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BPP-14-902 (4) Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-211769 Permit Number: BPP-5-14-902 Scheduled Inspection Date: August 26,2016 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Mesa, Michel Inspection Type: Final Owner: CADILLA,ARTURO Work Classification: New Job Address:841 NE 95 Street Miami Shores, FL Phone Number Project: <NONE> Parcel Number 1132060142940 Contractor: ONE STOP CONSTRUCTION INC Phone: (786)299-7209 Building Department Comments NEW SWIMMING POOL AND DECK Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed l! � 1� Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid August 25,2016 For Inspections please call: (305)762-4949 Page 2 of 36 AC40R" CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DDIYYYY) 16.� 1 03/16/2016 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(fes) 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 endorsement(s). PRODUCER ALL CITY INSURANCE INC-ACI CONTACT CARMEN RODRIG EZ 275 FONTAINEBLEAU BLVD. PHONE 305 463-9431 1(FAX Aic 305 436-6797 SUITE 190 E-MAIL GMAIL ALLCITYINS.COM MIAMI FL 33172 PRODucER .201549 INSURERS AFFORDING COVERAGE NAIC S INSURED INSURER ;WESTERN WORLD INSURANCE C ONE STOP CONSTRUCTION, INC. LICENSE#CGC 1505208 ' 4214 SW 2ND TERR INSURER C: MIAMI FL 33134- " D: INSURER E: COVERAGES CERTIFICATE NUMBER:04 REVISION NUMBER:00 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER IMM M LIMITS A GENERAL LIABILITY NPP8353135 02/18/201602/19/2017 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS-MADE [XI OCCUR MED EXP(Any oneperson) $ 5,000 X A/I BLANKET FORM PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X POLICY PRO, LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LtAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY /N rR— ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If es,describe under OPERATIONSE.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,K more space Is required) GENERAL CONTRACTOR LICENSE#CGC1505208 CERTIFICATE HOLDER CANCELLATION Al COMMWJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF MIAMI SHORES THE EXPIRATION DATE THEREOF, jNOTICE WILL BE DELIVERED IN BUILDING&ZONING DEPT. ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVE MIAMI SHORES FL 33138- AUTHORIZED REPRESENTATIVE Peet G� lidC� � ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Parcel Owner Report Parcel Number: 1132060142940 841 NE 95 Street Miami Shores FL Tax ID: 1132060142940 Owner Information CESAR AND CHRISTINE CROUSILLANT Current Owner: No Phone: (305)756-7640 ARTURO CADILLA Current Owner: Yes Phone: Related Permits Permit Number Application Date Expiration Date Status Driveways/Sidewalks/Slabs DS- - -1976 . 09/10/2014 12/08/2015 EXPIRED _, Electrical-Residential EL-9-14-1977 09/10/2014 10/03/2015 EXPIRED Electrical-Residential EL-5-14-903 05/05/2014 07/31/2016 APPROVED Electrical- Residential EL-9-14-2098 09/26/2014 01/01/2999 CLOSED Fence/Wall FW-8-15-2206 08/27/2015 01/01/2999 CLOSED Fence/Wall FW-7-15-1652 07/02/2015 01/01/2999 CLOSED Imported Permit BP2004-499 04/13/2004 01/01/2999 CANCELLED Imported Permit BP2004-868 06/23/2004 01/01/2999 CANCELLED Imported Permit R02005-108 05/12/2005 01/01/?999 CLOSED Paint PT-2-10-290 02/24/2010 01/01/999 CANCELLED Paint PT-8-15-2031 08/12/2015 01/01/2999 CLOSED Paint PT-6-06-1614 06/14/2006 01/01/999 CLOSED Plumbing -Residential PL-5-14-904 05/05/2014 01/01/2999 CLOSED Pools/Whirlpools/Hot Tubs BPP-5-14-902 05/05/2014 07/06/016 APPROVED Public Works PW-9-14-2097 09/26/2014 05/02/016 APPROVED Re-Occupancy REOC-4-12-610 04/09/2012 01/01/999 CANCELLED Re-Occupancy REOC-4-12-575 04/04/2012 01/01/ 999 CLOSED Residential Construction 13- _Q7]4 04/29/2001L01/ 999 CANCELLED esidential C RC-6-14-1156 06/04/2014 1ni�2/2n�� EXPIRED Roof RF-3-15-601 03/18/2015 01/01/2999 CLOSED Roof RF-9-11-1660 09/09/2011 01/01/2;999 CLOSED Windows/Shutters WS-1-10-24 01/06/2010 01/01/2999 CLOSED Windows/Shutters WS-6-15-1544 06/23/2015 01/01/2999 CLOSED Windows/Shutters WS-6-14-1322 06/20/2014 01/01/2999 CANCELLED Wednesday, March 16,2016 Page 1 of 2 Related Code Cases Case Number Case Status Case Date Compliance Date Ordinance Violation CASE-2-10-6720 Case Closed 02/09/2010 3/16/2010 Ordinance Violation CASE-6-13-1157Mase Closed 06/20/2013 7/21/2013 Wednesday, March 16, 2016 Page 2 of 2 EMILUNO OBOZ 0, P.E. Profewdonal Engineer 916 SW1ZZ AVE. MIAMI FL. 331 B4 PHONE: (786) 715 - 71 Z5 August 13, 2014 ��•, F'•.:0� No631 0 Building Official ••... City Of Miami Shores Building and Zoning Department Mr. ARTURO CADILLA ADDRESS: 841 NE 95 STREET MIAMI SHORE FL For design purposes, in this project a bearing value of 2000 psf has been utilized. This bearing value is typical of a soil with combination of undisturbed sand and limerock. The pool has been excavated and after a visual inspection we are attesting that the soil conditions are similar or better to the used in the design. Should you have any questions or require additional information, please contact me at (786) 71 5 - 71 Z 5 at your earliest convenience. Sincerely, EMILIANO ROZCO, P.E. Professional Engineer License No. 66341 Miami Shores Village C77 ;MAY �S Building Department © 2014 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No.8,P)0/Ll-- 901 , PERMIT APPLICATION Sub Permit No. K, IBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS [—] CHANGE ❑CANCELLATION ❑ SHOP QCONTRACTOR DRAWINGS JOB ADDRESS: �ot( � 1 � 51— City: Miami Shores County: Miami Dade Zip: 3 g Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: l FFE: ` _OWNER: Name(Fee Simple Titleholder): )qr +L) ro Ca Ck 0 1 --k Phone#: �( Address: 1'City: t—t l a State: F�— Zip: 3 31 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Nape, Ov2 S C Cae45 �CcJ� �ct � Phone#: 79& 2 7,�G`? djAddress: O G- c`e e L- -7F -,-Gs City: cc,ql7 °c e S 9 State: `� C Zip: 55 1 3 `� Qualifier Name: -Te s �fL sUe a`z� cC�2 Z Phonl!e#: 7P6 �9�t 7�0 9 State Certification or Registration#: C6c V SZG Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: ` Zip: Value of Work for this Permit:$ �.��0• Square/Linear Footage of Work: Sf Type of Work: ❑Addition ❑�Alteration KNew( E:1Repair/Replac'e ❑Demolition GK Description of Work: Qtv f'oO� °�k� D 42 Specific color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ 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 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 IOF 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 he absence such posted notice, the inspection will not be approved and a reinspection fee will be charged. �' GIEZ� Ql� Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this rr 1 The for oing instrument was acknowle /efJore me this day of ,20 ,by `�►'n �l `a,. day of r�i 20 J�, by gatesL vim✓��-�-4�rPiL 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 PUB NOTARY PU C: Sign: Sign: Print: Print: ks S1 My Commission Expires: My Comm sSiir: gjair�SP�OS� \r rgNEZ YPu 'c MY G.)Mmissiotq#EE080681 YHOSVANY MARTINEZ April MY COMMISSION#EE080681 ��'FOFFb EXPIRES Ap " Com (407) ridallota Sarvi e. / 398-0153 � APPROVED BY Plans Examiner / Zoning I i! Structural Review Clerk (Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 2940 NORTH MONROE STREET TALLAHASSEE FL 32399-0983 VELAZQUEZ, JESUS DAER ONE STOP CONSTRUCTION INC 4214 Sit 2ND TERR MIAMI FL 33134 s STATS FLORIDA...,. ., AC#, 6304788 Congratulations! With this license you become one of the nearly one million f DEPARTMgNT OF BUSINESS AND Floridians licensed by the Department of Business and Professional Regulation. PROPESSIONAL, REGULATION Our professionals and businesses range from architects to yacht brokers,from boxers to barbeque restaurants,and they keep Florida's economy strong. CGC1505208 08/-;r 2 128054577 Every day we work to improve the way we do business in order to serve you bette. For information about our services,please log onto v r>rnyfk►rldaticense.eom.. CERTTFI= � ' � COP�RACTOR There you can find more information about our divisions and the regulations that i VPLAZ+QUEz J%SEfiB impact you,subscribe to department newsletters and team more about the ! ONE STOP ou INC. Department's initiatives. Our mission at the Department is:License Efficiently,Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. xs she provteaoae of crs>Oggs Thank you for doing business in Florida,and congratulations on your new license!j axpaFaXR ago®, 6,t 1, 2414 a:s of C.489 DETACH HERE i DEPARTMENT OF RUJINES PROFESSIONAL REGULATION c CONSTRUCTON NDU TRY LICENSING BOARD SEQ#L120192600399 DATE BATCH NUMBER L S NBR 108/26Z2012 128054577' CGC1505208, ..v.. The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of' 'Chapter. 489 Expiration date: AUG 31, 2014 § v9 3 rc� VELAZ UEZ, JESUS DEER ONE STOP CONSTRUCTION INC 4214 SW 2ND TERR j MIAMI FL 33134 i RICK fiISRSCNO KEN LAWSON DISPLAY REQUIRED BY SECRETARY AS i f , m dw un State df F—THIS IV A BILL:�VDO NOT PAYAENfiWAL� PIRES 2 SW 2 TES A07 Mist ato MIAMI - 34 Ctaa -AM 1 SEC, TYPE OR OUVMFSS Fwdktk�� CCi t96 GE ERAL ILDING CSI a �$RID COST UC PI [ � �+ BY TAX CO l,.ECTC$t CGC1 $45.00 07/09/2013 ECHECK-1 3--W4380 T �1 Brt&i Tax Plecer� t�»tirt+� eat oT the Lg&_�4 aess Tact.'[�S i��#� , +�a €#e 9 Ut t b Nat sp ih a"ga r al or ` rtroe ��" &tart'ta �equae aFA The itEf�EtPP0.abava dh�ptad aft cartto�tsi a1 aghilettiai1 "do Sat ` AeCAZEP CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) �...i'' 05/05/2014 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 endorsement(s). PRODUCER ALL CITY INSURANCE INC-ACI CONTACT CARMEN R DRI UEZ 275 FONTAINEBLEAU BLVD. PHONE 305 463-9431 'M 305 436-6797 SUITE 190 E-MAIL GMAIL ALLCITYINS.COM DU MIAMI FL 33172 PROCER 201549 INSURER(S)AFFORDING COVERAGE NAIC k INSURED INSLJ13ER CASUALTY CO 23418 ONE STOP CONSTRUCTION, INC. INSURER B: 4214 SW 2ND TERR INSURER : MIAMI FL 33134- INSURER D: INSURER E: INSURER F, COVERAGES CERTIFICATE NUMBER:05 REVISION NUMBER:00 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXPITR LIMITS A GENERAL LIABILITY 04GL895913 02/18/201402/18/2015 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurr $ 100,000 CLAIMS-MADE IJ OCCUR MED EXP(Any one arson $EXCLUDED PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP OP AGG $ 1,000,000 __x1 POLICY 7 PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE $ HIREDAUTOS (Perraccident) NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB HCLAIMS-MADE 1 AGGREGATE DEDUCTIBLE WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YYY///NNN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? �NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If es,descr be under ON OF OPERATIONS belowE.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) ONE STOP CONSTRUCTION LICENSE#CGC-1505208 CERTIFICATE HOLDER CANCELLATION A1000080 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MIAMI SHORES VILLAGE ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVENUE MIAMI SHORES FL 33138- AUTHORIZED REPRESENTATIVE 1 l� ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD A y W JEFF ATWATER �w 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 individual listed below has elected to be exempt from Florida Workers'Compensation law, EFFECTIVE DATE: 3/6/2013 EXPIRATION DATE: 3/612015 PERSON: VELAZQUEZ JESUS FEIN: 043736889 BUSINESS NAME AND ADDRESS: ONE STOP CONSTRUCTION II 4214 SW 2ND TER MIAMI FL 33134 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by riling a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt-. appiy,only within the scope of the business or trade listed on the notice of election to be exempt Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exemptand certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate,the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certifitmte.The department shall revoke a certificate at any time for tailure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO SE EXEMPT REVISED 07-12 QUESTIONS?(854)413-1609 Miami Shores Village � "" "'"'� Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL,SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at -14 1 K , 9 r 5r Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17, Please initial the method(s)to be used: The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346-91.(Submit Manufacturer's Specifications). A continuous,one-piece(child)barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter.The plans shall show the fence location and method of attachment,including one end that shall not be removable without the aid of tools.(Submit Manufacturer's Specifications). A combination of non-dwelling walls and fences(screen enclosure,child fence, masonry fence walls,chain link or wood fence,etc.)will protect t he pool perimeter.The plans must specify t he type and location of all non dwelling walls. Florida Building Code, R4101.17.1 Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9(Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self-latching device with positive mechanical latching/locking installed a min.54"above the threshold. If this option is selected,submit plans showing all types and location of all perimeter protection.The plans must also show the location and type of all openings,and the hardware type for each location.(Submit Manufacturer's Specifications). In accordance with the Code,the pool may not be filled with water without compliance with the Private Swimming Pool Safety Requirements,and upon expiration of the permit,the pool shall be presumed to be unsafe.1 understand that not having one of the above installed will constitute a violation Cha ter 515,F.S.,and will be considered as committing a misdemeanor of the second degree. his able as provided in Section 775.082 or Section 775.083 F.S.This form must be signed bythrr q !agent and the prime on ctor. ZATE >�NTRACT S ATUR AN OWNER'S SIGNATURE AND DATE S 4 z1 Cr%02 -Z- VAP-t Ko a—kiVe", CONT TOR'S NAME(PLEASE PRINT) OWNER'S AME(PLEASE PRINT) N UB SVANY .MARTINEZ: �jqY MARTINEZ '= MY COMMISSION#EE080681 MY COMMISSION#EE080681 �. ,�� EXPIRES April 04,2015 - QFe`� EXPIRES April 04,2015 407;'1 0153 Fbrida rvlce.com .,,1 '0 (407)398-0153 FloridallotaryService.com .•. p.,.� Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION �( DateY /2-t- 11Y Miami Shores Village Building &Zoning Department Attention: Building Official 1 certify that I am the legal owner of the property described as q S f " , located at 84 1'0 rK l El 0 re_S In accordance with Section 33-12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting and approved barrier prior to final inspection and use of the pool. Legal Owner Note:This certification is to be submitted with a swimming pool permit application in duplicate. s,,, Miami Shores Village Building Department R� 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PRESENTS: WHEREAS,the undersigned � 1 /f7-)V0 aA t `] 10I,'- is/are the fee simple owner(s)of the I following described property situated and being in Miami Shores Village,Florida: `L © SAddress: ( R 3 3 13 r Whereas,the undersigned owners) desire to utilize said Lot(s)as a single building site,and the undersigned owner(s)do(es)hereby declare and agree as follows: I. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami-Dade County now in effect or hereinafter enacted. II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. III. That N any of our adjoining neighbors remove any portion of their fence or wall,or if our/my property shall fail to meet code requirements for pool barriers,we,as owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. IV. That,I/we,as owner(s)hold Miami Shores Village harmless for any negligence or injury that results from not having the enclosure. V. If enclosure belongs to said property,I agree to maintain&or replace said enclosure in the event that is damaged or removed by any case. NOW,THEREOF,for good and valuable consideration,the undersigned do(es)hereby declare(that he/she will not convey or cause to be conveyed the tide to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER,the undersigned declare(s)that this covenant is intended and shall constitute a restrictive covenant concerning the use,enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon the undersigned,his/her successors and assigns and may only be released by Miami Shores Village,or its successors,in accordance of said Village then in effect OWNER SIGN&PRINTl fy V Ca J,J(C, OWNER SING&PRINT I Hereby Certify that on thi da rsonally appeared before me ,/`1 rTJiro (•rw.1 i (C&. and has produced ID #_C"5 I D O I O 6�'la identification and he/she acknowledge that he/she executed the foregoing,freely and voluntarily, for purposes there in expressed. I SWORN TO AND SUBSCRIBED before me on this qday of ` 20 (Revised 05/2209 NOTARY PUBLIC STATE OF F RI A P� YH®Sk%NY MARTINEZ iAN °= MY COMMISSION#EE080681 EXPIRES April 04,2015 (407)398-0153 FlohdallotaryService.com Mission: Rick Scott To protect,promote&improve the health Governor of all people in Florida through integrated John H.Armstrong, MD, FACS state,county&community efforts. HEALTH State Surgeon General&Secretary Vision:To be the Healthiest State in the Nation July 03, 2014 . Yhosvany Martinez 6911 Main Street 1p� Hialeah, FL 33014 RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number: AP1149886 Centrax Permit Number: 13-SC-1543526 841 NE 95 Street Miami, FL 33138 Lot: 13 Block: 75 Subdivision: Miami Shores Sec 3 Dear Applicant, This will acknowledge receipt of a floor plan and site plan on 06/10/2014 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. No Objection: swimming pool. Issued by E. Omisca on 07/03/2014. This office has reviewed and verified the floor plan and site plan you submitted, for the proposed remodeling addition or modification to your single-family home. Based on the information you provided, the Health Department concludes that the proposed remodeling addition or modification is not adding a bedroom and that it does not appear to cover any part of the existing system or encroach on the required setback or unobstructed area. No existing system inspection or evaluation and assessment, or modification, replacement, or upgrade authorization is required. Because an inspection or evaluation of the existing septic system was not conducted, the Department cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use. You may request a voluntary inspection and assessment of your system from a licensed septic tank contractor or plumber, or a person certified under section 381.0101, Florida Statutes. If you have any questions, please call our office at (305) 623-3500. Sincerely, pv&�k om cc� Erlande Omisca Engineering Specialist 11 Department of Health in Dade County Florida Department of Health www.FloridasHealth.com in Dade County.• •,Florida TWITTER:HealthyFLA PHONE: (305)623-3500 FACEBOOK:FLDepartmentofHealth YOUTUBE:fldoh ♦ OR 193 Get �n Miami shores Village Building Department IOR'1Dp' 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT#: ( �� �v �' DATE: �eI (Name) ❑ Contractor ❑ Owner ❑Architect -1- Picked up 2 sets of plans and (other) CA—C T(:) � 1 l Address: -VH KE: !X( - From ( -From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Buil ' g epartment to continue permitting process. Signature: (SIGNATURE) PERMIT CLERK INITIAL: RESUBMITTED DATE: , r PERMIT CLERK INITIAL: CIA MA6 K STATE OF FLORIDA �' q "RIS Z, t q q03 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD. (854) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MUNOZ, JUSEF P M.B. ELECTRIC SERVICE CORP 3955 NW 195 ST MIAMI GARDENS FL 33055 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, AFr;gkc�t�4ENT�F BUSINESSANDamx'cYreq'tt�r{ibni,b S economy strong. PROF9ESSIONAL REGULATION Every day we work toimprove the way we do business in order to ER13014793 ISSUED: 06116/2014 serve you better. For information about our services,please log onto +oicHs:rr►t{Jrvf ' Ir+r+s++ :i�r+.Ttittrn'Sru°�:at'`mrt�7t�vre 401 mdron REG ELECTRICAL CONTRACTOR about our divisions and the regulations that impact you,subscribe MUNOZ,JUSEF P to department newsletters and learn more about the Department's initiatives. M.B. ELECTRIC SERVICE CORP (NDIVIDUAL.MUSr.ME T.ALj IDC.AL Jur mission at the Department is:License Efficiently,Regulate Fairly. LICENSING REQiUIIREMENTS PRIOR Ne constantly strive to serve you better so that you can serve your TO CONTRACTINIG IN ANY AREA) ;ustomers. Thank you for doing business in Florida, HAS REGISTERED ,under the provisions of Ch.489 FS. and congratulations on your new license! Expiretw rate AUG 31 2016 1J4MFJM?T.tti DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON.SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULAoTION ELECTRICAL CONTRACTORS LICENSING BOARD -" • p}r & H } ER13014793 _The ELECTRICAL CONTRACTOR y= 14WM6`t df0W't4X,T{KWIWED r . Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 (INDIVIDUALMEET ALL REQUIREMENTSSPRIOR TO CONT LOCALLICENSCT NG I ANY AREA) OUNOZ, JUSEF P �■ •a 3955 NW 195 ST MIAMI GARDENS FL 33055 ■ ectien nammmnln r11C0l AV AC QIMIIIRGn RV 1 Alnl �h999 Local Business Tax Receipt Miami—Dade County, State of Florida—THIS IS N®TA GILL — DO NOT PAY 7101991 LBT BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES 955NW 5y? ® LR SERVICE CORK RENEWAL SEPTEMBER 30, 2016 7379753 Must be displayed at place of business MIAMI GARDENS FL 33055 Pursuant to County Coda Chapter 9A—Art.9&10 OWNER SEC.TYPE OP SUBINESS• M9 ELECTRIC SERVICE CORP 196 ELECTRICAL CONTRACTOR PAYMENT RECEIVED Worker(s) 1 12E000401 BY TAX COLLECTOR $45.00 08/03/2015 CREDITCARD-15039552 This Local Business Tax Receipt only continue payment of the Local Business Tax.The Receipt is not a license. permit,or a certification of the holder's qualifications.to do butanes. Holder matt comply with any governmental or nongovernmental regulatory laws and requirements which eppiy to the busing". The RECEIPT NO.above mutt be displayed on all commercial vehicles—Miami-Fede Code&ec Ba-276. P®rMoro lntarmatlen.Wait t W ,dered By* e need to take 77 eve cap oiN rtu�ni ' la t-Y possible to thank our ' amazing clients €t' �1 rl % for their support... r� S: lj tP+Px N 5 "Thank Yuu « 4 O 8.00• GRASS W 19' ALLEY " 9'00' ASPHALT PAVEMENT $ °' 75.00 P M N�' .. FJLP-1/2" COAC ;� GRASS n F.I.P.1/2" %. '4•'Y^"•Al[• !CiNCa 7.80' 11.40`4.00 tsG.RtAoS4'S c0 T LO14.60°1 % _ -- cN�4a. 15° !l O 35.10' 10.25' M m ' .40' ONE STORY � N RESIDENCE o # 841 M a N 2.20'-1 V, 0 am 10.20'1 1 70 20.75' 10.25• J� k tn - !I I ! o• .: 5.7.. GRASS p r 9 u1 •CbhC.•• !+• .• B.C. F.6P.1/2"1 •.• 1A Q S. q. F.I.P.1/2" y— 5:fJQ P, . 014 16.20' Y PAYER R 26.00' PARKWAY o t o v � — 20.00' ASPHALT PAVEMENT N. E. 95 STREET Accepted By: Property Address: 841 N.E. 95 STREET OTES: FENCES ENCROACH ALONG VVEST LOT LINE, MIAMI SHORES, FL 33138 SURVEYOR'S CERTIFICATION:I THAT THIS BOUNDARY SURVEY'IS A TRUE AND CORRECT REPRESENTA I REPARED R WY 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 CHL 0APTE -17.F *04�WINIS7 T[VE CODE PURSUANT TO 472.027,FLORIDA STATUTES. 10665 SW 190TH STREET SUITE 3110 SIGNED '}� FOR THE FIRM MIAMI, FL 33157 MIGUEL S A 'STATE OF PHONE: (305)740-3319 CTdTF P.S.M.No.5101 FAX: (305)669-3190 NOT VALID O AN C ELECTRO I' NATURE AND AUTHENTICATED ELECTRONIC SEAL AND/OR LB#:6463 THIS MAP IS NOT VALID Vd1 AND THE ORIGINAL RAISED SEAL OF A LICENSED SURVEYOR AND MAPPER. Survey:A-29402 Client File#: 12-0239 CADILLA Page 1 of 2 Not valid without all pages. Surveyor's Legend r PROPERTY LINE STRUCTURE FND FOUND IRON PIPE B.R. BEARING REFERENCE TEL. TELEPHONE FACILITIES • / 4_1 --_Zzza CONC. BLOCK WALL PIN AS NOTED ON PLAT A CENTRAL ANGLE OR DELTA U.P. UTILITY POLE --X—X— CHAIN–LINK FENCE OR WIRE FENCE LB# LICENSE # – BUSINESS R RADIUS OR RADIAL I E.U.B. ELECTRIC UTILITY BOX WOOD FENCE L.S# LICENSE III – SURVEYOR RAD. RADIAL TIE SEP. SEPTIC TANK o IRON FENCE CALC CALCULATED POINT N.R. NON RADIAL i D.F. DRAINFIELD ........ ---- - EASEMENT SET SET PIN TYP. TYPICAL A/C AIR CONDITIONER —–— CENTER LINE A CONTROL POINT I.R. IRON ROD ' S/W SIDEWALK ® W000 DECK E CONCRETE MONUMENT I.P. IRON PIPE DWY DRIVEWAY It BENCHMARK N&D NAIL & DISK SCR. SCREEN CONCRETE ELEV ELEVATION PK NAIL PARKER–KALON NAILGAR GARAGE ® P.T. POINT OF TANGENCY D.H. DRILL HOLE ENCL. ENCLOSURE ASPHALT 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 P.C.C. POINT OF COMPOUND CURVATURE ® M.N. MANHOLE T.O.B. TOP OF BANK WATER P.R.C. POINT OF REVERSE CURVATUREEDGE OF WATER O.H.L. OVERHEAD LINES E.O.W. ..„_,.. APPROXIMATE EDGE OF WATER P.O.B. POINT OF BEGINNING TX TRANSFORMER E,O.P EDGE OF PAVEMENT P.O.C. POINT OF COMMENCEMENT CATV CABLE TV RISER C.V.G. CONCRETE VALLEY GUTTER COVERED AREA P.C.P. PERMANENT CONTROL POINT W.M. WATER METER B.S.L. BUILDING SETBACK LINE o TREE M FIELD MEASURED P/E POOL EQUIPMENT S.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 EASEMENT P,U,E, PUBLIC UTILITY EASEMENT LE./E.E. INGRESS / EGRESS EASEMENT L.M.E. LAKE OR LANDSCAPE MAINT. ESMT. L.B.E. LANDSCAPE BUFFER ASEMENTC.M.E. CANAL MAINTENANCE EASEMENT U.E. UTILITY EASEMENT R.O.E. ROOF OVERHANG EASEMENT L.A.E. LIMITED ACCESS EAS MENTA.E. ANCHOR EASEMENT Property Address: General Notes: 1. The Legal Description used toperform this survey was supplied by others. 841 N.E. 95 STREET This survey does not determine or is of to imply ownership. 2. This survey only shows above ground improvements. Underground MIAMI SHORES, FL 33138 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 Flood Information: 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 were Community Number: CITY OF MIAMI SHORES not abstracted for easement or other,recorded encumbrances not shown on Panel Number: 0306E the plat. 5. Wall ties are done to the face of the wall. Suffix: L 6. Fence ownership is not determined. Date of Firm Index: 9/11/2009 7. Bearings referenced to line noted B.R. 8. Dimensions shown are platted a9d measured unless otherwise shown. Flood Zone: X500 9. No identification found on prope 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: 4/3/2012 survey work performed in the field,could be drawn at a shown scale and/or not to scale. Date of Completion: 4/10/2012 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. The certifications do not extend to any unnamed parties. Legal Description: LOT 13 AND THE WEST 1/2 OF LOT 14, BLOCK 75, OF SUBDIVISION MIAMI SHORES SECTION NO. 3, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE 37, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA Fee o: -PRINTING INSTRUCTIONS: UBLIC NATIONAL TITLE INSURANCE COMPANY; While viewing the survey in any Acrobat Reader, R BANK FSB; . Its'successors and/or assigns as their select the File Drop-down and select"Print' ay appear. Select a color printer, if available, or at least one with 8.5"x 14" paper. Select ALL for Print Range, and the#of copies you would like to print out. ease dopy be ow for Policy Oreparation Purpose 'o n y: Under the"Page Scaling" please make sure you have This policy does not insure against loss or damage by reason of the following exceptions: Any rights,easements,interests or claims which may exist by reason of,or reflected by,the selected "None." following facts shown on the survey prepared by MIGUEL ESPINOSA dated Do not check the"AutoRotate and Center" button. 04/10/2012 bearing Job# A-29402 Check the"Choose Paper size by PDF"checkbox. a)FENCES ENCROACHALONG WESTLOTLINE. Click OK to Print. b) C) M.E. Land Services, Inc. 10665 SW 190TH Street, Suite 3110 MIAMI, FL 33157 PHONE:(305) 740-3319 FAX#:(305) 669-3190 LB#6463 WWW.MELANDSERVICES.COM Survey:A-29402 Client File#: 12-0239 CADILLA Page 2 of 2 Not valid without all pages.