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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 J �� ., i f .� :: ••• • • • • •• • • ••• • • • •• • • , A .4 ,.\ s; G: � ice- / ---o 67 L r ,®. evv� /��� Failed 779 1" Correction Needed Re- Inspection ••• • Fee • • •• No Additional Inspections can be scheduled re- inspection fee is • • • • • • • • • • • • ••• ••••• ••••• • until • • • • • ••:: • • • ••• • ••••••• ••• •• • ••• • • • • • • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• • 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 Poolguard D( tome :: Pool Filters :: Pool Cleaners :: Pool Heaters :: Pool Pumps :: Pool Covers :: Pool Alarms :: Pool Liners :: Site Map >PE Site Directory )uick Tech Tutorial pool /Spa Catalog kbove Ground Pool Liners Wove Ground Pools k larms klternative Sanitizers automatic Pool Cleaners ;artridges ;hem cal Feeder Erosion ;hemicals ;hlorinators l'omrnercial Cleaners usnmercial Heaters Commercial Ozonators .avers ners Diving Boards Electronic Controls °ences Fiber Optic Lighting Filter Cartridges Filter Grids Filters Fitness Aquatic Style Firs & Dive Masks Fountains Hand Rails Heat Pumps Heaters Inflatable Beds Leers .Jandv Controls Leaf Covers Lights Lounges Miscellaneous Products Motors Nature 2 Purifiers Oil -Fired Pool Heaters Ozonators Owner Builder Supplies Pool Heat Pumps Pool Toys and Games Pool Parts Pumps Rebates Replacement Filter Cartridges Safety Covers Salt Chlorinators Slides Solar Controls Solar Cover Reels Solar Covers 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^ ! x�Y& "d 4cx6rx nYxdcxxs:x &xxxx*xux &*** *******4**_ Nom, >,\ iry.T OP xxxxxxoYksk********xd *AaFa 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