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BPP-10-20-2475 (2)Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: 13PP-10-20-2475 m Permit Type: Pools/Whirlpools/Hot Tubs Work Classification: New Expiration: 08/26/2021 Location Address Parcel Number 41 NW 106TH ST, Miami Shores, FL 33150 1121360060210 Contacts Jesus Jimenez Owner NATIONAL POOL DESIGN LLC Contractor 41 106 ALFREDO RODRIGUEZ 2423 SW 147 AVE SUITE 212, MIAMI, FL 33185 Business: 3055591020 freddy@nationalpooldesign.com Mobile: 7862675595 National Pool Design Agent Ernesto Don 2423 SW 147 Ave 212, Miami, FL 33185 ernie@nationalpooldesign.com _..._.._..... .................__............ ................. _.............._....................................,. �._•_.._. .._•_ Inspection Requests: Description: NEW SWIMMING POOL AND DECK (PAVER ON Valuation: $ 38,000.00 z SAND TRAVERTINE) Total Sq Feet: 500.00 )` Fees Amount Application Fee - Other $200.00 CCF $22.80 Certificte of Completion for Single Fam $50.00 and Duplex DBPR Fee $17.10 DCA Fee $11.40 Education Surcharge $7.60 Permit Fee $940.00 Planning and Zoning Review Fee $35.00 Scanning Fee $12.00 Structural Review ($45) $45.00 Technology Fee $28.50 Total: $1,369.40 Payments Date Paid Amt Paid Total Fees $1,369.40 Credit Card 02/02/2021 $1,169.40 Credit Card 10/27/2020 $200.00 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 regulating construction and zoning. Futherm e, I authorize the above named contractor to do the work stated. iiJ (J Authorized Signature: Owner / / Contractor / Agent Date February 02, 2021 Page 2 of 2 DocuSign Envelope ID: 550AE9A0-8176-4FE1-9686-225B575A438E 1 k 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 CF,-IV'ID FBC 20 BUILDING Master Permit No.0 ` V ��` PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR JOB ADDRESS: 4` O Q 100 ST¢eleT DRAWINGS City: Miami Shores County: Miami Dade Zip: 3 31 SO Folio/Parcel#: 0 - Z 1 3 (g ` 0 O W • 0 Z 1 O Is the Building Historically Designated: Yes NO PC' Occupancy Type: '?16>' Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): __515 Q 5 _'�S l t4 Phone#: Address: q i �j w ( V to sT2e e—r City: "% A Nt 1 5ft¢--C S Tenant/Lessees Name: Email: 1 A PA, SE\I S State: t.f, tZ \ O Zip: 33 1 S & Phone#: 3. 41Q2 ' 7�39 CONTRACTOR: Company Name: 0A-T10mFt UPO0 L Sl rt,3 Phone#: 3 • S -T9 40 Address: 2q2 3 &-J -1 1°rV16 1z12 City: (M( ec" k State: fx— Zip: 3 3 1 Qualifier Name: A- CF4Z 0-0o l�,, 4D a t �Z Phone#: State Certification or Registration #: CPC- 11 S7 8 J((�� Certificate of Competency #: DESIGNER: Architect/Engineer: V ic-To a G, lLs-c— v G- Phone#: 144 . 20 Zg Address: 13 8 32 '9Lj 1 S14 ST City: 111 l 1 State: F_ Zip: 33 I77 Value of Work for this Permit: $ 3 8 1 © Z) Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration 2 New ❑ Repair/Replace ❑ Demolition` Description of Work: Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ (Revised02/24/2014) Swi;Mm%NLT- f>OvL Arlo V67e_ . Permit Fee $ CCF $_ Radon Fee $ DBPR $ Training/Education Fee $ T_tt -T % 0-c— CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ ! V DocuSign Envelope ID: 550AE9A0-8176-4FE1-9686-225B575A438E Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. DocuSigned by: DocuSigned by: Signature Signature Fa" rb --\—DB765E1csosoa4D- OWNER or AGENT asoos�$sa�aACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of QCrd131V- 20 -LO by 2,04�h day of O C."TO*ft£ CZ_ 20 Zy , by 'D VS-S1tA16*AZZ- , who is personally known to A0*6O0 VWIV-IQVE: �ho is personally known to me or who has produced -0L— as me or who has produced t>L, as identification and who identification and who did "'P�.. CRISTINA RODRtGUEZ W y p CRISTINA RODRIGUEZ NOTARY PUBLIC ?a°, �.`°�_ Notarypublic-StateofFlorida : �. .o NotaryPublic - State ofFlori�; t •: commission NOTARY PUBLIC: • , �. _ Commission x GG 105164 oP5 My Comm. Expires May 16, 202i ' moo?:` My Comm. Expires May 16, 2021 r Bonded througt+Naticnal Notary Assr. oFF�, Bcr..tledthrough National Notary Assr. Sign:-n--. Sign: _ Print: Print: C�1S'r(N* a4QaX6�L. Seal: Seal: APPROVED BY �'�// Z Plans Examiner ' ( Zoning �� `L�1�✓ Structural Review Clerk (Revised02/24/2014) DocuSign Envelope ID: 550AE9A0-8176-4FE1-9686-225B575A438E 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 S �5 t C-1V ic7 Z- is/are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: H l N w 10 to S T Whereas, the undersigned owner(s) -:5- IVS '.J S ­Z5 1 M -2 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. 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. Ill. 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 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. DocuSigned by: Jesus R. Jimenez %^PRINT OWNER SING & PRINT I Hereby�!! Certify that on this day personally appeared before me 'Scsv S ­5 o-Aef'J6L and has produced ID # ASS L • y36 • bZ. yl 10entification 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-2,0+1^day of 6G_rU66�0- 20 Z O NOTARY PUBLIC STATE (Revised 05/2209 DocuSign Envelope ID: 550AE9AO-8176-4FE1-9686-2256575A438E 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) acknowleqg$e that a new swimming ool, spa or hot tub will be constructed or installed at 41, N W to � 5 �. 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 comp lies 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 fence walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he 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, 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 thp0A#,,#a09ent and the prime contractor. DocuSigned by: a h r6� 15/2020 _ _ 9/15/2020 COINT DTflRS SIGNATURE AND DATE OWNER`S SIGM 1 EAND DATE Alfredo Rodriguez 7esus R. 7imenez CONTRACTOR'S NAME ((PLEASE PRINT) 0. NOTARY PU "� p�•.,, CRISP NA RODRIGUEZ Notary Public —State offlorida •s Commission#GG105164 ;',9„�OF My Comm. Expires May 16, 2021 Assr. F�-�,;••'' Bonded through National Notary OWNER'S NAME (PLEASE PRINT i NOTARY PUBLIC L CRiSTINARODRIGUEZ Notary Pobk - State of Florida CommissionxGG105164 MyComm. Expires May 16,20221' Bonded through National Notary Assn. r.> Mtsslon: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. Vision: To be the Healthiest State in the Nation November 05, 2020 Alfredo Rodriguez 2423 SW 147 Avenue Miami, FL 33147 RE: Contingency Letter Application Document No: AP1589039 Centrax Permit Number: 13-SC-2191983 OSTDS Number: 41 NW 106 St Miami, FL 33147 Lot:13 Block: 206 Subdivision: Ron DeSantis Governor Scott A. Rivkees, MD State Surgeon General Dear Applicant: This will acknowledge receipt of an application dated 11/03/2020 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. Reviewed on 11/05/2020. No objection for New Swimming Pool Construction as per your site plan. NO BEDROOM ADDITION. NO FLOW INCREASE. From a review of your completed application, it has been determined that your existing system appears to meet the minimum standards of F.A.C. 64E-6 for the proposed use. It is approved for use with the plans submitted to this office. If this system should fail, causing an unsanitary condition to exist, steps must be taken to bring the system into compliance immediately. Department approval of the system does not guarantee satisfactory performance for any specific period of time. Any change in material facts which served as a basis for issuance of this approval requires the applicant to modify the permit application. Such modification may result in this approval being made null and void. Issuance of this approval does not exempt the applicant from compliance with other Federal, State, or Local Permitting required for development of this property. If you have any questions on this matter, please call our office at (786) 315-2417. Sincerely, Isa iml Pere* Rios, Brave Isabel Perez, OPS Engineering Specialist II Florida Department of Health www.FloridaHealth.gov in DADE COUNTY TWITTER:HealthyFLA 1725 NW 167 St, Opa Locka, FL 33056 FACEBOOK:FLDepartmentofHealth PHONE: (305) 623-3500 FAX: (305) 623-3645 YOUTUBE: fldoh MAP OF BOZTNDARY sLTRVEY LOT-5 BLOCK-206 LOT-4 BLOCK-206 I LOT-3 BLOCK-206 (P.8_42 PG.33) _ — _ — — (P.B. 42 PG.33). _ — _ _ — _ L — (P.B. 42 PG.33) r• .15AiLEY' 9.0'ASPHALTPVMT. t. 5 7 .00 — — — U.P. - — -❑+ NORTH F.I.P. 3W ® F.I.P. 3/4" SCALE: 1"=20' NO CAP W.M. o NO CAP 0.10' 0 0.20' LOT-13 co BLOCK-206 U ro ro h L6 LOT-12 C 0 14.40' a ti LOT 14 BLOCK - 206 N 16.00, of Qi 16.80' N BLOCK - 206 N 4.80' 23.00' r ONE STORY .,. RES. 114 / o ^Q O v �O GARAGE F.F.E.=10.24 O N p F.F.E.=11.82 U 0.20' 15.10' 0 TILE, ri 15' 7.0' 0.20' 3. co.60' 3, 16.00' 11.50' ^ 6.0' O N ' O to O rn m U� o [\I Z c ) N N O m cm F.I.P. 314' F.I.P. 314' NO CAP ro NO CAP 225.00' 75.00 .5.0'CONC. SWK'• ! ' 'A' _ tea. • r- B.C. 13.40' t 17.U' -;.;::' ... F.I.P. 112' NO CAP 25.0'PWY Lo AL R A 7 5' TOT IGHT OF-W Y ' 7. "1TASPHAL P `� .:..�• I `�; �. '4` .. � VQB GAO 1 - ...riV �1 ...,•,,,.",« •fv. .,1. t,. N. W. 106th S TREET i ,F,C.FNn ABBREVIATIONS: A = ARC DISTANCE AC = AIR CONDITIONER PAD BCR = BROWARD COUNTY RECORDS BLDG = BUILDING BM = BENCH MARK BOB = BASIS OF BEARINGS CBS =CONCRETE BLOCK &STUCCO (C) =CALCULATED C&G = CURB & GUTTER CLF = CHAIN LINK FENCE COL = COLUMN D.E. = DRAINAGE EASEMENT D.M.E. = DRAINAGE & MAINTENANCE EASEMENT D/W = DRIVEWAY EB = ELECTRIC BOX ENC. = ENCROACHMENT EP = EDGE OF PAVEMENT EW = EDGE OF WATER FDH = FOUND DRILL HOLE FF = FINISHED FLOOR ELEVATION FIP = FOUND IRON PIPE (NO ID) FIR = FOUND IRON ROD (NO ID) FIN = FOUND NAIL (NO ID) FPL = FLORIDA POWER & LIGHT TRANSFORMER PAD L.E. = LANDSCAPE EASEMENT L.M.E. = LAKE MAINTENANCE EASEMENT (M) = MEASURED MOCR = MIAMI-DADE COUNTY RECORDS MH = MAN HOLE ML = MONUMENT LINE (P) = PLAT PB = PLAT BOOK PC = POINT OF CURVATURE PCP = PERMANENT CONTROL POINT PE = POOL EQUIPMENT PAD PG = PAGE PI = POINT OF INTERSECTION PL = PLANTER POB = POINT OF BEGINNING POC = POINT OF COMMENCEMENT PRC = POINT OF REVERSE CURVATURE PRM = PERMANENT REFERENCE MONUMENT PT = POINT OF TANGENCY R = RADIUS DISTANCE (R) = RECORD R/W = RIGHT-OF-WAY RES = RESIDENCE SIP = SIP 1_13#8023 SND = SET NAIL & DISK LB#8023 STL = SURVEY TIE LINE SWK = SIDEWALK (TYP) = TYPICAL US = UTILITY BOX U.E. = UTILITY EASEMENT W/F = WOOD FENCE SYMBOLS: OT = TELEPHONE RISER ® = CABLE TV RISER 0 = WATER METER X 0.00 = ELEVATION (00') = ORIGINAL LOT DISTANCE A = CENTRAL ANGLE IZ = CENTER LINE WV X = WATER VALVE = CURB INLET = FIRE HYDRANT Y = LIGHT POLE O = CATCH BASIN cU, = UTILITY POLE = DRAINAGE MANHOLE = SEWER MANHOLE = IRON FENCE —v = WOOD FENCE = CHAIN LINK FENCE EASEMENT Up' - ASPHALT CONCRETE PAVERS TILES COVER CERTIFICATE OF AUTHORIZATION # LB-8023 Survey Pros, 1 n c _ 5966 S. DIXIE HIGHWAY SUITE 300, MIAMI, FL. 33143 Tel: 305.767.6802 www-survey-pros.com PROPERTY ADDRESS: 41 NW 106TH STREET, MIAMI, FL. 33150 LEGAL DESCRIPTION: LOT 13, BLOCK 206, OF DUNNING'S MIAMI SHORES EXTENSION NO.2, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 41, PAGE 78, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. FLOOD ZONE INFORMATION: BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY REVISED ON 09/11/09 AND INDEX MAP REVISED ON 09/11/09 THE GRAPHICALLY DEPICTED BUILDING(S) SHOWN ON THIS MAP OF SURVEY IS WITHIN ZONE K BASE FLOOD ELEVATION N/A COMMUNITY NAME & NUMBER VILLAGE OF MIAMI SHORES 120652 MAP & PANEL NUMBER 12086CO302 SUFFIX L SURVEYOR'S NOTES: 1. ELEVATIONS WHEN SHOWN REFER TO 1929 NATIONAL GEODETIC VERTICAL DATUM (NGVD 1929). 2. NO ATTEMPT WAS MADE TO LOCATE FOOTINGS/FOUNDATIONS, OR UNDERGROUND UTILITIES UNLESS OTHERWISE NOTED. 3. THE LANDS SHOWN HEREON HAVE NOT BEEN ABSTRACTED IN REGARDS TO MATTERS OF INTEREST BY OTHER PARTIES, SUCH AS EASEMENTS, RIGHTS OF WAYS, RESERVATIONS, ETC. ONLY PLATTED EASEMENTS ARE SHOWN. 4. THIS SURVEY WAS PREPARED FOR AND CERTIFIED TO THE PARTY(IES) INDICATED HEREON AND IS NOT TRANSFERABLE OR ASSIGNABLE WITHOUT WRITTEN CONSENT OF THIS FIRM. 5. ALL BOUNDARY LIMIT INDICATORS SET ARE STAMPED LB# 8023. 6. THE BOUNDARY LIMITS ESTABLISHED ON THIS SURVEY ARE BASED ON THE LEGAL DESCRIPTION PROVIDED BY THE CLIENT OR ITS REPRESENTATIVE. 7. FENCE OWNERSHIP IS NOT DETERMINED. 8. ADDITIONS OR DELETIONS TO THIS SURVEY MAP AND/OR REPORT BY SOMEONE OTHER THAN THE SIGNING PARTY(IES) IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE SIGNING PARTY(IES). 9. BEARINGS WHEN SHOWN ARE TO AN ASSUMED MERIDIAN. THE CENTERLINE OF NW 106TH STREET HAS BEEN ASSIGNED A BEARING OF EAST. CERTIFIED TO: JESUS R. JIMENEZ SURVEYOR'S CERTIFICATE: I HEREBY CERTIFY THAT THIS SURVEY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED AND DRAWN UNDER MY DIRECTION AND MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA STATE BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 5J-17 FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECTION 472.027 FLORIDA STATUE. ............. 'pDEC �F''••:,. a H . . r . AUTHENTIC COPIES OF THIS cEN S J e : R SURVEY SHALL BEAR THE 1 N0.6945 1 i ORIGINAL SIGNATURE AND gTNTE OF RAISED SEAL OF THE '.ts °<ogro"•y$,; NICOLAS DEL VENTO ATTESTING REGISTERED :��m y�yoR°;' PROFESSIONAL SURVEYOR & MAPPER SURVEYOR AND MAPPER ............ STATE OF FLORIDA LIC. # 6945 DATE OF ORIGINAL FIELD WORK. 08IJ112020 JOB,' 20085669 DRAWN BY. NICK CAD FILE.. JIMENEZ SHEET 1 OF 1