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520 NE 92 St (15)Type Insp'n Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request r Date d2' Permit No. 20. Name N1kc ::fin Inspection Date Address 2,C) Company U(I� cy c� ( r Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request (0 Date / Type Insp'n Permit No. -- Name Address Company ,_ - ,; • Phone # Inspection Date ' Approved Correction Re-Insp'n Fee • MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 ( Buildiyig Inspection Request \' Date Type Insp'n Permit No. Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request \ Date . Type Insp'n Permit No. Name Address Company Phone # Inspection Date Re-Insp'n Fee • .1 , • c_ — • " • • •-• - • • , • A 9 Approved Correction „,, Buil Date Type Insp'n Permit No. Name MIAMI SHORES VILLAGE Al BUILDING DEPARTMENT 305- 795 -2204 .1� ding Inspection Request6 n1cuL. Address 5 NZ 1 2 S Company l.._ ci OR E Phone # Inspection Date Approved Correction Re- Insp'n Fee ❑ Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE /\ BUILDING DEPARTMENT Inspection Date =-;; 305- 795 -2204 Building Inspection Request Date . • Type Insp'n °' �`. Permit No. Name Address Company Phone # is - Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request,; Date Type Insp'n Permit No. Name Address Company Phone # Inspection Date %" MIAMI SHORES VILLAGE A" BUILDING DEPARTMENT 305- 795 -2204 Buil ing Inspection Request � i?OY Date C9' C7 /�� Approved Correction Re- Insp'n Fee Type Insp'n n I Wes^ . Permit No. Name ^ y Address 520 M� CO 2_ 5+ 1 Company L 11+ O Etedv,c, Phone # Inspection Date ❑ i,��% 1.9'c BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) ( e-roc 1- pp c t am Phone # (mac) 75C. - y? 6 5 Owner's Address City f•-1; dm, Ska re Tenant/Lessee Name 1 Job Address (where the work is being done) ,c70 /f s? 5•Z-Ch 5•Z St City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name Cal' r F�/s IA , �c , j�7o -3, Phone #(], 8( ) 41� - Se Contractor's Address (4 8 4 � rs r�C � 4 . • 4 City , State F( Zip 33 17< Qualifier lit , ^G()e( d • G.)rrr7nr) State Certificate or Registration No. C ?C 1 tf 5.672 9 Certificate of Competency No. Architect/Engineer's Name (if applicable) I . .4. Ha r(.ac0Z Phone # C/o 5 887- 4 4 17 $ Value of Work For this Permit Total Fee Now Due $ /90 O (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 State F Zip 3 1 S B Type of Work: ❑ ition ❑Alteration Describe Work: �, , f �, . ❑New Plumbing Master Permit No. P(..)S — 24 Phone # -, Square Footage Of Work: * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * ** EC IFIVED 2M5 Permit No. 4 - 7 Mechanical Roofing Zip ❑ Repair/Replace ❑ Demolition Submittal Fee $ to U Permit Fee $ ! b (2 CCF $ / �l1 U v CO /CC Notary $ � Training/Education Fee $ 0. y 0 Technology Fee $ Scanning $ Radon $ Zoning Bond Code Enforcement $ Structural Plan Review. $ 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 permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature ( o 0 Owner or Agent aii2 v tContractor The foregoing instrument was acknowledged before me this The foregoing instrument was ackno ledged before me this ei . day of , 20 , by , day of , 2005, byi (fl ran who is personally known to me or who has produced wh • personally kno to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expir ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** i APPLICATION APPROVED BY: Chc 05/13/03 107 dentification and who did take an oath. t \'a[ga.o Commission . '0D231 9 fires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Plumbing Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2005 -7 Printed: 2/8/2005 Applicant: LUCRECIA ADAMS Owner: ADAMS LUCRECIA JOB ADDRESS: 520 NE 92 ST Page 1 of 1 Contractor GATOR POOL AND SPA CONSTRUCTION Contractor's Address: 14869 SOUTH DIXIE HWY #1 Local Phone: 786- 412 -5281 Parcel # 1132060141190 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 4 & 5 BLK 58 LOT SIZE 100.000 X Fees: Description Amount FEE2005 -1653 Building Fee $160.00 FEE2005 -1654 CCF $1.20 FEE2005 -1655 Notary Fee $5.00 FEE2005 -1656 Training and Education Fee $0.40 FEE2005 -1658 Technology Fee $4.00 FEE2005 -1659 Submittal Fee ($50.00) Total Fees: $120.60 Total Fees: $120.60 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 7/5/2005 Construction Value: $1,500.00 Work: POOL PIPING - MASTER BP2005 -24 Signed: (INSPECTOR) 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 0.20' A 0.40 LOT6 BLK 58 M N ti x 10.00' F. .P 1/2" f NO I.D. 75' R/W (PER PLAT) 30.06' UTILITY 9 20.70' 21.40' CONC. DRIVEWAY LOT 5 BLK 58 14.70' 12.90' ` N.E 92nd STREET ONC. ALK 20' ASPHALT 22.50' PARKWAY 100,00'(P &M) 5' CONC. WALK ° ) CONC. 0.40' 1---t5.10'!, 0 0 .H.L I CONC. ROCK ONE ST RY RESIDENCE 520 F.F.= 11.62' 14E T 33.90' CONC. W.P. 100.00'(P &M) 11' ASPHALT ALLEY 22.20' AL R G o LOT 4 BLK 58 49.50' F.I.P 1/2" NO I.D. 8 a�q CP 0 N- 03 �! c ON PL a LOT 3 BLK 58 N 0.60' 1: ?gal Description 1. of 4 & 5, Block 58, MIAMI SHORES SECTION NO. 2 lit :cording to the plat thereof as recorded in Plat Book 10, a? Page 37, of the Public Records of Dade County, Florida. - Certified to: L wwwrecia Adams. Community Number: 120652 Panel: 0093 St/fix: J Date of Firm Index: 3/2/94 Fi'm Zone: X Bose Flood Elevation: N/A Dcrte of completion: 2/22/02 Property Address: 520 N.E. 92 Street Miami Shores, Florida 33138 Sul vey S -1021 Benchmark No.N -603 Elevation: 7.70 N.G.V.D. L3 S 'H O H E L A N o ff b V ^ - 11 :.; 3 .. . . ) l . . : .., .. �. 4 , ,, ' ,. 7d ^ - , ; ' 1 = 1 : ° ;n;: I, 1 , M { .. ± .;�.,1, . .i.. ,QI .. � �..... � N E 9 5 •" S ; T ' ¢� dal^ .4e;_;. :,'; � i" I °I1. j - N E 9 ^° 3T N E 92 ^° ^ .Z /7/ /(1.e6C ,c/n6 road c,n Is' "'de, c /M, ,, a / /// N. r .°a+ /S' GENERAL NOTES: I) 2) 3) 4) 5) 6) 7) 8) 9) 10) /I) 1 HEREBY CERTIFY REPRESENTATION OF SIGNED 1i THIS BOUNDAR j�. U/ 7 SURVE'YPREPA' I G. I/ M' GUE ESPI - 0S'7 r M. O.5 101 AT ' OF FLORII Revised: 9/4/02 (add elevation) l MIAMI SHORES SECTION NO a /I .70. :J /ON Or /1. 11/f11 nr rHE /',17.1 /./:: /Vw;. u. : /L .,..f • C. /110' r'/C •ir/ 7/1.10 r/E S0& A/ 421 ' •• n;,:' ; or 1:1/ . /W /7,0 771/7r r PNN r oR r//c o 4.70' roc .0.V or' /wen L r//+y wrc5 r /JF J.7/J " %10..41 , %/.0 /.v J0'C 6 • r...11.15 - 541 , 7 LEGAL DESCRIPTION PROVIDED BY OTHERS THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PLAT. UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. ONLY VISIBLE ENCROACHMENTS LOCATED. WALL TIES ARE TO THE FACE OF THE WALL. BEARINGS REFERENCED TO LINE NOTED AS B.R. NO IDENTIFICATION FOUND ON PROPERTY CORRNERS UNLESS NOTED. NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYORS EMBOSSED SEAL. DIMENSIONS SHOWN ARE PLAT AND MEASU D UNLESS OTHERWISE SHOWN. ELEVATIONS IF SHOWN ARE BASED UPON 3'. G. VD. 1929 UNLESS OTHERWISE NOTED. THIS IS A BOUNDARY SURVEY UN OTHERWISE NOTED. YIS A TRUE AN MY DIRECTION. T FOR THE FIRM MIGUEL ESPINOSA LAND SURVEYING, INC 6494 5.W. 24 STREET MIAMI, FLORIDA 33155 PHONE: (305) 740 -3319 LB # 6463 A A/C ADD ADJ AE ALUM. ASPH B/C BCR BLDG BLK. BM BNDY B/W C CB CBS CD CJB CLF CM CMP CONC. COR. COV. D DB DCR D.E. DOT E/F E/P ENV ELEC. ELEV. ENCL. EM ESMT F/C F/L FF FH FIP FIR FN END FN &D FN &T FP &L GAR GAW HW ID INV IR IP L LB LC LD LFF LP LS ARC LENGTH AIR CONDITIONER ADDITION ADJACENT OR ADJOINING ANCHOR EASEMENT ALUMINUM ASPHALT BUILDING CORNER BROWARD COUNTY RECORDS BUILDING BLOCK BENCHMARK BOUNDARY BACK OF WALK CALCULATED CATCH BASIN CONCRETE BLOCK STRUCTURE CHORD DIRECTION CABLE JUNCTION BOX CHAIN LINK FENCE CONCRETE MONUMENT CORRUGATED METAL PIPE CONCRETE CORNER • COVERED DEED DEED BOOK DADE COUNTY RECORDS DRAINAGE EASEMENT DEPARTMENT OF TRANSPORTATION END OF FENCE EDGE OF PAVEMENT EDGE OF WATER ELECTRIC ELEVATION ENCLOSURE ELECTRIC METER EASEMENT FENCE CORNER FENCE LINE FINISHED FLOOR FIRE HYDRANT FOUND IRON PIPE FOUND IRON ROD FOUND NAIL FOUND FOUND NAIL & DISC FOUND NAIL & TAB FLORIDA POWER & LIGHT GARAGE GUY WIRE HEAD WALL IDENTIFY, IDENTITY INVERT IRON ROD IRON PIPE LENGTH LICENSED BUSINESS CHORD DISTANCE LEGAL DESCRIPTION LOWEST FINISHED FLOOR LIGHT POLE LAND SURVEYOR LEGEND OF SURVEY ABBREVIATIONS M MAINT MH N0. N.T.S. 0/H 0.P. 0. R.B. 0/5 0/W P PAR PB PC PCC PCP PG PI PK POB POC PP PRM PRC PT PVMT R REC RCP RES RET RNG R/W SAN 5BT SCN 5E SEC SEW SN &D 5P SP &C 5R SRC STA 5TM STY SUED T TB TBM TRANS STWP TYP UE UGD WD WM WV MEASURED MAINTENANCE MANHOLE NUMBER NOT TO SCALE OVERHANG OPEN PORCH OFFICIAL RECORDS BOOK OFFSET OVERHEAD WIRES PLAT PARCEL PLAT BOOK POINT OF CURVATURE POINT OF COMPOUND CURVATURE PERMANENT CONTROL POINT PAGE POINT OF INTERSECTION PARKER KALON POINT OF BEGINNING POINT OF COMMENCEMENT POWER POLE PERMANENT REFERENCE MONUMENT POINT OR REVERSE CURVE POINT OF TANGENCY PAVEMENT RADIUS OR RECORD RECORD REINFORCED CONCRETE PIPE RESIDENCE RETENTION / RETAINING RANGE RIGHT - OF - WAY SANITARY SOUTHERN BELL TELEPHONE SCREEN SOUTHEAST SECTION SEWER SET NAIL & DISC LB #6463 SCREEN PORCH SET 1/2" PIN & CAP LB #6463 STATE ROAD SET REFERENCE CORNER STATION STORM STORY SUBDIVISION TANGENT TOP OF BANK TEMPORARY BENCH MARK TRANSFORMER TOWNSHIP TYPICAL UTILITY EASEMENT UNDERGROUND WOOD WATER METER WATER VALVE • 1 • 1 Phone: (305) 740 -3319 740 -3320 MIGUEL ESPINOSA LAND SURVEYING, INC. LAND PLANNERS — SURVEYORS 6494 CORAL WAY MIAMI, FLORIDA 33155 Fax: (305) 669 -3190 D. F.I.P 1/2' d NO M. 0.20' - LOT 6 °: x 10.00' N 0.40 1000'. o oJX F I.P 1/2" NO I.D. N 30.06' UTILITY A/C 20.70' 21.40' CONC. DRIVEWAY 75' R/W (PER PLAT) CO A 0 <7' LOT 5 BLK 58 N.E 92nd STREET 100.00'(P&M 14.70' m 12.90' cO VONC. ALK 22.50' PARKWAY Cr) 20' ASPHALT CONC. 0.40' t LLP 5.170 b4.00'0 Q N ' o v ONE ST RY RESIDENCE 520 .H.L F.F. = 11.62' CONC. ROCK WALK 33.90' 22.20' 4QAL R OR — T ERRA CONC. W.P. 100. 00'(P &M) 11' ASPHALT ALLEY 5' CONC. WALK LOT 4 BLK 58 49.50' F.I.P 1/2" N01.0. N N 1 P /9" 0I.D. ... (')Ni PL a LOT 3 BLK 58 M 0.60' N 11 w CO Miami Shores Village Building Department UILDING CRITIQUE Permit No. SP 05 if Job Name 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Miami Shores Villa e \ I. °ED Building Department j A ° 6 7" 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 L Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Tenant/Lessee Name Building Permit No. b � - Z Master Permit No. Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) L L ', C r- E (,► ra A. Cm f1 ►mil 5 Phone # g — 7 `j6 --17I (C,u Owner's Address F C N E 6 1 11 . City ("A rn \OFFS State FL- Job Address (where the work is being done) C) �� ,�5 r • City Miami Shores Village County Miami -Djde Zip 33 / 3 c5 Is Building Historically Designated YES NO Zip , / ,3 Phone # . Contractor's Company Name ( r Contractor's Address Cite 1-4 State Qualifier M ' Ci v( Al d r rr r12 Zip T •s 17 State Certificate or Registration No. c y �' . y 5 [, 7zC( Certificate of Competency No. Architect /Engineer's Name (if applicable) z 1 ? r 4 n z Phone # (-So 5 )fj'j?7 -L1 l7 0/ co�,o t< /90 Square Foot ge Of Work: X170 $ Value of Work For this Permit Type of Work: Describe Work: ❑ Addition Pao L Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) - 15 Z Alteration P, aecx ❑New * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** Submittal Fee $ V - CO Permit Fee $ d CCF $ � CO /CC 5 Notary $ 5 Training/Education Fee $ Technology Fee $ /l/ Scanning $ 4 , 1 9 Radon $ 57 Zoning Bond $ 3(90 Structural Plan Review. $7>C) .C' ) 7 , `)/(r aSo cXl*is7) ❑ Repair/Replace ❑ Demolition (5D Pt') c5 �l 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 permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature i C .t.:/1.,,, A Signature Owner or Agent The foregoing instrument was acknowledged before me this ae day of DECEASE , 20 O4 , by r_ucRC ci A A DAMS , who is personally known to me or who has produced NSA MI A NOTARY PUBLIC: APPLICATION APPROVED BY Chc 05/13/03 As identification and who did take an oath. 1 Qt Contractor The foregoing instrument was acknowl dged before me this n day of 20� by `� r � � 1 /L�J Q • who i .e sonally kno n to me or who has produced tification and who did take an oath. Sign: Sign: c . ........ • DIANE SEOW Print: D) AnrE SEO W • worm Pub - Stato of Florida Pri o MyComm ion "sJun6, 2007 My Commission Expires: My Comm sion Expires: t sg d. "o Commission # DD219914 •'' OF Fl **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *, * * * ** ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 01 NO , .5/rad Plans Examiner Engineer Zoning 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, Lt, ccr po t A , does hereby attest that the (property owner) attached survey, performed by ■ 1 l) Q_\ n ,,`z /9- Affiant is 'personally known to me, u /4produced (name of surveyor's company) performed on 9/ /O , is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. J.LoAi ()ALLA-0- Affiant/Property owner Witness(sign and print) SWORN TO AND SUBSCRIBED before me this 028 id day of Der —emBe2 „Zoo u / A Notar y ( 2-4--erl-j"-- DIANE SEOW Notary Public - State of Florida • . my Commissbn Wes Jun 6.2007 Commission # DD2199I 4 ,,, ,, Bonded By National Notary Assn. as identification. Date Type Insp'n Permit No. Name Address Company Phone # Inspection Date Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT . 305- 795 -2204 Buildjng Inspection Request \e A75-e Sat E go- MIAMI SHORES VILLAGE BUILDING DEPARTMENT • 305- 795 -2204 Building Inspection Request I Li Date '" 6 Type lnsp' n d ;2-- ri , Permit No.��. Name f c crm Address 7 Company �� , _ Y fir "(+ Phone # Inspection Date Approved orr� Re- Insp'n Fee p g 7S+- MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 / Buildin Inspection Request - Date Permit No. Approved Correction Re- Insp'n Fee C Type Insp'n Name l 1/'e Address Company , ` Phone # ?v 5 / k 3 —6c-0 o/ Inspection Date /0 - MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date Type Insp'n Permit No. /•)/ Name 4 - • - //.; :7. Address Company - Phone # Inspection Date Approved Correction Re-Insp'n Fee 144 - ,/wt,e4T,illa r BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIOA 33138-2382 TELEPHONE (305) 795.2204 FAX (303) 758-8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowledge that a nev�sswimm oo D spa or hot tub will be constructed or nstalled at v, N E', QL 3+ Miami Shores,. FL, and hereby affirm that one of he following methods will be used to meet the requirements of Chapter 515, Florida Statutes. :please initial the method(s) to be used) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved safty cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equiped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $500 and /or up to 60 days in jail as established in Chapter 775, F.S. / 7/ 61 / 1. CONTRACTOR'S NAME ( PLEASE PRINT) . NOTARY PUBUC OWNER'S SIGNATURE & DATE LLCre6 CL Ad A r- OWNER'S NAME ( PLEASE PRINT) NOTARY PUBLI E SEOW.� . Notary Public - State of Florida • i■NC.cmm E ,tun 6, 2C07 ;,� `� . ,' Commission 4# DD219914 . ' ", ,, Banded By Naa;anal Notary /assn. MIAMI SHORES VILLAGE BUILDING DEPARTMENT ` �i ' 305- 795 -2204 0% ` Building Inspection � Date 0/0.`1In Type Insp Permit No. Name ' YYC 'Q4_ Address 516 13E tL --� , Company ri t o4 ?o& d SPA I.UAisliv170 Iv Phone # 7.<16 rr 4: `� - 5Z$ Inspection Date £ l () 05 Correction Re- Insp'n Fee U MIAMI SHORES VILLAGE BUILDING DEPARTMENT ' 305- 795 -2204 Bui g Inspection Request Date Type Insp'n Permit No. Name Inspection Date Approved Correction Re-Insp'n Fee Address 57a 0 c / Company 7 Phone # CI (o 7`7t Name Address Company Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date Type Insp'n Permit No. J : - / Correction Re-Insp'n Fee 6 • r ( • Inspection Date Approved , Miami Shores Village 10050• IVE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/8/2005 Applicant: LUCRECIA ADAMS Owner: ADAMS LUCRECIA JOB ADDRESS: 520 NE 92 ST Building Permit Permit Number: BP2005 -24 Page 1 of 2 Contractor GATOR POOL AND SPA CONSTRUCTION Contractor's Address: 14869 SOUTH DIXIE HWY #1 Local Phone: 786- 412 -5281 Parcel # 1132060141190 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 4 & 5 BLK 58 LOT SIZE 100.000 X Fees: Description Amount FEE2005 -1303 Structural Fee $50.00 FEE2005 -1633 Building Fee $450.00 FEE2005 -1634 CCF $9.00 FEE2005 -1635 CO /CC $50.00 FEE2005 -1636 Technology Fee $11.25 FEE2005 -1637 Training and Education Fee $3.00 FEE2005 -1638 Scanning Fee $30.00 FEE2005 -1639 Radon $5.70 FEE2005 -1640 Builders Bond $300.00 FEE2005 -1641 Submittal Fee ($150.00) Total Fees: $758.95 Total Fees: $758.95 Total Receipts: $0.00 < 753, Permit Status: APPROVED Permit Expiration: 7/5/2005 Construction Value: $15,000.00 Signed: (INSPECTOR) 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Work: NEW POOL AND DECK • Signed: (INSPECTOR) 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON TIE JOB SITE AT TIME OF FRST INSPECTION PERMIT NO.ZP(.9S Z 4 TAX FOUO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements 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. Legal description of property and street/address: 5020 NE_ 9 a - M, G am i 1 rPS F L 33 13 4' 2. Description of improvement: ?clot 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address: ly R 4- 1 dh 3)7. 5. Surety: (Payment bond 4TFSt . s _', rt. :J 601%, Cc;t ss:; y Cr' �r,Or required by owl; from contra an d p that this is a tz opy Pn2 Name and address: rIDAIO, or nit 'lied rn thrr ntf.r Amount of bond $ ^f 6. Lender's name and address: � 0 N. 7. Persons within the state of Florida designated by provided by Section 713.13(1)(a)7., Florida Statutes, Owner upon whom notices or oth - documents may be served gs Name and address: 8. In addition to himself, Owners designates the following person(s) to rece a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: ND N K 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a diffe t date is specified) Signature of Owner Print Owner's Name L ►te con.; is.darNN Sworn to and subscribed before me this 1 day of 1 " Notary Pu Print Notary My commission expires: 123.01 -52 RAGE 4 a#o M ion) j Sho nos, t . 33/38' • L. t.4......► y hPna 0,0 MA g Prepared by 20 ° 6 12. Se Address: /Weill 3313' rt. Y H. Gonell °rte _ Counumml #DD313470 4 i - Expires' May 26, 2008 . Atlantic Bonding Co., Inc. 1111111011111111111111 CFN 2O05RO132174 OR Bk 23069 Ps 3758; (1as) RECORDED 02/09/2005 12:33:38 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE Date l CS' Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as Luvree,, P\(\&m , located at '6p os-o-4 5aC) Ra 34 M■DvNt 3"5l`3? In accordance with Section 33 -12(0. 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 a separate permit has been obtained for an approved safety barrier. and such barrier erected, inspected and approved. ( 41. d f ) I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owner x l L, L e_, C. adAr'YvU2 Note: This certification is to be submitted with a swimming pool permit application in duplicate.