BPP-13-597osMiami Shores Village
�I
Building Department d 2213
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972 9,
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 201
Permit No.
Master Permit Nj►5 _So'
Permit Type: BUILDING ROOFING
JOB ADDRESS: �"` 1 00 ( /J 'Ale
City: Miami Shores County: Miami Dade
Folio/Pareel#:
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple Titleholder): L—C V r76
Address- . (�9 ®1 00 mac. 11-2, A VZ
Zone:
City: M 1 & V A( 5't1 t' i2�5, State: '—FL Tap: �� 1 �e>
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: rCompany N � OL
mov
Address: w -��/" acA
City: \&1zSt
Qualifier Name: cz'*-+z4V'LzV
)S
Zip:
Ci-gss0-
State certification or Registration #. (2,1"C 1 %45 (0 Certificate of Competency#.
Contact Phone#: Email Address: 6d
DESIGNER: Architect/Engineer: Phone#:
*
pp
Value of Work for this Permit: $_S-4500 , SquardLinear Footage of Work: 1 Ir
Color thru tile:
Submittal Fee $ SZ 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
State
zip
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 $25W, the applicwtt 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 proved and a reinspection fee will be charged
Signature Signature
Owner or Ag ntractor
The fore=gmsern was acknowledged befo m this_ The fore g t was knowledged before me this
day of0 � by C)1 ^ Zday of C-C.l� 20 b46A
,
who is Va=allv kw—wn to me or who has prod
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission
APPROVED BY
-- Zelda Anc>i'eu
Commision # BB091055
15�T1,k,,- I BO DLNG CO., IN
who is personally known to me or who has p
as identification and who did take an oath.
Plans Examiner
NOTARY PUBLIC:
Sign:
Print-
my Commission
. �--Zelda Andreu
Commission # v—E091055
Eypires: NLkY 05, 2015
THRC ATLkN-nC Bo" t: Co.,INC.
Zoning
Structural Review Clerk
(Revised 3n22012XRevised o7i1MXRmised 06110MM)(Revised 3/15109)
I X11111111IIC11 lfil11111! �11111 ISI
NOTICE OF COMMENCEMENT OR Bi; 23555 Pg 2357°s (Ips)
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION RECORDED 03/29/2013 12". 29=15
HARVEY RUVINY CLERK OF COURT
MIAMPERMITNO.8fP �! � TAX FOLIO NO. Ir3�e�5Pt3c��'i�-013t�L�iRTTF'€aGEE COUNTY? FLORIDA
STATE OF FLORIDA-
COUNTY
LORIDACOUNTY 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.
2. Descriptionvemant Xe,,
3. Owner(s) name and ad
1
Interest in property: Uet
Name and address of fee simple titleholder.
4. Can ctor's name and add\3 nony%tA r LT _J�) Lk —AQ.tA r e. 45 c>3
-2mn-lb
5. Surety: (Payment bond required by owner from contractor, if any)
Name and Address:
Amount of bond $
6.. Lender's name and address.
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(1)(a)7., Florida Statutes.
Name and Address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and Address:
9. Expiration date of this Notice of Commencement: (the expirati pidaltgj§ f oVWr n5a dq rec
differeot�ot date is specified)
[CA ,
iAR �Y RUVIN, C , �of�Cii�wit and Cou'�(�' ' �^� �'OQjE�
10%uic vvvmaa��
Print Owner's Name �� Z— Prepared by '14&Qz�,
Sworn to and subscribed before me this 7iZ day of 20 13
Notary Public '
Print Notary's Name:
My commission exph
1.U111llL+lv.v.. •• --
Expires: MAY 05, 2015
TnI:9TL.4\'fIC B0N=Nr- C0'11NC.
Address.
VV S SIN_
0
01ZA� �—x�s� C Pl�vUZ-s
3),A
SIS1'l kA
E-
�.�Cl'S''i'�
?C)C)L—
r
January 7th, 2013
To: Laura & Letty
9900 NE 13 Ave
Miami Shores, FL.
Re: Pool Proposal
PROPOSAL
.SFR 0 + 2013
1- Demo and install new travertine coping - $1,350.00
2- Demo and install new waterline tile $19250.00 ($5 the allowance)
3- Demo and install travertine French Pattern pavers (Approx. 800 s.f.) $4,400.00
4- Prep pool, plaster with Diamond Brite in standard colors $2,500.00
Payment: $2,000.00 deposit, balance due in Progress payments
Acceptance of Propossh The above price, specifications and conditions are satisfactory
and are hereby acct. You are authorized to do the work as specified. Payment will be
made as shown above.
Owner's Signat Date:
M4. Indian Trace # 593, Weston, FL 33325, Ph: 954-539-4M Fay 9M -W7-605
PERMIT #: �-� ��"P1'3,_ <S9 I
ontractor
o Owner
❑ Architect
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
DATE: 3 3
Picked up 2 sets of plans and (other)
Address: `� rns1 () Z) K � ( E 45;7)\e-<
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Buil
Acknowledged by:
PERMIT CLERK IIS
RESUBMITTED DATE: 415
1
PERMIT CLERK INITIAL:
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
March 26, 2013
Permit No: BPP13-597
Building Critique
1. Provide details of construction.
2. Provide a copy of a signed contract. NB
Norman Bruhn CBO
305-762-4859
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.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
April 3, 2013
Permit No: BPP13-597
Planning Critique
1. POOL DECK MUST BESET BACK NOT LESS THAN 10 FEET FROM SIDE
PLOT LINE.
David Daquisto
305-762-4864
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.
y STATE OF FLORIDA off )
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTIOiN INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
YZQIIIERDO, JOSE JAVIER
IIARAMA POOLS INC
3 U4 INDIAN TRACE
#503
WESTON FL 33326
Congratulations! With this license you become one of the nearly one million =
Floridians licensed by the Department of Business and Professional Regulation. IIIA
Our professionals and businesses range from architects to yacht brokers, from
boxers to barbeque restaurants, and they keep Florida's economy strong. WCPC4568
very day we work to improve the way we do business in order to serve you better, F. ?.
or information about our services, please log onto www.myfloddallcense.corm T i
were you can find more Information about our divisions and the regulations that ET7
Impact you, subscribe to department newsletters, and team more about the
Departments initiatives. _.`
Our mission at the Department is: License Ef identiy, Regulate Fairly. We
constantly stfire to serve o hefts so that s '�
'1'24 0f6
y u r you can serve youra, omens.
-
Thank you for doing business in Florida, and congratulations on your new license!' " prov963aoe t�9'
`: ma4:�kIIt� 3I,"2o14 "�I?�9'1�1�682
----DETACH HERE
LATE, OF FLORIDA
115 S. Andrews Ave., Rm. A-1 00. Ft Lauderdale, FL 33301-1895 — 954-831-4000
VALID OCTOBER 1, 2012 THROUGH SEPTEMBER 3D, 2013
Business Name: AQvARAMA POOLS INC
Number of Machines:
RMeipt #;188 072
Business T Pool aARnva CONTRACTORYom•(COMMERCIAL POOL/SPA
CONTRACTOR)
BUshMS Opened:04/15/2006
State/CoUnty jCert!R0q:CPC1456811
- Exemption Code:
Minployees Machines Profession
2
oil" Business 0*
VertdUo Tv=
Tax Arww t
Transfer Fee
NS -Few— 1
Pan afty , .;
Prior Years
C011edion Cost
Total Paid
27.00
0.00
0.40::'
2..70
Q.Ob:
0.00
29.70
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied far the privilege of doing business within Broward County and is
non -regulatory in nature. You must meet all County and/or Municipality planning
WHEN VALIDATED and ming requirements. This Business Tax Receipt must be transferred when
the business Is sold, business name has changed or you have moved the
business location. This receipt does not Indicate that the business is legal or that
It Is In compliance with State or local lavas and regulations.
Mailing Address:
AQUARAMA POOLS INC
304 INDIAN TRACE #503
WESTON, FL 33326
-2013
Receipt #032-12-00000143
Paid 10/09/2012 29.70
JEFF ATWATER STATE OF FLORIDA
CHIEF FINANCIAL OFFICER ' DEPARTMENT OF FINANCIAL_ SERVICES
DIVISION OF WORKERS' COMPENSATION
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS COMPENSATIOW LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida :Workers' Compensation law.
EFFECTIVE DATE: 04/18/2012 EXPIRATION DATE: 04/18/2014
PERSON: YZO.UIERDO JOSE J
FEIN: 200204235
BUSINESS NAME AND ADDRESS:
AQUARAMA POOLS INC
304 INDIAN TRACE #503
`FT LAUDERDALE FL. 33328
SCOPES OF `' BUSINESS. OR TRADE:
11POOL CONSTRUCTION 2 -'CERTIFIED POOL CONTRACTOR
IMPORTANT. Pursuant to Chapter 440 05114), F.S. an officer of a corporation who elects exemption ITIND this chapter by filing a certificate of: erection under this
section may 001 recover benefits or Compensation under this chapter_ Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only; Within the
scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05113? F.S.. Notices of election to he exempt and certificates of
election to be exempt shall be subject to revocation if, at any time after the filing of the ootice or the issuance of the certificate, the person named on the Douce or
certificate no longer meets the requirements of this section for-Issnaece of a certificate. The department shall revoae acertificate at any time for failure of the person
named an the certificate to meet the requirements of this section.
QUESTIONS? (850) 413-16(19
OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11
PLEASE' CUT OUT THE CARO BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA IMPORTANT
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERW COMPENSATION F Pursuant to Chapter 440.0504, FS, an officer of a corporation who
CONSTRUCTtONI INDUSTRYelects exemption from this ,chapter by filing a certificate of election
CEi2TIFICA1 OF ELEGT10t To BE EXEMPT FRox FLORIDA L under this section may, Dat recover benefits or eompensatioit under this
WORKERS COAAPEPfSAT of LAW D chapter.
EFFECTIVE 04/18/2012 EXPIRATION DATE: 04/18/2014 Pursuant to Chapter 440.0502), P.S., Certificates of election to be
PERSON: JOSE J YZQUIERDO H exempt- apply on y within the scope of the business or trade listed on
FEIN 200204235 R the notice of ejection to be =exempt =
BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(13), FS.,' Notices of election to be exempt
AOUARAMA POOLS INC and certificates of election to be exempt shall' .be subject to revocation
304 INDIAN TRACE 0503. - if, at arty time afterthe-filing. of the notice or theissuanceof the
FT .LAUDERDALE, FL 33326 - certificate, -the personnamedon the notice or certificate no longermeets
the requiremem of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
SCOPE OF BUSINESS OR TRADE person named on the certificate to meet the requirements of this
1- POOL CONSTRUCTION - -2- CERTIFIED POOL CONTRACTOR Section.
QUESTIONS? (850) 413-1609
CUT HERE
g Carry bottom portion on the. job, keep upper ;;portion :for your records..
OWC-252 CERTIFICATE OF ELECTION :TO BE. EXEMPT REVISED 01-11