BPP-10-40Inspection Number: INSP - 133024
Scheduled Inspection Date: July 21, 2010
Inspector: Bruhn, Norman
Owner: Lam, Seng & Brandee
Job Address: 841 NE 98 Street
Miami Shores, FL
Project: <NONE>
Contractor: DOLPHIN POOLS & SPAS INC
Building Department Comments
REMODELING EXISTING POOL; ADDING A SPA AND
INSTALLTING PAVER DECK.
July 20, 2010
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 -1 -10-40
Permit Type: Pools/Whirlpools /Hot Tubs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number
(786)282 -6555
1132060142490
,,,, X — Phone: (954)927 -6537
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 1 of 17
REMODELING EXISTING POOL; ADDING A SPA AND
INSTALLTING PAVER DECK.
, 7/470
Passed
Inspector Comments
6 6 Q I S ✓ 1^ K v �
8 Q
a`�
�+- e a
, c
,
rn'
1
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
5
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
fr spection Number: INSP- 148680 Permit Number: BPP -1 -10-40 I
Inspection Date: July 15, 2010
Inspector: Dacquisto, David
Owner: Lam, Seng & Brandee
Job Address: 841 NE 98 Street
Project: <NONE>
Miami Shores, FL
Contractor: DOLPHIN POOLS & SPAS INC
Building Department Comments
July 15, 2010
For Inspections please call: (305)762 -4949
Permit Type: Pools/Whirlpools/Hot Tubs
Inspection Type: Survey Final
Work Classification: Addition /Alteration
Phone Number (786)282 -6565
Parcel Number 1132060142490
Phone: (954)927 -6537
Page 1 of 1
37.50'
37.50'
29.40'
25.00'
9.00'
13.50'
13.75' ° o
WOOD FENCE=
MASONRY WA L=
CONCRETE=
MAINTENANCE & DRAINAGE EASEMENT= M & D.E.
MMMMIMMMINMEMIMMININEM
37.50'
8.35'
co 34.55'
11.0'
11.0'
22.65'
29.25'
16.80'
12.00'
9.60'
22.18'
0.20' CL
7.80'
�P 5' C.B.S. WALL o
0 10 (RAM) q z n
o 3
r r o .;, o 1
y
SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATURE
AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT
COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5)
UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC
VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL
RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9)
CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING
INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED
INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY.
BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB PAGE
ABBREVIATIONS:
SWK= SIDEWWLK CBS =CONCRETE BLOCK STRUCTURE, CLF =CHAIN LINK FENCE, PL= PROPERTY LINE, DUE = DRAINAGE UTILITY EASEM ENT, IP =IRON PIPE,
F= FOUND, A/C =AIR CONDITIONER PAD, P /C=PROPERTY CORNER, DFH=DRILLED HOLE, W/F =WOODEN FENCE, RES=RESIDENCE, CL- CLEAR, RB =REBAR,
UE =UTILITY EASEMENT, CONC = CONCRETE SLAB, RN RIGHT OF WAY, DE =DRAINAGE EASEMENT, C/L= CENTER LINE, O =DIAMTER, TYP =TYPICAL,
M= MEASURED, R= RECORDED. ENCR= ENCROACHMENT, COMP= COMPUTER, ASH =ASPHALT, N/D =NAIL & DISC. S =SET, FEE= FINISH FLOOR ELEVATICN,
0 /S= OFFSET, PIP =POWER POLE, OHP =OVERHEAD POWERLINE, WM =WA,TERMETER
ELEVATION BASED ON LOC. # 3250 S.W.
B N -603 -R ELV. 8.11'
TYPE OF SURVEY: BOUNDARY SURVEY
M ;:=1.mi S ore?, Vi
A ?f TOvtED
7ONNG DEPT
SIIRJECT 10 COMPLIANCE WITH i ALL r EDr
STATE ANU l / VN .Y U
SURVEY FOR: BRANDEE LAM, 841 N.E. 98 ST., MIAMI SHORES, FL. 33138.
LEGAL DESCRIPTION: LOTg. 16 & 17
OF MIAMI SHORES SECTION 3
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10
OF THE PUBLIC RECORDS MIAMI-DADE COUNTY, FLORIDA
•• ••• • • • • • ••
LOCATION SKETCH
SCALE: NTS
N.E. 8th STREET
BLOCK
SUBDIVISION
AT PAGE 37
• •
(305) 865 -1200
SINCE 1987
BLANGO SURVEYORS INC.
Engineers • Land Surveyors • Planners • LB # 0007059
555 NORTH SHORE DRIVE
MIAMI BEACH, FL 33141
Emali: blancosurveyorsinc@yahoo.com Fax: (305) 865 - 7810
SUFFIX: L DATE: 9 /11/09 BASE: N/A
COMMUNITY # 120652
NOT VAUD UNLESS EMBOSSED WITH
SURVEYOR'S SEAL
1 HEREBY CERTIFY•aTi
thereon meets the midi t nlc#' equ
adopted by the STA F FFID 4 oard
Surveyors pursuary tc $qc io�I 72, p24
Statutes. •
There are no encroa.h
appearing on the I R br
as shown hereon. 1 C
ans
nt
and
rida
IS " "``NY • • •
REGISME13 tAlni Sttj /E s •
STATE OF FLORIDA #5924
SCALE:
1 " =20'
DWN. BY:
F. Blanco
REVISED:
JOB No
10 -501
REMODELING EXISTING POOL; ADDING A SPA AND
INSTALLTING PAVER DECK.
v1
( ()cc'
Passed
Inspector Comments
.-
J
_5,
r/e doe
svit il
. 1
n
R a
i'
e ,,,
:
• i
R�
�� .
t
CD (eb,/tv
Failed
`�� /' /C)
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP - 147235
Permit Number: BPP -1 -10-40 1
Inspection Date: January 01, 2999
Inspector: Dacquisto, David
Owner: Lam, Seng & Brandee
Job Address: 841 NE 98 Street
Miami Shores, FL
Project: <NONE>
Contractor: DOLPHIN POOLS & SPAS INC
Building Department Comments
June 28, 2010
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: Survey Final
Work Classification: Addition /Alteration
Phone Number (786)282 -6565
Parcel Number 1132060142490
Phone: (954)927 -6537
Page 1 of 1
FLOOD ZONE: X
PANEL: 0306
DWN. BY:
37.50'
101.30' ( R
29.40'
0 ,; •.3.5' CONC. WALK
ABBREVIATIONS:
25.00'
13.50'
13.75'
9.00'
37.50'
E:RED TO ANA SU
co 34.55'
22.65'
16.80'
12.00'
9.60'
22.18'
0.20' CL
7.00'
0.10' CL
SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATURE
AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT
COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5)
UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC
VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL
RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9)
CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING
INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED
INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY.
SWK= SIDEVa,LK, CBS = CONCRETE BLOCK STRUCTURE, CLF =CHAIN LINK FENCE, PL =PROPERTY LINE, DUE = DRAINAGE UTILITY EASEM ENT, IP =IRON PIPE,
F= FOUND A/C =AIR CONDmONER PAD, P/C= PROPERTY CORNER, D/H =DRILLED HOLE, W/F= WOODEN FENCE, RES =RESIDENCE, CL- CLEAR, RB =REBAR,
UE =UTILTY EASEMENT, CONC = CONCRETE SLAB, Rf# RIGHT OF WAY, DE =DRAINAGE EASEMENT, C/L =CENTER LINE, O =DIAMTER, TYP =TYPICAL,
M= MEASURED, R= RECORDED, ENCR = ENCROACHMENT, COMP = COMPUTER, ASH =ASPHALT, N/D =NAIL & DISC, S =SET FEE= FINISH FLOOR ELEVATION,
O /S=OFFSET, P/P= POVIERPOLE, OHP =OVERHEAD POWERLINE. WM= WkTERMETER
WOOD FENCE-
MASONRY WALL=
CONCRETE=
MAINTENANCE & DRAINAGE EASEMENT= M & D.E.
ELEVATION BASED ON LOC. # 3250 S.W.
ABM# N -603 -R ELV. 8.11 TYPE OF SURVEY: BOUNDARY SURVEY
• • • ••• •
• • • • • • • •
• • ••• • • •
•
I.QCATION SKETCH
SCALE: NTS
• •
• •
•
BY DATE
0T `. PI.1ANCE_ WITH ALL FEDERAL
PGULATIONS
N.E. 8th STREET
SURVEY FOR: BRANDEE LAM, 841 N.E. 98 ST., MIAMI SHORES, FL. 33138.
LEGAL DESCRIPTION: LOTh 16 & 17 BLOCK 72
OF MIAMI SHORES SECTION 3 SUBDIVISION
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 37
OF THE PUBLIC RECORDS MIAMI-DADE COUNTY, FLORIDA
SINCE 1987
BLANGO SURVEYORS ING.
Engineers • Land Surveyors • Planners • LB # 0007059
555 NORTH SHORE DRIVE
MIAMI BEACH, FL 33141
(305) 865 -1200 Email: blancosurveyorslnc@yahoo.com Fax: (305) 865 -7810
SUFFIX: L DATE:9/11/09 BASE: N/A
COMMUNITY # 120652
NOT VAUD UNLESS EMBOSSED WITH
SURVEYOR'S SEAL
REVISED:
1 HEREBY CERTIFY That the survey represented
thereon meets the minimum technical requirements
adopted by the STATE OF FLORIDA Board of Land
Surveyors pursuant to Section 472.027 Florida
Statutes.
There are no encroachments, overlaps, easements
appearing on the plat or visible easements other than
as shown hereon.
ADIS N. NUNEZ
REGISTERED LAND SURVEYOR
• •: •e •
REMODELING EXISTING POOL; ADDING A SPA AND
INSTALLTING PAVER DECK.
Inspector Comments
co" la C
S�itcy doe ‘Z._ / i
� fir
1 l
a
to si
�
�1 �'°
mi U C
a „
�•
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Date: January 01, 2999
Inspector: Dacquisto, David
Owner: Lam, Seng & Brandee
Job Address: 841 NE 98 Street
Miami Shores, FL
Project <NONE>
Contractor: DOLPHIN POOLS & SPAS INC
Building Department Comments
June 28, 2010
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
i nspection Number: INSP - 147235
Permit Number: BPP -1 -10-40 1
Permit Type: PoolslWhirlpools/Hot Tubs
Inspection Type: Survey Final
Work Classification: Addition /Alteration
Phone Number (786)282 -6565
Parcel Number 1132060142490
Phone: (954)927 -6537
Page 1 of 1
= r
NOT VALID UNLESS EMBOSSED WITH
SURVEYOR'S SEAL
REVISED:
37.50'
101.30' (R) 101.60' (M
29.40'
13.75' °c
9.00'
37.50'
8.35'
34.55'
101.49' (R &M
29.25'
12.00'
9.60'
22.18'
0.20' CL
7.00'
0.10' CL
ABBREVIATIONS:
SWK= SIDEW',LK CBS =CONCRETE BLOCK STRUCTURE, CLF=CHAIN LINKFENCE, PL= PROPERTY LINE, DUE =DRAINAGE UTILnY EASEMENT, IP =IRON PIPE,
F= FOUND, A/C =AIR CONDmONER PAD, P/C =PROPERTY CORNER. DIH =DRILLED HOLE, W/F= VjOODEN FENCE, RES= RESIDENCE, CL- CLEAR, RB =REBAR,
UE= UTILITY EASEMENT, CONC =CONCRETE SLAB, RAAbRIGHT OF WAY, DE =DRAINAGE EASEMENT, C/L= CENTER LINE, 0 =DIAMTER, TYP =TYPICAL,
M= MEASURED, R= RECORDED, ENCR = ENCROACHMENT, COMP = COMPUTER, ASH= ASPHALT, N/D =NAIL & DISC, S =SET, FEE= FINISH FLOOR ELEVATION,
0 /S= OFFSET, P/P =POWER POLE, OHP =OVERHEAD POWERLINE, VMA =WATER METER
WOOD FENCE=
MASONRY M L =1 1 1 1 1 1 J 1 1 1 ELEVATION BASED ON LOC. # 3250 S.W.
CONCRETE= ' - :•• :;.•.•• }•.••V;.•. ItB N -603 —R ELV 8.11'
MAINTENANCE & DRAINAGE EASEMENT= M & D.E. TYPE OF SURVEY: BOUNDARY SURVEY
SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATURE
AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT
COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5)
UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC
VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL
RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9)
CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING
INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED
INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY.
• .. •..
•
. . • • • • ....
DATE
r,T O C(.fti;P1.1AJCE WITH ALL FEDERAL
Hl_iL.!1S AND RECULATIONS
LEGAL DESCRIPTION: LOTh 16 & 17
OF MIAMI SHORES SECTION 3
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10
OF THE PUBLIC RECORDS MIAMI—DADE COUNTY, FLORIDA
N.E. 8th STREET
SURVEY FOR: BRANDEE LAM, 841. N.E. 98 ST., MIAMI SHORES, FL. 33138.
BLOCK
SUBDIVISION
AT PAGE 37
SINCE 1987
BLANGO SURVEYORS ING.
Engineers • Land Surveyors • Planners • LB # 0007059
555 NORTH SHORE DRIVE
MIAMI BEACH, FL 33141
(305) 865 -1200 Email: biancosurveyorsfnc @ yahoa.co Fax: (305) 865 -7810
SUFFIX: L DATE 9/ BASE:N /A
COMMUNITY# 120652
1. HEREBY CERTIFY That the survey represented
thereon meets the minimum technical requirements
adopted by the STATE OF FLORIDA Board of Land
Surveyors pursuant to Section 472.027 Florida
Statutes.
There are no encroachments, overlaps, easements
appearing on the plat or visible easements other than
as shown hereon.
ADIS N. NUNEZ
REGISTERED LAND SURVEYOR
• F FLORIDA #5924
FLOOD ZONE: g
PANEL: 0306
SCALE:
DWN. BY:
F. Blanco
Coverage: Not more than 20% of the area of a rear yard, except that any structure that is
part of a swimming pool installation and that does not exceed 3 ft. in height need not be
included in computing said coverage.
and
Sec 521 (b)
(2) Single-family uses.
a. Driveway /parking spaces on property. For all single - family uses, driveways and
access aisles shall be a minimum of 8' wide and a maximum of 20' wide. All driveway
areas, must be a minimum of 10' from adjoining property lines at all points. When located
in the rear and serviced from an alley, access aisles shall not be wider than 12' .All aisles
must be 15' from an intersection and must meet setbacks as required in this division.
Circular drives may be up to 12' wide. All paved areas in the front yard must not occupy
more than 50 percent of the front yard (pervious area). All driveways on the property that
do not connect to a garage or carport must be setback a minimum of 5' from any building.
Parking areas in the front and rear yard setbacks must be a minimum of 10' from each
side yard property line.
The applicant's rear yard is approximately 9800 square feet in area. The area of the rear
yard currently covered by structures, buildings and pavement, is approximately 1612
square feet, 16 %. The proposed parking area covers an additional 940 square feet 10% of
the rear yard bringing the total coverage to approximately 26 %. The maximum coverage
allowed in the rear yard is 20% therefore the proposal exceeds the allowable rear yard
coverage by approximately 6 % or 580 square feet.
The proposed driveway is 26 feet in width. The zoning code limits driveway connections
to alleys to 12 feet in width.
The parking area is 37 feet in width. The maximum allowable width for a driveway is 20
feet.
The proposal is not consistent with the technical provisions of the Miami -Dade Zoning
Code.
The board may consider the proposal as part of site plan approval.
Recommendation
Planning and Zoning staff recommends DENIAL of the site plan with a finding that it is not
consistent with the technical provisions of the Code. However, should the Planning Board find
that the proposal merits approval, the Planning Board must make a fmding that the proposed
improvements are harmonious with the community, as required in Section 523 of the Code and,
in that regard, may add further conditions or delete or modify staff recommended conditions,
Page 2 of 3
Project Address
841 98 Street
Miami Shores, FL
1132060142490
Block: Lot:
Seng & Brandee Lam
Owner Information
Valuation:
Total Sq Feet:
Seng & Brandee Lam
Fees Due
Bond Type - Contractors Bond
CCF
CO /CC Fee
Education Surcharge
Permit Fee
Plan Review Fee (Engineer)
Plan Review Fee (Engineer)
Scanning Fee
Submittal Fee
Submittal Reversal Fee
Technology Fee
Total:
Amount
$300.00
$19.20
$150.00
$6.40
$960.00
$60.00
$60.00
$18.00
$50.00
($50.00)
$25.60
$1,599.20
Building Department Copy
March 01, 2010
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
Address
Expiration: 08/24/2010
Parcel Number
841 98 Street
MIAMI SHORES FL 33138 -2532
Contractor(s)
DOLPHIN POOLS & SPAS INC
Phone Cell Phone
(954)927 -6537 (754)244 -7727
Phone
(786)282 -6565
Approved: No
Comments: DECCK MUST BE SET BACK NOT LESS THAN 5 FEET FROM REAR LOT LINE.
Date Approved: : No
Date Denied: 1/13/2010
Type of Work: Swimming Pool
Additional Info:
Classification: Residential
Occupancy: Private
Bond Retum :
Invoice # Invoice Total Amt Paid Amt Due
BPP -1 -10 -36798
Bond #: 1930
$1,599.20 $1,599.20 $0.00
Applicant
Cell
For Inspections please call:
(305)762 -4949
Available Inspections:
Wall Steel
Inspection Type:
Fence
Final
Pool Deck
2
PERMIT # bW) O - t\®
CONTRACTOR: DupFtLaRr LS * SAS
SUBMITTAL DATE: - 5RN
ADDRESS: 51.-'11 r cj g s
NAME: SEr t
RESUBMITAL DATES:
PROJECT TYPE: (p. e(n61 aL L -4 AM SPA
a
ZONING
Q�
STRUCTURAL
EL TR
LU
MECHANICAL
FIRE
IMPACT FEES
HRS /DERM
)- I 0
Noc
®
fr) 10
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle):
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City
Qualifier Name
State Certificate or Registration No. CRC
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: DAddition ['Alteration
Descripe Work: Re-A - e. ` e ®r
dlS'ok e-
*********** ****:x********* ****a: ** ** * **F
r bmittal Fee $ cJIJ °°° Permit Fee $
otary $ Training/Education Fee $
Scanning
Bond $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Roofing
Owner's Name (Fee Si le Titleholder) y Q L&M Phone # 7 KC! Ar GS
Owner's Address g 9 NE 7 0 4-1. 9-rD�
9 _ "1
City t' 4VL 4
t 0 State F L Zip 3 i 3b
Tenant/Lessee Name Phone #
(where being done) 1 /',/u 9D)f S , Job Address where the work is bein done i/ �
o Peo JscL(, "
State
Radon $
SO ikl
Structural Review. $ 6de 63 ' f b0,r8 a Alt O , oa
County Miami -Dade
NO
30 Code Enforcement $
Permit No.
Master Permit No. P9 \0M
Zip
JAN 0 8 RECD ,
0 721 (fro
Phone # 2r9 7&r ? /
Zip ?5�•,=.2Z
Phone# /'a e "0 2 - 2 -4.r ,7
Certificate of Competency No.
Phone #
Square /Linear footage Of Work:
DPBR $
s ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ �� CO /CC
Technology Fee $ _ T.RGO
Zoning $
Double Fee $
Total Fee Now Due $ t a44 YoC0
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 einspection fee will be charged.
Signature (/ Signature
- Owner or Agent Contractor
The foregoing instrument was acknowledged before me this . 3 The foregoing instrument was acknowledged before me this
day oG titer l ; 200_1, by , day of t , 20 IQ, by ( D D ' ,
who is personally known to me or who has produced �ri�e,-- who is personally known to me or who has produced 1L D
µt1,11l!
Ale . As identification and who did take an oath. as identification an �3 o dld't i oath.
NOTARY PUBLIC: NOTARY PUB IC: � ` c i � � a y ' ' a '' •.'9���.,
® ,
c
cm =
41 .111 110"
* * * * * * * * * * * ** :************************************ * * * * * * * * * * * * * * * * * * * * * * * * * *** ****** * * *** * * *****************
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 07/10/07)
VERONICA R. BLACK
Notary State of f 2010
" �'o;= Commission t DD 518491
s ,'.•• Assn.
Sign:
Print
My Commission Expires:
' )26. 1 -1 - A /td strod. Plans Examiner
Engineer
Zoning
as CERTIFIED wider fi spirovin on of ` ch 489
sapi ra ton : AUG,' ;all, "28 -1.0 _ 8 07150125
SCOPES OF BUSINESS OR TRADE:
1- CERTIFIED POOL /SPA CONTRACTOR
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06
10 -12- 2009
ALEX SINK STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS° COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION id W * *
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensa't on
EFFECTIVE DATE: 10/12/2009 EXPIRATION DATE: 10/12/2011
PERSON: BLACK DAVID
FEIN: 651126630
BUSINESS NAME AND ADDRESS:
DOLPHIN POOLS & SPAS INC
143S GRANT $T
HOLLYWOOD FL 33020
IMPORTANT: Pursuant to Chapter 440 05414 F.S., as officer of a corporation who elects exemption from this chapter by filing a certificate of elm tiom a»der this
sectinn may oat recover benefits or compensation under this chapter. Pursuant to Chapter 440.0002), F.S., Cort'.ticaios of election to be exempt... app i only, within the
scope of the business or crude listed on the notice of election to be exempt. Pursuant to Chapter 440.05113). F.3., Notices of election to be exempt red iAsiticates of
election to be exempt shall he sobiecl to revocation it, at any time alter the fling of roe notice or the Mumma of the certificate, the person namali 80 entice ar
certificate no longer meets the requirements of this section for issuance of a cerificate The department shall revoke a certificate at eny time for htituro - m4 the person
named on the certificate to meet the requirements of this section,
f UES? t1NS? (8501 413 -1609
BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S Andrews Ave., Fire, A- �_ E1. t a 1L : .*
issC 1 i it , 40 — a ROUGH SE 30, 2010
DBA:
Business Name:
Owner Name:
Business Location:
Business Phone:
Rooms
Number of Machines
1 Tax Amount Transfer Fee
$ 27.00
DOLPHIN POOLS & SPAS INC
BLACK DAVID A
1435 GRANT ST
HOLLYWOOD 33020
NSF Fee
1 .�
THIS BECOMES A TAX RECEIPT
WHEN VAUDATED
Mailing Address:
DOLPHIN POOLS & SPAS INC
BLACK DAVID A
1435 GRANT ST
HOLLYWOOD FL 33020
Seat* Employes*
2 UNITS
For Vending Business Only
Penalty
Receipt # 188 - 0000776
Business Type:
POOL/SPA CONTRACTOR
Bueitnass Opened:
State/County /Ceil/Reg:
Exemption Code:
PAID 07/24/09 7704669.0001 27.00
2009 a 2010
Machine*
Vend
10/29/G1
CPC 057340
NON EXEMPT
Professionals
1
Prior years Collection Cost r Total Paid
Ls 27.00
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
This tax is levied for the privilege of doing business within Broward County
and is non - regulatory in nature. You must meet all County and/or municipality
planning and zoning requirements. This Business Tax Receipt must be
transferred when the business is sold, business name has changed or you
have moved the business Iocatlon. This receipt does not indicate that the
business is legal or that it is in compliance with State or local laws and
regulations.
9
1
‚PC
Dec II :Is 10:42a
Air 1
PRODUCER
NS PN'N
0
l'qVi)M14#3 L
305
. _
COVERAGES
ANY REOLAP.EVENT. 'TERM OR t.0 7i V,: OF
AN' E !NS'.1RA14CE AFF(t-Prie Y
4 •'‘C; Gja T LaurS SHOWN MAY II`
, rt.gt ADD
pise5, SyRANCE
GENERAL LIM:NI-ITV
,
!d CONMEROIAL GENtEAL LIASILITv
1 CCUR
'tJ E S *703
M Stf,1 331
Frtoen, f3:15 44'1 2791
Roy*? T r Sidtriree Agent: *i
GEM ak•GRFGAre AFFUES PI?
•
_ PROJECT LX:
LIAIMUTY
ANN'
AL. f.;' A JrDS
HRED 4=5
NCIN 4 AUTOS
A4. ro
ca Lis LiaisAELLA LAAILJTY
ODOUR SLAV:, MACE
. DEDUC
RETEN
WCRK tit:4 AND
EMPLOYERS LIM/WIT
Y t tR , .-.1prop • pimNev. axE.7.1*TriE
fderi,s•egt MEMBER E:C.:L4.10EC
1 r r44
1 t s tic4erii,e urtief
PRcvistems boow
e
• 723CR,T.ON Cv- OPERATIONS ;...00ATtONS r
C A
CERTIFICATE HOLtiER
SHC)FeiS iiiLLAGE
SJILDINiS )EpATME
1501.IE 2 ST
VAMI Sr CAE'S- Ft. '.:113S
itadt t ea*
003 noo00000003
▪ 30S)442-9839
TO Tk4E-Tsli.1.EDeobsaSo Asov% IRA - rHE doucy
If' rXIVIRT OR OTHEROCoUNENT 'MTi HesPL To wicH ATIFIOATE MAY 11:p..iaO OR
ost.ic DESCRIBED mEREIN IS SUBJECT TO Ail - IKE TERMS. ■DV..,I-JSICNS AND Z.‘ SI•1:
SEltry Retxze.) ely PAC D..AIMS.
1 at LicY EFFer7N1. - 20&.C' fii.;(pFtt
PoucY tiumaER 3VE (NINNOOPrIYY Carl CPRADOririy. iiAi rs
cia:t.caJ
0 LOWS 2E08
CERTIFICATE. OF LIABILITY INSURANCE
PdURER
THIS ciRTFICATE LS LSSJEO AS A MATTER OF iniFIAVIATION
ONLY AND CONIFERS NO WOWS UPON 'WE CES TIF A ir
Wm OFR THIS CERTIFICATE DOES NOT AMEM EXfND OR
_ ALTER_TI4E ctxrgyaginv.gFpRuakey TIIE popc te se kpliv
4 NSIJRERS AFFORDIAIG COVERAGE AiC P
thistifiert cATO,DA fl
p
0 _ _
021 4/200; U2Pi 4
CANCELLATION
a0000e0030300
EACH DOGURRENCt
tuktikjt 78f' •
!REMPE.4.kge P.PGLItrtr‘
are" s Ainy one perlon)
PERSON.t.t 6 AN Ni..)4Y
. A.G3REri ATE
. . _
1 PRODUCIS AGC1
_ . _ _ •
..7cidenen SINGLE. t.PA"
DILY
f
Pe: :Arc.Lieron
, . . .
PROPERTY DAMAGE
rPer amdent)
AUTO abi.LY • E.A.
. .
cikAR THAN EA
AU TO GAILY.
EACH rISENC
AGGREGAie
MOLES. E. ADDED BY ENDORSEMENT/ 81;0A1. PROIRYORS
L wc rATu.
t. . _TQR.Y...Litorrs
EACH DEN
£ L DIEAS£ • EA Y ,,,
DISEASE • Po,r,:.Nt •
tivairtiOliv)
, f •
SHOUL.0 ANY t:: THE maw DESCRIBED MUMS RE C ANCE4L,E0 BEFORE THE
— -
F
EXPIRATiON OA= THFABOR. THE MUNK; INSU 'MU.
RER eatI VOR TO MA IL
.50 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLOI NAMED TO
TI;IE LEFT, stiT Fect-LRMF TO 00 SO SHALL delpose NO 01111.10e ON OR Unit_ 't {
OF ANY KIND UPON HE VI atomic Ms ANTS OR REPRFSSO
ROPPESS AWE ..
Liii COitiOfiAr ON All rights resirved
Toe AID naTils and (*go arcs eg IC0114 Whivhs r1 ACORC
s1er'e -'
L - "
CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDJYV)
02/25/10
PRODUCER Royal Tax Insurance Agency
3663 SW 8 St #203
Miami, FL 33135
Phone (305)442 -2791 Fax
(305)442-9839
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
; ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED DOLPHIN POOLS & SPAS INC
1435 Grant St
INSURERA GRANADA INS CO
;INSURER B:
Hollywood, FL 33020-
L_ 305
I INSURER C:
INSURER D:
INSURER E:
COVERAGES
`_
THE POUCIES OF INSURANCE USTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUGY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY ThE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iii iiii ADD'i1 TYPE OF INSURANCE
- LTi INSRp
POLICY NUMBER
POLICY EFFECTIVE
DATE
POLICY EXPIRATION
DATE_APJJO LIMITS
GENERAL UABIUTY
sd' COMMERCIAL GENERAL LIABILITY
0185FL00012896
ntrotaYYyy1
02/142010
02/14/2011
EACH OCCURRENCE
1,000,000
DAMAGE TO RENTED
PREMISES (Ea occurrence)
5� 000
A l V
❑ ❑ CLAIMS MADE ❑ OCCUR
❑
MED EXP (Any one person)
1,000
PERSONAL & ADV INJURY
1,000,000
—
, _
❑
0
GENERAL AGGREGATE
1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
IN POLICY ❑ PROJECT ❑ LOC
PRODUCTS - COMP/OP AGG
AUTOMOBILE UABILITY
❑ ANY AUTO
COMBINED SINGLE LIMIT
(Ea accidenl)
• ALL OWNED AUTOS
❑ SCHEDULED AUTOS
BODILY INJURY
(Per person)
HIRED AUTOS
Li NON OWNED AUTOS
❑
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident),
D.
GARAGE LIABILITY 1
AUTO ONLY - EA ACCIDENT
1 - 1
I__.: ANY AUTO
OTHER THAN EA ACC
-
AUTO ONLY: AGG
EXCESS! UMBRELLA UABILITY
EACH OCCURRENCE
II OCCUR 0 CLAIMS MADE
AGGREGATE
U DEDUCTIBLE
i
_; RETENTION 5
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR / PARTNER / EXECUTIVE /N
OFFICER / MEMBER EXCLUDED?
(Mandatory In NH)
It yes describe under
SPECIAL PROVISIONS below
• WC STATE. •
TORY LIMITS ER
E l .EACH ACCIDENT
—
E.L. DISEASE - EA EMPLOYEE i
EL. DISEASE - POLICY LIMIT .
OTHER
DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
POOL CONTRACTOR
CERTIFICATE HOLDER CANCELLATION
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
150 NE 2 ST
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABIUTY
OF ANY KIND UPON THE RER, ITS S OR REPRESENTATIVES.
MIAMI SHORES FL 33138
1 FAX 305-756-8972 /`'A�T� b NTATivE
/\ rte
AL`nor1 05 f0AAGIA1t AC
Feb 25 10 10:37a 00000000000000
0000000000000
p. 2
2009 ACORD CORPORATION. Ali rights reserved.
e RD name and logo are registered marks of ACORD
Ammo cg POSTE C
9011 COMMEN A-TNt I 11111111M 1111111111 11111 11111 MI
PERMIT NO TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY CF./MAW-DADE:
THE UNDERSIGNED hereby ghree.notice that invrovements wiR bernadb107.60itiAlerV.'_
property, andln aCconfencewIth Chapter 713, Firma Statutes , the folloWitig'
proykled in Mk: Notice of. Comrdencement: •
Hi/ TNESS
HARVEY RUVIN,
1. Legal descrtako
2.
3. Owner(s) name and addretpx.
Interest In property: • 1.11'
Nate and address of fee
4. ort name,
A A/ 14
tftleholden
and phone number:
S. Surety: (Payment .bond required by owner fromoontraCtor,. if any)
Name, .addrett and phone number:
Amount of bond $
6. Lender's name and address:
7. Personevvithkr the &afoot Florida desIgnated.by Owner upon w11001 notices or other downentemay be served .as prodded by
Section 713;13(1X*7., f ICsida Statutes
Name, addrerrearml phone number:
8. kr addition to hlmseff, Owners designates the foRmAig person(s). to receive a copy cf the Lienort Notice as provided k Section •
713..13(1)b), Florida Statutes.
Name, addessand phone wafer:
9. EltpiratIon date of fide Notice of Commencement.
Under pentdtlw
that the facts
Wwlime040
By
IndMdu -0 as for
cf. Personally linown, or W'produced the followklg type Of identM
SitsudiSe. of Naar/ Public
Flint hhstfc
(SEAL)
periwy, I declare thatl have read the foregoing and.
Authorized Officeritfirector/Partter/Manager
Premed Sy
CFN 2010R0100510
OR BF; 27182 Ps 2029; Ups )
RECORDED 02/12/2010 13108:37
HARVEY RUVIN, CLERK OF COURT
MIAMI-DE COUNTY! FLORIDA
LAST PAGE
•'/
.41 IMIn'
AIWA-
Prht Name
Title/Moe pd. wei
are.true,. to the best of myknowledge erdi befief.
* or Owner(sys Authorized: Officer/DIrector/Pariner/Martager WIXt signed above:
BY
zusfti>,--
reserved for use -of recomBr* office
(theexpineket thee le 1 year from the data of reeentIng unites a Weever* elate 14 speeded)
MIMING TO OWNER ANY PAYMENTS MADE BY THEOWNER AFTER THE EXPRATION OF THE NOTICE OF 00MMENCEMENTAFE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. R.OR1DA SWUM, AND cAN RESULT IN YOUR PAVING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED 014 .114E JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEISIOTO OST'A04 FINANCING, (XINSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE POMMENCINO WORK
OR WOOROING YOUR' NO el, OF 001•11WENCEMENT.
•
liaNIC
Inatre(s) of.
Prepared By 1
Prkrt Name.
Title/Office
STATE OF FLORIDA
CNN CW MIAW-DADE
The fonagoing Instrument was acknowledged pot* me this 43 day of 449 rRO 0 5.
7 1 LIN`i I Jtaz:
=cm, Firiv
viwc-
AOSIEN...111W7ATE'
Assn.
0
Charlie Crist
Governor
(Dolphin Pools & Spas)
1435 Grant St
Homestead, FL 33030
RE: Contingency Letter
Application Document No: AP951797
Centrax Permit Number: 13 -SC- 1120341
OSTDS Number:
841 NE 98 St
Miami, FL 33138
Lot: 16 -17 Block: 72 Subdivision: Miami Shores
Dear Applicant:
This will acknowledge receipt of an application dated 02/09/2010 for a permit to use an existing
onsite sewage treatment and disposal system located on the above referenced property.
1. -There is no increase in sewage flow, change in characteristics compromising the integrity or
function of the system installation.
2. -This project entails : "POOL INSTALLATION "
From a review of your completed application, it has been determined that your existing system is
adequate for the proposed use : " APPROVED ".
G/P
February 10, 2010
If you have any questions on this matter, please call our office at (786) 315 -2444.
Enclosures
cc:
Sincerely,
Q
Ft,,,,,,,,,.
Miami -Dade County Health Department
1765 NW 167 St, Opa Locka, FL 33056
Phone: (786) 315 -2444 Fax: (786) 315 -2090
Ana M. Viamonte Ros, M.D., M.P.H.
State Surgeon General
ive , Engineer Specialist II
Q.
s
Charlie Crist
Governor
(Dolphin Pools & Spas)
1435 Grant St
Homestead, FL 33030
2. -This project entails : "POOL INSTALLATION "
G/P
Enclosures
cc:
February 10, 2010
RE: Contingency Letter
Application Document No: AP951797
Centrax Permit Number: 13 -SC- 1120341
OSTDS Number:
841 NE 98 St
Miami, FL 33138
Lot: 16 -17 Block: 72 Subdivision: Miami Shores
If you have any questions on this matter, please call our office at (786) 315 -2444.
Sincerely,
Miami -Dade County Health Department
1765 NW 167 St, Opa Locka, FL 33056
Phone: (786) 315 -2444 Fax: (786) 315 -2090
Ana M. Viamonte Ros, M.D., M.P.H.
State Surgeon General
Dear Applicant:
This will acknowledge receipt of an application dated 02/09/2010 for a permit to use an existing
onsite sewage treatment and disposal system located on the above referenced property.
1. -There is no increase in sewage flow, change in characteristics compromising the integrity or
function of the system installation.
From a review of your completed application, it has been determined that your existing system is
adequate for the proposed use : " APPROVED ".
Josep "ive ger, ngin - .ecialist II
Notes:
Site Plan submitted by:
Plan Approved
By
STATE OF FLORIDA
DEPARTMENT OF HEALTH
AP`PL°ICATI9N FOR ONSITE DISP,OSALSYST,EM COI STRUCTIQN FERMI
Permit ApPiis ition f Nu ber
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fr
OH 4015. IOW (Replaces HRS•H Form 4015 which may be used)
(Stook Number: 5744-002-40154)
Scale: Each block represents 5 feet and 1 inch = 50 feet.
Not Approved
+011•1wrr►
'&fr;ill6 � /2"q /o
Date
County Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT >'
Page 2 of 3
APPLICATION FOR:
] New System 1 Existing System [ 1 Holding Tank [ 1 Innovative
[ ] Repair I ] Abandonment [ 1 Temporary [
APPLICANT:
1
"rig an c.,a1,
i t- j $ ir A
cts
,
AGENT: ,..2e)1
MAILING ADDRESS: \ -:/, , y ,,J., ) v .
°-
PROPERTY ID #: t - 0" v f, 9 : / '•
PROPERTY ADDRESS: A,
DIRECTIONS TO PROPERTY:
BUILDING INFORMATION
Unit Type of
No Establishment
1
2
3
4
' t?,.: 4 3-
SIGNATURE:
. ..,.0 '''
j • 1 , - -- / -2
,..) L
e
- P' (1 4 S
F. 1 -- - 1P.
/ Clir \ /
I ) ( i
- ,..7.
"ST OF FLORIDA - ,
_DEPARTMENT OF HEALTH
ON-SITE SEWAGE DISPOSAL SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
DH 4015, 10/97 — Page 1 (Previous editions may be used)
Stock Number: 5744-001-4015-1
PROPERTY INFORMATION
LOT:/C /2 BLOCK: 7 o 2 - SUBDIVISION: hil c
0 4 ..1 ,4
1 1 ge ""
/ ....,
"
7 IP' 1,
PERMIT NO. 7 / i
DATE PAID: (I
FEE PAID: – ' s'3 is 3
RECEIPT
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,--', F (I ,'-/ –. e" ,
TELEPHONE: 9 .57.22: 2 6.577
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES.
/ 1> ZONING: I/M OR EQUIVALENT: ( Y / N)
PROPERTY SIZE: _
ACRES WATER SUPPLY: 1 1 PRIVATE PUBLIC [J ]<=2000GPD [ ] >2000GPD
i
IS SEWER AVAILABLE AS PER 381.0065, FS? I Y /CT
, DISTANCE TO SEWER:
4 r (-
[ ] Floor/Equipment Drains [ 1 Other (Specify)
ik/7
DATE: — ///,
FT
0
RESIDENTIAL [ ] COMMERCIAL
No. of. Building Commercial/Institutional System Design
Bedrooms Area Sq Ft Table 1, Chapter_64E-4, FAC
Page 1 of 3
APPLICATION FOR:
APPLICANT:
AGENT:
TELEPHONE:
MAILING ADDRESS:
LOT, BLOCK,
SUBDIVISION:
DATE OF SUBDIVISION:
PROPERTY ID#:
ZONING:
PROPERTY SIZE:
WATER SUPPLY:
SEWER AVAILABILITY
PROPERTY ADDRESS:
DIRECTIONS:
BUILDING INFORMATION:
TYPE ESTABLISHMENT:
NO. BEDROOMS:
BUILDING AREA:
BUSINESS ACTIVITY:
FIXTURES:
SIGNATURE / DATE:
Check type of permit, if "Other* specify type in blank.
Property owner's full name.
Property owner's legally authorized representative.
Telephone . number for applicant or agent.
P.O. box or street, city, state and zip code mailing address for applicant or agent.
Lot, block, and subdivision for lot (recorded or unrecorded subdivision). If lot is not in a
recorded subdivision, a copy of the lot legal description or deed must be attached.
Official date of subdivision recorded in county plat books;(month/day /year) or date. lot
originally recorded. Dividing an approved lot into two or more parcels for the purpose of
conveying ownership shall be considered a subdivision of the lot.
27 character number for property. CHD may require property appraiser ID # or
section/township /range/parcel number.
Specify zoning and whether or not property is in I/M zoning or equivalent usage.
Net usable area of property in acres (square footage divided by 43,560 square feet)
exclusive of all paved areas and prepared road beds within public rights -of way or .
easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or
other such bodies of water. Contiguous unpaved and non - compacted road rights -of -way
and easements with no subsurface obstructions may be included in calculating lot area.
Check private or public <= 2000 gallons per day or public > 2000 gallons per day.
Is sewer available as per 381.0065, Florida Statutes, and distance to sewer in feet.
Street address for property. For lots without an assigned street address, indicate street
or road and locale in county.
Provide detailed instructions to lot or attach an area map showing lot location.
Check residential or commercial.
List type of establishment from Table II, Chapter 10D-6, FAC. Examples: single family,
single wide mobile home, restaurant, doctor's office.
Count all rooms designed primarily for sleeping and those areas expected to routinely
provide sleeping accommodations for occupants.
Total square footage of enclosed habitable area of dwelling unit, excluding garage,
carport, exterior storage shed, or open or fully screened patios or decks. Based on
outside measurements for each story of structure.
For commerciaUnstitutional applications only. List number of employees, shifts, and
hours of operation, or other information required by Table II, Chapter 100-6, FAC.
Mark Floor/Equipment Drains or Others and specify item or "NA" if not applicable.
Signature of applicant or agent. Date application submitted to the CHD with appropriate
fees and attachments.
ATTACHMENTS: A site plan drawn to scale, showing boundaries with dimensions, locations of residences or
buildings, swimming pools, recorded easements, onsite sewage disposal system components and location, slope of
property, any existing or proposed wells, drainage features, filed areas, obstructed areas, and surface water. Location of
wells, onsite sewage disposal systems, surface waters, and other pertinent facilities or features on adjacent property, if
the features are with 75 feet of the applicant lot. Location of any public well within 200 feet of lot. For residences, a floor
plan (residences) showing number of bedrooms and building area of each unit. For nonresidential establishments, a floor
plan showing the square footage of the establishment, all plumbing drains and fixture types, and other features necessary
to determine composition and quantity of wastewater.
CONTRACTOR'S SIGNATURE & DATE
pa' �, h
RACTOR'S NAME ( PLEASE PRINT)
C
N. ARY PUB
c-ckataTili
BUILDING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES. FLORIDA 33138 -2382
TELEPHONE (305) 795-2204
FAX (3051 756.8972
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
nstalled at 211 9 r �t ,;J Miami shores , Fl., and hereby affirm that one of
he following methods "will be used to meet the requirements of Chapter 515, Florida
s tatutes.
: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 having one of the above installed at the time of final inspection, or
when pool is completed for contract purposes, will constitute a violation of Chapter 515,
F.S. and will be considered as committing a misdemeanor of the second degree, punishable
by fines up to $500 and /or up to 60 days in jail as established Ch � '„ ter 775, F.S.
OWNER' . , c NATURE & DATE
OWNER'S NAME ( PLEASE PRINT)
NOTARY PUBLIC
JAN 282010
ROPIICA R. 6LACK
d t
Como*** EI$l1 14,
Cam�lon 8 DD 818491 •
Bonded By Ndonel Noisy Aaat.
lYIiami Shores Village
Building Department
STRUCTURAL CRITIQUE SHEET
Vowel pat fr
conc.- / e)d$/, f 4//
- lo c'6nea re 3 O K
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(.f
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No. JO — 4'0
Job Name LA/4 - F
Date / /Th /IO
ra. if 3@ 7" (G"dK
2 LA ' iz c? 10 "
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Owner's Name: Seng & Brandee Lam
Job Address: 841 98 Street
Miami Shores, FL
Contractor(s)
Phone Primary Contractor
Owner's Phone: (786)282 -6565
Total Square Feet: 0
Total Job Valuation: $ 32,000.00
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 1/13/2010
Comments: DECCK MUST BE SET BACK NOT LESS THAN 5 FEET FROM REAR LOT LINE.
SETBACK TO WATERS EDGE CAN NOT BE LESS THAN 7.5 FEET FROM REAR LOT LINE
SHOW DIMENTIONS ON PLAN
2/23/10
NEW PLAN OK
ing and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Issue Date: Not Issued
Permit NO. B P P -1 -10-40
Explres:Not Issued
Folio Number:1132060142490
01/26/2010 10:51 FAX 1 800 685 7530
\\ 4\ 0
0-1
Permit No: 10 -V0
Job Name
20'
L # 7 ,g,„_,A7 ,
f oo/ r tae,
DATA SCAN FIELD SERVICES
TRANSMISSION OK
* * * * * * * * * * * * * * * * * * * **
* ** TX REPORT * **
* * * * * * * * * * * * * * * * * * * **
TX /RX NO 4563
RECIPIENT ADDRESS 919549276880
DESTINATION ID
ST. TIME 01/26 10:48
TIME USE 02'59
PAGES SENT 3
RESULT OK
Building Critique Sheet
& (2 /l �Ar�•
Miami Shores Village
Building Department
57/1c/670 4i. ,Z./V /t/ bva i 41/s t /, AeecJ/R.d •
a(4E l t3T 4-44,4 Df l2Cr. -.J
eon
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
P9 n
SHOW DIMENTIONS ON PLAN
nd Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Issue Date: Not Issued
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 1/13/2010
Comments: DECCK MUST BE SET BACK NOT LESS THAN 5 FEET FROM REAR LOT LINE.
SETBACK TO WATERS EDGE CAN NOT BE LESS THAN 7.5 FEET FROM REAR LOT LINE
Permit NO. B P P -1 -10-40
Penult T
p oisOft c.t Tuba '
k ditiioniAlteration !:
Expires:Not Issued
Folio Number:1132060142490
Owner's Name: Seng & Brandee Lam
Job Address: 841 98 Street
Miami Shores, FL
Owner's Phone: (786)282 -6565
Total Square Feet:
Total Job Valuation: $ 32,000.00
0
Contractor(s)
Phone
Primary Contractor
Miami Shores Village
Building Department
- Permit No.
Job Name
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
/ 7
PLUMBING CRITIQUE SHEET
2/0 //e-4 k//2 sTtAit,79
v \`°
Permit No: 10 4
Job Name
, 201'
a 5 Td vCTv -a t 'LAW irn / a.rt; vs./
/C /OJ,��e
.lQ
4 . 0 /20 , 4 1/ ,r ii- O c". •
A o/ s mot/ is rie� �,.� - .��
Norman Bruhn CBO
305 - 795 -2204
,4/C/t
Building Critique Sheet
Zvc
D -ia
FAA q21—(WO
M iami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
1/.
Page 1 of 1
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
02/08/2010 13:06 FAX 1 800 685 7530
TRANSMISSION OK
$$$ TX REPORT $$$
TX /R% NO 4605
RECIPIENT ADDRESS 919549276880
DESTINATION ID
ST. TIME 02/08 13:05
TIME USE 01'20
PAGES SENT 1
RESULT OK
/c / o.,,le
Permit No: 10-q0
Job Name
, 2000
-5/0
DATA SCAN FIELD SERVICES 11001
Building Critique Sheet
4 0.t.e), 40 / • /le Yita•
,4,C,-/ /4,/ -s74 et -4// 1 A
M iami Shores Viiiage
Building Department
et £2
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #: ? I b -- O DATE: 1 o
I , D A N l 0 13 ' C -
Ii Contractor
❑ Owner
❑ Architect j �,- �i
Picked up 2 sets of plans and (other) ' 1E C_o ( T ki ( Pt 1`�+� T �' `AL
Address: 1I
From the building department on this date in order to have corrections done to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by:
PERMIT CLERK INITIAL: esk,
RESUBMITTED DATE: C) _C
PERMIT CLERK INITIAL:
841 NE 98 Street
Miami Shores FL 33138
Lam Residence
LOAD CALCULATION
2864 sqft x 3VA 8592
Small Appliance 3000
Laundry 1500
Dishwasher 1200
Water Heater 4500
Disposal 1000
Dryer 5000
Range 10000
Pump 1200
pool pump 1800
pool heater 9000
spa blower 800
Total 47592
- 10000.00 10000
37592 x 40% 15036.8
25036.8
16,000 A/C Heat
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• 10 .• • 6 • •• ••
••• • • • ••• • •
41036/240 170 Amp
841 NE 98 Street
Miami Shores FL 33138
Lam Residence
Pool Panel LOAD CALCULATION
Pool Heater 9000
Pool Pump 1800
Spa Blowers 800
pool lights 600
total 12200
12200/240 50 Amps
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STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Affiant, 3y
The attached survey, performed by
for addres
JERO ICA R. BLACK
b ` s Notary Public - State of Fbrida
• iMy Commission Expires Feb 14, 2010
e°; Commission # DD 518491
' Bonded By National Notary Assn.
Mane S4 ettVi !age
aff Vomease.t
10050 NE 2 Ave
Miami Shores, Fl 33138
Phone 30 5. 795 -2204; Fax 305 - 7564972
ww w.miamishoresvillage.co m
as identification.
AFFIDAVIT
tf- jj
�r�
Notary
7 : - / - je- 5 "
&n yo �r
/
d
1' (date of survey) is an accurate representation of the
existing conditions and locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village
building l�°T�ait for the � to issue a
Property without first providing a survey less than six (6) months
old. The Affiant, as property owner, further agrees to remove or obtain
structures now may e • ta><ri permits for any
Y xist on the property which are not permit or which may
violate zoning or building code regulations. The Affiant further
existence of an understands that the
y such structures may affect final moons as applicable to this or other
pernuts.
Property Owner Signature
Property Owner Print Name
SWORN TO AND SUBSCRIBED before me this
Affiant is " —g
--may
----- personally know to me, cV:nroduced
NE 913t1iY P
10 -40
75 M9R Whores Village
APPROVED
Y
DATE
ZONING DEPT
( /
BLDG DEPT
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
tilIalIch
SCALE:I•a
Adverse Confirms • Please note @tg(pink • •
NONE •
•• ••• ••
-See Sheet 1d2 tor Legal Deem allogas. PropertyardalherSavoyrebinddata .SURVEYISNOTCOMPLETEVY(I!+` 1TH SHEETS.
:5Q I
BLOC: .49.907dt
'R
.11. —•
ftD t/r'
•• • •• • •
•
APPROVED
t -DADE COUNTY HEALTH DEPARTMENT
PERMIT if:
DATE;
• • s ••
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• • • •
tocK 72
..DDtrr,
LaldRChSefreyrg dos satoaai; oogIN* Stale o Rota. Reese refer to womb deei kayo two :mow
LYwelardediSteY"krllptO ateifieae/ion16: ae?ol�lsatticoeeRtea S :
• • • . • • • • • •e11By :EY
res teen loud •lt • • • • • : • . • • doe
1500 N.W 62nd Street, Suite 511
Fort Lauderdale, Florida 3909; : :: • • • • • .
• Office: (954)1766766 Fiz: (9b4).775 : •
• • �,
• • • • • • • • • • • • •
••• • • • ••• • •
Date d Feld tort . 09.1807
N 90'00D0'w 7D 4^1U
19'A5Pr1ALT ROAD
99.95'x!
6911=
9.79,
PP V1'
La n
S U R V f
Providing Fost & Acarrote L
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tt lorido
Sheet 1 of 2 (Survey Related Dann, — See Sheet 2 of 2 for Sketch of Survey. SURVEY IS NOT COh
E WITHOUT BOTH SHEETS
Y
ri
LEGAL DESCRIPTION
LOT 16 AND 17, BLOCK 72, MIAMI SHORES SECTION NO. 3, ACCORDING TO THE PLAT
THEREOF AS RECORDED IN PLAT BOOK 10, PAGE(S) 37, OF THE PUBLIC RECORDS OF
DADE COUNTY, FLORIDA.
PROPERTY ADDRESS
841 NE 98TH STREET
MIAMI SHORES, FL 33138
INVOICE NUMBER 01 -50317
DATE OF FIELD WORK 09/18/2007
CERTIFIED TO
SENG LAM
ENCOMPASS TITLE
FIRST AMERICAN -TITLE INSURANCE COMPANY
WELLS FARGO BANK, N.A., ITS SUCCESSORS AND /OR ASSIGNS
FLOOD ZONE X - 120652 - 0093 - ]
BY AUTHORITY GRANTED PER 61G171.003(3)(G) FLORIDA ADMINISTRATIVE CODE FOR MORTGAGE TRANSACTIONS, LANDTECH HEREBY AUTHORTS S CERTIFIED TITLE AGENTS SHOWN HEREON TO ADD ANY LENDER
CERTIFICATIONS THEY DEEM NECESSARY TO COMPLETE SAID TRANSACTION. ANY OTHER ALTERATIONS SHALL VOID THIS SURVEY. PLEASE ENTER ADDITIONAL CERTIFICATIONS) BELOW:
General Notes:
1. THIS SURVEY IS BASED UPON RECORD INFORMATION PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBUC RECORD HAS BEEN MADE BY THIS OFFICE UNLESS OTHERWISE NOTED.
2. IF THIS SURVEY HAS BEEN PREPARED FOR THE PURPOSES OF A MORTGAGE TRANSACTION, ITS SCOPE IS UMITED TO THE DETERMINATION OF TITLE DEFICIENCIES. NO FUTURE
CONSTRUCTION SHALL BE BASED UPON THIS SURVEY WITHOUT FIRST OBTAINING APPROVAL AND/OR UPDATES FROM LANDTECH SURVEYING. LANDTECH SURVEYING ASSUMES NO
RESPONSIBILITY FOR ERRORS RESULTING FROM FAILURE TO ADHERE TO THIS CLAUSE.
3. ANY FENCES SHOWN HEREON ARE ILLUSTRATIVE OF THEIR GENERAL POSITION ONLY. FENCE TIES SHOWN ARE TO GENERAL CENTERLINE OF FENCE. THIS OFFICE WILL NOT BE RESPONSIBLE
FOR DAMAGES RESULTING FROM THE REMOVAL OF, OR CHANGES MADE TO, ANY FENCES UNLESS WE HAVE PROVIDED A SURVEY SPECIFICALLY LOCATING SAID FENCES FOR SUCH PURPOSES.
DETERMINATION OF FENCE POSITIONS SHOULD BE BASED SOLELY ON THEIR PHYSICAL RELATIONSHIP TO THE MONUMENTED BOUNDARY LINES.
4. GRAPHIC REPRESENTATIONS MAY HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE MEASURED RELATIONSHIPS - DIMENSIONS SHALL HAVE PRECEDENCE QVERCAL POSITIONS.
5. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS SPECIFICALLY SHOWN.
6. ELEVATIONS ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM (N.G.V.D. 1929) UNLESS OTHERWISE SHOWN
7. AU. BOUNDARY AND CONTROL DIMENSIONS SHOWN ARE FIELD MEASURED AND CORRESPOND TO RECORD INFORMATION UNLESS SPEC(FIGALLY NOTED OTHERWISE
8. CORNERS SHOWN AS ARE IDENTIFIED WITH A CAP MARKED LB (LICENSED BUSINESS) !16799.
•
Legend/Abbreviations:
A = Arc Length
CA = Central Angle
CAL = Centerline
CF = Computed from Field Measure
CR = Computed from Record data
CAN = Cable TV Riser
DE = Drainage Easement
Ease = Easement
EOW = Edge of Water
FF = Finished Floor
FIP = Found Iron Pipe
FIR = Found Iron Rod
FN = Found Nail
L = Per Legal Description
M = Measured
OHC = Overhead Cable
ORB = Official Records Book
P =Per Plat
P!L = Property Une
PO = Point of Curvature
PCC =:Point of Compound Curvature
PK = Parker Kalon Nall
POB = Point of Beginning
POC = Point of Commencement
PRC = Point of Reverse Curvature
PT = Point of Tangency
RIW = Right - of-Way
TR = Telephone Riser
UE = Utility Easement
WM = Water Meter
UP = Utility Pole
••
• • • • • • •• • • •
• • •
• •
•
• •
•
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••
••
I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY MEETS THE MINIMUM TECHNICAL
STANDARDS FOR SURVEYS, AS SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND
MAPPERS IN CHAPTER 61G17 -6 OF THE FLORIDA ADMINISTRATIVE CODE, PURSUANT TO
SECTION 472.027, FLORID
DATE: 91 kt 1f
ANDREW SNYDER - PROFESS! t3NAL SURVEYOR AND MAPPER
FLORIDA REGISTRATION No. 5639 (NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL
RAISED SEAL OF THE FLORIDA LICENSED SURVEYOR AND MAPPER SHOWN ABOVE)
• • •
• •
• ••• • •
• • •• -
Landtechh
S U • R_ Y. • E• T ••? N G
Providing Fa t & Aa4Irate anc;Suoreling Sewicesihroughout Florida
• • • • : . : . • . : • • ...; r oa6ty 6etter!r •
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us)“., A%tot,?.-.Psio
clopk WALL- c6-actL_
PUMP, FILTER & HEATER TO BE SECURED TO SLAB
C-190Y4eD USING 'TAP-CON" *" X 1 BOLTS MIN. OT A DEPTH OF 1"
MIN. & TO CONFORM TO F.B.C. R4101 2007. SLAB TO BE 4"liA/N,. CONC.
I4 extsf. W/6"X6" 10-10 MESH.
7 /)
J ; ES F BIAGI P.E.
1‘15 NE. 45 STREET
FT. LAUD. FL. 33308
#37467
IpEcisawmil .
g JAN 2 8 29,16
BY:
H
FILIER •
at • • • •
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CONC. sus
sLottAA-oof
DOLPHIN POOLS & SPAS INC.
LAM RESIDENCE
841 NE. 98 STREET
MIAMI SHORES, FL.
-**
61.6-c
* Weather /water resistant
construction allows use o
exterior gates or house do
* BYPASS button rovides co
p enten
adult only pass through cortt
rR T CTO'
* High output 110 -115 dB alarm to alert
when children enter through protected
door or gate
* Additional BYPASS button fo
delayed entry from either
or fence
* Additional magnetic sensor~ for s
door exit /entry
* 9 volt battery operation
(not included)
* Low battery LED d
* 3 YEAR WARRA
w 'SkAtt4i\
/4
AF'PROVED AGE
ZONING
STRUCTURA
ELECTRICA'
PLUMBING
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HANDHOLD DETAL
LOCATE WATERLINE
HANDHOLDS
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POOL SIZE:
PERIMETER:
TURNOVER RATE:
POOL PUMP:
POOL FILTER:
POOL INLETS:
SKIMMER:
POOL LIGHT:
HEATER TYPE:
HEATER SlZ €:
SUCTION UNE:
chlorinator
COPING:
TILE:
GEM FINISH:
MUDCAP:
HANDHOLD:
NDHOLD COLOR:
POOL DEPTH: I eI'1: 1
VOLUME: (GALLONS)
I SURFACE AREA SQ. FT.
2.Lo 3$
POOL & SPA EQUIPME T
(Apt)
1117 .), a o p 1
H
ICI- 1
RAISED BEAM: J J GLASS BLOCK TYPE:
RAISED BEAM: GLASS ROWS HT.
RAISED BEAM: GLASS ROWS WDTH.
RAISED BEAM: eke4CA (s)
RAISED BEAM: 1 ELECTRIC: EglEP
RAISED BEAM: POOL ENCLOSURE: EXI T I
SPA SPILLWAY. SIZE:
SMALL LION HEAD:
SPILL:
FOUNTAIN FEATURE: I ' �
SPA PUMP:
EXTRA PUMP:
SPA JETS:
SPA LIGHT:
SPA HEATER TYPE:
SPA HEATER SIZE: 1 M I
t BLOWER:
WATER FEATURES
DOLPHIN POOLS & SPAS INC.
LAM RESIDENCE
841 NE. 98 STREET
MIAMI SHORES, FL.
LEGAL: LOT 16 -17 BLK. 72
MIAMI SHORES SECT. 3
W/ AIR SW TCH:
POOL FINISH ITEMS
sites
DECK SQ. FT..
PATIO SO. FT.
DECK TYPE:
HANDRAIL
SWIMOUT:
LADDER: 1
SPECIAL NOTES
1 10 1
tL o1
4'
DRAWN: J. LATONA
CHECKED:
DATE: / -1 "I -
REVISION:
3 1111.1173'
t
HANDHOLD PETAL
LOCATE HANDHOLDS
• WATERLINE
HALL e
• • • •
• •
km.x•rm
, v1 ai'et-ktf
actx6A-vt
VAIVA T7t4
(NO VENT SYSTEM REQUIRED)
• •• • • • • • •
• • • • • • • • •
• • • • • • • • •
• • • • • • • . . •
• • ••• • • • • •
• • • •
• • • • •• • • •
• • • • • • •
•
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SPA SECTION
jr
DOLPHIN POO
e
LAM
841 NE 98 •ST
. on •
MIAMI SHORES, FL.
= L: GAL: LOT 16-17 BLK. 72
PI 0`x
EC ,
AMI SHORES SECT. 3
DRAWN: J. LATONA
CHECKED:
DATE: 12-11-09
ION:
INC.
o, c Oi.u.)Akif
ouJetai,V At-9
l nulo
t
1/8"=1 , -O"
111A I 374677
USISHB4WSime.INIft W
Wastlimiledir.fladia333111
POOL SIZE:
PERIMETER:
TURNOVER RATE:
POOL PUMP:
POOL FILTER:
POOL INLETS:
SKIMMER:
P001. UGHT:
POOL HEATER TYPE:
POOL HEATER SIZE:
SUCTION UNE:
chlorinator
COPING:
TILE:
GEM FINISH:
MUOCAP:
HANDHOLD:
HANDHOLD COLOR:
5- RAISED BEAM:
if RAISED BEAM:
I a" RAISED BEAM:
24" RASED BEAM:
30" RAISED BEAM:
36" RAISED BEAM:
SPA SPILLWAY. SIZE:
SMALL LION HEAD:
SPILL:
FOUNTAIN FEATURE:
SPECIFICATIONS
SURFACE AREA SQ. FT.
Cf: 3 et
POOL & SPA EQUIPME T
FR31601
IFAM117
CM=
1-or-i<N1
itir2M111
INC11•11
IlUaM1111
POOL DEPTH:
VOLUME (oAu_oms)
SPA PUMP:
EXTRA PUMP:
wati)
SPA JETS:
SPA LIGHT:
SPA HEATER TYPE:
BLOWER:
if/ Atli ilifiT61:
POOL FINISH ITEMS
SPECIAL NOTES
DECK SQ., Fr.
PATIO SQ. FT.'
DECK TYPE:
HANDRAIL:
SY/MOUT:
GLASS BLOCK TYPE:
GLASS ROWS HT.
GLASS ROWS WDTH.
WATER FEATURES
SPA HEATER Sim j
Igit;:r
I 1. cial I I I
11110111111
I I I pi ITO a I I
LUVIC:111
1
LADDER: L
160-AGA (5)
ELECTRIC: PRY&
POOL ENCLOSURE: If2A1 'etc 1
/407 /,t27,/.1-,
■•••••r
•Where provided, the vacuum or pressure cleaner fittings) shall
be toasted In an accessible posfflon(s) at least 6 inches and
• not greater than 12 inches below the minimum operating water
level or as on attachment to the skimmer(s). C8l_teewis 'C0
64(,01P11ti.,1A(b' `� AIR REUEF
PRESSURE GUAGE
2.
1 - POOL MAW DRAINS
2 — SKIMMER DRAIN LUTE
3 — .P. RETURN UNE
4 — WASTE UNE
5 VACUUM CLEANING UNE
A — HAIR ac UNT STRAINER
B — RECIRCULATING PUMP
C — FILTER
O — HEATER!
0— BALL VALVE
IN— BY PASS (AUTO)
O - 3 WAI .JANOY
4
WITH
VACUUM
PiLRARING I eTrs!
ALL PIPING SHALL CONFORM TO 2007 FLA. BLD.CODE.
PURPLE PRIMER REQUIRED ON PVC PIPING
NO AIR TEST FOR PVC
BACKFLOW REQUIRED ON WATER SERVICE
CONNECTIONS TO HEATERS SHALL BE UNIONS
UPON RATIONAL ANALYSIS, THE PREVAIUNG SOILS IN THE AREA
SURROUNDING THIS SWIMMING POOL CONSTRUCTION WILL PROVIDE
ADEQUATE SUPPORT NEEDED FOR THE POOL FOUNDATION
3. SWIMMING POOL TO HAVE PNEUMATICALLY PLACED CONCRETE FLOOR,
WALL AND BOND BEAM. CONCRETE TO HAVE 28 DAY COMPRESSIVE
STRENGTH OF4E P • • • • •
•. • • • • • • • •
4. ALL REINFORXD S?tEh'CO:B1; *am GRADE DEFORMED BARS OF
NEW BILLETS SM.:: CQIFOQgli o ;T A - 615. STEEL TO BE
BENT, LAPPED AND PLACED IN ACCORDANCE WITH A.C.I. STANDARDS
AND SPECS.
S. IN AREA QF •'SI.44;14ER, Rg :RHINO • • i KIppp��t OAFR.
D BEAM MAY BE
PLACED EF� » • • •
• • • • • •
6. ALL PIPING SHALL BE N.S.F. APPROVED AND SHALL BE
SCHEDULE 40 PVC.`
ALL WORD 2'O:COmQR W TX) ALL
BLDG. COtlf 2003 nor •
W.P.
R4101, DISCONNECT
2001 PANEL
TO SERVICE
SPST
JUNCTION B0X8 TOGGLE
SWITCH
POOL DECK
75/100W
(NO VENT SYSTEM REQUIRED)
si2A 361
m2p,
mkt 1-A MAI
fo ».i1. t?tt✓'( \P\t4
/ 0 - i t)?
' ONSTRUCTION & WORKMANSHIP SHALL BE IN CONFORMITY W/ 2007 FLA. BLD6.7.
5 & ANSI /APSP -7.
8.
9.
12.
� }t
10 PVC
NOTE: ALL ELECTRICAL WORK SHALL CONFORM
TO N.E.C. ARTICLE 140. 2
0. 680 040
ALL UGHTS MINIMUM 18" BELOW WATER EXCEPT AMERICAN PRODUCTS
HI — L1TE MODEL #7878XXXX WHICH IS MIN. 4" BELOW WATER
POOL ELECTRICAL DIAGRAM
0 0-- 0E
— /U.Z"
TIME CLOCK
I ■ O
ALL 3 #12
LCI - � Acorn
12V UGHT
TRANSFORMERS `-- PUMP
3/4" OR 1/2" CONDUIT5
IT IS BY DESIGN THAT THE SKIMMER
BOXES INCLUDE ALL PIPING AND FITTINGS, UNDER
SKIMMER TO BE EMBEDOED IN CONCRETE
MAIN DRAIN TO HAVE A FREE AREA OF 4 TIMES THE AREA
OF THE SUCTION UNE.
WATER SUPPLY AND DISPOSAL TO BE ARRANGED SO THAT THERE
IS NO CROSS— CONNECTION WITH A DOMESTIC WATER SUPPLY.
IF REQUIRED, UNSCREENED POOLS SHALL HAVE A MINIMUM
4 FT. FENCE WITH SELF CLOSING AND LATCHING GATE.
10. ALL METAWC POOL FITTINGS WITHIN 5 FEET OF THE INSIDE WALL
AND THE DECK REINFORCING SHALL BE BONDED TO THE POOL
REINFORCING STEEL WITH A NO. 8 AWG COPPER WIRE. THE POOL
REINFORCING STEEL SHALL BE BONDED TO THE POOL UGHT NICHE
WITH NO. 8 AWG COPPER WIRE. TWO 140. 8 AWG COPPER GROUND
WIRES SHALL BE RUN WITH N.E.C. APPROVED CONDUIT, ONE INTERNALLY,
FROM THE UGHT NICHE TO THE JUNCTION BOX. COMPLETION OF THE
POOL GROUNDING SYSTEM TO THE PANEL BOARD BY ELECTRICIAN.
11. . POOL CONSTRUCTION SHALL BEAR ON CLEAN SANDS OR ROCK WITH A
BEARING CAPACITY 2,000 P.S.F.
A MIN. SLOPE FOR DECKING OF 1/8 IN. /LIN. FOOT SHALL BE PROVIDED (EXCEPT FOR
WOOD DECKING)
PER 2007 ANSI/NSPI.
PAVER DECK
1
STEEL TEX FORM
(OR EQUIVALENT)
DOWN TO SOIL UNE
DESIGN CONSTRUCTION & WORKMANSHIP CONFORMS W/ 2007 FLA. BLDG. CODES & 2007
ANSI /NSPI STANDARD FOR ABOVEGROUND /ONGROUND RESIDENTIAL SWIMMING
POOLS/SPAS AS EXCEPTED ENGINEERING PRACTICE.
• 8" MIN. ANTI - VORTEX MAIN DRAINS W /MIN .OF 2 STAINLESS STEEL SCREWS
CONFORMING TO 2007 FLA. BLDG. CODE & 2006 ANSI /APSP -7 FOR SUCTION ENTRAPMENT
AVOIDANCE.
7
HYDRO- STATIC RELIEF VALVE
PER 2007 FLA. BLDG. CODE 424.21.4
1.5" THREADED PYC PW
PERFORATED WELL
POINT IN 3/4" ROCK BED
•
PRECAST OR BRICK COPING
TILE
3"
J'b\
JAMES B AGI P.E.
1915 NE. 45 STREET
FT. LAUD. FL. 33308
954 776 8004
#37467
WATER UNE
2 -140._ 3 BARS 114
PLASTER
NO 3 BARS 12 0.C. EACHWAY
THROUGHOUT FOR COVE AREAS
BONO BEAM
6)(fiSit
FOOL-.
(STEEL TO BE AT CENTER OF CONCRETE)
(.0"WIOJ., • ANTI — VORTEX MAIN DRAINS
MIN. 8" SECURE
WITH 2 STAINLESS
STEEL SCREWS
a
N.T.S.
O V .
0
Q •
•
2" R.V.C.
TO PUMP
TYPICAL WALL SECTION AND WELL POINT
bOLPHIN POOLS & SPAS INC.
3-
1
••• •
•• ••• • • • • • ••
•'. •• •• .....*:TYPICAL SECTION FOR TYPE 0 POOL
•
• ••• • • ••• •
• • •••• • ••
• • • • • • • • • • • •
• • • • • • • • • • • •
• • • •• • • • • • •• • •
• • • •
••• • • • • ••• • •
• • • • • • • • •
• • • • ••• • • • •
• • • • •
• • ••• •
•
WATER UNE WITH
ONE ROW OF TILE
(DIVING EQUIPMENT PROHIBITED)
N.TS.
PUMP , FILTER , & HEATER TO BE SECURED TO
SLAB USING "TAP —CON" +" X 1 3/4" BOLTS MIN. TO
A DEPTH OF 1" MIN. & CONFORMS TO F.B.C. R4101 2007.
BIAG
1915 NE 45th Sweet, suits** - 107
3131
ALL RISERS TO BE EQUAL
BOTTOM RISER MAY VARY
2"± FROM UNIFORM
RISER HEIGHT
MIN. 240 SO IN.
SURFACE AREA
N.T.S.
SHEET 3 OF 3
SECTIONS
TYPICAL SECTION THRU STEPS
DOLPHIN POOLS & SPAS INC.
HAYWARDPOOI Products
A Heywari' Industries,Inc. Company
Conta
Ratings: Floo
Certified to Co
Test Results ca
Manufactured:
China and Cie!
Phone 908 -355
Date of Mfr: Tie Lot Number shown on the product label contains the Year & Month of manufacture. The
first number ro 'resents the year (ex 8 = 2008) and the second character the month (A—Jan, B =Feb, H =Aug, I is
skipped, J =Sep etc)
Tested to ANS /ASME 112.19.8-2007 (addendum 8a-2008) per Section 1404 of
Act (VGB) Pot I & Spa Safety Act. Certified by NSF International, 789 N Dixbo Road, MIr
48105 1(800) -1 ISF- MARK.
Date of Installation:
07 3/.
SUCTION C UTLET
COVER WC I 048
CERTIFICATION OF COMPLIANCE
ns: WGI048E Description: 8" Round Suction Outlet Cover
125 GPM • Wall: 72 GP/N Open Area: " 8.1 sq -in
nply with Section 1404 of the Virginia Graeme Baker Act (VGB) Pool & Spa Safety Act
1 be obtained fr om:www , Haywardnct,corn and /or http : / /www.naf.org /Certified/Pools/
Between October 2008 and December 2008, by Hayward Pool Products in Jiangsu Province,
tenons, NC Divisions of Hayward Industries, Inc. 620 Division Street, Elizabeth, NJ 07207,
.7995
ANTI - VORTEX MAIN DRAIN COVER
( NO VENI LINE REQUIkEb)
6
SPACING BETWEEN
MOUNTING HOLES
I Hayward Industrial Drive
Clemmons, NC 27012
336712.9900
W WAN. haywardnet.com
IS WG 1048C0C
ANTI- VoRTE3i( MAIN DRAIN COVyA ` ffSTtO
TO AMIE A 112.19.811 BY UL (TYPrCAL OF 2)
'-- 3' MINIMUM
UL 8172 D
OR O R NT PLANES
41111111111mo
9'
itAXNUM OIsuwa TO-/
VINT TR CONNECTION
SUCTION
PIPING
PUMP
BIAGI P.E.
#37467
1915 NE. 45 STREET
FT. LAUD. FL. 33
\
ti
THIS EQUIPOTENTIAL GROUNDING GRID SHALL CONSIST OF A SINGLE
UNCOVERED # 8 COPPER WIRE SURROUNDING THE POOL PERIMETER 4" TO 6"
BELOW GRADE AND @ 18 " -24" FROM THE WATERLINE, CONNECTING TO
COVERED #8 GROUNDING WIRES ATTACHED TO THE POOL STEEL AT 4
SEPARATE POINTS AROUND THE POOL.
CONNECTIONS SHALL BE EXOTHERMIC WELDING OR LISTED PRESSURE
CONNECTORS OR CLAMPS THAT ARE STAINLESS STEEL, BRASS, COPPER OR
COPPER ALLOY. A SINGLE GROUNDING WIRE SHALL CONNECT FROM THIS
GRID TO THE POOL /SPA EQUIPMENT PER N.E.C. 680.26C.
#8 coma) GRD. WIRE (TYPICAL OF 4)
: RE:: 'L4M RE4IDESVCE
• .. .. 11p . . . ... •
•.�
••: 1141W. 98:5M
ET
POMPANO BEACH, FL.
• • • • MIAMI SH,�RES, FL.
• • • • • • • • • • • • • • • • • •
• • • • • • • • • • • • • • • •
• • • • • • • • • • • • • • • • •
• • •• • • • • • • • •• • • •
• • • • • •
#8 UNCOVERED GRD. WIRE TYP.
BIAGI P.E.
#37467
#8 COVERED GRD. WIRE TO POOL
EQUIPMENT.
Project Address
841 98 Street
Miami Shores, FL
1132060142490
Block: Lot:
Seng & Brandee Lam
Owner Information
Seng & Brandee Lam
Fees Due
CCF
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$0.60
$225.00
$3.00
$2.40
$232.80
March 01, 2010
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Address
Contractor(s)
DOLPHIN POOLS & SPAS INC
Phone Cell Phone
(954)927 -6537 (754)244-7727
Building Department Copy
Expiration: 08/25/2010
Parcel Number
841 98 Street
MIAMI SHORES FL 33138 -2532
Phone
(786)282 -6565
Applicant
Valuation:
Total Sq Feet:
Type of Work: POOL
Type of Piping: PLUMBING
Additional Info:
Bond Retum :
Classification: Residential
Invoice #
PL -1 -10 -36801
Invoice Total Amt Paid Amt Due
$232.80 $232.80 $0.00
CeII
$ 2,450.00
98
UNFMANWESNAMMUMMOKOMMZOW °""
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Final
1
2
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Plumbing
Miami Shores Village
Building Department JA4 8 RED®
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. 0
Owner's Name (Fee Simple Titleholder) Sc fl fib w Phone #
1
FL
Owner's Address
City fl) S)112ir -.5
Tenant/Lessee Name
State
E -MAIL: Q � n
Job Address (where the work is being done) V , L ?8' J i
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name 2 / f/ ) ' 7 ® -C -r
0 843S G
. - -
Contractor's Address x'..1'1, �J
City Weil gfoo - e State Pi—
Qualifier Name Tat/4 Fj keit --
State Certificate or Registration No. C &os 7 3 q ® Certificate of Competency No.
phone #
?Y
E -MAIL:
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ['Addition
Describe Work:
0
0
['Alteration
h
* ** * * ** ** ** xxxx * **** * * ** **
NO 1/
Master Permit No.
Zip 33 3
Phone #
Phone #
Zip
9;5 4s37
Zip 3 SC
Phone #
Square / Linear Footage Of Work:
❑ Demolition
/0 OT\
*Fees**** ****x****z &x xxxxxaYxxxxxxx*xxx xxxxx
Submittal Fee $ Permit Fee 2— ' CCF $ L- CO /CC
Notary $ Training /Education ee $ O. Technology Fee $. o` •40
Scanning 0 'MO • Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ Q.V.
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 . curs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be a l prove and a reinspection fee will be charged.
Signature'
Owner or Agent
The foregoing instrument was acknowledged before me this —
day of ee.€ , er, 20 j7,, by
Sign:
Print:
My Commission Expires:
* x xx x xtkx *x *xxxxx
APPLICATION APPROVED BY:
(Revised 02/08/06)
who is personally known to me or who has produced
i C ` As identification and who did take an oath.
NOTARY PUBLIC:
VERONICA R. BLACK
Notary Public - State of Florida
• any Commission Expires Feb 14.2010
remission 0 DD 518491
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of t• &.0. 4 201.L� , by t'Cy c__
who is personally known to me or who has produced EL -
as identification atWhgt4 take an oath.
NOTARY PUBLIC: \ mo o``` ,,.. . Ar /� ,�
Sign: (' �� v
„ ..a ge
ep
My Commission Expires: '%,"�Q/,;* ......
xxuxxor de dk xxxxx ************ *' ****.***** ******** ** * *****icab*icx
1
Plans Examiner
Engineer
Zoning
Inspection Number: INSP- 133033 Permit Number: PL -1 -10-43
Scheduled Inspection Date: May 21, 2010
Inspector: Hernandez, Rafael
Owner: Lam, Seng & Brandee
Job Address: 841 NE 98 Street
Project: <NONE>
Miami Shores, FL
Contractor: DOLPHIN POOLS & SPAS INC
Building Department Comments
May 21, 2010
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: Plumbing - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number (786)282 -6565
Parcel Number 1132060142490
Phone: (954)927 -6537
NEW PLUMBING PIPES TO NEW EQUPMENT
LOCATIONS ADDING A SPA
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 1 of 12
Inspection Number: INSP - 133032
Scheduled Inspection Date: May 27, 2010
Inspector: Perez, JanPierre
Owner: Lam, Seng & Brandee
Job Address: 841 NE 98 Street
Project: <NONE>
May 26, 2010
Miami Shores, FL
Contractor: DOLPHIN POOLS & SPAS 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
For Inspections please call: (305)762 -4949
Permit Number: MC -1 -10-42
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Pool Heater
Phone Number (786)282 - 6565
Parcel Number 1132060142490
Phone: (954)927 -6537
ADDING A HEAT PUMP POOL HEATER
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
2_6) 5/7Ji (
Inspector Comments
Page 3 of 15
Project Address
Owner Information
Seng & Brandee Lam
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
Address
Expiration: 08/25/2010
Parcel Number
841 98 Street
MIAMI SHORES FL 33138 -2532
Phone
(786)282 -6565
Applicant
Cell
Contractor(s)
DOLPHIN POOLS & SPAS INC
Phone Cell Phone
(954)927 -6537 (754)244-7727
Tons: POOL HEATER
Additional Info: MECHANICAL
Classification: Residential
Approved: In Review
Comments:
Date Denied:
Date Approved: : In Review
Type of Work:
Fees Due
CCF
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$0.80
$100.00
$3.00
$3.20
$109.40
Building Department Copy
March 01, 2010
Valuation:
Total Sq Feet:
Invoice
MC-1 -10 -36800
Invoice Total Amt Paid Amt Due
$109.40 $109.40 $0.00
$ 3,200.00
0
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Final
1
2
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Mechanical
Owner's Name (Fee Simple Titleholder) ... rt,n5 Lamit Lam Phone # / o `1 (05
Owner's Address 551-11. /V E 0 7 -1. l 5d-re44-
City lW, ., ; S PS State - �° 3314
Phone #
Tenant/Lessee Name
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City
Qualifier Na
Type of Work: ❑Additii ['Alteration
Describe Work: a
Submittal Fee $
Permit Fee $
**********************************4***
Notary $ Training /Education Fee $
Scanning $ & (90 Radon $
Bond $ Code Enforcement $
Structural Review. $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
NO
DPBR $
Zip
gY 98em �
County Miami -Dade
Master Permit No.
Permit No. YI\Do
Zip
Phone #
State Certificate or Registration No. cict el0 Certificate of Competency No.
E -MAIL:
Architect/Engineer's Name (if applicable) Phone # _
Value of Work For this Permit $ t `° o
Stare / Linear Footage Of Work:
s * gyp ' Y x** dux x 4:x'.,...* ***x**. xx *xx*
(/
Double Fee $
Total Fee Now Due $
Repair /Replace ❑ Demolition
CCF$ .4C) CO /CC
Technology Fee $ 3- ao
Zoning $
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. l 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be appr ,bved trod a reinspection fee will be charged
Signature �,..,� �� Signature
Owner or Agent
The foregoing instrument was acknowledged before me this ..=.2...- day o fie , 20 , by ,
II' C - As identification and who did take an oath.
who is personally known to me or who has produced :71/2W,— who is personally known to me or who has produced Fl, t9
as identification and who did take an oath.
NOTARY PUBLIC . �``‘ � j11Untit
t/ �f i t .� 2
NOTARY PUBLIC:
Sign:
Print: /7:!:- t--04-
My Commission Expires:
ac$cxaY dexxx,Yx,Y,4x,4x,Y,Y 4c ie,Exxxxxxxxx,Y,Yxxxxxxxxxxxx^ xx,Y xxxx♦xuxxxxxx xxxaYxxxxx,Y x,Yx9cee,t do aex iiits't1 �s,4,4xxxxxxxx
IV
APPLICATION APPROVED BY:
(Revised•02 /08/06)
b
mmssion
Commission # DD 518491
Bonded By National Notary Assn.
Contractor
The foregoing instrument was acknowledged before me this
day of l , 20 10, by jJtD
Sign: : oa
Print:
�'•
My Commission Ez'
Plans Examiner
Engineer
Zoning
Project Address
841 98 Street
Miami Shores, FL
Contractor(s)
LONGMAN ELECTRIC INC
Phone
(305)758 -1211
Cell Phone
Fees Due
CCF
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$0.40
$225.00
$3.00
$1.60
$231.20
Building Department Copy
March 01, 2010
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Permit T e: E entia
Parcel Number
1132060142490
Block: Lot:
Type of Work: NEW PANEL FOR POOL
Additional Info: ELECTRICAL
Classification: Residential
Invoice #
EL -1 -10 -36799
Invoice Total Amt Paid Amt Due
$231.20 $231.20 $0.00
Expiration: 08125/2010
Applicant
Valuation:
Total Sq Feet:
Seng & Brandee Lam
841 98 Street
MIAMI SHORES FL 33138 -2532
$ 2,000.00
0
For Inspections please call:
(305)762 -4949
Available Inspections:
Alarms
Bonding
Inspection Type:
Final
Light Niche
2
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical
is Building Historically Designated YES NO
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Architect/Engineer's Name (if applicable) Phone #
.1 0 3
Permit No.
Master Permit No.
Phone# 2bS {'3`t67 7E41282-
PhS
Owner's Name (Fee Simple Titleholder)
Owner's Address - ( f ( i■J 9 0 . 2e--
City l cL(4Lt4 S4A.oYe5 State Zip 33f
Tenant/Lessee Name j 4 Phone #
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Contractor's Company Name L 0 V /✓j , I c 1 Phone # 305- 7-s$ —)? 1/
Contractor's Address ,$ ti it ,y`' q f ..5/4 z
City /in / e'm1' 54oI e s State 17 z_ Zip 3 3/3,/
Qualifier Name 41/ G, 1., y , / I.- 0 -i, Al 4 „ — Phone # 365 - 75S- 1' A/1
State Certificate or Registration No. EC. ) 30037 3 Certificate of Competency No.
E -MAIL:
Value of Work For this Permit $ Square / Linear Footage Of Work:
Type of Work: DAddition Alteration ['New f Repair/Replace
EJ Demolition
Describe Work: J , ., 4// NC' p G Po , 4 i �
xxxnYxxnY z4: xxxxxxxeYxxxxxxx xx9:****x xxr. *wwwr .**x xx********xxxxx * ***
Submittal Fee $ Permit Fee $ 2 ? ' m° CCF $ 1.2_o �(C�O /CC
Notary $ Training /Education Fee $ 0 r O Technology Fee $ I•IQCJ
Scanning $ 300 Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ 010
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 pennit 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 properly is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and q, reinspection, fee will be charged.
Signature
Sign:
Print:
APPLICATION APPROVED BY:
(Revised 02/08/06)
My Commission Expires: April
• x xx X xxx xxx*x xx*x xx x xxx xxxY.xx xx W *x W WY.xxxx
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this $ The foregoing instrument was acknowledged before me this
day of , 20 1O , by So v# L a wA , day of , 20 by
who is personal y known to me or who h s roduced who is e
r � nw.n personally known to me or who has produced
`: La.ttSe As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
, '
r r
wommammin
o ost v Notary Public State of Florida •
man Sr
t r My Commission 0D878776
.. ,• s: • Pr
t:
NOTARY PUBLIC:
Commission Expires:
Contractor
. Y.Y.xx Y.x WY.x xxxxx x Y.xx x Y. cwwwwWY.xxx*xxx WWxxxxx
:Y.,'Cx'xx
Plans Examiner
Engineer
Zoning
Scheduled Inspection Date: May 24, 2010
Inspector: Devaney, Michael
Owner: Lam, Seng & Brandee
Job Address: 841 NE 98 Street
Miami Shores, FL
Project: <NONE>
Contractor: LONGMAN ELECTRIC INC
Building Department Comments
May 21, 2010
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
1
Inspection Number: INSP - 133031 Permit Number: EL -1 -10-41
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number (786)282 -6565
Parcel Number 1132060142490
Phone: (305)758 -1211
INSTALL NEW PANEL FOR POOL EQUIPMENT
L tiVeti;4-4
Passed
CJ'
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
/// 1-1" a,
/t/Q'c'd pc),74-
Page 6 of 39
Scheduled Inspection Date: May 27, 2010
Inspector: Devaney, Michael
Owner: Lam, Seng & Brandee
Job Address: 841 NE 98 Street
Project <NONE>
Miami Shores, FL
Contractor: LONGMAN ELECTRIC INC
Building Department Comments
May 26, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
E Jo -9 0
C L—
Inspection Number: INSP- 144513 Permit Number: EL- 1 -10 -41
For Inspections please call: (305)762 -4949
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number (786)282 -6565
Parcel Number 1132060142490
Phone: (305)758 -1211
INSTALL NEW PANEL FOR POOL EQUIPMENT
Passed
iv
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 15 of 15