BPP-16-1681 (2) Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)7564972
Inspection Number: INSP-261110 Permit Number: BPP-6-16-1681
Scheduled Inspection Date:August 22,2016 Permit Type: Pools/Whirlpools/Hot Tubs
Inspector: Mesa,Michel Inspection Type: Final
Owner: DIAZ,CARLOS AND ASHLEY Work Classification: Addition/Alteration
Job Address:9230 NE 2 Avenue
Miami Shores,FL 33138-2805
Phone Number
Parcel Number 1132060133050
Project: <NONE>
Contractor: ROSMEL POOL INC Phone:(305)592-7900
Building Department Comments
NEW TRAVERTINE PAVER ON EXISTING DECK NEW Inftactlo PasComments
COPING TILE NEW INTERIOR FINISH AND RE-INSTALL INSPECTOR COMMENTS Faise
BABY FENCE
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
August 19,2016 For Inspections please call: (305)762-4949 Page 17 of 42
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Miami Shores Villageit r, �oow
"Aft
10050 N.E.2nd Avenue NE
�Liti't Cl Gp» d'ft t l I It?1PM
Ad .,.
Miami Shores,FL 33138-0000 �:... .
'ayy Phone: (305)795-2204 Pitt? �`faltfS ;
s = Expiration: 1f3012017
6, issue I to #!�
Project Address Parcel Number Applicant
9230 NE 2 Avenue 1132060133050
Miami Shores, FL 33138-2805 Block: Lot: CARLOS AND ASHLEY DIAZ
Owner Information Address Phone Cell
CARLOS AND ASHLEY DIAZ 9230 NE 2 Avenue
MIAMI SHORES FL 33138-
. .,.., .._.-
9230 NE 2 Avenue
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 3,100.00
ROSMEL POOL INC (305)592-7900
_.. ...._.. _..Y.... w . . ..... _ _r...... .._ .._, ........ .... Total Sq Feet: 1520
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Pool Deck
Date Denied: Wall Steel
Type of Work:Swimming Pool Occupancy:Private Fence
Additional Info:NEW TRAVERTINE PAVER ON EXISTING Bond Return: Final
Classification:Residential Scanning:3 Review Plumbing
Review Planning
Review Electrical
Review Building
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Contractors Bond $500.00 Invoice# BPP-6-16-60224
CCF $2.40
DBPR Fee $2.25 06/16/2016 Check*13407 $50.00 $619.90
DCA Fee $2.28 08/03/2016 Check#:13380 $619.90 $0.00
Education Surcharge $0.80 Bond#:3183
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $3.20
Total: $669.90
I
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNER FFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructlIon and Futhermore,I authorize the above-named contractor to do the work stated.
August 03,2016
Authorized Signature:OwKer / Mplicant / Contractor / Agent Date
Building Department Copy
August 03,2016 1
Miami Shores Village C.P'T-* ,
Building e artnlent " 1a Z616
J
30050-N E.2nd Avenue,-Miami Shores,Florida 33138
�! Tel:(305)795-2204 Fax:(305)756-8972 $Y
INSPECTION LINE PHONE NUMBER:(305)762-4949
FC 20ILk
BUILDING Master permit No. I (P 'I G 871
PERIT APPLICATION Sub Permit No.
UI LODING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWING'S
JOB ADDRESS: _,3 (V Z A\1e
City Miami Shores County Miami Dade Zip: X13$ -
Folio/Parcel#: _p L>-7!)'7 mac., 13`3C)SG is the Building Historically Designated:Yes NO _
Occupancy Type: Load: Construction Type: Flood Zone: ~BFE: , FFE:
OWNER:Name(Fee Simple Titleholder): (�f� r I c�� �`®� Phone#: �®S•- I
Address: Z N E Z
City: State: -Zip!
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: j24pSn2jje I boPhone#: C)(3
Address: 9 30O S 5A X44 i 0 �
City: 4ad State: �(,. Zip: i
Qualifier Name: M i r+"- J c y-e l ex Phone#: G S`• 9 -A �1 Ca®
State Certification or Registration#: C PC 1�45(o 5,,Q 4_ Certificate of Competency-M
DESIGNER:Arch itect/Engineer: r-," `1 c "o, rr�z"�c� a�� [e�G��f 1 i Phone#: 71(o- :151
Address: 9 L4a 2 -aiv c� _City: i —_"� St te: Zip:
Value of Work for this Permit:$ 31 C Square/Lineae Footage of Work: 'SQQ SOT7
Type of Work: ❑ Addition ❑ After tion ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: ��ue� -i
e' ` 1 Specify color of color thru tile: --
Submittal Fee$ So'� Permit Fee$ CCF s -tu Cp/CC$
Scanning Fee$ Radon Fee$ DBPR$ ®&• O Notary$ 0
Technology Fee$ Training/Education Fee$ � Double Fee$
Structural Reviews$___o Bond$
TOTAL FEE NOW DUE$ 1 �`Q
! • ao
(Revised02/24/2014) 9 .
t'-
Bonding Company's Name(if applicable) N-3 L A
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address aIJ /,OK
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 VICE 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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the
inspection will not be ed and a reinspection fee will be charged.
Signature.Signature � Si g
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
`7 day of Jury 20%�4 by day of 20 1(.0 ,by
r 5 �,cd who I ersonally known 4`1 -�i- \//��e_1 G who is ersonally known
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign. � Sign:
Print: rCc7 r Print:
Seal Seal: MARC A.MARTINEZ
U v COPd,1,'IoSiU FF
MARCOS A Nl AgTINEl
1'COD-1tiI�SSI P'i FI 00.x9 _017
M
_ Boidad Thru Notary Puh.o Linde wnt,,
EXPIRES h i> � ;011
APPROVED BY 1_ Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
SgORFs
n
•••• p�� Mimi shores Village
°7w L-m4 Building Department
�l R>mA 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner - Workers' Compensation Insurance Exemption
7Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project
prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compens$tion Employer Facts Brochure:
An employer in the construction industry who employs one or more p -time or full-time
employees, including the owner, must obtain workers' compensation c , rage. Corporate
officers or members of a limited liability company (LLC) in the cons ction industry may
elect to be exempt if:
1. The officer owms at least 10 percent of'the stock of the corpo6tion,or in the case
of an LLC, a statement attesting to the minimum 10 percent olumership;
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 f 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. In these ireumstances, Miami Shores Village
does not require verification of workers' compensation insurance coverage from the contracto 's company. Therefore,you may be
personaliv liable for the worker co m enation in'uries of any nervnn allowed to work underth
s ermit. Please check with your
insurance carrier since most property insurance policies DO NOT cover this type of liability.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS N�TICE AND UNDERSTAND ITS
CONTENTS.
Owner C Intractor
Print Name: - -- \C_
Print Name
— -- - - -V` _'�✓ 4"1 a. �/�.✓arc. G_
Signature: Signature: `
State of Florida) State of Florida)
County of Miami-Dade) County of Miami-Dade)
Sworn to and subscribed before me this Sworn to and subscribed efore rne.ths
day of 1u�,� 201 La day of_ �E ate201(a
By. �ZBy.
-�-�
(SEA
L) p
T ---- (SEAL) .
, MARTIN
Type o d tto --
MY COMMISSION FF 009969 P4Y CO.?1115'3!; V 1 FF 009389
° — 7 _
EXPIRES:May 15,2017 :« EXP! ES:i�S�y 15,2017
o Bonded Thru Notary Public undenvrters -cr Bord.d Th Notary Public 6ndenvdters
t►OR
51�iii
%J
ISBN Miami Shores Village
Building Department
R 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 p 4rt-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. The officer owns at least 10 percent of the stock of the corpo ation.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. In these circumstances, Miami Shores Village
does not require verification of workers' compensation insurance coverage from the contractor's company. Therefore,you may be
personally liable for the worker compensation injuries of any person allowed to work under this vermit, Please check with your
insurance carrier since most property insurance policies DO NOT cover this type of liability.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Owner Contractor
Print Name." Print Name: I f-t- C_
Signature: Signature:_,ez:11�1 _
State of Florida State of Florida
County of Miami-Dade County of Miami-Dade
Sworn to and subscribed before me this Swom to and subscribed before me this
day of u,,ca__ .20-1 l® . day of 20
By
' By
(SEAL)
.
Type of laikpftsj (SEA y
,ipujme* --� Typelam" -atlQp, .......7
MYCONIMSSION#FF008089
---------- EXPIRES:May 15 ?017 JE
Bonded Thru Notary Pub); dc
erwfters
Date:
State of ring-'1c-In'
County of �F
Before me this day personally appeared1--'�o C VC1V-k �Ca who, being duly sworn deposes
and says:
He or she will be the only person working on the project located at:
21 �-3t 9 =&e 1-- ica rl-ti Shore 2w f-L, ,33)��
Sworn to (or affirmed)and subscribed before me this day of
Mky - 20 —by- 1�-1-IV L/ck v-*- (Q
/1" //c �
Personally known
Or produced identification
Type of Identification produced
I �< MARCOS A P,1nRT(tJEZ
M l G0111013SI FF Ch�Ba�9
EXPIRES:I 15,2017
s
on ed Thru Notary P i ii,Unda aters
Print,Type or Stamp Name of Notary
8045 NW 36 Street-Suite 540 Doral- FI 33166 Sales 305 592-7900
Fax 305-592-7997 www.rosmelp ols.com
CPC-1456804
Property Search Application- Miami-Dade County Page 1 of 2
"hE
rkr � PROKRTY"
<;
k PPRAISER
OFFIU U111111Summary Report
Generated On:7/7/2016
Property Information
Folio: 11-3206-013-3050 ,
Property Address: 9230 NE 2 AVE
Miami Shores,FL 33138-2805
CARLOS DIAZ
Owner
ASHLEY DIAZ
9230 NE 2 AVE
Mailing Address f
MIAMI SHORES,FL 33138 USA
Primary Zone 1100 SGL FAMILY-2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL-SINGLE r
FAMILY: 1 UNIT
Beds/Baths I Half 4/3/0
'
Floors 1 � -
� x �
Living Units 1
016 I Ph9oto raph
k
Actual Area 2,865 Sq.Fty
HIM
Living Area 2,129 Sq.Ft
Adjusted Area 2,497 Sq.Ft Taxable Value Information
Lot Size 14,040 Sq.Ft 20161 2015 2014
Year Built 1941 County
Exemption Value $50,000 $50,000 $50,000
Assessment Information Taxable Value $294,4231 $292,0291 $289,315
Year " 2016 2015 2014 School Board
Land Value $350,840 $266,683 $266,683 Exemption Value $25,000 $25,000 $25,000
Building Value $188,867 $189,704 $185,614 Taxable Value $319,423 $317,029 $314,315
XF Value $44,068 $30,376 $30,650 City
Market Value $583,775 $486,763 $482,947 Exemption Value $50,000 $50,000 $50,000
Assessed Value $344,423 $342,029 $339,315 Taxable Value $294,423 $292,029 $289,315
Regional
Benefits Information Exemption Value $50,000 $50,000 $50,000
Benefit Type 2016 2015 2014 Taxable Value $294,423 $292,029 $289,315
Save Our Homes Assessment
Cap Reduction $239,352 $144,734 Sales Information
Portability Assessment $143,632 Previous OR Book-
Reduction Sale PriceOR
Qualification Description
Homestead Exemption $25,000 $25,0001 $25,000 28835_
09/23/2013 $570,000 �Qual by exam of deed
Second 2218
Exemption $25,000 $25,000 $25,000
Homestead 04/04/2013 $345,000 28587-Financial inst or"In Lieu of Forclosure"
Note:Not all benefits are applicable to all Taxable Values(i.e.County, 0231 stated
School Board,City,Regional). 11/05/2009 $100 27098- Financial inst or"In Lieu of Forclosure"
3914 stated
Short Legal Description 04/01/2007 $0 25541- Sales which are disqualified as a result
MIAMI SHORES SEC 1 AMD PB 10-70 4738 of examination of the deed
LOTS 1 &2 BLK 23
LOT SIZE IRREGULAR
COC 25541-4738 04 2007 5
The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser
-4 ne;;_nao r..,..+„ -r�k;I;+,, moo 4;.11 A;; i�i.,,e.-4]ire.A, n,.,,.,,.,
http://www.miamidade.gov/propertysearch/ 7/7/2016
e 5'IA ji
;,,. 15 , v k lam! Shores Village
. .a
Building D „artment
�R ' '` 050 N.2nd Avenue
Px4 i� Miami Shores, Florida 33138
Tel: (305) 795.2204
' Fax: (305) 756.8972
SWIMMING POOL OWNER'S CERTIFICATION
Date U 17 12-0 t
Miami Shores Village
Building &Zoning Department
Afitention: Building Official
I certify that I am the legal owner of the property described as
tx:rt5-- �i z-A
►--� ��,i scG l fit.-,®1 ,located at
--I 2,30 f JF, M ,R—
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 ' spection and use of the
pool.
Legal Owner
y
Note:This certification is to be submitted with a swimming pool permit application in duplicate.
i
yttORs �1t
r Miami Shores Village
t■n ;inaM
Building Department
FL Dp' 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 Qs r 1 o� � _Z- is/are the fee
simple owner(s)of the following described property situated and being in Miami Shores Village,Florida:
Address: 9 Z36 INS Z -Ave 1✓i►Gd,.:► 51�.®<e� , �7L_ 3313,6
Whereas,the undersigned owner(s) C=g2.r 1 oS �i
desire to utilize said Lct(s)as a single building site,and the undersigned owner(s)do(es)hereby declare anagree as follows:
I. That the property will not be used in violation of any ordinances of Miami Shores Villa a 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 r a pool where the
required enclosure is not on the subject property where the pool is located.
III. That if any of our adjoining neighbors remove any portion of their fence or wall,or if our/my property shall fail
to meet code requirements for pool barriers,we,as owners will immediately install a protective enclosure to
meet code requirements and will obtain a permit for such fence.
IV. That Itwe,as owners)hold Miami Shores Village harmless for any negligence or inju 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 th t he/she will not
convey or cause to be conveyed the title to the above property without requiring the successor in title to abid 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 rel e edi7y7vlta i Shores Village,or its
successors,in accordance of said Village then in effect.
OWNER SIGN&PRINT OWNLR SING&PRINT
I Hereby Certify that on this day personally appeared before me 1 t.35 nd has produced ID
# FL p) -as identification and he/she acknowledge that he/she executed the foregoin ,freely and voluntarily,
for purposes there in expressed.
SWORN TO AND SUBSCRIBED before me on this _day of 20
NOTARY
(Revised 05/2209
MARCOS A MARTINEZ
} ( MyCOMMIS 31ON#FF 008989
EXPIRES:h ay 15 2017
Bonded Thru Notary Public underwriters
. i
`SHORES G1l
Miami horles Village
Eggs ""' Building Department
SRSR, 10050 .E.2nd Avenue
, iN$
�LORrpA Miami Shoreo, 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
9 7-3® 2 -&'Je 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.(5,ubmit Manufacturer's Specifications).
A continuous,one-piece(child)barrier meeting the requirements of Florida uilding 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 openin s 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 wails with openings directly into the
pool perimeter and all doors will be equipped with a self-latching device with positive mechanical
latching/locking installed a min.54"above the threshold. If this option is selected,submit plans showing all
types and location of all perimeter protection.The plans must also show the location and type of all
openings,and the hardware type for each location.(Submit Manufacturer's Specifications).
In accordance with the Code,the pool may not be filled with water without compliance with the
Private Swimming Pool Safety Requirements,and upon expiration of the permit,the pool shall be
presumed to be unsafe.I understand that not having one of the above installed will constitute a
violation of Chapter 515,F.S.,an d will be considered as committing a misdemeanor of the second
degree,punishable as provided in Section 775.082 or S on 77 . his form must be signed
by the owner/agent and the prime contractor.
CO CTOR'S SIGNATURE AND DATE 0 SIGNATURE AND DATE"
C c%. 10s I ° 0-z
CONT OR'S NAE PL SE PRINT) OWNER'S N ME(PLEAS RI )
NOTA Y LIC OTAR
MAFlI JS A MAXWEZ MAFICOS A MARTINEZ
MY COP"tills ON'FF008989
h_ , °.; � _ MY COP4MISSION#FF 008989
�� ?017 EXPIRES:Mtay 15,2017
P, c �'envnle,s r Oonded Thru Notary Public UndenvMe
r
PROJECT SITE
r
e
PROPERTY ADDRESS:
9230 NE 2nd Avenue
Miami Shores,Florida 33138
LEGAL DESCRIPTION:
t s
Lots 1 and 2,Block 23,of"AMENDED PLAT OF MiAMI SHORES SECTION NO.1 " m
according to the Plat thereof as recorded in Plat Book 10,at Page 70,
of the Public Records of Miami-Dade County,Florida.
FOLIO NUMBER:
113206 013 3050(Miami Dade County Public Records/Property Appraiser Office) LOCATION MAP
SCALE:(N.T.S)
SURVEYOR'S NOTES:
Subject property Iles within Zone"X".
CERTIFIED TO:
Raymond Slate and Christina Poulos,his wife
National Title Insurance of New York,Inc.
LSI Title Agency,Inc.
Becker&Poltakoff,P.A.
GENERAL SURVEYOWS NOTE
•
1)Thfs survey was conducted for the purpose of a"Boundary Survey"only and is not Intended to delineate the regulatory je:sd lettom of any f oda laF,state, .
regional or local agency,board,commission or other entity.
2)-The accuracy obtained by measurements and calculations on this survey,meets and exceeds the Minimum Technical 9ttAt)"requirenimts for a .860:6
suburban area(1 foot in 7,500 feet)as specified in Chapter 5J-17,Florida Administrative Code. •••••• • . •
3}This Survey does not reflect or determine ownership. .... • • •••
4)-Legal Description subject to any dedications,limitations,retractions reservations or easements of record. • • ••••••
5}-Examination of the Abstract of Title will have to be made to determine recorded instruments,If any affecting the property;search of Publil Records not • ••
•••
• • •••
performed by this office. ••• • 0••••.•
6)-No effort was made by this office to locate any underground utilities and/or structures within or abutting the subject properly.•• .. • • ....
7)-This Survey has been prepared for the exclusive use the entities named hereon only and certifications hereon do not a jq%ny unnamed parties. s•
8)-This Survey was prepared for a Mortgage Transaction only;not to be used for design and/or construction purposes without tft Tnsent of this office. •
9}U01ity facilities within Utility Easements not noted as violations. :0..:. ' ""
10)-Driveways or portions thereof within Roadways not noted as violations or encroachments. ; .'. •
11)-Foundations and/or footings underneath the ground surface that may cross beyond the boundary lines of the herein deserlbed parcel a rewww*own. . •
12)-Fence ownership determines by visual means only(if any);Legal ownership not determined. .. .
13rNo search records was made by this firm beside the record plat;therefore we do not imply or accept responsibility for any Easement,Dedication or
Limitation for which Information was not furnished.
14)-Contact the appropriate authorities prior to any design work on the hereon-described parcel for Building and Zoning Information.
15)-In some Instances{�raphic representations have been exaggerated to more clearly Illustrate the relationsrtip between physical improvements andlor_
lot lines.In all cases dimensions shall control the location of the improvements over scaled positions.
16)-The dimensions and directions shown hereon are In substantial agreement with record and calculated values unless otherwise noted.
17)"Obstructed comers are witnessed by Improvements
2434 S.W.28tLane, Miami, Florida 33133 ,rG. ..�►Yt�V1h@fir t� 'ROSSOC. nT.-
Ph.(305)$6060>-3$66 Fax. (305)860-3870 �:•-..
This is to certify to the above named firm and or persons that the"SKETCH OF BOUNDARY SURVEY"of the herein described yRopo3 is fru if`dreorrbct to
the best of my knowledge and belief as recently surveyed under my direction,also there are no visible encroachments other tfid It 6p, ownerlor his
representative furnished the legal description contained herein. Other recorded Instruments may affect this property. Su eyor hag'not ejcaminpd the,.
abstract of title. Locations of utilities on or adjacent to the property were not secured unless specifically requested by own?_4'1 f,lhj� certify that this'niap gr
plat meets the Minimum Technical Standard Requirements,adopted by the Board of Professional Surveyors and Mapper purrsuant to Chapter 472.027.
Florida Statutes,as set forth in Chapter 5J-17,Florida Administrative Code,under Sections 5J-17.061 and 5J-17.052 ands,a':BOUNDARY SURVEY
defined in Section 5J-17.050. JCSR E L,CASFtER f`
Date of Field Work: 04/09/2013 Job# 57620 Sketch# 35880 r'•fr'f t' ;
T Prafessloiial SurSe);o{)IIj 4ii agpei,#6467
TMs dro Anp to 00 p,up"rty d J*MQ L.Cabmra Prolnulonal8ur%W&a Mapper Ro{rodwdons of this drowfn0 we not valid untoss S1s4W ane ombossod whh the surveyors soot. State of Fblide
.. .. . . . .. .. .
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U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Fkwd Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015
JN 57620 SECTION A-PROPERTY INFORMATIONlompany
R INSURANCE COMPANY USE
Al. Building Owner's Name. Raymond Slate and Christina Poulos,his wife icy Number:
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No,)or P.O.Route and Box No. v NAIC Number.
9.230 NE 2nd Avenue___ _
City Miami Shores State FL ZIP Code 33138
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lots 1 and 2,Block 23,of"AMENDED PLAT OF MIAMI SHORES SECTION NO,1 ",Plat Book 10,at Page 70,Public Records of Miami-Dade County,FL
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residgntiai
A5. Latitude/Longitude:Lat.251 51'62"N Long.8Q*11'62"W Horizontal Datum: ❑ NAD 1927 (0 NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 8
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 1,900+1- sq ft a) Square footage of attached garage 630+1- sq It
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings In the attached garage
or enclosure(s)within 1.0 foot above adjacent grade 10 within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b 1.025+/-sq in c) Total net area of flood openings in A9.b NIA sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION'.
61.NF1P Community Name 8 Community Number B2.County Name 63.State
Village of Miami Shores 120652 Miami-Dade County Florida
84 Map/Panel Number B5:Suffix B6.FIRM Index Date 67.FIRM Panel B8.Flood B9.Base Flood Elevations}{Zone 1
Effective/Revised Date Zone(s) AO,use base flood depth) JI
12086 C / 0302 L 09/1112009 09111/2009 "X" N/A
610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source:W8
B12. Is the building located Ina Coastal Barrier Resources System CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes Jjo
Designation Date:N/A CBRS ❑ OPA • • •see*
• •• •••
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIR D}•• •••• ••
..... ....:•
Cl. Building elevations are based on: El construction Drawings* 171 Building Under Construction* �•�i;i*s;ed Construction* •
*A new Elevation Certificate will be required when construction of the building is complete. ••••••
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1 V30,V(with BFE),AR,ARM,ARAE,AR/A1-A30,AR/A ,AVAC.,CompleJ.l JC2.a-h• •
below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. '••• • 00:0
••••
Benchmark Utilized:Miami Dade County BM Vertical Datum:(NGVD) '•"" •••• *0000
Indicate elevation datum used for the elevations in items a)through h)below. ®NGVD 1929 ❑NAVD 1988 ❑Otfl3oufc4:N/A
Datum used for building elevations must be the same as that used for the BFE. •••••• • ••
Check themed%u J)ment yped. • •• •
a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 9.30 0 feet •❑meters*• • •
b)Top of the next higher floor 11.67 tee►� b meter&...
:���•
c) Bottom of the lowest horizontal structural member(V Zones only) WA. ❑feet ❑meters.•
d)Attached garage(top of stab) 9.57_. ®feet ❑meters
e)Lowest elevation of machinery or equipment servicing the building 9,83 feet ❑meters
___(Describe-type ofequipment-and-location-in Comments)
0 Lowest adjacent(finished)grade next to building(LAG) 9.30 ®feet ❑meters
g)Highest adjacent(finished)grade next to building(HAG) 9.$0_ ®feet ❑meters
h)Lowest adjacent grade at lowest elevation of deck or stairs,including structural support N/A.,.____._. ❑feet ❑meters
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
information.1 certify that the information on this Certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001.
® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
® Check herQ.ifettsahment& licensed land surveyor? ® Yes ❑ No
Certiffer's Name Jorge L'Cabrera License Number PSM 6487
Title Prjofessional Surveypr4 Mapper Company Name:E.R.Brownell and Associates
Address W!SW 28'"Lane City Miami State FL ZIP Code 33133 -�
Signat Date 04/10/2013 Telephone (305)860-3866
FEMA Form 686-.0-33(7/12) See reverse side for continuation. Replaces all previous editions.
IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number:
9230 NE 2nd Avenue _
City Miami Shores _ State FL ZIP Code 33138 Company NAIC Number:
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner.
Comments:JN 57624 / Latitude and Longitude taken with a Garmin Vista-Etrex GPS/No access to the inside of the house was available to the surveyor
Elevation Certificate only.to be used to obtain Flood insurance / This Elevation Certificate cannot be used to design or construction purposes.
C2.a)Denotes the approximate elevation of the crawl space.(This is not a habitable living area)
C2.b)Denotes the next higf)egt floor elevation.This is the main habitable floor elevation of the house.
C2.e)Denotes A/C slab
Signature, 2t Date 04/10/2013 T^
SECTIORt-BVJWING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items E f-E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C.For Items E1-E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG.
b)Top of bottom floor(including basement,crawispace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG.
E3 Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes ❑ No ❑ Unknown.The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-Issued or community-issued BFE)
or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name ••••
Address City State • 7406;ode
•
Signature Date Telephon •••••• •• • .••.••
•
•
••••.•
Comments �••••� ������ • •
•••• • •••••
.__l7 Check �.fattachm ���•
• •
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who Is authorized by law or ordinance to administer the communilys floodplain management ordinance can comp a ons A,B,C(or E),and G •
of this Elevation Certificate.Complete the applicable Item(s)and sign below.Check the measurement used In Items G8-G10.In Nerto FLico onI)Cgg :Vters. ••••••
G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed,sarve4r.-engineer,or architect who•••
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the CommUts alba below.1 I:*. • •
G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zon%*AO.
G3.❑ The following information(Items G4-G10)is provided for community floodplain management purposes.
G4_._Permit NUmef G5-Uafe Pe►init Issued 7Gti. Dale Certflicate-pomp ii n-ce74cciapancy Issued--
G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement
(448 RevAlitin of m,;-hi tilt lnwnst floor(Inch jcJiuQ hAsurvignt)of the h,flidlvqM(pet 1:1 Meta- nalum
G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum
G10.Community's design flood elevation: ❑feet ❑meters Datum
Local Official's Name' Title
Community Name Telephone
Signature Date
Comments
❑Check here if attachments.
FEMA Form 086-0-33(7/12) Replaces all previous editions.
ELEVATION CERTIFICATE, page 3 Building Photographs
See Instructions for Item A6.
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(Including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number:
9230 NE 2nd Avenue
City Miami Shores State FL ZIP Code 33138 Company NAIL Number:
If using the Elevation Certificate to obtain NF113 flood insurance, affix at least 2 building photographs below according to the instructions
for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side
View." When applicable, Photographs Must show the foundation with representative examples of the flood openings or vents, as
indicated in Section A8. If submitting more photographs than will fit on this page,use the Continuation Page.
Front View
•
!111 1!'' 0i1'j
K
else**
foe*
Rear View
W
%
rpm,
,Yah t
FEMA Form 086-0-33(7/12) Replaces all previous editions.
LIFE SAVER POOL FENCE SYSTEM SPECIFICATIONS
General Deeription:
Pool fence designed specifically to provide a barrier around residential swiaming pools for
toddlers and young children. Life Saver Pool Fence Systems®does not leave any gaps,
openings, indentations,protrusions,or structural components that could allow a young
child to crawl under, squeeze through,or climb over the barrier. Our exclusive Perma
Lockmg System will not allow the barrier to be removed without the aid of tools.
Life Saver Pool fence is manufactured and installed in compliance with the Florida
Building Code 424.2.17.11 through 424.2.17.1.1-14, and the Florida Statute 515.29.
System:
Tension based system utWzimg a series of 15 foot sections of fence with inserts for
mounting in non-conducting polypropylene sleeves core drilled 4 rhes deep into a
concrete deck or other substantial surface, the like is placed no less their 20" from the
waters edge, connected in series at the top with our exclusive 2 1/2 inch P'erma.Locking
System.
Construction:
Mesh: Polyester mesh frit with 96 %visibility and mildew resistant polyvinyl coating to
provide for years of use in direct sunlight.
Continuous basket weave with a tensile strength rating of 270 lbs. Per inch making
it impossible to rip under normal use.
0000
Color selection is black, white or green. Available in 48 or 60 inch U&*. •••• ••••••
0000
.60... .. . 000000
Bordered on all four sides by a reinforced vinyl material with a ratuV W387 lbs. t®• :0000:
0 .0prevent sagging and provide the necessary tension to insure the &Miya tevir••••
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for its intended purpose both at the top and bottorn. •
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The mesh is pre-mounted on marine grade rei�rced aluminum po"0*4-secured' '.
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by alu�tu�cove molder strips. :..... .
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Poles: Poles are constructed of grade alurninurn, black, white or green powdeg••-
coated or silver finish. Pole spacing is optional at either 30 or 36 inches.
Stakdess steel screws(14) are utilized for securely attaching the alurnimim,cove
molding to the poles and mmL
Surface of the poles are finished for handling and to injuries from physical
corny-C.T.
Tlae poles are capped to provide a neat finished wmarmce.
-URSUER POOL FENCE
lainfos J"Ahminaw Pow
Life Saver Pool Fence um Rejnfotc44 6063T6 1,,Aluminum Poles spaoW no
e d=36"apam Mesh is sedated to the pole via an aiUMMM cove molding using
rowWhmd saem spaced no Weaw the 6-.
The tech sating of T6 scores the high tensile savngth(301ssi)within the 6063 alloy
classific adon.
On July 10,2003, Life Saver Pool Fence Systems, Inc. contmeted Nutting Engineers of
Florida, Inc.,an ASTM Sundwds testing lab eMblLsW in 1967,to test the pole
as Per the Florida Building Cod@ section 424.2.l 7.1.15,
At the time oitesdm&a 1810fa1 f0MC was appHad to a single pole ata ent of 36„
from the surhee of the deck to the test,the to InterW pressum was fowd to
exceed 70 lb& of Pyesmsm before£ai.lure on any Single pole in a five s an9
thus ex the 5211 . ofhorizonW form . by the Floaida 8Wldi€ig Crsde
don 424.2.17.1.15 P -
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9 s11e no*ve ' roof race yste.M39 Ime.
Removabie Port Safety Mesh Barrier Fencing Techn 1 Speeffications
Life Sever Pool Fenw Systems,Inc,has manufactured removable pool safety fencing
for over 13 years and has continuously evolved their methods and materials,often-tune
leading industry wide changes. A Manuficunves Limited Lifetime Warranty guarantees
every system for as long as they own it Life Saver Pool Fence meets and exceeds aH
code requirements throughout Florida.Below you will find twJ=cal specifications on the
components used in assembling the Life Saver Pool Fence.
Textilene mesh.has been used as the highest gWity material to the pooj fence industry
for over 15 years. Laboratory testing shows its strengths to surpass all code specifications
and applicable ASTM standards..
Itern
Number: T70 DFS
Product Description:
/qY9e q P:
Fabric using .025" dia. Briny 1000 den. polyester core yarns in the warp
and fill. ....
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Construction, endrnch D3775-96 13.0 + .5 .,�, •® + 4:06469
Weight, ortyda D3776-96 -- '•••• ;••••• ••:�8
Strength (grab), .66666 .600 .....
Tensile Stye cab Ibf D503�-95 221.4 ..'..•Zg3.`�.' : ......
Tensile Strength (strip), IV D6035-95 194.9 ' :--:-:153.8
•"
Tear Strength, (Trapezodial), IV DI 117-97 65.4 .�...:. 0.00:•
Ball Hurst, IV D3787-89335....
n9 Strength, psi D3786-89 .. 43�•'
Bursting ;
Elongation, % D5036-95 24.3 21.6
Abrasion Resistance D3884-92 No exposure of core yam
(CS 10l5W cydk!with no added weight)
Flammability Rating CS-191-53 & CA 117E
Weatherability, 1200 hours G63-96 No discoloration
Mildew Resistance G21-96 No growth
"The above rewfta are a r nlsrtfve of rear data from single test aan�.
Prawn*no specification is incorporated.
Warp refers to the horizontal threading while Bill refers to the vertical thlteading.As
shown,all testing confirms TextHeae mesh meets and,on all strewth tem,amply
exceeds the set code requirments.
hebaja icr is const ruutcd in 15' sections utilizing six (5) mad X posts
(testing on fle) with a nmximum spacing of 36" d sume between posts. The
barrier uses a T70 Te en Mesh(testing on file). The mssh is attached to
the post with# 8 r/a ineh stuff steel screws and aluminum c*ve molding.
End Poata --2 per cation:
The end past utilize fifteen (15) #3 Vz inch screws, two (2)at etre tap 1"
apart, two (2) at the bo 1" apu% and eleven(11) at approximately 4"
&pant but never more than 6" apart.
Line Post—4 per section:
The line post utilize eleven(11)#g !2 inch screws, two(2) at the top 1'�••••
apart, two (2) at the bottom 1" apart, and 7 at approximately S /�:•apa� bj(.. •••; •
never more than 6" apart. 969.69 '..' : 00900
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The sections of barrier are stood by placing the poles into 1" � nducti vp •
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sleeves. nw sleeve is 4" in depth. The pole is y4" high, 3 IA" b6ld* the d6tk ' 00'00•
and the
prcmair� ng portion above the deck. The bottom of the �•3s flulh 0000:.
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Lifesaver utilizes a suss nickel hardware to" y" secure the
batTicr at one end. This requircs use of either a Philips heW screwdriver or a
3/8" wrench. In the main opening, spring activated snap hooks are used on
both sides. This hardware is at "_+in height from grade never lower than
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