BPP-10-2124Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 153851 Permit Number: BPP -12 -10 -2124
Scheduled Inspection Date: January 03, 2012
Inspector: Bruhn, Norman
Owner: DUBOFF, PATRICIA
Job Address: 795 NE 95 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: PARKWOOD POOLS INC
Permit Type: Pools/Whirlpools/Hot Tubs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)758 -7402
Parcel Number 1132060142180
Phone: (954)583 -3355
Building Department Comments
POOL AND DECK CONSTRUCTION
Passed /
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
December 30, 2011
For Inspections please call: (305)762 -4949
Page 2 of 19
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 160336
Permit Number: BPP -12 -10 -2124
Inspection Date: July 08, 2011
Inspector: Bruhn, Norman
Owner: DUBOFF, PATRICIA
Job Address: 795 NE 95 Boulevard
Miami Shores, FL 33138-
Project: <NONE>
Contractor: PARKWOOD POOLS INC
Permit Type: Pools/Whirlpools /Hot Tubs
Inspection Type: Survey Final
Work Classification: Addition /Alteration
Phone Number (305)758 -7402
Parcel Number 1132060142180
Phone: (954)583 -3355
BuilditjDepartment Comments
POOL AND DECK CONSTRUCTION
C 7//1//7
Passed
91 CM(
Inspector Comments
CREATED AS REINSPECTION FOR INSP-
dimensions from deck to property line and
�
11)%1 11 �°l
��L4Ci .
160282. Survey
from waters edge
I�
must show
to property line.
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
For Inspections please call: (305)762 -4949
July 08, 2011
Page 1 of 1
Federal Flood Data:
Coxnmu unity .Number: 120652
Panel, No, 0093 ..Suffix ",J"
Date of Firm Zndes: 3/2/94
Firm..Zone: X
500 yr, Baae Flood Not
Determined
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9GA _`.ST.
00.
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E=iama
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to
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run
R •
14
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15
/I
40'
ST.
LOCATION MAP
• SKETCH • OF • SURVEY
CERTIFY TO:.. . .
Andrew D, -Z ., F q,
P .tricla. Ce4Indr .
Dow GuaranteA Corporation.
Flagstar B.
SURVEY of the .East half (1/21 of Lot 19 and all of Lot 20,
Block 68, of I'NZAKE SBO1ES, SECTION NO. 3", according to the
Plat thereof recorded in Plat Book 10 at Page 37 of the Public
Records of -Dade County, Florida; being situated in the Village
of .Miami Shores.
ORDER :NO. 10433
Field Book #403 pages 7, 8
DATE: April •14, 1993
SCALE • As shown
Miami Shores Village .
APPROVED
ZONING DEPT
BLDG DEPT
WE EEREBY CERTIFY: that the .attached .SKETCH OF SUgVEY is true and-c- HRJEOT To CoM
correct to the best of our •knowledge and belief as surveyed and STATE AND cOt1NTYCE
platted-under our direction in. A.pril., 1993. We • further certify
that this survey -complies with the Mil,111um .Technical Standards
for Land Surveying in• •the • State• of Florida., Chapter 472 of ' Florida,
Statutes.
A. R. TOUSSAINT & ASSOCIATES, INC.
LAND SURVEYORS
FLEA OEM= OF ALITHORIZIONIN 1.13-273
820 N.E. 128ih =SET . NOM >VWJI, FIDMA 331B1
PHONE 305491 -7340 _ FAX
REIM 8939
AZEOHOdie: ANC tURVEtta NO. NW
CF _coo _ 13 -273
•B0
PRES.
NOTE 1. ELEVATIONS SII
ORDER " NO.10502
ORDER N0. 11583 =
ORDER NO 13115
ARE BASED 1 IN.9.V.D• OF 1929.
6. 15-93, F; B °404 PG. 33 -34.
REVD at1 }9• TO SHOW,-RELOCATED DRIVEWAY SLAB
F.B 4O3 , t; D UPDATE SIT ., •
= REVISE` 1 -02 -02 TO SHOW PATIO ES. 403 PG. 8
a UPDATE ELEVATION CERTIFICATE F. B. 491 ' PG. 40
ORDER: 14391
REVISED .THIS 15th DAY OF AUGUST, 2008 TO
UPDATE SURVEY F.B. 403, PAGE 6A
ORDER: 14668
REVISED THIS 13th DAY OF APRIL 2011 TO
UPDATE SURVEY F.B. 549, PAGE 73
•
0
w
ysGL "a cv+1., /L / 0 -- 2/2 r/
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WITH ALL FEDERAL �,1=
CR AND RFGUI.ATIO
11
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rat Av.. of 6 ae__P -i, ,io.. -aim,
Federal Flood Data:
Community .Number: 120652
Panel. No. •0493 . .Suffix• "J"
Date of Firm indes : 3/2/94
Firm Zone: X
500.yr. Base Flood Not
Determined A
v :� 9 = 7 ao 3 2
I� I2 I3 t4 13 i8
D d h h h J.i //
9�►� ..sue
STONE PATIO
' SKETCH • 'OF* • SURVEY
CERTIFY TOr +
.Andrew 'D. Tarr, Esq.
Patricia. CaLindra
Dow Guar•ante0 Corporation .
Flagstar Baxli
1.35')(1.35
COLUMN • (TYP.
2'X3'
CONC SLAB
POOL EQUIP)
10.95
SU g/ the .East half (1/21 of Lot 19 and all of Lot 20,
Block of "MIAMI SHORES, SECTION NO. 3", according to the
Plat thereof recorded in 2.lat Book 10 at Page .37 of the Public
Records of Dade County, Florida; being situated in the Village
of Miami Shores.
ORDER NO. 10433 DATE: April 14, 1993
Field Book #403 pages 7, 8 SCALE: As shown
1-STY C.B.S.
RESIDENCE
No. 795
WE HEREBY CERTIFY: that the attached .SKETCH OF SURVEY is true and
correct to the best of our knowledge and belief as surveyed and
platted..under our direction in - April, 1993. We • further certify
that this survey complies with the Minimum Technical Standards
for Land Surveying in the State of Florida, Chapter 472 of Florida
Statutes.
A. R. TOUSSAINT & ASSOCIATES, INC.
LAND SURVEYORS
FLOM CERTIFICATE CF AUTHORVATICN LE -273
S20 N.E. 1210 STREET . WSW MIAMI, FLORIDA 33161
PHONE 308 -491 -7340 a FAX
a as
. ,;
• -• � • • :.. •. • • • -' • —•
NOTE • ELEVATI $• S lAR' -VSCQ• ON N 1929. •
ORDER NO.1050.'' _t°°REV15,E 6715 -93, F.B. 404 PG. 33 -34.
• ••• ••• •
ORDER NO. 1158;3.! )tEV S D. �- 21-®:97 TO SHOW RELOCATED DRIVEWAY SLAB
•. TIB: 403; f'7,8•' IND UPDATE SU.RVEY.
ORDER NO. 13115: REVISED 10 -02 -02 TO SHOW PATIO FS. 403 PG. 8
• &•LII DATE. ELB/ATKQN CERTIFICATE F.S.-49 1 PG. 40
• • • • • • •_•_•'
ORDER: 14391
REVISED THIS 15th DA
UPDATE SURVEY F.B
Y OF AUGUST, 2008 TO
. 403, PAGE BA
ORDER: 14668
REVISED THIS 13th DA
UPDATE SURVEY F.
Y OF APRIL 2011 TO
B. 549, PAGE 73
•.v.••
• •• ..
.•••• •
'i •
vow • •
It • 31,.. .1•
• •
•
.. • •• • •
• • s• •• ••
••. • •
III
K.
v :� 9 = 7 ao 3 2
I� I2 I3 t4 13 i8
D d h h h J.i //
9�►� ..sue
STONE PATIO
' SKETCH • 'OF* • SURVEY
CERTIFY TOr +
.Andrew 'D. Tarr, Esq.
Patricia. CaLindra
Dow Guar•ante0 Corporation .
Flagstar Baxli
1.35')(1.35
COLUMN • (TYP.
2'X3'
CONC SLAB
POOL EQUIP)
10.95
SU g/ the .East half (1/21 of Lot 19 and all of Lot 20,
Block of "MIAMI SHORES, SECTION NO. 3", according to the
Plat thereof recorded in 2.lat Book 10 at Page .37 of the Public
Records of Dade County, Florida; being situated in the Village
of Miami Shores.
ORDER NO. 10433 DATE: April 14, 1993
Field Book #403 pages 7, 8 SCALE: As shown
1-STY C.B.S.
RESIDENCE
No. 795
WE HEREBY CERTIFY: that the attached .SKETCH OF SURVEY is true and
correct to the best of our knowledge and belief as surveyed and
platted..under our direction in - April, 1993. We • further certify
that this survey complies with the Minimum Technical Standards
for Land Surveying in the State of Florida, Chapter 472 of Florida
Statutes.
A. R. TOUSSAINT & ASSOCIATES, INC.
LAND SURVEYORS
FLOM CERTIFICATE CF AUTHORVATICN LE -273
S20 N.E. 1210 STREET . WSW MIAMI, FLORIDA 33161
PHONE 308 -491 -7340 a FAX
a as
. ,;
• -• � • • :.. •. • • • -' • —•
NOTE • ELEVATI $• S lAR' -VSCQ• ON N 1929. •
ORDER NO.1050.'' _t°°REV15,E 6715 -93, F.B. 404 PG. 33 -34.
• ••• ••• •
ORDER NO. 1158;3.! )tEV S D. �- 21-®:97 TO SHOW RELOCATED DRIVEWAY SLAB
•. TIB: 403; f'7,8•' IND UPDATE SU.RVEY.
ORDER NO. 13115: REVISED 10 -02 -02 TO SHOW PATIO FS. 403 PG. 8
• &•LII DATE. ELB/ATKQN CERTIFICATE F.S.-49 1 PG. 40
• • • • • • •_•_•'
ORDER: 14391
REVISED THIS 15th DA
UPDATE SURVEY F.B
Y OF AUGUST, 2008 TO
. 403, PAGE BA
ORDER: 14668
REVISED THIS 13th DA
UPDATE SURVEY F.
Y OF APRIL 2011 TO
B. 549, PAGE 73
•.v.••
• •• ..
.•••• •
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Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: I NS P- 160282
Permit Number: BPP -12 -10 -2124
Inspection Date: May 25, 2011
Inspector: /tfc 4 {IL £/, 4'
Owner: DUBOFF, PATRICIA
Job Address: 795 NE 95 Boulevard
Miami Shores, FL 33138-
Project: <NONE>
Contractor: PARKWOOD POOLS INC
Permit Type: PoolsNVhirlpools/Hot Tubs
Inspection Type: Survey Final
Work Classification: Addition /Alteration
Phone Number (305)758 -7402
Parcel Number 1132060142180
Phone: (954)583 -3355
Building Department Comments
POOL AND DECK CONSTRUCTION
%_.) 3441/4/
Passed
Inspec or Comments
tip /1i sio,ts /Lc, °...i-
de e. 4 /,,°„,JO1°G` 1 //s/t_ 4e 4-'1-1
• 4,...._ 2t Pt t-4,70.,----
ift/L e
•N'�..ct- _ 37-4
Failed
5-:,27--
/
Correction
Needed
Re-Inspection
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
For Inspections please call: (305)762 -4949
May 25, 2011
Page 1 of 1
2 de
1(4'4 - n 1- 04-e...S
%3r/Q /2- io a.z V
29r A/ e 9s- (5244,
NOTICE OF COMMENCEMENT,: t.
A RECORDEDCOPY MH BE POSTED ON THE JOB SITE AT TIME OF FIRST NTEC9W
PEEN NO. TM FCUO NO //• 3.206 - /V".2/PO
STATE OF FLORIDA
COUNTY OF MIAMI-DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in ac dance with Chapter713, Rorida Statutes, the following information
provided hills Notice of Commencement
1. Legal description of property and street/address: 75'S A/ E 9S s7%'ce /
111111111111111111111111111111111111111111111
2011R0039366
DR Bk 27557 P9 44881 (199)
RECORDED 01/19 /2011 10:47:27
HARVEY RUVIN, CLERK OF COURT
t1IAtII -DADE COUNTY, FLORIDA
LAST PAGE
2. Description of improvement
3. Owner(s) name and address:
Interest in property:
Name and address of fee simple titleholder.
4. Contractor's name and address:
/.
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
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 713Z1E0M, Florida Statutes,
Name and address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement (the expiration date Is 1 year from the date of recording unless a
differe ate is specified)
P rner's Name I t?y4 * A Du 1(�-( —/
Swom to and subscribed before me this if day of 6/�
Notary Public
Print Notary's N
My commission expires.
STATE CP- ri OF DADE
I-HEREBY CER17; N that this Is alma copy afthe
*jinal filed In thiA, office day Of
• AD. 20
WINE a.,
_ . ha :Wand Official seal
N RK of Cif
11144ge,4 I (4
Prepared by (44.1-0441 Ejl. I) 1
(o) / (../. Jo v".1-441- b✓Jd
2 %Q. 7'1 OA- PC- ; 330
Address: ?9S A/C 9s- u
011° Locie_.`e
•
\94 OA k
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 No.
Master Permit No.
lio
Pic 2\29
Permit Type: BUILDING / //)� //
OWNER: Name (Fee Simple Titleholder): Pa.`MGt`a- a .J c 4eti/ate `�"� d hone #: (� '6) 7%— Slate/
Address: //796' de- %S^ c.s71 f
City: kl -1 CS/1, av-e S State: /� C- Zip: 33/3e
Tenant/Lessee Name: / n n Phone #:
Email: pa.. .C4/14.
JOB ADDRESS: 796 /4 C - 9 sT
City: Miami Shores County: Miami Dade
Folio/Parcel #: // -3248 "0 /c/- ,al ?O
Is the Building Historically Designated: Yes NO Flood Zone:
Zip: (33/3f
CONTRACTOR Company Name: e4211-Woocl- Po S ,,Ln/ L Phone #: Cif) �3
Address: l.,/ ? (o ( t,&J • &o �J rt 3-e is/0
City: �( G�•wi�//N-Gc�- State: C
Qualifier Name: (- 61erJ∎ - s
Phone #:
Zip: 323/3
067( ) -?3 -
State Certification or Registration #: CPC- /(f i8 7j Certificate of Competency #:
Contact Phone #: iG�l� "$3 YS �7(p Email Address: f a/h o ewers @ uk -A -fru lTit -nee- f
DESIGNER Architect/Engineer: Phone #:
Value of Work for this Permit: $ AS; 0200 Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace
Description of Work:
❑Demolition
p t,C p l � e2. 0 a,
1142.Ck 91 o �� opal'
S // aov
# ydvo
COLOR THROUGH ROOFTILEISREQUIRED acknowledged by:
********e****************************** ees********************************************
Submittal Fee Permit Fee $ U / OJ CCF $ co/cc$
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $ 40 814
TOTAL FEE NOW DUE
"-flooding Company's Name (if applicable)
•
Bonding Company's Address
City 44 State Zip
Mortgage Lender's Name (if applicabl) ,14
Mortgage Lender's Address
N
City /t/ b 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 no be approved and a reinspection fee will be charged
emir or Agent
The foregoing instrument was ackno led ed before this 2)
day of �` ' 20 4 , by ? l ti � f !,
who is personally known to me or who has produced (-Jr' 'vas
r
(PIA a As identification and who did take an oath.
NOTARY PUBLIC:
Signature
eke--
Contractor
ent was aed before me t
The foregoing • ' / thi
day of 20 /t) , by acknowled
i'J J ,4 J Jos" .
who is personally known to me�r who has produced
as identification and who did take an oath.
NOTARY PUBLIC•
Sign:
Print:
My Co i i i "ssion Expires: 3
Sign:
y Commission Expires:
mv GowSSI
IU�� ..A sYDIRF3• N
**************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED BY
V/5 ;1-Is/!d flreansExaminer
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09Xrev6/4/10)
* * * * * * * * * * * * * * * * * * * * * * **
/ /� /, Zoning
Clerk
FLORIDA DEPARTMENT OF
HEALT
Rick Scott
Governor
January 13, 2011
David Walker
6761 W Sunrise Blvd Unit 16
Fort Lauderdale, FL 33313
RE: Contingency Letter
Application Document No: AP989959
Centrax Permit Number: 13 -SC- 1295463
OSTDS Number:
795 NE 95 St
Miami, FL 33138
Lot:19 -20 Block:68 Subdivision: Miami Shores
Dear Applicant:
This will acknowledge receipt of an application dated 01/12/2011 for a permit to use an existing
onsite sewage treatment and disposal system located on the above referenced property.
There is no increase in sewage flow, no change in characteristics compromising the integrity or
function of the system.
From a review of your completed application, it has been determined that your existing system is
adequate for the proposed use..
This permit is granted for construction of a pool and a deck that will have no impact on the
unobstructed area.
If you have any questions on this matter, please call our office at (305) 623 -3500.
Enclosures
cc:
Sincerely,
ngineer Specialist II
Miami -Dade County Health Department
1725 NW 167 St, Opa Locka, FL 33056
Phone: (305) 623 -3500
12/29/2010 11:07 FAX 1 800 685 7530
DATA SCAN FIELD SERVICES g1001
* * * * * * * * * * * * * * * * * * * **
* ** TX REPORT * **
* * * * * * * * * * * * * * * * * * * **
TRANSMISSION OK
TX /R% NO 0922
RECIPIENT ADDRESS 919545833009
DESTINATION ID
ST. TIME 12/29 11:07
TIME USE 00'33
PAGES SENT 3
RESULT OK
Permit No: 10 -2124
Job Name:
December 28, 2010
Miami Shores V
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Building Critique Sheet
1) Plans must be approved by HRS for the septic system.
2) Corrections for plumbing and zoning must be completed.
3) Plans show a patio deck in areas not marked on the survey. Show setback information
on the existing patio.
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 - 795 -2204
Permit No: 10 -2124
Job Name:
December 28, 2010
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Building Critique Sheet
Page 1: of 1
1) Plans must be approved by HRS for the septic system.
2) Corrections for plumbing and zoning must be completed.
3) Plans show a patio deck in areas not marked on the survey. Show setback information
on the existing patio.
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 - 795 -2204
Fes: 9- 5b3 -aao5
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No. , r� "� y
Job Name
PLUMBING CRITIQUE SHEET
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204 Fax (305)755 -8972
Issue Date: Not Issued
Folio Number:1132060142180
Owner's Name: PATRICIA DUBOFF
Job Address: 795 95 Boulevard
Miami Shores, FL 33138-
Owner's Phone: (305)758 -7402
Total Square Feet: 1285
Total Job Valuation: $ 15,200.00
Contractor(s)
PARKWOOD POOLS INC
Phone
(954)583 -3355
Primary Contractor
Yes
1
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 12/22/2010
Comments: POOL EQUIPMENT MUST BE LOCATED NOT LESS THAN 10 FEET FROM SIDE LOT LINE.
Planning and Zoning Crite e
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Folio Number:1132060142180
Owner's Name: PATRICIA DUBOFF
Job Address: 795 95 Boulevard
Miami Shores, FL 33138-
Owner's Phone: (305)758 -7402
Total Square Feet: 1285
Total Job Valuation: $ 15,200.00
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 1/24/2011: Yes
Comments: POOL EQUIPMENT MUST BE LOCATED NOT LESS THAN 10 FEET FROM SIDE LOT LINE.
1/24/2011 - NEW PLAN OK.
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #:0 \° 10 1' DATE: Ow) I g : t 1
!
1, vI '% 1kg
❑ Contractor
❑ Owner
❑ ArchitgcL_ _-
i
icked up 2 sets of plans and (oth
Address:
€Y1S
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 Buildin ._ epa ent,,� co tinue perming process.
Acknowledged by:
PERMIT CLERK INITIAL: r
RESUBMITTED DATE:
PERMIT CLERK INITIAL: L.C2Z4\'