BPP-14-2355Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-232361 Permit Number: BPP -10-14-2355
Scheduled Inspection Date: April 28, 2015 Permit Type: Pools/Whirlpools/Hot Tubs
Inspector: Rodriguez, Jorge Inspection Type: Final
Owner: POLLEY, RUTH Work Classification: Repair
Job Address: 935 NE 95 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: G.E POOLS CONSTRUCTION INC
Building Department Comments
RESURFACE SWIMMING POOL
Phone Number
Parcel Number 1132060143110
INSPECTOR COMMENTS False
Phone: (786)355-3382
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-222310. All gates must be self
%
closing and locking with lock min 54" from floor
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
April 27, 2015 For Inspections please call: (305)762-4949 Page 6 of 29
Project naUMS$ Parcel Number Applicant
935 NE 95 Street 1132060143110
Miami Shores, FL 33138- Block: Lot: RUTH POLLEY
Owner Information Address Phone Cell
RUTH POLLEY 935 NE 95 Street
MIAMI SHORES FL 33138-2517
Contractor(s) Phone Cell Phone
G.E POOLS CONSTRUCTION INC (786)355-3382
In Review
Approved:: In Review
Denied:
of Work: Swimming Pool
ional Info:
;cation: Residential
Fees Due
Miami Shores Village
CCF
10050 N.E. 2nd Avenue NE
DBPR Fee
Miami Shores, FL 33138-0000
DCA Fee
Phone: (305)795-2204
Project naUMS$ Parcel Number Applicant
935 NE 95 Street 1132060143110
Miami Shores, FL 33138- Block: Lot: RUTH POLLEY
Owner Information Address Phone Cell
RUTH POLLEY 935 NE 95 Street
MIAMI SHORES FL 33138-2517
Contractor(s) Phone Cell Phone
G.E POOLS CONSTRUCTION INC (786)355-3382
In Review
Approved:: In Review
Denied:
of Work: Swimming Pool
ional Info:
;cation: Residential
Fees Due
Amount
CCF
$1.80
DBPR Fee
$2.25
DCA Fee
$2.25
Education Surcharge
$0.60
Permit Fee
$150.00
Scanning Fee
$9.00
Technology Fee
$2.40
Total:
$168.30
Occupancy: Private
Bond Return
Scanning: 3
Valuation: $ 2,300.00
Total Sq Feet: 400
Pay Date Pay Type Amt Paid Amt Due
Invoice # BPP -10-14-53385
04/08/2015 Cash $ 118.30 $ 50.00
10/24/2014 Credit Card $ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Review Planning
Review Building
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict confo ity w e plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume res�ons' 11' for al rk done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBII G, `ME HANI L, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I
construction and zoning.
Authorized
Building [
April 08, 2015
doing information is accurate and that all work will be done in compliance with all applicable laws regulating
the above-named contractor to do the work stated.
nt Copy
/ Contractor / Agent
April 08, 2015
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
7®CT 4 014
FBC 201
Master Permit No.PPj4-1S5
Sub Permit No.
XBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
r-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9,35 Ne 95 s ((yy
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO 1/
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 71,14k TCS 1 I e y Phone#: 7?� 521-1242)
Address: C)35 NE !9 S F�
City: M t PIM I 'Sko es State: P:c Zip: 3313 ®"
Tenant/Lessee Name: Phonec-�
Email:
CONTRACTOR: Company Name: GE P&oLs CCsns—k,6 W TC_. Phone#:'%F& a5,5
Address: 4220 Staff qo PL.
City: i'Y1 I R' M I State: Zip: __33)
Qualifier Name:
State Certification or Registration #: e Po I `t5J F 4,54 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:,��// Zip:
Value of Work for this Permit: $ '2o 3o®. Square/Linear Footage of Work: T0o
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: Re so (Fo9r e suj i vy) rn r v1 C� f) M L ,
Specify color of color thru tile:,
Submittal Fee $ 00 °PPermit Fee $ CCF $ ` l CO/CC $ 6
Scanning Fee $C! CwRadon Fee $ DBPR $ Notary $
Technology Fee $ t �' " 40 Training/Education Fee $ 0 ° Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 3
(Revised02/24/2014)
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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. -, /l
Signature Ol Signature_
OWNER or AGENT
The foregoing instrument was acknowledged before me this
C� day of 000 kc -ii- , 20 by
who is personally known to
me or who has produ ed as
identification and who did take an oath.
NOT
Sign
Prini
The foregoing instrumgnt was acknowledged before me this
nw c jday of �co�e� 20 r `F , by
W i��2V/Mf, �SDU 1 V �4a14Fib is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Print:
W COMMISSION # FF 16=
Seal: Seal: -No',V'gP`' BWMTtn &*dNobrySoft
as
APPROVED BY C( Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
COUNTY -WIDE LAND SURVEYORS INC.
LAND SURVEYORS PLANNERS
'P.O. BOX 823271 SOUTH FLORIDA. FL. 33082-3271 (305) 772-0766
LEGAL DESCRIPTION
. i6 Tii�i•�%�f
i14a
W;
liul M'MIh.
' 1 "3'•§ •y ' ll
Lot 20 and 21 in Block 76 of MIAMI SHORES z0CAW01'f 51CO—W N01 70 SC4L05
SECTION NO. 3, according to' the plat thereof,
as.recorded in Plat Book 10 at Page 37 of the
Public Records of Miami -Dade County, Florida.
SURVEYORS NOTES:
1). Legal description provided by client.
2). Only record plat easements are shown.
3). Right of way.information obtained from record plat.
4). IN Federal Flood Zone X, Panel 0306 last revised 9-11-2009.
5). Benchmark used -Dade County BM# B-62 Elev. 8.65' NGVD1929.
6). Elevations are referenced to National Geodetic Vertical Datum 1929
Adjustment (NGVD1929).
BOUNDARY & IMPROVEMENTS SURVEY
"VEY FOR: Ruth Polley 935 N.E. 95 St. Miami Shores F1
. 33138
CEF?LATE NOTE, . NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYORS SEAL."
I HEREBY C£RPTF THAT THE SURVEY REPRESENTED HEREON COMPLIES WITH THE
MINIMUM TECHNIC STANDARDS ADOPTED BY THE FLORIDA BOARD OF SURVEYORS AND
MAPPERS IN CHA R 61G 17-5, FLORIDA ADMINISTRATIVE CODE, PURSURANT TO
SECTION 472.02 Florida Statutes.
REVISIONS By DATE
tea% Sveie )cam '7-31-7.o
JOSEPH L. IM-ARTlN
PNUFESSIONAL LAP10 suRVEYOR * 4368 DRAWN BY SCALE DATE F9./ PG. JOB#
3TATE OF FLORir)A
>LM i1f=Zf� 3 2olZ 2�ah-
ALLC- 4
i 00'
rirp -- Ply fa
Fk
YQ�+,
.1-1
('V
APPROVED BY
ZONING
STRUCTURAL
ELECTRiCA'
PLU�.11BING
MECHAN .'AL
Pipe Fu
C,
V
ti
Poo" ei
GWOOD
r-F�reIE
-935 tE,95
tPCOL }'(-PSU--r-70CPOW-
N 3.3 •
�, s�gty drat'
N AQ�a Y Z S�o�Y
N4
N
7rLF
014
co.0
Alp
k E�EJ� N
'�.
•� � S7�e y Cl3J BEY. '� 1?3s
o 1
aTE ti 1170•
rcaOr- Ib'. i",4
y Z3.35
COf YM4! JS- 42 _ /S,'a D'
OCT 24 2014
A
` a
P rPF FP
�
WA -7
/vo ° r2 / M F7s&,
ASPM• �
1
ZZ'�Rrass � i
ISI
PVM-7-
U�:)L i','. MAIAN_E V'riT;i ALL FEDERAL,
:NATE ' it: COUNTY RULES AND RElJy4,r10 S /l�, �. 9S S,' Q.4a2