND IRON ROD CUF CHAIN FENCE TV- TYPICALLWK WALK N a, FOUND C14 FIRE� HYDRANT (M) MEASURED q. POINT OF SEGIIING • GAIL GAS METER FN FOUND PC ItIT CURVATURE POOF PT TANGENCY PONT PRC POINT O: REVERSE CURVATURE 1HE EAST %2 OF LOT 4 PONT m a PLANTER Y•/ (25.00) WATM MEMETIER � WATER VALVE - OS 9.95' TT m TANGENT Ci. OR m CHORD BEARING 13.60' 1.45' IIRAXAGE AN 111MIDNa TEASiIEIMT MAINTENANCE EASEMEN LME - s:0 to 01E CANAL MAINTENANCE EASEMENT UE UTILITY EASEMENT RES RESIDENCE 14.50' CONC. x PLANTER PORCH I 9.95' b 15.40' x v. Iim N I in ONE STORY CBS ri C� o!f LOT LOT REWNDEROFLOT `"�I 5 40 RESIDENCE g 3n " 2 BLOCK I o j 42 o BLOCK 42 BLOCK 42 �¢o I> � �w � , . � £� 42.75' WELL _ CONC j' •4 o ' 1 I POR C [i x LL:' io a F LL �I CONC.[ �� x 6 U) laO7' 12.38' . L` o ,^ in s. r X21.0' b I TILE x o � L WALK LOT a 3 N o Lu .Q : BLOCK 42 `ra•- .��.4 `o��•. I x � 0.10' o . a �5' C.L.F. 240, F.I.P. — .. (NQ r fi ... 75,Qq �4A�1 ...... . . Q (moo I a.) .. 9.5'f ASPHAL r � . �. .. i5 A [ Y- ..... ---!ra BLOCK CORNER FIR 1/2' No I.D. i LEGEND !4 17 B.Y. - BENCHMARK B BASES O: BEARINGS r CATCH BASIN CBS - CONCRETE BLOC( STRUCTURE CHORD CENTER LINE ch O MCMAdENT LINE CONC o So ,,7SF 0 Z LL U— O �o NAD NAIL AND DISC F.F. ELEV.- FINISHED FLOOR ELEVATION A = CENTRAL ANGLE LL HOLE MAANN IkOI a M HOLE OUL OVERHEAD UTILITY LINES EL ELEVATION EX m ELECTRIC METER E.M H - ELECTRIC MAN HOLE ta ELECTRIC TRANSFORM � _ E ENCROACHMENT SIP a SET IRON PIPE FIP FOUND IRON PIPE FIR - FOUND IRON ROD CUF CHAIN FENCE TV- TYPICALLWK R RADIUS a, FOUND C14 FIRE� HYDRANT (M) MEASURED POB POINT OF SEGIIING • GAIL GAS METER FN FOUND PC ItIT CURVATURE POOF PT TANGENCY PONT PRC POINT O: REVERSE CURVATURE m � PONT m I COMMEN�TAiURE CUM. ROD Y•/ VAI - WATM MEMETIER � WATER VALVE - OS OFFSET TT m TANGENT Ci. OR m CHORD BEARING DMIE IIRAXAGE AN 111MIDNa TEASiIEIMT MAINTENANCE EASEMEN LME - LAxE MAINTENANCE EASEMENT 01E CANAL MAINTENANCE EASEMENT UE UTILITY EASEMENT RES RESIDENCE lio !4 17 Ib 0 N ^� 4 r 50 r s ch O LU N So ,,7SF LOCATION MAP NOT TO SCALE LEGAL DESCRIPTION: Lot 3 and the East %2 of Lot 4 in Block 42, of ' AN AMENDED PLAT OF MIAMI SHORES SECTION No. 1, according to the Plat thereof as recorded in Plot Book 10 at Page 70 of the Public Records of Mlami—Dade County, Florida. CERTIFIED TO: GOR "W) cH SL S E A L/, ono S7~Aij 5 CIiY F)RST A409a-GAGS 9E4ZVZCF-� L.L.C. GRAPHIC SCALE 0 10 20 40 (D1Fm) 1 inch m 20 it. PROPERTY ADDRESS: 372 N.E. 98th Street, Miami Shares, Fl 33138 SURVEYOR'S NOTES: 1) The above captioned Property was surveyed and described based on the above Legal Description: Provided by Client. 2) All bearings and distances shown hereon are recorded and measured unless otherwise shown. 3) The lands shown hereon were not abstractdd for easements or other recorded encumbrances not shown on the plat and the same, if any may not be shown on this section. 4) Foundations and/or footings that may cross beyond the boundary lines of the parcel herein deserfbed are not shown (underground). 5) Elevattons are based on the National Geodetic Vertical Datum 1929. 6) Fence ties are to be the center line of the fence. 7) Wall ties are to face of the wall. 8) Ownership subject to opinion of the Title. 9 Underground utilities are not depicted hereon. 10 Zoning and Setbacks are not verified by this survey. 11 This survey is to be used exclusively as aid to obtain Title Insurance. No other warranties are hereby extended. SURVEYOR'S CERTIFICATE: I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Surveyors and Mappers in Chapter 61G17-6 Florida Administrative Code, pursuant to section 472.027, Florida Statutes. And is true and correct to the best of my knowledge and belief. NOT VAUD UNLESS SEALED AND EMBOSSED WITH SURVEYOR'S SEAL Date of field *6 - 11/28/11 GARY B. CASTEL.` Registered Land Surveyor- -,No. 4129 State of Florida. Professional Land Surveyor 12016 S.W. 132nd Court Miami Florida 33186. TEL: 305) 253-9720 305) 253-6767 SHEET 1 OF 1 10 0 N ^� 4 r P r ch O LU N Cl) 0 Z LL U— O m O W o a Z O V O W C13 w w O O IL o w fly;, W Z LU Q m W z Q C C14 W W F— LNc� N � co N 6L W M � Z m o U LL LL = o SHEET 1 OF 1