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BPP-15-909 a E . Pe w NCS Bipl�+"I { Miami Shores Village No ots�iripooWHot TU ' 10050 N.E.2nd Avenue NE ' ..Wc�rPcPassrt tral �� jp)ta stn Miami Shores,FL 3313&0000 "011'',_ Fpt� fg� A 'tVE mitis Phone: (305)795-2204 OR tsite 5Expiration: 11/17/2015 Project Address Parcel Number Applicant 464 NE 92 Street 1132060140030 JONATHAN&ANDREA TOVAR Miami Shores, FL Block: Lot: Owner Information Address Phone Cell JONATHAN&ANDREA TOVAR 464 NE 92 Street (786)375-5533 (305)610-0914 Miami Shores FL 33138- 464 NE 92 Street Miami Shores FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 4,600.00 ZABET BUILDERS INC 305-430-0840 Total Sq Feet: 345 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Pool Deck Type of Work:Swimming Pool Occupancy:Private Wall Steel Additional Info:POOL RESURFACING,STEP MODIFICAT Bond Return: Fence Classification:Residential Scanning:3 Review Electrical Review Building Review Building Review Planning Review Planning Review Plumbing Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Building Review Structural CCF $3.00 Invoice# BPP-4-15-55237 DBPR Fee $2.25 05/21/2015 Credit Card $201.50 $50.00 DCA Fee $2.25 Education Surcharge $1.00 04/17/2015 Credit Card $50.00 $0.00 Permit Fee $150.00 Plan Review Fee(Engineer) $80.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $251.50 In consideration of the issuan o me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict c n vith the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assumtG, or all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLANICAL,WINDOWS,DOORS,ROOFING and SWIMMINGPOOL work. OWNERS AFFIDAVIT: I certiregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futha the_agpve-named contractor to do the work stated. fV`OIJI� May 21, 2015 Authorized Signature: er / plicant / Contractor / Agent Date Building Department Copy May 21,2015 Miami Shores Village q—o V Thi", Buildin De artment ��� �� � ` g p MAY 9 Zo15 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY: INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2 � BUILDING Master Permit No.--Epp 15' 1109 PERMIT APPLICATION Sub Permit No. XBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1[/� Z Cjr City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFFyE: Tp�(/OWNER:Name(Fee Simple Titleholder): Phone#: Address: n C Al �Z 5� 08(� City: I"ll �= � State: ��- Zip: ��/08 l� Tenant/Lessee Name: Phone#: �Vr�� �-1 Email: 7oD +Tor'� �/�_�' CONTRACTOR:Company Name:a `t6fT &-b;(84 1`/L)C Phone#: 6�/ D Address: 3Z / v W 3 Gf- City: State: �L Zip: Qualifier Name: ac Q Phone#: State Certification or Registration#: ! Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: . Address: City: State: Zip: Va(ue of Work#or thTis errrp . Lq'&oC> . �00 S44are/Linear Footage of W rk:- J Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition �Des-rfptln of Work: Poot, rP!6yq,- lci 1G1 , `A—CMd4ICa'1 1 . it PS I�' of Specify color of color thru the Submittal Fee$ Permit Fee$ s CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ok-- •'S (Revised02/24/2014) 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 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS, HEATERS,TANKS,AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subjecto ttachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection I — seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be ant ov d and reinspection fee will be charged. Signature Signature kWNER AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 00 day of 20 � ,by 1� day of ,20 1 7 , by Swho is personally known towho is p Sona y me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign:,- V \� Print: Print: #W `° Notary Public State of Florida -,WAY Pte Seal: Seal: a°;.•'•;�% MARGARE:TBOYETT Sindia Alvarez MY COMMISSION#EE 109135 My Commission FF 156750 rF Expires 09/03/2018 Q EXPIRES:July 5,2015 1d fluu BWget Nom+Swilon APPROVED BY 1� (� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village RECFri N, ' ` Building Department APR 1 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY: INSPECTION LINE PHONE NUMBER:(30S)762-4949 r�FBC 20 l6 { BUILDING Master Permit No \`� I !5�� PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: L464 hr= GQ !%rpt City: Miami Shores County: Miami Dade Zip: 3al- Folio/Parcel#: 113:2.0r.014 00�n Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder)::TgK)C-1bnlY1 'T0019Y, Phone#: ?05. 610'Oq Address: 5!615 'CAA 105 4 City: M`arm% State: ( Zip: 3315ro Tenant/Lessee Name: Phone#: Email: \ -lay, �, owVJ. . COYYI L it CONTRACTOR:Company Name: Phone#: Address: hCr City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: d' rl City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: . Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 92d 1 o, n_ IC#%+16Y1 4A C�Y eE,l1i1�AC1Y1G C Q inilpttme M In nn_ Specify color of cc1olor thru tile: Submittal Fee$ v � Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews • Q Bond$ 05 TOTAL FEE NOW DUE S'201 .50 .�cevised02/24/2014) 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 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS, HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspectionnand en (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be aspection fee will be charged. Signature Signature WNER or GENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 1 ESO day of L- 20 by day of 20 by ()tJa1PPJ 170VIORwho is personally known to who is personally known to me or who has produced VC�K- �WVlc as me or who has produced as identification and w did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: Seal: "to� Notary Public State of Florida Seal: Sindia Alvarez My Commission FF 156750 Q-WExpires 09/0312018 i APPROVED BY 6 l Plans Examiner C ( Zoning � vts Structural Review Clerk (Revised02/24/2014) .•• p•••� Miami shores Village dti �d Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C._COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* ,-- (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) Av D IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 Certificate must specify the description of operations or contractor license number. BUSINESS NAME: -Z/4.$ET =�' ��L BUSINESS ADDRESS: I g�3 2 r I w �- 22 Gl CITY /� ^'s STATE ZIP 33 t� BUSINESS PHONE: (TL> ) 3 2b — 07,410 FAX NUMBER 50 320-- 67hV CELL PHONE( ) -33 L [U3 QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: C- 5-d-1s;4 q n X101 - Locat Business Tax Miami-made County, State 4of Florida TMIS IS NOTA BILL - DO NOT PAY 3515880 LIB BUSW45 s nlaMEn.Ocn rLON AEC="No. TI 2 Bir 23 Cr15 NCEXPIRES 18732R�ENEWtAL SEPTEMBER 30, 2015 11�V 23 C 3875143 MIAMI GARDENS FL 33056 Must be displayed at place of business Pwatuant to County Code Chapter 8A-Art.9&10 OWNER SEC.TYM Op MUSUMEAS 1AB€TSMERS INC 196 GENEAAE BUILDING CONTRACTOR PAYMENT`RECEIVED wo*w(S) 1 CGC1607649 BY TAX COLLECTOR $45.00 08/18/2014 ECHECK-14-141086 This Level Business Tax Recalpt only 4008rms paMent of the Local Busing Tax The ReN�i�p�is not a Rceasa. PAIL ora certification of the hold�r'sqqnuaalHicatioas,to do business.Holder must cmply with any goueram®ntaf or aotavem neotat.ragefatory Is"ead:regairements which apply to the baslasss, The RECEIPT N0.alroremust IS -1f to Coda Sec 8a-YIB. For a=It&rmatlon,visit RICK SCOTT GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ` S �ffv CONSTRUCTION INDUSTRY LICENSING BOARD CGC1507549 - ` k : The GENERAL CONTRACTOR ` ' Named below IS CERTIFIED � :� <� Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 JOSEPH, ROL.LE PETER ZABET BUILDERS INC- • 18732 NW 23RD CT OPA-LOCKA FL 33056 0_ ISSUED: 08/10/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1408100002486 ., GIWOF MIAMI GARDENS CU N' 2013 CERTIFICATE OF USE 2014 EXptIEB September 30,2014 ArIC.I . PYED AT -PLACE OF F3US(NES C7 S Sfi�3E., 1 LICENSE ITEM DESGEI,PT1C?N`lRESTRICTIONS Business Nameon 0025694 ZABET BUILDERS INC. CU-008m 0042 fume Of s 18732 NW 23 CT MIAMI'GARDENB, EL 331.6 q Owner /C0%Nance ZASEt BUILDERS INC ROLLE JpSEpF MIM!GARDENS,Ft 33100,, Use as.permitted mrtin zona ,x= C of Miami Gardens.Errfore ment 00partmerrf 1,815 NW'167th$T, Building 5 Sutte 2QQ Miami Uardens M 33160, a . �Y � t . CIV, CSI`' MIAMI GARDENS BT`. 20J3 SUSINES RECEIPT2014 STAXR , , r EXPIRES September 30,2014 f Vit*C1SSt�#Al*ED ftp LACE OF BUSINESS LICENSE ' ITEM Dt^SCPif'Tlq ftES7R1CT I¢NS 9usines5 NamrLi c>�a�Joh t?025694 ZASE7 SU IL©I:RS INC 8'fi-41133 0> J ' CONS RA3RS BFJ MING 1$732'I�Illif 23'CT ' MIAMI P.DENS, 1 .3316 .. +A�. ; — Z e9' p S O n eMCor } k ROLLE JO, EFF y� xABE1 BUILDERS INC � 4 18732,NVN 23 CT ' This loan business tax orUy It' does not pgrmrt the#aaee to Woia MIAMI GARDENS, FL 33169 arty existing regulatory or zoning I#irds of tw►e or Mrat�i Dade County:Nor does it exemptByte frau►err other tax or -` requited by law.T1f gtlafifl City of Miami Gardens Enforcement Department 1616 NW 167th ST, Building 6 Suite 2t��M18rn�D�ar�F�33169 �►��' CERTIFICATE OF LIABILITY INSURANCE L404/01/15f"Y PRODt cc-R Ar6m mis insUfame THIS CERTIFICATE IS ISSUED A_`:,A MATTER OF INFOPMA !UPJ ONLY AND CU�FERS NO RIGHTS UPON THE CERTIFICATE 18401 N.W.27 Ave HOLDER.THIS CERTIFICATE DQES IvOT AP1iEND,EXTEND OR Mani,FL 33056 ALTER THE COVEP.AGE AFFORDED BY THE POLICIES BELU'tti. .Phone (305).6254403 Fax (305).62526472 INSURERS AFFORDING COVERAGE IJA'C ;NStINSURER A. REPUBLIC-VANGUARD INS CORA -'R=t% Zabet Builders Inc. INSURER B: 18732 NW 23 Ct INSURER C: Carol City, FL 33056- INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. '•5F ALTt ✓':'I- YE ATO"i I:' f_.I.•' TYP7 iF;NSURANICE POL!CY NUMBER DA I: ":M/ 1"ERI=RAL L!AS&L(TY EACH OCCURRENCE 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 1001000III6A007973n00 02l27d201.5 02/27/2016 PREMISES -C RENTED SES ❑❑ CLAIMS MADE ® OCCUR MED EXP(Any one person) 51000 A ❑ ❑ PERSONAL&ADV INJURY 1,000,000 ❑ GENERAL AGGREGATE 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 2,000,000 ❑ POLICY ❑PROJECT ❑ LOC AUTOP,1}B!LE UA,B!.iTY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea accident) ❑ ALL OWNED AUTOS BODILY INJURY ❑ ❑ SCHEDULEDAUTOS (Perperson) ❑ HIRED AUTOS BODILY INJURY ❑ NON OWNED AUTOS (Per accident) ❑ PROPERTY DAMAGE (Per accident) EARA;=E L;A5;Li TY AUTO ONLY-EA ACCIDENT ❑ ❑ ANY AUTO OTHER THAN EA ACC El AUTO ONLY: AGG EXCEF, IUfABRELLAUADLITY EACH OCCURRENCE ❑ OCCUR ❑ CLAIMS MADE AGGREGATE ❑ DEDUCTIBLE ❑ RETENTION $ 'aIORKERS-OMFENSA:TION AND ❑ WC STATU- ❑ OTH- EMPLO•iERS LIA:3iUT1' ORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE YM E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE 'Marc -:NH; Ifs dewribe under E.L.DISEASE-POLICY LIMIT SPECIAL PROVISIONS below OTHER D)t' CRiPT101 f;F OPERATION !LCr-AT!0NS i VHiC:LE.S!_X,1 L U S N5 ADDED B'(EhJDOR5EN4F_NT/SPAL PFOVISIONS GENERAL CONTRACTOR CERTIFICATE HOLDER CANCELLATION H,-)U,_D N,jY CF"THr AyOVE:D::.:;CRIBED PO!_i':!ES BE CAP.lCELL_ED,BcFC)::THE EXPIRAT;ON DATE THEREOF. THE-!SSU!!'G;NSI,RER 1;•i!LL=P:DEAVOR Tp MA;L City of Miami Shores 30 DAYS WPiTTEN NOTICE TO THE CERTIEI, AT HOLDF[ NM-+ED TO BUilding Dept. THE = R L 'T.BUT FA!LL, E TO DO Sp SNA_L IMPOSE NO OBLIGATION 0.-1" LIA3: ITl' 'F AN`i KIND UPON THE IN,I �:ER.!TS AGENT',n;z REF'P.ESENTATIVE: 10050 NE 2nd Ave L I_;T HpRIZED REPRESENTATIVE Miami Shores,'FL 33138 � = Fax(305)756-8972 ' ACORD 2= , C '.7IG 1)C F C 1 w-33-2O3A!,-,(,'RD CORPORATION All right<:rE:ser✓e7. Tho ACC;RD n me ano m.arkS Of A OPD 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 4NDUSTRY EXEM"ON This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 9/28/2014 EXPIRATION DATE: 9/27/2016 PERSON: JOSEPH ROLLE FEIN: 650591488 BUSINESS NAME AND ADDRESS: ZABET BUILDERS INC 18732 NW 23RD CT MIAMI GARDENS FL 33056 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14),F.S..an ct&a+r of a corpora w who elects exemption frau this chapter by fling a cartiftcafe of eiectioh under this section n" not recover bens or compensation under this chapter.Pursuant to Chapter 440.05(12},F.S.,Certificates of election to be exempL..apply ady within the scope of the business or trade listed on the notce of election to be exempt Pursuant to Chapter 440.05(131,F.S..Notices of election to be exempt and certificates of etedoh to be exempt staff be subject to revocatah If,at any time ager the fffing of the notice or the issuance of the certifcsts,the person named on the notice or oectfcate no longer meets the requirements of this section for Issuance of a cartifcate.The department shall nwoke a certificate at any time fa failure of the person named on the certiflcate to meet the requirements of this section. DFS-F2-OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?{850}413-1608 Illul f���I Iptgil hhZAB ]rf I��lll{11191 lo BUMD S XNC CGC1507549 NEW CONSTRUCTION o ADDITIONS AND REMODELING We Give Our Customers A Touch Of Class Miami Shores Building Department 10050 NE 2'Ave Miami Shores, FL 33138 Date:April 2"d 2015 RE:Affidavit statement regarding workers compensation insurance and hiring of workers. Jobsite address:464 NE 92nd ST, Miami Shores, FL 33138 To whom it may concern: This letter is to inform you that I'll be the only one working thru my company on the proposed project at the address listed above Signed �A 4f Rolle Joseph State of FL County of Miami-Dade p – The foregoing was acknowledge before me this [� day of K-,��I ,20-17s- BY 0 17 BY o`� e,��Se��. who is plHall kno r has produced as indentificationMARGW vet Nota ° My COMMISSION#EE 109135 * * EXPIRES:July 5,20`15 SEAL: ,,�� 1101 gaft ft tom!Savixa 18732 NW 23rd CT, Miami Gardens, FL 33056. Office(786)320-6740 Cell(305 336-1603 ..�. Bin" Miami Shores Village x �t Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner— workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers'compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if- 1. f:1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: r State of Florida County of Miami-Dade The foregoing was acknowledge before me this J day of �� ,20 tS -T,/s2 By P�-J Q"e- °' who is personally known tome or has produced �,•``` vera Notary: '%. SEAL: ®So �\C� _ k k from � Miami shores Village BUIlding Department �OR>Jt� 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fak: (305) 756.8972 RECEIPT PERMIT#. DATE: 2-e4 (� ❑Contractor (NAME) owner o Architect Picked 2 sets of plans d (other) Address: fv E 0(2—, (T— From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand t t e plans need to be brought back to Miami Shores Village Building Depart t t contin permitting process. Acknowledged by: (Signat e) PERMIT CLERK INITIAL: RESUBMITTED DATE: Z PERMIT CLERK INITIAL: Vertex Architecture, Inc. 10251 SW 72 St.#104 Miami,FL 33173 "? 305.412.9499 xr` Fax:305.595.9696 www.vertexarchitecture.com AA26000839 ARCHITECTURE ARCHITECTURE WITH A POINT April 28, 2015 Re: Pool Renovation Scope of Work Letter for Tovar Residence Andrea&Jonathan Tovar 464 NE 92 St. Miami, FL 33138 To Whom It May Concern, The scope of work for the attached pool renovation is as follows: 1. Relocate the existing pool pump slightly to the south while maintaining the required 10'-0"side setback requirement. 2. Remove part of the existing east end pool deck so this east side meets the required 10'-0" pool deck side setback(replace w/ sod to match adjacent areas). 3. Remove and replace the existing pool diamond brite finish. 4. Add pool steps along the entire length of the pool. The existing pool and pool walls are structurally safe. Furthermore, the drawing and scope of work herein complies w/the Florida Building Code 2010 edition, which is the code in effect now. Please feel free to call me on my cel phone at(305) 785-8296 or e-mail me at ASCa)VertexArchitecture.com and let me know if you need anything else or have any further questions. Thank you v muc , Wand ro Santamarla, R.A. Lic.#AR91405 1365 NW 97TH AVE,SUITE 200 MIAMI,FL 33172 Nova Surveyors _Tnc SURVEY NO 15-0000150-1 TEI.@;?HONE:(305)2842680 1 FAX:(305)2640229 DRAWN BY: LAND SURVEYORS SHEETS 1 of 2 SURVEY OF lot 4&east 1/2 tot 5,BLOCK 49,OF MIAMI SHORES SEC.2,ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10,PAGE 37,OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,FLORIDA. f PROPERTY ADDRESS: 464 NE 92 ST,MIAMI SHORES,FL 33138 FOR: ANDREA TOVAR&.JONATHAN TOVAR LOCATION SKETCH Scale V= NT.S. ry —' r I'3 93po T Nt2 J/ /0 H S T ci S, 41 .9lz# /a � t`�`8 � yir ',5 3i � N 1 `o: r0X, M/3 .H LS*1 /G 17 /8 ly .'U ?.l�.'� 2J inti ro/0 // 1 /z J3 j 1*i/S� /(, eo 0 SO 55~ SO SUBJECT \��J •C PROPERTY �`, �'N O s1.1 of o SO Soss5 SJ I to:{z•a � 1 t��� -Li !I 10 / R _ r ' iRaza o, J�JF J.5 /G� I7 13 l9l?O 2t23�19� N7� sj3i/O ' N F 9 1 !5 r ABBREVIATION AND MEANING LEGEND TYPICAL A=ARC FNIP.=FEDERAL NATIONAL INSURANCE RAD.=RADIUS OF RADIAL -4H-OVERHEAD UTILITY LINES AIC=AIR CONDITIONER PAD PROGRAM RGE.=RANGE A.E.=ANCHOR EASEMENT IN.&EG.=INGRESS AND EGRESS R.P.=RADIUS POINT C.B.S.=WALL(CBW) A/R=ALUMINIUM ROOF EASEMENT R.O.E.=ROOF OVERHANG - -aF C.L.F.=CHAIN LINK FENCE AIS=ALUMINIUM SHED L.F.E.=LOWEST FLOOR ELEVATION EASEMENT ASPH.=ASPHALT L.M.E.=LAKE MAINTENANCE EASEMENT R/W=RIGHT-OF-WAY -0-o- I.F.=IRON FENCE B.C.=BLOCK CORNER L.P.=LIGHT POLE SEC.=SECTION B.C.R.=BROWARD COUNTY RECORDS M.=MEASURED DISTANCE S.I.P.=SET IRON PIPE L.B.#6044 r-rr W.F.=WOOD FENCE B.M.=BENCH MARK M/H=MANHOLE SWK=SIDEWALK B.O.B.=BASIS OF BEARINGS N.A.P.=NOT A PART OF T=TANGENT -0.00 =EXISTING ELEVATIONS C=CALCULATED NGVD=NATIONAL GEODETIC VERTICAL TWP=TOWNSHIP C.B.=CATCH BASIN DATUM U.E.=UTILITY EASEMENT C.B.W.=CONCRETE BLOCK WALL N.T.S.=NOT TO SCALE U.P.=UTILITY POLE SURVEYOR'S NOTES CH=CHORD O.H.L.=OVERHEAD UTILITY LINES W.M.=WATER METER 1)IF SHOWN,BEARINGS ARE REFERRED TO AN ASSUMED CH.B.=CHORD BEARING O.R.B.=OFFICIAL RECORD BOOK W.R.=WOOD ROOF MERIDIAN,BY SAID PLAT IN THE DESCRIPTION OF THE CL=CLEAR VH.O/S=OFFSET W.S.=WOOD SHED PROPERTY.IF NOT,THEN BEARINGS ARE REFERRED TO C.L.F.=CHAIN LINK FENCE OH.=OVERHANG =ANGLE COUNTY,TOWNSHIP MAPS. C.M.E.=CANAL MAINTENANCE P.B.=PLAT BOOK 2)THIS IS A SPECIFIC PURPOSE SURVEY. EASEMENTS P.C.=POINT OF CURVE =CENTRAL ANGLE 3)THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE CONC.=CONCRETE P.C.C.=POINT OF COMPOUND CURVE g =CENTER LINE 1:7500 FT. C.P.=CONCRETE PORCH PL.=PLANTER 4)IF SHOWN,ELEVATIONS ARE REFERRED TO C.S.=CONCRETE SLAB P.L.S.=PROFESSIONAL LAND ¢J =MONUMENT LINE MIAMI-DADE COUNTY. O.E.=DRAINAGE EASEMENT SURVEYOR D.M.E.=DRAINAGE MAINTENANCE P.O.B..-POINT OF BEGINNING EASEMENTS P.O.C..=POINT OF COMMENCEMENT BM# ELEV. FEET OF N.G.V.D.OF 1929. DRIVE=DRIVEWAY P.P.=POWER POLE ENCR.=ENCROACHMENT P.P.S..=POOL PUMP SLAB E.T.P.=ELECTRIC TRANSFORMER PAD P.R.C.=POINT OF REVERSE CURVE F.F.E.=FINISHED FLOOR ELEVATION PRM=PERMANENT REFERENCE F.H.=FIRE HYDRANT MONUMENT F.I.P.=FOUND IRON PIPE PT.=POINT OF TANGENCY SURVEYOR'S CERTIFICATION F.I.R.=FOUND IRON ROD PVMT.=PAVEMENT F.N.=FOUND NAIL PWY=PARKWAY I HEREBY CERTIFY:THAT THIS"BOUNDARY SURVEY"OF F.N.D.=FOUND NAIL&DISK R.=RECORD DISTANCE THE PROPERTY DESCRIBED HEREON,AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY("SURVEY"1: COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY. PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17-6, FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027, FLORIDA STATUTES. EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS,IF ANY, AFFECTING THE PROPERTY.THIS SURVEY IS SUBJECTDEDICATIONS,LIMITATIONS,RESTRICTIONS,RESERVATIONS OR EASEMENTS OF RECORD,AND LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. BOUNDARY SURVEY MEANS A DRAWING AND/OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN �I THE FIELD,COULD BE DRAWN AT A SHOWN SCALE AND/OR NOT TO SCALE. BY. f� F/ WORK)(' EASEMENTS AS SHOWN ARE PER PLAT BOOK.UNLESS OTHERWISE SHOWN. THE TERM"ENCROACHMENT"MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. E ARCHITECTS SHALL VERIFY ZONING REGULATIONS,RESTRICTIONS AND SETBACKS,AND THEY WILL BE RESPONSIBLE FOR SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN NEW CONSTRUCTIONS,UNLESS OTHERWISE NOTED.THIS FIRM HAS NOT ATTEMPTED TO LOCATE PROFESSIONAL LAND SURVEYOR NO. 2534 FOOTING AND/OR FOUNDATIONS. STATE OF FLORIDA(VALID COPIES OF THIS SURVEY WILL FENCE OWNERSHIP NOT DETERMINED. BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF T'HE ENTITIES NAMED. SURVEYOR). HEREON,THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. THE SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION BELOW.THE LOCAL F.E.M.A. AGENT SHOULD BE CONTACTED FOR VERIFICATION.THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED REVISED ON: LAND TO BE SITUATED IN ZONE:X COMMUNITY/PANEUSUFFIX:120862 0302 L DATE OF FIRM:09/11/2009 BASE FLOOD ELEVATION:N/A. REVISED ON: CERTIFIED TO:ANDREA TOVAR&JONATHAN TOVAR a KURRY&ASSOCIATES PL GE !g OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY Boa S1F1�SRP PARAMOUNT RESIDENTIAL MORTGAGE GROUP,INC.ITS SUCCESSORS AND/OR ASSIGNS D"ci qrF y* to NO.2534 '•♦ W E a STATE OF f �Q9 J w o'`q.•..'cCOR10P'.'o� �SVS `SAND SUR" SURVEYOR'S SEAL S 1355 NW 97 AV SUITE 200 SURVEY No. 15-0000150-1 MIAMI33172 TELEP�HONE:I(305)264-2660 IN JQ�� �it r tT r!j a rz n r. FAX(305)264-0229 LAND SURVEYORS SHEET No. 2 OF 2 DRAWNBY. LG. BOUNDARY SURVEY SCALE =I"=20' 1A SIDE 9.40 N.E � �9 final" o lf�f 1 � ted{ '•�.� i�rs+.. 18'ASP 4T PVMTt 9.50 •V' � h M M 9.15 9.19 22'PWY 9.10 • '• ' •.75.00' 5'�ONC:�SWK•... '`. ', ...•. F.I.P 3/4" g9°38'43"' 90 21'18"' F.I.P 3/4" C' NO CAP I 9.05 NO CAP F.LP 3/4" NO CAP x 9.20 O F7 -1 N N 9.00 M 9.00 } U PL 10.15' �e PL PL o 17.85' _ 0.15'CL 0 32.80' 9.22 9.70' 4.65' I ONE STORY + 0.15'CL RES. #464 N LOT-5 LOT-4 BLOCK-49 F F.E.=11.50' BLOCK-49 L.F.E.=11.00' <� INDER -5 11.00 0 0.45' 17.10' 10.34' ,r, LOT .P.)9 9.55 co 9.55 15.10' 9.10 BLOC 0 i - EPTIC f � GAR=9.22' 1 •S TA K 9.25 . 'CL 9. 9. 12.45' .0 ' '�1 ,~j �o 10.90 9.53I 1. L 9.20 N �� - 1 .13' I + 23.00' 8.50 POOL h I cV �, 8.801 `8.68 5 0.50'CL 9.30 0.10'CL d x o I0 0.20'CL 104-1310.1 W.MW ' 9°46'2 8.90 8 5 >"1 314- F.LP 314" NO CAP C3WALLEY(N.A.P.)" LOT-21 LOCK- LOT-22 B BLOCK-49,49 BLOCK-49 LOCK-49 SUR VEYOR'S NOTE: _ .__••. A)Overhead Utility Line Enc od? �� b� operty on the Southwest side of Property B) Water Meter Encroachin }� r the South side of Property. SURVEYOR'S NOTE: There"may,be Easements recorded in the Public Records not shown on this Survey. �rr�7r