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BPP-11-457Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 157254 Scheduled Inspection Date: June 06, 2011 Inspector: Bruhn, Norman Owner: HENDRIX, TODD Permit Number: BPP- 3- 11-457 Job Address: 210 NE 102 Street Miami Shores, FL 33138 -2427 Project: <NONE> Contractor: ALL FLORIDA POOLS AND SPA CENTER Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)915 -4899 Parcel Number 1132060480010 Phone: 305- 893 -4036 Building Department Comments POOL RESURFACING AND WATER LINE TILE Passed , Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 03, 2011 For Inspections please call: (305)762 -4949 Page 8 of 26 Miami Shores Village Building Department 10050 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 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): Address: City: ROOFING 7Ii7 tJE I07, S( ydl blwl State: �L Permit N 1 MAR 1 4 2011 Master Permit No. Phone # 14 "1 Zip: • 31 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: Zkv h-e.. Iv2- t City: Miami Shores County: Folio/Parcel #: p 32U* < ®I — 0010 Miami Dade Zip: Is the Building Historically Designated: Yes NO CONTRACTOR: Company Name: /�4a Address: �� /1 % 20 /yi re47kA M/00 City: /'�.U/ /!Dnli �� State: Qualifier Name: �4' / 0 l4i(/e ..'t) /"Axel -,Q)etr Flood Zone: ZJ' • )4- Phone #: 3z ?3 - 6i6 zip: 33/,/ Phone#: s' 13. 36 State Certification or Registration #: Certificate of Competency #: 02 +' Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ `7' G4, Square/Linear Footage of Work: Type of Work: ❑Addition J ❑Alteratiioon ❑New Description of Work: (. /4r 6.;-6 / ds4 epair/Replace ❑Demolition J'�• ,.0a) ************** *+x*a:u:+x **** **** * ******** ** Fees : ************ * ******* * * *** * * * ** * * * ** * *** * * ** Submittal Fee $ Permit Fee $ WO ' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee,$ Technology Fee $ Double Fee $ Structural Review $ lLAv `� TOTAL FEE NOW DUE $ DBPR $ Bond $ 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 FT.FCTRICAL 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 b approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this 1 1 day of M Iif't%o , 20 If by who iser onally knygi � e or who has produc As id NOTARY Sign: Print: tifica and who did take Signature Contractor The foregoing instrument was acknowledged before me this 1 1 day of ii 1, , 20 LL, by who is i ersonally known` me or who has produced oath. ide tification an did ak an oath. NOTARY/PUB Sign/ Print: mmission Expires: : June 25, 2013 eendedlluu euded Wen II ******************************** ******************************a r******* *******,! ****************ko******** * APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TiME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. /4 .304-1910- OWO STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of prop= street/address: 2/o /0A 4,02 r 1(141 /!yi 2. Description y improv , ent: 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder. /�� 4. Contractor's name ddress and phone number. ,Oc �ro.0 / of 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number. Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number. iii � •' i �. � `��� i��� =��_�. 1 111111 11111 11 11 1 11111 1 1111 11111 11111 1111 1111 CFP4 2011R0166674 OR ek 27617 Ps 3538; Ups) RECORDED 03/15/2011 11:29:14 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY/ FLORIDA LAST PAGE Space above reserved for use of recording office /r /J 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number. 9. Expiration date of this Notice of Commencement: (the expiration date Is 1 year from the date of recording unless a different date 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 1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Own (s) o;9wne�(s)' Authorized Officer/Director/Partner/Manager Prepared By Print Name v ��I M7L Title/Office 2.- STATE OF OF FLORIDA COUNTY OF MIAMI -DADE The forwoJag_iaetrume ByO.co arividually, or ❑ as Prepared By /u • ; - Print Name .0091woce Title /Office ` z/p• - X �• /60s0egatvii35 38 nt a acknowledged before me this �_ day of for sonally known, or ❑ produced the following type of identification. Signature of Notary Public: Print Name: (SEA C TIO PU:SUA TTO EC 0, 9 . L Under penalties of perjury, I declare that I have read foregoing and that the facts stated In It are true, to the best of my knowledge and belle Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner By By SWE OF FLORIDA, COUNTY OF DAD�E i HE e �- CERTIFY het this Is a trite copy of the 123.01-62 PAGE 3/10 4 N. E. 2 AVENUE 56.50' ASPHALT PAVEMENT 10 • drum.iY, F. 110 r2r.t /2_ 28.1/1" 41.70' m z 1 Z m r2.p.t/Y 15.00' ALLEY E S01'03'00'£ 81.68'(P)( ASPHALT PAVEMENT 1 =20 Property Address: 210 N.E. 102 STREET, MIAMI SHORES FLORIDA 33138 I HER20v CERTIF.-Ma 7141S 'BOUNDARY SURVEY, l9 ATRUE AND CORRECTREPRESENIATIO0 OFASURVEY PREPARED UNDER IT/ DIRECTOR. TINS COMPLIES YATH 711EILNISSIM TECHNICALSTANnAROS AS SET FORTH 6071E STIRS OF ROROABOARD OF PROFESSIONAL LAND _ .. - - 'r +ti?: 6t1317. FLORIN, ADMRSTRATIRE CODE PURSUANT 704722117. FLORIDA ST SIGNED MIGUEL ESFIN STATE OF FLO FOR THE FIRM P.S.M. NO. 5101 NQTVA113 1.1-13LIT ANAUTKEJIC ELECt. t. 9u OMIRE wm.ur.N3a6.ImFaEM.. e6ALAnn®r T46 YAP IS NM VALID VMHOUT TOLE NI @I6TMENLl'H£ 61r1122iALWII'9F09ErtLOff A lS@L31=0 81117700317 SNAG Notes: NO NOTES MIGUEL ESPINOSA LAND SURVEYING, INC. 10665 SW 190111 Street Suite 3110 MIAMI, FL 33157 PHONE:(305) 740 -3319 FAX #:(305) 669 -3190 LB # 6463 Accepted By Survey: A -18161 f�Pltl -: ami Shores Village a O SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS m IAPPROVED] I BLDG DEPT 1 PAGE 1 OF 2