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BPP-12-200Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 169638 Permit Number: BPP -2 -12 -200 Scheduled Inspection Date: March 14, 2012 Inspector: Rodriguez, Jorge Owner: KING, JOHN Job Address: 1300 NE 103 Street Miami Shores, FL Project: <NONE> Contractor: ALL FLORIDA POOLS AND SPA CENTER Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: Repair Phone Number Parcel Number 1132050300010 Phone: 305 - 893 -4036 Building Department Comments RESURFACE EXISTING POOL Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 13, 2012 For Inspections please call: (305)762 -4949 Page 11 of 27 1111111 1111111111 11111 11111 11111 11111 1111 1111 NOTICE OF COMMENCEMENT A RECORDED COPY MUST RE POSTR-D ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. 12 -'200 TAX FOLIO NO. 1, - 3 a o 5 - 0173- 001c1 STATE OF FLORIDA COUNTY OF 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: CrF 201 2R01 1.23 a 9 RECORDED, 02,11A/701 i 4 :0 0 : 5 iARVEt Rif:`INS_ !•t -i h. F•. OF. f:nflK MIAMI-DADE COUNTY? FLORIDA LAST PAGE 1. �� descrip 'on of propefi f and street address: L'S�oeJ-,At. \ N� 2. De c ip1ionofimprovement 4Sortice_ EALOwo Sw4~40A Pot_ 3. Owner ks) name and address: 1` 1 �lvk ∎ o 33i3� • Interest in property: Kyt \z• .,J- Name and address of fee simple titleholder: 4..kk Contractor's name and address: N-L (Amer Toots ��'T Z) blxAYNS- !A 5. Surety: (Payment bond required by owner from contractor, if-aily)' Name and address: Amount of bond: $ 6. Lender's name and address: N u} 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., Floridia Statutes: Name and address: 8. In addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in Section 713. 13 (1) (b) 7., Florida Statutes. Name and address: N 9. Expira • n . . to of this Notice of Commencement (the expiration date is .1 year m the dat ' of recording unless a different date • Signature Prin Sw er's Name to and subscribed befor Notary Public Print Notary's Nance- My Commission Expir by: ..SoeL HEN dress: ‘ 1'iaro 16kuD iV uNont, Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 In _ t 4 INSPECTION'S PHONE NUMBER: (305) 762.4949 �; 1 (j P 1t 2-00 Permit No. UI DING PERMIT APPLICATION Fsc zo Permit Ty OWNER: Name (Fee Simple Titleholder): Address: /&o /V4. l ROOFING 2 Master Permit No. Phone #: City: V �C/� State:j Zip :°� ty: Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: l� plD ,A/-7• /Oa �Y 1 City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: /, 32-eD$ - O&O^ GAO /C) Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: <kCi�Q i 8a Phone #: 3 "` 36. Address: x�//72 0 ‘rea City: leibme 4/ State: Qualifier Name: •B(JC:, /64-41 Phone #: & Z d �J -466 Zip: ,.`/l'3 /6P/ State Certification or Registration #: Z0±' Certificate of Competency #: Contact Phone #: E ail Address: DESIGNER: Architect/Engineer: � Phone #: Value of Work for this Permit: $ 3� b 00 Square/Linear Footage of Work: Type of Work: ❑Additio ❑ eration UNew 4:1 eot�pair/Replace Description of Work: ❑Demolition ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *F es************* ** * * * * * ****** * * ** *** * **a* ** * *** _ Ov Submittal Fee $ Permit Fee $ /o CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ ►fine my maw 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 properly 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 `e approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this 3 day of , 20 Qom, by •'3 o g# ‘c`i who i personally known) me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Contractor The foregoing instrument was acknowledged before me this 3 day of 41. ,201a,by .pCcsa�.. who i ersona'liy knowno me or who has produced as identification and who did take an oath. NOTARY PUBLIICV rvn��ss_ saw S1gn * \� =7 * un 5 June 25, 2013 Print: My Commission Expires° eofc`° (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Clerk 1 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. B P P -2 -12 -200 Issue Date: Not Issued Expires:Not Issued Folio Number:1132050300010 Owner's Name: JOHN KING Job Address: 1300 103 Street Miami Shores, FL Owner's Phone: Total Square Feet: Total Job Valuation: 0 $ 3,600.00 Contractor(s) ALL FLORIDA POOLS AND SPA CENTER Phone 305 - 893 -4036 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Comments: Date Approved: 2/8/2012: Yes CATTON a that the. &teethed SKETCH OF ...,_!_ • S is true �am�j`, knowledge and belief. an surveyeCand pla a.; ; . Teai,1983. :w further' certify that. this :::._.. aical. Standards for Land. Surveying in they State..* 472, of: Florida Statutes. • Yt • s + ' ..i..a. et 3 t. m V a c.4.y; suvwM twit :4 fi*r y y P' :1