BPP-13-879Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 190106 Permit Number: BPP -4 -13 -879
Scheduled Inspection Date: May 21, 2013
Inspector: Bruhn, Norman
Owner: KEEGAN, JAMES
Job Address: 285 NE 95 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: NDB BUILDERS LLC
Permit Type: Pools/Whirlpools /Hot Tubs
Inspection Type: Final
Work Classification: Repair
Phone Number (305)271 -7100
Parcel Number 1132060133960
Phone: (786)223 -7421
Building Department Comments
POOL RESURFACING
Infractio Passed Comments
INSPECTOR COMMENTS
False
Inspector Comments
Passed X/0/
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
May 20, 2013
For Inspections please call: (305)762 -4949
Page 5 of 20
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CERTIFICATE OF LIABILITY INSURANCE 05107/13
AlICICP/Z4Cr DATE (NIWDD/IfY)
PRODUCER All Motors Insurance
11934 S.W. 8th Street
fvkaml, FL 33184
Phone (305)559-8818
INSURED N.D.B. BUILDERS LLC
12875 SW 72 Terrace
Miami, FL 33183-
INSURER D:
305
'INSURER E:
COVERAGES
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THS CERTIFICATE DOES NOT AMEND, EXTEND OR
Fax (305)227-0977 INSURERS AFFORDING COVEFIAGE NAIC #
INSURER A: LLOYD'S OF LONDON
& REEL WINDOWS INC
UWE? E:
INSURER C.
THE POUCIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD I NCICATED. NOTWITHSTANDING
• ANY REQUIREMENT. TERM OR OMEN/ION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THS CERTIFICATE MAY BE ISSUED OR
• NAY PERTAIN THE INSURANCE AFFORDED BY THE PO U CI ES DESCRIBED HEREIN IS SUBJECT TO AU_ THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
pOMOIES. AGGREGATE UNITSSHOWN MAYHAvE BEEN REDUCED BY PAID CLAIMS.
. . .
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• GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
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n ANY AUTO
[2, ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNE D AUTOS
GARAGE LIABILITY
ANY AUTO
AMT003732
10/02/2012
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POLICY EXPPArtott!
nATE (MILIMITYYYL LIMITS
EACH OCCURRENCE 300,000
IOAMAGE. To-RENTED
10/02/2013 i PREMISES_LEa cc mum cm_ 100,000
lima) EXP /Any one person) EXCLUDED
PERSONAL & ADV INJURY 300,000
fiiiiiii:ACICWri---
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- - •
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
1:ONLY INJURY
(Per accident)
PROPERTY DAMAGE -
(Per aceltenD
_ . . .
4 AUTO ONLY - EA ACCIDENT
EXCESS! UUSRELLA UABLITY
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EMPLOYERS LIABILITY ,
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CERTIFICATE HOLDER
......
--.•-••-•_•.-•_-_-• - •
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
10050 NE 2 AVE
MIAMI SHORES, FL 33135
ACORD 26 (2009/01) OF
CANCELLATION
SHOULD ANY OF THE ASCNE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
DAYS WRITTEN NONCE TO THE CERTIFICATE HOLDER NAMED TO
THELEFT, BUT FAILURE TO 00 30 SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTANVES.
AUTHORIZED REPRESENTATIVE
•
019138-2009 ACORD CORPORATION. All tights reserved.
The ACORD name and logo are registered marks of ACORD
BUILDING
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
FBC 20 KQ
Permit No.
PERMIT APPLICATION Master Permit No. f)' 1
Permit Type: BUILDING
JOB ADDRESS: g5 N Ea 635 5 T
ROOFING
City: Miami Shores County:
Miami Dade
Folio/Parcel #: / 1 � 06' O %_3 — 35 6
Zip: 33 1 38
Is the Building Historically Designated: Yes NO
Flood Zone:
OWNER: Name (Fee Simple Titleholder): 1\1\A-es b, Phone #: 365 69-7 ) loo
Address: a-85 !\ o E ,c
A
City: 11/4Vict-dVi � e
t S � 0
-�`� State: L
Tenant/Lessee Name: 3 [A-
Email: ✓ (1 EE( iU ( 5 --f< & - <piP /A l!3 d coin
Zip: 33 l3 e
Phone #:
CONTRACTOR: Company Name: Nv � ,tC Phone#: 76)6- ?3`o7f5
Address: i ®ri L
City:
I Ar AN I State:
Qualifier Name: i°d 4,,''c
State Certification or Registration #: C, I ? 66 /
Zip: sy,s.7
Phone #: 786 ° Q ct -c To g
Certificate of Competency #:
L-1 • Cdt..i b, ' (O
Phone#:
Contact Phone #: e6 --e OO Email Address:
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $
0 Square/Linear Footage of Work: O f-T-
Type of ork ClAdditiop DAlteration ONew epair/ 2ep ace , ODem ition
Descrip �1 R bf Works �. - t .} C f A -
Color thru tile:
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees***** **************** *****+x*****************
Submittal Fee $ ' Permit Fee $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ 1 2 ' 3�
we
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)) proved and a reinspection fee will be charged.
Signature
The foregoing ins
Owner or Agent
ment was acknowledged before me this 1-4 The foregoing instrument was acknowledged before me this
Signature
day of A Pe , 20.x, by JOfl' e`a, I. 'f'���,
who is personally known to me or who has produced ,. o(,d _
w1reeS LaLertStAs identification and who did take an oath.
NOTARY PUBL :
Sign:
Print:
My Commis
2.4
day of ,2003, by ' % ®,�_
who is personally known to me or who has produced FL D L-
as identification and who did take an oath.
NOTARY PUBLIC:
******* * * * * * * * * * * * * * * * * ** *+x***** * *** ********** ********** ******+ xa:**** ** ***** *****+ x**+ x*** ** *+x**+x****** *** * ***
APPROVED BY /og Zq1/, ' Plans Examiner
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
Zoning
Clerk
rot rtn�nie ST., �unE tos �'i- t..! : �� » 6C �° l..l_.Y, G - r 2 it
OPAL_ GABLES, FLOBIOA 33134 • LAND SURVEYOR ,
TEL Er )lou :444.7692 Srr1 ET .__ / __ OF __1 ...
3UFIVEY OF 3 NE /crey." ?or`' 2 Nd r��G ' CF /_ or es. :_.�. BLOCK
3UDDIVIS1ON• • /ENUFU• P.„4-2/../. QF L��`1 /,e4->, se' .
'tCCORDINO TO THE PLAT 1 HEREOF AS RECORDED IN PU1T BOOK No. ' • • L ' AT PAGE
'UREIC RECORDS OF • - • D 4 PE ' ' . COUNTY, FLORIDA. • •
% �,� �L til �3 J?' ���_� t ..... N�
DATE:
LOCATION SKETCH
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• I hereby Certify that this sketch of survoy of the t►bovo described property is true and correct to the best of my knowledge and beliel es
.• ▪ ,', rocentty surveyed . and platted urr:]or my t°. r action. I further coney that this survey meets the minimum requirements adopted by the
birch Socfetryo P o1osS Ion GI l,eny) gut • eyors and the Flor!da Land Title Association. There are no encroachments, except as shown.
/2•- C fI < ! 1 1 - G : i /. G D t" t.r • Notes: 1, It shown• bearings are to nn rtssumocf rnoridran.
;': ll I % t f.CN 2. It shown, clevnlian;, 8,0 referred to N.G.V. Datum.
56.Cv r.1
,.., Miami Shores Village
" • G• EO( GE {UAfiFill
•,
AF's G 2013
1
APPROVED I
i DFP(I
D3 DEPi ir'%� 4-
BY
G'TCMPI.0 DICE WI rH ALL FEDERAL
.S AND RFC DLA ∎DNS