MC-15-1089 (2) Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-250083 PermitNumber: MC-5-15-1089
Scheduled Inspection Date: December 30, 2015 Permit Type: Mechanical - Residential
Inspector: Perez,JanPierre Inspection Type: Final
Owner: Kovac,Giselle Work Classification: Pool Heater
Job Address:290 NE 98 Street
Miami Shores, FL 33138- Phone Number 828 230-5395
Parcel Number 1132060134150
Project: <NONE>
Contractor: HAVANA AIR CONDITIONING, INC Phone: (305)558-9136
Building Department Comments
ELECTRICAL POOL HEATER Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-234241. need to secure heater
an to slab
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
December 29,2015 For Inspections please call: (305)762-4949 Page 25 of 34
it
Miami Shores Village cam,
Building Department MAY 0 7 2015
10050 N.E.2nd Avenue,Miami Shores,Florida 331.38 BY:
Tel:(305)795.2204 Fax:(305)756.8972
;4 L
INSPECTION'S S PHONE NUMBER: (30x'7 762.4949
BUILDING Fsc 2ocC�
PERMIT APPLICATION Permit No. P 15-(d 86
oN Master Permit No. M� Q -(
Permit Type:MECHANICAL
JOB ADDRESS: q ., c,}
City: MiAMLDor
qs County: Miami Dade
Folio/Parcel#: I 1 32(__ alp: 3
Is the Building Historically Designated:Yes NO
Flood Zone:
OWNER:Name(Fee Simple Titleholder):
Address: 0 t Phone#:
City:_ I ts,.�' ��
State:— C
Tenant/I,essee Name: tj
Phone
Email:
#:
CONTRACTOR:Company Name:��f►y�aa�b �����1��®'iseat r,as e phone#:� '�" -� '-��
Address:
City:_ State: Zip. �-
Qualifier Name: � e Phone# � ®
State Certification or Registration ifG[3�
_#:.. Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: d Phonek -1
Value of Work for this Permit:$ oc. C Square/Linear Foo
-�- lege of Work:
Type of Work: DAddress OAlteration ONew ORe air/Re lace.
P P ODemolition
Description of Work:
A
Submittal Fee$ Permit Fee$ CF$ CO/CC$
Scanning Fee$ Radon Fee
DBPR$ Bon
d
Notary$ Training/Educadon Fee$ _Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ j .
Bonding Company's Name(if applicable)
Bonding Company's Address— AA
City State
Zip
Mortg8ge Lender's Name(if applicable)
Mortgage Lender's Address
a
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 CE OF COMMENCEMENT."
T.
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in goad faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be pasted at the job site
for the forst inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved d a reinspection fee will be charged.
1 � f
Signatu e % / Signature
gent Contractor
The foregoing instrument was acknowledged before me this 1'& The foregoing instrument was acknowledged before me this 1
day of ,20L�5 ,by Cz�t1sjg�1QA'.' , da of Plaec t-o ,20
Y 1'-j by �'9a.anQ�, (I ,
who is rsonally known me or who has produced who isrsonally k�w�me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
nuy,,G
Sign: a MARTINEZ Sign. / /„ •,,, /
Print: ;e 2 t7 zz
Print: G s
My Commission Expires: 4
My Commission xplres:
APPROVED BY � 0as Examiner Zoning
Structural Review Clerk
Revised 3/12/2012XRevised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
r
Miami Shores Village P-ECEIVRD
Building Department MAY 0 7 2015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972 Y:
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20 �O
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
Permit Type: BUILDING ROOFING
JOB ADDRESS: CIC) NJE qS S+•
City: Miami Shores County: Miami Dade Zip: 13�,
Folio/Parcel#: t 1 °3 p
Is the Building Historically Designated:Yes NOFlood Zone:
OWNER:Name(Fee Simple Titleholder):—(2-31 b-5e_10ej� �Vck Phone#:
Address: 2_P0 k'4 F
City: W i a"l State: F L Zip.
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Phone#: ��c, �;ci `l�1®t"�
Address:— 1��}� Q� �( S t U& 54 )
City:_ I 2 j State: p
Zi
Qualifier Name: Phone#: ��lCiC3
State Certification or Registration#: C'P f IS(e$ 01 Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: E ray 1 eta (Of one#• '146(D"-)1f�) r] ,�;6
Value of Work for this Permit:$,_ y 0Square/Linear Footage of Work: Po®1",) iLA SGS f—I 1�-FA' '
Type of Work: ❑Addition UAlterationOO
New Repair/Replace ODemolition
Description of Work: ���. yC — S
Color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$ L:),() A
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Educadon Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
II
0/ ) 14 06
r
Bonding 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
0
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 absence of such posted notice, the
inspection will not be approved reinspection fee will be charged
i i� /
S gnatur Signature
owder ofAgent Contractor
The foregoing instrument was acknowledged before me this 19S The foregoing instrument was acknowledged before me thisl S
day of L''(C�N 20 9, ,by kaF-j-11C__ YAW-c day of �®�c�,20 }!,by �+i�-t—►,�A �S awe,�c�
who is sonally known tom or who has produced who' ersonally known 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:
.•',�f� a nr1¢ ` ,�r'� cos A w¢¢
Sign: -X11
ign: :�- 008989 Sign: 9
rN
Print: B Print: ,
e
My Commission Expires: My Commission Expires:
x� �+x� ;��
APPROVED BY '1 ' Plans-Examiner _ � ening
�S Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
�lfllll loll lff l llflf lllf1111111 Hill 1111111111
. 1
CFN 201OR0779106
OR Ek 27492 Pis 4762 - 4763; (2pas)
REC"ORDE0 11!1712010 09:32=17
This Dattttttant Prepared By and Return to: MD DOC TAX 3p7.70.00
RICHARD A. GOLDEN, P.A. HARVEY Iti'NIbir CLERK OF CMT
ZRAMER AND GOLDEN P.A. CfIAt1I-RADE COUNTY; FLORIDA
1175 NE 125TH STET SUITE 512
NORTH MIAMI FLORIDA 33281
RTSC FILE Nei. 141-100
Pareef 1n Rttmher. 11-3206-013-4150
Warranty Deed
This Indenture, Made this 3rd tray of November , 2010 A.M. :Between
Jeffrey Burnside and Elaine Burnside, his wife
of the County of 141 -DADE state of Florida p grantors, and
Giselte L. Kovac Trustee of the Giselle L. Kovac Revocable Trust
Agreement dated May 19, 1998,
with the full power and authority to protect, conserve and to sell,
or lease or to encumber or otherwise massage and dispose of the real
property described herein.
whose address is: 290 NE 98 Street, Miami. Shores, FL 33138
of the Gauwy of Miaml-Dade p State of Florida p grantee.
W itneSseth that the GRMTORS.for and in consideration of the smm of
------------------------TEN DOLLARS ($10)----------------------- rx)LI ARS,
and Other goad and valuable consideration to G%4,WOR3 in hand paid by GRANTFF, the receipt whereof is hereby acknowk*cd,have
gramed,bargained and sold to the said GRAN-ME and GRAMMES hens.successor,and cusigm forever,the fotlotrdng described land,situate.
ly ins and being in the County of Miami-Dade state of Florida lowd,
Lots 1 and 2, Block 31, Ars Amended Plat of Miami Shores Section No.
1, according to the snap or plat thereof, as recorded in Plat Book 10,
(Continued on Attached)
and the grantors do hereby fully warrant this title to said land, and will defend the same against lawful claims of all pfrsnns vdimnsoc,."
In Witness Whereof,dm grantors have hereunto set thein hand juw%as the day and year fu-.,tn.
above writte
Signed d delivered in our preseAce.
(seal)
Pr` N ey B reside
r
P.Q Wkrjhgsr ' t Ctr 91604,NORTH PtIAMI.F'1.33;3169
! (Seal)
P*n'Vea, Elaine Burnside,-7
Wi ss P.O.Address:Toll Kings Point fir d164 NORTH IMLAh'&PL 33169
STATE OF Florida
COUNTY OF MIAMI-RADE
The foregoing iastrumsnt was tt400-.v1cdgctiJ before me dos 3rd day of November p 2010 by
Jeffrey Burnside. and Elaine Burnside, his wife
who ars:pet-Ainatly known tome or who have produced their Florida driver t s lie 7
i.cuss tGwrtifae[stiva.
�tr+ az6t � ui° r�
Printed AC7"&
ftd '£Edety�3aldX3 Notary P -cEXPIRE.�� . tst�tdA84f
Mgt"innmissi(me-poll-
141-10P
m sap' s: ��' srrn� �UeY23,2013
141-14 t�sacxa ratsrGrna =u ,.r �t-7 as attoa•�$ss rc��rtevrat
JEFF ATWATER
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS'COMPENSATION
*CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW*'
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the indnridual I13ted below has elected to be exempt from Florida Workers'Compensation law.
EFFECTIVE DATE: 3121/2014 EXPIRATION DATE: 3/20/2016
PERSON: MARTINEZ MARCOS A
FEIN: 263013092
BUSINESS NAME AND ADDRESS:
ROSMEL POOLS INC
ROSMEL POOLS&OUTDOOR
8045 NW 36 ST STE.540
DORAL- FL 33166
SCOPES OF BUSINESS OR TRADE:
LICENSED POOL CCNTRACTOR-PROJECT
CONTRACTOR MANAGER, CO
Pursuant to Chapter 440.0.5(14).F.S..an oiflcerof a corporation who ejects exemption Iron,1hls chapter by tag a cartifloste,of election under Vft section may
not recover benefits or comPemethon urs li tschVIOr.Pursuant to CWW 440,06(12).F.S..Certificates d election to to exempt.,apply only within the$,ope
Of tee Wsinesa or trade Ind at the notice of electian to be exempt.Pursuant to Chapter 440.08(13).F.S..Notices of election to be excerpt and certificates of
etecu"tO be exempt shall be subject to revocation If,at any time after the MkV of the notice or the Issuance of the cartificate.the person named on the notice or
cenftcata no W%ar meals the regulrernents of tats sec110n far issuance of a certificate.The depattrerri aw revoke a cartificate at any time fortaHcxe of the
person named on the certificate to meat the requirements of this section.
DFS-F2•DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REMSED 07-12 QUESTIONS?(850)413-1609
«m
JEFF ATWATER STATE OF FLORIDA
CtilEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS'COMPENSATION
•"CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW"
CONSTRUCTION INDUSTRY EXEMPTION
This certilles that the Individual listed below has elected to be exempt from Florida Workers'Compensation taw.
EFFECTIVE DATE: 3/21/2014 EXPIRATION DATE: 3/20/2016
PERSON: MARTINEZ ALINA
FEIN: 263013092
BUSINESS NAME AND ADDRESS:
ROSMEL POOLS INC
RO$MEL POOLS&OUTDOOR
8045 NWN 36TH ST.SUITE 54(
DORAL FL 33166
SCOPES OF BUSINESS OR TRADE:
LICENSED POOL CONTRACTOR-PROJECT
CONTRACTOR MANAGER,CO
Pursuant to Chapter 440.08(14),F.S.,an otfleerof a corporation who rte=exemPtion from this chapter by filing a certiRCate of$10o ion utxiar the seetlort may
not recover benefits or compensaeon under this chapter.Pursuant to Chapter 440.06(12).F.S..Certificates of election 10 be exempt.-apply Wfly wttidn the scope
of the business or trade Rated on the notice of eteetion to be exempt Pursuant to Chapter 440.08(13).F.S..Notion of election to be exempt and Certificates of
election to be exempt sheD be subject to revocdon if,at any time after the Ong of the notice or the issuance of the oerttflCate,the person named on the Wks s or
eerttttcate no longer the re*drements of tris seovon for issuance of a certificate.The department shah revoke a certificate at any time for faflure of the
person named on the cerHkxata to meet the ragwfamente of this section.
0FS-F2-DWC.262 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?{850 13-1609
s '
JEFF ATWATER STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS'COMPENSATION
**CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW"
CONSTRUCTION INDUSTRY EXEMPTION
This ceMes that the individual listed below has elected to be exempt from Florida Workers'Compensation law.
EFFECTIVE DATE: 3!21/2014 EXPIRATION DATE: 3/20/2016
PERSON: VARELA MIRTHA
FEIN: 263013092
BUSINESS NAME AND ADDRESS:
ROSMEL POOLS INC
ROSMEL POOLS&OUTDOOR
8045 NW 36TH ST STE 540
DORAL, FL 33166
SCOPES OF BUSINESS OR TRADE:
LICENSED POOL
CONTRACTOR
PurauaM to Chapter 440.06(14),M.an offioer of a corporation who eteets exemption from this chapter by ging a certificate of election under this section may
not recover benefits or compensation under this 0000.Pursuam to Chapter 440 06(121 F.S.,C&Vcdea of election to be exempt..apply only within the scope
of the buainass or trade fisted on the notice of eieefbn to be exempt Pursuant to Chapter 440.08(13),F.S.,Nouces of election to be exempt and Cerfficatas of
wacgon to be "mpt shaA be subject to revoca6an if,at any time after the ffto of the notice or the issuance of the cern tats,the person nomad on the notice or
caf ficate no longer rtraets the requirements of thio secdon for issuance of a certificate.The department shag revoke a cwgcata at any dma for fagura of the
person named an the cerwicate to meet the requirements of this section.
DFS•R-DWC-252 CERTIFICATE OF ELWTION TO BE EXEMPT RE%ASED 07-12 QUESTIONS?(850)413-1608
NEW POOL CONTRACT DATE 3/18/2015
f ` la-fi
CUST NAME: GISELLE KOVACK 1� z .. vx6t
CPC-1456804
CUST ADDRESS:290 NE 98 ST MIAMI SHORES,FL 33138 ,.,
=
PHONE:305.592.7900
COST NUMBER: 828 230 5$95 .8045 NW 36 ST SUITE 540 MARCOS@ROSMELPOOLS.COM
CUSTEMAIL: giS2iie.koyack maii.com I DORAL,Fl 33166 WWW.ROSMELPOOLS.COM
POOL FORM: RECTANGULAR POOL SIZE: 12'X 24'
SPA TYPE: SQUARE j SPA SIZE: 6'X 6'
POOL EXCAVATION&HAUL AWAY MATERIAL PLAN AND PLAN RUNNER
POOL DEPTH[3FT-SFT] 400 SQ.FT.CEMENT WITH TRAVERTINE TILES AND CANTILEVER COPING
STEEL REINFORCEMENT FORM 1#3 RE-BAR[101N]/ONE LAYER] HEAT PUMP 120 K BTU
' 4 RAISED WALL 4'X 12'WITH STONE WITH 2'24"SHEER DESCENDS
POOL CONCRETE SHELL 3500 PSI[SHOTCRETE USED] TANNING LEDGE S'X 12'
61N CONCRETE WALLS SALTSYTEM
6 iN-8 IN BOTTOM CONCRETE SHELL RIVER ROCK FINISH PLASTER
3 SHALLOW-END STEPS AQUALINK PDA PS4
5 FT SWIM-OUT BENCH AT DEEP-END OF POOL REMOVE CONCRETE SLAB
FIRST AND SECOND BACKFILLS
SCHEDULE 40 PVC PLUMBING[BY CODE]
12 IN DOUBLE WIDE MOUTH SURFACE SKIMMER
ANTI VORTEX MAIN DRAINS WITH VENT LINE TOTAL COST FOR POOL+EXTRAS= $ 50 ,00
3-6 RETURN LINES WiTH ADJUSTABLE HEADS[DEPEND ON POOL SIZE] 15% WHEN CONTRACT SIGNED $ 71500,00
VACUUM LINE 25%WHEN EXCAVATION COMPLETED
S 12,500 VV.00
W
015-11,,, , , 30%WHENSHOTCRETEAPPLIED
$ 15,000.00
ELECTRICAL WORK[SOFT OF EXPOSED PIPE INCLUDED) 20%WHEN TILE&COPING INSTALLED $ 10,000.00
ELECTRICAL UPGRADES,UNDERGROUND OR ATTIC WORK WILL BE QUOTED SEPARATELY 5%WHEN PUMP&FILTER INSTALLED $ 2,500.00
ELECTRICAL HOOK-UPS,TRANSFORMER AND 24 HOUR TIMER 5%WHEN POOL PLASTER APPLIED $ 2,500,00
1JANDY WHITE POOL LIGHT lNCLUDED r y
IN 2
hN
ANY DEWATERING OR DEMUCKING ANY STRUCTURAL REINFORCEMENT
PRE-FABRICATED EQUIPMENT PAD POOL BARRIER(FENCE TO CODE AND BATTERY ALARMS BY OWNER)
JANDY FLOWPRO PUMP(2 SPEED] PERMIT FEES
JANDY 150SQ.FT CARTRIDGE FILTER
IN LINE CHLORINATOR[NOT INCLUDED IF CUSTOMER BUYS SALT SYSTEM] LIFETIME WARRANTY ON POOL STRUCTURESEM
r►
MIN, ,,, 10 YEARS OF DIAMOND BRITS WARRANTY Limit 1
CEMENT WITH TRAVERTINE TILES AND CANTILEVER COPING 3 YEARS OF WARRANTY ON ALL POOL EQUIPMENT
6 iN WATERLINE TILE 1 YEAR OF WARRANTY ON ALL OTHER WORK PERFORMED
STEPS AND SWIM-OUT BENCH EDGE TILE[BY CODE)
RIVER ROCK FINISH PLASTER 2
r r ; µ
T. (F 'Pbbt-.. 6�1lXPM9Nt cAnit.tc�r 'HE�i tn-
JOB SITE CLEAN UP AND 30 DAYS CHEMICAL MAINTENANCE WTAGE Mtn ,4a JARLANCE C�
FINAL WALKTROUGH WITH CUSTOMER CCOMUC� 4tA—&- G4W_ vj/j vr7Fe �rj%/
rs
�ROSMELPOO �INCSAM�MSOa�ATE ���
O_WJdR'S(Ayfi46RIZED SIGNATURE
It I
ROSMEL POOLS,INC.OWNER
rias
This contract,including the general terns and conditions on the reverse side hereof,which are Incorporated herein by reference,constitute the entire agreement between the parties hereto and isnot
binding upon contractor unless and until same Is accepted in writing by a duly authorized officer or agent of contractor.Contractor shall not be bound by any oral or written statements or
representations not included in this contract whiclh have been made or may be made by any persons purporting to act for or on behalf of contractor.this contract supersedes any prior written or verbal
agreements,which shall all become null and void with the signing of this contract.All prior agreements must be included in writing in this contract in order to be valid.
L_
PROPERTY ADDRESS: MixA&p (' 3 -1 8%���V X1V =SHEET290 NE 98th STREET MIAMI SHORES,FL.331381�' COcC
COMMUNITY INFORMATION:
NF RMA OPANELN0.0302 SUFFIX L N �4N.E. 98th STREET
FIRM DATE.V9.11-2009 FLOOD ZONE:X 0 70'PUBLIC RIGHT-OF-WAY 1a
LEGAL DESCRIPTION: 20'ASPHALT PAVEMENT
LOTS 1 AND 2, BLOCK 31,OF AN AMENDED PLAT OF MIAMI SHORES SECTION No.1,
ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 10,AT PAGE 70,OF THE A
PUBLIC RECORDS OF MIAMI-DADE COUNTY,FLORIDA. SCALE: 1" = 20'
SURVEYOR'S NOTES: ;� I
LEGAL DESCRIPTION WAS FURNISHED BY THE CLIENT. 22'PARKWAY M
Ft-
LEGAL DESCRIPTION SUBJECT TO ANY DEDICATIONS,LIMITATIONS,RESTRICTIONS, LEGEND ABBREVIATIONS FOUND 1/2'0
RESERVATIONS OR RECORDED EASEMENTS. AC AIC UNIT AIC=AIR CONDITIONER UNIT IRON PIP SOUTH RIGHT OF WAY LINE FOUND 112°0
M
(NO 1.D)
THERE MAY BE LEGAL RESTRICTIONS ON THE SUBJECT PROPERTY THAT ARE NOT SHOWN ON pp CENTER LINE D=CENTRAL ANGLE 0 ° ° r , (NO
DP)E
CCC999
THE MAP OF SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, 5'CONC.SuuK N90 00:00 E 103.#1(�I) 103 56,�R� "
OR THE RECORDS OF ANY OTHER PUBLIC AND PRIVATE ENTITIES AS THEIR JURISDICTIONS
ELEVATION CONC.=CONCRETE �e
MAY APPEAR 0=DIAMETER
PROPERTY LINE I / I
THIS SURVEY WAS CONDUCTED FOR THE PURPOSE OF A BOUNDARY SURVEY ONLY AND IS F.F.EL.=FINISHED FLOOR ELEVATION I =25.00'
f
NOT INTENDED TO DELINEATE THE REGULATORY JURISDICTION OF ANY FEDERAL,STATE, H=HEIGHT "'> WALK BRICK RR=90°03'00"
REGIONAL OR LOCAL AGENCY BOARD,COMMISSION OR OTHER ENTITY. I N {
I.D.=IDENTIFICATION z>_ N L=39.29' I ` e••e
THE ELEVATIONS OF WELL-IDENTIFIED FEATURES AS DEPICTED ON THIS SURVEY AND MAP c9 a,
WERE MEASURED TO AN ESTIMATED VERTICAL POSITIONAL ACCURACY OF 1/10 FOOT FOR L=LENGTH(WHEN USED IN CURVE DATA) M g I ••• 0004,` e••e •
92 LLLLLL�L ORCH Qgj I a.._ • e
NATURAL GROUND SURFACES AND 5/100 FOOT FOR HARDSCAPE SURFACES,INCLUDING LLLLL LL �% • e s e •
(M)=MEASURED `LLLL ''-'-LLL 24.5 30.0'
PAVEMENTS,CURBS AND OTHER MAN-MADE FEATURES'AS MAY EXIST. a,1Jk0/5 a / 0 18,57• • • • 090
o •
PG.=PAGE T rs0 / • •••• e
WELL-IDENTIFIED FEATURES AS DEPICTED ON THIS SURVEY AND MAP WERE MEASURED TO ea o 65' / , 0�' / / o—o—o—o—o—o • e•s • o, :••e •
AN ESTIMATED HORIZONTAL POSITIONAL ACCURACY OF 1/10 FOOT UNLESS OTHERWISE P.B.=PLAT BOOK f / / // f / / ON PL - •••e• • c• •
SHOWN. eee
eee 0400
R=RADIUS 02' / �/ / / ee •e• •• • : eeiee•
THE MAP OF SURVEY IS INTENDED TO BE DISPLAYED AT THE STATED GRAPHIC SCALE IN (R&M)=RECORDED&MEASURED 0.1 / 0/ , J I/ // / • e••••e
ee, ee e
ENGLISH UNITS OF MEASUREMENT.ATTENTION IS BROUGHT TO THE FACT THAT SAID / / / / e • ,o • LJ.1 •
DRAWING MAY BE ALTERED IN SCALE BY THE REPRODUCTION PROCESS R =RECORDED / / \ / / / /
O z / R FED / / ! e°� a see ie �I a}a•es
c. off° Z �4
ALL MEASUREMENTS SHOWN ARE IN THE UNITED STATES STANDARD FEET SWK=SIDEWALK c; U o c AC / / / Y I '�` Lu • � w
w 0 0 / / � .r2n
CN/6� f AC I . ' e e �j •o
REFERENCE BENCH MARK: NAME N-603-R LOCATOR 3250 SW 0 co pa_ M LO S2
\ _ r f / / AC w •• e Q' = a
ELEV(NGVD 29)=8.06' @ NE 96 ST-36'NORTH OF C/L AND NE 6 AVE-44'EAST OF C/L m w =" W f %� / a, // / f f/ // pC I a
DESCRIPTION PK NAIL AND BRASS WASHER IN CONCRETE SIDEWALK AT NORTHEAST CORNER Ci 0 . = F/
�- = m c /F. .Elf 1 .4� / / / o M m
IF SHOWN ELEVATIONS ARE REFERRED TO N.G.V.D..OF 1929. Ld
50 ;
4 10 9 / o Za 7
THE SURVEYOR MAKES NO REPRESENTATION AS TO OWNERSHIP,POSSESSION OR '
o N
/
OCCUPATION OF THE SUBJECT PROPERTY BY ANY ENTITY OR INDIVIDUAL 24.T s Q 9�3
SUBSURFACE IMPROVEMENTS AND/OR ENCROACHMENTS WITHIN,UPON,ACROSS,ABUTTING '6 rt ,a 19 zo zt zz e3.' "_ro ,a ss ,6 ,7 rs 19 za ./ •� / /
OR ADJACENT TO THE SUBJECT PROPERTY WERE NOT LOCATED AND ARE NOT SHOWN. ad 5so CONCRETE COC
DRIVEWAY /
SLAB
NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED STREET N.E.98th STREET / / 5 /
SURVEYOR AND MAPPER.ADDITIONS AND DELETIONS TO THIS MAP OF SURVEY BY OTHERLU
THAN THE SIGNING PARTY ARE PROHIBITED WITHOUT THE WRITTEN CONSENT OF THE e 7 6 s 4 8 mom I) 10 9 a T 6 s 6 -STEPS f �
SIGNING PARTY. z
LOT 2,BL CK 31 10o I LOT 1,BLOCK 31
THIS MAP OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES i 16 1 to t9 20 i 1 zz za- y 1� t4 15 16 1q ,s +9 zo 'MIA141 SHOR SECTION 1" a, "MIAMI SHORES SECTION 1" _
NAMED HEREIN AND THE CERTIFICATION DOES NOT EXTEND TO ANY UNNAMED PARTY. 1 - � P.B.1 ,PG.70 N I P.B.10,PG.70
CERTIFY TO: ^ W0.2' 9e� I OVERHEAD UTILITY LINES ON PL
N.E.97th STREET —� ,i"1,.
GISELLE L KOVAC TRS,GISELLf.L KOVAC ST RE E... z aO
o HIGH ALUMINUM F.
SURVEYOR'S CERTIFICATION: ► 8 T 6 m a s 2 Ir+ w tE a io 9 8 6 s - 30.0
I HEREBY CERTIFY:THAT THIS°BOUNDARY SURVEY"AND THE MAP OF SURVEY RESULTING - I FOUND 11re o S90°00'00"W 103.44'R8cM g o FOUND 1/2'0
THERE FROM WAS PERFORMED UNDER MY D?RECTION AND IS TRUE AND CORRECT TO THE a IRON PI o AS � �s$/ c 9 RON PIPE
BEST OF MY KNOWLEDGE A0;BELIEF. - N 1 t (NO I.D.) 15'ALLEY f (NO I.D.)
LOCATION MAP 10'ASPHALT PAVEMENT
350°SURVEYING AND MAPPING,LLC (NOT TO SCALE)
— — — — — — — — — — — — — — — — — — — — _ — — — — — — — — — — —
FLORIDA CERTIFICATE OF AUTHORIZATION NO.LR 6356 T
FOUND 1@'0
3600 SURVEYING Alai® MAPPING, LLC ��D 04-15-2015 i LOT 22,BLOCK 31 I LOT 23,BLOCK 31 INON.PIPE
Land Surveyors-Land Planners JOB NO 1504.0098 "MIAMI SHORES SECTION 1" "MIAMI SHORES SECTION 1"
OSCAR AND E. O AND MAPPER N0.5034
REGISTD SURVEYOR AND S.W.83rd Court MIAMI,FLORIDA 33155 'E'S1ONS: i P.B.10,PG.70 i P.B.10,PG.70 I
STATE OF FLORIDA PHONE:(305)265.1002
PERMIT :_13-SG-1574921
S't'.. t*^ac APPLICATION 6:AQ1168496
STATE of FLORIDA DATE PAID:
DEPARTHExT OF STH DISPOSAL SYSTEM FEE FEE PAID
ONSITE 'SAGE TREAT1XIENT AI3U RECEIPT #:
CONSTRUCTION PERMIT Docs #.PR958332
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: Giselle Kovac
PROPERTY ADDRESS: 290 NE 98 St Miami,FL 33138
LOT: 1.2 BLOCK: 31 sv=xnsxox: Miami Shores
ISECTION, TOWNSHIP, RANGE, PARCEL NUMBERI
PROPERTY ID #: 11-3206-013-4150 {OR TAX ID NMMBER1
WITH SPECIFICATIONS AND STANDARDS ••SECTION
SYSTEM MUST BE CONSTRUCTED IN ACCQRDANCE APPROVAL OF SYSTEM 1�0F�S NOT604WXRANTEEO••0•
381.0065, F.S., AND CHAPTER 6E-6, F.A.C. DEPARTMENT
ANY CHANGE ••IN • MATERSAB••FACTS, ••
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. •l0DIVY THi�••i•
WHICH SERVED A5 A BASIS FOR - ISSUANCE OF THIS VERMIT, REQUIRE Tiilti APPLSC t!'P TO
MODIFICATIONS MAY RESULT 3" THIS PERMIT BEING*I-AM9• NULL AMD VOIF�. •
0000••
PERMIT APPLICATION. THE APPLICANT FROM COMPLIANCE••t12?q OT»•V=ERAI•, •
ISSUANCE OF THIS PERMIT DOES NOT EMMOT 0000 0000 00000
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. • •
• • • •
•• •• •• •0.0••
SYSTEM DESIGN AND SPECIFICATIONS 0000•• 0 •
•
new Septic tank .CAPACITY • • ••••••. 00-0--
T t 1,200 1 GALLONS �' GPD
CAPACITY • ••� • • •
A [ 0 3 GALLONS / GBD TANK:12500•GA]�iLONS3 • ••• 0....0
N I 0 I GALLONS GREASE INTERCEPTOR CAPACITY {MAXIMUM CAPACITY SINGLE
K [ 3 GALLONS DOSING TANK CAPACITY [ lGAL7AN3 @[ IDOSES PER 24 HRS tiW+psit
D [ 300 I sQUARE FEET new bed confin.drainfield SYSTEM
STEM
R [ 0 3 SQUARE FEET FILLED 11 MOUND t 3
A TYPE SYSTEM: 1x1 STANDARD { I
I CONFIGURATION: [ 1 TRENCH Ix] SED [ 1
N
£ LOCATION QF 88xCHMP1RK: FFE 10.9 NGVD
I ELEVATION OF PROPOSED SYSTEM SITE 18.40 I{ INCHES FTII ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE t 58.44 I[ INCHES FT l I ABOVE BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: 10.001 INCHES EXCAVATION REQUIRED: [ 62.001 INCHES
1-Install a 1200 gal min.septic tank with an approved fitter. of tank in accordance
0 2.-The licensed contractor installing the system's responsible for installing the minimum category
T with s.64E-6.013(3)M.FAC.
H FAC-
3.-Install 300 sf of drainfield in bed configuration.
4.-Install Ir of slightly limited soil at the bottom of the dralnfield. absorption bed or drain trench.
E 5.-Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed
(Comments Continued on Page 2.)
' TITLE:
SPECIFICATIONS BY: C\s P1b Sept
APPROVED BY: �' TITLE: Engineering Specialist II Dade CIM
14 EXPIRATION DATE: 03116!2015
DATE ISSUED:
DH 4016, 08109 (Cbsoletes all previous editions which may not be used) page i of 3
Incorporated: 64E-6.003, FAC ;,a,•. �
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LIFE SAVER POOL FENCE SYSTEM SPECMCATIONS
General DeseAption
Fool to provide a barrier around residentialPOO for
toddlers and young chffdrem L Pool Fence System Z does not bove my gaps,
openwSs, indeautions, ris,or struchwd components tbW could mow a young
cbud to crawl under, or climb over e Perma
Locking Systwn ME not allow the barrierto be removed without the aid of tools.
Fife Saver Pool is mm&dured and instacd in complimce with the Fbrida
Wilding Code 424.2.17.11 tbrough 424.2.17.1.1-14, and the FloridaStatute 515.29_
Sys
TevAoobased em s of 15 foot sections of e s for
mounting in nou-COnducting PobpropYlmeves+tee drilled 4 incbfas deep into a
concrete deck or other mbstantial surface, the&we is placed no less then 20"' from the
w8t"s cdgv,CQMmcW its sefles at tho top with our=hLsive 2 1/2 imb,Penna
system Sege
.
see
•.e• Goes..
Cons om : • •• • ••
Mesh: Polyestainesh hbric %%v i ' ' mildew rte'.« pot g •• •.s • :••s.:
provide L1Rr of is :0000•
eoeo sees
. • •
Co s et weave a t h of 270 lbs. SGSSe sS SSSS SSSS.
'
G e:••
it imposaWk to rip muler normal use. maldfits.. SSSS..
SSSS..
Color selection is bhtck, WNW or grem Ava&ble in 48 or 60 kch Wellau. :00600
... . SSSS..
Bordered on all fog ' es by a a of 387 Is.. ••• g td g
Prevent Salyging and wide tendon,to insure the ftoes integrity
for its intended purpose both at the top and bottom.
The MN&is pre-mouMed on mmw grade reinforcedalummm poles and secured
by aluaAman mve molding strip.
.Pules: Poles am co ed of marim grade,ahm3itnim,black wbheor gmen powder
coated or silver finisli Pole Mucing 1s optional at ekber 34 or 36` he&
Stdnkm MCI $(14)am uWized for semely awwhigg the ajungwm cove
molding to the poles and mwL
SuAce of the poles am 6nWxd for hmdft and to
Tbo poke are capped to pwvide a
L FFACE
I moo) 772-2937
Rdsawad 10
L fs S&M P001 FQwe um RvwforcedT6 P Almium Po
36-opm Mash is swwW to the pole WA#M dumkm -cove molding using
.
11M t6d4w raft of T6 sconm the tae ( )wjWu the W63 aj1,0y
al 'on..
On JUIY 10,2003,Life Sava Pool Fcg lin of
Inc., Inc. in 1 7,to twt the pole zvngth
mcdou 424.7,17.1,15.
ease
At e oiuodn&&hNIMI f=@ wu WHad W a single �f3�'`s:• •0e•e•
_ •
o 9.• •
7 Of le an s . •etee• seg• a% •e•si•
• • •
awdon 4241-17.q b 144 C :•90:9
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Life Saver .fie ,
Removable Pool Safety Mwh Barrier Fencing Technical specifi=dons
We Uvw 1 Feace SYMMS,Ime.bas mnaufactured mnovable pool safety fencmg
for over 13 yam amd has continuously evolved s,oft=—time
leading industy wide . A ManufitaWmIs Limited L
f®f as long W tbey ovm it Life Saver Pool Fence mmu and exceeds all
code teqWmm=u fteughout Florid&• � aver poowill find technical l� 'eras on e
P
ng the
Temmew
To the °quality to l fen in"*::•
for over 15 yeas. shows A� s to all C � olV• •••:••
•
amd applicable 0 • • •
0000•• •• • 0000••
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Product • ® 0000 0000 000•0•
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° 0000•• ••• • 0000•
Fabric 025" dia. vin 1 n. lob a ; r •.: ..•.:.
and fill. ......
00
. . . . ......
0000••
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pq e� pp,, "ot D3775- 1301 '�" .
• ht d2 D3 —o — 9.9
Tamils Strength (grab), Of D 221.4 213.3
Teralle Strangt1i (strip), I .9 153.8
T , l), i f DI 117-97 55.4 .o
Sall Bumt lam
D3787-89 335
suruft . Pei D 433
Etonqa*m, % 0603&96 24.3 21 A
Abrasion Resiewnce 0exposureof core yam
(CS1018M ayd-W wdh no
FivnMabi {spy .Rating191-53 C 117E
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.
shovM all tating confim T onamply
taS_'' '•i:w�tvm� ,r,:1: e.., k;a 1:i2aJ>"�F.a i7
The banicr is consWacted in 15" sections '!' ` I six(6)QuadX posts
(testing on e)with a m=mum qming of 3611distowe betwwn posu. The
the post with# 8 Ya inch sminless steel mews aW aluWnum cove molding,
R -- •••.
The end PMt utilize fiftftn(15)#3 Y2inch mews, o(2) jb I" eese
apan but ver " 680960
.... .... . .
.... .... .....
. .
The tine pm utilize eleven(11)#8 M2 inch screws, two(2) at-.thriqp P
o (2) at tba bottom 1"sp&M wd 7 gitoxl ly 5 �4" ...•.
never more dun T4s ••••••
Tie sections of bwrier we stood by p1wing thr poleso P non-conductive
sleeves, The sleeve is " in le is 54" Wgk 3 IYa"below the desk
and the remaining portion above the dwk 11W bottom ®f the,mesh is Bush
with the deck.
Life ver inflizes a stainless nickel hardware to sly" sem the
basriar atone of eitber aili car a
3/8" a h. iv P hwks am usgd on
both sida. This hadwmEs at 4V'±in height from Vide never lower ftn
45'x.
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ATTACHMENT SHEET 2 OF 4
Fence
ALVual 2003
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M-UnSAVER POOL FENCE
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gHORES
Miami hores Village
Lti .oy� Building Department
ORI10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
SWIMMING POOL OWNER'S CERTIFICATION
Date—o`31 I djac)►s
-------p— 0000
. 6 0000 6009:6
.. 0000
Miami Shores Village •••••• •• .f....
0000..
969666
Building & Zoning Department 0080 •••• •
6666
699 6966•
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66666) •966•
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•• •• •• •9606•
Attention: Building Official
0000..
. 6 . 6 666.9.
966669
I certify that I am the legal owner of the property described as : • ••• :"":
M31��1 •
�li��� Shy► �,� � P- Irk-IL) LutlIL located at Z0,0 kr c 'Si
t--i kc fn% Slrw)°Zs L X3136
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
obtaining a permit and erecting and approved barrier prior to final inspecti e of the
pool /
Legal Owne
Note: This certification is to be submitted with a swimming pool permit application in duplicate.