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BPP-09-1961 4 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 130186 Permit Number: BPP -11 -09 -1961 Scheduled Inspection Date: February 11, 2010 Permit Type: Pools/Whirlpools /Hot Tubs Inspector: Bruhn, Norman Inspection Type: Final Owner: RODRIGUEZ, JUAN & SUSAN Work Classification: Repair Job Address: 301 NE 96 Street Miami Shores, FL 33138 - Phone Number Parcel Number 113206013588 Project: <NONE> Contractor: NATIONAL POOL DESIGN LLC Phone: (305)559 -1020 Building Department Comments PAVER INSTALLATION ON EXISTING CONCRETE POOL DECK AREA. NEW POOL COPING AND TILE REPLACEMENT. POOL INTERIOR FINISH REPLACEMENT. Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 10, 2010 For Inspections please call: (305)762 -4949 Page 6 of 29 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 131856 Permit Number: DEMO -12 -09 -2080 Scheduled Inspection Date: February 11, 2010 Permit Type: Demolition Inspector: Bruhn, Norman Inspection Type: Final Owner: RODRIGUEZ, JUAN & SUSAN Work Classification: Building Job Address: 301 NE 96 Street Miami Shores, FL 33138 - Phone Number Parcel Number 113206013588 Project: <NONE> Contractor: HOME OWNER Building Department Comments REMOVAL OF ALUMINUM ROOF IN REAR OF HOUSE Inspector Comments PasseG��� Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 10, 2010 For Inspections please call: (305)762 -4949 Page 8 of 29 � l Miami Shores Village T� 1O11�1� T 10050 N.E. 2nd Avenue " Miami Shores, FL 33138 -0000 x Phone: (305)795 -2204 f "� Aw P ;I r Expiration: 1 912010 Project Address Parcel Number Applicant 301 96 Street 1132060135880 Miami Shores, FL 33138 Block: Lot: JUAN 8 SUSAN RODRIGUEZ Owner Information Address Phone Cell JUAN & SUSAN RODRIGUEZ 301 93 Street MIAMI SHORES FL 33138 -2717 Contractor(s) Phone Cell Phone Valuation: $ 8, 000.00 NATIONAL POOL DESIGN LLC (305)559 -1020 Total Sq Feet: 0 Approved: No For Inspections please call: Comments: POOL DECK CAN NOT BE LOCATED WITHIN 10 FEET OF SIDE LOT LINE OR 5 FEET OF REAR L (305)762 -4949 Date Approved:: No Available Inspections: Date Denied: 11/25/2009 Inspection Type: Type of Work: Swimming Pool Occupancy: Private Final Additional Info: & PAVERS DECK ( REPAIRS) Bond Return: Classification: Residential Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $4.80 BPP-11 -09 -36510 $ 401.80 $ 351.80 Education Surcharge $1.60 50.00 Permit Fee $240.00 BPP-11 -09 -36510 $ 401.80 $ 401.80 $ 0,00 Scanning Fee $9.00 Check #: 10700 Submittal Fee $50.00 Submittal Reversal Fee ($150.00) Technology Fee $6.40 Work without Permit Fee $240.00 Total: $401.80 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 December 28, 2009 Authorized Signature: Owner / Applicant I Contractor I Agent Date Building Department Copy December 28, 2009 1 i 0 5pp e p � �� C ' � Miami Shores Village ] IT � Y � Buildin g D e p artment artment NOV 2 5 2009 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 --------- Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 tg, BUILDING Permit No. 1 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type BUILDING ROOFING' Owner's Name (Fee Simple Titleholder) Vt.gLL Owner's Address C (o , City S OtT - State -F Zip 3 Tenant/Lessee Name Phone # Email M N . Y. Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip j�j I'3g FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name ku- ona 1 �� 1 Phone # Contractor's Address 13MI S W 13 C 5. ft m- City A 0 Q,� % State ( Zip Qualifier Name ' es rt trQ Z Phone # 'a o S 6'�q 1 0 Z State Certificate or Registration No. CVC 0 3 Certificate of Competency No. Contact Phone 3 0� — S �7 -- i o � 0 E -mail �Y� d 0i U t?Ce� r oY � l a�oB �C%VI Cdr a Architeet/Engineer's'Name (if applicable) Phone # Value of Work For this Permit $ ° 0 Square / Llnear Footage Of Work: ° Type of Work Addition []Alteration EINew Repaix/Replace ❑ Demolition Describe Work: 'V 1h W ` C p Qy C® n A i 12 0' t`7r�n 1 h-4eri o r Submittal Fee M Permit Fee $ _�G�D CCF $ 4-Yn CO /CC .$ Notary $ Training/Education Fee $ Technology Fee $ (0,40 Scanning $ ' 00 Radon $ DPBR $ Bond $ Double Fee $Q.- -- Violation date: 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 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.. Signatur Signature Owner or Agent 17fp d0 r1 dG ntractor The foregoing instrument was a owledged ore a this The fooregoiVg ins ent as aoknow ed xbfore � O day of NOV , 20 f, by _day of 0 by who is p rsonally known to me or who bas produced who is pe VIE ly known to a or - who has produced •— 2� identification and who did take an oath �carion and who did take an oath NOT Y P I,IC: oh o �� NO ARY PiTIiLIC: Sign: Co Sign Q► FM Print:. �4...lop per. lc� Print: My Commission Expires: ,- My Commission Expires: r ��;� �Zp1� * �* �*, ��ra�arac�r� u�r� rt** � ��r** t* �** �e** �r�r�r* t* x**, �, r��r�*, rx�r, ��crx *,���r��e,��e�e,��cx�r�w,�, part, �� * *x� * *�r�r�eat��a *� ° � ,,,,• °'' �r� *x�r�r��,���a� APPROVED BY `�j ���C Plans Examiner �� Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) This Instrument Prepare Name M Address L SfaG. _SSA U fir, -L`Y�Q Icli �w.� FC 5,-3) q¢ �e -j err U. Permit No. STATE OF NOTICE OF COMMENCEMENT Tax Folio No._ ..-... COUNTY OF rarrr ,� TH UNOERSI GNEO hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713. Florida Statutes, the following information is eC provided in this Notice of Commencement. ��... w wriaj �j 1. Description of property: (legal description of property, and street addresi If available) AfE 96 -Vr Alfe JItooe fi 2. General description of improvement: / sitA ,/ � rAv2 r !»J j'k f t'6t �i s ✓! . ..Muck,, cr. a,, [>() 1 /�ert vc. �; G rp! Q1'to/ i� C-4 UN W ,.,..� 3. Owner information jzas'u�ir 0 M � a. Name and address: To rt.� '� p �1 �� Q � y 3 � Iw : C. b. Interest in property: ,5ryL o � G c. Name and address of fee simple titleholder Of other than owner): re o•- W: C3 � w 4 . Contractor. u? ra -.t a. Name and address: s 1 0 L axi R- M tC�r►o i L 3319 Lf 1+00 U. b. Phone number: m 5fo 6 S Uj M C-4 N a 5 . Surety 0 S '"J 5 y 0 2 Or- i—N -a :� a. Name and address: C r=3 W LI-1 b. Amount of bond $ C e W 3 4W c. Phone number. — � 4 0� Lai s Q W 6. Lender W W -X <C a. Name and address: " n b. Phone number: 7. Persons within the Slate of Florida designated by Owner upon whom notices or other documents maybe served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name aAd address: b. Phone number: a. In addition to himself. Owner designates the following Person(a) to receive a copy of the Lienoes Notice as provided In 7.13.13(1)(b), Florida Statutes: a. Name and address: b. Phone number. 0. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is speeMed) 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 1, 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 LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMEN -STATE OF FLORIDA, COUNT � DADE Y C �G1 cY at this is b� spy of the qt�t' CO U^rr� !� �r l0� KOc Yr �t� A �� Signature er or er's Authorized OHIcar /Directo S a� Partner/Manager HARM it C rcu ounly courts v,, AN. . 9 COU0 c�� Signatory's T)Oelofffce fie foregoing i strument was acknowledged before me this 2 0 day of �,D� (name of person) as' (year) by authority, -e.g. officer, trustee, attorney in fact) for (type of behalfofwhom instrumentiruas executed). (name of party on ROSARIO D. SILVA Signature of Kota Public -State of Florida ,r S N Com mission Public' "ft te mis�on #uDDO Fl 14 P Print, Type, Or Stain Commissioned Name of Notary Public � t; 0�14 ocF<o� MyCommisssa+nExon Jun. 30,2013 Commission Number Personatiy Known V or Produced Identification _ W/edflcation Pursuant to Section 82 625 Plerlda Statutes Under penalties of perjury, I declare that I have read the foregoing and- that the fads stated in it are true to the best of my knowledge and belief. Signature of ural Per n Signing Above BPP 09 -1961 BUILDING PERMIT HISTORY ACTIVITY DATE DETAILS Nov 25/2009 Permit received. Nov 25/2009 Permit reviewed and rejected by P&Z Director. Nov 30/2009 Permit reviewed and rejected by Bldg Official. Dec 2/2009 Contractor contacted about comments. Dec 4/2009 Permit reviewed and rejected by P&Z Director. Dec 4/2009 Permit reviewed and rejected by Bldg Official. Dec 9/2009 Contractor contacted about comments. Dec 10/2009 Contractor sent a fax responding comments. Dec 14/2009 Contractor and Bldg Official spoke on the phone about demo permit requirements. Dec 18/2009 Contractor came to apply for Demo permit to remove aluminum roof. Dec 18/2009 Home owner came to sign on paper work and complete permit package. Dec 18/2009 Permit for Demo (Demo 09 -2080) approved. Doc created: Dec 17/2009 �Jtl - l b W, : q6H r KUM : T0: 3057568972 P.1 1 Ij 2009 in NN BY:__ Scone of Work Date: December 10, 2009 To: Miami Shores Village Building Department 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 Fax 305 - 756.8972 From: National Pool Design T: (305)559 1020 13357 SW 135 Ave F: (305)227 -5412 Miami Fl. 33186 Freddy Rodriquez Email: fmddy@nationelpooldesign.com Job Address: 307 NE 96 Street Permit 0: Qs -1861 I - Replacing of Pool Coping and waterline tile 2- Installation of new pool interior finish (Diamond Brite) 3- Installation on new deck drain from interior patio to green area 4- Demolition of existing slab over slab- raised platform to be demolition and hauled. 5 ere was no sp 6- Appli on of new Paver decking set on sand on top of existing pool deck structure slab. y ello ftj aA ea RESPECTFULLY SUBMITTED Freddy Rodritauez National Pool Leaks. Inc. A FLORIDA CORPORATION. Tyj 1 S "wed Nov -11 -2M 35:39 RRG4: TO: 75412 P.3/3 p is' • ul r P OOL so Fi t 'f 1 d � `�'_..�' � a'�� � � T�I"l +�rFG • k A • � � s qrl• • • • 0 see 00 se •• • • 44 • ON it r � ' `' � , ,, _ -� , o . ' . _ ",� I ©tJ, t� t�� `fig''. i ; : �. ®�'.° :•- .t 140M ` p Y Jg 1 01914hm pkVE4vt T V I VOW MILF -1 Im RIMIT r rya:' �-•�a '29! i F NOV- 11 -2W9 15:39 FRQN: TO: 75412 P.2/3 �-r A •••0• 0000 0000 0000 0.0.0• • • • • •• • PROPERTY ADDDRM: 301 NE 96 SUW hfiW S MM Flatfda 33139. 000••• • 0000. 0000.. 0000. • 0000. • • • • • • •••• LIIGAL VESCRii''PION: Lacs I3 wd I4,11=k 43, - 10AM1 SHORES SHCTWK oMr, aft t dit plat dmmf, a$ rn:=M 10 PW Book 10, at page 70, of the Nft Rwmds of Mod-Daft Can", Fwak FOUR: JUAN A, RODRIGUEZ & SUSM (I ROEDRMUSd, RMAND AND Wnr& CEWFY TO: JUAN A. RODRIG)EZ & SUSAN, q. RODRIGUM Z. HlUSRANb AND VIE I.A>•Ii7SAFE TMO OF FLORmA, INC. FIRM AMWCAN THIZ 24SURANC.E COMPANY. TROPICAL FINANCIAL G'SF.DIT UMN, ira mcoum =&a millm , in k u n g m'- at�a mm m" o asst iB . b sot wed % R . a:OAer INOW m 6 1 ff ftl spa ffid GM M BW 41 dW ioi• dOW&W AC Obw s ow 0=000 am 0. 9b &" ed wor hm m •ass -too Iow a $ !ea Aumoft6w*w sow= ; {•]� O�mt !iw a l.aR,� Leo .�. b y m mm lhs esuna 0 *WIND so lb and ft* w o mt a. ss mumt FORM" 9s aas�c PW � .ads m an e.. t ppo or ap" l� � � IA snBm� � �i � d Pl..ida. i twl . sla atst sal • /halo IS tian�s! imd = me sao� of !n alp ss•► � et ftet ram" * so omhb •a &NNW td %W d.•Qa1�Qp� r • am n � to so bst if O.Bti N Iso#t!r OW t °7 71St M 1td1➢; 'r017ai sue. d6 �► O 5 2009 NOV 2 • • • • v s1 • {, �• • • irl • • 'mot • • • • s • 'A i i . Miam i Shores Village BY DATE APPROVED r / ZONING ©EPT gLDG DEP FEDERAL 'U6JECT To COMP -IONS LIANCE N�iTN ALL STATE AND Co' SS A�°°`�. ULA 111M Miami shores Village ... aNut" Building Department 10050 N.E.2nd Avenue ow e Miami Shores, Florida 33138 �10R1Dp' Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 09 - h"ll Job Name: << 2009 Page 1 of 1 Building Critique Sheet C I� ZtiIe- Y S1r- b tS t �Je. (Urncv�e--A aria Diu) rorn r� ao' - 6yn ;SQr'ye -Y Qv L nr-'k ✓ aeQ IrAc 9 A Yrowm Ole-on ®c+ { Ve- ® ,A- 'to J kh o j. z°k II W111 Q o e-xr Cn Ru rve-q C' e - k tnoo c--- j r- At V re? le ?o® )'" le 4 4-4r m Plan review is not complete, when all items above are corrected, we will do a complete plan l/� 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 Planning and Zoning Criteria Miami Shores Village Permit NO. B P P -11 — 09 -1961 o 10050 N.E. 2nd Avenue Miami Shone, FL 33138 -0000 y 4 Phone: (305)7952204 Fax: (305)7568972 issue Date: Not Issued Expires Not Issued Folio Number) 132060135880 Owner's Name: JUAN & SUSAN RODRIGUEZ Owner's Phone: Job Address: 301 96 Street Total Square Feet: 0 Miami Shores, FL 33138- Total Job Valuation: $ 8,000.00 Contractor(s) Phone Primary Contractor NATIONAL POOL LEAKS 305 - 559 -1020 Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 11/25/2009 Comments: POOL DECK CAN NOT BE LOCATED WITHIN 10 FEET OF SIDE LOT LINE OR 5 FEET OF REAR LOT LINE. Planning and Zoning Criteria Miami Shores Village Permit NO. B P P -11 -09 -1961 10050 N.E. 2nd Avenue�� Phone: (305)795 -2204 Fax: (305)758 -8972 � Miami Shores, FL 33138 -0000 � Issue Date: Not Issued t' sue Expires: Folio Number: 1132060135880 Owner's Name: JUAN & SUSAN RODRIGUEZ Owner's Phone: Job Address: 30196 Street Total Square Feet: 0 Miami Shores, FL 33138- Total Job Valuation: $ 8,000.00 Contractor(s) Ph Prim Contractor NATIONAL POOL LEAKS 305 - 559 -1020 Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 11/25/2009 Comments: POOL DECK CAN NOT BE LOCATED WITHIN 10 FEET OF SIDE LOT LINE OR 5 FEET OF REAR LOT LINE. 12/4/09 PLACE SCOPE OF WORK ON SITE PLAN ,y1 o1 s y Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 R Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 09-19741 Job Name: A - O , 2009 Page 1 of 1 Building Critique Sheet J .La Jam[ U fJ.2 G�S d'Z �/JP/GCZG `,dP�f_� .� c►o � �c�v r��. �r �7`` f pia �.< < 3�nc�,.tcla�tac 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 STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number -------------------- - - - - -- -PART II - SITEPLAN --------------------------- Scale: 0 ., a ��,° • e • • •. • - • r ip 10 .� i '••fi wy D N 01 d.�o A (P no �. a Notes: Site Plan submitted by: Plan Approved No App ved Date By County Health Department ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT DH 4015,10/96 (Replaces HRS -H Form 4016 which may be used Page 2 of 4 (Stock Number: 5744. 002 - 4015 -6) #AND- to" C ry INSMAME AOW.- AS OF clav AM MOM an mwT "a"= neas m 26 tu at IR-10 mum*, USUMSM ^MMUMM i:-iWa wariaMM RM16 %BMW. D/jVJ% VMVXOQM go" Pima% . 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