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BPP-16-3207 Permit NO. BPP-11-16-3207 eNO12s L,� Miami Shores Village Permit Type:Pools/Whiripools/Hot Tubs 10050 N.E.2nd Avenue NE Work Classill7cation:Repair �•� Miami Shores,FL 33138-0000 Per i Phone: (305)795-2204 Permit Status:APPROVED tIInaI Issue Date: 12115/2016 Expiration: 06/13/2017 Project Address Parcel Number Applicant 1561 NE 103 Street 1132050310220 Miami Shores, FL 33138- Block: Lot: M2J4 HOLDINGS LLC Owner Information Address Phone Cell M2J4 HOLDINGS LLC 1561 NE 103 Street (786)290-8051 MIAMI SHORES FL 33138- 660 NW 125 Street NORTH MIAMI FL 33168- Contractor(s) Phone Cell Phone Valuation: $ 7,000.00 AQUARAMA POOL INC (305)934-4226 Total Sq Feet: 450 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved: : In Review Final Date Denied: Review Planning Type of Work:Swimming Pool Occupancy: Review Electrical Additional Info: Bond Return: Review Plumbing Classification:Residential Scanning:3 Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $4.20 DBPR Fee Invoice# BPP-11.16-62166 $3.15 12/15/2016 Check#:3002 $ 186.50 $50.00 DCA Fee $3.15 Education Surcharge $1.40 11/23/2016 Check#:2964 $50.00 $0.00 Permit Fee $210.00 Scanning Fee $9.00 Technology Fee $5.60 Total: $236.50 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructs and zon g. Futhermore I authorize the above-named contractor to do the work stated. December 15, 2016 nze na :Ow er / Applicant / Contractor / Agent Date Building Department Copy December 15,2016 1 -.� RECEIVED Miami Shores Village OV 23 1016 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 / ' Tel:(305)795-2204 Fax:(305)756-8972 T4 INSPECTION LINE PHONE NUMBER:(305)762-4949 5 FBC20l `f BUILDING Master Permit NoZR S?26'� PERMIT APPLICATION Sub Permit No. rUILDING F-1ELECTRIC ❑ ROOFING REVISION E] EXTENSION ❑RENEWAL PLUMBING r__j MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP r� 1G CONTRACTOR DRAWINGS JOB ADDRESS: 19,01 —1 kc)� 4 City: Miami Shores County: Miami Dade Zip: 331 3es Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OcPhone#:OWNER:Name(Fee Simple Titleholder): Address: ( cam(O I OF, / City: State: Zip: LS—SI-38 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name Phone#: Address: .�co ' City: State: _ Zip: Qualifier Name: ( Phone#: State Certification or Registration#: VC 4! Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: _ City: State: Zip: Value of Work for this Permit: _Square/Linear Footage of Work: n Type of Work: ❑ Addition ❑ Alteration ❑ N w Neair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ ,�;;O- 00 Permit Fee$ CCF$_ `` CO/CC$ Scanning Fee$ Radon Fee$ DBPR$— 1 Notary$ Technology Fee$ Training/Education Fee$_ _Double Fee$ Structural Reviews$ __ _______ _ _ __ Bond$�P_ TOTAL FEE NOW DUE$ is (Revised02/24/2014) ti 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 inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT NTRACTOR The foregoing instrument �was lacknowledged before me this Theforegoinginstrument was ack wledged before me this ( day of `1��.,W,, 20 �GJ , by 1 `�J day of 20 _, by nown to ( ersonally known to 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 PU3, SAN'CHEZB Sign: Sign: Print: € MY COMMISSION#FF15843?_ ��.., Print: � r XP Se tember 9,2018 1(407)398-0153 ;!y Servicr.com Seal: o aryServicemm Seal: APPROVED BY !ans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ()R S ",,,m Miami shores Village a�41 Building Department 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 _._........---is/are the fee simple owner(s)of the following described property situated andbeingin Miami Shores Village, Florida: Address: ���_—U_E 10_� NA1nm'1 FL_ Whereas, the undersigned owner(s) desire to utilize said Lot(s)as a single building site,and the undersigned owner(s)do(es)hereby declare and agree as follows: 1. 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 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 installs 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 title 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 Vi;Iage then in effe . . �IC�kwo - ER SIGN &PRINT OWNER SIGN&PRIN I Hereby Certify that on this day personally appeared before me t and has produce ,as identification and he/she acknowledge that he/she executed the foregoing,freely and voluntarily,for purposes there in expressed. SWORN TO AND SUBSCRIBED before me on this 'P pm:- IVIS SAANCHEZ #FF158432 B�lOua4,6� �'&QRiD (Revised 05/2209 SNINC.u.R�s shores Miami Village "" - ""' Building Department ,.'yo�� 10050 N.E.2nd Avenue �t0RIUp 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 c 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 complies 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 fencewal s,chain link or wood fence,etc.)will protect the pool perimeter. The plans must specify the type and to ation 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, 84101.17.1.9(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,p nishable as provided in Section 775.082 or Section 775.083 F.S.This form must be signed by the o er/agent and the prime contractor, Colf RAC OR'S SIGNATURE AND DATE OVkL ' SIGNATURE AND DATE QgiT­RKC WNE ?LEAS Pal`"NCHEZ `� "►� IVIS SANCHEZ c or. 'C 4'..BION ':FF158432 #FF158432 9,2018 NOTARY : ., p ES tember 9,2018 �. Flo jis rJotaryService.com 30-0153 FloridallotaryService.com r • ♦SORt,T logo = W m iami shores Village y� M 'o�e Building Department fitoRiDp' 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Date 1�—I �0--1 Miami Shores Village Building &Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as located at 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.