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BPP-14-1796 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-246781 Permit Number: BPP-8-14-1796 Inspection Date: October 28, 2015 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Dacquisto, David Inspection Type: Survey Final Owner: BARCLAY GRAEBNER, RICHARD EFFS Work Classification: New Job Address:912 NE 95 Street Miami Shores, FL Phone Number (305)490-3299 Parcel Number 1132060010010 Project: <NONE> Contractor: CUSTOM POOLS Phone: (305)255-5315 Building Department Comments NEW SWIMMING POOL ONLY Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed U�f Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 October 28,2015 Page 1 of 1 PM T r' 1 MARTINEZ & MARTINEZ ENTERPRISES , INC . "— Business NC . iBusiness License # 7702 7179 W. 13 Avenue , Hialeah , Florida 33014 Email : pispsm@gmail .com Cel: 786-277-4851 Website : martinezandmartinez.com 5PP--9-14 - i` 39 Property Address: 912 NE. 95 STREET, MIAMI SHORES, FL. 33138 LEGAL DESCRIPTION: Lot 1, Block 8, of " SUBDIVISION MARILYN HEIGHTS " according to the plat thereof as recorded in Plat Book 41 at Page 8 of the Public Records of Miami-Dade , Florida. SURVEYOR'S NOTES: 1) The above captioned Property was surveyed and described based on the above Legal Description: Provided by Client. 2) This Certification is only for the lands as described. It isnot 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) Accuracy: The expected use of the land, as classified in the Standards of Practice , is "Residential High Risk". The minimum relative distance accuracy for this type of boundary survey is 1 foot in 10,000 feet. The accuracy obtained by measurement and calculation of a closed geometric figure was found to exceed this requirement. 5) Foundations and/or footings that may cross beyond the boundary lines of the parcel herein described are not shown hereon. 6) Not valid without the signature and the original raised seal of a Florida Licensed Surveyor and Mapper. Additions or deletions to survey maps or reports by other than the signing party or parties are prohibited without written consent of the signing party or parties. 7) Underground utilities are not depicted hereon, contact the appropriate authority prior to any design work or construction on the property herein described. 8) The surveyor does not determine fence and/or wall ownership 9) Ownershipsubject to OPINION OF TITLE. 10) Type of Survey: BOUNDARY SURVEY. 11) A complete list of abbreviations used in this survey are shown on the back of this sheet. 12) Survey# 15-198 13) This PLAN OF SURVEY has been prepared for the exclusive use of the entities named hereon. The Certificate does not extend to any unnamed party: A.) RICHARD EFFS B.) BARELAY GRAEBNER ...... ...... Field Date: 10-26-2015 •••••• •• For the firm; •••••• P ro Luis Martinez P.S.M. ' ' ••••• .... .. 00 0 o essional Surveyor & Mappef----- • 00000•• Stat of Florida Reg.No.5443 ;? �V E 10 1 0..:• • � �,�TE ; �••Page l of 2 .••••• DEPT I /d �� f .. j:a DEr s `;I 111.11-r T ri.YJIIH AI_L FEr)f RAL ! S;�P•!1)RFGI 11 ATInNS Legend of Survey / Abbreviations A Arc Length FIP Found Iron Pipe/Pin RNG Range AC Air Conditioner FL Fiowline RP Radius Point ADOM Addition FN Found Nail RR Railroad ALUM Aluminum FT Feet or Foot RD Road APPROX Approximate FE Flowage Easement R/W Right-of-Way ASPH Asphalt GAR Garage S South AVE Avenue GR Guard Rail SAN Sanitary BC Broward County GO Grade SCM Set Concrete Monument BL Base Line GND Ground SCN Screen BLDG Building GOVT Government SE Southeast BLK Block GPS Global Positioning System SEC Section BLVD Boulevard GW Guy Wire SEW Sewer BM Bench Mark HOR1Z Horizontal SIP Set Iron Pipe/Pln BNOY Boundary HP High Point SN Set Nall BOTT Bottom HT Height SP Screen Porch CME Canal Maintenance Easement HW Head Wali SPEC Specification C/Calc Calculated HWL High Water Line SO FT Square Foot CB Catch Basin IP Iron Pipe or SF ' CD Chord Distance IV invert SR State Road CHB Chord Bearing LME Lake Maintenance Easement ST Street C/B Concrete Block L Length STD Standard CCG Curb C Gutter LP Light Pole STA Station CL Center Line LT Left STM Stors CLF Chain Link Fence MINT Maintenance ST;WC Structure CM Concrete Monument WAS Masonry STY Story CMP Corrugated Metal Pipe MAX Maximum SUB Subdivision CO Cleanout Wi Man Hole SW Southwest COL Colunm M Field Measured SWK Sidewalk CONC Concrete MIN Minimum T Tangent CONST Construction NKR Marker TBW Temporary Bench Mark COORD Coordinate NN Mean TEL Telephone CDR Corner MON Monument TEMP Temporary COV Covered MSL Mean Sea Level TOB Top of Bank CR County Road N North TOP Top of PIP» CS Concrete Slab NCO Nail C Disk TR Tract/hail CT Court NAD 83 North American TRANS Transforser CULV Culvert Datum of 1983 TWP Township D Deed HE Northeast TYP Typical Be Deed Book NO Number UE Utility Easement DC Dade County N. Rad Not Radial UGI) Underground { DCR Dade County Record NTS Not to Scale USGS. US Geological Survey DEFL Deflect or Deflection NGVD National Geodetic UTIL Utilities DIA Diameter Vertical Datum UB Utilities Box DIST Distance NW Northwest V Vertical DR Drive NFIP National Flood VAR Varies DRA Drainage Retention Area Insurance Program VC Vertical Curve DE Drainage Easement OHC Overhead Cable VOL Volume DW6 Drawing ORB Official Record Book W West DWY Driveway p Plat WD Wood E East PAR parcel WM Mater Meter ENC Encroach PAT Patio NMN Water Main ELECT ElectricalpAy Pavement WT Water Table EL Elevation WV Water Valve ENOL Enclosure PB Pian Book SYMBOLS Y M B®L S ESMT Easement PC Point of Curvature J EDW Edgd of Mater PCP Permanent Control Point A Delta Angle EXIST W stigg PED Pedestal 00 Degrees 04;f. FdLMDOConcretp Moqument Pe PI Pagnt of Intersection 0' Minutes ••FND Found, : •„• PK parker Kalan Nall 0' Seconds �•FCMA Fedwat Emer�pgY, PL Property Line Feet When Used in Distance. ..... • Management AgsdCY. PLTR Planter inches When Used In Distance FIRM Vationel Flood... FOB Point of Beginning 10.0 Existing Elevation ••••• Poe Program xi0.0 Proposed Elevation ••ff• Finlosh Floor...... PP Power Pole •;•ffE NAI, 'Floor?Ztyatlon PAW Permanent Reference Monument Proposed Surface Flow FH File Hydran'C..... PROJ Project ® Set Iron Pipe or , ,,,, : . ; R Record by Plat/Deed Pin with Cap •5443, •••••• RAD Radial/Radius unless otherwise shown : '••: REF Reference t/- More or Less • 0 0 a 0 •• RES Rosldence Distance Not Supported RET Retention/Retaining by Field Measurement SKETCH OF SURVEY SCALE: 1 25' N. E. 9 5 S _T R E E T (80' TOTAL R/W. PER THIS PLAT) 20' PAVEMENT L=39.63' R=25.00' 26.5' PARKWAY A=-90'49'53" Tan=25.37 I 5' CONC. SIDEWALK ' IP. 1/2" NO.ID METAL FENCE ON CONC WALL p, FIP. 1/2" �9 NO.ID I W o1 CD 227' �'� v N GSD z I 6/70 0 24.28' 0 4.10'?�0 -- -� 4. 31.10' Y N 2—STORY 16.80' Q .55' RESIDENCE LOT-1 TT ¢ #912 VJ I ON 8.75' N LO N27.70' N 31.10' 22.73' 19.75' I 5.25` CONC. 27.70' a o 20.25 z CONC. 6 CD DRIVEWAY POOL rn 2.27' I—- �o� cN 9p, 20.30' may, 0 7.55' 5.26' 1.49' 5�, CONC. N --STORAGE ��— — — _ — �12 0� �••• 0:70 •.•••• is FIP. 1/2" g 127.70 • • ,••• -FIP. 1�2.• • Com' NO.ID R •••• ••f ••• • • NO.ID • • LOT-2 •••• •' be ' • • • • • •f••• •• • ••• • i• • THIS S VEY MAP OR THE COPIES THEREOF ARE LEGEND o� NOT ALID THOUT THE SIGNATURE +o.=Existing Elevations =Light Pole AND THE 0 IGINAL RAISED SEAL OF —a+—Overhead Wire Une ®=Water Meter F.DH. =Found Drill Hole A F ORID LICENSED SURVEYOR & MAPPER. —//—Wood Fence Basin F.N&D. =Found Nail &Disc. —X—.Chainlink Fence 10.E=Power Pole FIR. =Found Iron Rebar Sheet 2 Of 2 P'' .-L)TT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CPC056434 rr The RESIDENTIAL POOUSPA CONTRACTOR Named below IS CERTIFIED `` r ��a� Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 PIEKLO, JOHN MICHAEL CUSTOM POOLS - 13250 SW 131 ST ST#100 MIAMI FL 33186 ■ ISSUED: 06/29/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1406290001686 001661 Local Business Tax Receipt Miami-Dade County, State of Florida —THIS IS NOT A BILL — DO NOT PAY [LBT 2962844 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES CUSTOM POOLS RENEWAL SEPTEMBER 30, 2016 13250 SW 131 ST 100 3097649 Must be displayed at place of business MIAMI FL 33186 Pursuant to County Code Chapter BA—Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED CERTIFIED GLINITE COMPANY 196 SPECIALTY BUILDING CONTRACTOR BY TAX COLLECTOR Worker(s) 6 CPCO56434 $75.00 07/08/2015 CHECK21-15-082599 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, permit or a certification of the holders qualifications,to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles—Miami—Dade Code Sec ea-276. For more information,visit www miamidade aoyRexcollector CUST027 OP ID:JK CERTIFICATE OF LIABILITY INSURANCE F03106°�°12o 6" 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 policy(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 endorseme s. PRODUCER NAME: David R.Griffiths Insurance By Ken Brown,Inc. PHONE FAx PO Box 948117 N 321-397-3870 Nc 321-397-31011 Maitland,FL 32794-8117 E-MAIL ss: David R.Griffiths INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Amerisure Ins Company 19488 INSURED Custom Pools msuRERa:Amerisure Mutual Ins.Co 23396 Certified Gunite Company dba INSURER 0. 13250 S.W.131 st Street#100 Miami,FL 33186 INSURER 0: INSURER E: INSURER F 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. INSR AM S LTR TYPE OF INSURANCEIA61LiTY POLICY NU@ABERINSD VDI WUN POLICY EFF MPOLIC EXP LIMITS B X COMMERCIAL GENERAL LEACH OCCURRENCE $ 300,0 OCQ CLAIMS-MADE ®OCCUR GL20193381002 04/01/2015 0410112016 E ° ES P occurrence $ 1�. .Mt ■ MED EXP(Arty one ) $ 5, PERSONAL&ADV INJURY $ 300,00 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 600,0 X POLICY❑JELOC PRODUCTS-COMPlOP AGG $ 600 OTHER $ AUTOMOBILE LIABILITY COMBINWant) SINGLE LIMIT $ Ea acrM) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Peracradent) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS per $ $ UE98RELLA LL48 OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY X STATUTEER A ANY PROPRIETORIPARTNER/EXECUTNE YIN WC201933710 04101/2015 0410112016 E.L.EACHACCIDENT S 1001 OFFICERIMEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 100, If yes,describe under DESCRIPTION OF OPERATIONS below E.L_DISEASE-POLICY LIMIT $ 600,0 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Addillonal Remarks Schedule,may be attached K more epee*Is required) Swimming Pool contractor CPC 056434 fax 305-756-8972 CERTIFICATE HOLDER CANCELLATION MIAMISH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 ACCORDANCE WITH THE POLICY PROVISIONS. 10050 N.E.2nd Avenue Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Permit AfO. OPO4-14'' 7 6, Miami Shores Village frXfif TypB i{�511rttf> t3t'�U 10050 N.E.2nd Avenue NE ... � Ih+'t� Ctassl�ictir�:New Miami Shores,FL 33138-0000 Pe *"Its Mtys:APPROVED Phone: (305)795-2204 Expiration: 11/ 12015 tssu C3ate'$1'2/2015 Project Address Parcel Number Applicant 912 NE 95 Street 1132060010010 RICHARD EFFS BARCLAY GRAI Miami Shores, FL Block: Lot: Owner Information Address Phone Cell RICHARD EFFS BARCLAY GRAEBNER 912 NE 95 Street (305)490-3299 MIAMI SHORES FL 3338- 912 NE 95 Street MIAMI SHORES FL 3338- Contractor(s) Phone Cell Phone Valuation: $ 22,000.00 CUSTOM POOLS (305)255-5315 (305)218-3861 Total Sq Feet: 336 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Fence Date Denied: Final Type of Work:Swimming Pool Occupancy: Pool Deck Additional Info:NEW SWIMMING POOL ONLY Bond Return: Wall Steel Classification:Residential Scanning:4 Review Electrical Review Plumbing Review Structural Review Planning Review Building Review Mechanical Review Mechanical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# BPP-8-14-52654 CCF $13.20 08/18/2014 Credit Card $50.00 $ 1,387.00 CO/CC Fee $50.00 DBPR Fee $9.90 06/02/2015 Credit Card $ 1,387.00 $0.00 DCA Fee $9.90 Bond#:2735 Education Surcharge $4.40 Permit Fee $660.00 Plan Review Fee(Engineer) $160.00 Scanning Fee $12.00 Technology Fee $17.60 Total: $1,437.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurale and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above n- ed ntr or tQ the work stated. June 02, 2015 Authorized Signature:Owner / Applicantontract r / gent Date Building Department Copy June 02,2015 1 Miami Shores Village Building Department gjj ° �01 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 BY INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 L1� BUILDING Permit No. PERMIT APPLICATION Master Permit No. N 9 Permit Type: BUILDING ROOFING JOB ADDRESS: `�i-?% N E g t5 5T City: Miami Shores County: Miami Dade Folio/Parcel#: 1 - _o O - CO\C2 Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): •FiARL LN1 9;K l.C$ Phone#: Address: 91 L16- -.5.1 City: AA I A-M 1 50 cra e-'s State: VL- Zip: TenandLessee Name: Phone#: Email: CONTRACTOR:Company Name: 5rr01,k A o O L S Phone#:3C6 Address: 1 3_,_A 5 V 5Lt 1 -31 'Si 4 ,a C' City: 81 R A I i State: Qualifier Name: t S e s 6i iy\ Pkek\o Phone#:, ;-i J_S5ems'' ;�15 State Certification or Registration#: e pe- e�,1 Ica,q 3q- Certificate of Competency#: c29 •__ii VV'' V Contact Phone#:d3 0 5 e�1$ � L I Email Address: ( 1.1 e'aei D t �_`�0 ,h to j 1`as�aA ' 11 DESIGNER:Architect/Engineer: Ii i c m t e_ rl'wy c Phone#:,:?o�z 30F, c� Value of Work for this Permit:$ _J,� Square(Linear Footage of Work: 334 Type of Work: ❑Addition DAlteration WNew ORepair/Replace ❑Demolition Description of Work: W e A) '—)LU i VY)1-n 111 p 'Q Le 0 rQ L. Color thru tile: Submittal Fee$ ZQ V ` Permit Fee$ CCF$ 1 ® CO/CC$ Scanning Fee$ 12 00 Radon Fee$ DBPR$ Bond$ �V3- 00 Notary$ Trainin /Education Fee$ 44, '4 Q Technology Fee$ 1 •�� Double Fee$ Structural Review$ G(� ' M TOTAL FEE NOW DUE$ 3 sA • Bonding Company's Name(if applicable) Bonding Company's Address City State zip Mortgage Lender's Name(if applicable) 610 Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a 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 bsen of such posted notice, the inspection will not b pproved and einspectio fee will be charged. Sign % Signature rl ". Owner or Ageni Contractor The foregoing instrument was acknowledged before me this 22 The foregoinstrument was acknowledged before me this V� day of �JU,&V 20L�6,by 4 L&V Ef— , day of ti'5 ,20/�(,by .lahw A4 P,,el 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. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sid ` Sigq�® ' ,cam Print: L /✓ MARILYN SCHWITZER1" Print: c. WitMY COMMISSION#EE 1 My Commission Expires: /�f a: EXPIRES:January 10,2016 My Commission Expires 29586 Bonded Thr,Notary Public Undervrdters EXPIRES:January 10,2016 '— •4t,' Bonded Thru Notary Puti icl UrMet.4,,. sk�ae&isR��82sAss��ds��sA��F�dsEaatsR��a� �sia8a�>'s �f*6c��.:ash:i�:R�s�R4s�ass��A�aF��k�sa�nA�Ass�E�Aa��'+�aat�s��ak��sBnRLB£eta�Ea4a��'a ��ta:�aasa,is�sh�,s3�sk,A��h 7 L� APPROVED BY //// Plans Examiner g 1� 1 Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/M) Miami shores Village •no anew Building Department 10050 N.E.2nd Avenue ,r Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWI NG POOL,SPA ARID HOT TUB SAFM ACT I (We) adl<nowledge that a new swimming pool, sin or hot tub will be constructed or Installed at qla NL— q'1 -77 Mlami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requimillOnts of Chapter 515, Florida Statues and the Florida Building Code 114101.17. Please Initial the method(s)to be used: The pool will be equipped with an approved safety pool cover that comp ries with ASTM F1346-91.(Submit Manufacturer's Specifications). A continuous,one-piece(child)barrier meeting the requirements of Florida Building Code 84101.17.1.15 WH 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 fends(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). e/ 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 ••••• latchingAocidng installed a min.54'above the threshold.If this option is selected,submitplaug showing dir 0 types and location of all perimeter protection.The plans must also show the location and He 01811 .".'• �• . .. .. . ...... openings,and the hardware type for each location. (Submit Manufacturer's 8pecifrcafion� :• ...... In accordance with the Code,the pool may not be filled with water without compll MAWth the•••:• ' Peivate Swimming Pool Safety Requiremients.and upon expiration of the permit,th shall Lp •• ••• presumed to be unsafe.I understand that not having one of the above Installed wPLegq*tute ts•,•,• ,,,,,. violation of Chapter 54WIRE d will be considered as committing a misdemeaao�otthe second .' degree, nishable aSection 775.082 or Section 775.083 F.S.This f&m rbutt be slQned ••••:• . .... by edagent ar. ` • • /� CO CTOR'S SIGA *60NERR'S SIGNATURE AND T ONTRACTOR'S NAME(P SE PRINT) ER'SE(PLEAS P T) d 0 ARY PU IC : " � , YNsccrruvvrrz�R NOT � Mn YNR *: a CQMMISSION#EE 129586 :`�i ;*= MY COMMISSION#EE 129586 a� EXPIRES:January 1o,2016 ' EXPIRES:January 10,2016 ded Thru NPublic UiMenvriters •••' ry Bonded Tlw Notary Public Underw k. Bonotary .,..�"��•• M Ss ialTl6shores 'a 'N illage sell UM Building Department 10050 id.E.2nd Avenue Miami Shores, Florida 33138 Tel: (385) 795.2204 Fax: (305)756.8972 SWNIAIHQ POOL NEWS CERTIFICATION Date —44LY-- Miami Shores Village Building&Zoning Department Attention: Building Official legal owner of the property described as ��i ��' '�`� lkyj k ! certify that! am the eg P P Ct k2 Ilv� � ` ��' , located at i e 3 3�3; 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 safe. . . 0000.. 0000.... 0 0 0 00 0 0. 0 . barrier, and such barrier erected, inspected and approved. Soso** . 0000.... 0000.... 000000 . . . 0000.... i further understand that this certification, however, does not eliminate 160"need Jr• • ..... 0000... . . obtaining a permit and erecting and approved barrier prior to final inspection. use 61 the• .00.0 064 0 000.00 mol. 0000.. :0000: Legal ' 04 0000.. Note:This certification Is to be submitted with a swimming pool permit application in duplicate. AU.S.DARTMENTOFHOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION iFOR INShiRANCE COMPANY!USE I Al. Building Owner's Name RICHARD EFFS AND BARCLAY GRAEBNER Policyftrnber: A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC'Number 912 NE 95 STREET City MIAMI SHORES State FL ZIP Code 33138 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 1 MARILYN HEIGHTS P.B.41 PG.8' A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.25°51'45"N Long.80"10'45"W Horizontal Datum: ❑ NAD 1927 0 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT 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) 2400 sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the atta&.ed garage or enclosure(s)within 1.0 foot above adjacent grade 16 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 2490 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 0 No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State VILLAGE OF MIAMI SHORES 120652 MIAMI-DADE FLORIDA B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM PanelB8.Flood B9.Base Flood Elevation(s)(Zone 12086C/0306 L 9-11-2009 Effective/Revised Date Zone(s) A0,use base flood depth) 9-11-2009 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: B11. Indicate elevation datum used for BFE in Item B9: ® 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 SECTION C-BUILDING ELEVATION 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. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only,enter meters. Benchmark Utilized:B-62 Vertical Datum: N.G.V.D.1929 Indicate elevation datum used for the elevations in items a)through h)below. 10 NGVD 1929 ❑NAVD 1988 ❑Other/Source:�.0• Datum used for building elevations must be the same as that used for the BFE. • • Chec4 the.RivasuremSr3't'L$ed. 0.0•: a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 13.05 K feel ❑+m• •gteis+ 9060• • •• •• b)Top of the next higher floor 13.60 K:0ej ❑metgrs 0 • c) Bottom of the lowest horizontal structural member(V Zones only) N/A. Q leget ❑0metep :006•; d)Attached garage(top of slab) N/A. •Q WT p"Mfto 06:90 e)Lowest elevation of machinery or equipment servicing the building 15.82 0 KM ❑rg-.te;s 60690 (Describe type of equipment and location in Comments) • • • • • •• •• •• • 999900 f) Lowest adjacent(finished)grade next to building(LAG) 12.90 (e0el ❑metgrs 0• g) Highest adjacent(finished)grade next to building(HAG) 13.05 0 fee: ❑0metep 0000;0 h)Lowest adjacent grade at lowest elevation of deck or stairs,including structural support N/A. •❑feet ❑ tJLCIS9 0 0 . • ••999• SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION 0 • This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation 0 information.f certify that the information on this Certificate represents my best efforts to interpret the data available. 1 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 - i Certifier's Name MIGUEL ESPINOSA , License Number 5101 t /� O Title P.S.M. Company Name MIGUEL ESPINOSA LAND SURVEYING,INC Address 1065 .ST.Sl�aE -111 City CUTLER BAY State FL ZIP Code 33157 1 -__ Sign re f'` i� ��! � :� Date 1-24-2014 Telephone 305-262-2992 ,'FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY LIST. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number. 912 NE 95TH STREET City MIAMI SHORES State FL ZIP Code 33138 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 LATITUDE/LONGITUDE PER GOOGLE EARTH ATTACHMENTS=BUILDING PICTURES C2e=A/C UNIT C2a=ELEVATION OF CRAWL SPACE,C2b=ELEVATION OF LOWEST FINISHED FLOOR=13.60,MAIN LIVING AREA FLOOR ELEVATION=16.09 HIGHEST CROWN OF:ROAD ELEVATION=10.58 Signature i. ! Date 1-24-2014 'SECTION E-BVLDING ELFT AnON INFORMATION (SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) a 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 whovauthorized by law or ordinance to administer the community s floodplain management ordinance can complete Sections A,B,C(or E),and G of this Nevation CertifiMe.complete 6 apppicable item(s)and sign below.Check the measurement used in Items G8-G10.In Puerto Rico only,enter meters. G1. Top infomf;8i ;v-Section q��Jaken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who - is authorized by law to cerrtif��l eve tion information. (Indicate the source and date of the elevation data in the Comments area below.) G2.(�]'0 09- mmunity officol complpt�Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. --0--- G3.❑.11141*following inforsmation TI&wwA4-G10)is provided for community floodplain management purposes. G4 enin t1 umber 111-0 .-- Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued 00 1 G7. .1%% gmit has(leen issued fc(p: - C3 New Construction ❑Substantial Improvement G8. .Elevation of asVuVlowest floor includin basement of the building: feet 0 01010 1{0 - g ) g: ❑ ❑meters Datum G9. 'BFE orlin Zone AOS depth of Rood"at the building site: ❑feet ❑meters Datum G10.Community's desiarl Ac3od 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) Replaces all previous editions. 1 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: 912 NE 95TH 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 1-24-2014 REAR VIEW 1-24-2014 0000 . . 0000 0000.. 0000.. 08 • .. 000000 0000 0000.. 0000 0 0000• 0080 : 80 800 e Gooses 0o . 00000 e G e o --- - - _ 00000: e- •• 0- e G e 000.. Gooses 000•.0 _ [fir. __ _ .✓ 1, Gni FEMA Form 086-0-33(7/12) Replaces all previous editions. B 4 rdered BY: f TalwB n m K MM 4 3 We need to take ti�P l�f 0�N69NU Sl _ z nd_►wlYsnaet'r eHosm every,C pportu ni ty WWI 00(MdiaSt T M''� possible toil ark our {hNoa`a+Y c s SMIn NE. h 51�„ - �� for their support... ' ryF4Atn� "AfB1Y�BCtk�A� f �,wt OAq°� ¢ f149fv 1 1RM 81 ,I M9ln lel.a ■ ha i da k Y u'l l Im�Iwn. 2° _ _ N. E. 95th STREET °h 20' ASPHALT PAVEMENT I 26.5' PARKWA Y q v ac. F.f.P.11r-1/$4 :.P,112 t 27 . z6;.C'OAIC Wi(L/f METAL PE11G� aN . 1 F.I.P.f 2 R92.27' O I $ 4.1 1F� "� 4.10' 24.28' 5.3,5 24.15 c `3 S7 N M N as 16.80 F TWO STORY .p Q O 1'55' RESIDENCE L.F'�- 13.l�0 0 q ` H. L.: 1l0.09 ro M �n ,, 912 I~F w N q .� H �1.=15.82 M "f w ` N 0 6.25' 5.60' 22.73' `D $ 20.25 I ad ar tab .... I ♦ N a ��••� 0000•• 0000•• 1.47• 0.:000 2 �• ' :.0.0.9.0:6a0 Z : ' 22.50 8 12 7.70 P M --0")WT •..0.• ••:••• 4 � N h •• •• a �• • 0000•• • ala • 0000:• • • (� 0000 '=25' I :00696 .. .... Accepted By. Property Address: 912 N.E. 95 STREET NOTES: FENCES ENCROACH OVER SOUTH LOT LINE. MIAMI SHORES, FL 33138 SURVEYOR'S CERTIFICATION:1 Y THAT THIS'BOUNDARY SURVEY'IS A TRUE AND CORRECT REPRESENTATION OF A SU REPARED R MY DIRECTION.THIS COMPLIES WITH THE MINIMUM M.E. Land Services, Inc. TECHNICAL STANDARDS, ET FORTH BY THE TE OF FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAf'TE -17.F ICfA,>q{ IINIST ,TIVE CODE PURSUANT TO 472.027,FLORIDA STATUTES. 10665 SW 190TH STREET ` SUITE 3110 SIGNED FOR THE FIRM MIAMI, FL 33157 MIGUEL S A STATE 0! s PHONE: (305)740-3319 CT�TF nF F a FI C-1 O. Z4 P.S.M.No.5101 FAX: (305)669-3190 NOT VAL10 WITHGRT AN ,iR:ELECTPCjy NATURE AND AUTHENTICATED ELECTRONIC SEAL AND/OR LB#:6463 THIS MAP IS NOT VALID WIT }I�jJA� AND THE ORIGINAL RAISED SEAL OF A LICENSED SURVEYOR ANI Survey:A-47199 Client File#: 5— 107 2® Page 1 of 2 Not valid without ail pages. 4 - Surveyor's Legend PROPERTY LINE STRUCTURE TWO FOUND IRON PIPE R.R. BEARING REFERENCE TEL. TELEPHONE FACILITIES / ® GONG. BLOCK WALL PIN AS NOTED ON PLAT L CENTRAL ANGLE OR DELTA U.P. UTILITY POLE —X—X— CHAIN-LINK FENCE OR WIRE FENCE LB# LICENSE # - BUSINESS R RADIUS OR RADIAL E.U.B. ELECTRIC UTILITY BOX --:H/— WOOD FENCE LS# LICENSE # - SURVEYOR RAD. RADIAL TIE SEP. SEPTIC TANK 0 o IRON FENCE CALC CALCULATED POINT N.R. NON RADIAL D.F. DRAINFIELD ———-- EASEMENT SET SET PIN TYP, TYPICAL A/C AIR CONDITIONER —-— CENTER LINE , CONTROL POINT I.R. IRON ROD S/W SIDEWALK ® WOOD DECK CONCRETE MONUMENT I.P. IRON PIPE DWY DRIVEWAY BENCHMARK N&D NAIL& DISK SCR. SCREEN �.��. CONCRETE ELEV ELEVATION PK NAIL PARKER-KALON NAIL GAR GARAGE ® ASPHALT P.T. POINT OF TANGENCY D.H. DRILL HOLE ENCL. ENCLOSURE P.C. POINT OF CURVATURE WELL N.T.S. NOT TO SCALE BRICK / TILE P.R.M. PERMANENT REFERENCE MONUMENT ® FIRE HYDRANT F.F. FINNISHED FLOOR WATER P.C.C. POINT OF COMPOUND CURVATURE ® M.H. MANHOLE T.O.B. TOP OF BANK P.R.C. POINT OF REVERSE CURVATURE O.H.L. OVERHEAD LINES E.O.W. EDGE OF WATER /�— APPROXIMATE EDGE OF WATER P.O.B. POINT OF BEGINNING TX TRANSFORMER E,O,P EDGE OF PAVEMENT COVERED AREA P.O.C. POINT OF COMMENCEMENT CAN CABLE TV RISER C.V.G. CONCRETE VALLEY GUTTER P.C.P. PERMANENT CONTROL POINT W.M. WATER METER B.S.L BUILDING SETBACK LINE Q TREE M FIELD MEASURED P/E POOL EQUIPMENTS.T.L. SURVEY TIE LINE POWER POLE P PLATTED MEASUREMENT CONC. CONCRETE SLAB CENTER LINE ® CATCH BASIN D DEED ESMT EASEMENT R/W RIGHT-OF-WAY C.U.E. COUNTY UTILITY EASEMENT C CALCULATED D.E. DRAINAGE EASEMENTP.U.E. PUBLIC UTILITY EASEMENT I.E./E.E. INGRESS / EGRESS EASEMENT L.M.E. LAKE OR LANDSCAPE MAINT. ESMT. L.G.E. LANDSCAPE BUFFER EASEMENTC.M.E. CANAL MAINTENANCE EASEMENT rFd UTILITY EASEMENT R.O.E. ROOF OVERHANG EASEMENT L.A.E. LIMITED ACCESS EASEMENT A.E. ANCHOR EASEMENT Address: General Notes: 1. The Legal Description used to perform this survey was supplied by others. 95 STREET This survey does not determine or is not to imply ownership. HORES FL 33138 2• This survey only shows above ground improvements. Underground utilities,footings,or encroachments are not located on this survey map. 3. If there is a septic tank,well,or drain field on this survey,the location of formation' such items was shown to us by others and the information was not verified. 4. Examination of the abstract of title will have to be made to determine recorded instruments, if any,effect this property. The lands shown herein war ity Number: 120652 not abstracted for easement or other recorded encumbrances not shown on mber: 1208600306 the plat. 5. Wall ties are done to the face of the wall. L 6. Fence ownership is not determined. irm Index: 9/11/2009 7. Bearings referenced to line noted B.R. 8. Dimensions shown are platted and measured unless otherwise shown. Flood Zone: X 9. No identification found on property corners unless noted. 10. Not valid unless sealed with the signing surveyors embossed seal. Base Flood Elevation: N/A 11. Boundary survey means a drawing and/or graphic representation of the Date of Field Work: 3/21/2014 survey work performed in the field,could be drawn at a shown scale and/or not to scale. Date of Completion: 3/24/2014 12. Elevations if shown are based upon NGVD 1929 unless otherwise noted. 13. This is a BOUNDARY SURVEY unless otherwise noted. / 14. This survey is exclusive for the use of the parties to whom it is certified. [�PAGE The certifications do not extend to any unnamed parties. Legal Description: LOT 1, OF SUBDIVISION MARILYN HEIGHTS, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 41, 8, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA 0.00 • • • 0000•• • 0000•• 0000•• • . • 0000 0000•• •0000 0 000000 • • Certified o: D BAR66AY GR A66NER; SE,I.P;..• PRINTING INSTRUCTIONS: ALLIANT NATIONAL TITLE INSURANEf!0dMPAIL-Yoii'•' ...... While viewing the survey in any Acrobat Reader, Its'successors and/or assigns as their io"I may appear. 0 • select the File Drop-down and select"Print" 0 •00. "•°•• • Select a color printer, if available, or at least one with ..• 0.00 :..... 8.5" x 14" paper. • Select ALL for Print Range, and the#of copies you would like to print out. Please Copy below lor Policy Preparation Purposes only: Under the"Page Scaling" please make sure you have This policy does not insure against loss or damage by reason of the following exceptions: selected"None." Any rights,easements,interests or claims which may exist by reason of,or reflected by,the „ following facts shown on the survey prepared by MI PING A dated Do not check the AutoRotate and Center button. 03/2412014 bearing Job# A-47199 : Check the"Choose Paper size by PDF"checkbox. a)FENCES ENCROACH OVER SOUTH LOT LINE. Click OK to Print. b) G) M.E. Land Services, Inc. 10665 SW 190TH Street, Suite 3110 MIAMI, FL 33157 — PHONE:(305) 740-3319 FAX#:(305) 669-3190 LB#6463 ,V WWW.MELANDSERVICES.COM Survey:A-47199 Client File#: 5—/0-7?U Page 2 of 2 Not valid without all pages.