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BPP-09-990Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 10531 3 Avenue Miami Shores, FL 33138- VEMINENSIMEMEAMMEMEMMEE 1122310130360 Block: Lot: JUAN PABLO / VERONICA MN( Owner Information Address JUAN PABLO / VERONICA D'ONOFRIO / 10531 3 Avenue MIAMI SHORES FL 33138- 7 _ <...: Contractor(s) Phone CeII Phone ENGLISH WORLDWIDE POOL & SPA (954)748 -9221 Approved: Yes Comments: POOL EQUIPMENT CAN NOT BE LOCATED IN THE 10 FOOT SIDE YARD SETBACK UNLESS LO Date Approved: 7/16/2009: Yes Date Denied: Type of Work: Swimming Pool Occupancy: Private Additional Info: Band Retum : Classification: Residential Fees Due Bond Type - Contractors Bond CCF CO /CC Fee Education Surcharge Notary Fee Permit Fee Plan Review Fee (Engineer) Plan Review Fee (Engineer) Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $300.00 $8.40 $150.00 $2.80 $5.00 $405.00 $60.00 $60.00 $18.00 $150.00 ($150.00) $10.12 $1,019.32 Building Department Copy Invoice # BPP -6-09 -35083 Check #: 10761 BPP -6-09 -35196 Check #: 10890 Total Amt Paid Amt Due $ 150.00 $ 150.00 $ 0.00 Bond #: 1883 $ 869.32 $ 869.32 $ 0.00 Bond #: 1883 Authorized Signature: Owner / Applicant ! ContracY Agent Parcel Number Phone Applicant Valuation: Total Sq Feet: August 20, 2009 Date Expiration: 02/16/2010 Cell (305)494 -0230 $ 13,500.00 200 For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Fence Final Pool Deck Wall Steel 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: 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. Futhermore, I authorize the above -named contractor to do the work stated. Auqust 20, 2009 1 CARL G FORBES 1520 N.W. 107 DRIVE CORAL SPRINGS FLORIDA 33071 PHONE: (954) 682 -6651 August 27th, 2009 The Building Department City of Miami Shores Miami Shores, Florida ATTENTION: Building official / Inspector Re: 10531 n.e. 3rd, Ave. Miami Shores Elorida,33138 New Addition Item: Foundation footing Sins, Contractor: N/A Pt 1V I have visited the site at the above address. And have inspected the soil condition, and have found that the soil observed to be sand and rock indigenous to south florida and the neighborhood, and does meet the required 2000 spf. Base on rational analysis. And as per Florida building Code 2007 Edition. Approved by this office and also As per Florida building code 2007 Edition. We trust tbutt this meets your approval. Sincerely, CARL.G.FORBES P.E Net° . , a (192L sienuo ACORD. CERTIFICATE OF LIABILITY INSURANCE • - • • - - . • - , PRODUCER Enticed .11trliissance & p TIES OERTIFICATE IS ISSUED AR Ammes O INFORMATION mos= EnuNati Vabvidatide Pool & Spa W, 43 46 bi University Dr_ For Lauderdale, FL 33351 COVERAGES • __ __., THE POLICES OF BIBBFLatm =EOM& BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIE FOUCY PERICO SIDICATED. NOTIORTHSTANDOSi t ANY RECIUMEENT, 'fizptMOR COMMON OF ANY CONMACT OR MUER DOCUMENT WM/ RESPECrTO WHICH TWIS CERTIFICATE NAY DE ISSUED OR I MAY PERTAIN. THE JAI AFFORDED BY THE POLICES DESCRIBED HEREIN 13 SUBJECT TO ALL THE TERMS. 10031/910t0 AM COMMONS OF SUM POLIOS. AGGREBATE Lams -------- ---------- OM( Ri4DUCED BY PAID CIAIMS- — ' --- SRI ADDI / t POUCY ismcylva I p po A mpr ersonte rf . , WPC OF INOURANCE I POLICY NUMBER ; p ..... Ai_ke 1 _7, i i MIER& umatry L EacnOOQURRENCE 300 000 i !Se C°1443 6131014 " I It;LS1620944 ' 001 4 0 100 ' mom TO RMITED / i i 00 CLAWS MADE WI ! ' I 1 mrtEutexustime f MW MCP (Any orts ptegb9 I -" LUDO! t I I 300,666 ,,_ I i PeReakm &Any wow 1 1 • 1 ke AGGREGATE L - 351) kW I i GENL AGGREDATELERTATMES rat i • I tRO_DUGITS -COWICIP . AGO 300,60 I - _1_10 POLICY CI PROJECT E3 WO 1___—_ • I 1 i : ; AuroMODILE LIARILLTY t — --z 1 / 0 ANY Aim , I COMB7SigatE thWr ? 1 1 t O ALL OWNe2 ult* i 1 % Ma seeklefitt) t i 0 10 SCHEMED AUTOS : I I i BODILY INJURY l' Eelri --2-- 1 ID HIRED AMOS I BODILY WARY I :0 NON ORIMEBAIROS . ,, r em asiSdest) PROPERTY DAMAGE - -/ — 0 I I - - ; I °MUM MURRY ; 0 ID ANY AUF0 1 '0 i 1 Exam:m=0y I . mai atrzummurz :0 act= 0 mums tom r,AESSREGATE ; OtDUCTISLE I REIENTION VitittairgCOMAPERWRIN AND manor ANY PROPRIETOR / PARTNER/01=01W 0mcs14 / MENDER EXCLUDED? Wye% deseribe =kr SPECIAL PROmords w OTHER caliFERs No mows woo Ti.m cerdricATE 5460 ttlialb State Road 7 Suite 019 . Howse. 'nes CERTIFICATE DOES HorAmmo. mem OR Flan Lautlatotiale, FL 33319 ALTER THE covsmor AFFoggpamme LiojxM __.figi, . (064) 484-9494 INSURERS AFFORDING COVERAGE fitAIC ••••■■■•••■■■ EIMPICATE HOLDER ELATION • 1 Lemma p,..._ 1 *A1lJ1wJRu 051281°9 LINOS . . • I (Pat to:WO AUTO ONLY- EAACCIDENT MOM THAN EA ACC AUTO ONLY; ADO J -- EL. EACH Acaomvr cvntaisag-EA EMPLOTIEE 1 EL. DISEASE.- POUCY MIT • SCRIPTION OF OPERNTIoNS i LOGA.TiONSIIIENCLOSi EXtuusiONG ADDED it SPECtAL PROYERONS. • , ... - ...4 . :,.,.... ..„ ,....„. : : . - • • - 1 sktouto ANY OF THS /mow DEED POLICIES BE coma1ecratEF0RE700. ... EXPIRATION DATE THEREOF, THE mote INSURER SELL ENDEAVOR TO NAL Miami Shores Village 19 OATS WRITTEN Nance WHIR cannrickre HOILDF*WISEDTO 10050 NE 2 Ave. 1 I'm LEFT, IRIT FARORE ID I ' 60 SHALL Impose 340 maw= ait LIABRAY r,Taiitatazi3) fl _........... flunteSENTAYLVES. . 1 Magni Shores, FL 33138 or ANY KIND UM* THE BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): �senautg Owner's Name (Fee Simple Titleholder) --- ' s %3■'Z�� ‘.\Q\ # !� er's Address \QS City \G`M\ ‘4 i State Zip Tenant/Lessee Name Phone # — ( % ° 7 Q_szp Job Address (where the work is being done) \CLI° City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # i1 MO _ A= IN Roofin Is Building Historically Designated YES NO Contractor's Company Name \� \.�c�v g..�� \S' one # s� ��% `=\ Co i 's Address �V I�� • n• _y - >��. State ZIP Qualifier Name Phone # S k State Certificate or Registration No. C__R CALL 6 2- Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $X 1 Z) S 00 . - ` ` ew ❑ /Replace ❑ Demolition Type of Work: ['Alteration Describe Work: Addition ���� 1(91 a a �rt�rrs * *rrr�r *,r *�,� tars,, oar,►orrFr,►a► *rrr,��rrr��rnt,* err„ �rrr ,�a * * *r :,err►,�r►+r,r #r,►,r* Su Fee $ nj' Permit Fee $ Notary $ Scanning $ 0 IS Bond $ 200 ' ' /d Radon $ DPBR $ Zoning $ Code Enforcement $ Structural Review. $ eolf 'P ' r r : j 1'7 o. 00 Miami Shores Village Building Department >0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fag: (305) 756.8972 E0EBWE Al , 1 , 009 j) Square / Linear Footage Of Work: Permit No. I31 cqo er Permit No. CCF$ �' C Technology Fee $ `V -1 See Reverse side --) 2(D 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDMONERS, 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 pew is Bence of such posted notice, the inspection will not be 4ipproved and a reinspectlon fee will be charged Si Owner or Agent The foregoing instrument was acknowledged before me this day of ,20pq,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: - Sign: Print: My Commission Expires: ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** tar * **** * * ** * *** ** **** * * *** *a * ** * * * * ** *** ** r, +r** ** * ** * * * *** * *,r,t+►****** APPLICATION APPROVED BY: (Revised 09/10/07) 'MW PUBLIC-STATE OF FLORIDA Otis English 12 53 c _ The foregoing instrument was acknowledged before me this (1, day of t) I% , 20 by I1 cd Ni&z(y evijsli who is C perso nally known to me or who has produced 8:1 ,it 1151n � as identification and who did take an oath. NOTARY PUBLIC: i ce :- Sign: i►: Print: r 'r 6•uI 7a My Commission Exp y , �.f(? 7' S /d ! firm 01, , Plans Examiner Engineer Zoning PERMIT # V? V ukckO CONTRACTOR: MESA S ') A ORW ,0E 1L SUBMITTAL DATE: (p ADDRESS: 1,0 NAME: D RESUBMITAL DATES: PROJECT TYPE: ra ZONING ? fZE)• 4/24/o9 if,. 7/2- STRUCTURAL b ELECTRICA MECHANICAL 00 FIRE Znot t IMPACT FEES �-S RA s o15l l al oct HRS /DERM f� o NOC Charlie Crist Governor (English world wide) 4846 N university Dr t+ L ,A er a it FL 33151 RE: Contingency Letter Application Document No: AP931241 Centrax Permit Number: 13 -SC- 997494 OSTDS Number: 10531 NE 3 Ave Miami, FL 33138 Lot: 13 -14 Block: 12 Subdivision: August 07, 2009 Dear Applicant: This will acknowledge receipt of an application dated 07/31/2009 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. 1. -There is no increase in sewage flow, change in characteristics compromising the integrity or function of the system installation. 2. -This project entails : " THE INSTALLATION OF A SWIMMING POOL " From a review of your completed application, it has been determined that your existing system is adequate for the proposed use : " APPROVED ". G/P If you have any questions on this matter, please call our office at (786) 315 -2444. Enclosures cc: Sincerely, Miami -Dade County Health Department 11805 SW 26 St, Miami, FL 33175 Phone: (786) 315 -2444 Fax: (786) 315 -2090 Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General sneer Specialist I I mono es r ra 0. Lai at WISIMI , CC swam t=a areogoo i atC .,11=. 1-a IMAM in 3ti OMNI 1,-. 03 1-- —0 as = +o +-1 rn wr - 1ro)v „ — . - re tr - a:: CM Lai 03 t`4 -.1 CO =-- it, o7I-I . ' .:a eC W Ct Lai ca ce Lai .-. co: to La. La .4C This � trt�n. nt Prepa`red By•._� Naine`C3... C, -Addres Permit No. Tax Folio No. STATE O COUNTY OF s . THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information Is provided In this Notice of Commencement. 1. Description sc of propertyjegal description of pro arty, and street ad ress if avail 2. General description of improvement: 3. Owner information ddress � �� %(\.V•4 a. Name and address: b. Interest in property: c. Name and address of fee simple titleholder (if other than owner): 5 4. Contracor. e and address: a. Na � `�c.. m®�� ������ '� b. fhone number. 5. Surety a. Name and address: b. Amount of bond $ 6. Lender a. Name and address: b. Phone number: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address: b. Phone number: B. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a. Name and address: b. Phone number: 9. Expiration date of notice of commencement (the expiration date Is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LFNDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEME he foregoing nt was acknowledged before me this 1 day of 413 year) by (name of person) as authority, ...e.g. offl , trustee, attorney in fact) for behalf of w c. Phone number: strument was executed). NOTICE OF COMMENCEMENT gnature of Owner or Owner's Authorized Officer/Dlrector Partner /Manager Signatory's Title /Office • -- )40 .N. -\ \-C (type of (name of party on NOTARY PUBLIC -STATE OF FLORIDA S g ature f Notary Public - Ste lorida e Otis English Print, Type, or Stamp Commissioned e of Notary Public • : Commission Number Commission # DD612153 - '••,,, Expires: NOV, 06, 2019 Personally Known or Produced Identlfication BUNDED7TiRl; BI7Ay11C V�ficationn Pursuant to Section 92.525. Florida Statutes Under penalties of perjury, I declare that I have read the foregoing an d facts stated in it are true to the best of my knowledge and belief. .4 gnature of Natural Person Signing Above oco Permit No: 09- qqo Job Name: G, , 2009 1 l Building Critique Sheet tt 0 20 4 -45 T .5 r 65.4.0waisris rvs.41f 6,C •/lA • ,25- 47t( ,ri 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. Norman Bruhn CBO 305 - 795 -2204 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Contractor(s) Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit NO. BPP-6-09-990 Issue Date: Not Issued Owners Name: JUAN PABLO / VERONICA D'ONOFRIO / MEDINA Owner's Phone: Job Address: 10531 3 Avenue Total Square Feet: 200 Miami Shores, FL 33138- Total Job Valuation: $ 13,500.00 Phone Primary Contractor • • • • •iN00 Expires:Not issued Folio Number:1122310130360 Planning and Zoning Criteria and Comments Approved: No Date Denied: Comments: POOL EQUIPMENT CAN NOT BE LOCATED IN THE 10 FOOT SIDE YARD SETBACK UNLESS LOCATED IN AN AREA OF EXISTING A/C OR POOL EQUIPMENT Inspection Number: INSP - 123339 Scheduled Inspection Date: August 31, 2009 Inspector: Levrock, James Owner: D'ONOFRIO / MEDINA, JUAN PABLO / Job Address: 10531 NE 3 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: ENGLISH WORLDWIDE POOL & SPA Building Department Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. A. en. ea+ 9R 9fAG Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 NEW SWIMMING POOL Inspector Comments 1�1 & te e y For Inspections please call: (305)762 -4949 Permit Number: BPP -6 -09 -990 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Main Drain Work Classification: New Phone Number Parcel Number 1122310130360 Phone: (954)748 -9221 oPl 730 )0191- Dann 7F of 411 I nspection Number: INSP- 135765 Permit Number: BPP -6 -09 -990 I Inspection Date: February 18, 2010 Inspector: Dacquisto, David Owner: D'ONOFRIO / MEDINA, JUAN PABLO / Job Address:10531 NE 3 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: ENGLISH WORLDWIDE POOL & SPA Building Department Comments February 17, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type Survey Work Classification: New Phone Number Parcel Number 1122310130360 Phone: (954)748 -9221 NEW SWIMMING POOL Failed �L ./I " Passed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. i nspector Comments • • • • • •• • •••.•• • ..•••• •••• • • •••• ..•... • • •• •• •.••.• • •• • • • • cts •••• • • •••• •• • • • • • •• • • • .•.•.• • ••• • • • .. • • ••...• • •• • •••• • • • •••■ • •••■ •••• ••• • •• • • • a • Page 1 of 1 • • • •• • • • • •• 1 • • •• • 11 10 9 8 12 7 j 6 %)4)// 5 15 4 16 C � 3 17 2 18 1 PROPERTY ADDRESS: 10531 Northeast 3rd Avenue Miami Shores, Florida 33138 SURVEYOR NOTES #1 Lands Shown Hereon were not abstracted for Easement and/or Right of Way Records. The Easement / Right of Way that are shown on survey are as per plat of record unless otherwise noted. #2 Benchmark: Miami -Dade County Public Works Dep. Loc. 3100; Name: N -567; Elev. +10.54' #3 Bearings as Shown hereon are Based upon Northeast 3rd Avenue, N00°00'00"E #4 Please See Abbreviations #5 Survey is incomplete Without Sheet 2 of 2 #6 Drawn By: A. Torres Date: 3-23-09; 2 -10-10 #7 Complete Field Survey Date: 3- 23-09; 2 -8-10 #8 Disc No 2010, Station Surveing Scion #9 Last Revised: #10 Legal Description Furnished by client. #11 This Certification is only for the lands as described. It is not a certification of Title, Zoning, Easements, or Freedom of Encumbrances. ABSTRACT NOT REVIEWED. #12 There may be additional Restrictions not shown on this survey that maybe found in the Public Records of Miami -Dade County, examination of ABSTRAC I' OF TITLE will have to be made to determine record instruments, if any affecting this property. #13 ACCURACY:The expected use of the land, as classified in the Minimum Technical Standard (61017- 6FACh, is "Residential". The Mmimlmm relative distance accur acy for this type of boundary survey is 1 foot in 10,000 fleet. The accuracy obtained by measurement and ealcul: pion of a closed geometric figure was found to exceed B ds requirement. #14 Foundations and/or footings that may cross beyond t the boundary lines of the parcel herein described are no t shown hereon. #15 Not Valid without one signature and the original rased seal of a Florida Licensed Surveyor and Mapper. Additions or deletions to Survey maps or reports by other than the signing party or parties is prohibited without written consent of the signing party or parties. #16 Contact the appropriate authority prior to any design work on information. #17 Underground utilities are not depicted hereon, contact the appropriate authority prior to any design work or construction on the property herein described. Surveyor shall be notified as to any deviation from utilities shown hereon. #18 Ownership Subject to OPINION OF TITL't;. JOB # 10 -081 DATE 02 -10 -2010 PB 06 -82 Location Northeast 107th Street Northeast 105th Street ABBREVIATIONS ketch MM. o ante t et 2 A °ARC DISTANCE AVE. AVENUE ASPH ASPHALT A/C AIR CONDITIONER BLDG °BUILDING B. COR. BLOCK CORNER C.B. °CATCH BASIN CLP °CHAIN LINK FENCE CONC °CONCRETE COL °COLUILN C.D.P. -CONCRETE UTILITY POLE C.LP. °CONCRETEuoarPOLE CBS °CONCRETE BLOCK STRUCTURE C.M.E. -CANAL MAINTENANCE EASEMENT D °DIRECTION D/W °DRIVEWAY D.M.E. °DRAINAGE& MAINTENANCE EASEMENT ENC. °aNCROAcuManT H.T.P. °ELECTRIC TRANSFORMER PAD P.P.L FLORIDA POWER AND LIGHT F.H. °PLRBHYDRANT - F.LP. POUNDIRONPIPE P.F. °FINISH FLOOR ..: FD.H. °FOUND DRILL HOLE F.R. °FOUNDREBAR F/D °FOUND DISC FIN FOUND NAIL IF °IRON FENCE L °LHNOTH L.P. °LIGHT POLE MEAS. °MEASURED M.A. °MAN HOLE N.O.V. =NATIONAL GEODETIC VERTICAL DATUM N.T.S. NOT TO SCALE O.B. °OVERHEAD ELECTRIC LINE O/L °ONUNB P.C.P. °PERMANNE NTT CONTROL POINT P.C. °POINT OF CURVATURE R °RADIUS RES °RESIDE•ICE SDWLK °SIDEWALK T - TANGENT U.H. - 1177UTY EASEMENT W/P - WOODFSNCE W.V. °WATER VALVE W.U.P. °WOOD jurY QLB ��- IRON FENCE °CHAIN LINK FENCE -- -�--+- -WOOD FENCE °CBS WALL -OVERHEAD ELEC. —• —• °CENTER LIB ▪ °DFNOTES ELEVATIONS °BUQDING °DISTANCE - - Pirofessional Surveyors, & Mappers LB 7498 13050 S.W. 133rd Court Miarni Florida, 33186 Ph. # (305) 234 -0588 Fax. # (305) 234 -0423 ELE VA TION INFORMATION National Flood Insurance Pro itajM FEMA Elev. Refer: ce o NG,uD 1929 • Comm Panel ...130652 • • • • • •' • • • Panel # Firm Zone: Date of Firm: Base Flood Elev. F.Floor Elev. Garage Elev. Suffix: Elev. Reference t (iN Q GD 1929 CERTIFIED ONLY TO: Veronica Medina Juan Pablo Donofrio • • • • • �t l ;... . •• • •.®9•f 1- 2009. : ••NPA •• 1113' . • • jt :••••• 9 i gtr •• • e • •••• • •••• This certifies that the survey of the property described hereon was made under my super- vision & that the survey meets the minimum technical standards set forth by the Florida Board of Professional Land Surveyors & Mappers in Chapter 61G17 -6 of Florida Administrative Code, pursuant to Section 472.027, Florida Statutes. & That the Sketch hereon is a true and accurate representation thereof to the best of my knowledge and Belief, subject to notes and notations shown hereon. •••. • • • • ••••• •••••• LEGAL DESCRIPTION: Lots 13 & 14, Block 12 of: "FIRST ADDITION TO PASADENA PARK" according to the Plat Thereof as Recorded in Plat Book 6, Page 82 of the Public Records of Miami -Dade County, Florida. • •••••• • • 000000 • • r • R Alvarez /o arrow & Newer #5526 State of Florida Not Valid unlessSlgaed & Stamped WAEmbossedSeal • • Boundary Survey meet a 02 a 1t77 O/L CBS 10.50' Brick Paver Pool Deck 13.02' Conc. Walk Conc. Slab ONE STORY CBS HOUSE RES. #10531 3.95 9.75 39 [ Pool 'R it 'R. 45.10 - . —34.52'— — :— — 1 13.02' : ` � ' •' , Pool Equip. --El N .. . 1 Slab fO —1 I 29 -.7-PROVED =t „M..IING DEE— BLDG DEP SUBJEC E Aft •GCS' Y2 RP No Id 0.08' CBS 0.15' CBS Y2' FIP No Id JOB # 10 -081 DATE 02 -10 -2010 PB 06 -82 Surveyor Notes: :: Asphalt D/W Survey is Incomplete without sheet one Scale ofDrawing 1=20' Drawn By: A. Torres Date: 3-23-09; 2 -10-10 Completed Field Survey Date: 3-23-09; 2-8-10 AFA & COMPANY, INC. LB # 7498 Professional Land Surveyors and Mappers 13050 SW 133rd CT Miami, Florida 33186 PH: 305 - 234-0588 FX: 305 234-0423 Northeast 3rd Avenue :.:N00'00'00'W•.•.•.•.•.•.•.•• . . 100.00'.:. ::16.70' Asphalt Pavement •• : 40' Dedicated Right -ot -Way As Per PB 06 -82 MIamI -Dade County, Florida. :: • 21.30:: 38.80 \, : ::::24.80 Lot 5, Block 12 N00'00'00'E NOO°00'00'E W/M 1 100.00' : Asphalt D/W Lot 6, Block 12 2 16.03 rni Shores Village ' 4' CBS Wa : F/N A/C 2 PIP No Id, N00'00 : ; m ::205.00 : V 52. • n N00'00'00 °W • m 175.00 SW;?' r DATE 1 IANCE ' Vi T H ALA FEDERAL, RULF{3` AND RCi°SUIeNCSI% . • •' '• •••••• • •• • • •••••• • •• • FEB f4 • 1•• � 111 .� e m 1111 • • 1 • `- 7°ssa•• • ••• • • • • • • •••• The sketch hereon is a true and Accurate representation thereof to the best of my knowledge and belief; Subject to notes and Notations shown hereon. Armando : ez ecrionalSury I Mapper # 5526 State ofFlorlda Not Valid unless Signed & Stamped a** BnbossedSeal •••••• • • • •••.•• • • 1 .11.1 • • NEW SWIMMING POOL Irk() Passed inspector Comments I .0. �. � •••• • • • • • • • • • •. • • • • "'• • • ... • • • •.: •• •• • • •••• • • •••s • •••, •.•� ••• • • • • Failed Correction Needed • • •�{` �; •••• `1 - ,`3k �t .,• • <,, b , •••• y TM a _� Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP- 135765 Permit Number: BPP -6-09 -990 J Inspection Date: February 18, 2010 Inspector: Dacquisto, David Owner: D'ONOFRIO / MEDINA, JUAN PABLO / Job Address: 10531 NE 3 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: ENGLISH WORLDWIDE POOL & SPA Building Department Comments February 17, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Pools/Whirlpools/Hot Tubs Inspection Type: Survey Work Classification: New Phone Number Parcel Number 1122310130360 Phone: (954)748 -9221 • • •• Page 1 of 1 • •• • • • • •• • • • ••• • 11 10 9 8 12 7 1/11A 6 j4/ 5 15 4 ci: _ � 16 3 17 2 18 1 f • • at PROPERTY ADDRESS: 10531 Northeast 3rd Avenue Miami Shores, Florida 33138 SURVEYOR NOTES #1 Lands Shown Hereon were not abstracted for Easement and/or Right of Way Records. The Easement / Right of Way that are shown on survey are as per plat of record unless otherwise noted. #2 Benchmark: Miami -Dade County Public Works Dep. Loc. 3100; Name: N -567; Elev. +10.54' #3 Bearings as Shown hereon are Based upon Northeast 3rd Avenue, N00 °00'00"E #4 Please See Abbreviations #5 Survey is incomplete Without Sheet 2 of 2 #6 Drawn By: A. Torres Date: 3- 23-09; 2 -10-10 #7 Complete Field Survey Date: 3- 23 -09; 2 -8 -10 #8 Disc No 2010, Station Surveing Scion #9 Last Revised: #10 Legal Description Furnished by client. #11 This Certification is only for the lands as described. It is not a certification of Tide, Zoning, Easements, or Freedom of Encumbrances. ABSTRACT NOT REVIEWED. #12 There may be additional Restrictions not shown on this survey that may be found in the Public Records of Miami -Dade County, examination of ABSTRAC r OF TITLE will have to be made to determine record instruments, if any affecting this property. #13 ACCURACY:The expected use of the land, as classified in the Minimum Technical Standard (61017- 6FAC)1, is "Residential ". The Minimum relative distance accuracy for this type of boundary survey is I foot in 10,000 fleet. The accuracy obtained by measurement and calculi: ttion of a closed geometric figure was found to exceed tt its requirement. #14 Foundations and/or footings that may cross beyond the boundary lines of the parcel herein described are no t shown hereon. #15 Not Valid without one signature and the original ra.ised seal of a Florida Licensed Surveyor and Mapper. Additions or deletions to Survey maps or reports by other than the signing party or parties is prohibibul without written consent of the signing party or parties. #16 Contact the appropriate authority prior to any de sign work on information. #17 Underground utilities are not depicted hereon, contact the appropriate authority prior to any design work or construction on the property herein described. Surveyor shall be notified as to any deviati on from utilities shown hereon. #18 Ownership Subject to OPINION OF TITLE. JOB # 10 -081 DATE 02 -10 -2010 PB 06 -82 L .YJgattltlJ+d4ta3 Sketch �+MJ ooSJo Northeast 107th Street Northeast 105th Street ABBREVIATIONS A -ARC DISTANCE AVE - AVENUE ASPH - ASPHALT Arc -AIR CONDmONER BLDG - BUILDING B. COR. -BLOCK CORNER CB. =CATCH BASIN CLF =CHAIN LINE FENCE CONC. - CONCRETE COL =COLUMN C.U.P. - CONCRETE UTILITY POLE C.L.P. - CONCRETE LIGHT POLE CBS - CONCRETE BLOCK STRUCTURE C.M.B. BANAL MAINTENANCE EASEMENT D - DIRECTION D/W - DRIVEWAY D.M.E. - DRAINAGE & MAINTENANCE EASEMENT ONC.- ENCROACHMENT E.T.P. - ELECTRIC TRANSFORMER PAD F.P.L - FLORIDA POWER AND LIGHT P.H. -FIRE HYDRANT F.I.P. -FOUND IRON PIPE F.P. - FINISH FLOOR F.D.H. -FOUND DRILL HOLE F.R. -FOUND RBBAR F/D -FOUND DISC F/N -FOUND NAIL OF -IRON FENCE L - LENGTH L.P. -LIGHT POLE MEAS. - MEASURED M.H. -MAN HOLE N.G.V.D.-NATIONAL GEODETIC VERTICAL DATUM N.T.S. -NOT TO SCALE OE - OVERHEAD ELECTRIC LAEB 0I1. -ON LINE P.C.P. - PERMANENT CONTROL POINT P.C. -POINT OF CURVATURE R - RADIUS RES - RESIDENCE SDWLK - SIDEWALK T =TANGENT U.B. - UTIITY EASEMONT W/F =WOOD FENCE W.V. -WATER VALVE W.U.P. -WOOD UTILITY POLE IRON FENCE =CHAIN LINK FENCE -WOOD FENCE -CBS WALL OVERHEAD ELEC. MINTER LINE =EASEMENT - DENOTES ELEVATIONS =BUILDING - DISTANCE • Picofessional Surveyors, & Mappers LB 7498 13050 S.W. 133rd Court Miarni Florida, 33186 Ph. ,# (305) 234 -0588 Fax. # (305) 234 -0423 Comm Panel Panel # Firm Zone: Date of Firm: CERTIFIED ONLY TO: Veronica Medina Juan Pablo Donofrio hest II Q2 ELEVATION INFORMATIOZ • • National Flood Insurance Progwani FEMA Elev. Referehee tv NGtill 1229 '110652 • 11302 • • • D 1n- 20W •• •• Base Flood Elev. . na. • F.Floor Elev. • 11.33' • • Garage Elev. Suffix: MI' " ' Elev. Reference to NVGD 1929 • 9.83: • ' •••• • • •••• LEGAL DESCRIPTION: Lots 13 & 14, Block 12 of: "FIRST ADDITION TO PASADENA PARK" according to the Plat Thereof as Recorded in Plat Book 6, Page 82 of the Public Records of Miami -Dade County, Florida. This certifies that the survey of the property described hereon was made under my super- vision & that the survey meets the minimum technical standards set forth by the Florida Board of Professional Land Surveyors & Mappers in Chapter 6I G17 -6 of Florida Administrative Code, pursuant to Section 472.027, Florida Statutes. & That the Sketch hereon is a true and accurate representation thereof to the best of my knowledge and Belief, subject to notes and notations shown hereon. • • • F. Alvarez ofess . • urveyor & Mapper # 5526 State ofFlorlda Not Valid unlcssSigned & Stamped with Embossed Seal • • • • ••••• • • • • • • • • • • • • %. Surveyor Notes: Bouncletry Survey Meet 2 of 2 H* islormtheast Circi Avenue : : : : . •. •. :N00° . . . • . • • ... . 100.00'. •. •. •. : F/N 8 I m E 1/2• FP No Id 0.08' CBS 0.15' CBS h. FIP No Id JOB # 10-081 DATE 02-10-2010 PB 06-82 : • : : : : : • . • : • . • • : • • . • . • : • : • : • : • . • • . • . • :± • • : • I • • : • • • • • • • • • . • : • : • : • • • • • • • • • • • • :16.70 Asphalt Pavement : • : • : • • : • : • : • : • • • : • : • : : • : • . • • : • : • : • : 40' Dedicated Right-of-Way As Per PB 06-82 Miami-Dade County, Florida.: : : :• : • : • : ' z • : • : • : • : • • . . . . 11.77 0/L CBS Entry .:' 10.50' Brick Paver Pool Deck 13.02' NO0'00'00'E Conc. Walk 38.80 Asphalt D/W • 'Conc..' : Slab .. Pool EquIp.■E Slab 2.9 6.00' W/F WUP ,._• ....... _______ ,•:• • : 21.30 : • Asphalt • • : : 10.30 10.50' 3.6 ..•• 32.17 Survey is Incomplete without sheet one Scale of Drawing 1=20' Drawn By: A. Torras Date: 3-23-09; 2-10-10 Completed Field Survey Date: 3-23-09; 2-8-10 AFA & COMPANY, INC. LB # 7498 Professional Land Surveyors and Mappers 13050 SW 133rd CT lVflami, Florlda 33186 PH: 305-234-0588 FX: 305 234-0423 Conc Slab '.1.23.27 • • Lot 5, Block 12 8.20 N0O°00'00'E Conc. Slab 16.50 AFA & Company, Inc ONE STORY CBS HOUSE RES. 4f10531 45.10 100.00' • .......... : Asphalt : D/W • 16.00: : • : 13.28'— _ Lot 6, Block 12 F ' 1 : a - - - • _ .' N- Slab I a • 747(4 - •' (PI - \ ' 1139 ___ 7.10 16.03 I P I 8 h. FIP I m No Id 0 0 FIP rn cas w No Id J ) /\ 0 o NO0'00'00'W V 175.00 co • • •• •• • • • ___ q,P • Rpoq-qq. 0 0 'MTH ALL FEDERAL • • • • • • • • • • • The sketch hereon is a true and Accurate representation thereof to the best of my knowledge and belief Subject to notes and Notations shown hereon. • • • • • r 6 0 La .•• • • • : •• • • 10 • gif • • es? 7 264ireg • • • • • • • • • • • • .4 ,i0O Armando ez EtrslonalSury F Mapper #5526 State of Florida Not Palk/ unless Signed & Stamped with Embossed Seal • mmomma. • • • • • • • • Scheduled Inspection Date: February 24, 2010 Inspector: Bruhn, Norman Owner: D'ONOFRIO / MEDINA, JUAN PABLO / \ /CDAAIIt�A Job Address: 10531 NE 3 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: ENGLISH WORLDWIDE POOL & SPA Building Department Comments February 23, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Phone Number Inspection Number: INSP - 116846 Permit Number: BPP -6 -09 -990 For Inspections please call: (305)762 -4949 Permit Type: PoolsNVhirlpools /Hot Tubs Inspection Type: Final Work Classification: New Parcel Number 1122310130360 Phone: (954)748 -9221 NEW SWIMMING POOL Passed , Z! ' s ) .c Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 3 of 34 Project Address 10531 3 Avenue Miami Shores, FL 33138- Owner Information Authorized Signature: Owner Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $0.60 $0.20 $225.00 $6.00 $50.00 ($50.00) $5.62 $237.42 Address Applicant / Building Department Copy Pool - Privata APPROVED Expiration: 02/16/2010 Invoice # EL -6-09 -35084 Check #: 10761 Contractor Parcel Number 1122310130360 Block: Lot: JUAN PABLO / VERONICA D'ONOFRIO / 10531 3 Avenue MIAMI SHORES FL 33138- Contractor(s) BARRETT ELECTRIC CO Phone (305)552 -6611 CeII Phone Type of Work: ELECTRICAL Additional Info: POOL Classification: Residential EL -8-09 -35688 $ 187.42 $ 187.42 $ 0.00 Check #: 10890 Total Amt Paid Amt Due $ 50.00 $ 50.00 $ 0.00 Agent Phone Applicant JUAN PABLO / VERONICA D'ON' aing- ,,, Valuation: Total Sq Feet: August 20, 2009 Date CeII (305)494 -0230 MitireZMUMMESENSOMMOV $ 1, 0 For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Final Light Niche Alarms Bonding In consideration of the issuance to me of this permit, 1 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 above -named contractor to do the work stated. August 20, 2009 1 BUILDING PERMIT APPLICATION FBC 20 Permit Type; ELECTRICAL City Miami Shores Village Value of Work For this Permit Type of Work: DAddition (" Deribe Work: °--® Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 [DECEIVED JU 1 „1009 Owner's Name (Fee Simple Titleholder) Owner's Address \Q S \ Y \\r"a City \*°'■N \‘''VZI,(C State Permit Nb. aster Permit No. Zip Tenant/Lessee Name Phone # S Email Job Address (where the work is being done) \c- \ \ County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name 77 6 At_ Phone # 2 '® X &'' 5 Contractor's Address AJ Q.. e -7 Cit 0-6L ,9-2e State Zip .e,--4- `, p Qualifier Name 1(Jlee /5�� 77 Phone #S -6 c l, `- o rb State Certificate or Registration No. Certificate of Competency No. \ Contact Phone E -mail Architect/Engineer's Name (if applicable) / Phone # ['Alteration New Phone"# Square / Linear Footage Of Work: ❑ Repair/Re l ace jyccs_ ppemolition G v� e - o q ***** �x�x: �** ** * * ***a�** ** **** * *** *** * *x�*** Fees* ********* ******* **�x�x****�x****�x****�x ******* Su nee $ 1 )0 ^ Permit Fee $ 044 Training/Education' Fee $ o ' o0 Radon $ 1 Bond $ Code Enforcement $ • I Notary $ Scanning $ (Pa Structural Review. $ CCF $ Technology Fee $ 54Qo CO /CC DPBR $ Zoning $ Double Fee $ Total Fee Now Due $ f 5 • 49 See Reverse side —> 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 ha commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulatin; construction in this jurisdiction. I understand that a separate permit must be secured for FI FCTRICAL WORK, PLUMBING, SIGNS WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AtkiDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with al 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 muss 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 ab..ence of such posted notice. the inspection will no e approved and a reinspection fee will be charged. Owner or Agent J Contractor a h The foregoing instrument was acknowledged before me this 4i The foregoing instrument was acknowledged before me this day of (}>," A 0, 20e07, by , day of � . .�t�'F , 20C Z...by Ake F :7' who is personally known to me or who has produced who is personally known to me or—whialas.iar.edLiced, As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: �1 _ Sign:. Print: J lit Print: aor�rw,e�c ANDREA K DORSETT My Commission Expires My Commission, • _,* : * MYCOMMISSION #DD824978 '�1(3�? PL;,3".'�T.?131.IC•grATE- jjF MAMA * m EXPIRES: October 11, 2012 ' "•k �'itis tn8lish � 44OF000 BoWellaudgetthWerfts ,Commission # DD612153 Expires: NOV.. 06, 2010 arJt+l rtntc Ain k.. #0..g1G *** **:F=k****** *a'.** * *4 *** kok* , * * " *****' R*********** ** ** * * * ****k** * *** * ** **** * ** * ** ** ** ******** ** * ** **** *** 71.ti 01 Plans Examiner Zoning APPLICATION APPROV BY (Revised 07/10/071 Engineer NOTARY PUBLIC: Clerk checked 11/10/2009 15:53 FAX 1 800 085 7530 DATA SCAN FIELD SERVICES Il012 /012 Inspection Number: INSP- 116850 Permit Number. EL- 6- 09-991 Scheduled Inspection Date: November 10, 2009 Inspector: Devaney, Michael Owner: O'ONOFRIO 1 MEDINA, JUAN PABLO / Job Address: 10531 NE 3 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: BARRETT ELECTRIC CO Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 X90 (- o -q ci Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1122310130360 Phone: (305)552 -6611 ELECTRICAL WORK FOR NEW POOL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid Inspector Comments Aitio/pr, November 09, 2009 For Inspections please call: (305)762 - 4949 Page 3 of 29 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 10531 3 Avenue Miami Shores, FL 33138- Owner Information Address Parcel Number 1122310130360 Block: Lot: Contractor(s) Phone Cell Phone ENGLISH WORLDWIDE POOL & SPA (954)748 - 9221 Phone JUAN PABLO / VERONICA D'ONOFRIO / 10531 3 Avenue MIAMI SHORES FL 33138 - Valuation: Total Sq Feet: Type of Work: PLUMBING Type of Piping: POOL Additional Info: Bond Retum : Classification: Residential Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions/Alterations Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $180.00 $3.00 $50.00 ($50.00) $4.50 $193.30 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Invoice # PL -6-09 -35086 Check #: 10761 PL-8-09-35692 Check #: 10890 Total Amt Paid Amt Due $ 50.00 $ 50.00 $ 0.00 $ 143.30 $ 143.30 $ 0.00 Applicant JUAN PABLO / VERONICA D'ON( Date Expiration: 02/16/2010 Cell (305)494 -0230 $ 700.00 0 For Inspections please call: (305)762 -4949 Available Inspections: 1- Privet PROVED Inspection Type: Final 1 In consideration of the issuance to me of this permit 1 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 above -named contractor to do the work stated. August 20, 2009 August 20, 2009 1 BUILDING ECEPVIED Permit No. � .� � V-- Master Permit No. 1 / q Fsc 20 � PERMIT APPLICATIOI� JUN Permit Type: PLUMBING Owner's Name (Fee Simple Titleholder) . q:0\tt r\p -•�\� phone # Owner's Address S \ M e . Cit} \aA\ State City Miami Shores Village Email Value of Work For this Permit $ . Type of Work: ❑Addition DAlteration Describe Work: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Al l Zip Tenant/Lessee Name Phone # ��� — 2y Job Address (where the work is being done) V:::■ County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Nam \ /\ Via• 'l ,one # ----l ik-k 'i Con actor's . Address % \AD Z City \ ° &.% \k. State 7;,, ��� Contact Phone E-mail State Certificate or Registration No ‘Ut'io : Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: Zip Repair/Replace ❑ Demolition csK Olt 8 * * * * * ** ** * * * * * * * * * * *** * * ***s:** **** * ** Fees ********* ** * * * * ***** ** *** * * ****** * * **** * *** mitt Su al ee $ Permit Fee $ / is CCF $ ® "( D CO /CCI Notary $ 9 00 Training/Education Fee $ 0 • p(9 Technology Fee $ Scanning $b' r‘..) Radon $ DPBR $ Zoning $ I Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 143 See Reverse side –> 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 , ermit is iss . absence of posted notice. the inspection will note a proved and a reinspection fee will be charged. _ f such p Signature Sign: Print: (Revised 07/10/07) Owner or Agent The foregoing instrument was acknowledged before me this ,20 (P9, day o who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: NOTARY PUBLIC -STATE OF FLORIDA ,,,,,,,,,, ne BOND : **** ** ** *** * ** ** * * ** *** APPLICATION APPROVE nglish #DD612153 OV. 06, 2010 ONDING CO., INC. * * * ** * * * ** * * * * * * * ** Engineer Signature The' foregoing instrument was acknowledged acknowledged this /2_ pa who is personaW known to me or who has produced M W/5 ; NOTARY PUBLIC: Sign: Print: as identification and who did take an oath. My Commission Ex * * * * * * * * * * * * * * * * * *. * * * * * * * * * * * * * * * * * * * * * * * * ** Clerk checked Miami Shores Village Building Department STRUCTURAL CRITIQUE SHEET Meed Ca /1 S /ailesi Nv-e'i Plb fa /-/ ai- crna /z f s 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 09- ?90 Job Name Pe7 7 4 -'4 Date 6 /7 -¢/d V lvl *x • 579 GIG n 9 of a ha/rs /h !o "s /h f /,'s gip'. Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Owner's Name: JUAN PABLO / VERONICA D'ONOFRIO / MEDINA Owner's Phone: Job Address: 10531 3 Avenue Miami Shores, FL 33138- 7/16/09 NEW PLAN OK Issue Date: Not Issued Permit NO. BPP -6 -09 -990 Expires:Not issued Folio Number:1122310130360 Total Square Feet: 200 Total Job Valuation: $ 13,500.00 :.................. .......... .......... .................,....... .. _ Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 7/16/2009 : Yes Comments: POOL EQUIPMENT CAN NOT BE LOCATED IN THE 10 FOOT SIDE YARD SETBACK UNLESS LOCATED IN AN AREA OF EXISTING A/C OR POOL EQUIPMENT Contractor o Owner o Architect Shores Village Acknowledged by: PERMIT CLEARK INITIAL: RESUBMITTED DATE: 0 Miami Shores Village Building Department 10050 .NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 RECEIPT Cq- DATE: a0oci 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 ao\ T PERMIT CLEARK INITIAL: ent to continue permitting process. Scheduled Inspection Date: November 16, 2009 Inspector: Levrock, James Owner: D'ONOFRIO / MEDINA, JUAN PABLO / Job Address: 10531 NE 3 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: ENGLISH WORLDWIDE POOL & SPA Building Department Comments November 13, 2009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 eee-cio-oq-qq12 Inspection Number: INSP- 129164 Permit Number: PL -6 -09 -992 For Inspections please call: (305)762 -4949 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1122310130360 Phone: (954)748 -9221 PLUMBING WORK FOR NEW POOL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. mments AS ' INSPECTION FOR INSP- 116851. Page 21 of 36 .- 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 129164 Permit Number: PL -6 -09 -992 Scheduled Inspection Date: November 16, 2009 Inspector: Levrock, James Owner: D'ONOFRIO / MEDINA, JUAN PABLO / Job Address: 10531 NE 3 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: ENGLISH WORLDWIDE POOL & SPA Building Department Comments PLUMBING WORK FOR NEW POOL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 13, 2009 n Inspection Worksheet Miami Shores Village tor Comments CR D AS REINSPECTION FOR INSP- 116851. For Inspections please call: (305)762 -4949 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1122310130360 Phone: (954)748 -9221 Page 21 of 36 Scheduled Inspection Date: November 13, 2009 Inspector: Levrock, James Owner: D'ONOFRIO / MEDINA, JUAN PABLO / Job Address: 10531 NE 3 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: ENGLISH WORLDWIDE POOL & SPA Building Department Comments November 12, 2009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 a Q Q — 1J� .- q-4q,q6 Inspection Number: INSP - 129164 Permit Number: PL -6 -09 -992 For Inspections please call: (305)762 -4949 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1122310130360 Phone: (954)748 -9221 PLUMBING WORK FOR NEW POOL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. In p; r Comments C' ► • ' REINSPECTION FOR INSP- 116851. Page 11 of 20 1" Inspection Number: INSP- 129164 Permit Number: PL -6 -09 -992 Scheduled Inspection Date: November 13, 2009 Inspector: Levrock, James Owner: D'ONOFRIO / MEDINA, JUAN PABLO / Job Address:10531 NE 3 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: ENGLISH WORLDWIDE POOL & SPA Building Department Comments PLUMBING WORK FOR NEW POOL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. is PECTION FOR INSP- 116851. November 12, 2009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1122310130360 Phone: (954)748 -9221 Page 11 of 20 The foUowEng were originally attached to plans with the following permit # CL-(Q-09-qq1 06/12/200q_12:43 5613335743 POOL FENC* manner: PROTECT'A CHI1; February 26, 2002 Dear Building Officials and Contractors, Protect -A -Child fences meet the barrier requirements of 424.2.17 in the following • The top of the barrier is, a minimum of 48" high. • The bottom of the barrier is flush with the top of the pool deck. • The fence is mounted a minimum 20" away from the water's edge. • Gaps in the barrier do riot exceed 3 ". • At least one end of the barrier is not removable without tools. • There are no horizontal members. • Fence posts are made of composite fiberglass or aluminum. IS . Poste are mounted 36" apart. Matt Bogart President Protect -A.- Child Pool Fencing Company STREAMLINE POOLSS • • ••• • • • •e• • • • • • • ••• • Hollywood Brrward • l raY. • • WrBeao6 Per ••e •. •. y • • • • • • • • (94J4) • i (95 4) opt 4$9.7340 •• 9 PAGE 01 • • ••• • : ' • • • • • : • • •• . . .•. • • • • • ••• • • • • • • • • • • • •• • • • • • • • • • •• M • • • • • • • • • • Bores.• .� Ilage B:u ijc irna:Department • • •1p450.E.241dAvenue Miami SliorL�s F1'rida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Date Lel — — ®� Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as , 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. 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 Owne? Note: This certification is to be submitted with a swimming pool permit application in duplicate. RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned TS . QoA�!, �\ K3 is/are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: `C��J 1 �V' • _ >�.©�cr�.� '�— Whereas, the undersigned owner(s) Ur���,��r ('� desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: 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. I I. 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 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 successor., in ar of said Village then in effect. ER SIGN & PRINT I Hereby Certify that on this day personally appeared # as identification and for purposes there in expressed. SWORN TO AND SUBSCRIBED before me on this (Revised 05/2209 NOTARY PUBLIC-STATE OF FLORIDA Otis English Commission # DD612 010 BONDED ATLq. \153 ' , ' Expires: NOV. 06, E E - r1C BONDING CO., INC. D T • • ••• • • • '• • • • ••• • • • • • • • • ••• • •- • • • • • •• • • • • • • •• _ • • •• • • • • tare ho;l"et:•.ifla► e • • •• Building De artment • ••• : 0b .i .2n'd Avenue ••• • • ' : Miarpr mores, Flor 33138 T'el� 795.2204 Fax: (305) 756.8972 OWNER SING & PRINT before me n1as produced ID he/she acknowledge that he/she executed the foregoing, freely and voluntarily, 9 day of NOTARY PU: IC STATE OF LORIDA 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 \CLc `P_ 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 fenc wa ' , 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 the owner /agent and the prime contractor. CONTRACTOR'S SIGNATURE AND DATE CONTRACTOR'S NAME (PLEASE PRINT) NER'S SIGNATUR . '"DATE NOTARY PUBLIC NOTARY PUBLIC • • • •. :• •• • • • • • • .•. • • • • • • : • • • • • • • • • ••• • • • • • • e iami � 7hores ilia • 9 iiijd1ri pegarkipent -iOb D N.E2 ndAvenue • • • Miami Shores, Florida 33138 •• :.: •• . MeN,•(605 ).795.2204 • : : : :F�at•(3051756.8972 LEASE ''Y PUBLIC- STATE OF FLORIDA Otis English .mmission # DD612153 %;,, ,,,•` Expires: NOV.. 06, 2010 BONDED THAL ?MASTIC BONDING C® $dC