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BPP-09-1535 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 144315 Permit Number: BPP -9 -09 -1535 Scheduled Inspection Date: June 08, 2010 Permit Type: Pools/Whirlpools /Hot Tubs Inspector: Rodriguez, Jorge Inspection Type: Final Owner: FERNANDEZ, JOAQUIN Work Classification: New Job Address: 347 NE 104 Street Miami Shores, FL Phone Number Parcel Number 112136013012 Project: <NONE> Contractor: NATIONWIDE POOLS INC Phone: (954)227 -7665 Building Department Comments Construct new pool and paver deck. Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 141908. CREATED AS REINSPECTION FOR INSP- 140304. CREATED AS REINSPECTION FOR INSP- 124770. Fence must have self closing self latching gates Failed GATES NOT SELFCLSOING /SELF LOCKING 4/29/10 JR Same comments, left phone number for contractor to call NB Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. .rune 07, 2010 For Inspections please call: (305)762.4949 Page 11 of 20 Inspection Worksheet �P• ®� • is Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 124773 Permit Number: PL -9 -09 -1537 Scheduled Inspection Date: March 29, 2010 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: HORI CYTHIA Work Classification: Pool - Private Job Address: 347 NE 104 Street Miami Shores, FL Phone Number Parcel Number 1121360130120 Project: <NONE> Contractor: NATIONWIDE POOLS INC Phone: (954)227 -7665 Building Department Comments Plumbing for new pool with heater. Inspector Comments Passed 3 /' .24 GP JAI Failed Correction a Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 26, 2010 For Inspections please call: (305)762 -4949 Page 1 of 27 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 124772 Permit Number: MC -9 -09 -1536 Scheduled Inspection Date: March 30, 2010 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: HORI C YTHIA Work Classification: Pool Heater Job Address: 347 NE 104 Street Miami Shores, FL Phone Number Parcel Number 1121360130120 Project: <NONE> Contractor: NATIONWIDE POOLS INC Phone: (954)227 -7665 Building Department Comments Heater for new pool. Inspector Comments Passed R�L "I" Failed Correction ❑ Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 29, 2010 For Inspections please call: (305)762.4949 Page 6 of 16 _A r ; spree R -09 -1555 Inspection Worksheet Miami Shores Village CLW 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 124774 Permit Number: EL -9 -09 -1538 Scheduled Inspection Date: March 29, 2010 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: HORI, CYTHIA Work Classification: Pool - Private Job Address: 347 NE 104 Street Miami Shores, FL Phone Number Parcel Number 1121360130120 Project: <NONE> Contractor: TBM ELECTRICAL Phone: (954)741 -1004 Building Department Comments Electric for new pool with heater Inspector Comments Passed El Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 26, 2010 For Inspections please call: (305)762 -4949 Page 2 of 27 n � l H � r� � ,�� 9' � %� Inspection Worksheet Miami Shores Village yl MAY 0 7 2010 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 e " " °° ® m ° ® ® ® °® I nspection Number: INSP- 142575 Permit Number: BPP -9 -09 -1535 Inspection Date: May 10 2010 Permit Type: Pools/Whirlpools/Hot Tubs Inspector. Bruhn, Norman Inspection Type: Survey Final Owner: FERNANDEZ, JOAQUIN Work Classification: New Job Address: 347 NE 104 Street Miami Shores, FL Phone Number Parcel Number 1121360130120 Project: <NONE> Contractor: NATIONWIDE POOLS INC Phone: (954)227 -7665 Building Department Comments Construct new pool and paver deck. 517f6 Inspector Comments Passed ease • • 0000 Osseo* ' Failed ' 'V- so i�;I �A _' Ri •• Correction ' " "' .L ..... N eeded 4 . � .. •.... aa ! a .,=�,w� .;.fix:= • • • • • • •ease• Re-inspec •....• Fee No Additional Inspections can be scheduled until re- inspection The is paid. For Inspections please call: (305)762 -4949 May 07, 2010 Page 1 of 1 A L L E Y` T o LJ ° Cl! (P.B. 10, PG. 47) N L O �— F.I.P.1 /2 �? F.L f o.4a' P.1 /2" .20 1 F I 1.30. � 6 • taarrt+ s� f tea. 12.to Legal Description: t �+ 1 BLACK Lot 19 and the West Lot 20, Block 117, of MIAMI SHORES SECTION �,1�rta 1 ss °' FIVE, according to the plat thereof as recorded in Plat Book 10, Page 47, 14v° of the Public Records ___. 6.60 ' of Miami -Dade County, 0 . Certified to: •8 0 Q ° o• n 0 - ti JOAQUIN L. FERNANDEZ LOCATION SKETCH '-9.30' r I NOT TO SCALE a LL T - � 12 00 ;1�12� ` HEATER '1 3.0 3 Y Flood Zone: - •, j CO T— I ", - N to3' a c W U I Community Number: 120652 GENERAL NOTES: - 29.15' 10.3 5 `, 0 U 00 z m I Community Name VILLAGE OF MIAMI SHORES -LEGAL DESCRIPTION PROVIDED BY OTHERS. 0 0 CO // /s� 12.60' Panel 0302 - EXAMINATION OF THE ABSTRACT OF TITTLE WILL HAVE TO BE MADE TO DETERMINE • Q c) RECORDED INSTRUMENTS, IF ANY, AFFECT THIS PROPERTY. J N 'O N N I Suffix: L -THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED m N \ � ONE STORY N N ENCUMBERANCES NOT SHOWN ON THE PLAT. 2009 Ll.l Date of Firm Index: 9 11 - UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER IMPROVEMENTS WERE 10.50 12.60' RESIDENCE IZ ~O I / / NOT LOCATED. o Firm Zone X -ONLY VISIBLE AND ABOVE GROUND ENCROACHMENTS LOCATED. r #347 —I -WALL TIES. ARE TO THE FACE OF THE WALL o Ly� 3 I Base Flood Elevation N/A -FENCE OWNERSHIP NOT DETERMINED. 22.95' 12 Q C• .41 - BEARINGS REFERENCED TO LINE NOTED AS B.R. d « 1 - BOUNDARY SURVEY MEANS A DRAWING AND /OR GRAPHIC REPRESENTATION OF THE SURVEY CV WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT ^A' SHOWN f T AND /OR +NOT TO < Lo ° Property Address: SCALE. - 0.40' -NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. 10.45 13.50' 17,90' // 1347 N .E. 104 STREET -NOT VAUD UNLESS SEALED WITH THE SIGNING SURVEYOR'S EMBOSSED SEAL. •� 10.20 ostssw ( MIAMI SHORES FLORIQA313S••••t• - DIMENSIONS SHOW ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. • • • • • • • • • • • ' • • • • • • • • - ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS OTHERWISE NOTED. O 8.00' • * • • • • • -THIS IS A BOUNDARY SURVEY UNLESS OTHERWISE NOTED. 8.0jt4f)- i • ••• • • sss • • •• CV J • • • • • • • s -THIS BOUNDARY SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES I I p •� : • • • • • • • FOL10: 11-2136- 013'01' • : NAMED HEREON. THE CERTIFICATIONS DO NOT EXCEED TO ANY UNNAMED PARTIES. • • • LO W Ln •••�•• •stew• 2" p N CV s • • • • • • • • I • • • • • • • • • • • • SURVEYR'S CERTIFICATION: I HEREBY RTIFY AT THIS TOPOGRAPHIC SURVEY IS A F I P 1 BLOCK `� �" !!•� a p. O' o� •••• � EWHMARK INFORLVtAI"N •••• •••• TRUE AND CORRE REPRESENTATION A S EY PREPARED UNDER MY DIRECTION. CORNER 9 S3••• ••• • •�s•• ••••• • ••• ••�• ••• THIS COMPLIES W THE MINIMUM T NICA STANDARDS, AS SET FORTH BY THE 3 • • • • • STATE OF FL ID BOARD OF PROFS ON A L URVEYORS AND MAPPERS IN CHAPTR ER F.LP.1 /2" 6 3' ` g 2" t• �grl�hmark No. N 5 �7s••• •• •• •• -6 F RI A ADMINISTRATIVE 61G17 O E P SUANT TO 427.027 FLORIDA STATUES. aao:po'(wI) . *;F:QNC WALK Elevation: 10.54' NG �.. • sweets ••wss• • • • • •1st•• o•wtt• • ` • •'18p2lGRAPHICSUR1w•• • • • SIGNS .FOR THE FIRM •tw• • • • • ••w• • •• O • • • • MIGU ESPI P. 5101 STATE OF FLORIDA O O e•s• Date of Field Work 4120/2010 •ttw NO VAUD WIT EA A UTHENTIC ELECTRONI SI NATURE AND AUTHENTICATED N Lt7 to ELECTRONIC SL OUT ND A R THIS MAP IS NOT UD WITHGli7 THE SIGNATURE AND h Date of Completion: 4/22/2010 THE ORIGINAL RAISED L OF A LICENSED RVEYOR AND MAPPER. r•1 ASPHALT DRIVEWAY I�1 Survey No. S -8913 M IGUEL ESPI NOSA 19.5' ASPHALT PAVEMENT z LAND SURVEYING, INC. 10665 S.W. 190th STREET - SUITE 3210 N. E. 104th STREET MIAMI, FLORIDA 33157 PHONE: (305) 262 -2992 FAX: (305) 971 -8383 www.espinosalandsurveying.com L.B. 6463 i LEGEND OF SURVEY ABBREVIATIONS A AKCLENGTH M MEASURED A/C AIR CONDITIONER MAINT MAINTENANCE ADD ADDITION MH MANHOLE ADJ ADJACENT OR ADJOINING NO. NUMBER AE ANCHOR EASEMENT N.T.S. NOT TO SCALE ALUM. ALUMINUM 0/H OVERHANG ASPH ASPHALT O.P. OPEN PORCH Bic BUILDING CORNER O.R.B. OFFICIAL RECORDS 1500K BCR BROWARD COUNTY RECORDS 06 OFFSET BLDG BUILDING O/W OVERHEAD WIRES BLK. BLOCK P PLAT BM BENCHMARK PAR PARCEL BNDY BOUNDARY PB PLAT BOOK BAN BACK OF WALK PC POINT OF CURVATURE G CALCULATED PCP POINT OF COMPOUND CURVATURE I U L E a p N 0 5A GB CATCH BA51N PCP PERMANENT CONTROL POINT CB5 CONCRETE BLOCK STRUCTURE PG PAGE CD CHORD DIRECTION PI POINT INTERSECTION LAND SURVEYING, INC. CJB CABLE JUNCTION BOX PK PARKER R KALON CLF CHAIN LINK FENCE POD POINT OF BEGINNING CM CONCRETE MONUMENT PDC POINT OF COMMENCEMENT LAND PLANNERS -- SURVEYQR5 CMP CORRUGATED METAL PIPE PP POWER POLE CONC. CONCRETE PRM PERMANENT REFERENCE MONUMENT COR. CORNER PRC POINT 09 REVERSE CURVE COV. COVERED PT POINT OF TANGENCY D DEED PVMT PAVEMENT DB DEEDOOOK R RADIUS 09 RECORD DCR DADE COUNTY RECORDS REC RECORD D.E. DRAIiAGE EASEMENT RCP REINFORCED CONCRETE PIPE DOT DEP Of TRANSPORTATION RE5 RESIDENCE E/F END OF FEM RET RETENTION / RETAINING E/P EDGE OF PAVEMENT RNG RANGE ERN EOG&OF WATER R1W RIGHT - OF - WAY ELEC. ELECTRIC SAN SANITARY ELEV. ELEVATION 515T SOUTHERN BELL TELEPHONE ENCL. ENCLOSURE 5CN SCREEN •••• EM ELECTRIC METER SE SOUTHEAST • • • • • • ESMT EASEMENT SEC SECTION • • • •s•s •o•••s •o•000 •oor • • F/C FENCE CORNER SEW SEINER • • • • o r a • o • o • • F/L FENCE LINE SN&D SET NAIL. & 015C LB $6 • 483 • • s • • , s • •• •+ •••••• • • ooso• •s •o:so• FF FINISHED FLOOR SP SCREEN PORCH • FH FIRE HYDRANT 5P&C SET Tit PIN & CAP Ld' 3' • i • • •. i �' • • • • • • • • • s FIP FOUND IRON PIPE 5R STATE ROAD • • • • • • •+ • • o • • FIR FOUND IRON ROD 51tC SET REFERENCE CORAIGFi • • • • • • • • • • • • • • • • • • • • s • • • r • FN FOUND NAIL STA STATION • • • FND FOUND 5TM STORM • • • r • • • FNdiD FOUND NAIL &DISC STY STORY •• •• • •••••• •�•rs• •o •• •• • e : -Iwp5 S.W. 190 STREET — SUITE 3210 FN3T FOUND NAIL 6 TAB SUED SUBDIVISION • • • • • • o • FF&L FLORIDA POWER 6 LIGHT T TANGENT •000• • • • • • • •, • • • • • • • • • • t o MIAMI, FLORIDA 33157 .... . : 0600 0 GAR GARAGE, TB TOP OF BANK • • • ' ' GAIN UY WIRE ' TOM TEMPORARY BENCH Ialy�C i • • • • i • • • • i • • o a • G HW HEAD WALL TRANS TRANSFORMER • s • s • • ID IDENTIFY.'II "TTY STWP TOWNSHIP INV INVERT TYP TYPICAL IR . -. IRON ROD UE UTILITY EASEMENT IF IRONl UGD UNDERGROUND L LENGTH wD WOOD LB LICENSED OUSNE55 WM WATER METER LC CHORD DISTANCE wV WATER VALVE LD LEGAL DESCRIPTION LFF LOWEST FINISHED FLOOR LP LIGHT POLE Phone: (305) 262 -2992 L5 LAND SURVEYOR F ax: (305) 971 -8383 From: Jean Reynolds At Ins By Ken Brown.lnc Faxia. To: Keith L. Stuart CERTIFICATE OF LIABILITY INSURANCE OP ID JR DATE(MM/DDIYYYY) FRI NhWI012 08/18/09 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance By Ken Brown, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 948117 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Maitland FL 32794 -8117 Phone: 321-397-3870 Fax:321 -397 -3888 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Amerisure Mutual Ins. Co 23396 Nationwide Pools, Inc. INSURER B: Keith L. Stuart INSURER C: 1923 NW 40th Ct. INS D. Pompano Beach FL 33064 INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSK TYPE OF INSURANCE POLICY NUMBER DATE POLICY EFFECTIVE DATE POLICY EXPIRATION LIMITS GENERAL L1AWrrY EACH OCCURRENCE $ 3. , 0 UU A X COMMERCIAL GENERAL LIABILITY GL202928704 04/22/09 04/22/10 PREMI8ES(Eaoccurenca) $50,000 [ '" CLAIMS MADE J OCCUR MED EXP (Any one Person) $5,000 PERSONAL & ADV INJURY $1,000,000 / GENERAL AGGREGATE $2,000,000 GENT- AGGREGATE LIMIT APPLIES PER: PRODUCTS - cowioP AGG s2,000,000 PRD- POLICY F - I JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ Me accident) ALL OWNED AUTOS SCHEDULED AUTOS (Per IPar ) $ HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS 1 UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR EI CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ 51A ultf WORK S COMPENSATION AND EMPLOYERS' LIABL" YIN TORY LIMITS ER ANY PROPRIETOR/PARTNERIEXECUTIVE El EXCLUDED? E.L. EACH ACCIDENT $ (Mandatory M NH) E.L. DISEASE - EA EMPLOYEE $ If es, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS CERTIFIC HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN THE VILLAGE OF MIAMI SHORES NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 10050 NE 2" AVENUE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR MIAMI SHORES, FL 33138 REPRESENTAITIES. AUTHORIZED ACORD 25 (2009/01) ®1988 -2 ACORD CORPORATION. AD rights reserved The ACORD name and logo are registered marks of ACORD f a , BROWARD COUNTY LOCAL BUSINESS TAX. RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 - 954- 831 -4000 � VALID OCTOBER 1, 2009 THROUGH SEPTEMBER 30, 2010 DBA: Receipt # 188 - 0001186 Business Name: NATIONWIDE POOLS INC Business. Type: Owner Name: STUART KEITH LORING POOUSPA CONTRACTOR A Business Location: 1923 NW 40 CT Business Opened: 04/15/05 POMPANO BEACH 33064 Business Phone: (954)227 -7665 State/County /CerttReg: CPC1457011 Exemption; - Code: NON EXEMPT . J € Rooms Seats Employees Machines Professionals 4 UNITS For Vending Business Only Number of Machines: Vendin T ype: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid $ 27.001 1 $ 27.00 f PAID 07/29/09 7706454.0001 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT 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 WHEN VALIDATED tannin and zoning requirements. This Business Tax Recei t must be p 9 9 P transferred when the business Is sold business name has chap changed or you have moved the business ' ion. h i rec gg h srness locat This ce pt does not i ndicate that the business is legal or that it is In compliance with State or local laws and Mailing Address regulations. NATIONWIDE POOLS INC STUART KEITH LORING 1923 NW 40 CT POMPANO BEACH FL 33064 j 20 0 9 - 201 0 ocl Miami Shores Village Building Department 10050 N.E.2nd Avenue, Mi Shores, Florida 33138 x (305) 756.8972 BUILDING 6 2009 Permit No. ✓` q "� $�P 1 - 15 PERMIT APPLICATI Master Permit No. FBC 2004 CO (0 5 0 0 40 Permit Type (circle) Buildin Roofing Owner's Name (Feee Simple Titleholder) \ � �c. CX f� 'tom �!r" _ Phone # Owr*r's Address �� 2 1C City �, I cuLA - . 1.t :(: �� State ? Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) I i✓ lo- Iv,- City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO C s Company Name r ` ' p y .'(�„� t''iZ_� Phone# Conti*�tor's Address '`', .. City, y _ State _- Zip Qualifier Name Phone # State Certificate or Registration No. -1 - �- �`� L Certificate of Competency No. �� 1 y Architect/Engineer's Name (if applicable) ��✓L.�f_. �� _ �_��?.w`�. 4' Phone # 1`�? Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ew ❑ Repair/Replace ❑ Demolition Describe Work: "� '- LeA " Ne y L>X C� I� * x x* x ** x x xx * * * * * **�x�x*********F �Y O � Subthittal Fee $ Permit Fee ( CCF $ Notary $ Training/Education Fee $ 0 Technology Fee $ Scanning $ �`'t` Radon $ DPBR $ Zoning $ Bond $ ode Enforcement $ Double Fee $ _ Structural Review. $ 00 rav Total Fee Now Due $ 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 n t be approved ana pecti n fee will be charged. Signature k. Signat J Owner or Agent V Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was ackn wledged efore me this_ day ofd 20 , by i ^ - r day of ` "- who ' e y no me or who has produced wh perso 11y to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY UBLIC: ..0 s /sea $$losses$ ..usausuueseur ® !/s see / Sign: �' • �� L. D0���..P+ � es� a �a� sonss /oss 225 Sign: 21212092 a CIO iyA Print: � Print: My Commis ion Expires: '�;t „° '`�cSa taF.rysn., Inc . Plsss.s. /a. sawed.. /....desk sae swat....e.....a My Comm S10[C rt' ?At Of Notary Assn., inc m "!�!0 /Sias t....Ya /5.6.4ida /!■ /dace) /elaf e! /!a!0 k* k�#- kkkkakkok& ek. kk kk&= k* kek#* �k�#* k�kk* k��kk. kk. kok* �kk�kk#= kkk# k���. kkkk= kk�k�k> k. kkk�* k�% kk�kkkk�kk* # * * #k.kkokkk.k.kk #k #.k #�= APPLICATION APPROVED BY. �J IJLJ� ��:J� 1 L � 1 69 .�f/7�L 1 • Plans Examiner / Engineer [a Zoning (Revised 07/10/07) PERMIT # OfV - CONTRACTOR: 1 SUBMITTAL DATE: ADDRESS: NAME: RESUBMITAL D TES: PROJECT TYPE: � a r t l�l o ZONING FIRE ��C 1cl�z�o9 hd3� STRUCTURAL IMPACT FEES ELECTRIC HRS /DERM PLUM BI NOC MECHANICAL BL 111f 11Hill IIIII Hill 11111111111111111111III] CFN 2009 RG;34553 9` OR Bk 27094 Ps 0993; tlosy RECORDED 11/24!2009 12•56:11 HARVEY RUVINr CLERK OF COURT MIAMI—[SAGE COUNTY► FLORIDA Permit # LA PAGE Folio #������ NOTICE OF COMMENCEMENT �V The undersigned hereby gives notice that improvement will be made to certain real property and in accordance with Chapter 713, Florida Statutes, the following information is Provided in this Notice of C ommencement : 1. Legal 4 escription of Property: s Sparr. rnservgn 1n rrcnrynr Y' Lot At- Block jl Unit # Bldg yf ❑Lengthy legal attached Street Address it available: Subdivision / Condominium: - 2 • General description of Improvement: IN 1110i 3. a. Owner name and address: b. Interest in property: c. Name and address of fee simple c titleholder (if other than Owner): d. a. Contractor name and address; b. Contractor's phone number; r ' 5. a. Surety name and address: b. Surety's phone number: C. Amount of bond: 6. a. Lender name and address: b. Lender's phone number: 7, a , Persons within the State of Florida designated by Owner upon whom notices or other d by Section 713.13(1)(a)7., Florida Statutes: ocuments maybe served as provided Name: Address: b. Phone number: 8. a. In addition to himself or herself, the Owner designates b. Phone number of person or entity designated by owner - to receive a copy of LienoPs Notice per Section 71 3.13(lXll Florida 9. Expiration date of notice of commencement: -~ y — ^ — � -- - - - -- - - -• WARNING TO (ihe expiration dale is I year from the date of recording unless a different date is specified) OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PAR T I FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO Y NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE SECTION FIRS , INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR A OUR PROPERTY. A COMMENCING WORK OR RECORDING Y BEFORE THE FIRST OUR NOTICE OF COMMENCEMENT. N ATTORNEY BEFORE Signatures} of O (s} o Wy ►(s)' Authorized OfficerlDirectoNPaRnerJFflanager By x 1 Print Name T_ By Title /Office Print Name Title /Offic �- -- — STATE OF FLORIDA COUNTY OF BROWARD The fore - g instrumegYwas a B Ckuowledged before me this t1 l3 ill day of ndnndually, or ❑ as ❑ Personally known, or for produoad the following type pf d nWI tian: L Signature of Notary Publ : Print Name: (SEAL) VERIFICATION P RS ANY TO SECTI N �0 YPi OFFLQIDA 92.525 FLORIDA ••, Under penalties of perjury, 1 declare that! have read the fore TAT TES tumt that the facts stated in it are true, to the best of m knowledge and ` #DD882295 y going and g b '••.. „.�F'xftires: MAY 10, 2013 Signatures BONDED 1$Rli dTLAN1TC B(1NDiNG CO., INC. ner or Ow (s)' Authorized Officer /Director/partner /Manager who signed above: B By t OF PA r l r. ai' +h;s is i7 r v of to h T�< G' of �` 1 F c.. ©m P C" ` dA //}} K7 ' jj .taQ2a -� t ��� ra t �; ( 9 i H,- F VL t R v , ,h Gi ('ire ` 5 ' § q.0 ecording'Jor'll - notice of canmencer�nt revised 7.3.07.doc +•�j°iCG w c OV M1 n Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 140304 Permit Number: BPP -9 -09 -1535 Scheduled Inspection Date: April 29, 2010 Permit Type: Pools/Whirlpools /Hot Tubs Inspector: Rodriguez, Jorge Inspection Type: Final Owner: HORI, CYTHIA Work Classification: New Job Address: 347 NE 104 Street Miami Shores, FL Phone Number Parcel Number 112136013012 Project: <NONE> Contractor: NATIONWIDE POOLS INC Phone: (954)227 -7665 Building Department Comments Construct new pool and paver deck. Inspector Comments Passed El CREATED AS REINSPECTION FOR INSP- 124770. Fence must have self closing self latching gates Failed Correction ❑ Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 28, 2010 For Inspections please call: (305)762 -4949 Page 10 of 22 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000` Phone: (305)795 -2204 ; F a Expiration: 0612212010 , Project Address Parcel Number Applicant 347 104 Street 1121360130120 Miami Shores, FL Block: Lot: CYTHIA HORI Owner Information Address Phone Cell CYTHIA HORI 347 NE 104 ST MIAMI SHORES FL 33138 -2017 Contractor(s) Phone Cell Phone Valuation: $ 20,000.00 NATIONWIDE POOLS INC (954)227-7665 Total Sq Feet: 355 Approved: No For Inspections please call: Comments: DECK MUST BE LOCATED NOT LESS THAN 10 FEET FROM SIDE LOT LINE (305)762 -4949 Date Approved:: No Available Inspections: Date Denied: 9/17/2009 Inspection Type: Type of Work: Swimming Pool Occupancy: Private Fence Additional Info: Bond Return: Final Classification: Residential Pool Deck Wall Steel Fees Due Amount Invoice # Total Amt Paid Amt Due Bond Type - Contractors Bond $300.00 BPP -9-09 -35912 $ 1,226.00 $ 1,176 00 j.; CCF $12.00 w CO /CC Fee $150.00 BPP-9 -09 -35912 $ 1,226.00 $ 1,226.00 $ 0.00 Education Surcharge $4.00 Check #: 12522 Bond #: 1903 Permit Fee $600.00 Permit Technology Fee $0.00 Plan Review Fee (Engineer) $60.00 Plan Review Fee (Engineer) $60,00 Scanning Fee $24,00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $16.00 Total: $1,226.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT. I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. November 30, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy November 30, 2009 1 S Miami shores e Villa g Jinja ,,,,,t Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 �t ree ORi Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 09- /,1",0 Job Name: y , 2009 Page 1 of 1 Pier Building Critique Sheet stee, 16 � /lam° /Gets �.,,r� �cJL� QsfrM�''tir G��t �z r2� ��• !S e it. 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. Norman Bruhn CBO 305 - 795 -2204 Planning and Zoning Criter'a Miami Shores Village PennitNo. BPP-9-09-1535 10050 N.E. 2nd Avenue ........... .......... ..... ...... ... ......... Miami Shores, FL 33138-0000 ........... ....... . .. . ......... Phone: (305)795-2204 Fax: (305)75"972 it ........... 1W .......... ..... ........ . ..... . .... ...................... ....... .. ------- . . . . . . . .......... Issue Date: Not Issued Expires: Not ISSued Folio Numberl 121360130120 Owner's Name: CYTHIA HORI Owners Phone: Job Address: 347 104 Street Total Square Feet: 355 Miami Shores, FL Total Job Valuation: $20,000.00 . ... . .................... ................................ . ..... ........................................................................ ................. ........................................... . .......................... .......... Contractor Phone Primary Contractor NATIONWIDE POOLS INC (954)227-7665 Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 9117/2009 Comments: DECK MUST BE LOCATED NOT LESS THAN 10 FEET FROM SIDE LOT LINE o is 1 t. 1 . °Rs iami Shares village sit B 911ding Department - 10050 N.E.2nd Avenue Miami Shores, Florida 33138 OR`IU� Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 09- 1S f-';1 Job Name: , 2009 Page 1 of 9 wilding Critique Sheet W. 'X grod 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. Norman Bruhn CBO 305 - 795 -2204 tri1GL1111 Clitul U "s V 111dge .Building bepartment 10050 N.E.2nd Avenue e • • Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. IS' Job Name Date l -0' 9 STRUCTURAL CRITIQUE SHEET u " ffilo ( ;n) l A 6 X -- t 1 j car i t 1 5 � OR � S` l!� Bills Mi* shores V illage 5 B ilding Department R �pp► 10050 N.E.2nd Avenue Miami Shores, Florida 33138 i Tel: (305) 795.2204 Fax: (305) 756.8972 i RECEIPT l 1 PERMIT #: � r DATE: I LAC t, a 1, contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) elr't��•o c Address: F From the building department on this date in order to have corrE ctions done to plans And/or get County stamps. I understand that the plans need to I e brought back to Miami Shores Village Building D a to continue permitting process. Acknowledged PERMIT CL RESUBMITTED DATE: C — — d Gt ! -� PERMIT CLERK INITIAL: i 3 Miami Shores Village . Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. ()!�- IS 6 Job Name Fet- C4A dd Date �l4 G 9 STRUCTURAL CRITIQUE SHEET 61c12 "ac , d /) S 1V O 9 ✓ 5` . ' s hf e, s t sets . Planning and Zon"ng Criftedia Miami Shores Village Permit No. BPP-9-09-1535 ...... ........ . 10050 N.E. 2nd Avenue IvItaini Shores, FL 33138-= .... ................ ... .. ....... r. Phone: (305)795-2204 Fax: (305)756-8972 ---------------------------------------------------- - issue Date: Not Issue Expires:Not Issued Folio Number) 121360130120 ........ . . ... ............ * .. ........................ ................ n.........:........ .11....- . . . .... *-*-*-"" ............. I Owner's Name: CYTHIA HORI Owner's Phone: -------------------- Job Address: 347 1 �4 Street Str Jo ss" Job Address: 347 104 Street Total Square Feet: 355 M i a mi MIS iami FL S hores, Total Job Valuation: $20,000.00 ....... . . ;.;. . . . ...... . ........... ...... . . . ..... . . . ... . ............... . ... . ........ . .......... ............... ......... . . . ............. . . ....................... .. . . . . ... . ........ . . .. . . ....... . ............... Contractor(s) Phone Primary Contractor NATIO NWI DE POO INC (954)227-7665 Yes I . . . . . . . . . . . . Planning and Zoning Criteria and Comments Approved: No Date Denied: 9/17/2009 Comments: DECK MUST BE LOCATED NOT LESS THAN 10 FEET FROM SIDE LOT LINE s Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 '�R [tlR 1 Expiration: 05122 t /201® j 1 Pr Address Parcel Number Applicant 347 104 Street 1121360130120 CYTHIA HORI Miami Shores, FL Block: Lot: Owner Information Address Phone Cell CYTHIA HORI 347 NE 104 ST MIAMI SHORES FL 33138 -2017 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 NATIONWIDE POOLS INC (954)227 -7665 Total Sq Feet: 0 Tons: 325 For Inspections please call: Additional Info: POOL HEATER (305)762 -4949 Classification: Residential Available Inspections: Approved: In Review Inspection Type: Comments: Date Approved:: In Review Final Date Denied: Type of Work: Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ 0.60 MC -9-09 -35913 $ 109.60 $50.00 Education Surcharge $0.20 A �_ Permit Fee - Additions/Alterations $105.00 MC -9-09 -35913 $ 109.60 $ 109.60 $ 0,00 Permit Technology Fee $0.00 Check #: 13021 Scanning Fee $3.00 Submittal Fee $50.00 Submittal Fee $0.00 Submittal Reversal Fee ($50.00) Technology Fee $0.80 Total: $109.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable taws regulating construction and zoning. Futhermore, I apthorize the above -named contractor to do the work stated November 30, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy November 30, 2009 1 I M-iami Shores V Rage g Building Depart nent 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 7!0.8972 BUILDING PE APPLICATION Permit No. -� 1 15 &P PERMIT ���'' ster Permit No FBC 2004 MEP 1 2009 Permit Type Mechanical Owner's Name (Fee Simple Titleholder) hone �# Owner's Address City c.c � �a State Zip Tenant/Lessee Name :'hone # E -MAIL: Job Address (where the work is being done) .' o� City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO J Contractor's Company Name 9 �y 26� 9 Phone # Gontracto 's Address city V C ) -jli� �State Zip (� Qualifier Name Phone # — State Certificate or Registration No � Certificate of',,Competency No. E -MAIL: Arch itect/Engineer's Name (if appli ble) 11 9 4 Phone # � Value of Work For this Permi Square ! Linear Footage Of Work: Type of Work: ❑Addition - ❑Alteration Kew „ ❑ Repair/Replace ❑ Demolition Describe Work: S x xx&a &xuYxxxx4e Yxx *xeYxY iexxxx4c acxoYxxxxx Fees�'�x'*��x %XxY #ac oYxxxxxxxxx:Y nYxeFxaY xxntx�dixzxxYxu Submittal Fee V - J� Permit Fee $ L © CCF $ ®A CO /CC lo- Notary $ Training /Education Fee $ ''Technology Fee $ Scanning $ Radon $ - DPBR $ Zoning $ Bond $ Code Enforcement $ Double Pee $ Structural Review. $ Total Pee Now Due $ See Reverse side kV\ 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' Zi p 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 'WICE 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 recopded notice of commencement must be posted at the job site for the first imp tion which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will n be approved and a reinspectio fee will be charged. I Signature Signa wner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 Cq, by C day of 201, by w is pe so a n n to me or who has roduced who is y n me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NO Y PU LIC: Sign: v vmrvveuro Sign: rrr erne Print: s ` 5 m Print: UNUZZ ai�YS My Commis on Expires:' tree j1912012 My Comm ire 21812012 a `° m � �-- •- x�d'dcxxaY dcxYxxu y. oYdcxxet of aY of 9e 4c eYxx9c oY M$c ekda n.�sn., remnvenenema oemurmmenemumvnmrsenvrmrmnvao p ® ®nn® ®rem Plans Examiner APPLICATION APPROVED BY: Engineer Zoning (Revised 02 /08/06) m Miami Shores Village ..... 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 4� Phone: (305)795 -2204 R N Expiration: 06/29/201 Project Address Parcel Number Ap 3111cant 347 104 Street 1121360130120 Miami Shores, FL Block: Lot: CITHIA HORI Owner Information Address Phone Cell CYTHIA HORI 347 NE 104 ST MIAMI SHORES FL 33138 -2017 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 TBM ELECTRICAL (954)741-1004 Total Sq Feet: 0 Type of Work: ELECTRICAL F r Inspections please call: Additional Info: POOL (, Classification: Residential A fallable Inspections: li ispe ction Type: Final L ht Niche A arms B nding Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $0.60 EL -9-09 -35915 $ 226.60 $ 50.00 Education Surcharge $0.20 ° ,. Permit Fee - Additions/Alterations $225.00 EL -9-09 -35915 $ 226.60 $ 226.60 $ 0.00 Permit Technology Fee $0.00 Check #: 13021 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $0.80 Total: $226.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work wilt be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated November 30, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy November 30, 2009 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 .Fax: (305),756.8972 BUILDING CEOVE Permit No. " � "` PERMIT APPLICATION SEP 16 2009 ster Permit FBC 2004 Permit Type Electrical Owner's Name (Fee Si pie Titleholder) Phone # Owne 's Address jo City state FL- zip ) Tenant/Lessee Name Z Phone # E -MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade( Zip FOLIO / PARCEL # Is Building Historically Designated YES . NO V Contractor's Company Name ��` � - Phone # A Contractor's ddress I CO �— C� 7,_0 S - City d'l Stat r _ Zip Qualifier Name °' Phone # State Certificate or Registration No. OZ. t �Q)Z�!.5 Certificate of Competency No. E -MAIL: Architect /Engineer's Name (if applicable) c Phone # ��� Value of Work For this Permit $ �. Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ew 0 Repair /Replace 0 Demolition Describe Work: Q 0 _,.-�'�,-�� t' & e� Ps�d (� � ���,� J��" � & x oY9cxeYx& � aYoY4 ' - n Y& d¢ a un: �ekoYYs ueY� *ek�x�x9eaY & &xx Submittal Fee $ `��� Permit Fee $ `. e.;, CCF $ �� CO /CC Notary $ ® Training /Education Fee $ Technology Fee $ s Scanning $ co Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 2 � 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 t Zip Application is hereby made to obtain a permit to do the work {`andji tallat'ons 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, a applicant must promise in good faith that a copy of the notice of commencement and construction lien l ochure ill be del' ere&to Yop person whose property is subject to attachment. Also, a certified copy of the recorded notice of o mencem nt must b posted a e jab site for the first inspection which occurs seven (7) days after the building permit is iss In the. s nce of such pos d�%notice; the inspectio7: roved a reinspection fee will be charged. Signature Signature ent Contra t The foregoing instrument was acknowledged before me this The foregoing instrument was acknow(edgo be re me this day of ; 20 by t'1 _day of , 20 by i _ { who is rso o e or who has roduced who is y mown e or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: 9999w9gA.e9q D 9 e® ®99e 9eeaada9 Print: t. 749228 S My Commissi n Expires: a v , �m C��O s My Commiss N - ekpi ® u Fls 21812012 ® 99 9999999 xx�a 4r &oY eY sY &eYU3e 9cxtY aY a: c6 aYUs?x�x *x3e dr ,: t eti aY sYxeY ku9:� & &xetxxxxaY icx rx xk ak 9Y , � gt x+F � &eY at ea 9ixxxs: xet,+�xxxkYak 6�'Wde Notary Assn„ I �` ' oFn 0Q07 Af9 Po Notes 9a9eau999a99999aa99ae9a aa9eae9� n °� P0.2tid2G'i2 s APPLICATION APPROVED BY: 125; �' « ®• ®9 .d 9 aa a9a9g'��scminer Ma999ama� Engineer Zoning (Revised 02/08/06) JJ � 10050 NE 2 nd Ave Miami Shores, Fl 33138 Phone 305.795.2204; Fax 305- 756.8972 www.miamishoresvillage.com CmITY NOTICE OF REQUIREMEN RESIDENTIAL SWIMMING POOL, SPA AND HOT y 'T I (We) acknowledge tat a new swimming pool, spa or hot tub will be constructed or installed at OI Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues. 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 requirements of Florida Statute 515.29; The pool will be equipped with an approved safety cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equipped 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 in Chapter 775, F.S. NTRACTOR'S SI DATE O ER'S GNATURE L AN DA c ONTRACTOR'S AME (PLEASE PRINT) WNE IS V9 (PLE E PRINT) .a..a . iwA a...a... .. D D L t y{ T e ■ a alai eafia4a as Maaa as aaag a lK n* DD0749225 MMI L. DILAAA - � y1�alaR �,01'93rf1# D00749225 s F-)#r 202012 y ■ m .^�ty C E 218012 waaavaunanaeuaeeaaaamaaaaaseacaasarauua. %r��' � NotMAM, InC Op��,nl ° Pbv®® aavvvvvaaueaaiB3Q�b "a®ivvavemauaas -.av ®gig 10050 NE 2 nd Ave ' Miami Shores, FI 33138 Phone 305. 795 -2204; Fax 305 - 756 -8972 www.miamishoresvillage.com SWIMMING POOL OWNER'S CERTIFICATION DATE MIAMI SHORES VILLAGE BUILDING AND ZONING DEPARTMENT ATTENTION: BUILDING OFFICIAL I certify that I am the legal owner of the property located at: In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected, and approved. 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Sy 'sro ueOpNYbad Gnat POOLOUANO OAPT UT A SAFE TV MW14 SYSTEM AND NOT A LffSAVWCOEVICE Rftoyb Da uacO ncOnpne:• eon heh IEf Ylfey -qup aM a—ty nuc anifhaAf no Nad Ypefg f+NW PeOCmeaos. i 4 --- i t im M SE aags s a ° g a s C } p p g$ i • • fi sa�! Ffiw � 4Fe @b p E £ g d u § it gp i E N 8• �pp Spa ��� � � °E ! ��p� • � �g��B • z tl Its 1 1 iaB��B£ ge £ a 68 3it�$ .. • � i ��+�i8�� ys�� lE ° y 8 ° >° c4� Y g g� • aQ �$$n g p $fi a fi �g y g =;i8 s€ fig4 ° °$$ - F $r��[ O 8i aU 69�AY��FdwAII��.EjS6�i�AiB e O Q 0 III tj a "iF � - ) ti � �� "- p t ,-•5t � i � ) t •1 O � C .:1- - i ;�.. . _. �. . . m� Quiet, DePer tdablc: and EffLc i cC AE2500 Heat Pumps Jandy Air Energy heat pumps are the most efficient, trouble -free swimming pool heat pumps in the industry. Heat BTU /hr* Output 115K pumps simply take the heat from the air and transfer it to the s.4 _ C _ water — making the heating process clean, efficient Voltage 208V -230V / 1/60 ecologically safe and most of all, cost effective. — so A Supply Circuit 5,E2500 STANDARD FEATURES Compressor Sc roll - t Heat Exchanger Titanium ** Digital Control Panel - - -- Displays the current pool /spa Flow Rate G.P.M. _ 30 -125 Optimum —_ temperature and monitors the Dimensions ( in.) 33" Width / 42" Height / 41" Depth operating status of the unit. Includes Weight (lbs.) 32 lockable control panel cover. `Tested and Certified according to the $0 -80 -80 standard Titanium Heat Exchanger "Corrosion -Free Technology not affected Eiy chemical imbalance- . ?nd /or chiur;no Lifetime Warranty generators Delivers superior hydraulic flow • Air Defrost: 5 �.,:�'. }' z Allows the heater to operate at lower air temperatures ) Patented Auto Heat This feature maintains your pool temperature automatically, - -- - 24 hours a day, overriding the pool time clock. - - -� • Extra -Large Evaporator Coil Our special lanced -fin design collects more heat as the ` sn• outside temperature starts to -drop 4 2• Automation Ready "• i LM I Allows easy connection to Jandy Controls and other pool /spa - - ,i• automation systems, automatic valve systems, and remotes Commercial Grade Compressor I Our scroll compressor is the quietest on the market Durable Polymer Cabinet— Rust and corrosion -free for life OPTIONS IMPRESSIVE WARRANTY All Jandy heat pumps are backed by a highly trained Chiller /Hot Gas Defrost technical support department, and by some of the strongest Allows the heater to operate at frigid conditions and will also and most inclusiove warranties in the industry. See our chill your pool in the hot summer months written warranty for complete details. ACCESSORIES • Digital Remote Control Panel or Remote-Control Kit �y,-� �� 7� , The Remote Panel allows the user to control all heat pump j 1 / v Air Ener i- c-at x'UrnFPa settings, or automates pool -to -spa switching from a remote#_ location. The Remote Control Kit includes two Jandy Valve? Actuators and Remote Control Panel. CERTIFICATIONS ET A Our Heat Pumps are ETL tested to V S UL specifications I ?�'� - - aY.a i�t . � - `� • � . - - .. ! MYP W.e �R609lYl _., Tel NOT TO SCALE Certified To: GENEW Ivalres, JOAQUIN L. FERNANDEZ, 1) LEGAL DESCRIPTION PROVIDED BY OTHERS, STRUCTURE TITLE SERVICES, INC., 2) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO D ETERMINE RECORDED INSTRUMENTS, IF ANY AFFECTTHIS PROPERTY. COMMONWEALTH LAND T rLE INSURANCE, 3) THE LANDS SHOWN HEREON WERE NOTABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT. PROSPECT MORTGAGE, LLC 4) THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING AND SHOULD NOT BE USED FOR CONSTRUCTION, PERMITTING, DESIGN, ISAOA/ATIMA OR ANY OTHER PURPOSE WITHOUT THE WRITTEN CONSENT OF MIGUEL ESPINOSA LAND SURVEYING. Its'suCCessors and/or as sips, as their interest may appear 5) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER IMPROVUWM WERE NOT LOCATED. 6) ONLY VISIBLE AND ABOVE GROUND ENCROACHMENTS LOCATED. n WALL TIES ARE TO THE FACE OFTHE WALL Community umber: 6) FENCE OWNERSHIP NOT DETEamm. Panel N :0093 0) �A C A ANDIOR GRAPHIC NATION OF THE Suffix: J SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE ANDIOR NOTTO SCALE Date of Firm Index: 07/17/1995 12) NO I UN� FOUND W � �NING SURVEYORS EM SEAL, Flood Zone: X 13) DIMENSIONS SHOW ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. 14) ELEVATIONS IF SHOWN ARE BASED UPON KG.VA 193 UNLESS OTHE WASE NOTED. Base Flood Elevation: 15) THIS IS A BOWDARVSIA71" OTHERWISE NOTED- Date O f Field Work: 7/8/2009 163 THIS BOUNDARY SURVEY HAS BEER PREPAM FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED HEREON, THE CERTIFICATIONS DO NOT EXTEND TO ANY UNNAMED Date of Completion: 8/31/2009 PARTIES. L egal Description: LOT LOT 19 & WEST 1/2 OF LOT 20,13LOCK 117,01? AN AMENDED PLAT OF SECTION NO.5 OF ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10,PAGE 47, OF THE PUBLIC RECORDS OF MIAMI-DARE COUNTY, FLORIDA. Surveyor's Legend 49 OT CX1WR4LAVWw9ftM A POW mew .`' ■ OMYGMEAVAIRW im ANMIL ACNAVAXI AC AR rnwp. AIPpISIt a - --- - -f Lq lII WRO aw avow owwam ca a mmm AP Awom SIX leas Irarao r Xa&t AXA PC ftwrarcu%law Z" 16POFEAW A= ®p a ILA MBa1W Zff GiFI fM12 PP POMP ' °RfG F MA r4werMOLVAw r , Ill SWUMSAMIWAM �>I arm P.C'! FfiRWIAOffVfi9MF0W dAI A a fm aw. alsoaff 4w ANWOFOW A #fA"W&0QMNUW am SWOR0211aw UAWBUEMIM X&F-€ > 1. g AWE B, BY _ J: LM P I E Property Address: 47 N.E. 104 STREET, MIAMI SHORES FLORIDA 33138 AUGUEL ESPINOSA LAND CCMRE EVMSE TATM WY P Rro-rTHArni�' MYOP.ECTM& HS ISAYRU W CORRECT OFASUItVEY PR@PARE @71[+I[9ER(d1idRECCtOflV. TM69 fXNdP1.AE6 YA7M SURVEYING, INC. ' fN�NBJiStilM�C IAPTE".AL.87tYlEiAR AB BE3 FIQftLF9 B5l"fll@ST/i6E OF Fl.OflFE- A�ARD� PRA sfL 8tGl7 -a A CMEPLMS,AT 10665 SW 190TH Street T04MO27. FLaMA � yy ptro pr.� Suite 3110 - NIIAM, FL 33157 = PHONE:(305) 740 -3319 SIGNED F FOR TFIE FIRM FAX #:(305)669 -3190 I?s• x1171 LB # 6463 STATE OF 1�Td7RlL7� N6T YALm Y01T}d311i ANiWJPNEPttfZ: ElEC77aGtiIG 943NAItk�ANd OUN93V1'{LGL�7ED m'�+*+ BFALAN4C82 4698 EfAP ®N6n'7ALtb VARltW74'HE�G'Liitltl� AFA4WE OW61341. WA,^�:A4.[Fr ALICBtfRY2YGQ AADb9AF4SR Acce ted By Survey: A -9160 PAGE 2 OF 2 t35. ..ass? +r f' zz+ zYZ . w i" K.. >:GY ff G . y !G Ga)^ '•3'vGY fife 33)•: n' /.•:.: :: 4 ). ?Y£;5£:�£:'v':£•y;:£;:£>;:£fm G£x�y : fY!%:££ Y::£::f:: ££::££':. +:F.::�F :>::.G.ff;> „._ ,,, :::.Y>: iv:tv9 :::. :•• G:Y:v£:Ct•Y:k , .f ...vf : .ti u�.: •y :..�:: fY y h G. /i• x F : i Yf• z;r a �kG•: y , .VV z k b5G”' If Yf i/• £ is ' y, a \. 3:Y` ?c jYf+ oYY .. .. .%.Y:.Y::n ».... .:.i::£....... i:•.:. i..F.,Y.. %Y %'.G:YYYY: . . . . . . . . . . . . I f S y; 'fk Yi h.. N. 10665 SW 190 St., Suite 3110, Miami, FL 33157 Phone: 305 - 740 -3319 Fax: 305 - 669 -3190 NOT TO SCALE Certified To: A t NOTES: JOAQUIN L. FERNANDEZ, 1) LEGAL DESCRIPTION PROVIDED BY OTHERS. STRUCTURE TITLE SERVICES, INC., 2) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY. AFFECT THIS PROPERTY. COMMONWEALTH LAND TITLE INSURANCE, 3) THE LANDS SHODIN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT. PROSPECT MORTGAGE, LLC 4) THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE ARID FINANCING AND SHOULD NOT BE USED FOR CONSTRUCTION, PERMITTING, DESIGN, ISAOA/ATIMA OR ANY OTHER PURPOSE WITHOUT THE WRITTEN CONSENT OF MIGUEL ESPINOSA LAND SURVEYING. Its'successors and/or assigns, as their interest inay appear 5) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 6) ONLY VISIBLE AND ABOVE GROUND ENCROACHMENTS LOCATED. Community Number: s) FENCEOWNERSHIP NOT DETERMINED. Au Panel Number•o 9) BEARINGS REFERENCED TO LINE NOTED AS B.R. • 10) BOUNDARY SURVEY MEANS A DRAWING ANDIOR GRAPHIC REPRESENTATION OF THE Suffix: J SURVEY WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE ANDRDR NOT TO SCALE. Date of Firm Index: 07/17/1995 11) NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED. 12) NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYORS EMBOSSED SEAL Flood Zone: X 13) DIMENSIONS SHOW ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN. 14) ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D.193 UNLESS OTHERWISE NOTED. Base Flood Elevation: 15) THIS Is A soUNOaRrsuR++Er OTHERWISE NOTED. Date of Field Work: 7/8/2009 , s) THIS BOUNDARY SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE • ENTITIES NAMED HERON, THE CERTIFICATIONS DO NOT EXTEND TO ANY UNNAMED Date of Completion 8/31/2009 PARnES. Legal Description: LOT LOT 19 & WEST 1/2 OF LOT 20,BLOCK 117,OF AN AMENDED PLAT OF SECTION NO.5 OF ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10,PAGE 47, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. Survey'or's Legend d o NWAX" dA S5~XEFNqw4w vP v a"A" O 6lOfMtN9LLT 0 MET E CVf MUA%QEa O1M r:fdl8 fit&"=701A"A f '�-' - d>A 4wAaerNf�fB�E A OWAAl1A,6KPow A m wwxfm vw - "=JEW a peiv 11 6MffitIT AkVI RR TtE 6 MAD AR. AWA7fM AC A!R -- - - - - - - Ml T✓Pl3E aw SO~ 1YP. 73'PI[5l6: — — —, ZI9M/8rL11E >� 1R3 PlT[E dA A wAw A` AMIEW s ` 5 GARai84SA1T M AMP" am mmDfmlIelC "a MA.SOA11Af � O WWAXI f71R PRA A3N',SO NG J96ti AtT A M Dl! �liwlD[F NEI L..._.s_.�7 P.0 Mworao"?w ZT FNEI�ifl�JAS�+tNP Tim nwarow owcw P" i JlplY EaWI. 0WCF P.CG ¢ xx AOdIt14l1ItLA Elpp IDr ORf31Y1�fd �_. aa17EMe PAC P*W&FAEW9Waff4VW vim aw CVd C 0M1E1JG•6E 6VTMr 0428 Pa war rx MOVOW OWL LIME At478OFNM�i l.4G l�YT»1®rl w SL 7t iEX7�YMPl" PCF; P91IIAIA'wOOI67 RWT WA 09fM EdEw O MMLIIIPs' WJW?T AVW'F71 >M #RwAlsomw 9w. E'A Yd. Vw 1111w lrow P. ft*"" UE UYL" CUE =,RMllYkff, fiftr. L E JMWAIZIEW& S VI' A .O.E. ;WW0M3VAWaQ8NW L31P J mrLfAQSG4JR=#&W..EWr 1 AF S4MT L4E LNR7�?AQ"r S6A E9tlf Property Address: 47 N.E. 104 STREET, MIAMI SHORES FLORIDA 33138 MIGUEL ESPINOSA LAND suRVEYORa CERTIFiGT�I : 1 HEREBYCERrIFY THATTl1�'BOUNDARY SURVEY' IS ATRUE AND CM C. TRECIW-SV,MCMCFASURVEYPREPAREDUNDERNNDIRECrM .TMSCOMPLgM11111TH SURVEYING, G, INC. THE"MUMTECftr.,A49TAAM4RG8 A2SETF0MBYTHE6TAM0FF0RMWARO0F PMMSMILLAM UR 6 -6 FL0MAA0%fflNWTR#UWEOCDEPVRS0ANT 10665 SW 190TH Street TOb72.S27. F(:OtitSA G ;^ Suite 3110 ' ML&M, FL 33157 PHONE:(305) 740 -3319 SIGNED ' FOR THE FIRM FAX # :(305)669 -3190 f4GUELESPIIVO %ws � ate® t? Mo. slo LB # 6463 STATE OF Ft WATT VALDwTHJUTAH ALPM'MC MEGTF'OMG 9i9umm Alm �LJiHFMICGATEQ Fi£C:'nN1C EFAL.AI1T197R '419 *TAPlB Nd'YALID THE 9IQVATIRIE AI•D T4EQRE3T4N.R48 ©�AL6 ALIGEW..�Bl.A1T1'OR Accepted By Survey: A -9160 PAGE 2 OF 2 !y '. 10665 SW 190 St., Suite 3110, Miami, FL 33157 Phone: 305- 740 -3319 Fax: 305- 669 -3190