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304 NE 99 St (10)Issue Date: 5/30/2006 Owner's Name: JOHN FORBES Permit Type: Plumbing - Residential Work Classification: Pool - Private Job Address: 304 99 Street NE Miami Shores Village, FL 33138 Contractor(s) ESSIG POOLS INC Phone 305 - 949 -0000 Primary Contractor Yes Comments: PVC PIPING Additional Information Type of Work: SWIMMING POOL Additional Info: Classification: Residential Type of Piping: PVC Bond Return : 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. Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $160.00 $3.00 $4.00 $167.80 Invoice Number PL - 5 - 06 - 25005 Total: Amt Due $167.80 Ci!G 4=k-.93x: [ I Amt Paid Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/18/2006 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL -5 -06 -1345 Phone: (305)757 -7750 1132060135600 Lot: PB: Total Square Feet: 0 Total Valuation: $ 600.00 Required Inspections Final NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. BUILDING IRV IE Permit No. DI-0e) 1 3 5 PERMIT APPLICATION Al f aster Permit No. - I� 9 FBC 2004 Permit Type (circle): Building — Owner's Name (Fee Simple Titleholder) Y 1 n ( ba S Phone #S ' I Owner's Address , )ti NIL qq. Cit Mi a, earl P State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Villa e County Miami -Da e Zip J / 3 V FOLIO / PARCEL # BY: Electrical Is Building Historically Designated YES NO I f Contractor's Company Name E Contractor's Address ( RC) N I[ (sr s7 City n( frtjAr)(- State 42 Qualifier Name A State Certificate or Registration No. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Type of Work: ['Addition DAlteration Describe Work: C p ew Mechanical Roofing 1 CD Zip 33/3g Phone # Phone # 3 °S % 7 g 00 c U Zip 33/ L Phone #�-t" �� cy'o cm:yU Certificate of Competency No. Architect/En ineer's Name if applicable) Keno _ � { / / J � 1 " U O P:3 g' (' pp ) � � 7 7`� ✓ Phone # '�" 2 Value of Work For this Permit $ ( 0 D Square / Linear Footage Of Work: ❑ Repair/Replace ❑ Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /6 CCF $ ©. ( O CO /CC Notary $ Training/Education Fee $ 0.20 . Technology Fee $ i • 00 Scanning $3 .00 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 1(0 .■° 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 exceedi g $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure ill be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice o ommencem -nt must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issue . In the j sence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature v 1 Signa r ✓ Owner or Agent Contractor The foregoing instrument was acknowledged before me this 1,- The foregoing instrument cknowledged before me this / Zi day of )'j'f yt/L , 20a(- by , day of l`, , 20' , by who is perso known to me who has produced 6,i• "As identifica ' a y and who d' ake an oath. d t f NOTARY PUBLIC: � No SHERI�j NOTARY PUBLIC MY comm. ex,, May °f F/or,d ' �� wi . �� t� .� 1 2 0 01 SiPrirgn: f My Commission Expires: who is perso y knowp-tb me or who has produced as i en i ic.tion My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning ec Inspection Date: 10/10/2006 Inspector: Devaney, Michael Owner: FORBES, JOHN Job Address: 304 99 Street NE Miami Shores Village, FL 33138- Project: <NONE> Building Department Comments Friday, October 6, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 OCT 11406 Contractor: SHINE MAINTENANCE ELECTRICAL Block: Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number (305)757 -7750 Parcel Number 1132060135600 Lot: Phone: 305 - 269 -1151 Page 2 of 2 Passed Inspector Comments / /0 fir l Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until ec Inspection Date: 10/10/2006 Inspector: Devaney, Michael Owner: FORBES, JOHN Job Address: 304 99 Street NE Miami Shores Village, FL 33138- Project: <NONE> Building Department Comments Friday, October 6, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 OCT 11406 Contractor: SHINE MAINTENANCE ELECTRICAL Block: Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number (305)757 -7750 Parcel Number 1132060135600 Lot: Phone: 305 - 269 -1151 Page 2 of 2 #t« Inspection Date: 06/26/2006 Inspector: Devaney, Michael Owner: FORBES, JOHN Job Address: 304 99 Street NE Project: <NONE> Friday, June 23, 2006 Y: :::i:: {i... i Miami Shores Village, FL 33138- Contractor: SHINE MAINTENANCE ELECTRICAL Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Electrical - Residential Inspection Type: Bonding Work Classification: Pool - Private Phone Number (305)757 -7750 Parcel Number 1132060135600 Lot: Phone: 305 - 269 -1151 Page 2 of 2 Passed Inspector Comments 0 .�� X6Pet,'I ',t- , , l' j"- ,el-eC Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until #t« Inspection Date: 06/26/2006 Inspector: Devaney, Michael Owner: FORBES, JOHN Job Address: 304 99 Street NE Project: <NONE> Friday, June 23, 2006 Y: :::i:: {i... i Miami Shores Village, FL 33138- Contractor: SHINE MAINTENANCE ELECTRICAL Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Electrical - Residential Inspection Type: Bonding Work Classification: Pool - Private Phone Number (305)757 -7750 Parcel Number 1132060135600 Lot: Phone: 305 - 269 -1151 Page 2 of 2 BUILDING PERMIT APPLICATION B FBC 2004 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address . 1 qcI S T r� Cit ('n State 1� Tenant/Lessee Name Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 T earlEiVg 756.8972 Job Address (where the work is being done)30A NVL 1 Qualifier Name r F. 1 Sl . State Certificate or Registration No. I, l OOQ( S / t' j Permit No. 1-� Master Permit No:F 1 23 9 Plumbing Mechanical Roofing 'CO S Phone # 3 ? 7) SO Zip Phone # City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO Zip 33/ 39 Contractor's Company Name S trago-te,naiv Phone # 3 c2[0 US S I Contractor's Address 93 7S ` ' l — ? . T` 44 IOZ(-Y City nnbad State 1 Zip 33/ 2 (-0 Phone # 30S �ly '/ / SI Certificate of Competency No. Architect/Engineer's Name (if applicable) Weinni:Th f e t 7 l ' Phone # 3 2 ? f ' o ' 3 Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration iew ❑ Repair/Replace ❑ Demolition Describe Work: -e L( L 1 (a-i ho 0,2-- ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * // * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ ' �` a ' � CCF $ 0 ,1� J CO /CC Notary $ Training/Education Fee $ 0.2.0 . Technology Fee $ 5.c=:%5 • Scanning StS CO - Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 234.1'3 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. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this____ day of , 20 , by , day of , 20 , by who is personally known to me or who has produced NOTARY PUBLIC: As identification and who did take an oath. who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: **************************************************************************** *** * * * * * * * * ** * * * ***** ** ** * * * *** APPLICATION APPROVED BY: (Revised 02/08/06) Aee.Yeelli ans Examiner Engineer Zoning BUILDING PERMIT APPLICATIO FBC 2004 Permit Type (circle): Building City it t 4 - i J J! e "4 Tenant/Lessee Name Bond $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 State Job Address (where the work is being done) 30 'i At L C1 7 / / Value of Work For this Permit $ Square / Linear Footage Of Work: Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ Permit No. E LOS Master Permit Nos o _ 1339 Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) �� � v� i 1O S Phone # 3D Owner's Address � L( NE / `"� -C Zip .33 9 Phone # City Miami Shores Village County Miami -Dade Zip 33/ 3 0 FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name S h l.(l,t. Mct,;,n -I-tot-Loa Phone # " a Ci Contractor's Address - 732_ 3 Aft...) S? S City L(4 I,A State ( Zip 331 T--a Qualifier Name r' . (✓ S ( Phone # S .1,0 s/ State Certificate or Registration No. L C.-0 0 L (S /'1 Certificate of Competency No. Architect/Engineer's Name (if applicable) 1 ener 4` ' ' T <<'/T Phone # 3 - 1-) ' C� kc Type of Work: ❑Addition // ['Alteration ['New 1:1 Repair/Replace ['Demolition Describe Work: ,--r / (' �{ / ,) Q b ,[— ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ See Reverse side -4 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "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. - 7 Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Signature Contractor The foregoing instrument was acknowledged before me this day of l/ , 20,1°, by who is person known.to ie or who has pvqlfiued 1 No HE WAN as identification an w fiCYMWi*c R tr N comm . exp of F lunat, dln , N n. M ! 42OQ , ©D 2405 NOTARY PUBLIC: f Sign`. Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Issue Date: 5/30/2006 Owner's Name: JOHN FORBES Permit Type: Electrical - Residential Work Classification: Pool - Private Job Address: 304 99 Street NE Comments: ELECTRICAL HOOK UP Additional Information Miami Shores Village, FL 33138 Contractor(s) Phone Primary Contractor SHINE MAINTENANCE ELECTRICAI 305 - 269 -1151 Yes Type of Work: SWIMMING POOL Additional Info: Classification: Residential 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. Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $225.00 $3.00 $5.63 $234.43 Invoice Number EL - 5 - 06 - 25006 Total: Amt Due Amt Paid $234.43 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/18/2006 Parcel #: Block: Section: Light Niche Bonding Alarms Final Permit Status: APPROVED Permit Number: EL -5 -06 -1346 Phone: (305)757 -7750 1132060135600 Lot: PB: Total Square Feet: Total Valuation: Required Inspections 0 $ 600.00 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Ils l7 Inspection Date: 06/27/2006 Inspector: Devaney, Michael Owner: FORBES, JOHN Job Address: 304 99 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: SHINE MAINTENANCE ELECTRICAL Building Department Comments Monday, June 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: JUN 2 7 END t dll . ..t Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Pool - Private Phone Number (305)757 -7750 Parcel Number 1.132060135600 Lot: Phone: 305 - 269 -1151 Page 1 of 2 Passed Inspector Comments , � 6 re"/ ' a7` Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Ils l7 Inspection Date: 06/27/2006 Inspector: Devaney, Michael Owner: FORBES, JOHN Job Address: 304 99 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: SHINE MAINTENANCE ELECTRICAL Building Department Comments Monday, June 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: JUN 2 7 END t dll . ..t Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Pool - Private Phone Number (305)757 -7750 Parcel Number 1.132060135600 Lot: Phone: 305 - 269 -1151 Page 1 of 2 Inspection Date: 06/27/2006 Inspector: Devaney, Michael Owner: FORBES, JOHN Job Address: 304 99 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SHINE MAINTENANCE ELECTRICAL Building Department Comments Monday, June 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 - 2204 Fax: (305)756 - 8972 Block: Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Pool - Private Phone Number (305)757 -7750 Parcel Number 1132060135600 Lot: Phone: 305 - 269 -1151 Page 2 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 06/27/2006 Inspector: Devaney, Michael Owner: FORBES, JOHN Job Address: 304 99 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SHINE MAINTENANCE ELECTRICAL Building Department Comments Monday, June 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 - 2204 Fax: (305)756 - 8972 Block: Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Pool - Private Phone Number (305)757 -7750 Parcel Number 1132060135600 Lot: Phone: 305 - 269 -1151 Page 2 of 2 1 31°I Passed I ' s -- I • r , mments ,. . Failed Correction Needed Re- Inspection Fee ($75) 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 Mnspection Number: INSP- 18013 Permit Number: PL-5-06-1345 Inspection Date: 10/02/2006 Da 0 3 7156 Inspector: Levrack, James Owner: FORBES, JOHN t•ik• Job Address: 304 99 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: ESSIG POOLS INC Building Department Comments Friday, September 29, 2006 Block: Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number (305)757 -7750 Parcel Number 1132060135600 Lot: Phone: 305 - 949 -0000 Page 2 of 2 (i 1 Passed Irisp 1, c '' r omments (j! i Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Owner: ...... ............................... Inspection Date: 06/26/2006 Inspector: Levrack, James Job Address: Project: Contractor: <NONE> Friday, June 23, 2006 FORBES, JOHN 304 99 Street NE Miami Shores Village, FL 33138- ESSIG POOLS INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 - 2204 Fax: (305)756 - 8972 Block: JUN 2 7 ENTD Permit Type: Plumbing - Residential Inspection Type: Main Drain Work Classification: Pool - Private Phone Number (305)757 -7750 Parcel Number 1132060135600 Lot: Phone: 305 - 949 -0000 Page 2of2 POOL PIPING Ins ec )(i o 0omments a Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Inspection Date: 06/26/2006 Inspector: Levrack, James Owner: FORBES, JOHN Job Address: 304 99 Street NE Project: <NONE> Friday, June 23, 2006 Miami Shores Village, FL 33138- Contractor: ESSIG POOLS INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: JUN 2 7 ENT Permit Type: Plumbing - Residential Inspection Type: Plumbing Work Classification: Pool - Private Phone Number (305)757 -7750 Parcel Number 1132060135600 Lot: Phone: 305 - 949 -0000 Page 2 of 2 Inspection Date: 10/17/2006 Inspector: Grande, Claudio Owner: FORBES, JOHN Job Address: 304 99 Street NE Project: <NONE> Contractor: ESSIG POOLS INC Building Department Comments Monday, October 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 OCT 18 2006 Miami Shores Village, FL 33138- Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Block: Phone Number (305)757 -7750 Parcel Number 1132060135600 Lot: Phone: 305 - 949 -0000 Page 1 of 2 Passed / 0 Inspector Comments Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 10/17/2006 Inspector: Grande, Claudio Owner: FORBES, JOHN Job Address: 304 99 Street NE Project: <NONE> Contractor: ESSIG POOLS INC Building Department Comments Monday, October 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 OCT 18 2006 Miami Shores Village, FL 33138- Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Block: Phone Number (305)757 -7750 Parcel Number 1132060135600 Lot: Phone: 305 - 949 -0000 Page 1 of 2 ------- .a --r --------- -- - - --- POOL BARRIER j Passed ✓ Inspector Comments ' . V Failed Correction Needed Re- Inspection Fee ($75) 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 Inspection Number: INSP -17995 Permit Number: BPP -5 -06 -1339 Inspection Date: 08/28/2006 Inspector: Grande, Claudio Owner: FORBES, JOHN Job Address: 304 99 Street NE Project: <NONE> Contractor: ESSIG POOLS INC Monday, August 28, 2006 Miami Shores Village, FL 33138- 629 RECO Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Fence Work Classification: New Block: Phone Number (305)757 -7750 Parcel Number 1132060135600 Lot: Phone: 305 - 949 -0000 Page 1 of 2 Inspection Date: 06/28/2006 Inspector: Grande, Claudio Owner: FORBES, JOHN Job Address: 304 99 Street NE Project: <NONE> Tuesday, June 27, 2006 Miami Shores Village, FL 33138- Contractor: ESSIG POOLS INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ?`er Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Wall Steel Work Classification: New Block: Phone Number (305)757 -7750 Parcel Number 1132060135600 Lot: Phone: 305 - 949 -0000 Page 2 of 2 Passed Gt Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Inspection Date: 06/28/2006 Inspector: Grande, Claudio Owner: FORBES, JOHN Job Address: 304 99 Street NE Project: <NONE> Tuesday, June 27, 2006 Miami Shores Village, FL 33138- Contractor: ESSIG POOLS INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ?`er Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Wall Steel Work Classification: New Block: Phone Number (305)757 -7750 Parcel Number 1132060135600 Lot: Phone: 305 - 949 -0000 Page 2 of 2 m OG Miami Shores Village sIZO T nl *( Building Department BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address t / . E 9 City in Th' i 17)Tl c State v 1 Tenant/Lessee Name Phone # Job Address (where the work is being done) aot-i NE qq_ City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name C.— 9 e (., Phone # 3Q c C Contractor's Address (ke() A / ( ./ S7 City 1\ l IY) L it l )./( State ( Qualifier Name [ f 1 _ (;S r State Certificate or Registration No. (�1 g l 'r-,QcCic Architect/Engineer's Name (if applicable) Value of Work For this Permit $ \1 0 OD Type of Work: ['Addition ['Alteration Describe Work: 1 O) 1 „C Cor- rrC_.+Gi I S 4* 124"7 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 B Y� r Electrical Plumbing Mechanical Roofing hn QrJ2 S Phone # 3 " S1` ) C Certificate of Competency No. n! re f / Phone # Square / Linear Footage Of Work: Permit No �`PPjJ — 339 Master Permit No. Zip 3 /3W Zip 33/? Zip .3/;2 Phone #3C �� / K1 QOC() ❑ Repair/Replace El Demolition ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** �� Submittal Fee $ • « Permit Fee $ g CCF $ i 0 . D 00 CO /CC 1 E0 . Notary $ Training/Education Fee $ 3 , Technology Fee $ 1 3 • 5cD Scanning $ 3 00 Radon $ 2 ' 1 - 7 DPBR $ 2 • I - 7 Zoning $ Bond $ 30C) • 00 - Code Enforcement $ Double Fee $ S Review. �• C 7 Total Fee Now Due $ C 8 7-..1 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 bro re 'ill be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of om - ence nt must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is -i sue'. n the i Bence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature a 1 1% !/o Owner or Agent day of who is pers c_ The foregoing instrument was acknowledged before me this 2(V& ly kn fO me or who has produced As identi tion and who did take an oath. NOTARY PUBLIC: Sign: Print: (Revised 02/08/06) My Commission Expires: APPLICATION APPROVED BY: ef/NETH SHERMAN Y Comm. exp. w rs orida Gilt. N. OD 12007 Sign The foregoing in day of who is persona Contractor knowledged Before me this ( , known to me or who has produced as identificatio . nd who did take an oath. NOTARY PUBLIC: Y Comm, exp. a Sign: Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** a( )-(6/00 S/A5 i TH SHERMAN lOrlda . 'o. OD 18 007 Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED � COPY n MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION S- -' PERMIT NO P "� — I 339 TAX FOLIO NO. 1 1 6 2 dC0I35S� STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: 2. Description of improvement: 3. Owner(s) name and address: 4. Contractor's name and address: Signature of Owner Print Owner's Name JO Sworn to and subscribed before Notary Publi Print Notary's My commission e '23.3' -52 PAGE 4 10/04 res: h. S. Interest in property: Name and address of fee simple titleholder: E33(C l `gOC N t (' l c . n(. I77 Li4 `)u, 1 33/ 2_ 5. Surety: (Payment bond required by owner from contractor, if any Name and address: STATE OF FLOR COUNTY CF DADE 1 HFRFAY r;FRTIFY that this is to con of of the Amount of bond $ original filed i hi' o ; ° a _ dry AD20_ a 6. Lender's name and address: WITNESS my h.nd a ic' ;I Seat. HARVE i' , CL R o rcuit end County Courts 7. Persons within the state of Florida designated by O up provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the 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 diff ; ent da - is •ecified) day of I H SHEHMAN o ary Public, State of Fiorid: , • p. ay 4, es omrn. No 00 1824`' s P • 111111111111111111111111111111111111111111111 CFN 2006Ro5627o 1 OR Bk 24555 Ps 1863► (fps) RECORDED 05/23/2006 10:37:04 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY► FLORIDA LAST F'AGE U.G. om notices or other documents may be served as Prepared byV s 1..COO Address: I ()o 0 1\G 1St LT M h')1A 1, 492- Issue Date: 5/30/2006 Owner's Name: JOHN FORBES Permit Type: Pools/Whirlpools /Hot Tubs Work Classification: New Job Address: 304 99 Street NE Miami Shores Village, FL 33138- Expires: 11/18/2006 Contractor(s) ESSIG POOLS INC Phone 305 - 949 -0000 Primary Contractor Yes Comments: NEW SWIMMING POOL, SPA AND DECK Additional Information Type of Work: Swimming Pool Additional Info: SPA AND DECK Classification: Residential Occupancy: Private Bond Return : 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 Taws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Bond Type - Contractors Bond CCF CO /CC Fee DBPR Surcharge Education Surcharge Permit Fee Plan Review Fee (Engineer) Radon Surcharge Scanning Fee Submittal Fee Technology Fee Total: Amount $300.00 $10.80 $150.00 $2.17 $3.60 $540.00 $50.00 $2.17 $30.00 ($250.00) $13.50 $852.24 Building Department File Copy Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Parcel #: Block: Section: Permit Status: APPROVED Permit Number: BPP -5 -06 -1339 Phone: (305)757 -7750 1132060135600 Lot: PB: Total Square Feet: Total Valuation: Required Inspections 433 $ 18,000.00 Fence Wall Steel Pool Deck Final Invoice Number Amt Due BPP - 5 - 06 - 24922 $852.24 Total: 10 0 2 pAio c4 c13C Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at 3�ti ►Je. 1 - s 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) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved safty cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equiped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self- closing, self - latching devices with release mechanisms placed no lower than 54" above the floor or deck; I understand that not h.. ving one of the above installed at the time of final inspection, or when pool is complet- : for contract purposes, will constitute a violation of Chapter 515, F.S. and ill e s : red as committing a misdemeanor of the second degree, punishable by fine . p t 00 - s or up to 60 days in jail as established in Chapter 775, F.S. S N ° ERN 'c, State 1 1 iv ° exp. �ja i F /or�de iv° DI) 182 0 • • BUILDING DEPARTMENT 10050 N.E. SECOND AVE(4I)E • • MIAMI SHORES, FLORIDA 331•J113-2,2: TELEPHONE (305) 795 -2204 FAX (305) 756.897Z• • • "lit AAA OWNER'SfIGNA • • •• • •• •• •• • • • • • • • • • • • • • • • • • • • • • ••• • • • ••••_••• • •• ••• •• • • • • • • • • • ••• •• & DATE G ( OWNER'S NAME (PL s fT 1 i • .•• •• • • • • • • • • • •• • • • • • .• • • • • • •• • • • •• • • • • • • Notary Public, State of Florida N m ex�° Ma of 007 NO. DD 8242 007 Date Miami Shores Village Building and Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as SWIMMING POOL OWNER'S CERTIFICATION 5 • , located at r- 1 7 .N`-{ Legal Owner • ••• • • • • • • • • • • • ... • • • • • • • ••• • • • ••• • • • • • •• • •.. .. • • • • • • • • • • • • •• • • . . . . .. • • • • • • • • • • . • • • • • • • • ... ••• • • •• • • • •• • . • • • • • • • • • . • • • • • ••• • • In accordance with Section 33- 12(f), 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. Note: This certification is to be submitted with a swimming pool permit application in duplicate. � I L LISTED POOL ALARM PART NUMBERS 289 -1 289 -2 289 -3 289 -4 • • • • • • • • • • • • • • .. • ... • ... ••• ♦ ETL Tested To Be In Compliance With Standard for Safety,. - g Code �� V)13 _ 'M 1:10 0� • . . . • • . • . . .• • • • . . . . UL 2017, and Florida Building Commission Requirements, Per ETL Listing Number 3035022 4- Exceeds Operational Requirements of Model Barrier Codes 4- Microprocessor Controlled ♦ Monitors Entry to Pool and Spa Areas 4- Instant On Or 7 Second Delay Models Available + Surface or Flush Mount Models x-15 Second Adult Shunt ♦ Low Battery Alert 4 - Built -in Back -up Battery Capable ♦ May Be Hard Wired To Remote 12 Volt maximum 500 mA Source or To Plug In Power Source. Recessed Applied Voltage Must Not Exceed 15 VDC. Surface Mount The new GRE DOOR ALERT/POOL ALARM was designed as an aid for prevention of an unattended access to a pooVspa area by a small child. Monitoring all doors or windows with CLOSED LOOP magnetic reed switches, the DOOR ALERT/ . POOL ALARM will sound an alarm should anyone too small to manage the adult pass thru feature attempt t access pooVspa area. For maximum protection all moveable openings should be protected in such a manner by the GRI DOOR ALERT/POOL ALARM. to the The 289 -1, 289 -2, 289-3 and 289 -4 can be operated independently with an on -board 9 volt battery or with a 12 volt externally supplied DC power source, in which case the battery will perform a back -up function should the extemally supplied source fail for any reason. Both y pp ed 10'. e fail battery life is a power sources have been designed to maintain a minimum sound pressure level of 85db at approximately 180 days based on no alann soundings during that time lapse. Should the battery voltage drop below 7 volts, a low battery mode will be initiated and the unit will sound 3 beeps approximately every 30 minutes for one to two weeks prior to total battery failure. Battery must be replaced at this time, and the ause failure determined and restored. and all GRI Pooh t so It is suggested that some type of surge protection, such as the GRI CS -1 Current Sensor, be used between the power supply Alarms using external power. NOTE: Unit will function at minimum 5VDC at a very limited sounder volume. failure. This power level is considered total battery DESCRIPTION Recessed DoorAlert/Pool Alarrn 7 Second Delay - Closed Loop Surface Mount DoorAIert/Poo1 Alarm 7 Second Delay - Closed Loop Recessed Door Alert/Pool Alai ur - Instant On - Closed Loop Surface Mount Door Alert /Pool Alarm - Instant On - Closed Loop WARNING: THIS IS NOT A LIFE SAVING DEVICE TOT REE TOLLL -` H F' 7J':Y.1_ `2 ---