Loading...
EL-12-384Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 170738 Permit Number: EL -3 -12 -384 Scheduled Inspection Date: April 04, 2012 Inspector: Devaney, Michael Owner: PEREZ, JOEL Job Address: 1167 NE 99 Street Miami Shores, FL Project: <NONE> Contractor: MOODY ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050180080 Phone: (305)758 -2000 Building Department Comments INSTALLING A FREE STANDING SPA TUB IN BACKYARD. HOUSE AND EXISTING 200 AMPS SERVICE Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments J n� ////-7/2, 6)//e-- April 03, 2012 For Inspections please call: (305)762 -4949 Page 12 of 22 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 N HAR 0 6 2i12 of :L—?4 Master Permit No. Permit Type: BUILDING ROOFING f OWNER: Name (Fee Simple Titleholder): J � pe-req- Phone#: W� 30d- -d-7- P-1 Address: (I (0 N E Pj ft ,4 ` City: `I A W-t 51,AeY -�S State: _L zip: 33 I -3 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: (`L 9- N E cJ " City: Miami Shores County: Miami Dade Zip: 3313 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRAC OR: Company Name: IY)oo (. F r C, (NC Phone #: O C"7Sg - Address: .ID Q .,AJ / 4() `7 I CN City: m I lr) State: l "� Zip: /5-6 Qualifier Name: ,-.1 OW L) MOO CMG �19 % C� /� State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: /1/4)/A Phone #: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ G6-0m efb Square/Linear Footage of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace • Description o Work: I � _ � � � � � r.� � . "" S A ! .16, at-4/ fie, J/ c7 ( x f=t) ❑Demolition ***************************************Fee s******************************************** Submittal Fee $ Permit Fee $ / 2 G' C' Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 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. Signatur Signature 0 // er or Agent 9 Contractor The fore oing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20I2�by ��,� day of filet, 20 t2 by TdtttnZT lY'," who is personally known to me or who has produced 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: My Commissio MARY PAT BRIGGS ..* MY COMMISSION # DD 979267 EXPIRES: May 11, 2014 iffi. ?': Bonded Thru Notary Public Underwriters * *** **** :************ ** * ************************************************* *** * *** ** * * *** ** * **** ****** **** keaf r APPROVED BY We /2- �/-7,-/Z Plans Examiner Zoning NOTARY PUBLIC: Sign: Print: My Co /Io MARY PATBRIGGS ?.tjireMY COMMISSION # DD 979267 EXPIRES: May 11, 2014 9ondad Thru Notary PubtC Underwriters Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 REQUIREMENTS FOR POOL PERMIT ***PRIME CONSTRACTOR AND ALL SUBCONTRACTOR PERMITS MUST BE SUBMITTED PRIOR TO PERMIT APPROVAL * ** Building permit application must be accompanied by: El Sub permit applications (Electrical, Plumbing, Mechanical) ❑ 2 Copies of survey (no more than 7 years). ❑ If survey is older than 7 years it needs Survey Affidavit. ❑ 2 Sets of plans signed and sealed. Show on the plans: Location of septic system, all intended setbacks of pool, location of the pool equipment, deck and fences. ❑ Plans shall be reviewed and approved by HRS department. ❑ Residential swimming pool, spa and hot tub Safety Act form completed and signed by owner. ❑ Swimming pool Owner's Certification form completed and signed. ❑ Restrictive Covenant Protective Pool Enclosure form completed and signed by owner. ❑ 2 sets of manufacturer specifications for safety net, barrier or alarm. ❑ Proof of ownership. NOTE: 1. Application fee of $250.00 due at the time of submittal for Building permit, and $50.00 for each sub permit. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned d PAP 1 P�� is /are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: Mal" (p." tj E �I " t Whereas, the undersigned owner(s) (J desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. III. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our /my property shall fail to meet code requirements for pool barriers, we, as owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. IV. That, I /we, as owner(s) hold Miami Shores Village harmless for any negligence or injury that results from not having the enclosure. V. If enclosure belongs to said property, I agree to maintain & or replace said enclosure in the event that is damaged or removed by any case. NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he /she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordance of said Village then in effect. NER SI i & PRINT rib-[ I Hereby Certify that on this day personally appeared before as identification and he /she OWNER SING & PRINT me `(/ ®cL 7 L Z and has produced ID acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there in expressed. ,n, ,A ,w� ��pp SWORN TO AND SUBSCRIBED before me on this 5 day of / " aA --, 20 , 2- (Revised 05/2209 NOTARY PUB C STATE OF FLO MARY PAT BRIGGS 1,4 MY COMMISSION # DD 979287 *z EXPIRES: May 11, 2014 Bonded Thru Nogg Public underwriters Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Date °‘') `L Miami Shores Village Building & Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as 1 I[0 • E °I -I'l.t - , located at -C e S (A-err-5 .531-b5 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 separate permit has been obtained for an a pp roved 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 and approved barrier prior to final inspection and use of the pool. Legal 0 Note: This certification is to be submitted with a swimming pool permit application in duplicate. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at 4q Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please in' al the method(s) to be used: The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346 -91. (Submit Manufacturer's Specifications). A continuous, one -piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non - dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type and location of all non dwelling walls. Florida Building Code, R4101.17.1 Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self- latching device with positive mechanical latching/locking installed a min. 54° above the threshold. If this option is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Code, the pool may not be filled with water without compliance with the Private Swimming Pool Safety Requirements, and upon expiration of the permit, the pool shall be presumed to be unsafe . I understand that not having one of the above installed will constitute a violation of Chapter 515, F.S ., an d will be considered as committing a misdemeanor of the second degree, punishable as provid d in Section 775.082 or Section 775.083 F.S . This form must be signed e owneriag- nt and the rime contractor. zir CONTRACTOR'S SIGN mop • NTRACTO ,0; RE AND DATE 'S NAME (PL j j NOTAR SE PRINT) r I ." MARY •ie BRIGGS _« COMMISSION # DD 979267 - *+ EXPIRE.. thy 11, 2014 SiY'd eed Thy, Urtdefwrneis 0 NER'S " "GNATURE AND )0e p- C� 0W'S NAME (PRASE n A7[ INT) " MARYPATBRIGGS ?o: __* MY COMMISSION # DD 979267 EXPIRES: May 11, 2014 f.W ;, Banded Thru Notary Puhpc Underwriters 5 SGT i > STATEMENT OF PRODUCT COMPLIANCE Model year: 2010 and 2011, domestic Factory-Built Electric Hot Tub Products: 880 Series: Maxxus". Optima TM Cameo TM Capri ", Majesta'M, AltamarTM, MarinTM 780 Series: Hamilton' , Chelsee", CertatM, Camden", Dover" 680 Series: Hawthorne", Hartford", Burlington TM, Denali", Tacoma" The models listed above meet the following standards: • UL 1563 (5th Edition) — Electric Spas, Equipment Assemblies and Associated Equipment . Can /CSA -C22.2 No. 218.1 -M89 — Spas, Hot Tubs and Associated Equipment • Virginia Graeme Baker Act — Sections 1401 -1404 • ASME A112.19.8 -2007 - Suction Fittings for Use in Swimming Pools, Wading Pools, Spas, and Hot Tubs • ANSI Z124.7 -97 - Prefabricated Plastic Spa Shells / Uniform Swimming Pool, Spa and Hot Tub Code . ASTM F 1346 -91 - Standard Performance Specification for Safety Covers and Labeling Requirements for All Covers for Swimming Pools, Spas and Hot Tubs . California Energy Commission 2007 Appliance Efficiency Regulations. California Code of Regulations, Title 20, Sections 1601 -1608 • Products carry the following marks: ETL, USPC Laboratory Testing Performed at Sundance Spas, Inc. and by: Intertek Testing Services (ETL) 25791 Commercentre Dr. Lake Forest, CA 92630 IAPMO R &T 5001 East Philadelphia St. Ontario, CA 91761 Person Maintaining Records of Compliance: Tony Sadati Sundance Spas, Inc. 14525 Monte Vista Avenue Chino, CA 91709 800 - 883 -7727 www.sundancespas.com Updated 1 -11 -2011 5582 N.W. 71h STREET. SUITE 202 MINA FLORIDA 33128 TELEPHONE; (305)264-2660 FAX: (305) 284-0229 Non Jflitruttro ,lint. LAND SURVEYORS '/gfe SURVEY NO 60- . OF SHEET NO. L- c,, -'' Z',:'' i-, •i.;...:° ,.....__________ M,,-,,-, 9.-,0,,e,_, \,,,i,„, ..., ---- DATE ,1-,,EPROVED I 7nNINc, D n DEPT 1 BY -7 Scale 1n 0°. SUBJECT 10 STATE , 114'4,7, 0 /WA' k. 14) o/d "ce a:50 "ce /07 /8 ,'Ire /78 LO f° z.-k—ze-.A7 7.a49 ooa P:////4:4 pi -t4i 77 LA e.c. FO/ ..16/121. „oat. "IP0A001' 5582 N.W. 7th STREET, SUITE 202 MIAMI, FLORIDA 33128 TELEPHONE; (305) 264 -2660 FAX: (305) 264-0228 I‘Tuna turn uro Ant. .tr?" LAND SURVEYORS Scale 1 ° - SURVEY NO. 78,5 N sUE,JECT 1.0514(61,iANC . STATE AV e /4,7 ` /5',1L/1/( Uv'f1 ALL FEU ',L' soh. P�'9 %5Oc� 0.0 r� /D% /9 ,e4Uce" /78 ZOT /8 /e%cr.' /78 LOT fa 7 /P4/4(# 7� 'a �3 ,!fi cop -7- /,3/' ! FlocAy -, t� 2/ ,./-) /0/ ddi ' 14 4-