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BPP-8-16-2177, 141 NW 96th St`SK°RES r,� Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 FLORIDp Permit No. BPP-8-16-2177 Permit Type: Pools/Whirlpools/Hot Tubs Permit Work Classification: New Permit Status: APPROVED Issue Date: 10/11/2016 1 Expiration: 1 B2017 Project Address Parcel Number Applicant 141 NW 96 Street 1131010250110 Miami Shores, FL 33150- Block: Lot: PETER GOLDSMITH Owner Information Address Phone Cell PETER GOLDSMITH 141 NW 96 Street MIAMI SHORES FL 33150- 141 NW 96 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone FLORIDA POOL PATIO CORP (305)815-0181 Approved: In Review Comments: Date Approved:: In Review Date Denied: Type of Work: Swimming Pool Occupancy: Private Additional Info: NEW SWIMMING POOL, Bond Return Classification: Residential Scanning: 3 Fees Due Amount Bond Type - Contractors Bond $500,00 CCF $14 40 CO/CC Fee $50 00 DBPR Fee $10.58 DCA Fee $10.58 Education Surcharge $4.80 Permit Fee $705,00 Plan Review Fee (Engineer) $120.00 Scanning Fee $9.00 Technology Fee $19.20 Total: $1,443.56 Valuation: $ 23,500 00 Total Sq Feet: 345 Pay Date Pay Type Amt Paid Amt Due Invoice # BPP-8-16-60848 08/03/2016 Check #: 7464 $ 50.00 $ 1,393.56 10/11/2016 Credit Card $ 1,393.56 $ 0.00 Bond #: 3228 Available Inspections: Inspection Type: Fence Final Pool Deck Wall Steel Review Structural Review Plumbing Review Plumbing Review Building Review Building Review Building Review Planning Review Electrical 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 construction and zoning. Futhermore, I authorize the �Ibove-named contractor to do the work stated. Authorized Signature: Owner / Ap�icant Building Department Copy October 11, 2016 / Contractor / Agent October 11, 2016 1 to �ffiS�I(c) 6z�b�lplb BUILDING PERMIT APPLICATION Miami Shores Village ��c�Fa��� A G o 3 2016 Building Department AA 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 - INSPECTION LINE PHONE NUMBER: (305) 762-4949 tJ FBC 2(01 '4 Master Permit NoT_�ff 1 Sub Permit No. ®BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION MRENEWAL PLUMBING [:]MECHANICAL PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP /, /- CONTRACTOR DRAWINGS JOB ADDRESS: �� °vim'/ �'o City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): I V_ IQ V IUS(VII / V f I Phone#: Address:: /�1016 � 5,z / City: �'(1�/ �J�/�rPS State: / Zip: 3-0 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: 9�J�/� ����o Phone#: Address: _j�� 7' �✓� / �'/ City: State: /5e Zip: `33/3'J6 Qualifier Name: State Certification or Registration #: G�C / T�'S'/S Z Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 92 - 3OV !%-� ,, Square/Linear Footage of Work: Type of Work: ❑ Additions ❑ Alteration MA New ❑ Repair/Replace El Demolition Description of Work: /(%mow]�5wl' "71"JI716 Specify color of color thru tile: Submittal Fee $ M,6) Permit Fee $ a 5 CCF $ 1 L Q CO/CC $ TO r�\ . v ) Scanning Fee $ Q Radon Fee $ 10, 5a DBrrPR 5a Notary $ Technology Fee $ l q • Z (2 Training/Education Fee $ `� • ��� Double Fee $ Structural Reviews $ I z'0 Bond $ i!1'r_)0 (Revised02/24/2014) TOTAL FEE NOW DUE $ e 3 • 5CD 137G Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City 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: 1 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 >tabsence eeding $25 a applicant must promise in good faith that a copy of the notice of commencement and construction lien lare w' a deli red to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of cot must b posted at the job site for the first inspection which occurs seven days after the building permit is issued. such posted notice, the inspection will not be approved Ooeriars�pectionfeeAi be charged. Signature V Signature NER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before/me this D day of 20 by a day/ of 20 ! by h7 / who is personally known to �W� �(� who is personally 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 PUBLI NOTARY PUBL ZOE SALGUEIRO Notary Public - State of Florida `` • ' Commission # FF 245464 *1' r P� ZOE SALGUEIRO Sign: • ; 20, Sign: .••, t ough National Notary Ass. `_' ► Y Commission # FF 2454640sty Public; - State of da Print: Print: -Zoe xpires Jun 30, 20 19 t Seal: Seal: Bonded through National Notary Assn 6 APPROVED BY ' N�Plans Examiner +0 Zoning Structural Review Clerk (Revised02/24/2014) Mission: Rlek Scott To protect, prornote & it prae the health Goller1or all people in Ftoridat* efforts. �UO Celeste Philip, MD, MPH integrated state, otrt state, ody & oorrmnity efforts. HEALTH SALT , State Surgeon General and Seae4ary Vision: To be the Healthiest State in the Nation September 21, 2016 REGLA CASTRO 141 NW 96 Street Miami, FL 33150 RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number: AP1252833 Centrax Permit Number: 13-SM-1702799 141 NW 96 Street Miami, FL 33150 Lot: 11 Block: 3 Subdivision: Bonmar Park Dear Applicant, This will acknowledge receipt of a floor plan and site plan on 08/18/2016 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. No Obejection issue by B.Olmino for a pool. This office has reviewed and verified the floor plan and site plan you submitted, for the proposed remodeling addition or modification to your single-family home. Based on the information you provided, the Health Department concludes that the proposed remodeling addition or modification is not adding a bedroom and that it does not appear to cover any part of the existing system or encroach on the required setback or unobstructed area. No existing system inspection or evaluation and assessment, or modification, replacement, or upgrade authorization is required. Because an inspection or evaluation of the existing septic system was not conducted, the Department cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use. You may request a voluntary inspection and assessment of your system from a licensed septic tank contractor or plumber, or a person certified under section 381.0101, Florida Statutes. If you have any questions, please call our office at (305) 623-3500. Sincerely, Betsy Olmino Engineer II Department of Health in Dade County Florida Dopartraoot of Hookk wwwAorldskeaRk gw in Dade County • • , Florida TWITTER:HealthyFLA PHONE: (305) 623-3500 FACEBOOK:FLDepartmentofHealth YOUTUBE:fldoh Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT #:` j l DATE: i f I (Name) e Contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) Address: From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Buildi Signature: artment to continue permitting process. (SIGNATURE) PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: Miami Chores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AUG 3, 2016 Permit No: BPP-8-16-2177 PLUMBING — Rafael Hernandez • Pending health dept. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re -submittal drawings. Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING CRITIQUE DATE: 08-15-2016 PERMIT NUMBER: 16-2177 1. Health Department approval required. Ismael Naranjo, 13.0, CFM Building Director r< 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) acknowled a that a new swi Ing pool, spa or hot tub will be constructed or installed at & S' 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 i 'tial the method(s) to be used: The pool will be equipped with an approved safet y ty pool cover that complies with ASTM F1346-91. (,Submit Manufacturer's Specifications). ,v/ 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). evA combination of non -dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain 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 91 V 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, R4101.17.1.9 (Submit Manufacturer's Specifications). V 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,.tt�pool may not be filled with water without compliance with the Private Swimming Po�pl�ty �Oquirements, and upon expiration of the permit, the pool shall be presumed to be uR afe. I understand that not having one of the above installed will constitute a violation of Chdlp'ter 515,,.FS., and will be considered as committing a isde e6norofthese d el degree, punishable a rovided in Section 775.082 or Section 775 F.S . orm must b signed by the owner/a and the prime contractor. CTOR'S SIGNATURE AND DATE OWNE 'S SIGNAT E AND DATE CO C NAME PLEASE PRINT) OWNER'S NA IOE SALGUEIRO Yj a 20E SALGUEIRO ate of i �= Notar Public - State of Florida --State = P ission # FF 245464 N ; Commission # FF 245464 . - v:' My Comm. Expires Jun 30, 2019 p°= My Comm. Expires Jun 30, 2019 d 4 Bonded through National Notary Assn. .... Bonded through National Notary Assn. 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 Date 7 1?-() / Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as ZZ ,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. 11 Estimate _..................._..__.._..........._.................._.............. > :., ....::,::..., r.'t' t°�<F'• Ei ram; _':::: :. -` 125 238 09/15/2014 09/15/2014 _................................................ .. .__........................ ....... .------ - SHIP DATE 03/05/2014 -.: ....... ..... a NEW SWIMMING POOL CONSTRUCTION 15'X23' 1 23,500.00 23,500-00 SPECIFICATIONS: DEPTH 3'-0" - 3'-6" 1 EFFICIENT PUMP, 1 FILTER, 1 LED POOL LIGHT WHITE PENTAIR MANUFACTURER. 1 CONCRETE BENCH 18" WIDE AND 10" DEEP AROUND POOL. 1 BENCH AROUND SWIMMING POOL. 3 STAIRS AT SHALLOW AREA INCLUDED: PLANS, PERMITS EXCAVATION, STEEL FORMS, PLUMBING, ELECTRICAL BACKFILL, CONCRETE, DIAMOND BRITE(COLOR: SUPER BLUE, BLUE, OR WHITE) TILE, COPING, MAINDRAIN 1, VACUUM LINE 1, 2 SKIMMERS, 3 POOL JETS 1 SHEER DESCENT 36" POOL AUTOFILLER TILE ALLOWANCE $5.00/SQFT 1 . 0.00 0.00 COPING ALLOWANCE $2.50/SQFT 1 . 0.00 0.00 WEBPAGE FOR TILE SELECTION AND FINISHES 1 0.00 0.00 http://www.nptpool.com/ CONCRETE COPING WEBPAGE http://www.gempavers.com/ i 1 0.00 0.00 TRAVERTINE COPING WEBPAGE 1 0.00 0.00 hftp://www.stonelinegroup.com/ Accepted By 4 TOTAL Accepted Date iC 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 PRESEATS: WHEREAS, the undersigned �, o&. is/are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: T / 411 161) 9� Whereas, the undersigned owner(s) desire to utilize said Lot(s) as a single building site, and the undersigned owners) 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. 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 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 helshe 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 tsuccessors, in accordance of sa then in effect. IGN PRINT )11 (� L,dS',Ae / r OWNER SING & PRINT I Hereby Certify that on this day personally appeared before me O e ZeAl 54A-- r and has produced ID # as identification and helshe acknowledge that helshe executed the foregoing, freely and voluntarily, for purposes there in expressed. SWORN TO AND SUBSCRIBED before me on this 2f day of 20 NOTARY PUBLIC ST FLORIDA (Revised 0512209 ago gar P,� ZOE SALGUEIfiO _ Notary Public - State of Florida • ' ` commission # FF 245464 o:= My comm. Expires Jun 30. 71 OF � �, Bonded through National Notal " Miami shores Village Building, Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING CRITIQUE DATE: 09-22-2016 PERMIT NUMBER: 16-2177 Provide the following forms. ➢ Notice of Requirements -SAFETY ACT ➢ Swimming pool owner's certification. Ismael Naranjo, B.O, CFM Building Director Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-278529 Permit Number: BPP-8-16-2177 Inspection Date: March 13, 2017 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Dacquisto, David Inspection Type: Survey Final Owner: GOLDSMITH, PETER Work Classification: New Job Address: 141 NW 96 Street Miami Shores, FL 33150- Project: <NONE> Contractor: FLORIDA POOL PATIO CORP Building Department Comments NEW SWIMMING POOL. Phone Number Parcel Number 1131010250110 Phone: (305)815-0181 inrracao rassea comme INSPECTOR COMMENTS False For Inspections please call: (305)762-4949 March 13, 2017 Page 1 of 1 7210 SW 126th Court, Aniano J. Garcia, PLSM Ph (305) 856-4566 Miami, Florida 33183 Fax (305) 595-1454 Land Surveyor & Planner agarcia297@aol.com Property Address: 141 NW 96th Street, Miami Shores, Florida 33150 Legal Description: Lot 11, Block 3, of "RESUBDIVISION OF BLOCK 3, BONMAR PARK" according to the Plat thereof, as recorded in Plat Book 42, at Page 60, of the Public Records of Miami -Dade County, Florida. — — — — — — — — — — — — At This survey is certified only to the entities listed and only for this particular transaction. Any use or reproduction of this survey without the express written permission of the surveyor is prohibited. Use of this survey in any subsequent transactions is expressly prohibited and is not authorized. The surveyor expressly disclaims any certification to any parties in future transactions. No entity other than those listed should rely upon this survey. a1I 1� F a o C) 0 a� w1 ° a) N C J J i1 L m �� N cc to o Q Z W a Q z N p J 4 M y t~!1 Record Survey Scale 1 "= 20' 10' Asphalt Pavement — FIP 0 0 LO Lu O Lot 10, P Block 3 O O o O O Z LLUAL NU I LS `^ For: This Survey does not reflect or determine ownership; Examination of the Abstract of Title will ate. f`, 2—lieI6-6Yc2C1 (lfi='.?—;2C14 /+ have to be made to determine Recorded Instruments, if any, affecting the property; This Revised C�-1?=2C11. Peter Goldsmith Survey is subject to dedications, limitations, restrictions, reservations or easements of re rds; f Legal Description provided by client; The Liability of this Survey is limited to the cost the Survey; Underground Encroachments, if any, are not shown; This firm has not attem ed to i h locate footing and/or foundations and/or underground improvements of any nature; f show v at tt gn ea!- oFi r�ul �. raise seo! Bearings are refereed to an Assumed Meridian; If shown, Elevations are refereed to National Geodetic Vertical Datum of 1929 (NGVD 1929); Unless otherwise noted, found com rs have c 'Floa licensed urveyo,r Order No 17-0048 idontifirntinn Grid marD5'r A = Arc Length; AC = Air Conditioner; AE = Anchor Easement; BC ,— Block Ccme''r; BMA Benrh perk; 906 BC3iS Of Bearings; (C) = Calculated Dimension; CB = Catch Basin; CBS = Concrete Block Structure; CFW = Concrete Fe Wall; C.'—.-ef:ord Leath; Cti8 Chord Bearing; Cl =Clear CML City Monument Line; Z CME =Canal Maintenance Easement; Conc =Concrete; DE =Drainage Easement; ;ME Orainaga Fe Mai tenauce Easement; Or = Drive; E =East; Elev = L O Elevation; ENCR = Encroached; ETP = Electric Transformer; FDH = Found Drill Hole; FIR Found' iron - Rod; FFE =Finished Floor Elevation; FH = Fire Hydrant; FIP Q H = Found Iron Pipe; FIN = Found Nail; FT = Feet; LME = Lake Maintenance Easement; Ld = Licensed Eusiness; LFE = Lowest Floor Elevation; LP = Light Pole; (M) Q = Measured Dimension; ME = Maintenance Easement; MON = Monument; N = North; NGVD 1929 = National Geodetic Vertical Datum of 1929; NTS = Not To Scale; OE = Overhead Cables; OH = Over Hang; ORB = Official Record Book; O/S = Off Set; Pb = Plat Book; PC = Point of Curvature; PCC = Point Of Compound Lu W Curvature; PCOR = Property Corner; PCP = Permanent Control Point; Pg = Page; PL = Planter or Property Line; PLS = Professional Land Surveyor; PLSM = CD W Professional Land Surveyor and Mapper, POB = Point Of Beginning; POC = Point Of Commencement; PRC = Point Of Reverse Curve; PRM = Permanent Reference LI CO Monument; PT = Point Of Tangency; R = Radius; (R) = Recorded Dimension; RLS = Registered Land Surveyor and Mapper; R/R = Rail Road; R/W = Right Of J m Way; Sec = Section; T = Tangent; S = South; SIP = Set Iron Pipe With Cap Stamped PLS 5105; UE = Utility Easement; UP = Utility Pole; UTY = Utility; Q W = West; WF = Wood Fence; WM = Water Meter, WV = Water Valve; q = Centerline; —x— = Chain Link Fence; ®= Concrete Wall; ' = Degrees; o = Central Angle; 0 = Diameter; )" = Existing Elevation; ' = Minutes; " = Seconds; --- = Wood Fence —l!