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BPP-06-1338
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Date: 12/13/2006 Inspector: Grande, Claudio Owner: ARDEN, DENIS Job Address: 375 94 Street NE Miami Shores Village, FL 33138- e_L 5EL 4 20E16 Project: <NONE> Contractor: ESSIG POOLS INC Permit Type: Pools/Whirlpools/Hot Tubs Inspection Type: Final Work Classification: New Block: Phone Number (305)648-0032 Parcel Number 1132060136120 Lot: Phone: 305-949-0000 Building Department Comments ' I Passed / , , / Inspector Comments Failed Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled re-inspection fee is paid . until Tuesday, December 12, 2006 Page 1 of 2 prn � Miami Shores Village BO �6 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING IZECIEEWIE Permit No. 1 PERMIT APPLICATION; y 2 2 2006 Master Permit No. FBC 2004 BY : - Permit Type (circle). uilding Elec ica P1 • ing Mechanical Roofing Owner's Name (Fee Simple Titleholder)1°1 t S kkeh Phone # Owner's Address , 373 City irtA. r 5 (4. 61.4i State FL--' Zip 3 3( 3 p- Tenant/Lessee Name Phone # 4 Z � (t . i t'1 do-- c 5 (.iac(r - o 0 3 Job Address (where the work is being done) 3 7 3 V/ e— 7 J `7- City Miami Shores Village County . Miami -Dade Zip 3 3 (27 P FOLIO / PARCEL # Is Building Historically Designated YES NO -Contractor's Company Name e S C 0 Contractor's Address TO 11 ) 5-7 S % City V V\ 1 OtAAA I State Ve-- Zip 3' 7 ( . 2-- Qualifier Name ) ( S S 1 P ------ Phone # � (DO State Certificate or Registration No. e, 1p Q ® 5az- S C'3 ertificate of Compete G S O 3 Architect/Engineer's Name (if applicable) 6Q (4 Pc t l Reit Phone # (3. 7 I O 8Ye 3 Phone # Value of Work For this Permit $ ( 00 0 Type of Work: ❑Addition °❑Alteration Describe Work: PCB t ( l Square / Linear Footage Of Work: ew Repair/Replace ❑ Demolition ** * * * * * * * * * * * * * * * * * * ** * * * * * * ** * ** Fees************** ** * * * * * * * * * * * * * * * ** * * * **** *** *, Submittal Fee $'2Z) C3C) Permit Fee $ -GV Z CCF $ 1 r coicc ! - 00 Notary $ Training/Education Fee $ 2 • "4,0. Technology Fee $ 7 ,--TS Scanning ea. Radon '$ ! - a 8 DPBR $ 1 . ars Zoning $ and $ Code Enforcement $ Double Fee Structural Review. $mss as Total Fee Now Due $ Cs 5 e cl I 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 71 be delivered to the person whose property is subject to attachment. Also a certified copy of the recorded notice of commencement be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued n t - of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signnature _.10 The foregoing instrument was acknowledged before me thi Signa tractor The foregoing instrument day of %)M1L_ ,20 e or who has produced who is person As identifica E anwho did take an oath. NOTARY PUBLIC: wledged before me thi Sign: Print: My Commission Expires: . ho has produced as identification . d who did take an oath. NOTARY PUBLIC: Si ate of Florida Print: omm, No- :13 007 DD 82405 My Commission Expires: SHERMAN ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: <Revised 02/08/06) My comm. ex onda. ',omm. No, OD 18240500 5../2 3106 3M4G i, Plans Examiner Engineer- �� Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION U 3 TAX FOLIO NO) 182- D(O t PERMIT N 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. 111101111111111111111111111111 C-FN 200680562696 OR Bk 24555 P9 1858; (lps) RECORDED 05/23/2006 10 :37 :04 HARVEY RUVIUv CLERK OF COURT MIAMI -DADE COUNTYr FLORIDA LAST PAGE 1. Legal description of property and street/address: 1�. k l'{', tJ 1 d ( C.,I -.. 4-5; P 6 (° P9 ---la 375- vlQ_ J1 2. Description of improvement: 3. Owner(s) name and address: I/i, Interest in property: r es-1‘ Kt if-7/ Name and address of fee simple titleholder: 4. Contractor's name and address:. E5.99 Pals 5. Surety: (Payment bond required by owner from contiSottir,dtattIWIDA, COUNTY OF DADE I HEREBY CERTIFY that this the Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner .. whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different ;• -te is -V ecified) Signature o Owner Print Owner's Name Sworn to and subscribed before m Notary Public Print Notary's Na e My commission expires: 123.01 -52 PAGE q 10/04 QI1 day of ,J //L /L ,2O Prepared by Address: k$ �� 1S( ST ti r1NETNSHEHM ry Public f Florida comma exp. May 24 007 Comm. No, DD 182405 �.( rY)r11114, / 33142 • • ••• • •• •• • • • • • • • • • • is • ••• • • • • • • • ••• • • • • .•• •• •• • • • • • • • • • • • • • ••• SIte4T ...•• • •• • •••••• • • . • • • •• •• •• °° • • ••• :::::• BUILDING DEPARTMENT •• • • • •• ••• •• 10050 N.E. SECOND AVENUE • • • MIAMI SHORES, FLORIDA 33138 -2382 • • • • • • TELEPHONE (305) 795 -2204 •• • • • • • ••• •• FAX (305) 758-8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at 3 73 n ?" Sfi Miami Shores,. Fl., and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statutes. (please initial the method(s) to be used) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved safty cover that complies with ASTM F1346 -91; All doors and windows providing direct access from the home to the pool will be equiped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is compl-; ed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be co sidered as committing a misdemeanor of the second degree, punishable by f'• -s p to and /or up to 60 days in jail as established in Chapter 775, F.S. A Co `i• • OR'. �/ 14 ATE u "S SIGNATURE & DATE CONTRACTOR'S N' PRINT) OWNER'S NAME( KtfJNETH SHERMAIV blic, State of non . a MY comm. co_ exp. May 24 pi- NOT . Noa 3D ActmETH SHERMAN Notary Public, State of Florida Ilia omm. exp. May 24 2007 ,`t• DD 152405 • • ••. • • • .•• •• • • • • • •• •• • • • • ••• • • • • • • • • • • • •.• •• • • • • • • • • • • • • • . . . • . • • • • •• • • • • • • • • • • . • • • • • . ••• ••• • • SWIMMING POOL OWNER'S CERTIFICATION. . •• •• Date `Z --0 iQ Miami Shores Village Building and Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as (3/14 8114 45-- I A,Iloocated at 3 75 rV 1 rc ,vA i S' . • • • • • •• • •• • • • ...... . sr 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 ofthe pool. Note: This certification is to be submitted with a swimming pool permit application in duplicate. LIL L POOL ALARM • $ ETL Tested To Be In Compliance With Standard for Safety, UL 2017, and Florida Building Commission Code Requirements, Per ETL Listing Number 3035022 + Exceeds Operational Requirements of Model Barrier Codes + Microprocessor Controlled 4- Monitors Entry to Pool and Spa Areas + Instant On Or 7 Second Delay Models Available +Surface or Flush Mount Models -4- 15 Second Adult Shunt $ Low Battery Alert 4- Built -in Back -up Battery Capable ♦ May Be Hard Wired To Remote 12 Volt maximum 500 mA Applied Voltage Must Not Exceed 15 VDC. Source or To Plug In Power Source. The new GRI DOOR ALER.IypOOL area a small child. MAIM was designed as an aid for prevention of an unattended access to a pooVspa Monitoring all doors or windows with CLOSED LOOP magnetic reed switches, the DOOR ALERT/ POOL ALARM will sound an alarm should anyone too small to manage the adult pass thtu feature attempt pooUspa area. For maximum protection all moveable o pt access to the AT/POOL ALARM. openings should be protected in such a manner by the GRI DOOR The 289 -1, 289 -2, 289 -3 and 289.4. can be operated independent) w' volt externally supplied DC power source, in which case the battery will perform a back -up function should the xtema 1 sup lied source fail for any reason. Both source e fail any re power sources have been designed to maintain a minimum sound pressure level of 85db at battery life is approximately 180 days based on no alarm soundings during that time lapse. Should the battery voltage drop below 7 volts a low battery mode will be initiated and the unit will sound 3 beeps a ro ' 30 minutes for one to two weeks prior to total battery failure. Battery must be replaced at this time and the cause of power It is suggested that some type of surge protection, such as the GRI CS -1 Current Sensor, be used between the power supply and all GRI Pooh that some using external power. NOTE Unit wilt function at minimum 5VDC at a very limited sounder volume. This failure. ry power level is considered total battery PART NUMBERS 289 - l DESCRIPTION 289 -2 Recessed DoorAlert/PoolAlarm 7 Second Delay- Closed Loop 289 -3 Surface Mount DoorAlert/Pool Alarm 7 Second Delay - Closed Loop 289 -4 Recessed DoorAlert/Pool Alarm - Instant On - Closed Loop Surface Mount Door Alert /Pool Alai ui - Instant On - Closed Loop WARNING: THIS IS NOT A LIFE SAVING DEVICE GEORGE O?%- �SJ: INDUS TOLL - -FREE 1.8^0 �- ?_l C • • .... . • ...... CLO sic» LO Qp • • Recessed Surface Mount Dec-1 901 03:29pm From- WASHMUTUAL COUNTRY CLUB 3058225787 LOCATION SKET co SCALE: i /0 0 ' 7.5 T -583 P.06 /11 F -426 • • ••• • • • ••• •• •• • • • • •• •• • • • • ••••• • • • • • •••• • • • • ••• • • • O OOOOO 4 • ••• . • • • ^ • • • • {� • • • l • • • • • • •' • ▪ • ,• • ••.t3• • • • • • •., • • • • • • •j% • •yl • • •• •• •.4 •• • • ji. • • ••• • • • • • • •• •• • • •• • • • • • • • • LECAL DESCRIPTION: Lot 13 less the West 20 feet thereof and all of Lot SNORES SECT ION NO. 1, according to the plat 'thereof 70 of the Public Records of Dade County, Florida. SKETCH NO 31254 E R. ••• • • • • 1 14, Block 45, AMtNDED PLAT OF•MIAMI as rec2iriieOE in' 1 t 'Book 10 at: -Pa e- ,�,tvtNG, ZQN£D S114tt.1 Llt �'S •,°... BACKS, UNDERGROUND EASEMENTS AND R1;GHT OF WAYS, ETC. FROM ABSTRACT TO BE VERIFIED AND /OK • OBTAINED BY OWNER, ARCHITECT -•• OR BUILDER BEFORE DESIGN OP • ' rr ^4 NigTii iCTIPSY BROWNELL & ASSOCIATES, INC. _. _ ..., - ' 3152 Coral Way Miami, Florida 33145 Phone: 446.3517 Fax: 444.2034 THIS IS TO CERTIFY to thei aoove named firm andtor persons diet the "BOUNi)AR'? SURVEY" of the herein: described propeny is true and correct to the best of our knowledge ano betiet as recently surveyed .and platted under our direction, also chat there are no visible encroachments other than those shown �. The lagai •ii7a3'��r�p {Ian contained herein was furnisher" by owner or his representative. Other recorded instruments may atfe$ this.. praperty,j€,aairyeyor has not examined the abstract of title, Location of utilities on or adjacent to the property/' wseQ• rrota :4•Qc11rtg urleES specificaity requested by owner. This survey meets the Mirnmum Technical Standards set 'tore by t 8 FHLS pursuanl_,to Chapter 472.027. Florida Statutes Date 03/ Y1/95 F.S. No. F i 1c'. .loo No. This drawing is the property of E. R. Brownell & Associates. Inc. Reproeuctions of this drawing are not valid unless embosser, with the surveyors sell. • 1991 E Ia-. BROWNELLs &LASSOCfATES: INC By: i'1� %d rf:'\, .j •>;C gall Gem Mark St u:veil Johnson Professional Land Surveyor * 4775 State dt. Florida Dec-14-01 08:30pm From-WASHMUTUAL COUNTRY CLUB 3058225787 BOUNDARY -SURV ■•■•■••■•••••••••■■•1■•■•■■ SCALE: I":10' • • • **, • • •••••7/4. .2F57:c6.411 .4'..r7M"fro • .r•r• ,r • xi,. :". verneiV • •• •• • r , • As., • led/ awy I AlieN 4:4 le .t. .31,4 • " (AV ,•7 ""••"" /4 4 . • • .•.1",;:r.- • ""--- • • X VP. T-583 P.07/11 F-426 • • ••• ••• •• • • • •• •• • • • • • • • • .• • • • • • • • •• • • • • • • , • • • • • • • • • ••• • • • • , •• •••• • pr 4.. .1 P , • 45: ,;•••• • • ; • • o4,0 • • • .• •• • • • • • • • • • gi •• •• • • •• • r • • • • ••'; • • • • • • • • '• • it •:•.• . ""' :$.1.7. • Sic fir bovgo Ptp• tit 751 • r.v.r. tgologoit Wr.Ircoa • CL. . . • : • %um:" • 111Kime$0mi • • • 110'._;'•• stogy . • - • ..*. .• .1 Q.11.54 • Camsooto • Itgoogisftra - , • . CalgIg... • Ceacevt• • • ,'015., • 0•44Y544.• •CgtougrIg•• .544,4,?, • Oasts Wok roams , • 1440' • e, bags, wan* • • •.4* ••• • lotalagook 51.act 5.1.01•clon " •• 5.5,54 • oget•xsoogai Goolecgc Wag ty- •gtil) •41.11"el • "tn.. , • 1,445 , y Q/5 -r. OititeW • '• n• fr,.. • ••• Alantie: • •i" •H& • gadding ; • • •• 11.1114.4"fr Wooctul:fog PithiP•v4 115145;/"UL .4%3.11:t4111.14$4.:04t4.': • to CE)1*/ T55145; 1440. ! la MI *N. • .10.. "t•;..C11144.&Cala . • • ••• • • • ^ • • • • • • r . • .4—.4' . *, •-• ' ..*tor7.1.:4*:1•Z=5:' " 8.2S' (1,■; /0.2. , • . - •i•-:•P• • • :•••• • •:. '-'‘,1) • ceros?,44•1--‘ . • . 41-71V-0Mkg".: " -- 3. • . • • ./e3 3-9" ..=./.... 0, E. 671=s1ay - ••• — ..•••—.4., t4 :• - • - c'..E.....,6.. -.7';';';'-'1•1::::: • ' Re - of4 .7,5 • :•"`'"1":""kk) kl) . ; • - -- .- -• 1-•--N: 4) • * • i 8.2.5 • •-• " • " . -;--ii) • rt■ .Fp:ec!". %I "4 ....:::.:...;„4,.•,.. ■ • ' .: • :4 -.=..„... . if .4 . • • /4. 8 !-:. .., ts 2' • • • ••-• I/Zom •" ••••••1• ••••.• •••.• • / Of. 4t, • " PLos."1.414-. • • • 1, r•o rave.,C.%) • • - • • •-g-r, • r.• • ''• • - Z • . . • • • • ‘,$:ic ky•c? .n 8 0- 42 22 3"/(2,5 • ▪ •••••■•••.1.e4*44..erSi: A.! r. . • , A!.../..R • : •• ••• .• TIN • ••• • •• ;JVXW404,t,lot,. rn'e• • • yea ..4 • REVISION DESCRIPTION APPROVAL „e,g/IlgelliagEwslawsmraaffilladtawaten •=914740gemesdeSSINW Miami Shores Village Building Department 10050 N.E.2nd Avenue .' "r+ 'da 33138 Tel: (30 ( L . �� ►, ( 15 t" ��I; 972 BUILDING lk Permit No. - 1344 PERMIT APPLICATION BY: _ ter Permit No o laae FBC 2004 Permit Type (circle): Building Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) f 0.(2,n 1S T1► lu ' Phone # . 3C Q `tg O32- Owner's Address 3 NtC `T ��T City O S State t' ,p Zip 33 J 9 Tenant/Lessee Name Phone # Job Address (where the work is being done) 5)c- J1 c4k �T City Miami Shores Village County . Miami -Dade Zip I FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name K 1` (. Phone # - (_ 11 Contractor's Address ) 2 mu) t) g City 1 ,r State ( Zip 33 / 2c Qualifier Name ( Oirk0 S Phone # 3c 2-L ► 1 ( I State Certificate or Registration No. E, c.„0 O U (. " Certificate of Competency No. Architect/Engineer's Name (if applicable) 4nr\,e4--h P4etI `r Phone # 3"J ( 673 Value of Work For this Permit $ 0 Type of Work: ['Addition ❑Altera on Describe Work: Le Square / Linear Footage Of Work: ew ❑ Repair/Replace ❑ Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * **** *** ** * * *** * * ** * ** * * * * **** Submittal Fee $ Permit Fee $ Z&. ' `'P© CCF $ CO /CC Notary $ Training/Education Fee $ 0 . . Scanning $3 -0 0 Radon $ DPBR $ Technology Fee ' 3 Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ 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 not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by , day of , 20 , by 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: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) My Commission Expires: ®Mans Examiner Engineer Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit N — PERMIT APPLICATION r 0 2 205 aster Permit No. FBC 2004 Permit Type (circle): Building Elearica Owner's Name (Fee Simple Titleholder) 1J Owner's Address 3--)c- f'i 1 q y City Y) � i S State Tenant/Lessee Name Mechanical Phone # Ro y:fl og Zip _.,3i 32 Phone # Job Address (where the work is being done) 3 ? . NE `vl City Mianai Shores Village County . Miami -Dade Zip °j 5I �9 FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name .S , b1oAll 11 CJ Contractor's Address 1323 KW Y 2 eS/T City 1 n IYN� State Zip „3,3( 2� Qualifier Name C e Phone # oS-QR -L (S / Phone # 3 S 9L P - - /LC State Certificate or Registration No. E CVO) / S / `f Certificate of Competency No. Architect/Engineer's Name (if applicable) On fle k P r / cc Phone # 313S-- 22 1 Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: •DAdddition `DAlteration DN ew 0 Repair/Replace Describe Work: Le C' / C— P100 ❑ Demolition Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary S Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning Bond $ Code Enforcement $ Double Fee $ Structural Review. $ 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 A}4.H.DAVIT:. 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: Asa 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 Si Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ., 20 , by , day of who is personally known to or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) who is perso by me or who has as identification an NOTARY PUBLIC: rod9eat State Florida ® p. Ray ©®;62405 ova My Commission Expires: :Plans Examiner Engineer Zoning Miami Shores Village Building Department. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Te (305) 7 5.22 756.8972 BUILDING D -C °� 1 8_ ���Y 2 2 ���t Permit No. PERMIT APPLICATION Master Permit No. .. BY.' FBC 2004 Permit Type (circle): Building Elec cal Plumbing MI,, Mechanical Roofmg Owner's Name (Fee Simple Titleholder) V3S Phone # 3 2- 3 7 s V-'2- Owner's Address City AA t 511.0-1.94.--.1 State PC-. Tenant/Lessee Name Zip (� Phone # Job Address (where the work is being done) 7S- City Miami Shores Village County . Miami -Dade Zip 3 30 FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name & 5V1,--- ? (5 Phone # Contractor's Address / ?O f / ( S 1 City - j to l . State d' Zip '' 1ee, Qualifier Name Phone # 7 97 — - Certificate of Competency No. CPC - 05-.1 05- State Certificate or Registration No. Architect/Engineer's Name (if applicable) Ke(\ Pfe C eR Phone # 42 — ( (1)a-42-3 Value of Work For this permit ( Square / Linear Footage Of Work: Type of Work: ['Addition _ !['Alteration �iew [' Repair/Replace I Demolition Describe Work: PVC/ i Pi/ �n *:Y*eY*iY &**ie & *******************Iv *****Fe * �r�tea�:: Y& �e�Y�e**** �Y�e�Y�Y�k�Y *�Y�Citr�Y &sks��esCi':* +. Feb --e Submittal Fee '$ Permit Fee $ 64 ' CCF $ ' CO /CC Notary $ Training/Education Fee $ 0. 20 Technology Fee $ 4-00 Scannin g d $ Radon $ DPBR $ Zoning Bond $ Code Enforcement $ Double Fee Structural Review. S Total Fee Now Due $ 1 &7 See Reverse side's 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 AFJiLDAVIT: 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 exce. ding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochur will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commence ; ent must be posted at the job site for the first inspection which occurs seven (7) days . after the building permit is issued. In t e of such posted notice, the inspection will not be approved and a reinspection fee will be charged. er or Agent The foregoing instrument was acknowledged before me this (79/1 'day of NA , 20 who is person ontractor The foregoing instrument was knowledged before me this dj day of who is perso o-has produced as identificatio ho did take an oath. r who has produced As identificati NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * *** * * * * ** who did take an oath. APPLICATION APPROVED BY (Revised 02/08/06) �►��' SHERMAN IC, State of Florida l. L, to Comm. No. DD 1824' ** 07 * * * * * *. * * * * * * * ** My Commission Expires: My �coomm. exp. May 24, 2007 * * * * * * *�et,t�+r�tr�tr** rye * *�t�trt�r� *49,'# 4 i ., 1.'Q*1)11+ s24B5,r** Plans Examiner Engineer Zoning Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 11/15/2006 Inspector: Levrack, James Owner: Job Address: ARDEN, DENIS 375 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: ESSIG POOLS INC Permit Type: Plumbing - Residential Inspection Type: Final 2 2 2006 Work Classification: Pool - Private Block: Phone Number (305)648 -0032 Parcel Number 1132060136120 Lot: Phone: 305 - 949 -0000 Building Department Comments i\o6 el ,\ Itv i 1,, 01 Passed in sp L - omments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Tuesday, November 14, 2006 Page 1 of 2