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BPP-08-1420 0Rq . . . . . . Inspection Worksheet 4 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, F 72 Phone: (305)795-2204 Fax: (306)756-89 .................. 14 , . ..... . . .... -- ---------- .0 153 Scheduled Inspection Date: May 07, 2009 Permit Type: Fence/Wall Inspector: Bruhn, Norman Inspection Type: Final Owner: BAILEY, ROBERT Work Classification: Wood Fence Job Address: 1015 NE 97 Street Miami Shores, FL 33138-2565 AL& AL Phone Number Parcel Number 1132050170120 Project: <NONE> Contractor: HOME OWNER Building Department Comments Inspector Comments Passed Failed Correction Needed Re-inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. May 06, 2009 Page 17 of 25 Inspection Worksh eet Miami Shores Village ... 10050 N.E. 2nd Avenue Miami Shores, F o Phone: (305)795 -2204 Fax: (305)756 -8972 .1420 Inspection Number: INSP - 93006 Rermit Nlumber: FWVI/4- 08-1539 Scheduled Inspection Date: April 27, 2009 Permit Type: Fence/Wall Inspector: Bruhn, Norman Inspection Type: Final Owner: BAILEY, ROBERT Work Classification: Wood Fence Job Address: 1015 NE 97 Street Miami Shores, FL 33138 -2555 Phone Number Parcel Number 1132050170120 Project: <NONE> Contractor: HOME OWNER Building Department Comments Inspector Comments Passed (�Xks 4-t.. s1 CC- Se p G fo� Failed l Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. .................. ............ ­------­------------ --_----------------- - ........... - ------------------ ____ .................................................................. . ............ . ..... . .................... ...................... - M , -ant Inspection Worksheet Miami Shores Village 10060 N.E. 2nd Avenue Miami Shores, FL Phone: (306)796-2204 Fax: (305)756-8972 - - - ----------------_------ ----- .......................... JP Inspection Date: December 31, 2008 Permit Type: PoolstWhiripoolstHot Tubs Inspector: Bruhn, Norman Inspection Type: Fence Owner: BAILEY, ROBERT Work Classification: New Job Address: 1015 NE 97 Street Miami Shores, FL 33138-2565 Phone Number Parcel Number 1132050170120 Project: <NONE> Contractor: DOLPHIN POOLS & SPAS INC Phone: (954)927-6537 B uilding Department Comments o Inspector Comments Passed Failed Correction Needed Re-inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. Tuesday, December 30, 2008 Page 1 of 1 ---------- W ---------------------------------- ------------------------------------- -------------- - - - ------------------------------------------------------------------------------------------------------------------------------------------------------------- Inspection Worksheet Miami Shores Village 10060 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (306)766-8972 ............................. X X ed ..................... L_ Inspection Date: December 31, 2008 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Bruhn, Norman Inspection Type: Final Owner: BAILEY, ROBERT Work Classification: New Job Address: 1015 NE 97 Street Miami Shores, FL 33138-2555 Phone Number Parcel Number 1132050170120 Project: <NONE> Contractor: DOLPHIN POOLS & SPAS INC Phone: (954)927-6537 B uilding Department Comments Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-911119. CC FEE INSPECTION MUST BE COMPLETED 1ST 1. REAR GATE DOES NOT SELF CLOSE. NB 12/23/08 Failed Correction Needed Re-inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. Tuesday, December 30, 2008 Page 1 of 1 Inspection Worksheet Miami Shores Village L 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 f Inspection Date: December 23 2008 Permit Type: PoolslWhirlpools/Hot Tubs Inspector: Bruhn, Norman Inspection Type: Final Owner: BAILEY, ROBERT Work Classification: New Job Address: 1015 97 Street Miami Shores, FL 33138 -2555 Phone Number Parcel Number 1132050170120 Project: <NONE> Block: Lot: Contractor: DOLPHIN POOLS & SPAS INC Phone: (954)927 -6537 Building Department Comments � TO Inspector Comments Passed cc !Mott& A r c ,Z�►,& •ya &4_ cv. 1� 0. � Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Monday, December 22, 2008 Page 1 of 1 oXM Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspect 8 Permit Type: PoolsMhirlpools /Hot Tubs Inspec *t , D v d Inspection Type: Survey Final Owne _ I R Work Classification: New Job Al' res1� 5- tree NE a t ; M ' "hores FL 33138 -2555 Phone Number Parcel Number 1132050170120 Project: <NONE> Block: Lot: Contractor: DOLPHIN POOLS & SPAS INC Phone: (954)927 -6537 Building Department Comments NEW POOL AND PAVERS DECK Inspector Comments Passed � cc Failed q Correction ®ot s44 Ate Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Wednesday, December 3, 2008 Page 1 of 2 PERMIT : r Cl: R= 25.00' Miami Shores Villa 3 A= 89 A =39.20' APPROVED BY DATE T= 24.93 ZONING DEPT if ®LOG DST SUBJECT T® COnapUAwCE VM F _ n=RAL STATE AND COUNTY RULES AND TRACT 180A Q� I I 1 FND. 1/2 v o -� ' a o/s 0.24'(S} 15' ALLEY WAY 9' ASPHALT PAVEMENT � o N W.M. _ ANC OS-- ` `' ' ' - v 90.00' o — — 30.00' ~ — I N Q p FND. 1/2* �4. ad to i B O O I.P. 18.00' s0, v+ �O o/s 0.09'(w) 0 0, ASPHALT - ► 0 . 5 0'(W) 'n � 0BRIC K15' B.S.L. 10 B.S.L. 0 23.90 Lu PbOL f E Z 'r� 0' I,L.�JI{.� —.I 114.7' W � o � I N 14,60' � N 5.00' > _ 1 CONCC _ 00 I 3.54' 7.78' 113.83' . I 0 Lo - 0 1 ONE STORY C.B.S. to .— I" N I N I n RESIDENCE #1015 I N LOT 11 w j. LOT 12 j Z I I° a.2o BLOCK 180 1 _ 0.35' I F 0.35'1 ^ $ LL .45' LL 1 "i 40' ' ARE I E SET 1/2" 12.45' ^ (LLL M � L — v .30' I.R. & CAP 17.59 — #5734 0.35 LLL 1 1.45' L �` •► 0. 6.75' 6.10' 6.70' o L- I 100 o v�S L 0.35' 0.35' 14.03 in m L _ I a in L cg WALL SET NAIL w L 9s0 0.90'(E) & DISC L 0 0. FND. 1/2" #5734 .00'LLL LR. 1$50' IN CONIC. 1 LLLLLLLLLL 65.07 .LL I FND• 1/2" All IE I IWAY - L LL - L LL LL�� -- LLLLLLLLL I I.P. LLLLLL LLLLLLLL 0/s 0.10'(W) L LLLL LLLLLLL LLL,.LLL LLLLL I $ LL *1 LLLLLL I, v LLL t LLLLL I ' LLLLLL LLLLL n _ og LLLLL L L I ti i - I N. 9 7th S I ! (75' R /W) 22' ASPHALT NOTE: BUILDING SETBACK LINES (B.S.L.) SHOWN HEREON SCALE: I" = 20' SKETCH NO.: 06 -2969 ARE PER DAVE WITH THE CITY OF MIAMI SHORES PLANNING AND ZONING DEPARTMENT 0 305- 759 -2207. DRAWN BY: K.W. SIDE 2 OF 2 THIS INFORMATION IS NOT GUARANTEED AND SHOULD BE VERIFIED. ELL S URVEY, INC. 4 _ 2151 WEST 3BORQ BLVD., SUITE 206 1215 WEST 19TH STREET �. _ .Iy AG14,FL@RInA , (954}418 -4940 FAX(954�418 -4941 HOUSTON, TEXAS 77008 11{O H:B585'T (713)880-0808 FAX(713)802 -1221 SURVEY ADDRESS: TO: 1Q15 N E 97TH STREETh,o ,; ;0R�QI�A') BAILEY MIAMI SHORES, FLORIDA 33138 2, 77 T' FLOOD ZONE & ELEVATIONS: 4 ' FLOOD ZONE: X/AE BASE FLOOD ELEVATION: 8' CONTROL PANEL NO.: 1206524)093-J DATE OF FIRM INDEX: 07/17/95 POTENTIAL ENCROACHMENTS: 1. ONE STORY C.B.S. RESIDENCE IN VIOLATION OF 25 FOOT BUILDING SETBACK LOWEST FLOOR ELEVATION: 11.61' LINE ALONG THE SOUTHERLY PORTION OF THE SUBJECT PROPERTY. GARAGE FLOOR ELEVATION: N/A REFERENCE BENCHMARK: RgS. # 1260 N.E. 97TH STREET, FINISH FLOOR ELEV. - 8.33' LEGAL DESCRIPTION: LOT 12, BLOCK 180 OF "MIAMI SHORES VILLAGE ", ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 43, AT PAGE 51 OF THE PUBLIC RECORDS OF MIAMI DADE COUNTY, FLORIDA, LEGEND & ABBREVIATIONS: A = ARC ESMT. = EASEMENT P.B. = PLAT BOOK A/C = AIR CONDITIONER ELEV. - ELEVATION P.C. = POINT OF CURVATURE A.E. = ANCHOR EASEMENT E.M. = ELECTRIC METER P.I. = POINT OF INTERSECTION ASPIL =ASPHALT FND. =FOUND P.R.C. = POINT OF REVERSE CURVE B.M. =BENCHMARK F.P. & L. = FLORIDA POWER & LIGHT P.T. = POINT OF TANGENCY B.C.R. = BROWARD COUNTY RECORDS I.P. = IRON PIPE P.O.B. = POINT OF BEGINNING CX -S. = CONCRETE BLOCK STRUCTURE I.R. = IRON ROD P.O.C. = POINT OF COMMENCEMENT C IATT. = C IATTAHOOCIM L.B- = LICENSED BUSINESS P.P. = POWER POLE CONC. = CONCRETE L.P. = LIGHT POLE R = RADIUS C.L.F. = CHAIN LINK FENCE M.H. =MANHOLE RES. = RESIDENCE C.L.P. = CONCRETE LIGHT POLE (141) =MEASURED R/W =RIGHT-OF-WAY (C) =CALCULATED MAINT. -MAINTENANCE T =TANGENT C.B. = CHORD BEARING NO. =NUMBER (TYP.) =TYPICAL C.R. = CABLE RISER N.0 V.D. = NATIONAL GEODETIC VERTICAL DATUM U.E. = UTILITY EASEMENT (D) =DEED O.H. = OVERHANG WY = WOOD FENCE D.B. = DEED BOOK O.R.B. = OFFICIAL RECORDS BOOK W.M. = WATER METER D.CJL = DADE COUNTY RECORDS 0/3 = OFFSET A = DELTA OR CENTRAL ANGLE D E. =DRAINAGE EASEMENT (p) = PLAT = CENTERLINE ENCH. = ENCROACHING P.B.CJL = PALM BEACH COUNTY RECORDS : ; = ELEVATION G ENERAL NOTES: CERTIFICATION: 1. TYPE OF SURVEY: BOUNDARY THIS IS TO CERTIFY THAT I HAVE RECENTLY SURVEYED THE 2. THE PROPERTY SHOWN HEREON WAS NOT ABSTRACTED FOR PROPERTY DESCRIBED IN THE FOREGOING TITLE CAPTION AND OWNERSHIP, RIGHTS-OF -WAY, EASEMENTS OR OTHER HAVE SET OR FOUND MONUMENTS AS INDICATED ON THIS MATTERS OF RECORD BY PINNELL SURVEY, INC. SKETCH AND THAT SAID ABOVE GROUND SURVEY AND SKETCH 3. UNLESS OTHERWISE NOTED, FIELD MEASUREMENTS ARE IN ARE ACCURATE AND CORRECT TO THE BEST OF MY KNOWLEDGE AGREEMENT WITH RECORD MEASUREMENTS. AND BELIEF. I FURTHER CERTIFY THAT THIS SURVEY MEETS 4. THIS SURVEY IS NOT VALID WITHOUT THE SIGNATURE AND MIND" TECHNICAL STANDARDS UNDER RULE 61017 -6, THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED FLORIDA ADMINISTRATIVE CODE, ADOPTED BY THE FLORIDA SURVEYOR AND MAPPER. STATE BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS. S. ELEVATIONS SHOWN HEREON (IF ANY) ARE BASED ON THE "L NATIONAL GEODETIC VERTICAL DATUM OF 1929, UNLESS �•" OTHERWISE NOTED. 6. UNDERGROUND IMPROVEMENTS AND UTILITIES ARE NOT LOCATED. 7. BEARINGS SHOWN HEREON OF ANY), ARE REFERENCED TO L UL THE BEARING SYSTEM USED ON THE SUBDIVISION AS yY p REFERENCED IN THE ABOVE LEGAL DESCRIPTION. PR 33 VEYOR & MAPPER 8. FENCE OWNERSHIP IS NOT DETERMINED. LI E TATE OF FLORIDA 4+ Y% _ ®.__ ®_ ---------- S IV NOA 06-2969 DATE OF SURVEY: 09 /14/06 CHECKED BY: Y.T. AbD BUILMO S ACK LINES 1 U26/08 J.P. UPDATE (08-1715) FIELD BOOK/PAGE: 243164 1 1 0 SA _. a REVS DATE CHK'D BY SIDE 1 OF 2 I i ----- - ------------- ----- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 . . . . . . . . . . . Inspection Date: 09/22/2008 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Rodriguez, Jorge 2 3 20 Inspection Type: Wall Steel Owner: BAILEY, ROBERT Work Classification: New Job Address: 1016 97 Street NE Miami Shores, FL 33138-2565 Phone Number Parcel Number 1132050170120 Project: <NONE> Block: Lot: Contractor: DOLPHIN POOLS & SPAS INC Building Department Comments NEW POOL AND PAVERS DECK Inspector Comments Passed El Failed PF(2 PISS. Correction Needed Re-inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid . Friday, September 19, 2008 Page 2 of 2 w k ,i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL _ R Phone: {305 }795 -2204 Fax: (305)756 -8972 = w 14 4Lj :: :::::::::::.:.:: ::: : ::. : • .: : ..: .: : : : ::::. ; .::: : :. ; ..:.: :.: :...:.... . , f{{ F:•i }�,� 3d .�.�]��•• ::::• rk;•:•:•::•: 3': 3: i::::::. y.' i'::}}}:: ::r':rt::.::iF: •sY.. •...... .. :r..• .::• }:; ty$::::::::?•:: ii:::}}:: i::::::}::::: k•:•% 2::: i:::::::::::%: k•:' r, �::: t•.,: ::::::: 5'.::':•:<:;: isii:.:•:: i{ ::::.:::::::::::::: tittS:: :::•::;S::ii:::y::is:•.,::•:::: •.. Inspection Date: 09/19/2008 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Bonding Owner: BAILEY, ROBERT Work Classification: Pool - Private Job Address: 1015 97 Street NE Miami Shores, FL 33138 -2555 Phone Number Parcel Number 1132050170120 Project: <NONE> Block: Lot: Contractor: P &M ELECTRIC INC Phone: (305)949 -6373 Building Department Comments WIRING POOL EQUIPMENT FOR NEW POOL Inspector Comments Passed Failed 10714> Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Thursday, September 18, 2008 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 SFr Inspection Date: 09/24/2008 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Rodriguez, Jorge Inspection Type: Wall Steel Owner: BAILEY, ROBERT Work Classification: New Job Address: 1015 97 Street NE Miami Shores, FL 33138 -2555 Phone Number Parcel Number 1132050170120 Project: <NONE> Block: Lot: Contractor: DOLPHIN POOLS & SPAS INC Building Department Comments , NEW POOL AND PAVERS DECK Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 91117. re bar not spaced properly as per plans. Missing second rebar on top of feature wall Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, September 23, 2008 Page 1 of 2 , Miami Shone; Village 10050 N.E. 2nd Avenue 1 z i , Miami Shores FL 33138-0000 y .. Phone: (305)795 -2204 R :031081 Project Address Parcel Number Applicant 1015 NE 97 Street 1132050170120 Miami Shores, FL 33138 -2555 Block: Lot: ROBERT BAILEY Owner Information Address Phone cell ROBERT BAILEY 1015 NE 97 Street MIAMI SHORES FL 33138 -2555 Contractor(s) Phone Cell Phone Valuation: $ 15 ,000.00 DOLPHIN POOLS S SPAS INC (754)244 -7727 Total Sq Feet: 650 Approved: Yes Available Inspections: Comments: SURVEY IS REQUIRED SHOWING ELEVATIONS. Inspection Ty pe: Date Approved: 8/25/2008: Yes wall steel Date Denied: 7/31/2008 Fanoo Type of Work: Swimming Pool Occupancy: Private Pool Deck Additional Info: PAVERS DECK Bond Return: Final Classification: Residential Fees Due Amount Total Amt Paid Amt Due Bond Type - Contractors Bond $300.00 CCF $9.00 $ 0.00 $ 0.00 $ 0.00 CO /CC Fee $150.00 DBPR Surcharge $3.25 Payment Type: Education Surcharge $3.00 Notary Fee $5.00 Permit Fee $450.00 Plan Review Fee (Engineer) $60.00 Plan Review Fee (Engineer) $60.00 Scanning Fee $18.00 Submittal Fee ($250.00) Technology Fee $14.25 Total: $822.50 4 sF P 15 2008 C,M In consideration of the issuance to me of this permit, I agree to perform the n ' h 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 September 09, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Tuesday, September 9, 2008 1 Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Return o Miami Shores Village Invoice Number: BPP -12 -08 -33499 10050 N.E. 2nd Avenue Invoice Date: December 17, 2008 Miami Shores, FL 33138 -0000 Permit Number: BPP -7 -08 -1420 Bond Number: 1757 Bill To Description of Work: ROBERT BAILEY NEW POOL AND PAVERS DECK 1015 97 Street NE MIAMI SHORES, FL 33138 -2555 w 1 , W Date Fee Name Fee Type Fee Amount 12/17/2008 Scanning Fee Calculated $3.00 12/17/2008 Revision Fee Calculated $35.00 Total Fees Due: $38.00 Wednesday, December 17, 2008 sly s i Miam S hores V il lage e' S _ V l g � Building Department 10050 N.E.2nd Avenue, Miami Shores,. Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972', BUILDING permit No. ' N- 1 PERMIT APPLICATION Master P ermit No. FBC 2004 Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) Q, > h C/ Phone # Owner's Address ''" 7 City te`' 440 /''2 — State Zip 3-31 Tenant/Lessee Name Phone # Job Address (where the work is being done) �l� /� ✓� 77 4 Slx z e City Miami Shores Village County Miami -Dade zip FOLIO. / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name U/ k I"i Too !ts .� Phone .�� Contractor's Address Cit State 2�o �. 0 Qualifier Name Phone, # y��� State Certificate or Registration No. 4r C A 05 71 VO Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of W s ermit $ Square / Linear Footage Of Work: Type o `:- Addition QAlteration �Tew ❑ ',Re air/Re lace El Demolition R Desc ' y r (tq in A A d2 e— 'ttal Fee $ Permit Fee $ J CCF $ CO /CC Notary $ _ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 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 O# 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 4 Signature Signature Owner or Agent Contractor The fo ing,, instrumentyps ackno ledg b rem this 8 The for Ding instrument wasacknredgeT f ore e thisa day of /tiV , 206X by day of , 24 U , by Z personallly known to me or who has produced who i �p " sonally known to me or who has produced W As identification and who did take an oath. ° dentification and who did take an oath. N TAR PUBLIC: OTAR PUBLIC: Sign: Sign: 0' � Print Print: �. °.ao. ® 5' My Commission Expires: � My Commission Expires: oS,, ° ° °acelt'� APPLICATION APPROVED BY: !�'/�( Plans Examiner Engineer / Zoning (Revised 07 110(07) '% * ami Shores Village Building Department T�1� Sl) • ( ) • ( ) $13138 BY :-------------- - - - - -- 10050N.E.2nd Avenue, Miami Shores,.Flonda'�, Tel 305 795.2204 Fax• 305 756.8972 BUILDING I►e rmit N o. & �L. PERl11/IIT APPLICATION Master!,''Permit No. FBC 2004 Permit Type (circle): wilding Roofing r � Owner's Name (Fee Simple Titleholder ��/ Phgpe # Owner's Address /O® /� 0�'i• ��' City 40, j ,r e1'Cd State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) /" 4�5 3�71 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name d ® !.�' Phonn&,# Contractor's Address City Qualifier Name Phone # State Certificate or-Registration No., 057 Certificate of Competency No. ArchitectBngineer's Name (if applicable) C-10- 5 Phone # e Value of Work For this Permit $® Fa4tlge Of Worm e— Type of Work: []Alteration e t¢" r a [ 1 Re ` �Re El Demolition per:- � Describe Work: ksk: kIaskskakakIskk$ nk$ as kksk�ak�akskak =ksk=kkakmkkdeska'askak skskkk+ k�eknkkakakkkkakmkskak�akkak> kia$ ak�akk�k >'k$a>�zk3c�eakak:kkak�k u�� tt�alee Permit Fee $ ~''" " CCF CQLCC + Notary $ Training/Education Fee W Technology Fee $ - Scanning $ Ration $ DPBR $ Zoning$ Bond $ o Code Enforcemen ® D ` Fee $ Structural Review. $ CJ •,`� 'f o Fee Now Due (.r: .:� See Reverse side —4 MIAMI SHORE 'ViLUGE 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 0 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. be Signature Sign e Owner or Agent Contractor The foregoing instrument was acknowledged before me this 7 The for of g instrument was ackn led g be f r e s day of 20 j, by day of , 2X, by V , who. is personally known to me or who has produced i who is derson ly known to me or who has produced OL As identification and who did take an oath. ification and who did take an oath. NOTARY PUBLIC: 1 OTARY PUBLIC: ,,,•.„ ,, VERONICAR SKIAICK '` 'a off•.' Pd* - Sib d F oft '1 1 Sign: !! Sign: 0 Print: t1 D Siam Print COQ 1e S • )L'"y,uya,- d� eo My Commission Expires: My Commission Expires ®•' APPLICATION APPROVED BY: �G Plans Examiner k--U 4 NQ ntin Cam-•' d� Zoning (Revised 07 /10/07) PERMIT # CONTRACTOR: SUBMITTAL DATE: RESUBMITAL DATES: lS S PROJECT TYPE: ZONING FIRE .�. ff /ilvs( me- o fC 7261, $l?. e fob STRUCTURAL IMPACT FEES ELECTRI ALA HRS /DERM L NOC C - y MECHANICAL LDG SNOLV 1n931� GNV S31nd kLNnoo ®NV 3l` iS ld83a3d lld HilAA 33NVlldW00 01103mns �f ld3a OQl9 D J/ ld3O.ONINOZ 31dC7 A8 03AOdddV Gljall s'amgs Gael" w w Inspection Worksheet � Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL ® 0 Phone: (305)795 -2204 Fax: (305)756 -8972 I Inspection Date: 0911912008 Permit Type: Plumbing - Residential Inspector: Levrock, James Inspection Type: Main Drain Owner: BAILEY, ROBERT Work Classification: Pool - Private Job Address: 1015 97 Street NE Miami Shores, FL 33138 -2555 Phone Number Parcel Number 1132050170120 Project: <NONE> Block: Lot: Contractor: DOLPHIN POOLS & SPAS INC Building Department Comments POOL PLUMBING In Vr omments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Thursday, September 18, 2008 Page 2 of 2 Inspection Worksheet Miami Shores Village L 10050 N.E. 2nd Avenue Miami Shores, FL a r� Phone: (305)795 -2204 Fax: (305)756 -8972 [: . Inspection Date: 10/20/2008 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Light Niche Owner: BAILEY, ROBERT Work Classification: Pool - Private Job Address: 1015 97 Street NE Miami Shores, FL 33138 -2555 Phone Number Parcel Number 1132050170120 Project: <NONE> Block: Lot: Contractor: P &M ELECTRIC INC Phone: (305)949 -6373 Building Department Comments WIRING POOL EQUIPMENT FOR NEW POOL Inspector Comments Passed Failed El Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Friday, October 17, 2008 Page 1 of 2 NOTICE OF COMMENCEMENT 1101111011111111 A RECORDED COPY K817 BE POSM ON THI M SITE AT TIM I of 1INg Nff= CFN 2 awe 08R0731437 OR Bk 26557 Ps 4781; Qps) PERW NO. TAX FOLK) NO. RECORDED 09/08/2008 14:01:33 HARVEY RUVINY CLERK OF COURT SrATE CF FLOPJDA MIAMI-DADE COUNTYP FLORIDA COaM CF MWv%4)ADE- LAST PAGE TFE LINDEW"M hereby gives no ice that Impiovements will be made to certain real property, and in ammianoe with Chaplerm, PaIda SWAAas, the tflaMng irkirmabon is provided in this Notice of Commenceiyat 1. Legal description of property and street/addriaW. All 2. Description of improvement 3. Owner(s) name ant address: -Z 0 Interest in property: Name and address of fee simple titleholder. 4. Contractor's nam and address: 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 71;3. 1;3(1)(,A)7_. Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenort Notice as provided in Section 713.13(1)(b). Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year fro the date of recording unless a different date is specified) 0 C & A T -220 Signature of Owner Print Owner's Name Prepared ' \ y�� _.. Sworn to and subscribed before me this day of /5 ' Add Notary Public iz _�' ( — — — —70 Print Notary's Name ild r; MMIMM R B=LACK My commission expires:— Me" PoW - SUM of I" 113 Oft PAM AWN " OW Wa ft A=L STATE OF FLORDA, C4C)Le�ny Ctp DAI)E SIS dr of the �TRERYCER I co K C CLER , M SA=L 0 A 0 20 yy ,,^^ (/�c{ ��j( �4j 9 Inspection Worksheet Miami Shores Village nn uas 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)758 -8972 i Inspection Date: 1010112008 Permit Type: Pools/Whirlpools /Hot Tubs Inspector: Levrock, James Inspection Type: Piping Owner: BAILEY, ROBERT Work Classification: New Job Address: 1015 97 Street NE Miami Shores, FL 33138 -2555 Phone Number Parcel Number 1132050170120 Project: <NONE> Block: Lot: Contractor: DOLPHIN POOLS & SPAS INC Building Department Comments NEW POOL AND PAVERS DECK ®�T ® 2000 Fpect Comment s Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Tuesday, September 30, 2008 Page 2 of 2 Miami Shores Village 'y ro 7 z'�'�° 3 B I JUL 3 1 216 Buildin Department . 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY U� Tel: (305) 795.2204 Fax: (305) 756.8972 ® °m ° ° == BUILDING Permit No. E—! OF_K-2 PERMIT APPLICATION Master Permit No FBC 2004 Permit Type Electrical J� Owner's Name (Fee Simple Titleholder) °f �,� Phone # Owner's Address n g -e City P A- 1-51AIAI-V Stat Zip Tenant/Lessee Name Phone # E -MAIL: . Job Address (where the work is being done) 149 9 7 City _ Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name jy °� Phone # 2 r �`7 /- -S 7 3 Contractor's Address lyye 1_ ST City _ /�,��.� State F /1 Zip Qualifier Name e-X r Phone' # i 7 e-1 State Certificate or Registration No. 40, 1_&el f 7,5 Certificate of Competency No. E-MAIL; Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Woe S ar P e . a ��, ' a Wort�� .. � � gyp, Type ❑Addition T e of Work: ❑Alteration �' �r�tc�2 � � � i�e�'ta [] Demolition n. n Describe Work: .g a # &�rx &kxd¢eY de &xdr 4r nYYx &xtY da aY tie Y nk de sY dex &tY Y s4 atxxoY 9e Feesxa@ua4 Y4e oY de s4xuY oY4c Yx�xeYxxxok &Y 4ax9exY aYYdcdta sY�r de dr dr�sv4roY Submittal Fee $ Permit Fee $ ��,� o a CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $_ Zoning $ Bond $ Code Enforce ble Fee $ Structural Review. $ lotal Fee Now Due $ See Reverse side -� MIAMI SHORES VILLAGE 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: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection ee will be charged 1C Signature Signature r_ Owner or Agent Contractor The foregoing instrument was acknowledged be a me this � The foregoing instrument was acknowledged before me this day of , 20 0�', by day of , 20 , by nor kRyad M) who is personally known to me or who has produced 1 ' who is personally known to me or who has produced �l • � 11�- As identification and who did take an oath. 45T'® as identification and who did take an oath. NOTARY PUBLICAtifty NOTARY PUBLIC: VLVDN Pdit . SqFb* Si n: Cae�Win Expg Sign: attled By l Print: NAG S OON X 20, 0 �� 4ri o` Print: t1IRtL�t �0 � S be er a My Commission Expires: My Commission E xxxse4rxxxse nkatxxx9rx4e aY st et 4eYxsYxaY xaY4e &dexxnY &oYxxxdeoY eY &xxxxxxuxoYoY Be �e sexxxkdcxxde at$sYx &oYxotxoY aYxx &aY '�• . ^. nY� xaY oYxxxxaY a4�'aY OYsY APPLICATION APPROVED BY: ® Plans Examiner Engineer Zoning (Revised 02 /08/06) I Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138- 0000 Phone: (305)795 -2204 �� a..,,•`s ' J Expiration: 1/08 Project Address Parcel Number A pplicant 1015 NE 97 Street 1132050170120 Miami Shores, FL 33138 -2555 Block: Lot ROBERT BAILEY Owner Information Address Phone Cell ROBERT BAILEY 1015 NE 97 Street MIAMI SHORES FL 33138 -2555 Contractor(s) Phone Cell Phone Valuation: $ 1 , 0 00.00 P &M ELECTRIC INC (305)949 -6373 (305)588 -9724 ......... _:. Total Sq Feet 650 Type of Work: ELECTRICAL Available Inspections: Additional Info: POOL Inspection Ty Classification: Residential Ught Niche Alarms Final Bonding Fees Due Amount Total Amt Paid Amt Due CCF $0.60 Education Surcharge $0.20 $ 0.00 $ 0.00 $ 0.00 Permit Fee - Additions/Alterations $225.00 Scanning Fee $3.00 Payment Type: Technology Fee $5.63 Total: $234.43 d 'f 4 ° SEP 4 2 l MIAMI SHORES VILLAGE In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated September 09, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Tuesday, September 9, 2008 1 Inspection Worksheet Miami Shores Village no 5"t t' ..�:... 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 08- t ' �O i. ::.. .... : :. .. ;. Inspection Date: 10/0612008 Permit Type: Electrical - Residential Inspector: Devaney, Michael OCT 0 7 Inspection Type: Deck Owner: BAILEY, ROBERT Work Classification Pool - Private Job Address: 1015 97 Street NE Miami Shores, FL 33138 -2555 Phone Number Parcel Number 1132050170120 Project: <NONE> Block: Lot: Contractor: P &M ELECTRIC INC Phone: (305)949 -6373 Building Department Comments WIRING POOL EQUIPMENT FOR NEW POOL Inspector Comments Passed DECK BONDING Failed El Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Friday, October 3, 2008 Page 2 of 2 Miami Shores Village 7, ,7"K 75 `; z - • 1�l Building Department JUL 33 1 2208 ; 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 B Y. - _•___ BUILDING Permit No. a PERMIT APPLICATION Master Permit No. a— FBC 2004 Permit Type Plumbing Owner's Name (Fee Simple Titleholder) / Phone # Owner's Address /vIF, City c4I't� !r� State / ®�� Zip Tenant /Lessee Name Phone # E -MAIL: Job Address (where the work is being done) �Dr�� City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO P- -" - Contractor's Company Name �h O �i'1� Phone # Contractor's Address State �l . Zip - � Qualifier Nam a/ ��� ! Phone # /� '2 � State Certificate or Registration No. .4 f C� ©.<V 7 O Certificate of Competency No. E -MAIL: q Architect /Engineer's Name (if applicable) av e© Phone # Value of Work For this Permit $ [�� Square / Linear Footage Of Work: } Type of Work: ❑Addition ❑Alteration ew El iv Demolition ' Describe Work: Submittal Fee $ Permit Fee $ Cf/1j CCF $ CO /CC Notary $ Train ing/Ed ucati e, Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforc nt SFP 1 ?Q$ I Double Fee $ Structural Review. $ �r( 3 ( jq - L — Total Fee Now Due $ MIAMI SHORES VILLAGE 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 permit is issued to the absence of such posted notice, the inspection will not be approved and a reinspecti will be charged. Signature Signatur Owner or Agent Contractor The foregoing instrument was acknowledged before me this 7— The fo oin instrument was ackno dged efore thi day of , 200, by day ofv , 20 �by V�J who is personally known to me or who has produced who is ersonal y known to me or who has produced As identification and who did take an oath. VW� �tSntification and who did take�h. NOTARY PUBLIC: OTA Y PUBLIC; oF�vo�l1grb p1ti VERONICA R. � C 1ti 0 94 ��G o low, gA�1a - 1111" d , gtio tl901 Sign: • 000011 110up"14 Sign: CIVAMIN 0 99 GUM Print: �' LS Print: =ate M Commission Expires: �''•" Y p My Commission Expires: xYx�x�* *�x�x *,� *x����� * *,•��x����x *�• ��: *� * �x* �* x������* �* ��� �x���* �* x�** ��* ��* ����xx� ,��,��r��:� *� *,� *�����:�x�,� APPLICATION APPROVED BY: / —� Plans Examiner Engineer Zoning (Revised 02(08/06) g - t �' r• c .na+ s u; prrr X y � a Y Zw Miami Shores Village iv 10050 �'�b r 10050 N.E. 2nd Avenue is r Miami Shores, FL 3313 8-0000 Phone: (305)795 -2204 Expiration: ! Project Address Parcel Number Applicant 1015 NE 97 Street 1132050170120 Miami Shores, FL 33138 -2555 Block: Lot: ROBERT BAILEY Owner Information Address Phone cell - ROBERT BAILEY 1015 NE 97 Street MIAMI SHORES FL 33138 -2555 Contractor(s) Phone Cell Phone Valuation: $ 3, 000.00 DOLPHIN POOLS & SPAS INC (754)244 -7727 _ , ... _ ..:... .. Total q Feet: 650 Type of Work: POOL Available Inspections: Type of Piping: PIPING Inspection Typ Additional Info: Final Bond Retum : Classification: Residential Fees Due Amount Total Amt Paid Amt Due CCF $1.80 Education Surcharge $0.60 $ 0.00 $ 0.00 $ 0.00 Notary Fee $5.00 Permit Fee - AdditionstAiterations $180.00 Payment Type: Technology Fee $4.50 Total: $191.90 SEP 15 2008 , CSC Rl M IAMI SHORES VIA GE In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated September 09, 2008 Authorized Signature: Owner 1 Applicant J Contractor 1 Agent Date Building Department Copy Tuesday, September 9, 2008 1 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 x' .; Phone: (305)795 -2204 ' Expiration: 31 Project Address Parcel Number Applicant 1015 NE 97 Street 1132050170120 Miami Shores, FL 33138 -2555 Block: Lo MARY BAILEY Lot E Owner Information Address Phone Cell ROBERT BAILEY 1015 NE 97 Street MIAMI SHORES FL 33138 -2555 i Contractor(s) Phone Cell Phone Valuation: $ 1 , 0 00.00 HOME OWNER r : Total Sq Feet: 75 Approved: Available Inspections: Comments: Inspection Typ Date Approved:: Foundation Date Denied: Final Type of Construction: Wood Fence Additional Info: Classification: Residential Fees Due Amount Total Amt Paid Amt Due CCF $0.60 Education Surcharge $0.20 $ 0.00 $ 0.00 $ 0.00 Notary Fee $5.00 Permit Fee - Wire & Wood $100.00 Payment Type: Scanning Fee $3.00 Technology Fee $2.50 Total: $111.30 M 0 ��� In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated September 09, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Tuesday, September 9, 2008 1 Miami Shores Village Building I� g P 10050 N.E.2nd Avenue, Miami Shores,, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING RE WED Perm t No. PERMIT APPLICATION 2 0 2008 ter Permit No. FBC 2004_____•_ Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) dVii° ,lJ t4_[ �� Phone # _ �l $"0 2 � Owner's Address �® / 5 dtJ City 1,1M t 0-0" s State Zip 13 Tenanta -essee Name , t Phone# Job Address (where the work is being done) �� �U� l%- �7 I A-C e--� City Miami Shores Village County Miami -Dade Zip `3 FOLIO / PARCEL # 119 2- 6 . 5' - 0 p47 0l : C> Is Building Historically Designated YES Contractor's Company Name 12" 5., c rG Phone # � s 1 >�� D 2 3 S Contractor's Address l C7 $� I-V /-- 9 �, F �' /- City 409/j c 1• State d — zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 1600 _ Square / Linear Footage Of Work: S Type of Work: ❑Additi n nAlteration ew ❑ Repair/Replace ❑ Demolition Describe Work: x 66 N wt vtci - t'a ocx D ! c. k , INe A I dL2 15� 91d S � p t n� o dC ✓`t c1 � �d 9•j T1 a_ w, r 2t1 f �+'�cC�ll l n c b"t� !/ L ✓ � rM2a -s^ V. � �- Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -4 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. "WARM NG 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 mush promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose properly 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 Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of -Uy/� , 20 ®T , by day of .20 _, by , who is personally known tome or who has produced W'3 who is personally known to me or who has produced LA_ G Ir '3ZZ As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: 99 *,�ryp(�pp 1 NOTARY PUBLIC: `0„YIIIIII IYIo'v` ®T W74761I DI COMMISSION # DD 483995 Sign: =� EXPIRES:October 5i 2009 g envrners Sign: Print: b Print: My Commission Expires: My Commission Expires: 4K APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 07/10/07) WOOD FENCES 7V► L ]AU;G 2 0 . . :.. . ;. •. Wood Posts 2 X 4" Wood kall 4' -0" High or Less = 6' - 0" O.C. Owner's Side 5' -0" or - ".O. 1 "X6" " X8" Wood Mck-ts MMM, IL N 2915 Fences 1 1L Ar 2915.1 Wood fence , I r p erty that by zoning regula s c b ' sed as a wall of a building, shall tie constructed to meet the following minimum specifications. CGt1Gt -C (a) Fences not exceeding 5 feet in height shall be constructed to.•meet the following minimum requirements: from nominal 4 Inch by 4 inch by 8 feet -0 inch long I I I (I posts speced 5 fee•: 0 inches on g centers, having a fiber stress of 2'-0" I.--I I _ 1200 p.s.i. in bending, and shall be III= 4 I embedded 2 feet -0 Inches Into a M I II ° ° 4 11 '�'-0" concrete footing 1 foot -0 inches in I I =I I diameter and 3 feet -0 inches deep. Other components shall be designed to comply with the 4 Y III provislogs of, this Chapter and I = 11 = Chapter 23. I ( =III (b) Fences not exceeding 5 feet and 4 fe0t in height respectively - shill - .be I = III --I I I =I I constructed as provided in ;- - I I I =I I I paragraph 2915.1 (a) herein, -- except that the spacing of posts may be increased to 5 feet -0 inchlos and 6 . feet -0 inches on centers.for thesd. heighis. Concurred �� 0% - v��Ik CLOVE AUG 2 0 2000 VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: Ye- DATE: 91 ADDRESS: / o, r,- E e l 3 13 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this construction Myself. Initial 2. I understand that as an owner - builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application. Inactive permits for a period of over 180 days will become null and void (expired) and a new permit will be required. to be issued for reinstatement of the permit. ,r� Initial 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial J`— 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code — only if the structure meets the minimum code. Initial R , 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Initial 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. Initial 7. I understand that if any person gets injured on my construction project—they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial 3 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Initial Was acknowledged before me this V day of .40 T , 20 ®d By W ' 1 6 y who was personally known to me or who has Produced there License or - ??, "Dn wj 1 3 b(, 6 � 3 210 as identification. OWNER NO ARY =�=p n l DIAZ DD 483995 2009 ic Underwriters Miami Shores Village Building Department M50 NX.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. tlp / Job Name 13AI Date 9 1 BUILDING CRITIQUE SHEET I - C-A OA) ! 5 u ,v Reviewer: Claudio Grande CAO 305 - 795 -2204 Ext 1430 i I a; . Twenty First C ntury Engi (954) 522 -6446 826 N.E. 20th Avenue Fax: (954) 524 -0555 Fort Lauderdale, Florida 33304 U�"�lK,� -Mail: XXI@bellsouth.net CITY AUS 2 2008 mm BAILEY RESIDENCE 1015 N.E. 97 STREET yy s' MIAMI SHORES, FLORIDA HYDRAULIC UPLIFT COMPUTATIONS FOR POOL FLOOD CREST ELV. FOR AREA = +8.00 MSL TOP OF POOL ELV, = +11.11 MSL BOTTOM OF POOL ELV. = -6,19 MSL HYDRAULIC HEAD = +1.81 ALLOWANCE HYDROSTATIC VALVE = -2.0' NET HYDRAULIC HEAD = -0,19 0/1 USE MIN. 6 THICK CONCRETE FLOOR SLAB t JOH jL L P.E. s Charlie Crist Ana M. Yamonte Ros, M.D., M.P.H. Governor State Surgeon General July 24, 2008 David Black (Dolphin Pools and Spa) 1435 Grant St HOLLYWOOD, FL 33020 RE: Contingency Letter Application Document No: AP889213 Centrax Permit Number. 13 -SG- 947765 OSTDS Number: 1015 NE 97 St MIAMI, FL 33138 Lot: 12 Block: 80 Subdivision: Miami Shores Village Dear Applicant: This will acknowledge receipt of an application dated 07/18/2008 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. Prior permit # AP- 884392R. Construction of a pool at the back yard, according to contractor the proposed pool will be at 9 ft. from the system and it will not be impacted by the pool. No decks, terrace or any impervious material shall be covering the drainfield. If you have any questions on this matter, please call our office at (305) 513 -3459. Sincerely, Enclosures cc: F� €. r:� n ineer ti:piarli -Dade County 11calth Department O>r'S Fngineermg section Dade 1725 NW 167th St OPA LOCKA, FL 33056 VA 305 513 -3459 Fax 305 513 -3472 � 5 "° $93, � _ �, • �j• Qom{ evil 11220% 11220% BUILDING DEPARTMENT ES ttZ y ORTp' 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138 -2382 TELEPHONE 13053 795 -2204 FAX t3051 756 -8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowledge that a news imming pool, spa or hot tub will be constructed or .nstalled at 101. �� � ..Ze 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 requrrments of Florida Statute 515.29; The will be equipped with an approved safty cover that complies with ASTM F1346 -91; i 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. CONTRACTOR'S SIGNATURE & DATE O 'S SIGNATURE I E ONTRACTOR'S NAME ( PLEASE PRINT) OWNER'S N ( PLEASE P ) MONICA USSETH DIAZ NOT (IC = *:_ # DD 4$3995 NOTARY P � ��. EXPIRES: October 20, 2009 6ollhd pip, -'� o Q? Bonded2ru Notary PublicUndenwriters Miami Shores Village . Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 08 1 4- 0 Job Name ' 94/��y STRUCTURAL CRITIQUE SHEET © e e c� F o ' N t � tdn % d�etl y �s Planning and Zoning Criteria Miami Shores Village Permit MO BPP-7-08-1420 10050 N.E. 2nd Avenue Miami Shores, FL 33138-= W • Phone: (305)795-2204 Fax: (305)756-8972 Date: Issue e: Not Issued ExpoiresNo Issued t .. .. . .. ........... ......... ...... ......... .................. - ........ ............................ . Folio Number: 1132050170120 ......................................................................................................................................................................................................................................................... .......................................... Owner's Name: ROBERT BAILEY Owner's Phone: Job Address: 1015 97 Street NE Total Square Feet: 650 Miami Shores, FL 33138-2555 Total Job Valuation: $15,000.00 . .................. !.- ................ ..... . .... . . ..... ..... . . ............. .... ........ .. . .. . . .. ,, . ... . ... ......................... . .. . ... . . .... . .... ... Contractor(s) Phone Primary Contractor DOLPHIN POOLS & SPAS INC Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 8/25/2008: Yes Comments: SURVEY IS REQUIRED SHOWING ELEVATIONS. PLANS MUST SHOW ELEVATIONS OF POOL DECK AND SURROUNDING AREA. IF FILL IS BEING USED DRAINAGE MUST BE SHOWN RETAINING RUNNOFF ON SITE. 08/25/08 PLAN OK Planni.1-Ing and Zom'ng Criteria Miami Shores Village Permit 8 NO.BPP-7-0 -1 42 0 18 10050 N.E. 2nd Avenue satf am Miami Shores, FL 33138-M ........ ........... Phone: (305)795-2204 Fax: (305 756-8972 ......... Issue Date: Not Issued Expires: j.0... . ..... .. ot ISSUed ....... . . .................. ... FX Folio Number: 1132050170120 ............................................................................................................................................................................................................................................................................... I Owner's Name: ROBERT BAILEY Owner's Phone: Job Address: 1015 97 Street NE Total Square Feet: 650 Miami Shores, FL 33138-2555 Total Job Valuation: $15,000.00 .. ............. . . . . . ............. . ..... ---- .... . ......... . — ...... I . . . ......... . . ......... ...... . . ................ . ....................................... .... . . . ............. . ....................... ........................... Contractor(s) Phone Primary Contractor DOLPHIN POOLS & SPAS INC Yes ....... <. . . . . . . . . . . . . . . . . . . . . . . ... Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 8/25/2008: Yes Comments: SURVEY IS REQUIRED SHOWING ELEVATIONS. PLANS MUST SHOW ELEVATIONS OF POOL DECK AND SURROUNDING AREA. 08/25/08 PLAN OK IF FILL IS BEING USED DRAINAGE MUST BE SHOWN RETAINING RUNNOFF ON SITE. Miami Shores Village Building Department 10050 -NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 RECEIPT PERMIT #; ®�� DATE: Ar 0 I , , ntractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other Address: f® /�' A'�°2 From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledg PERMIT CLEARK INITIAL: RESUBMITTED DATE: F �D } PERMIT CLEARK. INITIAL: U' Planning and Zoning Criteria It Miami Shores Village Permit No. BPP-7-08-1420 10050 N.E. 2nd Avenue ................................... N ........... WIT 0 1 - ...... .... ...... ..... ....... ana ......... . . ................................... Miami Shores, FL 33138-= Phone: (305)795-2204 Fax: (305)756-8972 Issue Date: Not Issued ExpiresNot Issued Folio Number: 1132050170120 ...................................................................................................................................................... ............................................................................................................................................. I Owner's Name: ROBERT BAILEY Owner's Phone: Job Address: 1015 97 Street NE Total Square Feet: 650 Miami Shores, FL 33138-2555 Total Job Valuation: $15,000.00 ................ I ............. -11 ........ I .. . . ........ ........... . . . . .............. . . . . . . ............ . .. . ...... ............ . . ................................. . . ............................ ...... Contractor(s) Phone Primary Contractor DOLPHIN POOLS & SPAS INC Yes .......... . . . . . . . . . . . . . . ....... . . . . . . . Planning and Zoning Criteria and Comments Approved: No Date Denied: 7/31/2008 Comments: SURVEY IS REQUIRED SHOWING ELEVATIONS. PLANS MUST SHOW ELEVATIONS OF POOL DECK AND SURROUNDING AREA. IF FILL IS BEING USED DRAINAGE MUST BE SHOWN RETAINING RUNNOFF ON SITE. RESTMCUVE COVENANTS PROTECTIVE POOL ENCLOSURE PREPARED BY: DECLARATION OF RESTRICTIVE COVEN _ KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned q o k. -e- o tyr+ f Ware the fee simple owner (s) of the following described property situate and being In the Village rr� Lot (s) /a'I• Block o l/ of _/Ma si ®��� ®sit OKIfie Su division), A.K.A. (address) r ® /a+"' 9 `7 T- kS� according to the plat thereof, as recorded in Plat Book Page . of the Public Records of Dade County, Florida, and // Whereas the undersigned owner (s) Re 6 a0" ;34 P /0 - desire to utilize said Lot (s) as a single building site, and the undersigned owner (s) do (es) hereby dedare and agree as follows: 1. That the property will not be used in violation of any ordinances of the Village or Dade County now In effect or hereinafter enacted. Z. . That the purpose of this covenant-Is to Induce the Village *a Issue a permit for a pool where the required enclosure Is not on the subject property where the pool Is located. - 3. That If any of our adjoining neighbors remove any portion of their fence or wall, or If our/my property shall fall-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. 4. That, we, as owners, hold the Village harmless for any negligence or Injury that results from not having the enclosure 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 the 'Village ; or Its successors, In accordance of said 'Village then In effect IN WITNESS WHEREOF, the undersigned has/have caused hand (s) and seal {s) to be affixed hereto on this day of _ WITNESSQ.S) Slifiatm and Print Signature and Print Signature and Print / Signature and Print STATE OF FLORIDA): COUNTY OF DATE ): I HEREBY CERTIFY that on this day personally appeared before me who Is personally known to me or has produced e( i e - (type of identification) as Identification and he/she acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there In expressed. SWORN TO AND SUBSCRIBED before me on this day of MY commission expires: , NO ARY PUB GSTATE OF F&ORIDA Rev. 4a. w veMMMAR R. BLA W PUM . SM d � O O f OQ 91M M NIImM Ibpr