BPP-17-1234Date
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
Miami Shores Village
Building & Zoning Department
Attention: Building Official
I certify that I am the legal owner of the property described as
get_ tot.
5A,c, Amr) eb is -IH t.94- 20 , located at L4V NE 01� 5 f
MS- 1Qc, / FI -;3 .
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.
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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.
L'e'gal Own`—~
Note: This certification is to be submitted with a swimming pool permit application in duplicate.
IVliami Shores Village
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: 1 '
WHEREAS, the undersigned V \�� ‘,A` is/are the fee . • • • • .
simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: • • • •• •• ••• ••
Address: (,L5 IJC- Cf 51-
Whereas,
7
Whereas, the undersigned owner(s)
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desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as t;011ows:
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I. That the property will not be used in violation of any ordinances of Miami Shores Village at:li�ade • •
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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: 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, 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
conceming 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 Vill. s n in effect.
OWNER SIGN'&'PRINT
OWNER SING & PRINT
I reby Certify that on this day personally appeared before me 4 ZZ l and has produced ID
#' c '-'-» L' -i - ic)(nandentification and he/she acknowledge that he/she executed the foregoing, freely voluntarily,
for purposes there in expressed.
SWORN TO AND SUBSCRIBED before me on this 22- day of in 20 a
1 flltl1ii!#
m;j�E
(Revised 05/2209
••--• :;�: ypRL
ENY M, HERN
MY COMMISSION A02210
���" =' # FF 022108
STATE OF (FLORIDA)
COUNTY OF (DADE)
Miami Shores Village
Building Department
SURVEY AFFIDAVIT
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
The undersigned Affiant, vc:, Aa'1, , does hereby attest that
(Property owner)
The attached survey, performed by
(Name of surveyor's company)
For address: L IVC ST
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Performed on (date of survey) is an accurate representation of the existing conditions and
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property
without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to
remove or obtain permits for any structures which now may exist on the property which are not permitted or which
may violate zoning or building code regulations. The Affiant further understands that the existence of any such
structures may affect final inspections as applicable to this or other permits.
Further, Affiant sa eth naught.
.,iProperty Owner Signature
SWORN TO AND SUBSCRIBED before me this
Affiant is 7personally known to me,
Revised on 5/22/2009/ Revised on 6/1
Property Owner Print Name
Z2 day of y1 Z [
as id - ntificati
produced
YC°
MY f' ": 122108
EXP .. •. • " 2017
oFop fgt." Bonded 'IJOUMWriters
4••Lreoau�r•zaea raoala �•.ir,
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M.HERNANDEZ
COMMI biON # FF 022108
.FIRES: September 27, 2017
Bonded Thru Notary Public Underwriters
•
1
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
(o(, )'JE 1 } Si Miami Shores, FL, and herel ..
affirm that one of the following methods will be used to meet the requirements of Chapter 515x..'
Florida Statues and the Florida Building Code R4101.17. • •' • • •• •• •••
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Please initial the method(s) to be used:
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The pool will be equipped with an approved safety pool cover that comp lies UtbA.SfiM
F1346-91. (Submit Manufacturer's Specifications).• •• •• •
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_ A continuous, one-piece (child) barrier meeting the requirements of Florida BuildilagCode .
R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and I ethoci:of •
attachment, including one end that shall not be removable without the aid of tools. (Submit klanwfscturer'&
Specifications). •• ' "' •
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A combination of non -dwelling walls and fences (screen enclosure, child fence, masonry
fen- ce walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type
and locatio of all non dwelling walls. Florida Building Code, R4101.17.1
Any combination of protection which incorporates dwelling walls with openings directly into the
po- ol 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 . 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 Section 775.083 F.S . This form must be signed
by tlLe owner/agent nd the prime contractor.
TRACTOR
NIEL E
IG
RE AND D
b,!1J1r4
PL
OWNER'S'SIGNATUREAND DATE
0
ember 27, 2017
Lary Public Underwriters
_ , �C
E -'S NA) Et LEASE r
I Aori Ian°'
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YORLENY M. HERNANDEZ
Y COMMISSION # FF 022108
EXPIRES: September 27, 2017
Bonded Thru Notary Public Underwriters
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SAFE POOL ALARM
1
S187D SAFE POOL ALARM
UPC: 014575187011
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One unit per single entry/opening (and/or with its screen by using the second set of sensors). Can Not be used for 2 windows next
to each other.
Magnetic Sensor Entry Alarm
"Always On" Alarm Protection
Adult Pass -Through Auto Reset Button
Additional Pass -Through Button For Delayed Entry From Either side Door or Fence
High Output -110-115 db Alarm
Water/Weather resistant Housing
Intended For Interior or Exterior Use
Magnetic Sensor For Additional Door/ Screen Door
9V Battery Operation (Not included)
Low Battery LED Display
Pool Guard Alarm USA Patent No. 5,473,310 and 6,727,819
ETL Approved Under UL 2017 Standards
Unit Size: 4.75 x 1.625 x 1.75 "
Pcs./20Ft.: 9,600
Pcs./ 40 Ft.:,19,680
Pcs./ 40 Ft. Hq.: 22,896
VHAWN Y: 1-1
BOUNDARY SURVEY
SCALE = 1" = 20'
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KENNETH R. PFEITER, P.E., THIS DESIGN
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NOTE: ALL METAL LOCATED WITHIN SCREW
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TO JUNCTION BOX
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BONDING DETAIL,
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POOL WALL STEEL
NOTE: BOND WIRE TO BE SECURED
TO STEEL WITH APPROVED CLAMP.
CLAMP TO BE ENCASED IN DECK
SLAB OR CONCRETE BOX PROVIDING
MIN. 3" OF COVER AROUND CLAMP
LIGHT BOUY
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BLDG DEPT
SURIF.CT TO COMPLIANCE WITH ALL F[DFRAL
STATE AND MOND( Y RULE 5 AND AlCINS
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Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. BPP -5-17-1234
P
Permit Type: Pools/Whirlpools/Hot Tubs
' Work Classification: AdditioniAlteration
Permit Status: APPROVED
Issue Date: 5/2612017 Expiration: 11/22/2017
Parcel Number
Applicant
665 NE 97 Street
Miami Shores, FL
1132060171910
Block: Lot:
RAMIN & BETHANEY VEJDANI
Owner Information
Address
Phone
Cell
RAMIN & BETHANEY VEJDANI
665 NE 97 Street
MIAMI SHORES FL 33138
305/758-9375
Contractor(s)
ESSIG POOLS INC
Phone
305-949-0000
Cell Phone
Valuation:
Total Sq Feet:
$ 20,000.00
576
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: Swimming Pool
Additional Info:
Classification: Residential
Occupancy: Private
Bond Return :
Scanning: 3
Fees Due
Bond Type - Contractors Bond
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$500.00
$12.00
$9.00
$9.00
$4.00
$600.00
$9.00
$16.00
$1,159.00
Pay Date Pay Type
Invoice # BPP -5-17-63912
05/26/2017 Check #: 301514
05/05/2017 Check #: 301515
Bond #: 3409
Amt Paid Amt Due
$ 1,109.00 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Fence
Final
Pool Deck
Wall Steel
Review Building
Review Plumbing
Review Electrical
Review Planning
Review Planning
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, MEC NICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFID
construction and
Autho
�T: Ice
o in.. Fut
ize- Signatur Ow
regoing information is accurate and that all work will be done in compliance with all applicable laws regulating
ze the above-named contractor to do the work stated.
er / Applicant / Contractor / Agent
Building Department Copy
May 26, 2017
Date
May 26, 2017
1
CIA.v- k s1Arbr C 01/4v -4-,‘,„„z
30s - yeill - QED 0
.<0
I0(2' 'CM�
BUILDING
PER IT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
_ _PLUMBING ❑ MECHANICAL El PUBLIC WORKS
JOB ADDRESS:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
to (21 NE 93 SI
City: Miami Shores
RECEPJTCL)
AY 052017
FBC 20 14
Master Permit No. -EPP I i ` la3Y
Sub Permit No.
❑ REVISION ❑ EXTENSION
❑ CHANGE OF
CONTRACTOR
❑ CANCELLATION
RENEWAL
❑ SHOP
DRAWINGS
County:
Miami Dade
Zip: 3313('
ruiiCr/ rarcei#:
\\-3Zo(9-0C3- 1uv
Occupancy Type: Load: Construction Type:
OWNER: Name (Fee Simple Titleholder):
Address: (1(05- 1JE cj '. S -r
Is the Building Historicallyices
Flood Zone:
NO
BFE: FFE:
Phone#: S9 - L8 3 - 06 Sia
City: State:
Tenant/Lessee Name:
Email:
Phone#:
Zip: 3313(
CONTRACTOR: Company Name: ESSIG POOLS, INC
Address: 1800 NE 151 ST
Phone#: 305-949-0000
City: NORTH MIAMI State: FL
Qualifier Name: DANIEL ESSIG
Phone#:
State Certification or Registration #: CPC052505 Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address:
Value of Work for this Permit: $ 2 b / 0(20 • CD Square/Linear Footage of Work: r.Joi.
zip: 331625
305-949-0000
Phone#:
City: • State: Zip:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace `'• ❑ Demolition
Description of Work: SpLf- a (A:
�Q�f1 f �1�-- -y e �X t r.
Qe9 o\ &A face c L LA is +An.
iAf�'l�-fi,L ��VCVS
Specify color of color thru tile:
Submittal Fee $ S'C) GZ
Permit Fee $ vw . Gp
Scanning Fee $�'( .C7ZI• Radon Fee $ •
Technology Fee $ i 6 : Q Training/Education Fee $ . CZ)
CCF $ IZ . O Co/CC ${
DBPR $ Y , Q Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
11 109 . G
Structural Reviews $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is 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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
7-7 day of -2",P)- t I , 20 � , by
, who is personally known to me or who has produc
identification and who
NI. 'Y PUBLIC:
Sig
Print:
Sea
as
:*:_*�
oatM9RLENY M. HERNANDEZ
: Y COMMISSION # FF 022108
v.,�— . ra /EXPIRES: September 27, 2017
-'',O °. • Thru Notary Public Underwriters
The foregoing instrument was acknowledged before me this
Ir day of 1\11.=-1---1 , 20 17 , by
DANIEL ESSIG
me or who has produced
identification and who
who is personally known to
ke an oath.
NOT `Y PUBLIC: YORLENYM. HERNANDEZ
:,,,i==7;." MY COMMISSION # FF 022108
' I*• 4 :IRES: Septemt�er 27 2017j
t �-_'f-i•Z-t Q�- Nofary Public Underwriters11111.A&Mir
as
Si
Print:
Sea
********************************* se* *************************************************************************
APPROVED BY
(Revised02/24/2014)
Plans Examiner
Structural Review
5-63A;
Zoning
Clerk
Summary Report
Property Information
Folio:
11-3206-017-1910
Property Address:
665 NE 97 ST
Miami Shores, FL 33138-2470
Owner
RAMIN A VEJDANI
BETHANEY R VEJDANI
Mailing Address
665 NE 97 ST
MIAMI SHORES, FL 33138 USA
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths 1Half
4/3/0
Floors
1
Living Units
1
Actual Area
3,198 Sq.Ft
Living Area
2,871 Sq.Ft
Adjusted Area
2,845 Sq.Ft
Lot Size
9,750 Sq.Ft
Year Built
1951
Assessment Information
Year
2016
2015
2014
Land Value
$243,639
$233,772
$204,930
Building Value
$226,293
$228,032
$223,831
XF Value
$2,179
$2,149
$2,174
Market Value
$472,111
$463,953
$430,935
Assessed Value
$437,422
$434,382
$430,935
Benefits Information
Benefit
Save Our Homes
Cap
Homestead
Type
Assessment
Reduction
2016
2015
2014
$34,689 $29,571
Exemption $25,000 $25,000 $25,000
Second Homestead
Exemption
$25,000 $25,000 $25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
MIAMI SHORES SEC 4 AMD PB 15-14
LOT 20 & E1/2 OF LOT 19
BLK 101
LOT SIZE 75.000 X 130
OR 19833-3748 07 2001 1
Generated On : 5/1/2017
Taxable Value Information
2016
County
2015
Exemption Value
$50,000
$50,000
Taxable Value
$387,422
$384,382
School Board
Exemption Value
$25,000
Taxable Value
$412,422
2014
$50,000
$380,935
$25,000 $25,000
$409,382 r $405,935
City
Exemption Value
Taxable Value
Regional
Exemption Value
Taxable Value
$50,000
$387,422
$50,000 $50,000
$384,3821 $380,935
$50,000
$50,000
$50,000
$387,422
$384,382
$380,935
Sales Information
Previous Sale
Price
OR Book -Page Qualification Description
04/18/2012
$594,000
28081-1390 Qual by exam of deed
09/01/2009
$538,500
27067-1721
Qual by exam of deed
07/01/2004
$625,000
22465-3996
Sales which are qualified
07/01/2001
$327,500
19833-3748
Sales which are qualified
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