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POOL PERMITMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Btyilding Inspection Request Date I / � . � Type Insp'n e�>I It- Permit No. l V '4 Name Hf Address ) O N J 1.0 l S c i Compan SS Phone # Inspection Date Approved Correction Re- Insp'n Fee ❑ Type Insp'n Permit No. 4 i2.92.3 ,4011, MIAMI SHORES VILLAGE " r BUILDING DEPARTMENT 305- 795 -2204 Buil . Inspection Request Date 7 l3 Name H owe Company Phone # Inspection Date Approved Correction Re- Insp'n Fee 1 L 6Pok -(- t430 Address 10 101,3 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON TIE SOB SITE AT TIME OF FIRST INSPECTION PERMIT NO TAX FOUO NO. 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: \ok `� S . 4 \\‘. .10 ?o Xc X61 5i P� 2. Description of improvement: s\ 3. Owner(s) name and address: $ a 5 Interest in property: Name and address of fee simple titleholder. beck., • . 4. Contractor's name and address: C5c19 FbO1s goD ftte Ist N. tOta1, P1 33 /02- • 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's.Notice as provided In Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differe t date Is specifie Ignature of Owner Print Owner's Name <5 c.+S n ` • u.) . 1 / P Sworn to and subscribed befor- - e /, day of L9C 1 11V Notary Public Print Notary's Name My commission exp r 12101 -52 PAGE 4 8/02 ENNETH SHERMAN Nulary Public, State of Florida R A _ eomm e xp. May 24, 2uut Comm. No. DD 182405 IIIIIi NIIMiiniiii1iiiiiiiiiii CFN 2004R1059503 OR Bk 22859 Ps 3545► tips) RECORDED 11/30/2004 14:18:43 HARVEY RUVIN, CLERK OF COURT MIAMI —DADE COUNTY, FLORIDA LAST PAGE M kw■.< • 5\1.art.5 :t nni .51,o(es / Fl 33\38 pared by JetAhA• tv )) Address: (TM fit, 15 5i 1 I Fla. 33) 1 i_ h vtaTilla r BUILDING DEPARTMENT 10050 N,E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138-2382 TELEPHONE (305) 795-2204 FAX (305) 758.8972 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 lo 4e- lol Si- Miami Shores,. Fl., and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statutes. (please initial the method(s) to be used) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved safty cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equiped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with release mechanisms placed no lower than 54" above the floor or deck; I understand that not 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 b - . - sidered as committing a misdemeanor of the second degree • unishable by fin- : up to),, 0 and /or up to 60 days in jail as established in Chapter 775, LEAUNR V tary Public S MAN ' tate of Florida 1• / comm. expo Ma �� iI �.... ,.2007 i wi ir:1.1 1V - �. 1 182405 R'S SIGNATURE & D OWNER'S � • 17 • Y.PU C. • /.0.2,26/ KENNETH SHERMAN • ary Public, State of Florida � comm. exp. M 24, 2007 m. No. DD 182405 UUILUINta / LUNING DEPARTMENT" SECTION BY DATE • ZONING • ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL JOB ADDRESS APPLICANT PHONE it ,c� APPLICATION SHEET OF . MISCELLANEOUS DATE CRITIQUE SHEET COMMENTS PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE 1. Subject to compliance with aft Federal, State, Cocmty.ViIlage rules lad regulations. Village assurnea no responsibility for accuracy oftor resutts frog these plans. 2. This copy of plans must be available at buffding site or no Inspection twat be conducted POOL REQUOIROMENTS: SELF - CLOSING/ SELF - LOCKING ✓ INITIALS FENCE: 4' HIGH (MIN.) AND NON CLIMBABLE IF NEIGHBORS REMOVE FENCE/ WALL, OWNER MUST REPLACE WITH A 4' FENCE ON CAW IFR'S PRQPFRTY j U e 4 v 0 S -, �-d' 3 lY1 r> t'eA.r- ("zloty ( ?) 7. S 2F® '.0 <v 11 e- cam 06 ,rc '' c r .P i;0 — (1,04-4,) po ,al ;1 Z'MtSSi w./ 4ti-1144‹-ie/z Miami Shores Village Building Department Permit No. .8 P Ott-WO Job Name BUILDING CRITIQUE SHEET Addru-S PAZ cilm/vt.e fhNoc-f th-/ 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 L503 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date / I C7 /OS 1 Type Insp' n ( (rl o I I- c 1 Y (`CQ 1 Permit No. -.LCD4 — 338 Name SC a YY3 1 h r Address 49 NE (0 1 ST Company Phone # (ho) 269 - I t OO Inspection Date Approved Correction Re-Insp'n Fee 0E7- I - 05 ay gP? MIAMI SHORES VILLAGE BUILDING DEPARTMENT \ 305- 795 - 2204 Buil ing Inspection Request Date t O R rm Permit No. E104-- 33K Name MWQ( Address — 70 N `v,K Type Insp'n Approved Correction Re- Insp'n Fee rfiv Company an 1 I )Lm_ Phone # Inspection Date a Phone # x-4'3 -�/,,o MIAMI SHORES VILLAGE ' S BUILDING DEPARTMENT 305- 795 -2204 Bu ding Inspection Request Date Type Insp'n le Permit No. — 33 ( Name 50I -Q • Address . 10 NC, (01S-1-- Compan Ohl t i ina f ktWS Inspection Date �� t Approved Correction Re- Insp'n Fee o -h cjcu . G t? ei"--421 " 7' RI‘epi # ��� Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Printed: 12/21/2004 Applicant: JEFFERY Owner: SALTER JOB ADDRESS: 70 NE 101 Contractor SHINE MAINTENANCE ELECTRICAL Contractor's Address: 7323 NW 8 ST Local Phone: 305 - 269 -1151 Parcel # 1132060131340 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 4 & E1/2 OF LOT 5 BLK 10 LOT SIZE Fees: Description Amount FEE2004 -12826 Building Fee $225.00 FEE2004 -12827 CCF $0.60 FEE2004 -12828 Training and Education Fee $0.20 FEE2004 -12829 Technology Fee $5.63 FEE2004 -12830 Submittal Fee ($50.00) Total Fees: $181.43 Total Fees: $181.43 Total Receipts: $0.00 n-) G Permit Status: APPROVED Permit Expiration: 5/29/2005 Construction Value: $1,000.00 Work: ELECTRICA FOR POOL MASTER BP2004 -1480 Signed: (INSPECTOR) Electrical Permit Permit Number: EL2004 -338 SALTER JEFFERY ST Page 1 of 1 DEC 2 3 PAID 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: BUILDING Permit No. E"l0(-1 PERMIT APPLICATION Master Permit No. 6 'P() a -I 1 46C0 FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) I ) SU 0 ' ((Are" f Phone # Ai Owner's Address G `t t ` 0 ( Q- City mA DV _a c State f� Zip 33j 32 f4 `1 " Tenant/Lessee Name Qualifier r L. S Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Total Fee Now Due $ /V /' (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Job Address (where the work is being done) - 70 0 / City Miami Shores Village County Miami - Dade Zip ; '5 X Is Building Historically Designated YES NO Phone # Contractor's Company Name . 71 L s.h. -Li ' 4en Cam' Phone # 5-- Ztoq —(( 5 r � Contractor's Address City r()tA,14) State Zip 3) 2LLT 4, PIei Phone # S Z ( O ' 66 Square Footage Of Work: Type of Work: ❑Addition EAlteration New ❑ Repair/Replace Demolition (( , � ��,, //II > ❑ Describe Work: 'Q ll: T ! (lw V,Q')�C - uoP ( sk.) pew G 6 qq � * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal F$3 v " Permit Fee $ Z CCF $ 6. 6't/ CO /CC Notary $ Training/Education Fee $ a Technology Fee $ �° 3 Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 212k &L//t c�� ^/ � �Y U Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 9 Mortgage Lender's Name (if applicable) Mortgage Lender's Address r City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is• issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent day of , 20 _, by , day of who is personally known to me or who has produced who is p As identification and who did take an oath. NOTARY PUBLIC: NOTARY PUB Sign: Sign: Print: Print: State Certificate or Registration No. (Certificate of Competency Holder) c00 '( ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 12/15/03 The foregoing instrument was acknowledged before me this The foregoing instrument was Contractor o) • sonally known by me as iden 1c atio . owledged before me this or wh produced (./ . who did take an oath. otary P ublic O MAN My Commission Expires: 01111111 '�' ires: i ion Expires: Comm' e M ay 24 nda Comm. No. � � 2 007 ***************************************************************************** * * * * * * * * * * * * * * * * * * *D 1 P905 * * * ** Certificate of Competency No. Zoning Plans Examiner Engineer Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: PL2004 -324 Printed: 12/21/2004 Applicant: JEFFERY Owner: SALTER JOB ADDRESS: 70 Contractor ESSIG POOLS Local Phone: 305 - 949 -0000 Parcel # 1132060131340 Fees: Description Amount FEE2004 -12831 Building Fee $160.00 FEE2004 -12832 CCF $0.60 FEE2004 -12833 Training and Education Fee $0.20 FEE2004 -12834 Technology Fee $4.00 FEE2004 -12835 Submittal Fee ($50.00) Total Fees: $114.80 Total Fees: $114.80 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 5/11/2005 Construction Value: $1,000.00 Work: PLUMBING IN NEW POOL BP2004 -1480 Signed: NE 101 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 4 & E1/2 OF LOT 5 BLK 10 LOT SIZE (INSPECTOR) Plumbing Permit SALTER JEFFERY ST Contractor's Address: 1800 N. E. 151 ST. Page 1 of 1 ;DEC 2.3 PAID 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: BUILDING PERMIT APPLICATIO FBC 2001 Permit Type (circle): Building Electrical Plum s in Mechanical Roofing Owner's Name (Fee Simple Titleholder) S 4 5(.. w) 4 wC1 Phone # Owner's Address lo /J(.;. lo \ 5 A City r c.r� SL■ a r t State Tenant/Lessee Name Architect/Engineer's Name (if applicable) $ Value of Work For this Permit 10O •° State Type of Work: ❑Addition ['Alteration Describe Work: f l \ (A Total Fee Now Due $ (Continued on opposite side) Millir Village Building Department 10050 N.E.2nd Avenue, : ami Shores, Florida 33138 e15295 05) 756.8972 OZ Z 1 AON New Permit No. 47 log " 3zq Master Permit No. FPDc — Zip 33 3 4 Phone # Job Address (where the work is being done) 10 F ( a % .sk City Miami Shores Village County Miami -Dade Zip 31 ■ 3 $ Is Building Historically Designated YES NO Contractor's Company Name 6 - 5 5 - ■ P06\ 5 Phone # Contractor's Address l' 00 'le f r l 5� City /•.1 . Zip 3 R R Z Qualifier cd■M Es s Ate, Phone #,"C - I - rep 3 Square Footage Of Work: ❑ Repair/Replace ❑ Demolition qc * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * �� * rr * * * * * * * * ** Submittal Fee $�C OC Permit Fee $ A, 0 � � CCF $ (V- ac) CO /CC • Notary $ -------- Training/Education Fee $ Technology Fee $ , - - Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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 noti e of com, 'ncement must be posted at the job site for the first inspection which occurs seven (7) da after the building permit is •i. ed, the absence of such posted notice, the inspection will not be approved and a reinspect will be charged. Owner or Agent The foregoing instrument w acknowledged before me this day of who is perso Sign: Print: NOTAR ' My Commission Expires: Chc 12/15/03 20 by as produced ion and who did take an oath. Signature KENNETH NOTARY PUB K SHERM �►i►m. exp. M, ' 'aria: Print: e' DD 182405 7 My Co y ' sion Expires: State Certificate or Registration No. 6ecoc1,SOf Certi cate of Competency No. Contractor The foregoing instrument was acknowledged before me this day of who is perso by M 11 14 1 0 1 111 11 1 " " a of Florida omm. No. DD 1 82405 7 • ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **/ �, ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: ��� �� i -v Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12/21/2004 Applicant: JEFFERY Owner: SALTER JOB ADDRESS: 70 Contractor ESSIG POOLS Local Phone: 305 - 949 -0000 Parcel # 1132060131340 NE 101 Fees: FEE2004 -12616 FEE2004 -12810 FEE2004 -12811 FEE2004 -12812 FEE2004 -12813 FEE2004 -12814 FEE2004 -12815 FEE2004 -12816 FEE2004 -12817 FEE2004 -12818 FEE2004 -12819 Description Structural Fee Building Fee CCF CO /CC Training and Education Fee Technology Fee Scanning Fee Radon Structural Fee Builders Bond Submittal Fee Total Fees: Amount $50.00 $600.00 $12.00 $50.00 $4.00 $15.00 $21.00 $7.93 $50.00 $300.00 ($200.00) $909.93 C•n ,DEC 2 Total Fees: $909.93 Total Receipts: $0.00 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) Building Permit Permit Number: BP2004 -1480 SALTER JEFFERY ST Contractor's Address: 1800 N. E. 151 ST. Page 1 of 2 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 4 & E1/2 OF LOT 5 BLK 10 LOT SIZE BY: BUILDING PERMIT APPLICATIO FBC 2001 Permit Type (circle): City M', State r Tenant/Lessee Name Mi ores Village Buildin 10050 N.E.2n T artment hores, Florida 33138 05) 756.8972 Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 6L)5't4 Phone # Owner's Address '10 ) D 1 S� Zip 35 1 3 $ Phone # Job Address (where the work is being done) - 70 .JJ 6 10 \ 5A" City Miami Shores Village County Miami -Dade Zip 3 313 Is Building Historically Designated YES NO / Contractor's Company Name C= 5515 / LA S Phone / #_ - 05 - Q 7 ^ 66°0 Contractor's Address 1 $c5v /Jc= (S) 5.\- City t . r'4 -� State Qualifier J aJ ES 5 i` Architect/Engineer's Name (if applicable) $ Value of Work For this Permit 9. De Square Footage Of Work: Type of Work: EAddition ❑Alteration ew Describe Work: 'Y" 90. O1'ug Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Structural Plan Review. $ 50 .O(1 Permit No. if 146r) Master Permit No. Zip 331it)Z Phone # ❑ Repair/Replace ❑ Demolition /� * * * * * * * * * * * * * * * * * * * * ** * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee 5 2 & '00 Permit Fee $ l CCF $ 1 o i CO /CC c2 Notary $ Training/Education Fee $ L Technology Fee $ /5, Scanning $ di Radon $ 7, q3 Zoning Bond $ 3oo 250.00 ct 90Q2 p�QQ�� cct{-�cn g-oo . (s}-6cAwc . 5 - )0-1111 Bonding Company's Name (if applicable) Bonding Company's Address City 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 co r encement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is •ssued. / the absence of such posted notice, the inspection will not be approved an• einspectio' ill be charged. Signature Owner or Agent The foregoing instrument w'ls acknowledged before me thi day of if 20a. b who is • on ly know {1 to m • s id ti s Y ..':LIC: /% KENNETH SHERM NOTARY APPROVED BY: Chc 12/15/03 State Zip r wit roduced fic io • id who did take an oath. Signature Contractor / The foregoing instrument was a owledged before me this l day of A ' L,. , 20 (J by who is personally kno . • e or who as iden roduced o did take an oath. ation/W NOTARY P �C ' I Sign: Sign: I l/i.�rLA Notar p �� on E xp es: RMAN Print: My Comm. exp. May ' rint' � ic, State of 24 Florida My 'C G • m';• ' 1r y comet• P Ma lorlda My Commiss Tres: No • Y 24, 2007 **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *C unkn ,gyp t � s******* * * * * * * * * * * * * * * * * * * * * * * * * * * ***** * * * *QQ *14.2406k* * ** (Certificate of Competency Holder) State Certificate or Registration No. d Co S ct, O ' Certificate of Competency No. ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * �' ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 0200 % l / z3l04._ .=31ruei Plans Examiner Engineer 7.21/ 7/ y Zoning Date (1 13(3 Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL OWNER'S CERTIFICATION I certify that I am the legal owner of the property described as , located at 7 d J•� 10 5 }' 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. Note: This certification is to be submitted with a swimming pool permit application in duplicate.