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29 NE 102 St (15)/ 7 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection tNurriber: IN P-9 ermif,Number:' BPP -12 -05 -1585 Inspection Date: 04/14/2006 Inspector: Grande, Claudio Owner: ARMSTRONG, JUDITH Job Address: 29 102 Street NE Miami Shores Village, FL Project: <NONE> Contractor: CALYPSO POOL CO. Building Department Comments Wednesday, April 12, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number 1132060131650 Lot: Phone: 305 - 265 -9682 Page 1 of 2 tnspectionN I NS;P Inspection Date: 01/31/2006 Inspector: Grande, Claudio Owner: Job Address: Project: <NONE> Contractor: CALYPSO POOL CO. Building Department Comments Monday, January 30, 2006 ARMSTRONG, JUDITH 29 102 Street NE Miami Shores Village, FL Inspection Worksheet Miami Shores Village 1005 ' .E. 2nd Avenue Miami Shores, FL P = one: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Wall Steel Work Classification: New Block: PermitNUmber BPP- 12 -05- 1,585 Phone Number Parcel Number 1132060131650 Lot: Phone: 305 - 265 -9682 Page 1 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until tnspectionN I NS;P Inspection Date: 01/31/2006 Inspector: Grande, Claudio Owner: Job Address: Project: <NONE> Contractor: CALYPSO POOL CO. Building Department Comments Monday, January 30, 2006 ARMSTRONG, JUDITH 29 102 Street NE Miami Shores Village, FL Inspection Worksheet Miami Shores Village 1005 ' .E. 2nd Avenue Miami Shores, FL P = one: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Wall Steel Work Classification: New Block: PermitNUmber BPP- 12 -05- 1,585 Phone Number Parcel Number 1132060131650 Lot: Phone: 305 - 265 -9682 Page 1 of 2 Issue Date: 12/30/2005 Owner's Name: JUDITH ARMSTRONG Permit Type: Pools/Whirlpools /Hot Tubs Work Classification: New Job Address: 29 102 Street NE Comments: NEW SWIMMING POOL Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/10/2006 Contractor(s) CALYPSO POOL CO. Phone 305 - 265 -9682 Primary Contractor Yes Type of Work: Swimming Pool Additional Info: Occupancy: Private Bond Return : In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Bond Type - Contractors Bond CCF DBPR Surcharge Education Surcharge CO 1 CC Permit Fee Plan Review Fee (Engineer) Radon Surcharge Scanning Fee Submittal Fee Technology Fee Total: Amount $300.00 $10.80 $2.10 $3.60 $50.00 $540.00 $50.00 $2.10 $30.00 ($200.00) $13.50 $802.10 Building D artment File Copy Permit Status: APPROVED Permit Number: BPP -12 -05 -1585 Phone: Parcel #: 1132060131650 Block: Lot: Section: PB: Total Square Feet: 420 Total Valuation: $ 18,000.00 Required Inspections Fence Wall Steel Pool Deck Final JAN 0 4 PAID Invoice Number BPP -12 -05 -23318 Total: Amt Due $802.10 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. PERMIT # 161=05— 158.5 CONTRACTOR:CP LySO DQL,s SUBMITTAL DATE: N1CD V 10 1 2005 PROJECT TYPE: N EV4l Sk 1 M M I N E, pocx d I I(o o s ZONING FIRE oK� lIlz L/o.4' STRUCTURAL IMPACT FEES L l/-" - ELECTRI S AL HRS /DERM AO PL :I 2 NOC MECHANICAL /' 1 Yr o ff/ i BLDG / "/ � / ?-b- /04 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Address City Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name Contractor's Address State Certificate or Registration No. 01- 2_-O 5 3 T Architect/Engineer's Name (if applicable) $ Value of Work For this Permit I 000 Type of Work: ['Addition DAlteration Describe Work: Submittal Fee $ Notary $ Scanning $, • 00 Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) 1 00 State 00 Permit Fee $ Miami • Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305 7' t 756.8972 Electri Plumbing Mechanical 2 s Roofing Owner's Name (Fee Simple Titleholder) ZTU ( -t- (.( f e_ tn.Te'# O� G J -bg ' 0 (009 act o Zip 330 Q _ I Permit No. 5 , !SS aster Permit No. Phone # ( 02ST County Miam3Dade Zip ( 3 NO 11--kC psPoo 0 Phone # 305 7 sq j City ELA Qrl••� 1 State Zip - 531 Co Qualifier �-(� LOS )O) Certificate of Competency No. Phone # Square Footage Of Work: ew ❑ Repair/Replace * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 20 ❑ Demolition ✓ CCF $ IC • 80 Co /CC Training/Education Fee $ araVEn Technology Fee $ Radon $2.10 't• Zoning Bond $ 00 Structural Plan Revi w. $S 00 1531 MC 401 031895 CHARGE $200.00 Bonding Company's Name (if applicable) i Bone; 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 iss � n the .bse; ce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was ac. . ewledged b re me this day of � o( ) , 20b who is personally known to me or who has produced As identification and who did take an oath. Sign: Print: chc 05/13/03 NOTARY PUB II My Commission Expires: * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Gt.ADYS 2' = "' *= MY COMMISSION # DD 152845 2006 *. " r mri • . ,,�( P S : September 22 2006 eohdermt 1010 Putt* Signature ontractor The foregoing stru V ent was acknowledged before me this day of COO who is personally known to me or who has produced as identification an who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires * * * * * * * * * * * * * * * * * * * * * * * * * * ** cc , 20USy 0- 101-e_LQS c000ZPk- .49„ f, : GLAD , % %,,": MYY COMMISSION 4 DD 152645 �, a i i L it selter.24, MC .,pF N. _ re f /2,4 �^j, c f /✓ J /r�'` Plans Examiner Engineer Zoning Date `'1 I )5 Miami Shores Village Building and Zoning Department Attention: Building Official SWIMMING POOL OWNER'S CERTIFICATION I certify that am the legal owner of the property described as LUG 15A (!J TA K-12. M 8 ,X-CT cated at 2- In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or nstalled at I 0 - 5 ami Shores,. Fl., and hereby affirm that one of he 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 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- considered as committing a misdemeanor of the second degree, punishable by fine to $�3�0 and /or up to 60 days in jail as established in Chapter 775, F.S. 1 GIADYSBORGE MY COMMISSION be O 152845 .; 1 ✓•. _ d1 .. Ty Public Underwdters • CO CONTRACTOR'S N NOTARY PUBLIC NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, . SPA AND HOT TUB SAFTY ACT The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; NATURE & DATE 5 /itote4Tiliaz BUILOING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138.2382 TELEPHONE (305) 795-2204 FAX (305) 750-8972 OWNER'S NAME NOTARY PUBLIC Miami Shores Village Building Department BUILDING CRITIQUE SHEET l wt.,044-(1_ a s le-070‘ ae0 .40 aA44) it) cA.tavas A,•14; oee /4./A /ft _ Reviewer: Claudio Grande C.B.O 305- 795 -2204 Ext 430 1 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 5 - / f -$ k ^ Job Name �"r" -07 S ?40.tri . Date /1/2?-101- NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO 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. 2. Description of improvement: 4. Contractor's name and address: 5. Surety: (Payment bond required by owner from contractor if 4ny F CF A, ccuNrr`! DA� S'raT. sa ^ Name and address: Amount of bond $ 6. Lender's name and address: Sign re of Owner Print Owner's Name Sworn to and subscribed before m Notary Public Print Notary's Name My commission expires: 123.01 -52 PAGE 4 8102 (Dr) \ 11111111111111111111111111 CFN 2OO5R1327 OR Bk 24077 Ps 44233b (1ps) RECORDED 1_/22/2005 10:38:45 HARVEY RUVIHh CLERK OF COURT MIAMI-DADE COUNTY? FLORIDA LAST PAGE 1. Legal descri �tio of prope nd street/ dress: L0 . 1 s` WSJ I Yom- 2 Lit 1 /t,(1 c�ho e Se.c y MAD c o VG, fl 0 Pr(r=c /ft Zol o s 3. Owner(s) name and address: . 3 U d. - k (LM � - t - (L() 7_CI OU F 10 2 S SSko ices F--L Interest in property: t� (.,Q) Ili e ( � Name and address of fee simple titleholder: fU� t�+ ` urfd rsx;10 -, L;U..S 3tc. 7. Persons within the state of Florida designated by Owner upon wh ices 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 different date _ s - ified) _ti NMI WV 0Poo K0 Prepared 1iy f ! c) ,20 —7 Addre . I S te . Wo� J Report No.3020963A PRODUCT COVERED Pool Alarm System, model PE -03W. PRODUCT BESCRIPTION ELECTRICAL RATINGS 120VAC, -5.3W, 50/60 Hz. Report prepared by: Carl A. Bloomfield Safety Team Leader 12 Intertek Testing Services NA Inc. Page 2 Issued: 03/15/02 PRODUCT DESCRIPTION The product covered by this report is a Pool Alarm System. The product is used to monitor potential dangerous areas, and provides a high volume alarm /alert when anyone enters these areas. It can be used indoors or outdoors, mounted on a wooden fence or metal gates. It can also be mounted on any doorway or opening that lead to potentially dangerous areas. The product is cord and plug connected to the electrical supply and provides a minimum 90 dB audible alarm at a minimum of 10 ft. A representative sample of the product covered by this report has been evaluated and found to comply with the applicable requirements of the Standard for Safety for General- Purpose Signaling Devices and Systems (UL 2017,1" Ed, with revisions to 02/14/02). CcolTpYy Report prepared by: Robert D. Burek Review Engineer CONCLUSION Gate Alarm Hard Wire Model Table of Contents • • • • • •. • • •.•• • • •••• • • • • .. • • • • • • • • • • •. • • •• • • • • • • • • .• • • • • • •• ••• • • • •• • .•.• • • ..•• • •.• • • • • • .� • • • • • � • • • • PE -03W Welcome 2 Caution 2 Magnet contact switch 3 Additional PASS button 5 Alarm unit connection 6 Connects to AC -DC adapter 7 Operation 7 Alarm Control 8 Alarm Reset 8 Automatic Reset Under All Conditions 9 Automatic Continous Monitoring 9 IMPORTANT 10 Welcome Congratulations on purchasing this YARDGUARD safety alarm. The YARDGUARD can be used to monitor potential dangerous areas, . and provides a high volume alarm/alert when anyone enters these areas. It ran be used indoors or outdoors, mounted on a wooden fence or metal gates. It can be mounted on any doorway or opening that lead to potentially dangerous areas. Caution The alarm siren is very loud. Never place the unit close to your ear. Prolonged exposure to the loud siren can affect your hearing. Install the unit at minimum height 54 ", high enough to be out of reach of children. This YARDGUARD is an entry monitor device. Whether expressed or implied, it cannot replace any safety device. All safety precautions should be maintained, including parental supervision. Neither SmartPool Inc. nor anyone else who has been involved in the creation, reproduction or delivery shall be liable for any direct, indirect, consequential or incidental damages arising out of the use or liability to use the YARDGUARD. 2 Magnetic Contact switch You can use one alarm unit to monitor more than one door /window opening in a room. Multiple contact switches can be connected to an alarm unit to a maximum of six. In order to make the alarm unit function properly, follow the instructions described below: 1. Pry open the contact switch lid. 2. There are two ways to mount this contact switch: Put the PCB back. a. Double sided foam tape: Put the tape on•••. the recessed area on the back. •••• b. Mounting Screws: Remove the PCB (Printed Circuit Board) by undoing the PCB screw as shown. Attach this contact switch plastic to the wall or to the door frame by using 2 mount- ing screws. • • ... ... ... • 3. The smaller piece of plastic is a magnet. Mount this magnet piece onto the door or window, by using either double sided tape or screws. DO NOT CONNECT MORE THAN SIX PAIRS OF CONTACT SWITCHES TO ONE ALARM UNIT. LIMIT THE TOTAL LENGTH OF WIRE TO BE UNDER 50 FEET. 3 • • • • • • • • • • 4 4. This contact switch and magnetic pair can be mounted in various ways: On the same level Vertical to each other 5. Multiple contact switch connection: a. Cut the wire to the right length. b. Cut the wire at positions you want to install the contact switch, as shown on the right. It is important to keep one of the twin wire continuous without interruption, otherwise the unit cannot function properly. ALWAYS TEST THE UNIT BEFORE USE. c. Strip the wire such that -1/8 inch of cupper exposed. Crimp the metal connector (provided) to the wire securely. 6. Connect the wire to the terminal block as shown. 7. Close the lid. At an angle Additional PASS button Pass buttons on the alarm unit or additional pass buttons allow adults to pass through to a limit of seven seconds. You can connect an additional PASS buttons to the alarm unit. The rubber key on this switch has the identical function as the rubber key on the alarm unit. This PASS button can be mounted on the other side of the door for convenient access from both sides. .... • • • • • • • • • •••• • .. • • • • • .. • .. • ... .. • • • • • • • .••. ••....• • • • • .•.. • • • • • • • • • • • • • • • • • • identical function • 5 6 •Alarm unit connections Open the little door on the back of the unit. You can find terminal blocks of 3 different colors inside the compartment. 1. Connect the wire from the magnetic contact switches to the blue terminal block, on the far left side. 2. Connect the wire from the PASS buttons to the green terminal block at the middle. 3. Route the wire to the posts as shown. This allows the wire to withstand minimum 35 Ib. pull force. 4. Close the door. 5. Plug the power cord of the AC -DC • • • adapter, attach the cover to the outlet plate. This is used to prevent the plug from " removal by children. '� �, • • . •••• •••••• Place the AC -DC adapter inside your house. 'j " A4�' • • • 1 1 1 Operation • • • • • • • • • •. • •. • • • • • • • •• • • • • • • ... • • • • • •• •• •• • • • • •• • • ••• • • • 7 8 Alarm Control This YARDGUARD is designed to monitor the opening of gate or door, to alert an adult if a child has opened a gate or door to a potential dangerous area. The red LED on the top of the unit will be turned ON, indicating proper power connection. Oth- erwise check the connection to the AC -DC adapter. Press the CHECK button, the alarm should give a loud beep, indicating the electronics is working properly. The unit will give a loud siren if either one of the contact switch /magnet pair is separated by more than one inch. For adult entry, press the PASS button. The unit will allow the door be opened 7 seconds without triggering alarm. If the gate or door is opened for over 7 seconds, the alarm will trigger. Alarm Reset To reset the alarm, first close the door and then press the PASS /RESET button. The alarm is now back to stand by mode. To exit the protected area, press the PASS/ RESET button and exit the area. Automatic Reset Under All Conditions The unit will be reset automatically in 30 seconds after the last key activation. If the PASS /RESET button is pressed but the adult entry 7 seconds allowance is not utilized, this adult entry allowance will be canceled in 30 seconds, and reset to stand by mode automatically. • • • • •• • • • •••• • • •• •• • • • • • •• • • • • • • • • •• • • • • • •• ••• • • • •• • •••• • • •••• Automatic Continuous Monitoring •• • • ••• • If alarm is triggered and reset by itself in 3 minutes, the unit will check the condition of magnetic contact sensors to decide if the door remains open or not. If the door is left open, the alarm sounds again for 3 minutes, checks the door condition again and continues the cycle until the door is closed. • • • • • 9 .• • • • • IMP.ORTANT I0 Install the unit at minimum height 54 ", high enough to be out of reach of children Keep the distance between the two pieces magnet sensor contacts to a maximum of 3/4" Test the unit by opening the door. The alarm should go off immediately. Otherwise contact SmartPool Inc. at 877 - 799 -7665. Do not rely on the alarm until the test results are satisfactory. LISTING REPORT INTERTEK TESTING SERVICES NA INC. 1950 EVERGREEN BLVD, SUITE 100 DULUTH,GA 30096 Job No. 3020963 -122 Issued: 03/15/02 REPORT NO. 3020963A INSPECTION, TESTS AND EVALUATION OF POOL ALARM SYSTEM RENDERED TO SMARTPOOL, INC. LAKEWOOD, NJ : ••• •• • An independent organization testing for safety ,performance, and certification. .. • • •• • • • • .• • . • .. • . • • • GENERAL: This Report gives the results of the inslib , tests and • of a Pool Alarm System for compliance with appjjtallle regt{jrrmwnts of :116••; Standard for Safety for General- Purpose Signaling &evicts and 4ysteais (UL 1 Ed., with revisions to 02/14/02). This investigation 'nnilthornd byto #1 d3;' dated 02/27/02. The investigation was begun on 03 /p QZ ond completed on 03/08/02. A production -line sample, in good condition, wa;provided ley ihe Applicant on 02/28/02 and tested at ITS's Orlando, FAility. "" GENERAL- PURPOSE SIGNALING DEVICES AND SYSTEMS -UL 2017 • Applicant: SmartPool, Inc. 575Prospect Street, Suite 205 Lakewood, NJ 08701 Contact: Mr.Richard Holstein, 732/730 -9880 phone, 732/730 -9881 fax Manufacturer: Electronics Co.,Ltd. Block 9 Zhu Yuan Industry Area Guan Lan Town, Bao An Area ShenZhen City, China Contact: Mr.Siu Ping Wong, 86- 755 - 7985655 phone, 86- 755 - 7985997 fax • • • • • 11 • All services undertaken are subjact to the following genaral policy: Reports are submitted for exclusive use of the clients to whom they are addressed. Their significance is subject to the adequacy and representative character of the samples and to the comprehensiveness of the tests, examinations or surveys made. This document may not be reproduced except In Its entirety without written permission from ITS. 1 FINAL DECK �i Passed rl� � V Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until inspection:Nurnber: I NSP Inspection Date: 04/17/2006 Inspector: Grande, Claudio Owner: ARMSTRONG, JUDITH Job Address: 29 102 Street NE Project: <NONE> Monday, April 17, 2006 Miami Shores Village, FL Contractor: CALYPSO POOL CO. Building Department Comments C L v:: Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho : (305)795 -2204 Fax: (305)756 -8972 �' � (2.O 5 -1555 Block: ermit Number DGT- 12-05-1326 Permit Type: Decks /Gazebos/Trellises Inspection Type: Final Work Classification: Deck - Wood Phone Number Parcel Number 1132060131650 Lot: Phone: 305 - 265 -9682 Page 2 of 2 Issue Date: 12/30/2005 Owner's Name: JUDITH ARMSTRONG Permit Type: Decks /Gazebos/Trellises Work Classification: Deck - Wood Job Address: 29 102 Street NE Comments: POOL DECK Additional Information Miami Shores Village, FL Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/10/2006 Contractor(s) CALYPSO POOL CO. Phone 305 - 265 -9682 Primary Contractor Yes Type Const: POOL DECK Additional Info: PAVERS 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. Permit Status: APPROVED Permit Number: DGT -12 -05 -1326 Phone: Parcel #: 1132060131650 Block: Lot: Section: PB: Total Square Feet: 350 Total Valuation: $ 1,500.00 Required Inspections Foundation Framing in Progress Final 'JAN 0 4 PAID Fees Due Amount CCF $1.20 Education Surcharge $0.40 Permit Fee - Deck (wood) $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $107.10 Invoice Number DGT - 12 - 05 - 23317 Total: Amt Due $107.10 c Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. BUILDING PERMIT APPLICATI FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) Owner's Address �C( - t - City ^mil < ©�.es State T Tenant/Lessee Name (-Pr Job Address (where the work is being done) City Miami Shores Villa City Qualifier Is Building Historically Designated YES NO Architect /Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ['Addition ['Alteration Describe -Work: Notary $ Scanning $ n(T Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) j Soo^ Training /Education Fee $ Radon $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Building N DEC 27MI5 Electrical e County Miami -Dade (YNew Structural Plan Review. $ Permit NI � tOS+ 132.(e) Master Permit No.15 12-0 - 1 f5 Plumbing Mechanical Roofing �A.FPho # C7 �� Zip 3 1 5,8 Phone # aci 1 ( - Phone # J A -JEi& Zoning Bond $ Contractor's Company Name 1 �� Phone # 3o5 S 39 2 Contractor's Address S 3 f v 5 A1 l State � Zip 3 ZLO State Certificate or Registration No. V 5 r)33 `certificate of Competency No. Square Footage Of Work: 3 S O ❑ Repair /Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ / —� —� CCF $ CO /CC Technology Fee $ 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 b will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of co encemen must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. 1 the ..s/ ce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature The foregoin instrument was acknowledged before me this day of 0 05by c )i3 (Y41- Ste -0 who is personally known to me or who has produced APPLICATION APPROVED BY: chc 05/13/03 Owner or Agent As identification and who did take an oath. NOTARY PUB : Sign: Print: I t My Commission Expires: ;; MY C - EXPIRES: September 24, 2006 Bonded Tin Notary Public Underwriters * * * * * * * * * * * * * * * * * * * ** ;; *if' ... **** *** * * * ** * * * ** ** * ** ** ***** *** *** Signature Contractor The foregoing instrument was acknowledged before me thisa') day of , 2COS , by ail12ms 6c who is personally known to me or who has produced ✓ as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: RAEE M Y COMM1= =10' �" p 4 ; a30� Fran EXPIRE& 8611161 . Q q tled Thru Notary PUtllfb dfl dAPHfM ® f§ My Commission Expires: ***********************:********************* * * * * * * * * * * * * * * * * * * * * * * *} * * * * ** ' ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** I Plans Examiner V Engineer Zoning This property described as: Lots,_15 and 16, Block 12, AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1, according tb the Plat thereof, as recorded in Plat Book 10, Page 70 of the Public Records of Dade County, Florida. J / No 9 -24 -03 " 9 -29 -03 1 2 a fc o,yc WO //L $7-e"/'Li I3.8/o n 14 8F.' to 0 ai . n �N N 23.4 fig - 0 17.15'_ 6 4.00' 6 ' IN 000 FENCE. U 10 1 9 oc3' 13. Bo vi PROPERTY OF: Armstrong, Judy Ai, Not valid unless embossed A BOUNDARY with Surveyor's Seal. WOOD ,- ,c oLE 1 aC7:. bo _ b ' n 13 "/G' / 5 �, p p5 1 0 (1 SURVEY I hereby r:ertify that the survey repre- sented hereon meets the minimum technical standards s t .forth by the Board of Land Surve on pursuit -to Section 472.01;, Fla. atutes. Th re are no t erla. teas meats/ appears pearl , )6 1 at .t. r , an as show f o Nom // Iii /sll�y `tn 6' 1 IC PlOd MJ 35.12 Cc ) 55 JAR N- - » zd �h�,1 r Tinv •t 6 / waov (. Fla. Res. land rveyor No v� DAT SCALE DRAWN BY r BE/ ilr���c .4- ri?rri? Z. 12 �7 r1 1\4 j Recertified ", Names and Certified To revised and Flood Information and Zip Code ID added.p 77 5PS•%'1 -53S/ p Names revised.. ` Page 1 of 2 RE EfVE Ul 1r/ 2 (� Pc — L 85 29 N.E. 102nd Street, Miami Shores, LANNES and 6A 'ILd�i4, ( 3 L.B. 12098 - BEALE SMITH 15238 ENGINEERS - LAND SURVEYORS - LAND PLANNERS 3� z ' a�v���a x i rfEbtElis Mailing address: P.O. Box 561131, Miami, Florida 33156 (305) 666 -7909 DRWG. NO 189 -9956 152245 � �u Legend of SumeY_Abbte.vialione A Are dderK, (C) ' •Cetcublid IICn Urower d Cmrydy neconls fltIx1 nnd,h,q n ned, s ,COS CrwK■ete 01r14 Sirloin• CII Ch.d IMIan t nAlf Nit. 1 COIM Caruele - IN. Urnnnte t eerrr.nl 1VW n,tl. nl Will I'll 1 mind fII f ile ltrd, net &'.0 Secl w • 1M9 Minuted Ilnvn 11.1,0 iel Oemf Sera sere wed VinIK At (Nihon On OeerhNrt OfB 011kid neem OooIt 011l Ovubeed thinly thins r MM SM Set 1 no rgle re • Met OoeA PC Point el Curvetwe rCC Pohil of Conipmmd Curve PO Pete SwK Side rM . r/t Property lme POO roM1 n10e rmi Pdnl ill nerer ,e I/lih 1 Ir'1 ' rOC Point el Commencement • I'nC II[ r Cuvelme l eer Neill UP' Utility Pole 1vM Water Meter l A Cen1i41 Anti, Pt Poent.,1t onetoty WM Wei "Meter Iensenl lin late M.IInt l eeernent Al Anclmr [element 0/S ' Onset Cl [NC FM Nolea Clem round wen ripe A/C CO C,t [IP FM Air Canhllnnm. red Celch n.,,ln Comer 1 lire [tickle transformer red Found Imo nod - if All Clearances and /or encroachnlenis shown hereon aro of apparent nature. Bence ownership by visual means. Legal ownership of fences nol determined. b) Tho issue of Ihis survey is only for the exclusivo end specific use of Illoso persons, parties or Inslilulions shown in lho corlificalion. Any other Inlended use will require written approval from tiro certifying stnveyor or firm. c) Coda rostricltons and Idle search aro not reflected on this survay. d) Underground utilities and encroadhrmonls, if any, not located. . e) The flood inlormalion shown hereon does not Imply Ihal lilo referenced properly will or will not he freo from flooding or damage and does not create (lability on tiro part of tiro firm, any officer or employed thoroof, for any damage Ihal rosulls from relianco on said Informallcn. • I) Tho lands depicted hereon were :surveyed per Iho legal description and no claims as lo ownership or mailers of Iillo are made or Implied. g) This survey Is not to bo relied upon for construction. ELQQI1ZQNE: X EI.Q_QRJNEPRMAT19N, Community Number: 12 0652 Panel Number map 11 12025C0093 Sufflx:• J F.I.R,M. Index Dale: 7 - - Base Elevation: • ' Not Available Wagn 2 of 2 Bearings, If any shown based on _ '(reforonco)• CERTIFJED To: Rapid Title Services Company; Attorneys' Title• Insurance Fund, Inc.; Armstrong, Judy A.', and Homebarnc Mortgage Corporation, its successors and /or assigns. anoPERTY oF: pir m tron J udy A , ONINAMINE NW YAM 1NitI01.11 nit 1l011AtUAt Afro 1111 OmeerAl 0dt10 UM. Or 110001* IICt1Q10 e11fV1ven AMID U 9 -29 -03 Names revised. A_i3QIJNDAfiY- slaver I terllty Itiol Ih, tunny repr,renled bugled meet, the minimum lechnlcel elond.lyd, let forth by (lie Bend of lord Surveyor, In flupler 11011.0 florid, Administrative Code pareuenl to Seellnn 172.0:q rte. SIMute,. 'bore ere no encroach moms, evader,, 'summit tormentor( on the PIM, other then se iliown hereto ` � � g /2 sles IU rm M, SIMV[ AM/[MrrPn IM treet Miami Shores Florida 33138 LANNES AND GARCIA, INC. L.U.112090 Surveyors - Ma Pipers - Land Plannors BEALE SMITH 15230 Office Address: 359 Alceznr Ave, Coal Gables, ri 33134 (305) 065 -1909 • (954) 523.0003 mum/. ny nnAwlmrl no 152245 Property Address: 29 NE 102 STREET, MIAMI SHORES, FL. 33138 LEGAL DESCRIPTION: FOLIO #: 11-3206-01 Lot 15 & 16, Block 12 of "MIAMI SHORES SEC 1 AMD" according to the in Plat Book 10 at Page 70 of the Public Records of Dade County, Florida. Field Date: 9/29/05 TOP OF BOTTOM FLOOR: 13 TOP OF NEXT HIGHER FLOOR: N/A ATTACHED GARAGE (at the door): N/A GRADE @ DRAINFIELD AREA CROWN OF THE ROAD: 11.9' ELEVATION CERTIFICATE 4- tiwners Name: RECEOVElit JUDITH A. ARMSTRONG SURVEYOR'S NOTES: 1) Not valid without the signature and the original raised seal of a Florid and Mapper. 2) Additions or deletions to this certificate by other than the signing party or parties are prohibited without written consent of the signing party or parties. 3) This certificate elevation is for the purpose of septic and drains repair and/or construction. 4) This certificate elevation must not be use for the purpOse of acquiring flood'insurarve 5) Elevations are based on the National Geodetic Vertical Datum of 1929. 6) Flood Zone: . N/A Base Flood Elev.: N/A as per Dade County, Florida. FEMA Panel Number: 120652 - 0093 - J - MARCH 2, 1994 Pablo J. 4Ifono Professioriai Surveyor & Mapper State of Flprida !keg. No.5880 4110 L. c. NT° LAND SURVEYORS, INC. 6175 NW 153" STREET, SUITE 103, MIAMI FLORIDA 33014 Phone: 305-822-6062 ** 3 05-698-9468 "• Fax 305-827-9669 1 N 205 APPLICANT: [ 3co STATE OP FLORIDA DEPARTMENT OP REALTN ONSITE SEWAGE TREATMENT . .r AND .DISPOSAL SYSTEM EXISTING SXSTEK AND SXSTBM REPAIR EVALUATION BLOCK: (7 INI FEET PRIMARY DRAINFIELD SYSTEM FEET SYSTEM t ( STANDARD [ ) PILL= [ TRENCg 1 ;j/BED PER7,'T# CONTRACTOR / A4 HT LOT: ) (t, sttBDIV: S e � -�� ID,: � 320,6 - PERSON. SIGN AND SEAL ��n+ SEPTIC TANS CONTRACTOR OR COMPLETE TANK CERTIFICATION SUBMITTED c -C_p -- C-_4 1 TO BE COMPLETED BY FLORIDA REGISTERED ENGINEER, DEPARTMENT -- 16 S' OTHER CERTIFIED pR Q - s_ -`' -- _.Z4 =_w_4 a =m: EXISTING TANK PERMITTED sBpTAt3g DISPOSAI. sERV�CS, OAt1(7ll FICATION BELOW OR ATTAC$ LETTER FROM COMPLETE ALL ApFLIClIBLE ITEMS, ae= aQ= =w-= onc== !t =wt= = C = G= =G'__ar to C =Q =C- 1 00 1 GALLONS S pb ATU LEGEND: NI A i ] GALLO SEPTIC T /GPD ATV. LEGEND: ; MATERIAL : r.c� -P. , BAFFLED: IT /E D: [ 1 GALLONS GREASE INTERCRpYOR LEGEND: MATERIAL: $AFFLEbs[Y / NJ t ] CALLONS DOSING TANS LEGEND: MATERxAL:et.oee = =R e. acz r.== .e- aecsr_= :ec== ._zweLEGEN -_c MATERIAL: ::::::::=I: I CERTIFY 10L mwCcat_4/It= .Cbg =l�� _ # psi 1 t� THAT THE ABOVF.}OTED TANKS WERE PUMPED ON - "` = °- w�C= w }'IED, e STRUw�. Y SOP h•, AND RAVE A ( SOLID -•i- _ O r ION / RAVE 2RE VDLViIES SpBCIFIED. ARC RS DEVICR A INS SI �� E OF LICENSED CONTRACTOR a �tw. r FILTE - i I �c� �i I l •, C 10 ' Rtaal == wcC =at = =Ct= BUS/NESS NAM we4 I DATE EXISTING DRAINFrHLD INpO - ncc= ar _ aee amt= i•GCC.t =we i -- RCtaw =a mt=swe =we SQDARE [ ] SQUARE TYPE OF SYSTEM: CONFIGURATION: DESIGN: RA HEADER [ ) D -BoX [ oRAVI7Y SYSTEM AED dB SX STEri No. OF TRENCBES ( ] DIMENSIONS: 5 NO OF TtrENCBES [ ] DIMENSIONS: N ) NObND ) ' • I - ----� — [ 1 ELEVAT'xON'OF BOTTOM OF DRAxN'FIELb IN RELATION 'TO EXISTING GRADE INCHE [ B& SYSTEM FAILURE AND REPAIR INFORMATION t ) 6110 1 sysTEM INSTALLATION DATE [ l GPD ESTIMATED SEWAGE FLOW BASED ON SITE [ 1 DRAINAGE STRUCTURES CONDITIONS: [ ) SLOPING PROPERTY NATURE OF [ 1 HYDRA IC OVERLOAD FAILURE: ( 1 DRAINAG FAILURE [ ) SGE SYMPTOM: [ 1 1 BI REMARKS /ADDITIONAL CRITERIA SUBMITTED BYi: RUN OFF 1 POOL 1 SOIL$ .- f' ) m s 1 1 WAT TITLE /LICENSE bH 4015, 10/9 Previous Editions may be used) OF WASTE [ 4 -4 - DOt4ESrxC [ ) COMMERCIAL WATER '[ L- r-TABLE 1, 64E -6, PAC TYPE [ 1 HETERED [ 1 PATIO / ,U EC1C tENANg$ /ULFg r ER DATE: j air Page 4 o f 4 APPLICANT: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS PERMIT # ..� AirM ."0,'") a AGENT: _ LOT: \51 16 BLOCK: SUBDZVZSIO 1 (` -._—:� ti't S h tyre S S ems' I d PROPERTY ID 1: k - -c1 - ` V050 [Section /Township /Range /Parcel No. or Tax ID Number :- °== a�- - - ->IIm =__== __ =; = =�= r+a= Asa = - -- �JS °� 1 d � 3 3 i TO $E COMP --- BY ENGINEER `_ -= = =ayc - -��_� = - - =s: � = =s HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUS: PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL FACE PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. SIZE CO s == -= == = =at = = = == - ==aft=== ,. = =a -ast PROPERTY CONFORMS TO SITE PLAN: c X YES I � = _ _; TOTAL ESTIMATED SEWAGE FLOW: I 1 NO NET USABLE UREA AVAILABLE: = ACRE! GALLONS PER ' DAY [ :.4- 1 +; f *_e. ABLE I / ; OAR -TABLE 2] AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [1500 GPD /ACRE OR 25 UNOBSTRUCTED AREA AVAILABLE: Id 00 SQPT UNOBSTRUCTED AREA REQUTIRED' S F1 Q BENCHMARK/REFERENCE POINT LOCATION: F l� C I 1 � 6 (� ' J ELEVATION OF PROPOSED SYSTEM SITE IS . 1 [INCBEkt:) [ABOVE BENCHMARK FEREN POINT i THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO;THEiFOLLOWINQ FEATURES: SURFACE WATER: NJ PI FT DITCHES /SWALES: __AA' PT NORMALLY WET? [ I] YES [ L.KNO WELLS: PUBLIC: N y't FT LIMITED USE: . PT PRIVATE: Areir PT, NON- POTABLE: t4 A l FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: FT POTABLE WATER LINES: -2 17 — FT SITE SUBJECT TO FREQVEE1' FLOODING: [ ] YES t NO 10 YEAR FLOODING? ( ] YES [LINO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL /NOVD SITE ELEVATION: , 1l, C7 FT MSL /NQVD SOIL PROFILE INFORMATION SITE 1 to to t0 to ZO O^- - USDA SOIL SERIES : V le Munse l' Colo Text a �_D :pth y4 Kip_ 1G eta.( • C7 to 12 U , � to SA 'Nei tor 4(31 to SITE EVALUATED BY ON 4015, 10/00 (Rapl.c.s HRS -M Perm 4018 (Paps 3) welch may b. ui.d) (Stoeq Number: 67 44- 003 -•01 5-11 SOIL PROFILE INFORMATION SITE 2 ell or! Texture Depth O R. - „- SA.- .O_to p ' l 0 to 014 411 r S �, -.d '12. toi,p „ to t0 -.M. O tO tO {o 0 f eg ' Ni USDA SOIL SERIES: OBSERVED WATER TABLE: NE- INcHE$ [AMp mss, ESTIMATED WET SEASON WATER TABLE ELEVATION• EX!STINd GRADE. TYP PERCHED / HIGH WATER TABLE VEGETATION: ,EXISTING INCHES'[ ABOVE ] EXISTING GRADE. [ ] YES [10410 MOTTLING: [ ] YES I [ LIA O DEPTH: N en INCHES SOIL TEXTURE/LOADING KATE FOR SYSTEM SIZINGt d8 �Qt( e. "/ DEPTH of EXCAVATION: 0 INCHES ] TRENCH (t /] BED [ ] OTHER (SPECIFY) - REMARKS/ADDITIONAL CRITERIA: DATE ° MAMMY 39 J Page 3 of 3 OCT -20 -06 02:33 PM • Scale: Each block represents 5 feet and 1 inch = 50 feet, • ... I ; { • 1 1_ ` , 1 . • � 1 1 - -; i. 1 ! ,..r . 1 f , 1. ; ! 4..l. 4 .4. _ ; I , . .. i . i 1 . $ ( ,_._,.t_1 I 1 i .i: i :_ ! . � �_� ; t • I I - , , I. ; , t . t lotes: :.. i I 1 .ii_ _) .-;• 1.1 1 t \; ....1..:.. ( •ite Plan submitted by: •tan Approved Y DEPARTMENT OF HEALTH . APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number PART II - SITE PLAN- (.ocall o • • i t .. 1 �. .. i ; • • 1 1. • . . k q N tO� . St" M 58 Title Date P. 03 Page 2 of 3 County Health Department ALLL, CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT wf6, AMOCO NRSM Faun 1011 mkt nu, e. USOM tf+f Nwfe.: s amVO16, SOtOin• oS Qom Oc - Pc'" Signature ID 3 Not Approved i ?•r,• ,..11 "y • s • inspection Number INSP- 4226 Inspection Date: 04/07/2006 Inspector: Levrack, James Owner: Job Address: Project: <NONE> ARMSTRONG, JUDITH 29 102 Street NE Miami Shores Village, FL Contractor: CALYPSO POOL CO. Building Department Comments Thursday, April 6, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 C L Block: Permit Nmber: PL2005 -328 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132060131650 Lot: Phone: 305- 265 -9682 Page 2 of 2 1 1 4/ - 7---- o , 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- 4226 Inspection Date: 04/07/2006 Inspector: Levrack, James Owner: Job Address: Project: <NONE> ARMSTRONG, JUDITH 29 102 Street NE Miami Shores Village, FL Contractor: CALYPSO POOL CO. Building Department Comments Thursday, April 6, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 C L Block: Permit Nmber: PL2005 -328 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132060131650 Lot: Phone: 305- 265 -9682 Page 2 of 2 POOL PIPING Passed Insp ii '• ' 13 v Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'cton'Nurn Inspection Date: 02/24/2006 Inspector: Levrack, James Owner: ARMSTRONG, JUDITH Job Address: 29 102 Street NE Miami Shores Village, FL Project: <NONE> Contractor: CALYPSO POOL CO. Building Department Comments Thursday, February 23, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: 151T- 1 Permit Number �` PL2005 -328 Permit Type: Plumbing - Residential Inspection Type: Pool Work Classification: Pool - Private Phone Number Parcel Number 1132060131650 Lot: Phone: 305 - 265 -9682 Page Issue Date: 12/30/2005 Owner's Name: JUDITH ARMSTRONG Permit Type: Plumbing - Residential Work Classification: Pool - Private Job Address: 29 102 Street NE Contractor(s) CALYPSO POOL CO. Phone 305 - 265 -9682 Primary Contractor Yes Comments: POOL PIPING Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/10/2006 Type of Work: POOL Additional Info: Type of Piping: Bond Return : In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Miscellaneous Fee Pool - Private Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $10.00 $150.00 $3.00 $4.00 $168.60 Building Department File Copy Applicant Signature Permit Status: APPROVED Permit Number: PL2005 -328 Phone: Parcel #: 1132060131650 Block: Lot: Section: PB: Total Square Feet: 420 Total Valuation: $ 1,200.00 Required Inspections Final 'IAN o PAID Invoice Number PL - 12 - 05 - 23316 Total: Amt Due $168.60 c Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. BUILDING PERMIT APPLICATIO FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address City Tenant/Lessee Name City $ Value of Work For this Permit State 0 /-per Job Address (where the work is being done) Miami Shores Village Is Building Historically Designated YES Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 _ SO �00 �. @one (05 10Zi Contractor's Company Name Contractor's Address 7 5 0 1 3 k ' Si- 4 City Qualifier f ,n-��O CO0 k) , eZ State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # 1 200 , Total Fee Now Due $ 1 tee) , COO (Continued on opposite side) EOVED N County Miami Dade NO Type of Work: DAddition ❑Alteration , New ❑ Repair/Replace Describe Work: Permit No. 5 — 328 Master Permit No. Mechanical Roofing s Phone � 30 5 - Sg -. Zip�1 �g Phone # Zip J 1 �JO Square Footage Of Work: � 2.0 ❑ Demolition ****************************F Submittal Submittal Fee $ Permit Fee $ , / e 6 - CCF $ 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 notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is is : e.. In the ..sent . such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Con : ctor The forego' g instrument was acknowledged bef me this • The foregoin instrument was acknowledged before me this _, 2�� by �(�- T 1 — t�ll l ST20) day of , 20�bY �' A �' Go/J La le Z day of who is personally known to me or who has produced who is personally known to me or who has produced NOTARY PUBLIC Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * ** ************* * * * * * * * * * * * * * * * * * * * *** ** * *I,* * * ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 Owner or Agent As identificayian, and who did take an oath. ':y GLADYS BORGES �.� 4 MY COMMISSION # DD 152845 ' p • Se tember 24, 2006 .* on on TrcruNite lelkft=rfroteis** .s. Signature NOTARY PUBLIC: Sign: Print: G asi entification and who did take an oath. • MY COMMISSION # DD 152845 EXPIRES: September 24, 2008 d My Commission Expires: //- /7 - 05 -- Plans Examiner Engineer Zoning • Passed 'e« • . Co ' il ents J — ji ■/ ,r ‘ L F ___ Failed 13 Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection NumberI Inspection Date: 01/31/2006 Inspector: Levrack, James Owner: ARMSTRONG, JUDITH Job Address: 29 102 Street NE Project: <NONE> Miami Shores Village, FL Contractor: CALYPSO POOL CO. Building Department Comments Monday, January 30, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho (305)795 -2204 Fax: (305)756 -8972 Block: rcos -isa5 ermit Nu ber: PL2005-328 Permit Type: Plumbing - Residential Inspection Type: Main Drain Work Classification: Pool - Private Phone Number Parcel Number 1132060131650 Lot: Phone: 305 - 265 -9682 Page 2 of 2 Inspection Number: INSP =1438; Inspection Date: 04110/2006 Inspector: Devaney, Michael Owner: ARMSTRONG, JUDITH Job Address: 29 102 Street NE Miami Shores Village, FL Project: <NONE> Contractor: ON CALL ELECTRICAL CONTRACTORS INC Building Department Comments Friday, April 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone 305)795 -2204 Fax: (305)756 -8972 Block: :Permit Number: EL -12-05 -1124 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132060131650 Lot: Page 2 of 2 Passed Inspector Comments "I ti/j" 70 /f'.�7 ij - ‘ . ,Ii"A /t S `0 I-7/- &�' / Failed Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP =1438; Inspection Date: 04110/2006 Inspector: Devaney, Michael Owner: ARMSTRONG, JUDITH Job Address: 29 102 Street NE Miami Shores Village, FL Project: <NONE> Contractor: ON CALL ELECTRICAL CONTRACTORS INC Building Department Comments Friday, April 7, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone 305)795 -2204 Fax: (305)756 -8972 Block: :Permit Number: EL -12-05 -1124 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132060131650 Lot: Page 2 of 2 Inspection Number I N Inspection Date: 01/31/2006 Inspector: Devaney, Michael Owner: ARMSTRONG, JUDITH Job Address: Project: <NONE> Monday, January 30, 2006 / Miami Shores, FL 33138 -0000 Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Ph e: (305)795 -2204 Fax: (305)756 -8972 017.11'06 ' I55 S / Contractor: ON CALL ELECTRICAL CONTRACTORS INC Block: PermittNumber EL -12-05 -1124 Permit Type: Electrical - Residential Inspection Type: Light Niche Work Classification: Pool - Private Phone Number Parcel Number 1132060131650 Lot: Page 1 of 2 i Passed ryl Inspector Comm7� /�L� g C ) 1 ce of \ �� i K3 ���� ,1,0 /1- w ` A 'e It.2-- rd ,I YY 577 W G �h° ��/ c9e, -�, i(... 1oG / �11 i2 /` e ‘ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. - / 7.0 °°r until Inspection Number I N Inspection Date: 01/31/2006 Inspector: Devaney, Michael Owner: ARMSTRONG, JUDITH Job Address: Project: <NONE> Monday, January 30, 2006 / Miami Shores, FL 33138 -0000 Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Ph e: (305)795 -2204 Fax: (305)756 -8972 017.11'06 ' I55 S / Contractor: ON CALL ELECTRICAL CONTRACTORS INC Block: PermittNumber EL -12-05 -1124 Permit Type: Electrical - Residential Inspection Type: Light Niche Work Classification: Pool - Private Phone Number Parcel Number 1132060131650 Lot: Page 1 of 2 i FROM a :CALYPSO POOL CO rrr WM!' ' MbN "AR" Issue Date: 11/17/2005 Owner's Name: JUDITH ARMSTRONG Permit Type: Electrical - Residential Work Classification: Pool - Private Job Address: Additional Information 3052659684 Type of Work: Additional Info: Applicant Copy FAX NO. :3052659684 Dec. 27 2005 03:41PM P1 'wow re.C. Ana Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Exp ires: 11/15/2006 Phone 1132060131650 Total Square Feet: 0 Total Valuation: $ 700.00 Light Niche Bonding Alarms Final E on: Miami Shores, FL 33138 -000 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $0.42 Education Surcharge $0 Permit Fee - Additions /Alterations $100.00 Scanning Fee $3.00 Technology Fee $5 Total: $109.26 Permit Status: APPROVED Permit Number: EL - 12 - 05 - 1124 one: Invoice Number Amt Due EL - 12 - 05 - 22919 $109.26 Total: Amt Paid $109.26 $109.26 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found In the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. For Inspections, Call (305) 795 -2204 exts 431 & 442. Requests must be received by 3 pm for following day inspections. Obtain Certificate of Ocupancy /Completion Before Using the Building I nspection Inspection Inspector: Project: Contractor: NumberINSP' 1 153 Date: 03/08/2006 Devaney, Michael Owner: ARMSTRONG, JUDITH Job Address: 29 102 Street NE Miami Shores Village, FL <NONE> Building Department Comments Wednesday, March 8, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phor • , (305)795 -2204 Fax: (305)756 -8972 ON CALL ELECTRICAL CONTRACTORS INC Block: Phone Number ' ' IZ5 -15 85 .M la mitNumber: EL -12-05 -1124 Permit Type: Electrical - Residential Inspection Type: Bonding Work Classification: Pool - Private Parcel Number 1132060131650 Lot: Page 1 of 2 Passed Inspector Comments /� </Fir' g /-7,2 /'‘ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until I nspection Inspection Inspector: Project: Contractor: NumberINSP' 1 153 Date: 03/08/2006 Devaney, Michael Owner: ARMSTRONG, JUDITH Job Address: 29 102 Street NE Miami Shores Village, FL <NONE> Building Department Comments Wednesday, March 8, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phor • , (305)795 -2204 Fax: (305)756 -8972 ON CALL ELECTRICAL CONTRACTORS INC Block: Phone Number ' ' IZ5 -15 85 .M la mitNumber: EL -12-05 -1124 Permit Type: Electrical - Residential Inspection Type: Bonding Work Classification: Pool - Private Parcel Number 1132060131650 Lot: Page 1 of 2 EL -12 -05 -1124 Project: <NONE> Owner: JUDITH ARMSTRONG Phone: Job Address: 29 102 Street NE Parcel: 1132060131650 Miami Shores Village, FL Block: Lot: Scheduled Insp # 01/01/2999 INSP -1154 Alarms 01/01/2999 INSP -1155 Final Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Type Inspection Status None None Electrical - Residential Inspector Date Completed Default Inspector Not Complete Default Inspector Not Complete 01/31/2006 INSP -1152 Light Niche APPROVED Michael Devaney 1/31/2006 LIGHT NITCHE ONLY GROUND WIRE NOT TIED TO ANY STEEL WILL NEED GRUNDING INSPECTION AND CHECK CONNECTIONS 03/08/2006 INSP -1153 Bonding Pending Inspection Michael Devaney Not Complete Wednesday, March 8, 2006 Page 1 of 1 Issue Date: 11/17/2005 Owner's Name: JUDITH ARMSTRONG Permit Type: Electrical - Residential Work Classification: Pool - Private Job Address: Additional Information Miami Shores, FL 33138 -0000 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/15/2006 Contractor(s) Phone ON CALL ELECTRICAL CONTRACT1 Primary Contractor Yes Type of Work: Additional Info: 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. Permit Status: APPROVED Permit Number: EL -12 -05 -1124 Phone: Parcel #: 1132060131650 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 700.00 Required Inspections Light Niche Bonding Alarms Final Fees Due Amount CCF $0.42 Education Surcharge $0.14 Permit Fee - Additions /Alterations $100.00 Scanning Fee $3.00 Technology Fee $5.70 Total: $109.26 Invoice Number EL - 12 - 05 - 22919 Total: Amt Due $109.26 DEC WWI 0 33 4I 1 iat Amt Paid $109.26 $109.26 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) .S Owner's Address 2. 4 iLle • •Et City 1 J1v., . 5W' 5i-isiE5 State *_- Tenant/Lessee Name Submittal Fee $ (Continued on opposite side) J Miami Shores Village EL 12- 2 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ( Zip 53 I Phone # Job Address (where the work is being done) '2 *9 /`1 C • j(, z S' City Miami Shores Village County Miami -Dade Zip 5 ) 3 S Is Building Historically Designated YES NO \/ Contractor's Company Name Om C. (( Et 6.- ei C Phone # 1 ` ' Li 3 u -S % 4 Contractor's Address 1 3 (i..lC.. 54- . / ' 7 City Ato-i, k.— S 3 / 2 L ("Ili State ;! L Zip °3 7, 1 Z Qualifier 14 �� t u i . State Certificate or Registration No. 6 f 0, i✓ Zi 0 2 (7 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Permit No. Wffitigkeltii Master Permit No. Plumbing Mechanical Roofing 6 F ' g Phone # $ Value of Work For this Permit 6 ®( rrs� Square Footage Of Work: Type of Work: ['Addition ['Alteration ❑New ❑ Repair/Replace ❑Demolition Describe Work: 6.4 a CCI a fr./ Permit Fee $� CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ J r — . — 10 Scanning $ 3 • CO Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Rev'ew. $ Total Fee Now Due $ DEC 0 6 PAID UK / 'qL Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature NOTARY PU Sign: Print: My Commission * * * * * * * * * * * * ** chc 05/13/03 Owner or Agent The fore oin instrument was acknowledged before me this day of , 20Q5by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: :iz� '. ORAIDA MELENDEZ 'tr4 MY COMMISSION ;:t DD 107200 47S EXPIRES• A if klbetilkftftMgry ublic Underwriters Sign: Print: My Co * * * * * * * * * * * * * * * * * * * * * * ** Contractor The foregoing instrument was acknowledged before me this ((/ el 00 L) ,2CC), )by KOiv Al e s, i� RAID 1gh`ZMMISS!ON L DD 107200 ro Arolary Public Underwriters APPLICATION APPROVED BY:10��� ��% P _ * * * * * * * ** �' vdans Examiner Engineer Zoning PLUMBING .ADDENDUM TO BUILDING PERMIT APPLICATION (AN.ArPLICATION 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.) ELECTRICAL MECHANICAL ITEM BATH TU3 UNIT FEE ITEM UNIT SWITCH OUTLETS FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING RECEPTACLES A/C (WIND) DISHWASHER 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 1 HEATER -NEW INST. GENERATORS TRANSFORMERS 1 HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COWERC I AL 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 1 POOL PIPING � � LAWN SPRINKLER SYSTEM . 1 1 GAS RANGE METER SET (GAS) I GAS PIPIM.;' 1 1 11 PLUMBING .ADDENDUM TO BUILDING PERMIT APPLICATION (AN.ArPLICATION 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.) ELECTRICAL MECHANICAL Date 12/06/2005 Permit Receipt Permit Number: EL -12 -05 -1124 Invoice Number: EL -12 -05 -22919 Applicant: JUDITH ARMSTRONG Company Name: Payment Type CheckNum Check 1792 Amount $109.26 Total Payment: $109.26 Thursday, December 15, 2005 Page 1 of 1