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EL-18-3767Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 � SU�JU�uIS Issue Date: 02/20/2019 Location Address Parcel Number 1205 NE 95TH ST, Miami Shores, FL 33138 1132060143970 Contacts Permit NO.: EL -12-18-37'67 Permit Type: Elechical - Residential Work Ciassftation: Pmol Permit Status: Approved Expiration: 06/25/2019 ROBERT BAILEY Owner ANALOG ELECTRIC INC Contractor 1015 NE 97 ST, MIAMI SHORES, FL 331382555 COLLIN BATTIESTE 1451 W CYPRESS CREEK RD 300, FORT LAUDERDALE, FL 33309 Home: 9547265045 Description: INSTALL NEW EQUIPOTENIAL BONDING GRID Valuation: $ 2,500.00 Inspection Requests: sts: CONDUIT BOXES NEW POOL PANEL WITH GFI BRANCH 305-762-4949 CURCUIT BREAKERS FOR EXISTING POOL EQUIPMENT Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $117.90 Payments Date Paid Amt Paid Total Fees $117.90 Credit Card 12/27/2018 $50.00 Credit Card 02/20/2019 $67.90 Amount Due: $0.00 Building Department Copy 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 regulati cons io ld zon- g. Futhermore, orize the above named contractor to do the work stated. Lr �C Authorized Signature: Owner / Applicant / Contractor / Agene Date February 20, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION ❑BUILDING E21ELECTRIC Miami Shores Village RECEIVEC Building Department DEC 27101;3 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 /'\ I Tel: (305) 795-2204 Fax: (305) 756-8972 �,(.� Q__ �" I INSPECTION LINE PHONE NUMBER: (305) 762-0949 1 1 FB((C 201-4 Master Permit No. 1-�� " Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: f, RAiomi fl -4n lin• A�� Folio/Parcel#: the Building Historically Designated: Yes NO Z---� Occupancy Type: i Load: Construction Type: j Flood Zone: BFE: FFFE/: C— OWNER: Name (Fee Simple Titleholder): �� t7 ,^'� !cJ �{, I /cam Phone#: c� C� f3� 3S Address: `,Z O 9cS� cS/ `. City: �4_( ti � � C'� 6 �'r!J State: �- L Zip: S.3 / Tenant/Lessee Name:' Phone#: Email: CONTRACTOR: Company Name: tt %'r7Gc'c - c-7/"G---��/G. Phone#: 9s:�,_ ;7:z S -Cys - Address: /<"Si��/f'� City: /.�F�l�7e".�4�c State:GG,Cr[� Zip:j.��'i Qualifier Name: Gf�%�,c i�r��"C Phone#: State Certification or Registration #: �G s4 �','S` �/ Certificate of Competency #: DESIGNER: Architect/Engineer: vnonea: _ Address: City: State _ rU Value of Work for this Permit: $_ _2S �0, Square/Linear Footage of Work; — 1 Tvpe of Work: ❑ Addition ❑ Alteration ❑ New E2-Repair/Replace Zip: ❑ Demolition Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Permit Fee $ Radon Fee $ Technology Fee $ i Training/Education Fee $ s Structural Reviews $ — (Revised02/24/2014) CCF $ DBPR $ _ CO/CC $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ C ---? . Bonding Company's Name (if applicable) Bonding Company's Address ° City State Mortgage lender's Name (if applicable) Mortgage lender's Addresi City l State Zip 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 low 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 app"roved and a reinspection fee will be charged. Signature OWNER NT The foregoing instrument was acknowledged before me this / f day of %GC�� 6 e -o^ , 20 f by A, e who ' personallyknown t -------------- me or who has produce as identification and who did take an oath. NOTARY PUBLIC: MARIA RURN Seal: r ; ; _ • ' � Notary Public - State of Florida Comm;ssion = GG 152247 q' My Comm. Exoires Oct 17, 2021 Budd trrcucr nr.:c4 Notary Assn. sss*ss*** Sign:�----�--- Signature CONTRACTOR The foregoing instrument was acknowledged before me this / day of /l c� t-� tom• <t 20 iby r�i,11�C5 fE? who i ersonally known me or who has produced as identification and who did take an oath. NOTARY PUBLIC:// ••_ ' Sign:�----�--- ,fp . 1 spa t^ _ Print: =*:Ar — - *ssss*sssss*ss*asssssssss*sss**s*ss*s**ss*ssss*sssss#YY#pis***s**s q APPROVED BY ° Z Z f Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 12/27/2018 Property Search Application - Miami -Dade County OFFICE OF THE PROPFRTY APPRAISER Summary Report Property Information Folio: 11-3206-014-3970 Property Address: 1205 NE 95 ST Miami Shores, FL 33138-2549 Owner ROBERT BAILEY Mailing Address 1205 NE 95 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1400 SGL FAMILY - 3001-3250 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 4/4/0 Floors 2 Living Units 1 Actual Area 5,800 Sq.Ft Living Area 4,988 Sq. Ft Adjusted Area 5,140 Sq.Ft Lot Size Year Built 17,896.56 Sq.Ft 1948 Assessment Information Year 2018 2017 2016 Land Value $644,920 $644,920 $662,835 Building Value $474,472 $370,006 $371,656 XF Value $20,243 $20,422 $20,602 Market Value $1,139,635 $1,035,348 $1,055,093 Assessed Value $1,139,635 $1,035,348 $425,994 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $629,099 Homestead Exemption Taxable Value $25,000 Second Homestead Exemption $375,994 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 5-6 53 42 MIAMI SHORES SEC 3 PB 10-37 LOT 21 & 22 BLK 84 LOT SIZE IRREGULAR OR 13538-2526 0188 4 Generated On : 12/27/2018 Taxable Value Information County 2018' 2017 2016 Exemption Value $0 $0 $50,000 Taxable Value $1,139,635 $1,035,348 $375,994 School Board Exemption Value $0 $0 $25,000 Taxable Value $1,139,635 $1,035,3481 $400,994 City Exemption Value $0 $0 $50,000 Taxable Value $1,139,635 $1,035,348 $375,994 Regional Exemption Value $0', $0 $50,000 Taxable Value $1,139,6351 $1,035,348 $375,994 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 and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version 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 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: _ -T he pool will be equ,pped 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 84101.17.1;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,ichain link or wood fence, etc.) will protect the pool perimeter. The plans must specify the 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, R410rl.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 the owner/agent and the prime contractor. CONTRACTOR'S SIGNATURE AND DATE CONTRACTOR'S NAME (PLEASE PRINT) NOTARY PUBLIC 0 R'S S!G AT�ND�DATTIE EASE MINT) NOTAJW PUBLIC ;•_�;pva�a--, MA�;AAUFIN .::. Notary Pub:'c - State of Florida Corr- ;; o = GG 152247 My Corer. Exolres Oct 17, 2021 6crded:^mu.; NaticralNotary Asir. Miami 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: WHEREAS, the undersigned /C��3be/`�' is/are the fee simple owner(s) of the following described property situated and bein n Miami Shores Village, Florida: Address: �. Whereas, the undersigned owner(s) desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) doles} hereby declare and agree as follows: i 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. IL 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 1 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 i1 title to abide by all terms and conditions set forth herein. c 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. / / WNER 51GN & P. I OWNER SIGN & PRINT I Hereby Certify that on thi day personal y a eared before me �� T `�' and has produced ID #_ 5022 O as identification and heishe acknowledge tha h0she executed the foregoing, freely and voluntarily, for purposes there in expressed. SWORN TO AND SUBSCRIBED before me on this �� day of _ CCm.� , 20� i N A Y PUB STATE OF FLORIDA (RevisedO.612209 - MARIA RUFIN Public-stateofFlorida Commission: GG 152247 ' VComm. Expires Oct 17, 2021 •�• ,',`,, ncr:edthroucFNatioralNotxyAssn. Notice to Owner — Workers' Com Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 nsation Insurance Exemption I Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. S 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt If. 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership: 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations: and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time empiUyees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND iTS CONTENTS. j Signature: State of Florida County of Miami -Dade The foregoing was ackn fwledge before me thi��� day of >& . 20 Bv_� who i ersonally known to me has produced I as identification. Notary: _ SEAL: MARIA RUFIN NotaryPublic - StateofFlorida i• ommiss;on 4 My Comm. Expires Oct 17, 2021 ••'�`�` �•' dcrdedthroughWeoralNotaryAssn. S� h Analog Electric Inc ev- Electric Inc service safety satisfaction & value AC��� t�.!'. � °.�'�'„w° „� w rte t:,'�'.�.../L.•. ��,°�' �;,...��-....;;.r. �^'�+.., �'.i''�tN. �'. f J✓..e°,...........��,'' 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' Date Imo/ Z%//. Miami Shores Village Building &!Zoning Department 1 Attention: Building Official 1 cr}f MaXs ,, ) at a 1 2-0 S_ l V r6= olitan Dade County, l certify that I understand land agree that the swimming pool to be constructed at the above address cannot I 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 1 pool. 1 Legal Owner _ I Note: This certification is to be submitted with a swimming pool permit application in duplicate. i t/ , - I.- / I Cl r -?e— C- LG C-- I /L-./ C-- "1 4-- ' ' , /-X I / t. - ;'-1 R cF E \1 E Df DEC 2 7 2018 U41" ,3,f -qr,- r�`5 J\ J 12Y PATE 5' DG !7FPT SUBJECT 10 r--(,MPl.liNCE W1 rlH ALL FEUFRAL STATE AN,) CU�N i ( riUL-::S AND PFOI-LATIOMS P,-T� P, pc,c/, 4-4 >Z>e t- I ........ Nl/). -If, 0 posm" , 239136 4P ,d Otgo.. at /V <t 0 0 Y/X/ " P,/ • • sees* 0 *0:00 0000:. • 0 • 0 0 0 -A - x AIV7 4 ;\j &\A ;r t&. el -7, 4,i t4 M IA P�Q FEAMMM-1k W um mi I �Zo C6&,7-,! 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