PL-05-1035PERMIT # 7:::1_,C)___ -. 1
CONTRACTOR: (3L-- v�qr-- -72 p L,S
SUBMITTAL DATE: 1 �.L 1 , 2.CXD5
PROJECT TYPE: 5t j I M M 1(I E., Y'c (.1--
V!).`I8Ie5'5
.pp. j 455 -i--3s
ZONING
FIRE
`I1' 4 m A'3 /c
STRUCTURAL
IMPACT FEES
I'
ELE RICAL 1 ��
HRS/DERM
�
NOC
MECHANICAL
l )/)'9 b 7
BLDG
ADDENDUM TO BUILDING PERMIT APPLICATION
•
AN ALPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
TEM
;ATH TLB
UNIT
FEE
ITE1d
SWITCH CUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
IIDET
LIGHT OUTLETS
CENTRAL HEATING
)ISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
JRINKING FOUNTAIN
SERVICE SIZE IN AhPS
DIET WORK
:LOIN DRAIN
SERVICE REPAIR /METER CHANGE
REFRIGERATION
3REASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPIIC
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
OVEN
ABOVE GROUND TANKS
_AVATORY
TRAY
WATER HEATER
U.F. PRESSURE VESSELS
_AUNDRY
2LOTHES WASHER
MOTORS 0— 1 FP
STEAM BOILERS
S-DER
MOTORS OVER 1— 3 If
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3— 5 FP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5— 8 HP
TRANSPORTING ASSEM3LIES
SINK, SLOP
MOTORS OVER 8— 10 FP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10— 25 HP
F IRE SPRINKLER SYSTEMS
UR INAL
MOTORS OVER 25-100 If
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 FP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REI.NSP,ECTJON
WATER SUPPLY TO:
■
AIR CCIDITIONERS
A/C UNIT
—
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
I
'HEATER —NEW INST.
GENERATORS - TRANSFORMERS
I
HEATER — REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER —WELL
SPECIAL PURPOSE
SW IRA ING POOL
OUTLETS COA ERCIAL
WATER SERV ICE
SIGN TUBES
SEWER CONNECTIONS
.•SIGN
TRANSFORMERS
UTILITY —SEWER
SIGN TIME CLOCK
UT l L I TY —WATER
F I XTIJRES
SEPTIC TANK
ANTE MA
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4- TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
RE INSPECT ION
SOAKAGE PIT CU. FT.
CATCH BASIN
—
-
DISCHARGE WELL
DOMESTIC WELL
AREA DNA I N
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEW'
GAS RANGE
I
I
METER SET (GAS)
k
I
GA: PIPIh_
I
j I
RESTRICTIVE COVENANTS
PROTECTIVE POOL ENCLOSURE
PREPARED BY: PIO. h f •
DECLARATION OF RESTRICTIVE COVENANT
KNOW ALL MEN BY THESE PRESENTS:
undersigned f 14 hit/AR('
situ�at nd bein in the VI a e tin ���
Lot t,%� ` BI i�rf% of Z,w uJ.L
s� ��rc "� un+u oa
A.K.A. (address) / i%� Z'
according to the plat thereof, as recorded in Plat Book )4 Page jlf of the Public Records of Dade County,
Florida, and Ni 6
• Whereas, the undersigned owner (s) ‘Gitst1L Y1A-02, desire to ntiilzeie said Lot (s) as .
a single building site, and the undersigned owner (s) do (es) hereby declare and agree as follows:
1. That the property will not be used in violation of any ordinances of the Village or Dade
County now In effect or hereinafter enacted.
WHEREAS, the
are the fee simple owner (s) of the following described property
2. That the purpose of this covenant-is to induce the Village , *.o isle a permit for a pool
where the required enclosure is not on the subject property where the pool is located. •
a That if any of our adjoining neighbors remove any portion of their fence . or wall, or flour/my
property shall fall.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. •
4. That, we, as owners, hold the Village harmless for any negligence or injury that
results from not having the enclosure
FURTHER, the undersigned decaare(s) that this covenant is intended and• shall constitute a restrictive
covenant concerning the nse,.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 the
• Village , or its successors, in accordance of said Village then in effect.
IN WITNESS WHEREOF, the undersigned has/have caused
affixed hereto on this 77 day of ,(iC '
WITNESSES)
.a Crean
hand (s) and seal(s) to be
g%1OYf`
gnature and Print Signature and Print
STATE OF FLORIDA ):
COUNTY OF DATE ): �p�►
I HEREBY CERTIFY that on this day personally appeared before me7 G (1/61/ oc who Is gerso, nall�
to me or has produced (type of identification) as identification and Vein acknowledge
that jlshe executed the foregoing, freely and voluntarily, for purposes there in expressed. • .
SWORN TO AND SUBSCRIBED before me on this AT day of d/62/, AOC---"
MY commission expires:
vu. /14Dte4Tillacr
BUILDING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES. FLORIDA 33138 -2382
TELEPHONE (305) 795 -2204
FAX (3051 759 -6972
NOTICE OF REQUIREMENTS
RESIDENTIAL SWIMMING POOL,
SPA AND HOT TUB SAFTY ACT
I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or
nstalled atji%b ����' &3+ami Shores,. Fl., and hereby affirm that one of
he following methods will be used to meet the requirements of Chapter 515, Florida
Statutes.
:please initial the method(s) to be used)
The pool will be isolated from access from the home by an enclosure
that meets the pool barrier requirments of Florida Statute 515.29;
The pool will be equipped with an approved safty cover that
complies with ASTM F1346 -91;
All doors and windows providing direct access from the home to the
pool will be equiped with an exit alarm that has a minimum sound
pressure rating of 85 decibels at 10 feet;
All doors providing direct access from the home to the pool will be
equipped with self - closing, self - latching devices with'release
mechanisms placed no lower than 54" above the floor or deck;
I understand that not having one of the above installed at the time of final inspection, or
when pool is completed for contract purposes, will constitute a violation of Chapter 515,
F.S. and will be considered as committing a misdemeanor of the second degree, punishable
by fines up to $500 and /or up to 60 days in jail as established in Chapter 775, F.S.
CONTRACTOR'S SIGNATURE & DATE
'S SIGNATURE & DATE,
V&A) AktAler
OWNER'S ( PLEASE PRIM' )
Car stew
psi
$ 2O
BUILDING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES. FLORIDA 33138 -2382
TELEPHONE (305) 795 -2204
FAX 13051 736 -8972
NOTICE OF REQUIREMENTS
RESIDENTIAL SWIMMING POOL,
SPA AND HOT TUB SAFTY ACT -
I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or
nstalled at , C.--insA-Ce,atalciarai Shores,, Fl., and hereby affirm that one of
he following methods will be used to meet the requirements of Chapter 515, Florida
Statutes.
:please initial the method(s) to be used)
The pool will be isolated from access from the home by an enclosure
that meets the pool barrier requirments of Florida Statute 515.29;
The pool will be equipped with an approved safty cover that
complies with ASTM F1346 -91;
All doors and windows providing direct access from the home to the
pool will be equiped with an exit alarm that has a minimum sound
pressure rating of 85 decibels at 10 feet;
All doors providing direct access from the home to the pool will be
equipped with self - closing, self - latching devices with-release
mechanisms placed no lower than 54" above the floor or deck;
I understand that not having one of the above installed at the time of final inspection, or
when pool is completed for contract purposes, will constitute a violation of Chapter 515,
F.S. and will be considered as committing a misdemeanor of the second degree, punishable
by fines up to $500 and /or up to 60 days in jail as established in Chapter 775, F.S.
CONTRACTOR'S SIGNATURE & DATE
CONTRACTOR'S NAME (PLEASE PRINT) .
NOTARY PUBLIC
be1 Vargas
®�. Cue�r DD23I9;
.J�tP l302�1,�
F'f 'ded
A )lannc f�nndinp_ Cn. _ - +nc
SWIMMING POOL OWNER'S CERTIFICATION
Date qb-W0S-
Miami Shores Village
Building and Zoning Department
Attention: Building Official
I certify that I am the legal owner of the property described as
, located at
Skorei
In accordance with Section 33 -12(0, 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 a separate permit has been obtained for an approved 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 an approved barrier prior to final inspection and use of the pool.
Note: This certification is to be submitted with a swimming pool permit application in duplicate.
ZONING CRITIQUE SHEET
PERMIT #
JOB ADDRESS: / cy
APPLICANT:
514 / T
APPLICATION:
�o /
GP
DATE ,
i -J iA Pc\ e P P- It ®k.)
FEN(:ES, WALLS, HEDGES
INSTALLED ON ALLEY MUST
ALLOW 40 SO. FT. F®R
d #0,19 A;