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1240 NE 100 St (11)MI ORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date NZ05 Type Insp'n WI TT Permit No. � " Pl 7 - L 8 Name 1'QIJ/ Address 121 NE 100 Sr Ma4 alfal/ 3 TA/ Phone # 34.51 5e z Inspection Date 1 Z4iOS Company Approved Correction Re- Insp'n Fee 4504 NOV 0 3 2005 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request D 1111405 Type Insp'n Permit No. 1- .1: ; * Name \\A • `hi •h Address ` b kb y Company GW i* to tV.t` Phone# jb5 c '10 Inspection Date Ilk 7105 Approved Correction Re -Insp' n Fee Company 45i Nov 10 2005 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date kkk Type Insp'n S5.4 ' Permit No. ,) ` 1 25 i Name t ?\0 Address 124b tsE �oos wfral4t l• Stv '1J Phone # 5RZ.'Uu10b Inspection Date 1 Approved Correction ❑ Re- Insp'n Fee ❑ o5 Name Address Nov 0 MIA I ES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n ' kd Permit No. " b72.WS 1142. v`o � ' � `` t 11A0 U OD Company YVW G ' o' WW1 1101 Phone # J ( 5V U — Inspection Date Approved ❑ Correction Re- Insp'n Fee ❑ 1,2,0. Aze _ / ha-' a- -z"Cf,J �r 6216PtZ pov2 Po-P _ iggx-tzu--e leittves S 01-4 - 11 C--d )(COY SW0 C.2) S ,4 S i ` oNt 'wcW NOV 0 8 2005 M I A O E S VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date �' [105 Type Insp'n ROAM 1 Permit No. ?L 2 W S /- 8 Name 12 40 Nf 1(0 3T _Address AlkP P ablo Company &k Cw7 Xi 5Waii/LA 7 Phone# 5 j5q2 1 Inspection Date 11 105 Approved Correction Re- Insp'n Fee 4 5 ( NOV 0 7 2005 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date (N6 i r 11 Type Insp'n K4140114 Permit No - Jr' z8 o Name IVJ3141 Address j24O iE ^A �W 57 ` ,] Company W v &\ Cp61J i � .rnk WlS Phone # S ( 6 `2 'D Inspection Date 1 0105 ` (05 Approved Correction Re- Insp'n Fee Ai 7 o /9 // 07— o; 1240 ne 100 st Passed Ea Inspector Comments /4.-/z-#',V 'G Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'Inspection Number: INSP -18109 NAY 2. 4 ENID Permit Number: EL2005 -345 Inspection Date: 05/2312006 Inspector: Devaney, Michael Owner: None, None Job Address: 1240 100 ST Project: <NONE> Monday, May 22, 2006 Miami Shores Village, FL Contractor: SANSON ELECTRICAL PLUS INC ildin De 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: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1132050090050 Lot: Phone: 305 -443 -8808 Page 2 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /7/2005 Applicant: ALAN & ANGFELA Owner: RUBIN JOB ADDRESS: 1240 NE 100 Contractor SANSON ELECTRICAL PLUS INC Contractor's Address: 3995 SW 4 ST Local Phone: 305 - 443 -8808 Parcel # 1132050090050 Fees: FEE2005 -13253 FEE2005 -13254 FEE2005 -13255 FEE2005 -13256 FEE2005 -13257 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $150.00 $0.60 $0.20 $3.75 $3.00 $157.55 Total Fees: $157.55 Total Receipts: $0.00 Permit Status: APPROVED Work: LIGHT NICHE AND MOTOR POOL Signed: (INSPECTOR) Signed: (Contractor or Builder) Electrical Permit Permit Number: EL2005 -345 RUBIN ALAN & ANGFELA ST Legal Description: EARLETON SHORES PB 43 -80 LOT 5 Permit Expiration: 4/3/2006 Construction Value: $600.00 BY: Page 1 of 1 BLK 1 LOT SIZE 75.000 X 109 CST 07PAP Grp I 49 c. .c, In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2001 Permit Type (cir cle ) : Building Electric 'l Plumbing Mechanical Roofing — Owner's Name (Fee Simple Titleholder) AA N -- � Phone # or S / 009 Owner's Address 2- C A) City /' l 14 'r 1 5 L15 State Tenant/Lessee Name Job Address (where the work is being done) 0 City Miami Shores Villas Is Building Historically Designated YES P Iv S Contractor's Company Name U.10A) eyzf -i Contractor's Address 3011 City k1 1t Ail l State Qualifier .CD P10 )3 0 County Miami -Dade NO V Permit No. .1--CE) 345 Master Permit No. E /OO 5T Zip 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Phone # �$ b " 911, • 1 211 Zip 3313 Architect/Engineer's Name (if applicable) Phone # Architect/Engineer's Address City State Zip $ Value of Work For this Permit ' 600 Square Footage Of Work: Stories Families Bedrooms Baths Number of: Bays 0 Repair/Replace ❑Demolition ❑Alteration ONew Type of Work: Addition , 1-104-19A �� • Describe Work: (461-17 /J i Ct4E * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** O • Permit Fee $ ISO .0 0 Notary $ County Escrow Fee $ 321-) � � Radon $ Education/Training Fee $ 2.0 Tech $ .-3 . �5 Scanning $= Bond $ Struct. $ — Code Enforcement $ B (Continued on opposite Minus Plans Check Fee $ Total Fee Now Due $ ' 7/7/03 Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City VOTARY PUB Sign: 'rmt: 4y Commission E tate Certificate or Registration No. 01Y P r P 't FOF FIO State * MY COMMISSION # DD 342901 • State Signature My Commission, (Certificate of Competency Holder) Zip 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 in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC applicable laws regulating construction and zoning g OWNER'S AFFIDAVIT: I ce ' certify that all the f information is accurate and that all work will be done in compliance with all . "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN Y OUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, COMMENCEMENT." CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING NOTICE OF YOUR NOTIC OF Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose ro roper pp scant must P P ty 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 osted notice, will not be approved and a reinspection fee will be charged. P hce, the Signature Owner or Agent The foreg g mstnunent was acknowledged before me this day of� 2Q21 / The foregoing ins ens was acknowledged before me this by day of who is personally known to me or who has produced 20t01:, by who is personally kno wn to and who did take an oath. I o me or who has produced �� L as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Bonded Thtu Budget Notary Services #pi€es:'P f��r,r, c 2008 Contractor Certificate of Competency No. PPLICATION APPROVED BY: Plans Examiner Engineer Zoning ITEM BATH 11.8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WILD) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 If STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES- - A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER _ SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING f _ ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL I Passed � Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -21392 �L Inspection Date: 07/03/2006 Inspector: Grande, Claudio Owner: RUBIN, ALAN & ANGFELA Job Address: 1240 100 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: MIAMI CUSTOM SWIMING POOL Building Deaartment Comments Thursday, June 29, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 JUL 0 6 RTC Block: Permit Number: BP2005 -1142 Permit Type: Imported Permit Inspection Type: Final Building Work Classification: <NONE> Phone Number 305- 577 -1009 Parcel Number 1132050090050 Lot: Phone: 305 - 592 -8066 Page 1 of 2 PERMIT # - PO - 1 142 CONTRACTOR: N )4AM 1 C(3TON 5VV 1 M I" 1I NCI ROL- SUBMITTAL DATE: 51 06 PROJECT TYPE: V —SW/ 94 M 1 I C= R) C4.— K (Lk ZONING FIRE Aef. 8 /iv lo5 �f j- '1 STRUCTURAL IMPACT FEES / ,/,' ., ELECTRICAL l n� � HRS /DERM vq411\ PLUMBI G F I 6 'IC) NOC 9" MECHANICAL /� BLDG o (e /v 1 /( \a `A o`),1 BUILDING . Permit No. ? Lt5 fi t- PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type (circle): Builder Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) AL-144 I 8//ti Phone # C3 5 S1. — 1 0 / Owner's Address 0- / V 6 /00 S T' City/4141( SNO QES State FL.- Zip 3 i 3g Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami-Dade Zip Is Building Historically Designated YES NO V L / �: Contractor's Company Name /17/ / / mod /� Contractor's Address /C (J /3 f, S i / h & City //1/4-1,,,, State / 2 • Qualifier Jc•S C 41 / 1.2 C & (--.) Miami Shores Village Building Department E +, F E 1 AU '�, ai 1 246 /UE. /00 1 Architect/Engineer's Name (if applicable) I�/ e /�' , L ° ' � � � G... Phone # 3C 5 - 4 5 .5 - ' r C Architect/Engineer's Address 3 / r6 � L f 3 ! kikc City /1) / Ain/ ' State / Zip $ Value of Work For this Permi G 'E Oc., Square Footage Of Work: 1 Number of: Bays Stories Families Bedrooms Baths Type of Work: ['Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: Ve'Zu) l.li/7.7,17 'e) one # 6k - Zip ,73 / e 6 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 sT 33138 SA r )I fb Zoo 4 s * # * ** * * * * * * * * * * * * * * * * * * * * * *T I Z.5) 04- Notary $ ' Z ' County Escrow Fee $ � _ try Permit Fee $ Education/Training Fee $ ( 0 • 00 Tech $ ZZ • Scanning $ Z7 �� yy . 00 Radon $ t Code Enforcement $ Bond $ 3t0 . 00 . ^ 2J 5 Str $ �• 00 .5U, - $/e0. to Minus Plans Check Fee $ Total Fee Now Due $ ' , (Continued on opposite side) 1 32,7 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 sz posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this / 5� !luw day of who is personally known to me or who has produce d NOT Y : LI Sign: Print: My Commission Ex � s: chc7l7/03 20 by P 1 r� Sc,c t/.(ywho is personally kno to me or who has produced /-/ s C As identification and who did take an oath. as identification and who did take an oath. .0pRY PO4,, x APPLICATION APPROVED BY: OFP' lc: ) t I- "- TERESITA QUINONES MY COMMISSION # DD 342901 EXPIRES: August 2, 2098 .° Annded Thou Budget Notary services Signature ontractor The foregoing instrument was acknowledged before me this / J7 i , 20 by day of NOTARY PJBLIC: Sign: Print: .w EXPIRES: August 2, 2008 ~ .. .. � . . ice My Conmmissio , ' xpires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. TERESITA QUINONES N1DD342901 5/9- Plans Examiner Engineer Zoning c a_/ Date Miami Shores Village Building and Zoning Department Attention: Building Official !'lost 1 5k+b ' FL- 33/38 SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as (-err S or a Loc-K � of Si4.1.-'f A/ 5 R-0 it Er , located at 12_40 M6 /MO ST In accordance with Section 33 -12(0, Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. - //tAate:Villa r BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIOA 33138.2382 TELEPHONE (305) 795-2 204 FAX (305) 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 installed at IV-46 NF I 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) V The ool will be isolated from access from the home by an enclosure P Y 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 con ' i red as committing a misdemeanor of the second degree, punishable by fines up to $50s and /or up to 60 days in jail as established in Chapter 775, F.S. R'S SIGNATURE ATE R'S NAME (PLEASE ! T • TERESITA QUI O 6 * MY COMMISSION 100 342901 EXPIRES: August 2, 2068 Thm B Notary Services OWNER'S SIGNATURE & DATE jle 67,f) 0 NAME ( PLEASE PRINT) s` �9 c TERESITA QUINONES �� ' MY COMMISSION I DO 34290' EXPIRES: August 2, 2008 Ne 'ARY P RESTRICTIVE COVENANTS PROTECTIVE POOL ENCLOSURE PREPARED BY: MAX1mn Quinones KNOW ALL MEN BY THESE PRESENTS: undersigned AIAh XI/bin situate and being in the Village affixed hereto on this a day of Signature and Print 4 /Ca /3 /L Signature and Print STATE OF FLORIDA ): COUNTY OF DATE ): DECLARATION OF RESTRICTIVE COVENANT IN WITNESS WHEREOft, the undersigned has/have caused I HEREBY CERTIFY that on th ay personally appeared before me known to me or has produced clo LL (type of identifrca that he/she executed the foregoing, freely and vo ntarily, for pnrpo SWORN TO AND SUBSCRIBED before me on this MY commission expires: Signature and P NOT PUBL hand (s WHEREAS, the is/are the fee simple owner (s) of the following described property Lot (s) 5 Block I of fiIt'1 t0Y1 Shores (Subdivision), A.K.A. (address) t'240 NE:. 100 *l - ree according to the plat thereof, as recorded in Plat Book AFB, Page 90 of the Public Records of Dade County, Florida, and Whereas, the undersigned owner (s) Alan RtIbi h desire to utilize said Lot (s) as • a single building site, and the undersigned owner (s) do (es) hereby declare and agree as follows: 1. That the property will not be used in violation of any ordinances of the Village or Dade County now in effect or hereinafter enacted. 2. That the purpose of this covenant is to induce the Village *o issue a permit for a pool where the required enclosure Is not on the subject property where the pool Ls located. r�` 3. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our /my property shall fail to meet code requirements for pool barriers, we, as owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. 4. That, we, as owners, hold the Village harmless for any negligence or injury that results from not having the enclosure FURTHER, the undersigned declares) that this covenant Is intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by the • Village , or its successors, In accordance of said Village then in effect. seal {s) to be 4,✓ i &'B.a who Is personally as Identification and he/she acknowledge there In express • ..� TERESITAQUINES * MY COMMISSION N DD 342901 EXPIRES: August 2, 2068 Budget p Notary Services r 11 ::1 • IIIJ tet' )3 -0379 Rev. 4/2 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. BP 2005 - 1142. TAX FOLIO NO. 11. 320c-00 - 00 SO 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: LO} 5 Bock 1 , of Earl-ton Affec li �t0 the Mitt -thereof as recorded ;r1 PIa+ F5oa AM, At Pale. of al , o e Pubic; 614 014 of Miami- Dade (01)11.l,1Floridal.. 2. Description of improvement: Nirnminq p ool wnd spq 3. Owner(s) name and address: A101r1 kub►n )2- jI L. 100 ct M►owll S horP.s r � 3��'9 Interest in property: O 01)6? . Name and address of fee simple titleholder: 4. Contractor's name and address: Miami Custom SwlhYrnini ?OA 1065 Sass point 'Rd • Miami Srrinis, FL. 33164 5. Surety: (Payment bond required by owner from contractor, St1aFny# OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY that Mrs is a Prue coay of the prig, al filed in thjs office on day of , A D 20 0 1A / /TAi m h,nd Cf`Peal HARVEY U CL RK, of rrcuit nd County Coups El 7. Persons within the state of Florida designated by Owner uporrwhvnrnotiees -or other- eieeumeatMay be rued' aS. Name and address: P C Amount of bond $ 6. Lender's name and address: provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: it) 0 A) C 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: Ai 1 g) L 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a Sionature of Owner Print Owner's Name Sworn to and subs Notary Pubii: Print Notary's Na, My commission expire: An Rubin v volt T oed before P :•":`N. TEAESITA QUINONES 342901 11111111111111111111111111111111111111 111.1111 CFN 2005R0821243 OR Bk 23647 Ps 2596 (1p9) RECORDED 08/05/2005 11:19:27 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE /(i c ` f. cIei E J R Prepared by /9-#4 Q ✓�t)1Ar1 e this <J da of 1, . 20 0.57 � Address: /04 6 /34S( /` 1.0 / ' i/ Building Department Permit No. Job Name BUILDING CRITIQUE SHEET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 65 - ll N Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. O5 / 2 ° Job Name gui ;/ 1 /2.40 /VC /Do SY. Pool STRUCTURAL CRITIQUE SHEET �y�� 8.4„k3- CO geed 41- Se-aka Mru / a deep `'t3eitch Pao/a btihai "r venii 4 ,rmiti1l 414114 4010 A-/ /12j 1 ;p4 cleop wcJe r A 4 \o‘ Aug 24 05 01:58p miami custom JOB ADDRESS APPLICANT PHONE # APPLICATION _ G 'SKEET J ^OF._ MISCEU_ NEouS p DATE £001 006 - ON ADDRESS MIAMI SHORES VILLAGE BUILD ING 1 ZONING 0EPARTMEI+IT G% 1 IUuh S11CC l ci O�Jdds ZONING : com ENTS _ • 5 ., 305 8838966 t-to Pek. INSTALLED ON ALLEY MUST ALLOW 40 SO. FT. FOR TRASH CANS, TREE TRIMMINGS, ETC. 996828850£6 f da31110 S3210HS 11411W P.3 1. Subject to aompllanos arith a# Federal, State. Cp, y, Vigage calas sad ropufattmo. Village no no •raspansibWtp for accvtocy Oar mutts (coca these &M. 2. This copy of plaits must bit ardtabla ao fionding alto or nit Inspection *ill be candccted INITIALS ES =£T SOW /PE /80 PERMIT NO. • ADDRESS: . MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING • ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to compliance with ett Federal, State. County, Village rules end regulations. Village assumes no responsibility for accuracy oflor resutts front JOB ADDRESS APPLICANT PHONE# APPUCATION DATE CRITIQUE SHEET AlO /d s7' �vC SHEET OF MISCELLANEOUS ZUJUING COMMENTS these Copy 2. This of plans must be avallable on buRding elte at no Inspection will be conducted. INITIALS / ooc. f1J S' /A / tee - c --- Z s° 'iQe .q. r - c.kie IC, 'S e d9 5"' e 'to Je ek SiOE = /2 .s � ;/ 4ila.° prs ea[9e (t%ca) /4 ' rl deck. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. O3 / 2 Job Name gi41lh /2140 NC /Do Pohl STRUCTURAL CRITIQUE SHEET fpm 0,4,5 Aked Sea a /Ara /4" deep t'y5 -eah P ®o /"• Wha,J "reveo1J 4 .1,-n / cA1/4 4 Aii,'c, ii>v 4' C`ep Rieder 7 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /7/2005 Applicant: ALAN & ANGFELA Owner: RUBIN JOB ADDRESS: 1240 NE 100 Contractor MIAMI CUSTOM SWIMING POOL Contractor's Address: 1065 BASS POINT RD Local Phone: 305 - 592 -8066 Parcel # 1132050090050 Legal Description: EARLETON SHORES PB 43 -80 LOT 5 Fees: FEE2005 -10967 FEE2005 -13269 FEE2005 -13270 FEE2005 -13271 FEE2005 -13272 FEE2005 -13273 FEE2005 -13274 FEE2005 -13275 FEE2005 -13276 FEE2005 -13277 FEE2005 -13278 Description Structural Fee Structural Fee Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Radon CO /CC Builders Bond Submittal Fee Total Fees: Amount $50.00 $50.00 $900.00 $18.00 $6.00 $22.50 $27.00 $3.00 $50.00 $300.00 ($250.00) $1,176.50 Total Feeda1,176.50 Total Receipts: $0.00 CZT 07 PAID &—dc 1c9 Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2005 -1142 RUBIN ALAN & ANGFELA ST In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. BY: Page 1 of 2 BLK 1 LOT SIZE 75.000 X 109 Permit Status: APPROVED Permit Expiration: 1/29/2006 Construction Value: $30,000.00 Work: NEW SWIMMING POOL Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: STREET SUITE 202' 1 33126 • 5) 220 -3171 .a =0229 .<AWN BY: P. GRAU LOT-12 BLOCK -1 F.I.P 1/2 NO CAP atitt Aturtirrqtrrs LAND SURVEYORS X A ' U.E. ` x T 00' �c )t U 0 BOUNDARY SURVEY SCALE = 1':20' 20' PWY 75.00' LOT -5 BLOCK -1 LOT -13 BLOCK -1 0 .X x c; O SURVEYOR'S NOTE: may be Easements recorded in the Public Records not shown on this Survey. =e of this Survey is for use in obtaining Title Insurance and Financing and should not be used for Construction purposes. SURVEY No. 05 -5346 SHEET No. 2 OF 2 F.I.P 1/2" NO CAP 0.80' CL ON P/L A. X ` X 0.15' CL 0.15'CL If F.I.P 1/2" Nn CAP U.P. cY`s 4 LOT -4 BLOCK -1 LOT -14 BLOCK -1 l s • •• • • • • • • • • • , • • • •• • • • • • • • • • • • • • •- 5 T . =h iaz EEr SUITE 202 IMIAMI, FLORIDA 33126 !TELEPHONE: rig) 2201171 FAX : (305) 267)229 1 DRAWN BY: P. GR.p` A ARC. A .C.. AIR CONDITIONER PAD. A.E.. ANCHOR LISZNENT. . A.R.. ALUMINUM ROOF. A .B.. ALUMINUM SHED. ASPS.. ASPHALT. B.C. . BLOCS CORNER. BLDG.. BUILDING. B .M.. B.C.R B.O.8.. (C) . C. B. C.B.S.. C.B.N. CH . 01.8. • C.L.I.. C.14.S . CONC.. C.P .• D.E.. D .N.E.. DRIVE • • E.T.P.. N. I /OO n+ o sr NI • H.. HIGH (HEIGHT) IN. SIG.. INGRESS AND EGRESS EASEMENT. L.P.. LIGHT POLE. L. 1.E LOWEST FLOOR ELEVATION. L . LAKE NAINTENANc1 =sawn.. T.tta Puru-E . rrz �xw. LAND SURVEYORS — °;.r4 1 I� 8 • 9 /Law' A It / BENCH PARK. BROSSARD COUNTY RECORDS. BASIS OF BEARINGS. CALCULATED. CAKE BASIN. CONCRETE BLOCK STRUCTURE. CONCRETE BLOCK KUL. CHORD. CHORD BEARING. CLEAR. CHAIN LINK FENCE. CANAL PAINTEANCX EASEMENTS. CONCRETE. CONC. PORCH. CONCRETE SLAB. DRAINAGE EASEMENT. DRAINAGE MAINTENANCE EASEMENTS. DRIVIIar. 0105138. ELECTRIC TRANSFORMER PAD. SEEN.. 11.1VAr1011. 1363. - ENCROACHMENT. F.B.■ FIRE HYDRANT. 1.1.P..JCOND IRON PIPE. 1.1.5.. FOUND IRON ROD 7.1.3.. FINISHED FLOOR ELEVATION. I.N.D.. FOUND NAILS DIRE. FT.. FEET. ?NIP.. FEDERAL NATIONAL INSURANCE PROGRAM. 1 B . FOUND NAIL LOCATION SKETCH NOT TO SCALE ?3d18• /R /A /4, /r /7 ABBREVIATION AND MEANING . MINUTES. (M). MEASURED DISTANCE. N.H MANHOLE. N.A.P.. NOT A PART Or. NGVD . NATIONAL GEODETIC VERTICAL DAMN. N.5.3.. NOT TO SCALE. I -NO.• NUMBER. O/3 . OFFSET. O.B.. OVERHEAD O.B.L.. OVERHEAD UTILITY LINES. O.R.B.• ORIGINAL RECORDS BOOK. O.V.H.. OVERHANG. PVMT.. PAVEMENT. PL.. PLANTER. P/L . PROPERTY LINE. P.C.C.. POINT Or COMPOUND CURVE. P.C.• POINT OF CURVE. PT.. POINT OF TANGENCY. POC. • POINT Or OpMO NCEMENT. P.O.B.. POINT OF BEGINNING. P.R.C.• POINT Oj REVERSE CURVE. PRY . PARKWAY. PRN . PERMANENT AIFERE361 MONUMENT. P.L.S.. PROPESSIONAL LAND SURVEYOR. P.P. . POWER POLE P.P.S.. POOL PUMP SLAB (R) . RECORD DISTANCE. RR.. RAIL ROAD. RES.. RESIDENCE. 3/14 . RIGHT -Or -NAY RAD. RADIUS OR RADIAL. AGE.. RANGE. R.O.E.. ROOF OVERHANG 7.85 3T. SEC.• SECTION. STY.. STORY . SHE.. SIDEWALK. B.S.P.. SET IRON PIPE L.B. 16044. 3.. SOUTH. . SECONDS T ■ TANGENT. TIM . TOWNSHIP. WIZ... UTILITY. EGA L NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): I).TMERE MAY BE EASEMENTS RECORDED IN 711E PUBLIC RECORDS NOT SHOWN ON THIS SURVEY. 2).TME PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING AND SHOULD NOT BE USED FOR CONSTRUCTION PURPOSES. )).EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY. 9.TMIS SURVEY IS SUBJECT TO DEDICATIONS. LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD. 5).LEGAL DESCRIPTIONS PROVIDED BY CUENT OR ATTESTING TITLE COMPANY. 1).BOUNDARY SURVEY MEANS A DRAWING AND/OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN THE FAD. COULD BE DRAWN AT SHOWN SCALE AND/OR NOT TO SCALE 1).EASEMENTS AS SHOWN ARE PER PLAT BOOK. UNLESS OTHERWISE SHOWN. 1). THE TERM 'ENCROACHMENT' MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. 7). ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS. SETBACKS AND WILL BE RESPONSIBLE OF SUBMITTING PLOT PLANS HIM THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTIONS. O).UNLESS OTHERWISE NOTED, THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTING AND/OR FOUNDATIONS. 1).FENCE OWNERSHIP NOT DETERMINED. 2).T741S PLAN OF SURVEY, HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON, THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. 3).TME SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION BELOW, THE LOCAL F.E.MA AGENT HOULD BE CONTACTED FOR VERIFICATION. THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO 8E• 8Y :: REVISED ON: REVISED ON: REVISED ON: Survey of Lot: 5 Block: 1 Subdivision: FARLETON SHORES According to the Plat thereof as recorded in the Plat Book No. 43 at No. 80 of the public records of MIAMI -DADE County, Florida. Property Address: 1240 NE 100 ST, MIAMI SHORES, FL 33138 For: ALAN M. RUBIN U. UTILITY EASEMENT. U. P.= UTILITY POLE. N.N.= HATER METER. W. F. HOOD FENCE. N. .9 WOOD SHED. N.R.= 0000 ROOF. N.V. WATER VALVE. . MONUMENT LINE. C • CENTER LINE. <k . CENTRAL ANGLE. 0 = ANGLE. 101 : . 5!,'/' . AV.' I.S � 50 53 54, LEGEND TYPICAL -OH- OVERHEAD UTILITY LINKS C B S . NALL (C5N). -14-9F C.L.F. . CHAIN LINK FENCE. - 0 - 0 - I.F. - IRON FENCE. -,11 -1 , W.F. . MOOD FENCE. 0.00 . EXISTING ELEVATIONS. Situated in Zone: AE Community /Panel /Suffix: 120652 - 0093 -J Date of Firm: 07/17/1995 Base Flood Elevation: 8FT Certified to: ALAN M. RUBIN AND ANGELA COLLINS ASHLEY TITLE COMPANY FIRST AMERICAN TITLE INSURANCE COMPANY JP MORGAN CHASE BANK, N.A. IT'S SUCCESSORS AND /OR ASSIGNS AS THEIR INTEREST MAY APPEAR SURVEYNo.5 -Q0O ,"i46 SHEET No. / OF Date: 05/13/2005 SURVEYOR'S NOTES: 1). IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE PROPERTY, IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY, TOWNSHIP MAPS. 2). THIS IS A SPECIFIC PURPOSE SURVEY. 3). THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT. 4). IF SHOWN, ELEVATIONS ARE REFERRED TO 8M? ELEV. FEET. OFN.G.V.D. OF 1929. SURVEYORS CERTIFICATION: I HEREBY CERTIFY: THAT THIS BOUNDARY SURVEY' OF THE PROPERTY DESCRIBED HEREON, HAS RECENTLY BEEN SURVEYED AND DRAWN UNDER MY SUPERVISION, AND COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY T142 FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 1110176, FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472027, FLORIDA STATUTES. r &,€ 6g IBARRA ((DATE OF FIELD WORK) PROFESSIONAL LAND SURVEYOR NO.: .Gi ✓ ✓ STATE OF FLORIDA (VAUD COPIES OF THIS SURVEY WILL REAR 114E EMBOSSED SEAL OF THE ATTESTING LANG SURVEYOR). _,tic_ Passed Inspector Comments (Y-) Y , V Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -20660 Permit Number: PL2005 -288 Inspection Date: 06/26/2006 Inspector: Levrack, James Owner: RUBIN, ALAN & ANGFELA Job Address: 1240 100 Street NE Project: <NONE> Thursday, June 22, 2006 Miami Shores Village, FL 33138- Contractor: MIAMI CUSTOM SWIMING POOL Building Deaartment Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: 15? d4Z JUN 2 7 EN cL Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number 305- 577 -1009 Parcel Number 1132050090050 Lot: Phone: 305 - 592 -8066 Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department Permit Type (circle): Building Electric Plumbin l Mechanical Roofing — / 0 Owner's Name (Fee Simple Titleholder) AAA' D/Ai Phone # t__3 5 o S /38 12-40 tE /D o Owner's Address City 1 State Tenant/Lessee Name Job Address (where the work is being done) 2 0 /(1.E /CC 5 3 County Miami -Dade Zip NO City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name 0/f3rfl Contractor's Address /G L /3 , s s City 11 /kir; / /./ i�..��. •� Qualifier JC'S'C' C t''o 'C` dX ' $ Value of Work For this Permit / DU Number of: Bays Type of Work: ['Addition Describe Work: 7 County Escrow Fee $ ( - Education/Training Fee $ Code Enforcement $ Minus Plans Check Fee $ Stories Bond $ - -745 (u .iriln7ir rf o State 2 Architect/Engineer'sNnme (if applicable) 1/! /( P. f Phone # Architect/Engineer's Address /4/ °S f) / 3 / City 7 /4'77 / State Zip_ ['Alteration f/L Families Bedrooms Baths_ :New ❑ Repair/Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * ** * Fees * ,t * jar, * * * * * * * * * * * * * ** * ** * * * * * Permit Fee $ Tech $ 4.00 Total Fee Now Due $ Permit No. V L LCOS -2 —TS Master Permit No. LOS l4Z Zip Phone # Square Footage Of Work: Notary $ Scanning $ • 00 Struct. $ - � b8. 6t 1'.t 10050 N.E.2n Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 bine # 5" `/ g'6 E- CL t7 Zi�J / ,L - _ 4 J -4,07? Radon $ (Continued on opposite side) :7M03 Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Signature � State State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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 ELE that no work or installation has WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, E CAL WORK, PLUMBING, SIGNS, OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and tha all work will be done in compliance with applicable laws regulating construction and zoning. at all "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 roe pp P P rty is subject to attachment. Also, a certified copy of the recorded notice of commencement must be osted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence suc posted notice, will not be approved and a einspection fee will be charged. ,the Owner or Agent The foregoin* instrument was acknowledged before me this 1 dayof �l� v ,20C by )/fi /� ✓ij;n who is per wn to me or who has produced_ As identification and who did take an oath tate Certificate or Registration No. PPLICATION APPROVED BY: NOTARY PUBLI Sign: Print: 4y Commission Exp ▪ 'rFOF F �oQ`O ' Bonded Thru Budget Notary Sery e, • My Commis (Certificate of Competency Holder) Ce cate of Competency No. Zip * * * * * * * * * * * * * * * * * * * * * * * ** ontractor f • The foregoing instrument was acknowledged before me this P. / , day 20 Gam by SC who is personally known to me or who has produced ._ kik •identification and who did take an oath. freed/A.0r FLOPS Bonded Thru Budget Notary Service * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** * * * * * * * ** * * ** Plans Examiner Engineer Zoning ITEM BATH 11.8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS • UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION - • PUMP & ABANDON SEPTIC'TANK REINSPECTION SOAKAGE PIT.. CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /7/2005 Applicant: ALAN & ANGFELA Owner: RUBIN JOB ADDRESS: 1240 NE 100 Contractor MIAMI CUSTOM SWIMING POOL Local Phone: 305 - 592 - 8066 Parcel # 1132050090050 Fees: FEE2005 -13258 FEE2005 -13259 FEE2005 -13260 FEE2005 -13261 FEE2005 -13262 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $160.00 $1.20 $0.40 $4.00 $3.00 $168.60 Total Fees: $168.60 Total Receipts: $0.00 Permit Status: APPLIED Work: POOL PIPING Permit Expiration: 3/22/2006 Construction Value: $1,600.00 Signed: (INSPECTOR) Signed: (Contractor or Builder) Plumbing Permit Permit Number: PL2005 -288 RUBIN ALAN & ANGFELA ST Contractor's Address: 1065 BASS POINT RD Legal Description: EARLETON SHORES PB 43 -80 LOT 5 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. BY: Page 1 of 1 BLK 1 LOT SIZE 75.000 X 109 Inspection Number: INSP -21394 , CL JUL OGLIITD Inspection Date: 07103/2006 Inspector: Perez, JanPierre Owner: None, None Job Address: 1240 100 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: MIAMI CUSTOM SWIMING POOL Building Department Comments Thursday, June 29, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: SmI14Z Permit Number: MC2005 -135 Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1132050090050 Lot: Phone: 305 - 592 -8066 Page 2 of 2 Inspector Co ments k Passed ! r i Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Number: INSP -21394 , CL JUL OGLIITD Inspection Date: 07103/2006 Inspector: Perez, JanPierre Owner: None, None Job Address: 1240 100 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: MIAMI CUSTOM SWIMING POOL Building Department Comments Thursday, June 29, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: SmI14Z Permit Number: MC2005 -135 Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1132050090050 Lot: Phone: 305 - 592 -8066 Page 2 of 2 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) ,4,L, n) "(2. u a / Phone # _ ! - 77 -- /0 G 9 Owner's Address /2 'b 1• E /0 D City /4( h Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES $ Value of Work For this Permit Type of Work: EAddition ,l ❑Alteration �8 Describe Work: t= 0 p Code Enforcement $ Total Fee Now Due $ t 07 C IO (Continued on opposite side) State FG Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 d a / 1 /Oa County Miami -Dade NO ❑New Permit No. C.1 -k :Master Permit No.Sl L005 02— Zip Phone # Contractor's Company Name s /i / ( (on a h.M i,u ( /OEhone # r — ' d G c Contractor's Address /0 6 C "7 , 9 ' S ter R a /a /) City l.- ( L /,' Pk'/L 5 State F� Zip 3 c).? / t C Qualifier_ /C5 /6-• 6, c, /AjG�u S State Certificate or Registration No. c9 0 U 6 /- 7 Structural Plan Review. $ Zip I '" / 3 �' Certificate of Competency No. /B C Square Footage Of Work: Submittal Fee $ Permit Fee $ ( (/ 'j (� CCF $ 1 • CO /CC Notary $ ` Training/Education Fee $ G. Ca Technology Fee $ 2 Scanning $ 3 • CO • Radon $ Zoning Bond $ Architect/Engineer's Name (if applicable) ` (/ / F'ZJ2 R � v C Phone # r ❑ Repair /Replace ❑ Demolition 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 sueh- posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The forego,i g instrument was acknowledged before me this f 9 day of who is personally known to me or who has produced who is persona(, nown to me or who has produced NOTARY PU Sign: Print: My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 20 D cb 4 -4 4 , 1 -, - ,) r2 u , s identification and who did take an oath. + • • ` . e TERESITA QUINONES * MY COMMISSION 11 DD 342901 T i EXPIRES: August Z, 2U Bonded Thru Budget Notary Services Or r F or r�� ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signature Contractor The foregoin 4nstrument was acknowledged before me this if , day of i I , 20D , by ?as e. 114)," o eJ o, NOTAR Sign: Print: - ntification and who did take an oath. My Commission Expires: F' H TERESITA QUINONES * MY COMMISSION *DO 342901 -r t • y P< Bonded Thru B N • Services ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning P L U M B I N G ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED,414E OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/NETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 if ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS HATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS itcaT ?Mr 1/ A/C UNIT STRIP HEATER !! FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMt14ERC I AL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY- WATER. FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING P L U M B I N G ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED,414E OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /7/2005 Applicant: ALAN & ANGFELA Owner: RUBIN JOB ADDRESS: 1240 NE 100 Contractor MIAMI CUSTOM SWIMING POOL Local Phone: 305 - 592 -8066 Parcel # 1132050090050 Fees: FEE2005 -13248 FEE2005 -13249 FEE2005 -13250 FEE2005 -13251 FEE2005 -13252 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $100.00 $1.80 $0.60 $2.50 $3.00 $107.90 Total Fees: $107.90 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 3/22/2006 Construction Value: $2,400.00 Work: HEAT PUMP FOR MASTER BP2005 -1142 Signed: (INSPECTOR) Signed: (Contractor or Builder) Mechanical Permit Permit Number: MC2005 -135 RUBIN ALAN & ANGFELA ST Contractor's Address: 1065 BASS POINT RD Legal Description: EARLETON SHORES PB 43 -80 LOT 5 BY: Page 1 of 1 BLK 1 LOT SIZE 75.000 X 109 O7PMD In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes.