260 NE 99 St (8)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Time
Date
Type Insp'
Permi
Address
Company
Phone #
For Inspector:
Approv
Correction
Re- Insp'n Fee
5 •MCP1
/ 03 Name & Date
o
Permit No. V ` )
Name .71 `�/
Date
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�' Type Insp'nc' �'�►
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MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Phone #
For Inspector: 4 /1),
Approv °a a
Correction
Re- Insp'n Fee
Name & Date
For Inspector:
Approved I
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
*"'Type Insp'n
Permit No. • ' a -Q O3
lV' Name �.
Address l
Company t/ `
Phone # ✓ °
Name & Date
Date
Type Insp'n
Permit No.
Phone #
For Inspector:
Approve
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPART
305- 795 -2204
Building Inspection Requ
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�/ 1
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Time
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MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building /12..i Inspection Reques
Dat3 Time
r '
Phone # 3/ s - 5 3 , 16 14
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IN P
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Approved
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Re- Insp'n Fee
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MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Reques
Date , "/ Time
Type Insp'n M.tZ&
Permit No. ti 4203 -4'
Name Rellikil,da 1 /
Address 02 ( 0 a fiSt
Company 2- 4 L 7 w/S
Phone # ,/ db
For Inspector: s o3
Approved
Correction ❑
Re- Insp'n Fee ❑
k
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Reques
Date
Type Insp'n
Permit No.
Name u —//
Address Le
Company H)(')/
Phone #
For Inspector: ' 03 Name & Date
Approved ❑
Correction ❑
Re-Insp'n Fee ❑
MIAMI SHORES VILLAGE
BUILDING DEPART
305- 795 -2204
Building Inspection Reque
Date5 Time
Type Ins
YP Pn '�
Permit No
Name
b 0 1Y\ l C. ct _ it-�u
k Company k
For Inspectors /Z3 /o
Phone #
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2003 -372
Printed44f2@@3 13`t 3\0'3
Applicant: KEITH REINHARD/ EDUARDO MENDOZA
Owner: EDUARDO MENDOZA KEITH REINHARD/
JOB ADDRESS: 260 NE 99 ST
Contractor L & L POOLS INC
Local Phone: (305)261 - 1927
Parcel # 1132060134320
Building Permit
Fees: Description Amount
FEE2003 -1354 Building Fee $430.00
FEE2003 -1355 Inpector State Educational Fund $3.30
FEE2003 -1357 Buildier's Bond $300.00
FEE2003 -1358 CCF $16.80
FEE2003 -1359 Radon $6.90
Page 1 of 2
Contractor's Address: 7400 NW 7 ST 113
Total Fees: $757.00
Total Receipts: $757.00
Total Fees: $757.00
Permit Status: Approved Permit Expiration: 9/20/2003 Construction Value: $28,000.00
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
Signed: (INSPECTOR) BY:
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 4 & 5 & E1/2 OF LOT 6 BLK 32 LOT SIZE
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done
by his agents, servants or employees.
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity
with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either
myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Work: SWIMMING POOL INSTALLATION
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done
by his agents, servants or employees.
Signed: (INSPECTOR) BY:
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity
with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either
myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/14/2003
Applicant: KEITH REINHARD/
Owner: EDUARDO MENDOZA
JOB ADDRESS: 260 NE 99
Contractor L & L POOLS INC
Local Phone: (305)261 -1927
Permit Status:
Approved Permit Expiration: 10/8/2003
Work: PLUMBING NEW SWIMMING POOL
Plumbing Permit
Permit Number: PL2003 -65
EDUARDO MENDOZA
KEITH REINHARD/
ST
Contractor's Address: 7400 NW 7 ST 113
Parcel # 1132060134320 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 4 & 5 & E1/2 OF LOT 6 BLK 32 LOT SIZE
Fees: Description Amount
FEE2003 -1383 Building Fee $90.00
Total Fees: $90.00
Construction Value:
Page 1 of 1
Total Fees: $90.00
Total Receipts: $90.00
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
evr
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done
by his agents, servants or employees.
Signed: (INSPECTOR) BY:
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity
with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either
myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
H-L&L POOL/ inc.
7400 N.W. 7TH ST., STE. 113
MIAMI, FL 33126
TEL: 305 - 261 -1927
PAY l�
TO * Miami Shores Village
THE
ORDER
OF
TO
THE
ORDER
OF
10 00277610 1i :06 ?0084 141: v805000
JL
LEA P0011 inc.
7400 N.W. 7TH ST., STE. 113
MIAMI, FL 33126
TEL: 305 - 261 -1927
PAY
* Miami Shores Village
AUNION PLANTERS BANK
Private Banking
2800 Ponce de Leon Blvd., Coral Gables, FL 33134
Ph. (305) 774 -5078
1
DATE
3 -11/03
AUNION PLANTERS BANK
Private Banking
2800 Ponce de Leon Blvd., Coral Gables, FL 33134
Ph. (305) 774 -5078
u'00 2 7 ? 5li' 4:0670084 144: (i'80 5000 • L 79(x'
800
r te ( , o
V J
J 0"6800
D
I 01) ATE AMOUNT
3 -11 -03
2776
2775
1 1 .
AMOUNT
B (57)
1
fi
0
8
LL
DOLLARS
CASH l� -.. , C.' 7 . � l I
OCHEC ?
K TO
O O DER B Y - �• '
Permit Status: Approved
Work: PLUMBING NEW SWIMMING POOL
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 3/5/2003
Applicant: KEITH REINHARD/ EDUARDO MENDOZA
Owner: EDUARDO MENDOZA KEITH REINHARD/
JOB ADDRESS: 260 NE 99 ST
Contractor L & L POOLS INC
Local Phone: (305)261 -1927
Parcel # 1132060134320
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 4 & 5 & E1/2 OF LOT 6 BLK 32 LOT SIZE
Total Fees: $$'09
$0.00
Total Receipts:
This Permit is gran
ordinances pertaining
and approved by the
authorization. A Furth
ordinances and regul
by his agents, . ant
Sign
In consid
with the plan
myself, my ag
Permit Expiration: 9/1/2003
Signed: (Contractor or Builder)
Plumbing Permit
Permit Number: PL2003 -65
Construction Value:
BY:
Page 1 of 1
Contractor's Address: 7400 NW 7 ST 113
c.\ If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
�(■j fee is $50.00, which must be paid in advance before calling for another inspection.
(INSPECTOR) BY:
d to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
hereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
roper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
r condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ns pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done
r employees.
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
statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either
an or employes.
-II- Lid POOL' Inc.
PAY
f
* Miami Shores Village
TO
THE
ORDER
OF
JL LEA POOLS Inc.
PAY
TO
THE
ORDER
OF
7400 N.W. 7TH ST., STE. 113
MIAMI, FL 33126
TEL: 305 - 261 -1927
000 2 7 761' 'A :06 70084 L4i: 1080 5000
* Miami Shores Village
UNION PLANTERS BANK
Private Banking
2800 Ponce de Leon Blvd., Corel Gables, FL 33134
Ph. (305) 774-5076
1
1'002775 • :,:0670084 L4': 1
DATE
3 - 11/03
LY�UNION PLANTERS BANK
7400 N.W. 7TH ST., STE. 113 * Private Banking
2600 Ponce de Leon Blvd., Corel Gables, R. 33134
MIAMI, FL 33126 Ph. (305) 774-5076
TEL: 305 - 261 -1927
XQ
2776
6 0
AMOUNT
B DO' CO
a
z
S
LL
2775
6 800
DATE AMOUNT
3 -11 -03 J Ii 00
4,4 /
/
)
8
0
1
CONTRACTOR
Name
Eduardo Mendoza
Name
TAT, Pools Inc.
Home Telephone 305 - 759 -3319
License No.
CP— C*
Fax
Address 7400 NW 7th Street
Miami F1 33126
#113
Telephone 305 - 261 -1927 F ax 305- 267 -6801
Qualifier Name Luis Espinosa
PROPERTY OWNER
Name
Eduardo Mendoza
Address
260 NE 99th Street
Miami Shores F1
Home Telephone 305 - 759 -3319
Business Telephone
Fax
ENGINEER
Name Aquadynamics Design Group
License No. 55339
Address
4910 SW 72nd Avenue
Miami Fl. 33155
Telephone 305 - 667 -8975
Fax 305- 662 -1002
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'1 Attachment
Other
Add'l Detachment
Other
• • • •
• • • • • • • • •
• . • • • • • • : • .PERMIT APPLICATION
Master P ermit•No.• . .. 0 3 0 • • ••, • • • •
Subsi Perrpltq. • • •
•
• •
••• ••• ••
• • • •
• •
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Complete the attached permit application which must be signed by the property osvngr andqua17foer. :isoths gnatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If wbrk;w41.be done, a roofing application must be submit-
ted along with this permit application. • • • • • • • • •
•• • • • • • • • •• • •
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Job Address: 260 NE 99th Street Miami Shores
Folio Number
Lot Block
Subdivision PB PG Zoning
Current Use of Property SFR Square Feet Units Floors
Proposed Use of Property SFR Value of Work 800.00 Bldg Value
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
Address Apt. City
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Description of Work Plumbing new swimming pool
Tax Assessed/Appraised Value
State
Zip
Linear Feet 1 0 0
Flood Zone Base Floor Elev.
Page 2
•
• • • •
• • • ••• • • •
• • • • • • • • • • • • •
•••• • ••••••• •
INIPOR'I'AN'I' NOTICLS
1. DO NOT BEGIN ANY WORK 4 f1AVINIG RECEf\iED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HCfiJRS OF t bN ?ftUCTIt7P1 are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas ML:ST BEM .INT *IN.ED .N A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIESCH:ALL BE KE1cT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM 8E114G bAriNAGG13 BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the•sireat/cZem:all: • • • : : • •.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AHIDAV11' - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance wi - ec • n 713 -35 of Florida Statutes. Review the brochure at Village on Construction Lien Law and
Choosing a Co
OF A �• OUNTY M DADE
(- CAA_ cvL �
ignature of Owner
Eduardo A. Mendoza
Print Name
S om to dd subscribed before me this // day of C ,
Signature of Notary Public - State of Florida
SEAL:
0,10'6y ELENA A. SADLER
MY COMMISSION # CC 886583
..47/ E ES: December I 2003
s2 ded Thru Notary Public Underwriters
erwriters
Personally known OR, Produced Identification
Type of Identification Produced:
ST
Signatur. of Contractor /`,ratifier
uis Es•inosa
Print Name
S .m to • . •. subscribed before me this
Signature of Notary Public - State of Florida
SEAL:
Personally
PERMIT APPLICATION
Y OF MIAMI -DADE
ELENA A. SADLER
MY COMMISSION # CC 886583
EXP1R .: December 13, 2003
on ru Notary Public Undo r
day of lab
cation
Type of Identification Produced:
Page 4
OFFICE USE ONLY
•••
•
• •
• •
••• •
•
• •
0 OWNER - BUILDER FORM
(Attach)
•• •••
•
❑ FIRE DEPARTMENT • • • •
APPROVAL (CommerctMl /. • •
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Inspector State Educational Fund $
State DCA (Radon) $
Code Enforcement Fine
Zoning Review
Notary
• ••• • •
• • • {• •
•••••••
• •
• • ••
• • • •
•
•
•
•
CHECKLIST
• 0 OF OWNERSHIP
(Attach)
•• • • • ••
• • • • • • •
.: a] :F n /T1ERMAPPROVAL
• • • f Septto.4 Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$
$ go
Metropolitan Dade County (C.C.F.) ( sq.ft. = x/1000
x ¢.60)
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ , a c)
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
ELECTRICAL
TYPE,
Minimum Fee
QTY.
'mg.:
Dryer
(17•V.
TYPE
Outlet, ApiliicI • • • •
,yry.
►
7'1 PI.;
. rvice Repair
(1'I• Y.
A/C Central 1 -3 Ton
Dryer Vents, Number of
Fan
Ventilation, Cost
Outlet, Wall • • • - -
►
► service, Temporary
Periodic Inspections
A/C Central 4 -7 Ton
Fire Sprinkler System
Fire Pump
Outlet, Switch
Fireplaces, Number of
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
i\1E:C1 1ANICA1
TYPE. QTY.
Minimum Fee
TYPE (17'1'.
Condensate Drain
TVPI{
Generator
(1TV. TYPE Ql7
Refrigeration, Tons
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
PLUMBING
TYPE.
A/C Condensate
()7'V.
TYPE.
Drains, Roof
(in'.
TVPI:
Miscellaneous Fixture
()7'Y.
7'VPI?
Soakage Pit
(,)T1•.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
• • • •
• • • ••• •
• • • • • • •
• • • • • • • • • • • •
•
• •
:.PERMIT APPLICATION
• • • • •• •
• • • • • • • • • • • •
• • • • • • • • •
INSTRUCTIONS: Please indicate the type of work being performed,and quaptity(si{s) in tl:e space provided below.
RECEIVED AND REVIEWED BY: DATE:
Date
Miami Shores Village
Building and Zoning Department
Attention: Building Official
▪ • •• w • • •••
•• •• • • •• •• •
• • • • • • • • • • •
• • • • • ••• • • • •
• • • • • • • •
• • ••• • • • • •••
• • . • •
. • • •• •
•. •
• • •
• •
• • •• • • •
• • • • • • •
••• ••• •• • •
•• • • • •• • ••
SWIMMING POOL OWNER'S C • • • • • • • • • •
�$��C��'iQN
I certify that I am the legal owner of the property described as
, located at 260 NE 99th Street
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 fin
Legal Owner
•• • • • • • ••• ••
inspect
d use of the pool.
Note: This certification is to be submitted with a swimming pool permit application in duplicate.
I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or
installed at 260 NE 99th Street
miami shores,, Fl., and hereby affirm that one of
the following methods will be used to meet the requirements of Chapter 515, Florida
Statutes.
(please initial the method(s) to be used)
All doors providing direct access from the home to the pool will be
equipped with self- closing, self - latching devices with'release
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 - olation of Chapter 515,
F.S. and will • - . ns ered as committing a misdem = or • f the - co • degree, punishable
by fines o $ . i 0; � d /o • p to 60 days in jail as es lish- d in a , y'er 775, F.S.
Luis Espinosa
The pool will be isolated from access from the home by an enclosure
that meets the pool barrier requirments of Florida Statute 515.29;
The pool will be equipped with an approved safty cover that
complies with ASTM F1346 -91;
All doors and windows providing direct access from the home to the
pool will be equiped with an exit alarm that has a minimum sound
pressure rating of 85 decibels at 10 feet;
CONTRACTOR'S NAME (PLEASE PRINT) .
NOTARY 3 ' • 4; EXPIRES: December 13 2003
'4,;i4 Bonded Thnl Notary Public Underwriters
• • •.• • • .••
•• .. • • .. .. •
• • • • • • • • • •
• • • 000 • • •
/ 4; •
•
• ••
•
• • • •
-•--•—
BUILDING DEPARVENT •� • • • i
••• ••• • •• • •
10030 N.E. SECOND AVENUE
MIAMI SHORES. FLORIOA 33138.2382
TELEPHONE (305) 7.11•0204 • •• ••• ••
•
FAX (305) 756 %07 :•• • • • • • ••
•
•
•• • • • • • ••• ••
NOTICE OF REQUIREMENTS
RESIDENTIAL SWIMMING POOL,
SPA AND HOT TUB SAFTY ACT
Eduardo A. Mendoza
• •
OWNER'S SIGNA & DATE
OWNER'S NAME ( PLEASE PRINT)
NOTARY
EXPIRES: December 13, 2003
Bonded Thru Notary Public Underwriters
YCIET SkI s Source Ir]zrchent
0
•• ••
• • •
•• • • • • •
• • •
• • •••• • •
• •
••••
• •
• • •
•• ••
• •
•
• • ••
• • •
• ••
•
••••
•
••
•••• •
• •
•••• • • •
•
• ••
• • • •
•• • •• • •
• •• •
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RECEIVED FROM
I I NH Mirr\)-
ACCOUNT
PAYMENT
BAL. DUE
! DATE -3 + ( 1 0
U QFOR REN
O
(AX (1-i\
-
CHECK
O MONEY
ORDER
■
FRO
No. :97603
L
$3®,
Be.6.6agis
�(- 800-
TO
a seam
1182
Miami Shores Village
10050 NE 2nd Avenue
M
. 5ontractor L & L POOLS INC
Local Phone: (305)261 -1927
r
Parcel # 1132060134320
Printed: 3/5/2003
Permit Status: Approved Permit Expiration: 9/1/2003
Signed:
Building Permit
N Phone: 305- 795 -2204 Permit Number: BP2003 -372
Applicant: KEITH REINHARD/ EDUARDO MENDOZA
Owner: EDUARDO MENDOZA KEITH REINHARD/
JOB ADDRESS: 260 NE 99 ST
Contractor's Address: 7400 NW 7 ST 113
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 4 & 5 & E1/2 OF LOT 6 BLK 32 LOT SIZE
Fees: Description Amount
FEE2003 -1354 Building Fee $430.00
FEE2003 -1355 Inpector State Educational Fund $3.30
FEE2003 -1357 Buildier's Bond $300.00 ,
FEE2003 -1358 CCF $16.80
FEE2003 -1359 Radon $6.90
Total Fees: $757.00
Total Fees: $757.00
Total Receipts: $0.00
Construction Value: $28,000.00
Page 1 of 2
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done
by his agents, servants or employees.
Signed: (INSPECTOR) BY:
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity
with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either
myself, my agent, servants or employes.
(Contractor or Builder) BY:
-ILL &L POOL$ inc.
PAY
TO
THE
ORDER
OF
7400 N.W. 7TH ST., STE. 113
MIAMI, FL 33126
TEL: 305 - 261 -1927
* Miami Shores Village
v00 2 7 7610 '':0 6 70084 141: P805000
-IL Lai. POOLI inc.
7400 N.W. 7TH ST., STE. 113
MIAMI, FL 33126
TEL: 305 - 261 -1927
PAY W—r.
F 7
To * Miami Shores Village
THE
ORDER
OF
AUNION PLANTERS BANK
Private Banking
2800 Ponce de Leon Blvd., Coral Gables, FL 33134
Ph. (305) 774-5076
"00277Sii' :1:067008414': n 00
DATE
3 -11/03
I (}v
Xx
' 01)
-
AMOUNT
a o o.
2776
2775
e
4UNION PLANTERS. BANK _
Private Banking 84 ( 6800
2800 Ponce de Leon Blvd., Coral Gables, FL 33134 670
Ph. (305) 774 -5076
DATE AMOUNT
3 -11 -03
CONTRACTOR
Name Eduardo Mendoza
Name
L &T, Pools
Home Telephone 305 - 759 - 391 9
License No. C P- C 0 5 7 2 8 2
Fax
Address
7400 NW 7th Street
#113 Miami F1 33126
305 - 667 -8975
Telephone -261 -1 927 Fax 305- 267
-6801
Qualifier Name
PROPERTY OWNER
Name Eduardo Mendoza
Address
260 N.E. 99th _Street
Miami Shores, Fl
Home Telephone 305 - 759 - 391 9
Business Telephone
Fax
ENGINEER
Name Aquadynamics Design Group Inc
License No.
55339
Address
4910 SW 72nd Avenue
Miami Florida 33155
Telephone
305 - 667 -8975
Fax
305 - 662 -1002
TYPE OF MANAGEMENT (✓ )
New Construction
X
Enclosure
Alteration Exterior
Repair
Demolish
Alteration Interior
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'I Detachment
Other
. • ; .. ; PXFMIT APPLICATION
Master Permit No. • • •Q 3 • ,-
Subsidiatyj'et-m% NCO.: • E • •
• . • ..
••• ••• •• •
Step 1.
• • •
• • • ••• • • •
• . •
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Ikliami Shores Village:
Complete the attached permit application which must be signed by the propeuy ow$er and'ival>'f're& Qdt6 sigft tures must be notarized. Please
print or type to allow for a more accurate processing of your application. If tbpfi tor:c till' dope, a roafjng application must be submit-
ted along with this permit application. • • • • • • • • • •
•• • •• • • • ••• ••
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Job Address: 260 NE 99th Street Miami Shores
Address Apt. City
Folio Number
Lot
Subdivision
Current Use of Property
Proposed Use of Property SFR
Tenant Information
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
X
S FR Square Feet 690
Value of Work $ 28,000
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
NA
License No.
Address
Telephone
Fax
Description of Work
State
Swimming Pool
Block & 700sq.ft.concrete deck
PB PG Zoning Linear Feet
Zip
construction
Units Floors
Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
Page 2
• •
•
• • • ••• • • •
• • • • • • • •
•••• ••••••• •
INIPOR'1':AN'I' NOTI( Es
1. DO NOT BEGIN ANY WQI J' W THOO't' HANG RECi4VED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OrtONrS'rRUC'170N are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED. IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBOTT!NG T'T�bPF(IE$ Si1A�.L.BE EPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTaTED { LEIN& Di4 3AGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or nearttiF strgAidCw4k.'. : : � ..
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1° Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
Ch sing a Co on 713 -35 of Florida Statutes. Review the brochure at Vill .: • n Construction Lien Law and
accordance with
ST. " OR s��; � Y OF MIAMI -DADE
/ Qualifier
ST OF OF MI I - DADE
ignature of Owner
Eduardo Mendoza
Print Name
om to nd subscribed before me this day of ,
Signature of Notary Public - State of Florida
SEAL:
Personally known
.. P ELENA A. SADLER
E ..: MY COMMISSION # CC 886583
EXPIRES: December 13, 2003
• Bonded Thru Notary Public Underwriters
uce' •en u ica o
• • • •
Type of Identification Produced:
ure of Contrac
Luis Espinosa
Print Name
om to subscribed before me this
1/
Signature of Notary Public - State of orida
SEAL:
Persona
ELENA A. SADLER
MY COMMISSION # CC 886583
E ' • ES: December 13, 2003
ed Thru No
PERMIT APPLICATION
day of ,
'cation
Type of Identification Produced:
ELECTRICAL
•I'1'I'I:
Minimum Fee
Q'I'1'.
'1'1"1'1•:
Dryer
QTY.
'I' i'I•:
Outlet, Appliance • • • • •
(1'
•
'I'1 IT
Service Repair
Q•I'1'.
A/C Central 1 -3 Ton
Fan
Outlet, Watt• • • • •
• • • 4
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
i\1ECHANICAL
Tl•PI:.
Minimum Fee
QTY.
TYI'E
Condensate Drain
QTY.
TYPE
Generator
()1
'I'VI'I
Refrigeration, Tons
QTY.
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Supply, AC Well
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Temporary Toilet
PLUi\1131NG
TYPE
A/C Condensate
QTY'
'Fyn:
Drains, Roof
QTY
TYPE
Miscellaneous Fixture
QTY
'I'YP1':
Soakage Pit
Q'I'
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinlder Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
, Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
• •
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
.. .. • • • .. ..
• • • • • • • • •
• • • ..• •
• • • .. •
T H ERMIT APPLICATION
•••
.••
INSTRUCTIONS: Please indicate the type of work being performed and.4u&ntily(ids);iiftl :pa, below.
••• ••
•
RECEIVED AND REVIEWED BY: DATE:
SECTION
BY r '• --
DAT
Zonin:
/ 6 `J
6d; 0 — �
Electrical
m�ff g
/ - .'Z j
Mechanical
/
Plumbin:
rt _
Fire
Public Works
Structural
111WALVMH211703
Building Official
rEr.
Page 4
OFFICE USE ONLY
S I
multi - family)
•••
❑ OWNER - BUILDER FORM •••
(Attach)
•
.. ... •
❑ FIRE DEPARTMENT • • • •
APPROVAL (Comntejiiaj (. •
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
• •• •• • • • •• ••
• • • • • • • • • •
• • • ••• • • •
• • • • • • • • • • • • •
•••• • ••••••• •
•
•
CHECKLIST
• •'O PRUOF OF OWNERSHIP
(Attach)
• • • • ••
• ▪ E],H • tS.tDERM APPROVAL
•
• • . (.SiC / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
S
(¢.01 /sq.ft.)
$
$ 1430,
$ 3oo
J
$ IL,5
$ 330 (¢.005 / sq.ft.)
$4. D
( x .6 1000
0)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
I'ERNIIT FEES
TOTAL $13 OD
REVIEWED AND PREPARED BY: DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com