BPP-08-574Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 153636 Permit Number: BPP -4 -08 -574
Scheduled Inspection Date: May 18, 2011
Inspector: Bruhn, Norman
Owner: HERNANDEZ, FRANK
Job Address: 10626 NE 10 Court
Miami Shores, FL
Project: <NONE>
Contractor: NATIONWIDE POOLS INC
Permit Type: Pools/Whirlpools /Hot Tubs
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1122320280960
Phone: (954)227 -7665
Building Department Comments
NEW INGROUND POOL AND PAVERS DECK
POOL 471 SF
PAVERS DECK 900 SF
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 79692. Work exceeds permit.
New structure built in rear yard and deck extended without permits. NB
May 17, 2011
For Inspections please call: (305)762 -4949
Page 4 of 27
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 151012
Permit Number: BPP -4 -08 -574 1
Inspection Date: September 08,
Inspector: Bruhn, No a
Owner:
Job Address:
Project
Contractor:
NATIONWIDE POOLS INC
Permit Type: Pools/Whirlpools /Hot Tubs
Inspection Type: Survey Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1122320280960
Phone: (954)227 -7665
NEW INGROUND POOL AND PAVERS DECK
POOL 471 SF
PAVERS DECK 900 SF
CLc /a/(7/10
Passed
Inspector ,C m ents
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Failed 779 1"
Correction
Needed
Re- Inspection •••
•
Fee • •
••
No Additional Inspections can be scheduled
re- inspection fee is • • •
• • •
• • •
• • •
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For Inspections please call: (305)762 -4949
September 08, 2010
Page 1 of 1
A-
F.I.R. 1/)
0.29'
IEBOUNDA RY SURVEY"
0.85' f ' CHAINUNK FENCE
1 / (TYP.)
A x A x A n
90 f 6' WOODEN FENCE (NEW) N
.✓ RSt- O AS
BLOCK 6
LOT 6
19.0'
((;;LOTU5Sg�
RFS�OFNl2:
150.00'(R) 149.09'(M)
10' N
.....34.20'....
TAN K
26.10'
24.61'
4' WALL
12.50'
14.65'
.CONC. D.RIVEWAY
•a•.
01'
F.I P. 5/8'''' 0g 6' WOODEN FENCE (NEW)
(NO I) rr� ri 1 rr
ri —r, —ri
0.701E I 16'
• • • • • • •
•
• • •
• •
•
•• ••• ••
• •.• •
• • • • •
• • • • •
• • • • •
• • •• • •
• • •
LEGEND AND ABBREVIATIONS
OR1Wf.
BA.B.
NC
A
- ELEVATION
DREAMY
- UTILITY POLE
- BASS OFD
- AIR CONDOWIID4O PAD
- ARC DISTANCE
CONC
eg
3'X3'
A/C PAD
EL=5.9
-
A•
LS$�
'1 25
.I(NO 568.
,, r, r, r0
ri
1
— .. — // — ,r — rr — rr — .. — // — ,r — // — /, — ,r — „ — // — rr —
WOOD FENCE 150.00'(R) 149.09'(M)
POOL
PUMP
• • • .•
• •
• • • ••
•
• •
• •
•• •
• • •
•• • •
• • • • • •
• • •
=I - CATCH HELLION :
O - BOUNDARY CORNER EMI
P.O.B. - POINT OF BEGINNING PA
SARI • 0. SST RtON RITD • • • •BP & • - BUNMO F.LP.
P.O.C. • - PINT OF fRIW 4- ORIENT • ciA • - ALUMINUM LRiHT POLE FIR.
F.N. • - FADED MULL• • • • *CRS. • - =ARM moo( STRUCTURE LF.E.
P.T. • - PAW %F TANGENCY • •q1 • - ecHa6D imam 0
• FJFL• - • t • • •01- • - CFRR LNE (R
LoT
47-58)
- FARE HYDRANT
_
ELECTRIC METER
_ PROPERTY LINE
- FOUND IRON PINE
_ FOUND REBNi
- LOWEST FLOOR ELEVATION
- WOOD POWER POLE
_
MEASURED
- RECORD
RAWER HER
▪ SIDEKAUT
- PONT OF INTERSECTION
- POINT OF REVERSE CURVE
_ POINT OF CURVATURE
- POUND NALL/OWN
-
POINT OF COMPOUND CURVE
- MONUMENT LOOT
H - WATER VALVE
N.T.S. - NOT TO SCALE
A - MORAL ANGLE
- WOOD FENCE
-K— ACHAN LIEN FENCE
ACAS. WALL
IS - CONCREE LIGHT POLE
R - RADIUS
CONC.
N.G.V.0.
0E
P.B.
P.C.P.
P.C.
00'•. •
•
i•.
P 05-5-14
Miami Shores Village
APPROVED
ZONING DEPT
BLDG DEPT
BY
IL ATION SKIETCHSEp 0 8 2010
SCALE: NTS
JOB No. 08- 2171(6) CLIENT: NATIONWIDE POOLS, INC.
SURVEY 1YPF: BOUNDARY SURVEY (FINAL SURVEY)
PROPERTY ADDRESS 10626 NE 10th COURT, MIAMI SHORES. FLORIDA 33138
LEGAL DESCRIPTION: (FURNISHED BY CUENT)
LOT 6, BLOCK 6, OF "MIAMI SHORES ESTATES °, ACCORDING TO THE PLAT THEREOF AS
RECORDED IN PLAT BOOK 47, PAGE 58, OF THE PUBLIC RECORDS OF MIAMI -DADE
COUNTY, FLORIDA.
SURVEYOR'S NOTES:
1 -) IF SHOWN, BE4RINGS AND ANGLES ARE FED MEASURED.
2 -) THE REAM CLOSURE M THE FIELD MEASURED BOUNDARY IS BETTER THAN: 1 NOT SHOWN
3_) A TRLE REPORT WAS NOT P115800 FOR 11115 SURVEY. TORE THERE MAY BE Y+ Lv t TITS
THAT MAY BE FOUND IN THE PUBIC RECORDS OF BROWARD COUNTY. FLORIDA NO 3('',5'716. ii . „ ON OR
OWNBbIUP 70 THE LAND DESCRIBED 5 MADE
4-) THERE MAY BE UNDERGROUND UNITY LOCATIONS AND SUBSURFACE FEATURES
6 NO VALE SURFACE OR OVERHEAD ENCROACHMENT, OTHER THAN SHOWN ON THIS
5-) IT LS A VIOLATION OF RULE 81917 -6 OF THE FLORIDA ADMNISIRATNE CODE 10 WRITTEN
CONSENT OF THE SURVEYOR.
6-) Al]. EDT IRON PIPES (S. P.) 011 SET IRON RODS ARE 18 INCHES DN LENGTH AND '' ' r _ + K' 4 -2 +> "a+ Y, AND HAVE
A PLASTIC CAP MARRBk 1.6.7433
7-) DRADffIELD LOCATION B APPROXIMATE
B.EYATION AFORMAl10N!
BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY DATED OR
REVISED ON09/11/2009THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN ZONE
BASE FLOOD ELEVATION 8 FT. COMMUNITY 120882 PAN NUMBER 0308 SUFFIX
ELEVATONS(WHEN SHOWN) REFER TO N.G.V.D., 1929 DATUM, NE 104 ST --B IDEGE OVER CANAL US#1
32605 8 -28 -RA 1724' NGVD BRASS DOT TS IN TOP OF CONC.
BENCHMARK USSm ELEVATIONS FEET B.M. LOCATION GUARDRAIL AT SE CORNER OF BRIDGE.
L
MB�•B►OMATE 00E8 NOT EXTEND TO ANY UNNAMED PARTY.
DATE m
TO LIA!Gr NTH AU. FEDERAL
STATE AND COMM RUMS AND RAN
HERNANDEZ, FRANK
AT94J..A E OF MIAMI SHORES, FL
NATIO JWIDE POOLS, INC.
- MANHOLE
- UTILITY WEREN'T
- CONCRETE
- NATIONAL GEODENC VERDGL mum
- OVERHEAD ELECTRIC LINE
- PLAT BOOK
- PERMANENT CONTROL PONT
- PAGE
0 - CLEAN OUT
STY - STORY
(R • h - RED & MEASURED
RAD. - RADIAL
RES. - RED
RAW - RIGHT OF WAY
SC. - SECTION
S.I.P. - SET IRON PIPE
SURVEY GATE 08/28/2008
REVISED
DESCRIPTION
04/17/2009
FINAL SURVEY
02/02/2010
UPDATE SURVEY
ALL FLORIDA
SURVEYING AND MAPPING, INC.
. ATENo. X8;7 ,•STTEOF FLORIDA
• • **a
1/31 1M 43EiG H, FL•33069
• • • PS-,ONE. 954) •7 -6996
• • • • FA5((9 41 7613° -$992• •
•
• •
• •
.• •
••• ••• t=
B,. > %" we 02/03/2010
RA #AEit tXBRERA, P.S.M.
• 'N•T MILD WTHOUR TH4 S•UT•R:,•DATEMND THE ORIGINAL
• RALSLID• SEAL • A 9L0I6DA 1 l SU OR MID MAPPER'
Masa Siole4Velloye
Vldf Veftevamoet
10050 NE 2nd Ave
Miami Shores, Fl 33138
Phone 305 - 795 -2204; Fax 305 - 756 -8972
www.miamishoresvillage.com
NOTICE OF REQUIREMENTS
RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT
I (We) acknowledge that a new swimming p. ► s y r or hot tub will be constructed or
installed at 14'
Miami Shores, FL, and hereby affyt o � f th. '��; Flowing methods will be used to
meet the requirements of Chapter
Please initial the method(s) to be use
The pool will be
enclosure that me
Statute 515.29;
cess from the home by an
1 barrier requirements of Florida
The pool will be equipped with an approved safety cover that
complies with ASTM F1346 -91;
All doors and windows providing direct access from the home to
the pool will be equipped with an exit alarm that has a minimum
sound pressure rating of 85 decibels at 10 feet;
All doors providing direct access from the home to the pool will be
equipped with self - closing, self - latching devices with release
mechanisms placed no lower than 54" above the floor or deck;
I understand that not having one of the above installed at the time of final inspection, or
when pool is completed for contract purposes, will constitute a violation of Chapter 515,
F.S. and will be considered as committing a misdemeanor of the second degree,
punishable by fines up to $500 and/or up to 60 days in jail as established in Chapter 775,
F.S.
r Div icACTOR' S SIGNATI ` _ ND b ATE
KL.IA
CONTRAC OR'S NAME (PLEASE PRINT)
o Fnv aoe <�. VICKI CECIL
MY COMMISSION # 00 5393
EXPIRES; October
NO AR PUBLIC Bonded Tin Notary t
V1
OWN R'S SIGNATURE A
04 de-
PLEASE PRINT)
VICKI CECIL
MY COMMISSION %) 535325
EXPIRES:Oct,,_,.•,r 3, 2010
Bonded Thru Budgerirv:ary Services
oc, ,Alary_a5 - Pool Guard Door Alarm - Swimming Pools Etc.
why buy from 5
o For
nartYt suPPOrt
over 1 7,t
PCKit Parts
e.Ikk here
Page 1 of 3
View Your Sh
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Poolguard Door Alarm - Pool Alarms
Poolguard Door Alarm mounts next to any door which gives easy access to your swimming pool. Any
allows young children easy and quick access to a pool area is dangerous and should have a door alarn
Poolguard Door Alarm comes with two magnetic switches, hookup wire and operates on one 9 -volt b<
Door Alarm has a delay switch which allows an adult to pass through the door without the alarm soundi
child opens the door, the alarm will sound in seven seconds and continue to sound; the alarm will soun
child should go through and close the door. If for any reason the door is accidentally left open, the alarr
Poolguard Door Alarm
CaII Us: 1 -800- 544 -373(
MFG #
Description
Pricing
Pool Door Alarms
Click Here
For Pricing
CaII us for all your Pool Guard needs &I
Itn PoolGuard Door Alarm Owners m
Features
• UL Approved
• Important Safety Feature
• Complies With Building Codes
• Simple To Operate
• Automatic Reset
• Battery Powered
• Easy To Install
• Affordable Price
• Pass Through Feature For Adults
• Low Battery Indicator
h ttp:// www .swimmingpoolsetc.cotn/alarmn_ door.htrn 11/29/2006
Door Alarm GOOD ART 6 /19/03 11:0 Page 1
DOOR ALARM
Installation Instructions
Model DAPT
Q 2017
Figure 1
IMPORTANT
READ THOROUGHLY BEFORE USING ALARM
ThLs product has been designed to aid in the detection of unwanted intru-
sions into unsupervised areas. POOLGUARD RAPT IS A SAFETY ALARM
SYSTEM AND NOT A LIFESAVING DEVICE. 0 should be used in canju c.
lion with the salary equipment currently In use and slnu1d not ailed existing
selely procedures.
Odor Alarm GOOD ART 6/19/03 11:09 -M Page 2
1. INSTALLING POOLGUARD DOOR ALARM
AND BATTERY INDOOR USE ONLY (Figure 21
Your Poolwad Door Alarm to designed to be Installed within 22" el the censor
switch for the sensor wire connection. To mount door alarm on wen nett to door:
A. Determine the best location. Alarm must be Installed al least 54 inches
Move the thrcahoid of the [tom.
0. Remove mounting plate from don alarm by removing the lour small screws.
Mace mounting plate at the location on the wall which you have chosen to
locale the aarm. With apendl Mark the Iwo spots where the large end of the
key lades wilt be located when yes hang the door germ. These two marks
are where the 2larger supplied screws veil be inserted into the wall to hang
your alarm.
O Remove the mounting date kern the wall and insert the 2 larger supplied
screws Into the wail on the two marks. Leave about WIT (not including the
head of the screw) of the screw loom the walk
D. Pull out the battery snap Irem inside the back of the door alarm and connect
a 9gdl battery. Pull down the ballary lever on mounting plate (see figure 2)
and install the 9 -veil battery nto the battery holder accusing 00 he battery
Reattach the located on the battery rawer.
E mounting pate to the door alarm with the lour screws NOTE. it
the battery lever is not pulled down when installing the 3vd1 battery the
mounting plate cannot be reattached to he door alarm.
F When the 9-volt 9011000000980111d to the door alarm. the LED will plash once
every 10 seconds. When the alarm sounds, the LED erg Gash once every
second.
G. Hang don alarm on the mounted screws and pull downward until the wews
are positioned in the small end d the keynotes in the bad of the unit.
N. New that the battery is nsulted you MAY acddenWHY set Me unit oil whsle you
are nesting the senses wires. II this happens press lie delay 9040th. You
are now read/ to connect your dogs alarm to the sensor switch.
INSTALLING DOOR SENSOR
(Figure 1)
The Poolguard Door warm is Bawled by a sensor which consists of two Parts. Oita
gag contains the sensor switch and the other part the sensor magrel Beth Ma 0en0IT
switch and Isle sensor magnet have plastic covers: these plastic ewers must be
rammed belne installation. The sensor switch has two connecting screws for the sen-
sor wires that come from the Poolguard Door Alarm. Using the 4 smaller screws sup-
plied. the sensor switch i9 81010lled in the stationary part (usually the frame) of the door,
and the sensor magnet on the door Ilseh.
To function property the serum switch and sensor magnet must be close together
and line up peelecdy ( /ghat ). In some cases it will be necessary to use some wood,
plastic. Or double -sided loam tape under the sensor switch a sensor magnet to achieve
Ms. For best operation he sensor switch and sensor magnet should almost touch. but
a spacing of up to 1 P is acceptable. 11 he door tame is made 0101ee1. ere sensor
switch and seas& megrel sous( be spaced al least l/e. or even teller 1/4' away Iron
the tame and door. Lim pieces el wood, Mastic, or double -sided loam tape to a-is pur-
pose
BOUNDARY LAND SURVEYORS, INC.
BOUNDARY SURVEY OF
LOT 6, IN BLOCK 6 OF MIAMI SHORES ESTATES,
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT
BOOK 47, PAGE 58 OF THE PUBLIC RECORDS OF DADE
COUNTY, FLORIDA.
ADDRESS:
10626 NE 10th COURT, MIAMI FLORIDA 33138
FLOOD ZONE: BASE ELEVATION:
COMMUNITY MAP: PANEL:
DATE:
HOUSE LOWEST FLOOR ELEVATION:
GARAGE FLOOR ELEVATION:
GROUND LOWEST ADJACENT GRADE:
FOUND 1/2"
IRON PIP
LS#4129
POWER
POLE
4' CLF
N.G.V.D.
N.G.V.D.
N.G.V.D.
LOT 5. BLOCK 6
150.00'
FORT LAUDERDALE
FLORIDA 33334
PHONE: (954) 771 -0426
/4.5', to6. s7`
FOUND 1/2"
IRON PIP
IS/4129
SCALE 1 ":30'
2501'
t1.1
LOT 8. BLOCK 6
PLAT_/ f
LIMITS
34.15'
gt
19.6' / 73
� / 1 STORY
\ / CBS RESIDENCE
$ #10826 t
W
i
29.50' CONC
8.75 -Q
'
14
0 a�
0.45'- - f- 66.40'
Op09 29.55' ( ''
jj CONC.
1-....Y--.Y .-- .- Y --r-xer Y- -Y---.Y -. ^.R i
FOUND 1/2
IRON PIPE) ' CLF 150,00'1 3 '' ' -1 x
LOT 7. BLOCK 6
LS #4129 G
LEGEND:
C- CALCULATED
YW >WINOWALL
R/W -RIGHT OF WAY
VC- VALLEY GUTTER
FIR =FnOND IRON ROD
A/C ■AIR CONDITIONED
SCR ■SCREEN
CONC- CONCRETE
PKWY- PARKWAY
FIR W/C =FOUND IRON ROD WITH CAP
C /S= CONCRETE SLAB
CW =CONCRETE WALK
ASPH =ASPHALT
W &P =WELL AND PUMP
OPL= OVERHEAD POWER UNE
O/L= ON UNE
U.E. = UTILfTY EASEMENT
P.O.C. POINT OF COMMENCINF
P.0.R. =POINT OF BEGINNING
E.M.= ELECTRIC METER
CBS =CONCRETE BLOCK STRUCTURE
FC =FENCE CORNER
FPLP FLORIN. POWER L ICHT
WM- WATER METER
CLF= CHAIN LINK FENCE
WF .4/000 FENCE
NIT -NAIL & TAB
EF =ENO OF FENCE
CB =CATCH BASIN
LP =LIGHT POLE
F1P =FOUND IRON PIPE
FIR =FOUND IRON ROD
FND =F0UN0
N &D'NAML & DISK
BLK =BLOCK
ASPHALT
FOUND 1/2"
IRON P1E G
NE 106th STREET J okt-3//'
DATE
leasti Sieve4Village
F•14 Vs eft, opt racier
10050 NE 2nd Ave
Miami Shores, Fl 33138
Phone 305-795-2204; Fax 305 - 756 -8972
www.miamishoresvillage.com
SWIMMING POOL OWNER'S CERTIFICATION
MIAMI SHORES VILLAGE
BUILDING AND ZONING DEPARTMENT
ATTENTION: BUILDING OFFICIAL
I certify that I am the legal owner of the property located at:
In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I
understand and agree that the swimming pool to be constructed at the above address cannot be
used or filled with water until a separate permit has been obtained for an approved safety barrier,
and such barrier erected, inspected, and approved.
I further understand that this certification, however, does not eliminate the need for
obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool.
Note: This certification is to be submitted with a swimming pool permit application in duplicate.
Charlie Crist
Governor
Ana M. Viamonte Ros, M.D., M.P.H.
State Surgeon General
December 04, 2008
(Nationwide Pools)
1923 NW 40 Ct
Pompano Beach, FL 33064
RE: Contingency Letter
Application Document No: AP896019
Centrax Permit Number: 13 -SG- 954947
OSTDS Number:
10626 NE 10 Ct
Miami, FL 33138
Lot: 6 Block: 6 Subdivision: Miami Shores Estates
Dear Applicant:
This will acknowledge receipt of an application dated 09/17/2008 for a permit to use an existing
onsite sewage treatment and disposal system located on the above referenced property.
From a review of your completed application, it has been determined your existing system is
adequate for the proposed use.
This permit is granted for the installation of a swimming pool only, which will have no impact on the
existing OSTDS. There will be no increase in sewage flow, change in characteristics or impact on
the unobstructed area.
However, should a permit for repair of the system be required in the future, it will be necessary to
meet the setback requirements stipulated in Ch 64E -6.015 particularly with respect to the existing
non - potable well.
* * * * * * * * * * * * * * * * * ** *APPROVED * * * * * * * * * * * * * * * * * **
If you have any questions on this matter, please call our office at (305) 513 -3459.
Enclosure
cc:
ITY
lopy
Sincerely,
Astrid Edwards, Engineer Specialist II
Miami -Dade County Health Department
1725 NW 167th St, Opa Locka, FL 33056
Miami Shores Village
Building Department
1.0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax; (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
' rinitTyw: BUILDING ROOFING
Owner's Name (Fee. Simple Titleholder) h 01C- ev • Phone
Owner's Address t)(o- 1 Ll c
Permit No.
Master Permit No.
r0) ./.:1 R; Tio
a SE) O 8 2QIO fvft�
BY: : .
City 1441+1; 7 1406 State r W
al4
Tenant/Lessee Name
Email tJit= .14
Job Address (where the work is being done)
City .__ _ Miami Shorts Village County iami=D _„ „Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address 5 Lt t4.. ('
City c\t)
0654
iii Qj;)ni
illfJ (3t�
Zip'
Phone #
Qualifier Name
State Certificate or Registration No.
Contact Phone, :) tk -- 2 i
r
State
Phone #
IV II
Flood Zone
zip -7;
/4- Phone #
%� � `� r : _ 1 Certificate of Competency No
dtr E -mail
Architect/Engineer's Name (if applicable) 7.;\:)(,...,41, . 4 �, r r,= ^� a to
Value of Work For this Permit $
Type of Work: OA di #ion QAlteration
Describe Work:
Squ Linear Footage Of Work:
�uew
0 Repair Replace 0 Demolition
.t
-**** * * * * * ** ** ** * ** *** * *'* **
*yrrjY.iY**** *Fees***** ***.:* ** *A. **,tkk!k 1c* *:k :tk 'kt *1: *3c :c kX k�`:
Submittal Fee $ Permit Fee .. ('CF $_ CO /CC $
Notary $,
Scanning $ Radon $
Double Fee $_
Structural Review, $
Training/Education Fee $
DPBR 8
Violation date:
Technology Fee $
Bond $
Total Fee Now Due 5
hisLx ¢�
I0
co
See Reverse side --a
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage .Lender's Name (if applicable)
Mortgage Lender's Address
City
Application is hereby made to obtain a permit to do the work and installations as indicaf d_ I certify that no work or insta aiii)rm has
commenced •prior to the Issuance of a permit and that all work will be perfortxied to meet the standards of all laws :regulating
consnuction in this jurisdiction. I understand that a separate permit must be secyared for ELECTRICAL WORK, PEUMD1NG, SIGNS,
WELLS, POOL'S, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC...,.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that an work will be done m compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAIL RE 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 ropy of the notice of commencement and .construction lien lain .brochure will hx' delivetcd to the person
whose property is subject to attachment. Also, a certified copy of the recorded hat ice of commencement must be posted at the .job site
for the first Inspection which o seven (7) days after the .building permit is issued in the absitaix of such posted norm=s, the
inspection will not be approve and reinspeetion fee will be charged.
Signature
Owner or Agent oiitractor
The foregoing instrument was acknowledged before me this 2.6 The foregoing insitinnent was ndlmowledged before me this
day of , 20 j.., by 442012 L ` l QZ , day .of - A by t l . `') t' �s `
who is personally known to me or who has produced st�jpl� �bs ,i `rs� nie or who has produced
Signature .[ /"
As ldelt1Ewation and who did take 411 oath. as identification and who did take an oa
NOTAWYAIBLIC
S 4'
(Print:
wra...NUNInp� -
( osF, oRA. FALL0 u" "i ?0., ,o ,,lanis5li n . ,.,,,,;,t;.. E , f
C �' .'5.
COrnm# 00 0796080 — Notary Pn* i M1 ••. , r
s t . . Expires &/ttJ/2012 I r:amr s ti it T)O7<�
;t=
x? rs
,,,* rlk* ***roYd;h** **9c9:**,,,,,:k A, '''k�i,1,1� 1t #�itita4d '�oA:ta :�:i%rYk;tR.*:k 3:., :k 1.`!c.*i. �'r ir�r it :Hkdr itM1%�' aYot i; k3rhM
Illealmenitts M+UR m
i
w�nlb.ruP.y��1ri
APPROVED BY
Plans Examiner
Engineer
(Revised O7I1DtQ7XRevised 06/10/2009)
= Zoning
1erl< l eciCed
4kv *dog ' $cs$
egSa!k' 51s- X15 fx
3C�,ct,
Miami Shores Village 7
Building g Department ' A0 R 0 2 2308
Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FOC 2004
Permit Type (circle):
Owner's Name (Fee Simple Titleholder)
Permit No. '&P905'514
Master Permit No.
Electrical Plumbing Mechanical Roofing
ikterna 4 c6,2-
Owne 's Address
k c e,
City iA,vt ut.J
Tenant/Lessee Name
State
gent A
Phone #
Zip
Phone #
Job Address (where the work is being done) AC
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name
Con or's Address
City 0 _ 0
Qualifier Name
County Miami -Dade Zip ( 3
NO
4,1'6
State Certificate or Registration No.
Phone #
State Zip
O' Phone #
Certificate of Competency No.
Architect/Engineer's Name, (if applicable) iJ.)c)u..J( °h 0 Phone # Q5l ,–�c3- -���5
Value of Work For this Permit $
Type of Work:
Describe Work:
['Addition . ['Alteration
Square / Linear Footage Of Work:
e�
71/, 4'11 tasF PoiJ
Osf detic
❑ Repair/Re lace ❑ Demolition
Ptcw-0--
******* * * * * * * * *** *. * * * *. * * * * * * * * * *. * ** *Fees * * *. ***
.6 7 col
Notary $ Training/Education Fee $ 4-10C)
Scanning $ l L ' C._ `L Radon $ DPBR $ Coo _7_.
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ 6 °` °" °1- 68,11-4' -%./20, Pv Total Fee Now Due $
1
Submittal Fee $ _®
Permit Fee $
**** * *** **** * * * * * * * * * * *** ** * * * **
CCF $ 99
Technology Fee $ °
S-600_
Zoning $
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
rou,4
Owner or Agent
oing instrument was acknowledged 1pefore me this2S
by
to me or who has produced
As identification and wh
NOTARY PUBLIC:
di s take a
Contractor
The foregoing instrument was acknowledged before me this2 -5
day of
w
4) . •P. VICKI CECIL
y j * MY COMMISSION # DD 589325
EXPIRES: October 3, 2010
Bonded Thru Budget Notary Services sign:
to me or who has produced
as identification -.: w o did take an oa
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY -`�(j' /,�•/lor
NOTARY PUBLIC:
Print
? °oPRY',e�'c VICKI CECIL
#_ * MY COMMISSION # DD 5893.
EXPIRES: October 3, 201
F „seP Bonded Thru Budget Notary Servi(
My Commission Expires:
POD f
6/ O/'( ,5fr6zc/
it9 /,
/or'
(Revised 02/08 /06)
Plans Examiner
Engineer
Zoning
Permit #
STATE OF FLORIDA, coui,.°TY OF 7
IHEREBYC Ti3is e��
original fik: in frh)s o ic° on_
WITNESS.
HARVEY R
By
d &nd Official St3a!•
K, of
Folio #
Cvunk, CoU!(
D.C.
NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvernent will be mach to certain real
property and in accordance with Chapter 7'13, Florida •;tatutcrs, thr following information
is provided in this Notice of Commen4 ment
1111111 11111 1111111111 11111 111111111110i
CFN 20O ROa 1.698
OR Bk 26331 Frs 1949 (1 p s )
RECORDED 04/17/2008 13:55:27
HARVEY RUVINr C :LERK. OF COURT
MIAMI -DARE COUNTY r FLORIDA
LAST PAGE
.nIS ;Date ills °rvu.r{ for (Si'Orrj, ,
1 Legal Description of Properly: Lot —_ Block_____ Unit #___ Bldg # []Lengthy Iegai attached
Subdivision / Condominium:
Street Address if available: IMO � 0 ' ‘.
?. General description of Improvement : {I V `S Cg L
3. a. Owner narnc and address:
b. Interest in property:
Name and address of fee simple
titleholder (if other than Owner):
4. a. Contractor name and address:
b. Contractor's phone number:
5. a. Surety name and address:
b. Surety's phone nurnber:
c Amount of bond:
6. a Lender name and address:
b. Lender's phone number:
Nationwide Poo►s, Tnc:.
- -_- — — -- 192 -3-NW -49th Ct.
- - - -- —Pornpano Beach; - --
1 n. Persons within the State of Florida designated by Owner L pon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes:
Name:
Address:
b. Phone number:
8. a. In addition to himself or herself, the Owner designates
to rec.arve a copy of Lienor's Notice per Section 71.3.13(-1-)63.
1.3.13(1)(b), Fir); cla
b. Phone number of person or entity designated by owner
9 Expiration date of notice of commencement :
(the expiration date is I year from the date of recording unless a different dale is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART I SECTION 713 3,
FLORIDA STATUTES, AND AN RESULT IN YOUR PAYING TW :CE FOR IMPROVEMENTS TO YOUR PROPERTY A
NOTICE OF COMMENC '.ME T MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIR : T
INSPECTION. IF YOu IP TEN TO OBT.'aiN FINANCING. C. NSUI.T WITH YOUR t-CNDFP OR AN ATTORNEY I3EFORF
COMMENCING WORK 0 : CORDING YOUR NOTICEOF COMMENCEMENT.
Signature(s1 of/ O'
By ,!4
Print Name J
Title /Office
s)' Authorized Officer /Director /Partner /Manager
_ 5y
A r� ��� Print Name
STATE OF FLORIDA
Title /Office
The foregoing instr ment was acknow dged efore me this day or
.
l.lQo?_'__-..eu
(BY] /i
Ind ✓ldrtally, or I I as for
Personally known, or [ 1 produced the following type of identification.
Signature of Notary Public:
Print Name:
(SEAL)
yERIFlCn7iON P'UR_ uANT T0 SECTi0N 9.2_S25JLORIC1■ STP.Tt.111_S
Und,>r penalties of oerj eciare that I have read the foregoing and
that the facts stated in i Je, to the beet o: my knowledge and u.lict.
Sign ti {s) of 0
F
Q,�f,NY P�BG VICKI CECIL
* MY COMMISSION # BD 59325
EXPIRES: October 3, 2e10
Banded Thru Budget Wadi Services
/wner(s)' Authorized Office /DirectoriFartnerrManaier wr.o signed above':
By _.._.._._._—
«� �.
Jo �-
j've nrriirr fcrrnslnoi: • nollc. nl comn:encamr-nl n:vlsrd 7 •r 07.Jrx• 3 3° /
PERMIT # b� 514
'-1O�
CONTRACTOR: ►�I0iTI(a/jjjul Pry-LS
SUBMITTAL DATE: Arai al a00/5
RESUBMITAL DATES:
Fyatilic kwavicin
IOCo2f iv.. 10 Ccoy4
PROJECT TYPE: 5 1 iNtMINIEJ PM-
(J /07/6 t
cl L. at) eiylo r
ZONING
FIRE
R V (2 /l® /4
STRUCTURAL
IMPACT FEES
EL _ TRICAL %, (� -5-6
HRS /DERM
4 75/40iV
PL • _;V . 0',Q' 6 'sic,
NOC
MECHANICAL
Re(/ %//j( ,
BLDG lefeO rj .
PERMIT #;
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 - Fax; (305)756 -8972
tiTY-S-11-
RECEIPT
DATE: a0I0 b
+Contractor
❑ Owner
❑ Are
Picked=.p 2 sets of plans and (othe
Address:
10
la24,
OP 'WI)
10 athef 1149441 144.
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitt ' : • ocess.
Acknowledged by: C
PERMIT CLEARK INITIAL:
RESUBMITTED DATE:
PERMIT CLEARK INITIAL:
PAtis
Miami Shores Village
Building Department
414.8n1
. Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No.
Job Name
Date
08-- 4"79
/0 (0Z6,U /1 cr
VAVog.
BUILDING CRITIQUE SHEET
5 4e-e 4 se49,,7 .e T "h-e 44/
66 egi9v4-e___ ki, 1-360/ /-C? rod.
S 7.r) c1 ,44-L j .
Reviewer:
Claudio Grande C.B.O
305- 795 -2204 Ext 1430
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No.
Job Name
Date
Hers In de
4/8/08
776
STRUCTURAL CRITIQUE SHEET
ea rS x e( X sZ =' a /3 ski hyl,,
_ T
Ctri�t {ail . — 41'3 10" a,W.,
�°
�.. er, 90 5" —5;0' r 4, 01
,7�- ' as'
t4f1Wi 7o®
��y s
fJe4s -- er.L .
4e5-' 4a ek
ri a
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Pent* NO. BPP-4-08-574
Issue Date: Not Issued
Expires:Not Issued
Folio Number:1122320280960
Owner's Name: FRANK HERNANDEZ
Job Address: 10626 10 Court NE
Miami Shores Village, FL
Owner's Phone:
Total Square Feet:
471
Total Job Valuation: $ 20,000.00
Contractor(s) Phone Primary Contractor
NATIONWIDE POOLS INC (954)227-7665 Yes
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 4/2/2008
Comments: POOL DECK MUST BE SET BACK AT LEAST 10 FEET FROM SIDE LOT LINE.
041'1442008 10:06 FAX 1 800 685 7530
DATA SCAN FIELD SERVICES 0001
* * * * * * * * * * * * * * * * * * * **
* ** TX REPORT * **
* * * * * * * * * * * * * * * * * * * **
TRANSMISSION OK
TX /R% NO 1928
RECIPIENT ADDRESS 9545751975
DESTINATION ID
ST. TIME 04/14 10:04
TIME USE 02'14
PAGES SENT 3
RESULT OK
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Permit NO. BPP-4-08-574
Issue Date: Not Issued
Expires:Not Issued
Folio Number:1122320280960
Owners Name: FRANK HERNANDEZ
Job Address: 10626 10 Court NE
Miami Shores Village, FL
Owner's Phone:
Total Square Feet: 471
Total Job Valuation: $ 20,000.00
Contractor(s) Phone Primary Contractor ••
••
••
••
••
••
••
••
•..
NATIONWIDE POOLS INC • (954)227-7665 Yes ••
••
••
••
••
••
••
••
.....
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 6/4/2008 : Yes
Comments: POOL DECK MUST BE SET BACK AT LEAST10 FEET FROM SIDE LOT LINE.
6/4/08
NEW PLAN OK
PERMIT #; t
I,
Miami Shores Village
Building Department
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795 -2204 - Fax; (305)756 -8972
Ohs
5"i
RECEIPT
DATE: 00Uf CO kg
Contractor
❑ Owner
❑ Architect
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue perrfmg pro s
Acknowledged by:
PERMIT CLEARK INITIAL:
RESUBMITTED DATE:
PERMIT CLEARK INITIAL:
f
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
f7? 6)1L\
Inspection Number: INSP - 133116
Permit Number: EL -2 -09 -157
Scheduled Inspection Date: November 15, 2010
Inspector: Devaney, Michael
Owner: HERNANDEZ, FRANK
Job Address: 10626 NE 10 Court
Miami Shores, FL
Project: <NONE>
Contractor: TBM ELECTRICAL
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1122320280960
Phone: (954)741 -1004
Building Department Comments
FPL OVERHEAD TO UNDERGROUND CONVERSION,
AND WORK WITH.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 105496. NEEDS TP GROUND
SERVICES TO NEW FOOTER STEEL.
r
//4
November 12, 2010
For Inspections please call: (305)762 -4949
Page 1 of 31
09.64-1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder)
Owner's Address
ides
Permit No. EL 09-(5‘74,,
aster Permit No. r3° Q lc -�
4 G tV itike.it 'r'-vig) 2_Phone #
e /0 eeoter
5;- 7Z
City grim, shdiy. s State
Tenant/Lessee Name
E -MAIL:
Zip
Phone #
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
6,z6 Are: Asa
County Miami -Dade
i / /2j2CCzC ect6c
Zip
Is Building Historically Designated YES NO A":,
Contractor's Company Name % t��[ 5‘gilti-
Contractor's Address
City
State
Phone # 462i'- 413/°°s ` %�
Qualifier Name i ,f ,Y` ierv?,.
Zip
Phone #
drit
State Certificate or Registration No. Certificate of Competency No. e /3.€C, t',5
E -MAIL: IV/4' `% +�
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Phone #
Square / Linear Footage Of Work:
Type of Work: ['Addition grAlteration ['New
Describe Work:
❑ Repair /Replace ❑ Demolition
3057_
erta 4 0 ve4444 ; � azivr �3g s -rte tv&e %i1/11
ci(1 4�41kxxxxxxx
Submittal ee $ Permit Fee $
Notary $ S Training /Education Fee $ 0- (
Scanning $
�txxxxxxzrxxxxrxrxxxxx** Feesxxxxxxxxxxxxxxxxxxxrxxrxxxxrxxx r*rxxrxxxx*xx
Radon $ DPBR $
Bond $ Code Enforcement $
Structural Review. $
CCF $ I' 9.....0 CO /CC
Technology Fee $ 44
Zoning $
Double Fee $
Total Fee Now Due $ 1 g(0 •Co
See Reverse side —>
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
/1//4
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."
i
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in god faith that a copy of the notice of commencement and construction li brochur will be delivered to the person
whose pro rty s subject t attachme lso, a certified copy of the recorded not a of commencent must be posted at the job site
for the fi in eption w 1 h oc rs ' eve��� (7) days after the building permit i iss - d. In the sence of such ', 'sted notice, the
inspect' ll�n8 '. a a� p . ed a � a rasp ction fee will be charged.
y5ignatu
Owner or Agent
The foregoing instrument was acknowledged before me this
day of �" ,20�� , by fa k' ..
who is,.erson. . • . to me or who has 'ro'
NOTARY P
1
Sign:'
Print:
, °. eniMati1 'nd o
' �Y PLB ° MY COMMISSIDh `DC u 1
,S EXPIRES: October 14, 2011
� ' �• fir' Sanded?hru NOtary PubliC UnGetwriters
3
d take an oath.
k , J
1fikt 1e,
My Commissi xpires: lO Ji t 9_0 11.
Signa
Contractor
The foregoing instrument was acknowledged before me this 16rtf
day of f R ef( , 20 OA , by . Ckrj 11114110 Kik 510
who is personally known to me or who has produced fl, °DrivaisS ZIG
as identification and who did take an oath.
w w,ww, xxxxxxxxxxxxxxxxxxxxxxx xxx r. x* xxxxx**nYxxxxxxxxxxx *x xx
APPLICATION APPROVED BY:
(Revised 02/08106)
NOTARY PUBLIC:
Sign:
Print:
My Commission
w2sa •xx xx x xxxx x xx
xx**x*xxxxxx>•cxz:,c***
3/riVe.,
Plans Examiner
Engineer
Zoning..
MEWED
FE BO 3 UN
rw+r.�YF� rr rr-
ki4,69t,4_ two_
EL d'1 -151
A
Miami Shores Village
APPJROVED
BY
DATE
ZONING
DEPT
BLDG
DEPT 4ri „
v?i"eg0,
SUBJECT
STATE
TO COMPUANCE WITH ALL FEDERAL
AND COUNTY RULES AND REGULATIONS
.......... A. DANIELLE
MY COMMISSION # DD 710601
EXPIRES: October 14, 2011
,,,,, Bonded Thnt Notary Public Underwriters
rtuicuii
�Jan� el2 3i0ci
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder)
�8 � �' Fgm— � „ g`g4 . -v.—_, ems—...
APR 02 2308
Permit No. PL'oc6 5l(Q
Master Permit No. 06-514
Phone #
Owner's Address `r, ! Of
City Clc AA 9LVe5 State
Tenant/Lessee Name
E -MAIL:
Zip Z)3 13g'
Phone #
Job Address (where the work is being done)
City Miami Shores Village County
FOLIO / PARCEL # A 1 -1-41-0"0:6n
Is Building Historically Designated YES NO
146 a.G IO&
Contractor's Company Name
Miam i-
aae
(A)e'(![X /QC�`rJ Phone # 06i —c)a^i "---) 65
Contractor's Address I01a— Nom' 1 (3f
City GIs..- .lL►.'� = :''1 S ,to Zip
Phone #
Qualifier Name
9- /�� - 7, 5
State Certificate or Registration No. Certificate of Competency No. C/ ( (15-76 e r
E -MAIL:
Architect/Engineer's Name (if applicable) ,80 Phone # q59
Value of Work For this Permit $
Type of Work: ❑Additio ` Alteration New
uiti:Lt)
Square / Linear Footage Of Work:
Describe Work:
El Repair /Replace ❑ Demolition
9e de4r �exn44exz�xeYxiexaY dz 9ex &'t x'Y'Y'cxxx'cx'4'Y is oe r. aYxde aY Fees%: �xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Submittal Fee $ Permit Fee $ 74 CCF $ CO /CC
Notary $ Training /Education Fee $ Technology Fee $_
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $
Total Fee Now Due $
See Reverse side -4
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: [ 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
COMMENCEM ENT."
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.
Owner or Agent
The for going i i strument was acknowled ed b�fore me this2—S
day of ,20 -y
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
1✓ t iitc;k. ,so k G' C i VICKI CECIL
MY COMMISSION # DD 589325
EXPIRES: October 3 2# 0 My Commission
d,;d Thru Budget Notary Sey ces N^ !
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Nom, >,\ iry.T OP
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APPLICATION APPROVED BY
(Revised 02/08/06)
C
Si
Contractor
•
The foregoing inst ;ument was acknowledged before me this e_
day of
who is person
,,200y
n to me or who has produced
as identification and who d {�
NOTARY PUBLIC:
Sign:
Print: ---11-0 e+YP;
VICKI CECIL
MY COMMISSION # DD 589325
EXPIRES
g S 9ce*t dgMrUuget Notary Services
v ° 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 Number: INSP - 131622
APP 0C3 s1-1
Permit Number: EL -4 -08 -575
Scheduled Inspection Date: December 16, 2009
Inspector: Devaney, Michael
Owner: HERNANDEZ, FRANK
Job Address: 10626 NE 10 Court
Miami Shores, FL
Project: <NONE>
Contractor: TBM ELECTRICAL
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number
Parcel Number 1122320280960
Phone: (954)741 -1004
Building Department Comments
ELECTRICAL FOR POOL
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
December 15, 2009
900 /ZOO E1
For Inspections please call: (305)762 -4949 Page 22 of 23
smut/tin aiau NUS viva 095E 999 008 T %VA £t :CT 6002/9T/ZT
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder)
Owner'Address �t b tat (e-
II
City cci State
Tenant/Lessee Name
E -MAIL:
Job Address (where the work is being done) 166a..6 Uv . 151-(A_
EL_
Permit No.
Master Permit No.
E EF
APR 0 2 2308
BY: - - - - -- ...
d1Gk`Z Phone #
Zip -5 [
Phone #
City Miami Shores Village County Miami -Dade Zip �) /3` —
FOLIO / PARCEL # /1 2Z32���--0%6
Is Building Historically Designated YES NO
Contractor's Company Name TAk. L
Contractor's Address P 0"7q,5 At (.4 ) 5'37z/
�
City
Phone #
q34= 74/-/o07
Zip 33 357
Qualifier Name Phone # £
State Certificate or Registration No. Certificate of Competency No. 7J/ 3.60 / 3/ 5-
E -MAIL:
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ 1 '5-()c - B�
Type of Work: ['Addition ❑Alteration
Describe Work: e(.es .�ri c ) r-
Phone # t-6 -- 7 — 35-2_5
Square / Linear Footage Of Work:
ew
❑ Repair /Replace ❑ Demolition
XX %Y.XXY.Y.Y.iY.XXY.Y. X�CXXXY .XY.XY.Y.Y.XY.Y.XY.X %Y.Xxww
Fees "w KYY"'"'wwwwww f ltt wwwwwwwwwwwY.Y.ICY.Ywwwwwwwwwww
Submittal Fee $ Permit Fee $ 2z 5-2 ev,® CCF $ CO /CC
Notary $ 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
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Zip
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 v
promise in good faith that a copy of the notice of commencement and construction lien
whose property is subject to attachment. Also, a certified copy of the recorded notice
for the first inspection which occurs seven (7) days after the building permit is is
inspection will not be approved and a reinspection, fee will be charged.
Signature
Owner or Agent
exceeding $2500 the applicant must
rochure wijl be de ivered to the person
mencemen %must b; posted at the fa'. site
In the ab.ence of su ' posted ne ice, the
Contractor
The for going instrument was acknowledge bef re me this2-5 The foregoing instrument was ackno led
day of'L .`�t '� _ , 20 y — �� � day of , 20 G by
who is pe to me or who has produced who is perso n me or who has produced
As identification and o did to oath. as identification and who d' take an oa
NOTARY PUBLIC:
ed
before me thi
5
NOTARY PUBLIC:
Sign:
Print:
ic, VICKI CECIL
MY COMMISSION 4 DD 589325
EXPIRES: 0
. Bonded Thru Budget
My Commission Expires:
Sign:
g
3/ c `
Print: C
October 3, 2010 ` +°, �A, C
get Notary Services My Commission Expires: °* gIYCOMVICKICE I
z Illlr' yn pp _22a2
0105
xxxxxrxxaYxx xx xxxxxxxxxxxxxxxaY aYxxxxx x$icte;= **5)(A ti xx x`'�`!E
r�oFFLO Bonded Thru t� er32010
ru Budget Notary Services
: xxxxxxxxxxxzxxxxxnYxxrxxxxxxxxxxxxw *xxxxxxxx
APPLICATION APPROVED BY:
(Revised 02/08/06)
Plans Examiner
Engineer
Zoning