BPP-19-390 (2)Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
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Permit NO.: BPP-02-19-390
Permit Type: Pools/Whirlpools/Hot Tubs
Work Classification: New
Permit Status: Approved
Issue Date:03/26/2019 Expiration: 08/19/2019
Parcel Number
90 NE 91ST ST, Miami Shores, FL 33138 1131010200010
Contacts
STEPHEN PELLICCIA Owner
90 NE 91 ST, MIAMI SHORES, FL 33138
DREAM DESIGN POOLS INC Contractor
RAFAEL PELLERANO
133771 N GARDEN COVE CIR, DAVIE, FL 33325
Business: 9549165337
Other:7864022253
_
Description: NEW SWIMMING POOL, SPA AND DECK Valuation: $ 24,000.00 Inspection Requests:
Total Sq Feet: 650.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$14.40
Certificte of Completion for Single Fam
$50.00
and Duplex
DBPR Fee
$10.80
DCA Fee
$7.20
Education Surcharge
$4.80
Permit Fee
$670.00
Planning and Zoning Review Fee
$35.00
Scanning Fee
$12.00
Structural Review ($45)
$45.00
Technology Fee
$18.00
Total:
$917.20
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$917.20
Credit Card
02/20/2019 $50.00
Credit Card
03/26/2019 $867.20
Amount Due:
$0.00
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. D VI I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulatin t ), rksOZjzoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Sig
/ Applicant / Contractor / Agent
Date
March 26, 2019 Page 2 of 2
Miami Shares Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fa3c (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
®BUILDING ❑ ELECTRIC [] ROOFING
RECEIVED
FEb2020i9
BY:
FBC 20 (ter
Master Permit No.22P' 02_ 1 -1 - 39
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
[]PLUMBING [:]MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION [:]SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 90 NE 91 Street
City Miami Shores County: Miami Dade ZiD:
Follo/Pa ;11-3101-020-0010 is the Building Histortaiiy Designated: Yes NO XX
Occupancy Type: SFR Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Stephen Peiliccia/Sergio Sacristan Phone#:
Adder; 90 Ne 91 Street
City. Miami Shores State: FL zip: 33136
Tenant/Lessee Name: Phone#:
Email: pelliccias@oaw.com
CONTRACTOR: Company name: Dream Design Pools, Inc. Phone#: 786-402-2256
Address: 13771 N Garden Cove Cir.
City. Davie state. FL gyp; 33325
Qualifier Name: Rafael A Pellerano Phone#: 786-402-2253
State Certificationor Registration #: CPC057031 Certificate of Competency#:
DESIGNER: Architect/Engineer. Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 2- �4 d d — Square/Linear Footage of Work � S � •%�
Type of Work: M Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of woric New Swimming pool, spa and deck
Specify color of color thru tile:
Submittal Fee S� �" i)b Permit Fee $ CCF $ ` y CO%Cc $, " �=
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Eduatlon Fee $ Double Fee $
Structural Reviews $ Bond $ SUb• CAL
TOTAL FEE NOW DUE $ D�
(RevlsedOV202M)
s
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Zip
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 Applkant: 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 whic occurs seven Z) days after the building permit is issued. In the absence of such pasted notice, the
inspection will not be oppro#d and a rejir#ection fee will be charged.
J
OWNER or AGENT
The foregoing instrument was acknowledged before me this
_ day of Z,)3 1 20 1 C� . by
ho is personalkkamwlW
me or who has produced
Identification and who did take an oath.
NOTARY PUBLIC:
0-4 �!��-
CONTRACTOR
The foregoing instrument was acknowledged before me this
day o Q 6-P66120
o is rsonall known to
. me or who has produced as
Identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Sign:
Print:
Print:
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ur]yu dot .�iR
e
Seal:
r
Notary Public Stds of FiorWa
Seal:
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APPROVED BY
Jf Plans Examiner
® 3 Zoning
Structural Review Clerk
(Rev1sed02/24/2M4)
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 Stephen Pelliccias /Sergio Sacristan is/are the fee
simple owner(s) of the following described property situated and being in Miami Shores Village, Florida:
Address: 90 NE 91 Street, Miami Shores, FL 33136
Whereas, the undersigned owner(s) Stephen Pelliccias/Sergio Sacristan
desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare
and agree as follows:
I. That the property will not be used in violation of any ordinances of Miami Shores Village
or Miami -Dade County now in effect or hereinafter enacted.
ll. 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 e r eased by Miami Shores Village, or its successors, . accordance of said Village then in
effec f49A
, 0/,
WN R SIGN & PRINT r� OWlirre—PILW'y
SI & PRINT
I Hereby Certify that on t ' da person %y a peared before me %Uu 6661
and has produced ID # /4 .� 41A.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 Zo day of E , 20 -J
�Fa' WS sea a tea.
(Revised 05/2209 �,a E OMM �- - -
N My
PUBLIC STATE OF FLORIDA