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BPP-12-1400Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 176405 Permit Number: BPP -7 -12 -1400 Scheduled Inspection Date: January 09, 2013 Inspector: Bruhn, Norman Owner: FRANKLIN, TRACY Job Address: 77 NE 100 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ALL FLORIDA POOLS AND SPA CENTER Permit Type: Pools/Whirlpools/Hot Tubs Inspection Type: Final Work Classification: Addition /Alteration Phone Number (917)826 -6492 Parcel Number 1132060131430 Phone: 305 - 893 -4036 Building Department Comments RESURFACE EXISTING POOL Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 08, 2013 For Inspections please call: (305)762 -4949 Page 6 of 40 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FM ST ST INSPECTION PERMIT NO. TAX FOLIO NO. 1 -7310.'013 ° I silo 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 gal description of property and street/address: ¥ 3�1bS �^w c 2. Description of improvement Jw%.n.nom Uq U Pao - 3. Owner(s) name and address: t �c a"� asFs -`®�A r"I °Y M @ too 44- r M t AM t S I/tore.9 X3/39 interest In property: Name and address of fee simple titleholder h- . tractor's name, address and phone number LO O, oo 'q a4:3 +fi iS Y v i I4M 4C47 3 1lI NoS 5 -401L 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: 041 �r 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(1Xa)7., Florida Statutes, Name, address and phone number. Ai ' A- oo n� , 1 111111 11111 11111 1111111111 1111111111 1111 1111 CFN 201280675379 OR Etk 28283 P9 0189P (1Ps) RECORDED 09/24/2012 12t53t14 HARVEY RUVIhli CLERK OF COURT MIAMI —DADE COUHTYP FLORIDA LAST PAGE Space above reserved for use of recording office M tA.�I 5�oreb 7 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Llenor's Notice as provided in Section 713.13(1)(h), Florida Statutes. Name, address and phone number rat 9. Expiration date of this Notice of Commencement m (the capitation date Is 1 year from the date of recording unless a different date Is specified r- 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 LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager Prepared By Prepared By Print Name Print Name Title/Office Title/Office STATE OF FLORIDA COUNTY OF MIAMI DADE Th �y ❑ e#ip g9 in apk�Qrkedged before me this a. day of . 1 J1 I� jJ�� �f for Individually or ❑ Personally known, or ttproduced the following type of Identification: Signature of Notary Public: Print Name: (SEAL) >`l` �'.j��w1517E�7f[ If1 rIti 10 ,. U Ili 0 E01 • - .� •.: -. • .,. Y . 11_._ Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in It are true, to the best of my knowledge and belief. Signatures' &ISi11'1iWi 'Isn�IAZIlr of • •- -) or Owneer(s)'s Authorized Officer/Director/Partner Manager who signed 123.01 -82 =, 9 9/10 � !� By 1/(2_11'2_ IA V. CUBILLOS o» A4etr'•y Notary Public - State of Florida My Comm. Expires Sep 23, 2015 04,.. Commission # EE 128810 a, of r�,.° Bonded Through National Notary Assn. w (-- li) Uivic 4 - 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 JILING yy Permit No. , L� �`"1 C_J� PERMIT APPLICATIO Master Permit No. JUL 2 ZT 62 ill/ Permit Type: (UILDING JOB ADDRESS: (1 N L l O®/) ROOFING City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: Zip: 33) bg OWNER: Name (Fee Simple Titleholder): Phone #: q 11 %dS= co-Ns Address: too AA City: (V t f ry \ Sitesr� State: Zip: Ib 131 Tenant/Lessee Name: will' Phone #: Email: CONTRACTOR: Company Name: PLL. Lea LAO A Po0t.- Phone #: )OSFS5 —l°N° Address: 1 Vtaa & (_ '11,\.JD City: O t A-Mt State: Zip: 5) 8 1 Qualifier Name: 1)PNLn C4> Phone #: State Certification or Registration #: Q. PC- oar •t "-SQ Certificate of Competency #: Contact Phone #: ri&o `- 4-U " —A01 Email Address: `3- Co ftcv e L._ '%...o a .ton •)crrn (--- Qa DESIGNER: Architect/Engineer: J' 1 A Phone #: ����gg Square/Linear Footage of Work: Value of Work for this Permit: $ � 1 l�l Type of Work: OAddition DAlteration DNew PSIRepair/Replace ODemolition Description of Work: 4 s,arTic % /0. JiL it, k¢,rt(N,e Color thru tile: 6 co Submittal Fee $ Permit Fee $ % CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ a� 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 1 Application is hereby made to obtain a permit to do the work and installations as indicated. I 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 El .ECTRIC WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC....i 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 ext{eeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochu%e will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencetrient 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 reincpeciion fee will be charged. Signature i Owner or Agent y� The foregoing instrument was acknowledged before me this / day of )j_ 20 f -by 1 t Ac.j . ( raNkhwl who is personally � to me or who has produced 0/0 (-f As identification and who did take an oath. NOTARY PUBLIC: Signature tor The foregoing instrument was knowledged before me this att day of 3A1 , 20 I L, by Dr ).406akf e - who inaily kno to me !or who has produced as identifi' u , n , `, who did take an oath. StO° ; NOTARY PUBLIC: 1 . Sign: Print: My Commission Expir **** ***,t****** * * ******* ********* ** * * * **** /(izoning Structural Review I Clerk (Revised 3/12/2012XRevised 07 /I0107XRevised 06/10/2009XRevised 3/15/09) ALL FLORIDA POOLS DAVID COHEN PRES 11720 BISCAYNE BLVD MIAMI FL 33181 DATE BA i K H NUMBS • ALLFL -2 OP ID: GJ ACORQE kool.. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/13/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 321- 397 -3870 Insurance By Ken Brown, Inc. PO Box 948117 321- 397 -3888 Maitland, FL 32794 -8117 David R. Griffiths CONTACT PHONE FAX (AIC, No. Ext): (A/C, No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Amerisure Ins Company 19488 INSURED All Florida Pool & Spa Center All Florida Distributors, Inc. 11720 Biscayne Boulevard Miami, FL 33181 -3110 INSURER a :Amerisure Mutual Ins. Co 23396 INSURER C : 07/15/13 INSURERD: $ 1,000,000 INSURER E : 100 000 $ , INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POUCY EFF (MM/DDIYYYY) POUCY EXP (MMIDD/YYYY) UMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABIUTY CPP203090007 07/15/12 07/15/13 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) 100 000 $ , CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POUCY UMIT APPLIESPER: PRCO -- pi LOC PRODUCTS - COMP/OP AGG $ 2,000,000 Emp Ben. $ 1,000,000 A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED NON -OWNED AUTOS CA20562980502 07/15/12 07/15/13 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ B X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE CU205629704 07/15/12 07/15/13 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 $ DED X RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPRROPRIETEREXRTNER/E EC�� (Mandatory In NH) If yes, desalbe under DESCRIPTION OF OPERATIONS below Y /N N/A WC205115704 12/31/11 12/31/12 X WC STATU- TORY LIMITS X OTH- ER E.L EACH ACCIDENT $ 500,000 E.L DISEASE - EA EMPLOYEE $ 500,000 E.L DISEASE - POLICY UMIT $ 500,000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space 1s required) Swimming pools - installation, service, or repair - below ground. CERTIFICATE HOLDER CANCELLATION MIAMISH Village of Miami Shores Building & Zoning Dept. Angie 10050 NE 2nd Avenue Miami Shores, FL 33138 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ACCORDANCE WINTHTHE POLICY PROVIS ONSE WILL BE DELIVERED IN AUTHORIZED REPRESENTATIVE I> �,,.; c7 e9 . qp.: }il, c7 ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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. BPP -7 -12 -1400 Issue Date: Not Issued Expires:Not Issued Folio Number:1132060131430 Owner's Name: TRACY FRANKLIN Job Address: 77 100 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: Total Job Valuation: (917)826 -6492 0 $ 4,000.00 Contractor(s) Phone ALL FLORIDA POOLS AND SPA CENTER 305 - 893 -4036 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Comments: Date Approved: 7/26/2012: Yes Miami Shores Village Building Department Permit No: 12- /1.-/.° 6 Job Name: 7/ d c }� Date: 3e, )'may a40 lz ELECTRIC Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 /(7-, J ( . > % ' r - e 9 A - p ' , G //E i ,e1z ir,z ,0 / ,L-' 4F itx,6► -T- 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. Review Complete by: Michael A. Devaney SR. Chief Electrical Inspector 11.53 0 I,ax ZCr) M Cr) 0 Ix I-- LO S, © CL. FD.1/2" Re—Bar 4' CHIKEN WIRE F. (POOR CONDITION) ? OC. BOG'( ;/M) 10.0' ASPH. PAV. FD.1 /2" Re —Bar 0.4'CL. 5'CH.L.F. lh EAST 1/2 LOT 19 BLK. 10 POOL of 14.3' 0.45'CL. 5'CH.L.F. -- x -- ` CV 14.73' ai 19.80' 21.1' a 19.05' c�i 12f 3' i PUMP Q 21.80' F.FL.EL. =12.74 �r± w N CG0 �a- F.FL.EL. =13.31 21.10' Quo' evv- t WEST 1/2 LOT 21 BLK. 10 FD.3 /4" I.P. 5.0' SIDEWALK 'i 00. 00'(R /M) BREVIA11ONS AIR PA • FD. FOUND I.P IRON PIPE P.C. POINT OF CURVATURE PKWY PARKWAY o A nannrnev 1 "u- T / ASPH. RETURN FD.1 /2" I.P. 24.0' PARKWAY ASPHALT PAVEMENT NE 100TH 75' TOTAL R/W SUBJECT TO COMPVANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS VAJZ4A-- 'Ck-Ze -7//,3*/ THOMAS J. KELLY . INC. frw 6 k 7-30-1q- The only chlorine generator with User - friendl y Controls Two LED Salt Level Indicators Choose from Three Models: IntelliChlor IC20 The economical choice for smaller pools up to 20,000 gallons Produces up to .70 pounds of chlorine every 24 hours Two -color Status Displays Five Sanitizer Output Levels with Two - button Control IntelliChlor IC40 The capacity to sanitize larger residential and smaller commercial pools up to 40,000 gallons Produces up to 1.40 pounds of chlorine every 24 hours IntelliChlor IC60 With extra capacity for pools up to 60,000 gallons • Produces up to 2.0 pounds of chlorine every 24 hours Simple, Safe, Automatic Monitoring chlorine production is easy with the IntelliChlor chlorine generator. It's the only one with all controls and displays built into the cell —and the only one providing so much helpful feedback to you. Just select from one of five sanitizing levels to easily manage chlorine addition. • Easy -to -view displays enable fast checking of salt levels, cell cleanliness, sanitizer output and water flow. • Adjustment is as easy as pressing two buttons. • All performance data production settings, hours of operation, chlorine output, cell cleaning cycles, salt readings and water temperature averages —are captured daily, making it easy to maintain perfect water. • Exclusive cell use tracking feature communicates remaining hours of cell life in real -time. • Integrated sensors in the generator cell ensure that water flow is adequate for safe chlorine generation; under low water temperature conditions, automatic shut- offfeature protects the unit and prolongs cell life. • One -year warranty. See warranty for complete details. NOTE: Standalone installations require a power center (PN 520556). Reliability is Built In The IntelliChlor chlorine generator is engineered to stand up to the toughest pool conditions and provide years of dependable performance. • Titanium electrode cell blades are coated with Ruthenium oxide. • Control electronics are isolated in the cell, away from high heat components, for longer cell life. • Totally waterproofed electronics for maximum reliability. • Rugged, dependable power supply /transformer is UL Approved and includes 15' of UL Approved cable with easy installation via quick connector on power supply. • Union inlet and outlet connections make cell replacement fast and easy. Engineered for Safety The IntelliChlor chlorine generator meets important standards for safety. • The power supply cell and electronics meet the requirements of the UL 1081 Standard —the industry standard for pool chlorine generators. • The power supply itself is UL Approved with flammability rating UL 94VO. IntelliChlor®Chlorine Generator is the "Greenest" Choice EcoM Select Efficiency • Conservation Pentair Water Pool and Spa® An Eco Select- Brand Product Using only natural table salt, the IntelliChlor® chlorine generator creates pure chlorine in your pool and eliminates the need to buy, store and add harsh chlorine products manually. In effect, fewer resources are used in the production, packaging, and transportation of these chemical compounds.That's why IntelliChlor is an Eco Select' brand product. The Eco Select brand identifies our "greenest" and most efficient equipment choices.These products save energy, conserve water, eliminate noise, or otherwise contribute to a more environmentally responsible equipment system. As the global leader in pool and spa equipment manufacturing, we strive to provide greener choices to our customers.We hope you'll join us in embracing more eco- friendly poolscapes by choosing Eco Select products for your swimming pool. Production and transportation energy and waste are reduced • Less chlorine needs to be produced at chemical processing plants for use in swimming pools and spas. This reduces emissions and energy use from production, packaging and transportation. Provides effective sanitization performance without the drawbacks of expensive chlorine compounds • You no longer need to buy, transport, store or andle chlorine products. This reduces the chance of spills or accidental xposure and eliminates cost. • Because the chlorine is pure, the odor, stinging by additives in packaged chlorine are eliminate yes and irritated skin caused Engineered to stand up to the toughest pool conditions and provide years of dependable service • Control electronics are isolated in the cell for longer cell life. • Waterproof electronics for maximum reliability. Available from: Pentair Water Pool and Spa® Pentair Pool Products® Sta -Rite® 800.831.7133 www.pentairpool.com 800.831.7133 www.staritepool.com pumps / filters / heaters / heat pumps / automation / lighting / cleaners / sanitizers / water features / maintenance products 1 1 /09 Part #P2-101 ©2009 PentairWater Pool and Spa, Inc. All rights reserved. PERFECTEMP Deluxe MODEL VI Titanium with Digital Control PRODUCT SHEET MODEL PTST2 -6E Heat Output 80 Air, 80 Water, 80% Humidity Heat Exchanger C.O.P. Compressor Voltage Available in 3 Phase Minimum Circuit Ampacity Recommended Breaker Size Maximum Breaker Size Electrical Input (kw) Water Flow (gpm) Cabinet Base Internal Bypass Control System External Controls Actuator Control Manufactured by: Pool Fact Industries One Oakwood Blvd. Hollywood, FI. 33081 112,000 Btu/hr Controlled Flow TITANIUM 6.4 Scroll. 60 Cycle 220 -240 /Single Phase 60 hz for Commercial use 36.5 60 60 5.86 15 -60 High Quality Galvanized Steel Powder Coated 2 Ports with 2" Unions Yes Push Button Digital Direct Set +/- 1 degree Compatible with All Types Yes REV 4/2008 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 1319e- i21400 Inspection Number: INSP- 177892 Permit Number: PL -8 -12 -1614 Scheduled Inspection Date: November 28, 2012 Inspector: Hernandez, Rafael Owner: FRANKLIN, TRACY Job Address: 77 NE 100 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ALL FLORIDA POOLS AND SPA CENTER Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (917)826 -6492 Parcel Number 1132060131430 Phone: 305 - 893 -4036 Building Department Comments SMALL HEAT PUMP INSTALLATION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comme t November 27, 2012 For Inspections please call: (305)762 -4949 Page 10 of 32 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 Permit Type: PLUMBING �-- JOB ADDRESS: City: Folio/Parcel #: 11 Nit tot n�- Miami hores County: FBC2O Permit No. Master Permit No. Miami Dade zip: 3S 8, Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 1`1 eNs0 Phone#: Address: 11 ill NC- 1 O C Ai- City: M \a ore%) State: zip: 3.) 135 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: A-v. ®� D o o� Phone #: Address: A 1,129 /13)( 61A-0 �V City: M. t Peel State: F l . Zip: Qualifier Name: D 4%1'0 e 146 N Phone #: State Certification or Registration #: QPc.. 0 a `( S-D Certificate of Competency #: Contact Phone#: '3C,.-C1 5 4 bk., Email Address: DESIGNER: Architect//ngineer: Phone#: Value of Work for this permit: $ Square/Linear Footage of Work: Type of Work: DAddrsss DAlteration ` Description of Work: /VZ--( .moo DN DRepair/Replace. ODemolition *** *** ****** * * * ** * ** : *** * * **** * * * *:x*** Fees* ******* * * * * ** ***** * * **** * * **** ** *mix *mix * * *** Submittal Fee $ Scanning Fee $ Notary $ Double Fee $ Permit Fee $ ®� CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Technology Fee $ Structural Review $ 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 thc 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. Owner or Agent The foregoing instrument was acknowledged before me this day of G— , 20C by who is personally known to me or who has producedPL ON- 61.6"-- As identification and who did take an oath. NOTARY PUBLIC: Signature Contractor The fore oing instrument was acknowledged before me this a day of , 201) , by D.4-40 who is personally known to me or who has produced as identification and who did take an oath. LIC: * * * * * * * * * * * * *****: *** ******** ** * * **** ** ******** * * * * * *** * * * * * * ***** *** * * **** *** * * ** ** ****** * * * * ****** * *** ** G APPROVED BY ! iI ' ?c ° f Z Plans Examiner Structural Review (Revised3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Zoning Clerk M lami Shores Village Building Department Permit No: 12- P.--/e) 6 Job Name: 772 /} c Date: 34, j—uLY zeo /z ELECTRIC Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 p C?3 :. -4 J? , - ' /c /z, k .� 1s i oA 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. Review Complete by: Michael A. Devaney SR. Chief Electrical Inspector 9 IntelliChlor }c -, pier Center 110 VAC and 220 VAC Transformer Wiring 11L 5C 20-0 PUMP TIMER t iE 1 INC 2 GROUND 110VINIBINe POWER CENTER 1.0 LO GROU 10V POOL PUMP YELLOW BLACK •- SUE or VIOLET WHITE 115 VAC Basic System Wiring Circuf: P 240 50. LiNE 1 20 -Ar. L P ;NE 2 AGROUND OOL PUMP T1 _R LOA LOAD GROUND 22t1V POOL PUMP ;• ■ BLUE car VIOLET f BLACK WHITE 22,4V ,WIRING, P€ WER CENTER YELLO 230 VAC Basic System Wiring IntelliChlor Pow,' ''enter Installation Guide PERFECTEMP Deluxe MODEL VI Titanium with Digital Control PRODUCT SHEET MODEL PTST2-6E Heat Output 80 Air, 80 Water, 80% H Heat Exchanger C.O.P. Compressor Voltage Available in 3 Phase Minimum Circuit Ampacity Recommended Breaker Size Maximum Breaker Size Electrical Input (kw) Water Flow (gpm) Cabinet Base Internal Bypass Control System External Controls Actuator Control Manufactured by: Pool Fact Industries One Oakwood Blvd. Hoflywood. Fl. 33081 112,000 Btu/hr Controlled Flow TITANIUM 6.4 Stroll 60 Cycle 220-240 /Single Phase 60 hz for Commercial use 36.5 60 60 5.86 15-60 High Quality Galvanized Steel Powder Coated 2 Ports with 2" Unions Yes Push Button Digital Direct Set +1- 1 degree Compatible with All Types Yes REV 4/2008 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 JUL 2 u tZi 2 B Y: FBC 20 Permit No..' �` C_ 00 Master Permit No. 6 Permit Tyu, I 1,1 C'4 .► JOB ADDRESS: 16-1 100 ta" City: Miami Shores County: Miami Dade Zip: ''' I S Folio/Parcel #: t \ 3 0 'S ° I `{ Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Phone #: is ac° (°�`� Address: 'l I N too City: 'W l Ann r S re State: Zip: 3b) Y 7 Tenant/Lessee Name: NI p Phone #: Email: CONTRACTOR: Company Name: u- s't,0 M� Address: a)�1 °`7 3o &)%c.,. OJJ0 City: tv `1 A". State: Zip: 33I l Qualifier Name: ►•4 C t9-%/ State Certification or Registration #: C 0 D,(4 S, Certificate of Col petency #: t}4 Email Address: S C5» J @ Mw Zc[10 A AD 06 • C 1 Phone#: 305 ! ^ `f am o Phone #: Contact Phone #: Cio DESIGNER: Architect/Engineer: Phone #: a. Value of Work for this Permit: $ 7tA00 Square/Linear Footage of Work: Type of Work: ❑Address OAlteration O `New . epair/Replacee+ ODemolition Description of Work: 1� � ®� AAes ' SPn-' C�1or�.ra. ( .per. ********* * * * * * * * * * * * * * * * * * * * ******* **** Fees * * * ******* * ***** :m:s*** *x:**** *** * * ** * *** * * *** Submittal Fee $ Permit Fee $ /01° CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ 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 c that no work or installation has commenced prior to the issuance of a permit and that all work will be perfo to meet the standards of all laws regulating construction in this jurisdiction. I understand that a or CTRIC WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEE. u 9 `, r ETC.... , OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work vtpill 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 brochufe 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 reinspeciion fee will be charged. The foregoing instrument was acknowledged before me this day of \ , 20 I 2-by 1 r Ac.1 Sr AN ckk ..r who is personally known to me or who has produced L ® f 1 L_L As identification and who did take an oath. NOTARY PUBLIC: * * *** ******** * * ***d i i X A* APPROVED BY Signature i Cdntractor The foregoing instrument was acknowledged before me this) day of SJti , 20 I L, by i)Avrp CO who Wersonady know to me !or who has produced as identification and wbo did take an oath. , :...._, 0 7 NOTARY PUS ,9 y,• COth e23 EXRESJun 5 1 -2c -r Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012XRevised 07 /10/07XRevised 06/10/2009XRevised 3/15/09)