BPP-14-111Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 206016 Permit Number: BPP -1 -14 -111
Scheduled Inspection Date: March 25, 2014
Inspector: Rodriguez, Jorge
Owner: BONDE, KENT
Job Address: 960 NE 92 Street
Miami Shores, FL
Project: <NONE>
Permit Type: Pools/Whirlpools /Hot Tubs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number
1132060060110
Contractor: ALL FLORIDA POOLS AND SPA CENTER Phone: 305 - 893 -4036
tiunamg uepartment comments
RESURFACE EXISTING SWIMMING POOL Infractio Passed Comments
INSPECTOR COMMENTS False
March 24, 2014 For Inspections please call: (305)762 -4949 Page 10 of 36
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
March 24, 2014 For Inspections please call: (305)762 -4949 Page 10 of 36
Miami Shores Village ",
Buildin g Department artment 'fir, N
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
B ILDING Permit No.
PERMIT APPLICATION Master Permit No.,B i '° 1 t l
FBC 201C)
Permit Type: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): Yl'fs bom)e Phone #:
Address: too N-t 9.
City: tA i % sk)-No State:
Tenant/Lessee Name: _Lj) A. Phone #:
Email:
JOB ADDRESS: %0- NL ) a ak
3 b 138
City: Miami Shores County: Miami Dade Zip: 31)b$
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: Phone#: 3a� 63 —��b
Address: Nltk &,0 �^
City: State: TL . zip: 3318D
Qualifier Name: A-4 0 010%"— Phone#:
State Certification or Registration
,i #. Q—f C O a `1 `E 5o Certificate of Competency #: n
Contact Phone #: 10V ifi - '1 ®Slv Email Address: •Q '
DESIGNER: Architect/Engineer: Phone#:
e'
Value of Work for this Permit: $ LI bq Square/l_inear Footage of Work: —
Type of Work: ❑Addition -- ❑Alteerration ❑New epair/Replace ❑Demolition
Description of Work: 4.6- j[►ctx Z��S�►►.±� �++•"��n►+�tc �s�.
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 $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
w1n
State
Zip
Zip
Q
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 estimate' 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 y curs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will ? e a ro ed an a reinspection fee will be charged.
Signature
g t
H� PUB( � 4`S� No ,� � ••.'
�p • "• r t
Owner or Agent
The foregoing instrument was acknowledged b ms's
g g g � $' The foregoing instrument was a ged before me this a'a'
day of _ , 201, by IaoM2 day of TA,.i , 20, by bA�V�O �oA-�.. ,
Cho is personally known me or who has produced who i personally known to a or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NO
Sigi
Prin
My
APPROVED BY
I / Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)
Clerk
ALLFL -2 OP ID: GJ
ACQRL7° DATE (MMiDDn'YYY)
�.... CERTIFICATE OF LIABILITY INSURANCE DA 12/13/2013
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(sl_
PRODUCER
Insurance By Ken Brown, Inc.
PO Box 948117
Maitland, FL 32794 -8117
David R. Griffiths
INSURED All Florida Panl It Snn confar
All Florida Distributors, Inc.
11720 Biscayne Boulevard
Miami, FL 33181 -3110
COVERAGES CERTIFICATE NUMBER•
NAME " �Dld . Griffi ths PHONE 97 -3870 acNe. Ex FAX . No1. 321- 397 -3888
INSURERA:Amerisure Ins Company
INSURER 13: Amerisure Mutual Ins. Co
INSURER C:
INSURER 0:
INSURER E:
19488
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.
ILTR TYPE OF INSURANCE DDL SUBRr - -- POLICY EFF POLICY EXP
I �WV POUCYNUMBER MM/DD MM/DD LIMITS
GENERAL LIABILITY
A
X
EACH OCCURRENCE
$ 1,000,00
PREMISES Ea occurrence
$ 100,00
COMMERCIAL GENERAL LIABILITY ICPP2030900080013
07/15/2013
07/15/2014
CLAIMS -MADE OCCUR
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,00
GENERAL AGGREGATE
$ 2,000,000
GEML AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP /OP AGG
$ 2,000,00
POLICY PR0. LOC
Emp Ben.
$ 1,000,000
AUTOMOBILE LIABILITY
EM xli�EBD SINGLE LIMIT
1,000,00
A
X ANY AUTO ICA20562960702
07/15/2013
07/15/2014
BODILY INJURY (Per person)
$
ALL OWNED SCHEDULED
BODILY INJURY (Per accident)
$
AUTOS AUTOS
X HIRED AUTOS X NON -OWNED
AUTOS
PROPERTY DAMAGE
$
PER ACCIDENT
X UMBRELLA UAB X OCCUR
EACH OCCURRENCE
$ 2,000,000
B
EXCESSLUI6 CLAIMS -MADE ;CU20562970502
07/15/2013
07115J2014
AGGREGATE
$ 2,000,00
DED RETENTION $
wORI�RS COMPENSATION
ANDEMPLOYERS' LIABILITY
WC STATU- OTH-
TORY LIMIT ER
$
A
ANY PROPRIETOR/PARTNER /EXECUTIVEYIN IWC205115706/B
OFFICERIMEtABER EXCLUDED? ❑ T N I A
12/31/2013
12/31/2014
E.L.EACHACCIDENT
$ 500,000
E.L. DISEASE - EA EMPLOYE
$ 500,00
(Mandatory In NH)
If yes, describe under
DESCRIPTION
E.L DISEASE - POLICY LIMIT
$ 500,00
OF OPERATIONS below
j I
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Addrdonal Remarks Schedule, If more space is required)
Swimming pools - installation, service, or repair - below ground.
/�C�TIG`IA�TI- 111 we.w
Village of Miami Shores
Building & Zoning Dept.
Angie
10050 NE 2nd Avenue
Miami Shores, FL 33138
ACORD 25 (2010/05)
MIAMISH
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
W 1988 -2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
PERMIT # T2e I `
^ \' 1
CONTRACTOR: k�_
(v2 I -J,�) /-'N-
SUBMITTAL DATE:
zy
I l L{
ADDRESS: ""�
KX-- + 2-
57
NAME:
RESUBMITAL DATES:
PROJECT lryn..
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FIRE
STRUCTURAL
IMPACT FEES
ELECTRICAL
HRS /DERM
PLUMBING
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MECHANICAL
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THIS 15A HOB. NDARY .SURV_EY
of
LEGAL DESCRIPTION:
Lot 14, and the East 1/2 of Lot 13, of
PARR, according to the Plat thereof , as
Page 54, of the Public Records of Dade
••• • • • •• ••• as
AMM$H• Fti' Q>y •GOEN GATE
readrtl�;c;•rn: hlit Bopk 7, at
County, Florida:••
SURVEYOR'S CER-1-IFICATE•
The undersigned, a Land Surveyor authorized to practice under
the laws of the State of Florida, hereby certifies that:
The sketch as shown hereon represents a BOUNDARY SURVEY made
under my direct supervision in compliance with the minimum
technical standards for land surveys in the State Florida, pursuant
to chapter 61G17 -6 Formerly 21 -HH -6 Florida Administrative Code,
and is true and correct to the best of my knowledge and belief.
ftrd,, �terom iuntvlCy, Iona.
Date:JANUARY 20, 1994. oLand
Revision 1: Revision 2: ucy Jr.,.Vi President
Revision 3: Surveyor 5158
Revision 4: State of Florida.
Revision 5:
SURVEYOR'S MOTES:
1) The above captioned Property was surveyed and described based
on the above Legal Description: Provided by Client.
2) This Certification is only for the lands as described. It is
not a certification of Title, Zoning, Easements, or Freedom of
Encumbrances. CT RENI�EA-
3). There may be additional Restrictions not shown on this survey
that may be found in the Public Records of this County,
Examination of ABSTgAa_0r__T1= will have to be made to
determine recorded instruments, if any affecting this property.'
4) Ownership subject to OPINION OF TITLE.
5) Type of Survey: BOUNDARY SURVEY
6) Bearings shown hereon are based on: N/A
7) Elevations are based on: N/A
7a) Bench Mark Used: N/A Elev.= N/A
7b) Location: N/A
8) Location -and identification of Utilities and or adjacent to the
property were not secured as information was not requested.
9) Reproductions of this Drawing are not Valid unless - embossed
with the Official Seal of the above Surveyor.
10) Contact the appropriate authority prior to any design work on
the herein described parcel for Building and Zoning
information.
11) This PLAN OF SURVEY, has been prepared for the exclusive use
of the entities named hereon. The Certificate does not extended
to any Unnamed oarty:
a. LEOPOLD & LEOPOLD, P.A.
b. PLAZA HOME MORTGAGE BANK, F.S.B.
d. KENT O. SONDE AND MICHELLE L. SONDE, his wife
d. ATTORNEYS' TITLE INSURANCE FUND, INC.
e.
• f.
11) Property address:
960 N.E. 92nd. Street
Miami Shore, Florida. 33138
13) Foundations and /or footings
lines of the parcel herein
14) Field Book:A- 185,45 -48
12) Flood Zone: X
Base Flood Elev.= N/A
FIMA Panel Number:120652 93 G
Date:January 20, 1993.
that may cross beyond the boundary
described are not shown hereon.
Order No.:81921 Scale: 1 " =20'
Prepared by:
FWd, AMenteM & Mau /, Inc.
8000 NW 31 Street, Suite 7
Miami, Florida. 33122
Telephone: (305)477 -6472
Prepared For:
LEOPOLD & LEOPOLD, P.A.
•
•••
•
••• • • • •• ••• as
AMM$H• Fti' Q>y •GOEN GATE
readrtl�;c;•rn: hlit Bopk 7, at
County, Florida:••
SURVEYOR'S CER-1-IFICATE•
The undersigned, a Land Surveyor authorized to practice under
the laws of the State of Florida, hereby certifies that:
The sketch as shown hereon represents a BOUNDARY SURVEY made
under my direct supervision in compliance with the minimum
technical standards for land surveys in the State Florida, pursuant
to chapter 61G17 -6 Formerly 21 -HH -6 Florida Administrative Code,
and is true and correct to the best of my knowledge and belief.
ftrd,, �terom iuntvlCy, Iona.
Date:JANUARY 20, 1994. oLand
Revision 1: Revision 2: ucy Jr.,.Vi President
Revision 3: Surveyor 5158
Revision 4: State of Florida.
Revision 5:
SURVEYOR'S MOTES:
1) The above captioned Property was surveyed and described based
on the above Legal Description: Provided by Client.
2) This Certification is only for the lands as described. It is
not a certification of Title, Zoning, Easements, or Freedom of
Encumbrances. CT RENI�EA-
3). There may be additional Restrictions not shown on this survey
that may be found in the Public Records of this County,
Examination of ABSTgAa_0r__T1= will have to be made to
determine recorded instruments, if any affecting this property.'
4) Ownership subject to OPINION OF TITLE.
5) Type of Survey: BOUNDARY SURVEY
6) Bearings shown hereon are based on: N/A
7) Elevations are based on: N/A
7a) Bench Mark Used: N/A Elev.= N/A
7b) Location: N/A
8) Location -and identification of Utilities and or adjacent to the
property were not secured as information was not requested.
9) Reproductions of this Drawing are not Valid unless - embossed
with the Official Seal of the above Surveyor.
10) Contact the appropriate authority prior to any design work on
the herein described parcel for Building and Zoning
information.
11) This PLAN OF SURVEY, has been prepared for the exclusive use
of the entities named hereon. The Certificate does not extended
to any Unnamed oarty:
a. LEOPOLD & LEOPOLD, P.A.
b. PLAZA HOME MORTGAGE BANK, F.S.B.
d. KENT O. SONDE AND MICHELLE L. SONDE, his wife
d. ATTORNEYS' TITLE INSURANCE FUND, INC.
e.
• f.
11) Property address:
960 N.E. 92nd. Street
Miami Shore, Florida. 33138
13) Foundations and /or footings
lines of the parcel herein
14) Field Book:A- 185,45 -48
12) Flood Zone: X
Base Flood Elev.= N/A
FIMA Panel Number:120652 93 G
Date:January 20, 1993.
that may cross beyond the boundary
described are not shown hereon.
Order No.:81921 Scale: 1 " =20'
Prepared by:
FWd, AMenteM & Mau /, Inc.
8000 NW 31 Street, Suite 7
Miami, Florida. 33122
Telephone: (305)477 -6472
Prepared For:
LEOPOLD & LEOPOLD, P.A.