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BPP-13-587Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 188030 Permit Number: BPP -3 -13 -587 Scheduled Inspection Date: May 31, 2013 Inspector: Rodriguez, Jorge Owner: CHEVALIER, CHRISTOPHER Job Address: 89 NE 105 Street Miami Shores, FL 33138- Project: <NONE> Contractor: G.E POOLS CONSTRUCTION INC Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: Repair Phone Number Parcel Number 1121360060160 Phone: (786)3554382 Building Department Comments RESURFACE SWIMMING POOL, REPLACE POOL COPING, WATER LINE AND REPLACE EXISTING DECK TILES Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 31, 2013 For Inspections please call: (305)762 -4949 Page 3 of 16 4/1/2013 11.£7 AM rnOM. r'nn TAUL TOTnEmo INOUTANCI] AOrNc, TO. 005 70G 0072 rnor. 001 Or 001 .'- ° CERTIFICATE OF LIABILITY BILITY INSURANCE DATE 0401/13 Y) PRODUCER Torrens Insurance Agency 3905 S.W. 110 Avenue Miami, FL 33165 Phone (305)5534087 Fax (305)5535897 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INBURERC AFFORDING COVERAGE NAIL // INSURED G.E.Pools Construction Inc 4220 SW 97 PI Miami, FL 33165- 1305 INSURER A: COLONY INSURANCE CO A INSURER B: GENERAL LIABILITY 1n COMMERCIAL GENERAL LIABILITY INSURER C: 11/07/2012 INSURER D EACH OCCURRENCE INSURER E: DAMAGE TO RENTED PREMISES (Ea occurrence) COVERAGES THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INUICA I EU. NU I VVI II-IS I ANUINt3 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MMIDD/YYW) LIMITS A ❑ GENERAL LIABILITY 1n COMMERCIAL GENERAL LIABILITY GL3573986 11/07/2012 11/07/2013 EACH OCCURRENCE 1000000 DAMAGE TO RENTED PREMISES (Ea occurrence) 50,000 • • CLAIMS MADE MI OCCUR MED EXP (Any ono poroon) 5,000 ❑ PCrtOONAL*AADV IPJJUnrY 1,000 000 • GENERAL AGGREGATE 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 1 POLICY 1 PROJECT IN LOC PRODUCTS - COMP/OP AGG 1,000,000 AUT4M4DILC LIABILITY ❑ ANY AU 1 V Ili ALL OWNED AUTOS N/A OOMDINCD CINOLC LIMIT (Ca nooidont) BODILY INJURY (Per person) I■ III SCHEDULED AUTOS II HIRED AUTOS BODILY INJURY (Per accident) NON OWNED AUTOS ■ PROPERTY DAMAGE (Per accident) R GARAGE LIABILITY N/A AUTO ONLY EA ACCIDENT ANY AUTO OTHER EA ACC 1 THAN AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY 1 OCCUR 1 CLAIMS MADE N/A EACH OCCURRENCE AGGREGATE ■ ❑ DEDUCTIBLE WORKERS 1 RETENTION $ COMPENSATION AND EMPLOYERS' LIABILITY YM ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? (Mandatory In NH) yes, under SPECIAL PROVISIONS below N/A WC_$TATU OTH TORY LIMITS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT OTHER N/A DESCRIPTION OF OPERATIONS/LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS (`FRTICIAATC Yni nee MIAMI SHORES VILLAGE 10050 NE 2ND AVE MIAMI SHORES, FL 33138 FAX# 305-756-8972 ACORD 25 (2nn9 /n1 nF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THC LCrT, OUT rAILUItC TO DO SO SHALL IMWOSC NO ODLIOATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE RAUL TORRENS SIGNATURE ON FILE ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • '► PERMIT # CONTRACTOR: I SUBMITTAL DATE: ADDRESS: NAME: c 1\1 105s1- 4i4d 4ick' RESUBMITAL DATES: STRUCTURAL IMPACT FEES ELECTRICAL HRSIDERM MECHANICAL NOC Miami Shores Village ���� ig g M 2 6 2013 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY. Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: 89 N E 105 St ,FBC20 Permit No. �✓i e Master Permit No. ROOFING City: Miami Shores County: Miami Dade Zip: 3 3/ 3 t Folio/Parcel #: Is the Building Historically Designated: Yes NO ✓ Flood Zone: OWNER: Name (Fee Simple Titleholder): F L Jr, -ct- Phone #: Address: 31 N £ 10 5 City: in t varm1 S h ov' e S State: FL Zip: 3 3/ 3 t Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: G. L , Pea Ls 1.� �1 $ {U C� 00'1 �]. �. Phone #: ' /%335 33 f02 . Address: 442-2.0 (AJ 9.7 PL City: n) t ern At State: Zip: 331 65 Qualifier Name: W olleyu 10 PS q U NNl P L Phone #: 78'70355-33 e2-• State Certification or Registration #: Certificate of Competency #: Contact Phone #: 355- - 3 Email Address: G r Poo LS J,4-1,00 • c cj �--� , DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ .' 00 •0® 0 Square/Linear Footage of Work: 1-1 0 8 J q g te Type of Work: ❑Addition °Alteration °New J Repair/Replace °Demolition Description of Work: R C S U r F 4-C L S p o d L j R EPLA 10001.- Cc ? u\i5 1 A=ASa Yep /Ace Girt .. /\15 sleek i-i L's Color thru tile: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /, ©inic. CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ /A' SO 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 abs- e of such posted notice, the inspection will not be approved and a reinspection fee will be charged. /, Signature 9 441 -4-.41<— ,...f.:5- .. �� Owner or Agent I Co tractor The foregoing instrument was acknowledged before me this Z I The foregoing instrument was acknowledged before me this Zi day of Wilrc LA , 20 C3, by l2flFR& AN 43642)E- , day of m ater k , 20 13 , by Gv; rtf am (sQu i V eL, who ispersonally known to me or who has produced who is personally known to me or who has produced and who did take an oath. as identificati o did take an oath. Signature NOT UB IIC: NOTARY P .1: IC: Print: / $M / /_=t 19LM/9 t0� My Commission Expired' . R • r osvatliclitti sex* lit APPROVED BY Plans Examiner Structural Review Sign: Print: My Commission Exg io,o (Revised 5 /2 /2012XRevised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007) * DAM. ALMAZAN COMMON # EE 865490 LOIRES: hp!i 2 2017 #4 - '-• or Ban1Ti¢u Body, Woes (3 Zoning Clerk 650425 -3 THIS IS NOT A BILL - DO NOT PAY RENEWAL Bur rAffiLr UCTION INC 4220 SW 97 PL 33165 UNIN DADE COUNTY OWE POOLS CONSTRUCTION INC FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 677447 -6 CC BREWite1319 WORKER /S "OleSiiterAtTY BUILDING CONTRACTOR 1 THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR cmES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REOUIREO BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S OUALIFICA- TIONS. PAYMENT RECEIVED MIAMI -DARE COUNTY TAX CouECT1)8 /14/2012 02280001001 000075.00 SEE OTHER SIDE DO NOT FORWARD G E POOLS CONSTRUCTION INC GUILLERMO ESQUIVEL PRES 4220 SW 97 PL MIAMI FL 33165 1M, Ii,,, ii,,,,i 1, ti,,, i, i„ i, 1,,,,ti „III,i,i,,,l,ttl,,,I,14R THIS ISNOTABILL- DONOTPAY RECEIPT NO. 30- 6774476 CC NO: 06BS01319 BUSINESS NAME / LOCATION 6 E POOLS CONSTRUCTION INC 4220 SW 97 PL OWNER :G E POOLS CONSTRUCTION INC SEE BACK OF RECEIPT FOR A LIST OF NON-PARTICIPATING MUNICIPALITIES Receipt holder must register in the city where work is to be done. PAYMENT RECOIVEO °MV#ADE O/X 1 2 02280001002 000200.00 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 RECEIPT HOLDER MAY 00 BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. SPECIALTY BUILDING CONTRACTOR DO NOT FORWARD G E POOLS CONSTRUCTION INC GUILLERMO ESQUIVEL PRES 4220 SW 97 PL MIAMI FL 33165 11111 1, 1„ STATEOFFIDRIDA AC# 568248? DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION RP252555075 08/15/11 118019213 REG COMMERICAL POOL/SPA CONTR ESQUIVEL, GUILLERMO SR G E POOLS CONSTRUCTION INC (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) HAS REGISTERED under the provisions of Ch.489 Expiration date: AUG 31 , 2013 L11081500956 CTQB Construction Trades Qualifying Board .BUSINESS CERTIFICATE OF COMPETENCY 06BS01319 'GE POOLS CONSTRUCTION INC D.B.A.: ESQUVEW GUILLERMO SR is certified under the provisions of Chapter 10 of Miami-Dade County #71 r:57 E214,'" GAM: QUALIFYING TRADE(S) 0036 PANTNG & VVATERPRFG 0055 SWIMMING POOL. S,rn!ary o,11, ESTRICIIft•INS, tIA.CotteeEsse Lessos ENDORSE:MEWS CLASS, E Asy PooeLoonotocta yet:HS, V.1Wi 8 LIVIASS EA, Els: ICES-CI ot any FIV REF LACENIAtiT LLCENSE REQLARED WITHIN ICI DAYS CI' ADLIRESS NAME CHANCE sv,te or Slorolo reLstos ,,t! property ;Woe tots," ost HEHAA ks.EHIHEE ',tweet-Mire yeos V-, 44,444, 4 ,44,4144 JEFF ATWATER CHIEF FINANCIAL OFFICER bby britowtrtbsa terxiasd by Jab STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION 08-22-2011 * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 08/22/2011 EXPIRATION DATE: 08/21/2013 PERSON: ESQUIVEL GUILLERMO FEIN: 264257051 BUSINESS NAME AND ADDRESS: G E POOLS CONSTRUCTION INC 4220 SW 97TH PLACE MIAMI FL 33165 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED POOL CONTRACTOR * * SOVIV 6 20 1 FND PIPE 1/2" NO ID ON LOT 15 BLOCK 202 WOOD POLE 10' ASPHALT PAVEMENT / 15' ALLEY - FND PIPE 1 I 4' C.L.F. (TYP)14 0' x' 60' O.U.L. 0 1 18.30' 10.30' 20.3' eC cri FND PIPE 1 NO ID CONC. 36.70' TWO STORY C.B.S. RES. N° 89 3 x4' 10.30' 31.50' • 12.20'ardel w 11.40' k1 33.9' 75.28'(R) 75.30 (M PIPE 1/2" NO ID 24.5' PARKWAY NMI 16.0' ASPHALT PAVEMENT 105th STREET PSI )4001;6 cecf(GiCK) e)(IS w1N` Co x\ vtrt R= 25.00' A=90'23'19" A=39.44' CH= 35.48' THOMAS J. KELLY, INC. L.B. #6486 SURVEYORS - MAPPERS -LAND PLANNERS 8125 SW 120 STREET PINECREST, FLORIDA 33156 (786) 242 -7692 DADE (954) 779 -3288 BRWD (786) 242 -6494 DADE FAX (954) 779 -3260 BRWD FAX DATE,Ft WORK /0/0-1/Z-2,9- SCALE 1„ ` , i SURVEY NO. y� 1 0 3.- 5� v.1.:1 SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COON Y RULES AND REOUI ATIONS y -I Miami Shores M ag LRII OS tia, it "I ,... .., „a ,a_ APP 1OVED ONHT!G DEPT eC cri FND PIPE 1 NO ID CONC. 36.70' TWO STORY C.B.S. RES. N° 89 3 x4' 10.30' 31.50' • 12.20'ardel w 11.40' k1 33.9' 75.28'(R) 75.30 (M PIPE 1/2" NO ID 24.5' PARKWAY NMI 16.0' ASPHALT PAVEMENT 105th STREET PSI )4001;6 cecf(GiCK) e)(IS w1N` Co x\ vtrt R= 25.00' A=90'23'19" A=39.44' CH= 35.48' THOMAS J. KELLY, INC. L.B. #6486 SURVEYORS - MAPPERS -LAND PLANNERS 8125 SW 120 STREET PINECREST, FLORIDA 33156 (786) 242 -7692 DADE (954) 779 -3288 BRWD (786) 242 -6494 DADE FAX (954) 779 -3260 BRWD FAX DATE,Ft WORK /0/0-1/Z-2,9- SCALE 1„ ` , i SURVEY NO. y� 1 0 3.- 5� LEOENC OF SURVEY ABBREVIATIONS A ARC DISTANCE C CALCULATED CLCLEAR AK:.... AIR CONDITIONING C.9 CATCH BASIN C/L ....CENTER UNE ENC ... ENCROACHMENT P.0 POINT OF CURVATURE PIP .... FOUND IRON PIPE P.0.BPOINT OF BEGINNING O.H.... OVER HANG P.8.... PLAT BOOK W.M.... WATER METER M MEASURED PIL ...PROPERTY UNE CONC .. CONCRETE UP , , . UTILITY POLE P.D FOUND CBS ... CONCRETE BLOCK STRUCTURE O.U.L ...OVERHEAD UTILITY UNE P.C.C... POINT OF COMPOUND CURVE P.O.C.. , POINT OF COMMENCEMENT BLDG .. BUILDING C.H CHORD DISTANCE D.EDRAINAGE EASEMENT F.H R FIRE HYDRANT RADIUS CERTIFY TO: Chevalier, Christopher Francis Blissett, P.A Attorneys' Title Insurance Fund, Inc. Bank Of America, Its Successors And /Or Assigns LEGAL DESCRIPTION: Lot: I(4, Block: 202 Subdivision: bunnings Miami Shores, Ext. No. 2 According to the Plat thereof as recorded in Plat Book: 41 Page: 78 Public Records of MIAMI -DADE County, Florida. ADDRESS: 89 NE 105TH STREET MIAMI SHORES, FLORIDA 33138 Encroachments Noted: OG(14e. LOCATION SKETCH SCALE: tit Ts N.E. 106th NOVD ... NATIONAL GEODETIC VERTICAL DATUM PRC ... POINT OF REVERSE CURVATURE RAD ... RADIAL. RAS ...RIGHT OF WAY SEC ... SECTION SCR... SCREENED S.I.P.....BET IRON PIPE BWK ...SIDEWALK U,E .... UTILITY EASEMENT CHLF CHAIN LINK FENCE STREET Sheet 1 of 7. FLOOD ZONE: X i_THIS IS A FLOOD )1 AZARD ZONE THIS I5 NOT A FLOOD HAZARD ZONE PANEL NO.:. 93/3 COMMUNITY #: 120652 DATE OF FIRM: 07/17/1995 BASE FLOOD: N/A FINISH FLOOR: N/A LOWEST N/A ADJ GRADE NOTES. A) AB Clemrnw ond/ar escrow msms shown Mason ar of appoint nature. Fence awnerehi, by weal meats. Lapel awlwshlp of fames net determined. B) TMs survey Is Intended for mortgeys or refinance purposes only axehwMy for this use by those to wham It is cartlfied. Ws survey Is not to be used for construction, porn ltti g, design, or any other use without written con- sent of Thomas 7. Kelly, its. C) Code restriction and title search ors net reflected on this survey, D) The food information shawl hereon dose net imply that the refersoad properly win or will not be fres from floodhy or damage and dew net create liability on the port of the firm, any officer or employee "hermit for any damage that results from renews on said Information. E) The lands depleted hewn were survsyid per tea legal deseriptie n and no slam as to ownership or anthers of title are mob sr broad. P) Undseground 6wrooahnaMn, If any, net located. I hereby certify that the surely rpr sot.d homes meats Hie minimum tecMdoal stan- dards wit forth by the Beard 0 Land its chapter 61817 -6 Florida Admbh$rt*.B Ceps Section 4 2.027 Flo. Statutes. JO A PERE ° , ' . . & M. #4858 NOT VALID FLORIDA UN VALID WITH AN EMBOSSED SURVEYORS'S SEAL NOTES. 1 IF SHOWN, BEARING. ARE TO AN ASSUMED MERIDIAN (BY PLAT). 2. IF SHOWN, ELEVATIONS ARE REFERRED N.G.V.D 1929. 3 THIS IS A BOUNDARY SURVEY. N.E. 105th STREET LOCATION SKETCH THOMAS J. KELLY, INC. L.B. #6486 SURVEYORS- MAPPERS -LAND PLANNERS 8125 SW 120 STREET PINECREST, FLORIbA 33156 (786) 242 -7692 bAbE (954) 779 -3288 BRW) (786) 242 -6494 bAbE FAX (954) 779 -3260 BAWD FAX SCALE 1" = t?L T I SURVEY DATE FIELD WORK 10/07/2003