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BPP-14-1063Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUII.DING Cor4facA.0f 15 DonC[ PERMIT APPLICATION Permit Type: BUILDING FBC 20 Permit No. Master Permit No. 8PPZ'/®15 QIZIIM1l4 JOB ADDRESS: —5 0 Al & &- _n W -. City: Miami Shores County: Miami Dade Zip: J 3135 Folio/Parcel#; Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): ° "/ 1 !j U 6J ,Vd ids- ,% P ,O Phone#: Address: 50 lades _ !2 F City:sLf r State: F &_ Zip: 3 j / Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: 1 ?61 i ` 0 E) C.5 Phone#: -3�i M5 3 %-5 Address: /33? 50 t ST j t7, o City: "I nm / State: Ff: Zip: Qualifier Name: State Certification or Registration #: 02C 0156113V Certificate of Competency #: JC51,2_55--5_3i Contact Phone#: 1-3' --S 3 i _ Email Address: DESIGNER: Architect/Engineer: ill G e o k_ F�e rt.") co Phone#: ,30,5/2 , 3 es - Fi 6 3 / Value of Work for this Permit: $�' Square/Linear Footage of Work:'V6 Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: N W .5cu d m m e 4 y A£)O.L- ,®,S P,} V j9eeK Color thru tile: Submittal Fee $ _ a . lel Permit Fee $ CCF $ CO/CC $ 60 ' co Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1C ' I (, 2-2- . Bonding Company's Name (if applicable) Bonding Company's Address City state Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State rr 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 conditio to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy f the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to a Also, certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which o urs leve 7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approve Fred aro ection fee will be charged. _ / J . 11`14N1 r or Agent The foregoin trumem was acknowledged before me this day of , 20 &, by kk 0 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: ✓ Print: H c My commission Expires: i� EXPIRES: January 10, 2016 Bonded Thw Nary Puft UnBwmftm Contractor The foregoinjinstrument was acknowledged before me this day of A4, I 2O L4—, by ',-&hli; Al fiekk who is personally known to me or who has produced as identification and who did take an oath. APPROVED BY % Plans Examiner A -46q— fly Structural Review (Revised 3/12/2012)(Reviwd 07/10/07)(Revised 06/10/2009)(Revi ised 3/15/09) NOTARY PUBLIC: Print: Z1J&7LW M Commission Ex =# Nry C0� Y P _`f� January 10, 2016= Bonded Thru Nary Public Umlo wtbars Zoning Clerk Miami shores village NOTICEOF As 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 I (We) acluumledge that a new svf>Imming pnol, spa or hot tib will be constructed or Installed at ,jd Ata 9G 5r iq)Rg/ ��� , � � 31-39 dgiami Shores, PL, and hereby affirm that one of the following nWthods velli be used to =d ON requkwmft of ChaPter 515, Florlda Statues and the Florlde Building Code 84101.17. ftese Initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346-91. (Submit Manufaituurees. Specifications). A continuous, one-piece (child} barrier meeting the requiremerifs of Roma Building Code R4101.17.1.15 will protect the pool perimeter. The plans shag show the fence location and method of attachment, Including one end that shall not. be removable without the aid of took. (Submit Manufacturer's Specifications). A combination of non -dwelling walls and fends (screen enclosure, child fence, masonry fence wags, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type and location of all non dwelling walls. Florida Building Code, RM 01.17.1 � Any combination Of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying lying with Florida Building Code, 84101.17.1.9 (Submit Manufacturer's Specifications). Any combination of protection which Incorporates dwelling walls with openings direly into the pool perimeter and alt doors will be equipped with a seif4atching device with positive mechanical latching/locking installed a min. 540 above the threshold. if this option is selected, submit pians showing all types and location of all perimeter protection. The dans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturers Specifications). In accordance with the Code, the pool may not be filled with water without compliance with the Private Swimming Pod Safety Requiromb, and upon expiration a permit. the pool shall be presumed to be unsafe. I understand that not having one of the a ve Installed will constitute a violation of Chapter 51 , S ., an d will be considered as a rnis r of the second d Puml .klqd In Section 775.082 or Semon .083 F.S . s form must be signed the ant rw;w C 'S SIGNATU AND A SIGNATURE AND CONTI TOR'S NAW REASF PRINT} _ f ' r (� P IT) � s- W,tl U.,..,.,,I-- - IVUPkrc�r AA.YNSCHwnrZER MY COMMISSION # EE 129586 = : ,Y My COMMISSION # EE 1ER EXPIRES: January 10, 2016 Bonded Thru Notary PubUc Undertvd m, , Rf� ` � Bmded TIou Noby Public U' 20nde ar6f m Miami shores village Building.Depaftmant 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 MWIMI dG PGGL CERTIFICATION Date �/ Miami Shores Village Building & Zoning Department Attention: Budding official t.I certify that t am the legal owner of the property described as /�/ 'B -511""S cyA-'� . zrt. AloeC -S' - , looted at .SU '4j q' s o (1i i -V/0'r CS `,,L 31313'f In accordance with Section 33-12(f), Code of Metropolitan Dade County, l certify that 1 understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not elimina)6 the need for obtaining a permit and erecting and approved barrfer prior to final insploon an 'o# the Em Legal Owia_ Note: This certification is to be submitted with a swimming pool permit application in duplicate. In accordance with Section 33-12(f), Code of Metropolitan Dade County, l certify that 1 understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not elimina)6 the need for obtaining a permit and erecting and approved barrfer prior to final insploon an 'o# the Em Legal Owia_ Note: This certification is to be submitted with a swimming pool permit application in duplicate.