BPP-13-1380Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 193867 Permit Number: BPP -6 -13 -1380
Scheduled Inspection Date: July 23, 2013
Inspector: Rodriguez, Jorge
Owner: BLANCO, CHRISTIAN
Job Address: 1360 NE 103 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ALL FLORIDA POOLS AND Sn CENTER
Building Department Comments
RESURFACE EXISTING POOL
Permit Type: Pools/Whirlpools /Hot Tubs
Inspection Type: Final
Work Classification: Repair
Phone Number (754)214 -2875
Parcel Number 1132050300070
INSPECTOR COMMENTS False
Phone: 305- 893 -4036
July 22, 2013 For Inspections please call: (305)762 -4949 Page 12 of 34
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
July 22, 2013 For Inspections please call: (305)762 -4949 Page 12 of 34
BUILDING
Miami Shores Village
Building Department
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permi
PERMIT APPLICATION
FBC 20
Permit Typ BUILDING
OWNER: Name (Fee Simple Titleholder): 1 �1
OOF NG
6
LF"UMIIdMI
� JUN 19 203
Yee V��ao.
t NO.
� 1 13
Master Permit N
City: 0A, 1t A6M S Ugads State• t Zip:
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: 9 J('4 N L 103 A4
City: Miami Shores County: Miami Dade Zip: 3 13's
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: L QiL40A �� ®� Phone #:
Address:
City: 1-V `, AN State:
Qualifier Name:
State Certification or Registration #:
as ,E
of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone#:
co
Value of Work for this Permit: $ q600 Square/Linear Footage of Work:
Type of Work: ❑Addition
Description of Work:
330
DAlteration ONew ORepair/Replace ODemolition
Submittal Fee $ Permit Fee $ CCF $ CO /CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond
Technology Fee $
TOTAL FEE NOW DUE $ 1 OT
Bonding Compapy's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
U 1&
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 be approved and a reinspection fee will be charged.
N�+a4SiMON1+Jl .���,q. 61ANCo
Signature Q(J; Signature,
Owner or Agent
The foregoing instrument was acknowledged before me this D�
day of , 20 jam, by ?4"#&- b`*k,t9 ,
who i personally snow . me or who has produced
As identification and who did take an oath.
NOTARY
Sign:
Print:
My Cghuhission Expires:
V
vo
Contractor
The foregoing instrument was acknowledged before me this,
oi
day of J y "20 15, by D*,,q® c° h° ,
who is personally known to me or who has produced
APPROVED BY e c )C "7 Plans Examiner
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
and who di take an oath.
S. �Xp\8 ��otaNc�
Zoning
Structural Review Clerk
"•;t 'AVILA
•NOS aq � 9»M
BOUNDARY SURD
NE 103rd STREET
PACE 1 OF 2
ow WAS AMIII w AM 2 of 2
jog No. 13--0426458
Am*ANY
WATERWAY
JOB No. - 13- 0426458 CLIENT: CHRISTIAN BLANCO
PROPERTY ADDRESS 1360 NE 103 ST. _INiAMI SHORES FL 33138
LEGAL. DESCRIPTION: (FURNISHED BY CLIENT)
LOT 7 LESS THE EAST 10 FEET do EAST 10 FEET OF LOT 6. BLOCK 5
SUBDIVISION REPLAT OF TRACT "B ". MIAMI SHORES BAY PARK ESTATES
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 6 AT PAGE 17
-=bF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY. FLORLDA.
SUBJECT TO ALL RESTRICTIONS, RESERVAM4. EASEMENTS AND RIGHT -OF -WAY OF RECORD, UNDER
ENCROACHMENTS IF ANY. NOT LOCATED.
LEGAL NOTES
THE SURVEY OF TI# PROPERTY SHOW HEREON 0 W ACCORDANCE WITH THE DESCRIPTION FLMN04ED
BY CLIENT NO SEARCH OR PUBLIC RECORDS HAS BEEN MADE BY TM OFFICE FOR ACCUWLCY
OR OMI5SIOW St"CT TO OPINION TITLE.
1 HEREBY CERTPY: THAT THE ATTACHED BOUNDARY SURVEY OF THE ABOVE DF.SCRIIIED PROPERTY IS To THE
BEST OF MY KNMAEDOE AND BELIEF AS RECENTLY SURVEYED PLATTED UNDER MY OIRECTION; ALSO THAT
TTY ARE NO ABOVE GROUND ENCROACNMEMS OTHER THAN THOSE SI N. AND THAT TM SURVEY MEETS
THE WQMUM TECHNICAL STANDARDS SET BY THE FLORIDA BOARD OF LAND SURVEYORS AS SET FORTH IN
472. 027 (F.S) AND CHAPTER 31-17 FAC. (FLORIDA ADMINISTRAYIVE CODE). ELEVATIONS REFER TO: NGVO DUTUN 1929
B.M. USED" ELEVATIONS,---.7- FEET B.M. LOCATED
BASED ON TmE now #fiR0 NCE RAZE MIND OF TIE* FFCERAI. EAKRODICY WNAgnaW AGENCY DATED OR
REVISED ON 09/11 TW NNW OESdp663 PADpE/t1Y B ORMED MW ZONE
BASE um aEVA M 9.00 CMW WM 120632 PANIL NINfin 6 s< M L
SURVEYOR
KFORE MR' CONSMUC11ON TNR: SET IIAM MUSt K ONECNLED
THE CERTnC0E DOES NOT DITEND TO ANY UNNA1M PARTY.
CHRISTIAN BLANCO
WELLS FARGO BANK. N.A. ►SAGA ATIMA
ILEANA M. GARCIA. PA
OLD REPUBLIC NATIONAL. TITLE INSURANCE COMPANY
SURVEY DATE. 04 -03 -2013
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