BPP-11-1072Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 165247 Permit Number: BPP -6 -11 -1072
Scheduled Inspection Date: October 11, 2011
Inspector: Bruhn, Norman
Owner: LEBOWITZ, MAURICE
Job Address: 1285 NE 102 Street
Miami Shores, FL
Project: <NONE>
Contractor: HAPPY POOLS
Permit Type: Pools/Whirlpools /Hot Tubs
Inspection Type: Final
Work Classification: Repair
Phone Number
Parcel Number 1132050250120
Phone: (954)983 -4826
Building Department Comments
RESURFACE THE SWIMMING POOL WITH DIAMOND
BRITE AND REPLACE WATER LINE TILE.
Passed
ir(0--xiftr
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- 160884.
10/06/2011 - NO PERMIT ONSITE. JR
October 07, 2011
For Inspections please call: (305)762 -4949
Page 16 of 22
6474 Al— 'slw
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 No. I k--1(572-
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): A-u 4 i c-e t & hj u) l t 2. Phone#:
Address: //62. 2.5" i J g f02"1 s .
City: ill Il i 5 r-e S State: F(, zip: 3317'
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: j j 4-1ntQ
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: gPfeli MIS/ r-C. Phone#: 3D S 77 3-S- S74
Address: 19S Ci 5 (AP ArY 7
City: 4 IAA) 9,t State: FC
Qualifier Name: YI c Rl r- re /d.v+t F (
State Certification or Registration #: e,, PC, 0 S '70 J° f Certificate of Competency #:
Contact Phone#: aoi - 7 7 3 -7.3-s7 (� Email Address: Y�� Air (�! Ap, rah S . C(l "'
DESIGNER: Architect/Engineer: Phone#:
Zip: 33V
Phone #: 3oS ) % 3 -s r/t
Value of Work for this Permit: $ �( s°0 . cr6 Square/Linear Footage of Work:
Type of Work: ❑Addition
Description of Work:
`Ik on°TM
DAlteration
ONew ORepair/Replace
ODemolition
******* * * * * * * * * * * ** * *** ** * * * * * **** * * ** *Fee J***** ****** * * * **** * *** * * **** * * * * * * * * * * * * **
Submittal Fee $ (7 /
Permit Fee $ KU CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ /48 Structural Review $
--
TOTAL FEE NOW DUE $ l)O ?` uD
— 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 la . rochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of c ' mmencement 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 suc posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature fli/At " )L _ d
Signature
Owner or Agent ;- " Contractor
The foregoing instrument was acknowled efore me this The foregoing in trument was /acknowledged before me this
day of r� , 20 t l , by /1'1 '� day of J , 20 j f , by �t c4r4 •tM• -t. ( -
who is personally known to me or who has produced cI) C who is personally known to me or who has produced
as identification and who did take an oath.
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: ��o�Plru..CCa
My Commission Expires:
c
VENANCIAM.RODRIGUEZ
E Notary Public • state of Florida
vs MYCommiasimE resM8Y25.2012
?rat Commission S DD 776056
NOTARY PUBLIC:
Sign:
Print:
.ai �'�' ;•., VENANCIAY.RODRIGUEZ
NMary Publio • State of Florida
EchosMay25,2012
i • Y # DD 776058
My Commission Expires:
********************************************* *************** :t<*>p:x** *****>s>k*********
APPROVED BY j/d9 2 ' Plans Examiner
* * * * * ** * * * * * * * * * * * * * **
0 11 Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
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ra PUNTER
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INVOICE NO.: 11-35514
PROPERTY ADDRESS:
1285 NE 102 STREET, LLUAMI SHORES. Pr
33138
R "{+�• • �' •
BigfiJ
Office: (954) 777.4747
Cox: (954) 771-2707
4,1850 W Oaktand Pk Blvd. - Sults 304 - LaudeA1S1, FL 33313
LEGAL DESCRIPTION:
LOIS 4 E S. BLOCK 188 OF "BAY BREE -
SECTION ILIIAMT SHORES' ACCORDING
TO THE PLAT THEREOF, AS RECORDER
S IN PLAT 800K 42, PAGE 25 OF THE
PUBLIC RECORDS OF MIAMI.OADE
I1 _ COUNTY. FLORIDA.
4 PI CERTIFICATIONS:
. MAURICE LEBOWff2
FLOOD ZONE DATA:
COMMUNITY NUMBER 120852
PANEL AND SUFFIX: 03081.
DATE OF Mt OI11109
BASE FLOOD ELEVATION: AE 8
LOWEST FLOOR ELEVATION; 1492
REET
BLOCK CORNER
SE CORNER OF
TA 1DS4:
(NOTAPARTOP
7798I A7)
FPO WS,
NO ID
MAP OF BOUNDARY SURVEY
SCALE: i'=24
GENERA/NOTE&
(1) THIS SURVEY IS BASED UPON RECORDED PPORYATIM AS PROI0DEDor
CL/1317 . NO SPECWIC SEARCH O, THE PUSUCRECORDHAS SEEN NAPE BY
THIS OFFICE
(2) UNDERGROUND I PROVW01ITSHAVENOT SEEN LOCATEDBXCEiT AS
SPECIFICALLY SHOWN.
(T) ELEVATION M48 RASED UFOLI NAT10NALGEOOERC VERRCALMOM 1879
( 4.GV,0. 19291.
441
401(4 GASES. CRAMS REFREsENFAU0NSIIave SEENEXA601U 15TED
FOR CLEARER ILLUSTRATION. NE SUAED MAT/04$P SHALL HAVE
PRECEDENCE OVER SCALE P0&1Y1NS.
(1) ALL DIMENSIONS MOWN ARE FELD MEASURED NID CORRESPOND TO
RECORD IUFOIWI.110N UNLESS SPEOHCAU.Y NOTED OTHFRv83n.
(W UNLESS OINPRNASESPECIFIED,MIS AIRVEY(9 SOTTO BEDEM FOR
0014TRUCTION Pt3a'OSES.
m NOLWOEMIPEDPEATVRE$ RO MS&MEYANDMAPHA5ESEEN
MEASURED TO AN ESTIMATED HORIZONTAL POSITIONAL ACGRACT OF ME
(FS
0) NOTE .1 REREOY CERTIFY" ISLAIDERS'tOODTOSE AN EXPRESSION 09
PROFE84I0NAL OPINION BY THE SURVEYOR/ND WIPEROISEDON THE
SURVEYOR AND MAPPERS NNOWLEDGEAFENNFORWITION. Ata7ITIS/MT
AGUARANTEE OR WARRANTY 09.RE5SEDOR9.011ED.
(9) ATTFNRON 19 gRECTFDTO THE PACT DATUM SURVEY NAY HAYe BEEN
Ramey OR EIAMGEO R4 SIZE DUE TO PEPRCCUCII@27MB SRO= BE
TAKEN WTO CONSIDERATION MIEN OBTAIN,* SCALED DATA
1 HEREBY CERTIFY THAT THIS BOUNDARYa PARTIAL TOPOORAP)UC
MEETS THE MINIIVUM TECHNICAL STANDARDS FOR SURVEYS. AS
SET FORTH BY THE I.10PDA BOARD OF SURVEYORS AND
MAPPERS IN CHAPTER 610170 OF THE RORIOA ADAUNISTRATWE
CODE, PURSUANT TO SECTION 472.027. FLORIDA STATUES.
DATE OF ORIGINAL. FIELDWORK; 011111
GINO FURLANO, PROFESSIONAL SURVEYOR 6 MAPPER
FLORIDA REGISTRATION NO. 504A
(NOT YARD NTHOIR sIGNATUR1 AND MAHAL RAISED SEAL of THE
FLORIOAUCENSED SURVEYOR AND UiV4kRWorm ABOVE)
0bTTBSLS0£
6626£86bS6T:01
NOTICE OF MMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO., i t —t`°' TP1X FOLIO NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: l2 r A h /0 2 jV OI �4 . Pri' 1ni % she r s FG & gi3f
111111111111111111111111111 111111111111111111
CFN 2011804. 1.0391
OR Bk 27731 Ps 0632; (fps)
RECORDED 06/23/2011 10:26:14
HARVEY RUVIN, CLERK OF COURT
MIAMI-DADE COUNTY, FLORIDA
LAST PAGE
Space above reserved for use of recording office
2. Description of improvement: jfv1Mt J 1 4s_ •"aleorri$N •
M �F Z —�.S' i4�Vy ducts j i ri,4r/ •Hires Lars' ¥ tS 81k
3. Owner(s) name and add :. ingcaLi ct !.a4aw c ♦
Interest in property:
Name and address of fee simple titleholder.
4. Contractq s name, - ddress and phone number. % d11 S
30 t l' 30 �i"
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.
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
Name, 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 I, 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 LEN ER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature(s) of •� 3 r Ownef( o�I'zed • °c7 irector/Partner /Mang j�
Prepared By �� 1 / Prepared By tGro`✓� r°U^"f°`'-
Print Name `' Print Name I/( c/ c /,ems r '-
Title/Office Title/Office irketici-1•'' " How? ,&zi5 C
STATE OF FLORIDA r
COUNTY OF MIAMI -DADE
The foregoing instrument w,as ac wledged before me this / 6' day of
❑ Individually, or �j C for
❑ Personally known, oruced the following type of identification:
Signature of Notary Public:
Print Name: lf,/. •Ardv.
(SEAL)
VERIFICATION PURSUANT TO SECTION 92525. FLORIDA STATUTES
Under penalties of perjury, I declare that 1 have read the foregoing and
that the facts stated in it are true, to the best of my knowledge and belief.
BY /4474 `t e�D /
Signature s)) of Oq'wner(s) or Own s)'s Authorized Officer/ Director /Partner/Manaa/gyerr whh si, • -,• - •b�v • p
BY % / 40 /l.. = �1 19W ( By e�! `�7 / 11. ; , ' C 'iIFY - COUNTY OR OME
SkitC a b atWITOpyOtthe
A.D. 20
had and Mid! Seat
d•, ,Canty