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BPP-09-753NEW POOL PLANS RELEASED TO LAZARO SIERRA OF CALYPSO POOLS ON 5/28/09. no / 5 /7 Passed a 6 Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number: INSP - 113280 Permit Number: BPP -5 -09 -753 1 Inspection Date: November 16, 2009 Inspector: Bruhn, Norman Owner: HAA Job Address: 179 Miami Project: Contractor: Building Department Comments November 17, 2009 CALYPSO POOL CO. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1131010260150 Phone: 305 - 265 -9682 Page 1 of 1 FOR: TED HAALAND PROPERTY ADD: 179 NW 97th Street, Miami Shores, Florida 33150 LEGAL DESCRIPTION LOT. 15 BLOCK. Resub.of Blk 2 of Bonmar Park PLAT BOOK. 42 PAGE. MIAMI DADE COUNTY FL. B.C. Qa Lot 16 CERTIFIEDTO: • • • • 3.SUFFIX: L 5.FIRM ZONE: X BLOCK- 2 LOT- lG • • TEE) HAALAND dbb••• 000•••• 000 (!b0 • 75.00' (R) $ (M) •• •• • • • • ▪ as • • •- • 1.CQ A/(a`YTi' NUMBER: 120852 • • 4.DA OF TH FIRM INDEX: 9-11-09 B.BASE: WA SKETCH OF BOUNDARY SURVEY Scale: 1" = 20' Conc. Slab FD. Conc. Slab 4.0'x 5.0'— 0.40' West 1.20' West - FD. PRM I /2° I.P. • • • •••• • • • • • • • • • • • • • •• •• •• •• • • • • • • • • •• • • • • •••• • • • •• 2.QANEL N I�BEU R: - • 40802 I/2'' I.P. M ■ Conc. Steps ro ; 9 0, 2 SUBD"V'I 59 OF 1 (.0' 4.0' 5' Ln b Elec. Meter 27.50' Parkway 15' Alley L-11. Asphalt Pavement —7 Bock Pool Deck 13.40' BLOCK- 2 LOT- 15 Planter -- trl h / r 14.65' t Conc. Slab ONE STORY C. 8.5. Res. # / 79 15.20' b Planter /2.75' 75.00' (R) (M) 20' Asphalt Pavement rrit 24.70' 0 Q / 11.50' i ) .. ' 23.90' �S od NW 97th 5T. 75' TOTAL R/VV 18.00' Pool Cone Slab 6.00' 4 30' m N iTT M I N AC a , 27.50' SHEET 1 OF 2 Not valid without sheet 2 of 2 JOB No 91004A FIELD DATE. 10 -31 -09 1 50' 4 4 a 4 Conc. Driveway a 4 4 19.50' O. O.: 12.60' 10. /2. H.51' /' ,: Pool Pump 190' ' / Porch Ln h At t its Wooden 1 Pole tn M FD. //2° I.P. PD. I /2° I.P. CLIENT. 0.10' West BLOCK- 2 LOT- 14 0. 10' West ABBREVIATIONS 8080:SIDEWALK, CBS. CONCRETE BLOCK STRUCTURE. A/C AIR CONDITIONER CLF°CHAIN UNN FENCE R. PROPERTY UNE D.U.E.° DRAINAGE UTILITY EASEMENT BLDG. BUILDING P/C. PROPERTY CORNER F.. FOUND D.R. FOUND DRILL HOLE W/F. WOOD FENCE RES. RESIDENCE CL. CLEAR RB• RE8AR U.E..UTRITY EASEMENT ROW .RIGHT OF WAY B.C. • BLOCK CORNER ENCR.• ENCROACHMENT F.I.P.v FOUND IRON PIPE E.O.W. EDGE OF WATER C.B.• CHORD BEARING F.R. FOUND NAB. MEAS.. MEASURED CONC.. CONCRETE I11OMIETER DME•DRAINAGE MAINTEWWCE EASEMENT 7YP..TYPICAL R.RECORDED M MONUMENT LINE O.RL. OVERHEAD UTILITIES RAD.. RADIAL P.P. . POWER POLE P.Q. POINT OF CURVATURE W,6& WATER METER P.OB• POINT OF BEGINNING P.O.O. POINT OF COMMENCEMENT P.C.P. . PERMANENT CONTROL POINT P.RM.. PERMANENT REFERENCE MONUMENT R° CENTER UNE SURVEYORS NOTES 1. THE SURVEY OF THE PROPERTY SHOWN HEREON I8 IN ACCORDANCE WITH THE DESCRIPTION FURNISHED BY 2. UNLESS A COMPARISON 19 SHOWN ALL BEARING. ANGLES AND DISTANCES SHOWN ARE SAME AS FIAT VALUES. 3. THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED ENCUMBRANCE NOT SHOWN 4. UNDERGROUND PORTIONS FOOTINGS. FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 8. FENCE AND WALL TIES ARE TO THE CENTER OF SAME. 6. ELEVATIONS WHEN SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM (1928) UNLESS OTHERWISE NOTED. 7. THERE ARE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN. 8. THIS SURVEY IS FOR MORTGAGE PURPOSES ONLY, NOT TO BE USED FOR CONSTRUCTION PURPOSES. 1 HEREBY CERTIFY THAT THE ATTACHED SKETCH OF SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE D REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION. AND MEETS MINIMUM TECHNICAL ST BY THE FLORIDA BOARD OF PROFESSIONAL LAND BURVERYOtS IN CHAPTER 21 HITS FLORIDA ACAS TO SECTION 472.021 FLORIDA STATUES. 35(4 S.W. 250 STREET WAN. FLORIDA 33133 FAX (305)443 .1608 TEL (788)357 .6204 FRANC NUNEZ r P.S. & M. # 6382 NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORINU ,f.'ENKED ANMAPPPC 13.., t tf Y ■ Ai 4 Miami Shores Vi'lag? APPROVED +; li ��./ DA ` ZONING DEPT BLDG DEPT SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS • • • • • • • •• • • • • • • • •••• • • • • • •••• • • • • • •• • • • • • • • • •• •• •• •• • • • • • • • • • • • • •••• • • • •••• • • • • • • • • • • • • Inspection Number: INSP - 126990 Scheduled Inspection Date: October 14, 2009 Inspector: Bruhn, Norman Owner: HAALAND, TED Job Address: 179 NW 97 Street Project: <NONE> Contractor: CALYPSO POOL CO. Building Department Comments NEW POOL PLANS RELEASED TO LAZARO SIERRA OF CALYPSO POOLS ON 5/28/09. Passed Failed Correction Needed Re- Inspection Fee October 13, 2009 Miami Shores, FL 33150 -1734 No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: BPP -5 -09 -753 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Fence Work Classification: New Phone Number Parcel Number 1131010260150 Phone: 305 - 265 -9682 Inspector Comments CREATED AS REINSPECTION FOR INSP - 113277. Fence must be max 5' high All gates must be self closing self latching Page 21 of 23 NEW POOL PLANS RELEASED TO LAZARO SIERRA OF CALYPSO POOLS ON 5/28/09. Passed �� ® t) • Inspector Comments 7® � Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 I nspection Number: INSP- 120294 Permit Number: BPP -5 -09 -753 1 Inspection Date: July 27, 2009 Inspector: Bruhn, Norman Owner: HAALAND, TED Job Address: 179 NW 97 Street Miami Shores, FL 33150 -1734 Project: <NONE> Contractor: CALYPSO POOL CO. Building Department Comments July 27, 2009 For Inspections please call: (305)762 -4949 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Spot Survey Work Classification: New Phone Number Parcel Number 1131010260150 Phone: 305 - 265 -9682 Page 1 of 1 CERTIFIED TO: TED HAALAND 1.COMMUNITY NUMBER: 120852 3.SUFFIX FOR: TED HAALAND PROPERTY ADD: 179 NW 97th Street, Miami Shores, Florida 33150 LEGAL DESCRIPTION LOT. 15 BLOCK. 2 SUBDIVISION. Resub.of Blk 2 of Bonmar Park PLAT BOOK. 42 PAGE. 59 OF MIAMI DADE COUNTY FL. BLOCK- 2 LOT- 1G B.FIRM ZONE: 8.BASE: X WA SKETCH OF BOUNDARY SURVEY PAGE 1 OF 2 Scale: 1" = 20' 14.65' NW 97th ST. 20' Asphalt Pavement 75' TOTAL //VV Conc- Dnveway 19.50' PD. � ' Conc. Slab 0.40' West p / b //2 I.P. i 1 p� 40' x50 / I � g 1 N (1 :3 Conc. l f 1 3' 13.40' Slab (r) 1.20' West 2.PANEL NUMBER: 0090 4.DATE OF THE FIRM INDEX 3-2 -94 Conc. Steps 1 /.35' s o PD. PRM %. B.C. Lot 16 1/2 °! -P. 's, AI) 75.00' (R)t .'' v 4.0' Elec. • _ i Meter G' BLOCK- 2 19.70' LOT- 15 m Porch a 1 Planter O 12.75' k6 270' Parkway 14.65' ONE STORY C.5.5. Res. /7 / 79 Conc. Slab 75.00' (IV* (M) 23.90' Conc. Slab 6.00' AC JOB No 90705 FIELD DATE. July 15th, 2009 12.00' Bi 430' 11.62' 0_10' West PD- 1/2 °!.P. 4'C.B.S. Wall BLOCK- 2 LOT- 14 FD. 0,1aWest 1/2' LP. ABBREVIATIONS SWK•SIDEWALK, C.B.S. CONCRETE BLOCK STRUCTURE NC. AIR CONDITIONER, CLF•CHAIN UNKFENCE 8• PROPERTY LINE D.U.E• DRAINAGE UTILITY EASEMENT BLDG. BUILDING P /C. PROPERTY CORNER F.. FOUND DMA FOUND DRILL HOLE W/F• WOOD FENCE TIES. RESIDENCE CL. CLEAR RBA REBAR U.E..UTBITY EASEMENT RAN ARIGHT OF WAY 8.C.- BLOCK CORNER ENCR.. ENCROAC:tAEN1' F.LP.. FOUND IRON PIPE E.O.W.- EDGE OF WATER C.B.. CHORD BEARING F.K. FOUND NAIL MEAS.. MEASURED CONC.. CONCRETE O.DIAMETER DA4E..DRAINAGE MAINTENANCE EASEMENT 'TYP..TYPICAL R.RECORDED M• MONUMENT UNE O.H.L.. OVERHEAD UTILITIES RAG.• RADIAL P.P? POWER POLE P.O.. POINT OF CURVATURE WALL WATER METER P.O.B.. POINT OF BEGINNING P.O.C.. POINT OF COMMENCEMENT P.OP.. PERMAI:ENTrONTRO POINT ' PAM.* PERMANENT REFERENCE MONUMENT 4. ° CENTER LINE SURVEYORS NOTES - 1. THE SURVEY OF THE PROPERTY SHOWN HEREON I8 IN ACCORDANCEWITH1RE2ESCRIP IION FURNISHED BY CLIENT. 2. UNLESS A COMPARISON 83 SHOWN AU. SEARING, ANGLES ,AND DISTANCES SHOWN AOE SAME AS PLAT VALUES. 3. THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER DECO: DED ENCUMBRANCE NOT SHOWN 4. UNDERGROUND PORTIONS FOOTINGS, FOUNDATIONS OR OTHER IMPROAEMENTS WERE NOT LOCATED. B. FENCE AND WALL TIES ARE TO THE CENTER OF SAME 8. ELEVATIONS WHEN SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM (1328) UNLESS OTHERIMSE NOTED. 7. THERE ARE NO ABOVE GROUND ENCROACHMENTS OTHER WAN THOSE 8HOWN. B. THIS SURVEY M FOR MORTGAGE PURPOSES ONLY, NOT TO BE USED FOR CONSTRUCTION PURPOSES. 1 HEREBY CERTIFY THAT THE ATTACHED SKETCH OF SURVEY OF THE ABOVE DESCRIBED PROPERTY IS A TRUE REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION, AND MEETS MINIMUM TECHNICAL ST BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVERYORS IN CHAPTER 21 HHS FLORIDA ADMI TO SECTION 472.021 FLORIDA STATUES. 3014 S.W. 2601 STREET MIAMI, FLORIDA 33133 FAX (305)443 4608 TEL (780) 367 6204 NOT VALID WITHOUT THE SIGNATURE AND THE ORIGIILU. RAISED SEAL OF AFL•' '.. OR AN P.S. &M.#6382 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle) ! Building Owner's Name (Fee Simpl Owner's Address 7 p dress 1 City M I P i4A S Tenant/Lessee Name Job Address (where the wo City Miami Shor FOLIO / PARCEL # Type of Work: * Addition ❑Alteration Describe Work: Submittal Fee $ Permit Fee $ Notary $ Scanning $ Bond $ Structural Review. $ k is being done) s Vil q- Tx'ainiug/Education Fee $ Miami Shores Village tig io , — Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 \ 11 - Tel: (305) 795.2204 Fax: (305) 756.8972 Titleholder) ' itleholder) + , Ti l LO r on 10 2- State Is Building Historically De$ignated YES NO Master Permit No. Electrical Plumbing Mechanical Roofing Zip . 3 . 1 Phone # rg©MIIVg D MAY 0 5 2009 BY: Permit No. 9M 1 5°r County Miami -Dade Zip J 5 1 so p50 Ro t �Phhone # v O - `SGZ c l3G L los Contractor's Company Name Contractor's Address City l t State �( Zip � �j l _2 Qualifier Name 2-� S CD 0 A J Zsa 2 Phone # C ar - Pr A Q. State Certificate or Registration N CL OS 3(4- Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 1 5 1 500 Square / Linear .Footage Of Work: New * * * * * * * * * * * * * * * *, * * ** * , *** * *, F ****.* *, * * ** * *, **** * *** * * *** * * * * * * ** * * * * ** c7‘sese 'ao q Radon $ DPBR $ ➢ - 1C ❑ Repair/Replace ❑ Demolition CCF$ V Ct �422% Technology Fee $ •(49 Zoning $ Code Enforcement $ Double Fee $ Total Fee Now Due $ 110 a0•q ) See Reverse side --> Bonding Company's Name (if appli Bonding Company's Address City Mortgage Lender's Name (if applical Mortgage Lender's Address City Application is hereby made to obtain, commenced prior to the issuance o construction in this jurisdiction. I um WELLS, POOLS, FURNACES, BOG OWNER'S AFFIDAVIT: I certify applicable laws regulating constructic Sign: Print My Commission Expires: (Revised 02/08/06) 0 Z "WARNING TO OWNER: YOUI PAYING TWICE FOR IMPRO'$d CONSULT WITH YOUR LI Q COMMENCEMENT." Notice to Applicant: As a condition i h promise in good faith that a copy of whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must for the first inspection which occurs seven (7) days after the building permit is issue In the abse 'e of inspection will not be approved and a reinspection fee will be charged Signature G � —� 7��� �` Owner or Agent The fore s instrument was acknowledged before me thiP —� The for day of 0 I 20 by -n -Pc l l ictio day of Signatur {S Con, .ctor ^ mstrunt was acknowledged before me this? 200 by pt(2JOS Go Y a)Q who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: Ofv`�'(I `"'t' 17 /3-4 512 sled at the job site h posted notice, the Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE 1111111111111111111m11111 11111 11111 11 11 11 11 PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF 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. gal description f property and street address: P.Sc b S jn rniz T' . b 4 : L- i 5 14-2- P/_ N 2. Description of improvement: "Pi)t Interest ia_property:. U) Name and address of fee simple titleholder: 4. Contractor's name and address: 6. Lender's name and address: Signature of Owner Print Owner's Name Sworn to and subscrib Notary Public Print Notary's Name My Commission Expire 3. Owner(s) name and address: — 1 -1 2.-C1 • ( 5. Surety:(Payment bond required by owner from contractor, if any Name and address: Amount of bond $ 7. Persons within the State of Florida designated by Owner u by Section 713.13(1)(a)7., Florida Statutes, Name and address: a rtes o (DC) -7 l Qo - 7 Co Ls — CFN 28 OR Bk 26918 P9 0561; (1Ps) RECORDED 06/26/2009 09:58 :02 HARVEY RUVIHh CLERK OF COURT t1IAt1I -MADE COUNTY? FLORIDA LAST PAGE DikM pY of the day or other documents may be served as provided B. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) p -Poo) Q_Os Prepared b 121' 0Q -I ¶ —O Addr ss ( q_Qt L )O 122 5582 N.W. 71h STREET, SUITE 202 MIAMI, FLORIDA 33126 TELEPHONE: (305) 220 -3171 FAX: (305) 554 -7822 DRAWN BY: ,4 A A = ARC. A/C = AIR CONDITIONER PAD. A.E. = ANCHOR EASEMENT. A/R = ALUMINUM ROOF. A S = ALUMINUM SHED. ASPH = ASPHALT. B.C. = BLOCK CORNER. BLDG. = BUILDING. B.M. = BENCH MARK. B.O.B. = BASIS OF BEARINGS. C. = CALCULATED. C.B. = CATCH BASIN. C.B.S. = CONCRETE BLOCK STRUCTURE. CBW = CONCRETE BLOCK WALL. CH. = CHORD DISTANCE. CH. B. = CHORD BEARING. CL. = CLEAR. C.L.F. = CHAIN LINK FENCE. C.M E. = CANAL MAINTENANCE EASEMENT CONC. = CONCRETE. C.P = CONC. PORCH. C.S. = CONCRETE SLAB. D.E = DRAINAGE EASEMENT D. M.E = DRAINAGE MAINTENANCE EASEMENT. DRIVE. = DRIVEWAY. o = DEGREES. E. = EAST E.T.P. = ELECTRIC TRANSFORMER PAD. ELEV. = ELEVATION ENCR. = ENCROACHMENT. F.H. = FIRE HYDRANT. F.I.P. = FOUND IRON PIPE. F.I R = FOUND IRON ROD. F.F.E = FINISHED FLOOR ELEVATION. Xatla Shifinprz LAND 'SURVEYORS Survey of Lot: 15 Block: 2 Subdivision: RESUBDIVISION OF BLOCK 2 OF BONMAR PARK According to the Plat thereof as recorded in the Plat Book No. 42 at Page No. 59 of the public records of MIAMI -DADE County, Florida. LOCATION SKETCH Scale 1" = / 1/1- ABBREVIATIONS AND MEANING F.N.D. = FOUND NAIL & DISK FR. = FRAME. FT. = FEET. FNIP. = FEDERAL NATIONAL INSURANCE PROGRAM. F.N. = FOUND NAIL. H. = HIGH (HEIGHT). IN & EG. = INGRESS AND EGRESS EASEMENT L.P. = LIGHT POLE. L.F.E. = LOWEST FLOOR ELEVATION. L.M.E = LAKE MAINTENANCE EASEMENT. = MINUTES. M. = MEASURED DISTANCE. MON. = MONUMENT. M/H. = MANHOLE M/L. = MONUMENT LINE. N.A.P. = NOT A PART OF NGVD= NATIONAL GEODETIC VERTICAL DATUM. N. = NORTH. • N.T.S. = NOT TO SCALE. 8 - NO. = NUMBER. 0 /S. = OFFSET. OH. = OVERHEAD. 0 H.L.= OVERHEAD UTILITY LINES OVH. = OVERHANG. O.R.B. = OFFICIAL RECORD BOOK. PVMT. = PAVEMENT . PL. = PLANTER. P /L. = PROPERTY LINE. P.C.C. = POINTa0F COMPOUND CURVE. P.C. = POINT OF CURVE. PT. = POINT OF TANGENCY. POC. = POINT OF COMMENCEMENT POB. = POINT OF BEGINNING. , 4/ y /T " i t P.R.C. = POINT OF REVERSE CURVE. PROP. COR. = PROPERTY CORNER. P.B. = PLAT BOOK. PG. = PAGE. PWY = PARKWAY. PRM = PERMANENT REFERENCE MONUMENT. P.L.S. = PROFESSIONAL LAND SURVEYOR. R. = RECORDED DISTANCE. RR. = RAILROAD. RES. = RESIDENCE. R/W. = RIGHT -OF -WAY. 'RAD. = RADIUS OR RADIAL. R.P. = RADIUS POINT. RGE. = RANGE. SEC. = SECTION STY. = STORY. SWK. = SIDEWALK. S.I.P. = SET IRON PIPE L.B. 86044 S. = SOUTH. S.N.D. = SET NAIL & DISK L.B.#6044. SP. = SCREENED PORCH. " = SECONDS. T. = TANGENT. TWP. = TOWNSHIP. U.E. = UTILITY EASEMENT. UTIL. = UTILITY. U.P. = UTILITY POLE. W.M. = WATER METER. W.F. = WOOD FENCE. W.S. = WOOD SHED. A = CENTRAL ANGLE. W. = WEST. = CENTER LINE. 4 = ANGLE. LEGACNOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS. RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS PROVIDFD BY CLIENT OR ATTESTING TITLE COMPANY. BOUNDARY SURVEY MEANS A DRAWING AND /OR A GRAP1,1IC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND /OR NOT TO SCALE. THE LIABILITY OF THE SURVEY IS LIMITED TO THE COST OF THE SURVEY. THE TERM 'ENCROACHMENT' MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. ARCHITECTS SHALL VERIFY ZONING REGULATIONS. RESTRICTIONS AND SETBACKS AND THEY WILL BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTION, UNLESS OTHERWISE NOTED, THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTINGS AND /OR FOUNDATIONS. FENCE OWNERSHIP NOT DETERMINED. THIS PLAN OF SURVEY, HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON, THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY: THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE Situated in Zone: X Community /Panel /Suf Date of Firm: 03/02/1994 Base Flood Elevat Certified to: TERJE HAALAND COMMONWEALTH LAND TITLE INSURANCE CO. US TITLE SERVICES, INC. REPUBLIC NATIONAL BANK OF MIAMI , A NATIONAL BANKING ASSOCIATION ITS SUCCESSORS AND /OR ASSIGNS, A.T.I.M.A. fix: ion: ri 11) LOC.97'z =1� /ti/ BMW ELEV OF N.G.V.D. OF 1929. 3). THIS IS A SPECIFIC PURPOSE SURVEY. REVISED ON REVISED ON _ 120635- 0170 -J SHEET NO. / OF SURVEY No. Property Address: 179 NW 97 ST, MIAMI SHORES, FL 33015 For: TERJE HAALAND Date: 05/29/1998 LEGEND TYPICAL WOOD FENCE. CHAIN LINK FENCE. C.B.S. WALL (C.B.W.) 0.00 X EXISTING ELEVATIONS. 1 0 f PROPOSED ELEVATIONS. SURVEYORS 5 NOTES: 1). IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY TOWNSHIP MAPS. 2). IF SHOWN. ELEVATIONS ARE REFERRED TO 4). THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. I HEREBY CERTIFY: THAT THIS 'BOUNDARY SURVEY' OF THE PROPERTY DESCRIBED HEREON, AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17.6, FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027. FLQRIDA STATUTES. BY: , : f re - e g gs a :BARRA (DATE OF FIELD WORK). V/ . PROFESSIONAL LAND SURVEYOR NO. 25 3 # STATE OF FLORIDA. (VALID COPIES OF THIS SUR EY WILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). 1 5582 N.W. 7TH STREET, SUITE 202 MIAMI, FLORIDA 33128 TELEPHONE: (305) 220-3171 FAX: (305) 6547822 / i) t :.#P Oi G'L Nona uruttjurn sur. LAND SURVEYORS SKETCH OF SURVEY Scale V "= 20 � zP 34. 44 N� cf1P cPN • i ECEWE a 2 2 21P4 /S Z. :: r9 ") �/' A3 Pwi r) IA 72 c ' 5 ` 4 a ? /5th /Z• 75' N B9 4 3 N / ' 6 , I � /t72P a / O cf/ IA/ Ti 5-re -7 ZU ' ,,q�� P✓M�7 SURVEY NO. � - SHEET NO G OF 6.oT!¢ FLoc,C -0 NOTARY F C r► NTRACTO f S SIGNATURE & DATE 5 (0 0 0 CONTRACTOR'S NAME (PLEASE PRINT) . 1, ilk; or , MI's•. J 'Iwt,eATAliai BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138 -2382 TELEPHONE (305) 795-220A FAX 13051 756-8972 NOTICE 014 REQUIREMENTS RESIDENTIATL SWIMMING POOL, SPA AND I1OT TUB SAFTY ACT (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or tstalled at 111 10 (A 1q �� 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 4th an approved safty cover that complies with ASTM F134-91; All All doors and windows providing direct access from the home to the pool will be equiped wilt an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct 4 ccess from the home to the pool will be equipped with self - closing, self- latching devices with'release mechanisms placed no 1 wer 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 fine p to $t0 and /or up to 60 dayp in jail as established in Chapter 775, F.S. .e/ OWNERS SIGN TUBE & DATE_ B4. MAP AND PANEL B5. SUFFIX B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER 66. FIRM INDEX DATE EFFECTIVE/REVISED DATE B8. FLOOD ZONE(S) (Zone AO, use depth of floodurg) 12025 C 0090 J 7/17195 3dN94 X WA PROCESS# FOLIO# 11- 3101 - 026 -0150 C.O.R. 11.0' CITY MIAMI SHORES FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important Read the instructions on pages 1.7. ingurance COnpany Use: Number company NAIC Number SECTION A - PROPERTY OWNER INFORMATION BUILDING OWNER'S NAME TED HAALAND BUILDING STREET ADDRESS (Indudiing Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 179 NW 97 STREET STATE FL PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 15 BLOCK 2 OF "RESUB OF BLK 2 OF BONMAR PARK" PB 42 PG 59 OF DADE COUNTY RECORDS BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) ( ##° - ##' -##.## or ##.#####°) HORIZONTAL DATUM: ❑ NAD 1927 ❑ NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION O.M.B. No. 3067 -0077 Expires December 31, 2005 ZIP CODE 33150 SOURCE: 0 GPS (Type): ❑ USGS Quad Map ❑ Other. .131. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER MIAMI SHORES - 120652 B2. COUNTY NAME MIAMI -DADE B3. STATE FLORIDA B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the bufidi • Iccatedin a Coastal Barrier Resources System CBRS area or Otherwise Protected Area OPA ? ❑ Yes ® No Des' . nation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Binding Diagram Number 1 (Select the butidung diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/AI -A30, AR/AH, AR/AO Complete Items C3. -a-i below according to the building diagram specified in Item C2. State the datum used. lithe datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD 1929 Conversion/Comments NONE Elevation reference mark used N -444 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (inducting basement or enclosure) 13.1 ft(m) o b) Top of next higher floor N/A. ft(m) co o c) Bottom of lowest horizontal structural member (V zones only) N/A. ft(m) o o d) Attached garage (top of slab) WA _ft(m) w co o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) N/A. ft(m) E o f) Lowest adjacent (finished) grade (LAG) 11_3 ft(m) o g) Highest adjacent (finished) grade (HAG) 11_41t.(m) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NIA o i) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. an) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME : PABLO J. ALFONSO UCENSE NUMBER : #5880 TITLE PROFESSIONAL SURVEYOR AND MAPPER ADDRESS � J 6175 NW ..153S , SIGNATURE COMPANY NAME ROYAL POINT LAND SURVEYORS CITY STATE ZIP CODE MIAMI FL 33014 DATE TELEPHONE 9/10/04 T:305- 822 - 6062*' F: 305-827-9669 FEMA Form 81-31, JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS Date l'112-01 0 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 (e solo ot ISI(a. B to A , l ocated at 119 iO W 1 S� 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. 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 e7-. Note: This certification is to be submitted with a swimming pool permit application in duplicate. Notes: STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number Scale: Each block represents 5 fe t and 1 inch = 50 feet. L - L Site Plan submitted by: 7 Plan Approved By . _ • ."2 PART II SITE PLAN r („2, • j „. • 7 , 7 fit , -7 Signature Not Approved 1,, 7 7 4.c: re - ien 7 7 s . - - •3 A. - Two Date 5 County Health Department BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): ' Building Electrical - Owner's Name (Fee Simple Titleholder) 1 1 ; 1 L , ) Owner's Address City I ,A Tenant/Lessee Name Job Address (where the work is being done) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 State f L Zip '5 City Miami Shores Village County Miami-Dade Zip 75 .5 1 (:") FOLIO / PARCEL # Is Building Historically Designated YES NO Phone # MC7:4777 JUN 1 6 2009 BY: k--- Permit No. OEN OR-.1 1' Master Permit No.foff Plumbing Mechanical Roofing /. (1 Phone # Contractor's Company Name L.---- '-'■- '...,_ L. _ Phone # ',-) (-- :.c, 1 ,_ 1 :y_ 1 1 .., , Contractor's Address 1 l: L- (C k...- jSk: ' ) -4 ') ---) -- - I C ....."; City (, .., \ , p State V (-- Zip )) '1 ) 1 ')-- ---`)-- Qualifier Name () i -- t, j, i--C -----) (,:"; k1 \.„ - ,2 1 L'C ' Phone # ) State Certificate or Registration No. L..‘ ) 1 Certificate of Competency No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ -1 Type of Work: ['Addition ['Alteration Describe Work: , s 1 6 At ***************************Fees******************************************** -% Submittal Fee $ LX Permit Fee $ ,460 )r Notary $ Training/Education Fee $ 0 Scanning $ 3.00 Radon $ DPBR $ Bond $ Code Enforcement $ Square / Linear Footage Of Work: [New 1:1 Repair/Replace *emolition Double Fee $ Phone # CCF $ 0(00 CO7CC Technology Fee $ a.3n Zoning $ Structural Review. $ Total Fee Now Due $ 54 '30 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 del'vered 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 absencf of such posted notice, the inspection will not be approved and a reinspection fee will be charged. / i Signature Owner or Agent The foreg�ing instrument was acknowledged before me this (t ? day of .r" Li-I , 2(.' /, by t y . 1 f-l: ( who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: G " MADYS BORGES MY COMMISSION �e q7 2010 (PIFiES' dlb ulil'itJgntle AMOS Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Signature The forego day of who is personally known to me or who has produced as identification and who did take an oath. Contractor nt was acknowledged before me this I'\ GLADYS BORGES M k t ,M( COMMISSION N DD 62283 : ' t z ExPaREB. Decmber 17, 2010 B04E11114, Wibll Url9error NOTARY PUBLIC Sign: Print: My Commission Expires: Plans Examiner Engineer Zoning 0 0 • • • .+ •w• 00 •• • • • •• •• • • • • • • • • • 0 • • • • ••• • • • • • • • • • • • • • 0•• • 0 DRAIN FIELD 4' CBS W L 1�0 5EPT I LECsAL: RESUS 42 -59 L OR 181 cc FT PROVIDE 48 "DOOR MIN. WITH SELF CLOSER AND LOCK DEVICE. • 54' cb„ n • • • • •• • • • • • • ••• 0•• • • • • • • • • • • • • X 103 •• • • • w 15' ALLEY(NAP) ;t.(l 15 .00' 3' -6" 75.00' 0 1\I.UJ. '31 ST L SITE I 74\ SCALE:1' =20° EXISTING p 6' WOOD FENCE 12' -6" ON POOL EQUIP. 4' CSS WALL PROVIDE 48 "DOOR MIN. WITH SELF CLOSER AND LOCK DEVICE. • 54' NOTE: TH ALTERNAT TO COMPLI NE.0 200= onsnowarm— -- a~swwfway - 1 • • • • • . • • • • • • • LEGA . • • • . L: . • RESU15 OF 15LK 2 OF 42-5S LOT 15 1:5LK 2 OR 0194-4918 0110 • • • • •,,, • • • o t • • • 4 : • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • , • • • • • • • • • • •. • • • • • • • • • • • • • • • • • • 15 ° AL LEY(NAP 15D0' RESIDENCE ELEV: 13.1 PROVIDE 413"00OR MIN. WITH SELF CLOSER AND LOCK DEVICE. • 54' "15.00 N.UJ. c1 ST L PROVIDE ALARMS ALL WINDOWS AND DOORS WITH ACCESS T THE POOL ON ANY WALLS OF T1-45 HOUSE USED A6 PAW OF THE BARRIER FE5C R4101111.9 EXISTING 6' WOOD FENCE in z 7-1 Ul 4 3 10 C 1 1 "- 11 " U POOL 4' MS EQUIP. 1 PROV I P E 48"DOOR C WALL MIN. WITH SELF CLOSER AND LOCK DEVICE. 48 54' NOT!: TI-I ALTERNAT TO COMPL I NEC 200! aLVO DLIANCE WITH ALL FEDERAL IY RULES AND REGULATIONS • ;71 G DEPT rti r r- lc�u vu t� au -■ -- a~swwfway - 1 • • • • • . • • • • • • • LEGA . • • • . L: . • RESU15 OF 15LK 2 OF 42-5S LOT 15 1:5LK 2 OR 0194-4918 0110 • • • • •,,, • • • o t • • • 4 : • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • , • • • • • • • • • • •. • • • • • • • • • • • • • • • • • • 15 ° AL LEY(NAP 15D0' RESIDENCE ELEV: 13.1 PROVIDE 413"00OR MIN. WITH SELF CLOSER AND LOCK DEVICE. • 54' "15.00 N.UJ. c1 ST L PROVIDE ALARMS ALL WINDOWS AND DOORS WITH ACCESS T THE POOL ON ANY WALLS OF T1-45 HOUSE USED A6 PAW OF THE BARRIER FE5C R4101111.9 EXISTING 6' WOOD FENCE in z 7-1 Ul 4 3 10 C 1 1 "- 11 " U POOL 4' MS EQUIP. 1 PROV I P E 48"DOOR C WALL MIN. WITH SELF CLOSER AND LOCK DEVICE. 48 54' NOT!: TI-I ALTERNAT TO COMPL I NEC 200! BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing 1 ;� Owner's Name (Fee Simple Titleholder) -- f - c-- ci Y L City LA Owner's Address Tenant /Lessee Name E-MAIL: Job Address (where the work is being done) 1 '761 City Miami Shores Village County FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name - rt4 1 Contractor's Address `f" Q City /LA, l Qualifier Name Q 0'0 Phone # State Certificate or Registration No. _ f car) 33 ' Certificate of Competency No. E -MAIL: Architect /Engineer's Name (if applicable) Value of Work For this Permit $ n 0 C Type of Work: LlAddition ❑Alteration Describe Work: f) (13 - 6 Submittal Fee $ —" Permit Fee $ State xr.xr.x * * * * * * * * **ic* *www *i:**w * *i:w**wwwwf xic** w w.****xxxxxxxx **** Notary $ Training /Education Fee $ Scanning $ 7)' 0 Radon $ Bond $ Code Enforcement $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NO / New DPBR $ Double Fee $ MAY 0 5 2009 kJ BY: Permit No. 109 — 1Z(0 Master Permit No. bre Of- zip 15O Phone # hone ti- ,a 1 5 S Miami -Dade Zip T) 1 S 0 S o Q01 C-- 0 Phone # � " �97- — ( ' 12:2_ Phone # Square / Linear Footage Of Work: 3C1 u Repair /Replace ❑ Demolition CCF $ 0 CO /CC Technology Fee $ �•�� Zoning $ Structural Review. $ Total Fee Now Due $ I U (; 30 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. 1 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 elivered to the person whose property is subject to attachment. Also, a certified co copy of the recorded notice of commencement must e posted at the job site for the ,first inspection which occurs seven (7) days after the building permit is issu .. In the abs /nce ch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Sign: Print My Commission Expires: (Revised 02/08/06) APPLICATION APPROVED Owner or Agent The f-egoing instrument was acknowledged before me this day o , 2009 by - t - 1 4-P4 , ‹ (4E, who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Signatur Cont ctor The fo ent was ac inowledged before me this—, ,,� day of d 1 2( b C/ILLOS( rN' C2 who is person. Ily known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: r.t Gtq 'ORGES MyGM. ES • A Aig1 My Commission Expires: Plans Examiner Engineer Zoning BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder)' - Value of Work For this Permit $ Submittal Fee $ Notary $ Scanning $ 3.(90 Bond $ Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Master Permit No. A Phone # Owner's Address S City dA 1 S kO (LEState Ft' Tenant /Lessee Name E -MAIL: Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated Contractor's Company Name Contractor's Address City X11 State Qualifier Name �R V t IJ � 1 State Certificate or Registration No. E -MAIL: Architect /Engineer's Name (if applicable) Type of Work ❑Addition ❑Alteration New Describe Work: I Zip /5U Permit Fee $ ,02,07.3 Training /Education Fee $ Radon $ Code Enforcement $ Phone # County Miami -Dade Zip YES NO / (I E\e--L-T-P--;C- Phone # O G s9 u 2.5 S`fi 4- 1c 0. DPBR $ Zip - 5 22_ Phone # Certificate of Competency No. E . COCC 1 Double Fee $ Permit No. t- Phone # X315 Square / Linear Footage Of Work: (n n Repair /Replace n Demolition *x * * *xYxxx * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Total Fee Now Due $ x34.43 See Reverse side -* 0' Me') )Mlli MAY 0 5 2009 BY: - 1S1 CCF $ ('(OO CO /CC Technology Fee $ 543 Zoning $ 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 taw 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 Owner or Agent The foregoing instrument was acknowledged before me this day who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Q ( Bonded Thru otary Public U ". erwriters Sign: Print: My Commission Expi APPLICATION APPROVED BY: (Revised 02 /08/06) , 2 N'`, by -QQ P-1 -I IV , Signature The for day o *** *xxxxxxxxxxxxxxxxxxx Contractor ing instrument was acknowledged before me this , 26 by t i€ n G I IBS Sign: Print: My Commission Expires: ,..'4er-e',.t":# Plans Examiner Engineer Zoning who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: xxxxxxx *xxxxxxxxxx Inspection Number: INSP - 113286 Permit Number: EL -5 -09 -757 Scheduled Inspection Date: November 09, 2009 Inspector: Devaney, Michael Owner: HAALAND, TED Job Address: 179 NW 97 Street Miami Shores, FL 33150 -1734 Project: <NONE> Building Department Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: ON CALL ELECTRICAL CONTRACTORS INC ELECTRICAL WORK FOR NEW POOL November 06, 2009 For Inspections please call: (305)762 -4949 gC) 5- 0(1 -- 153 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1131010260150 Phone: (786)388 -5880 Page 3 of 28