BPP-15-1554 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-240158 Permit Number: BPP-6-15-1554
Scheduled Inspection Date: August 12, 2015 Permit Type: Pools/ Whirlpools/Hot Tubs
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: MINSKI,JOEL&ANDREA Work Classification: Addition/Alteration
Job Address:9969 NE 4 Avenue Road
Miami Shores, FL 33138- Phone Number (305)510-0916
Parcel Number 1132060171230
Project: <NONE>
Contractor: REGENCY POOL&SPA OF FLA INC Phone: 954-424-0134
Building Department Comments
EXISTING SWIMMING POOL RENOVATION TO ADD Infractio Passed Comments
TANNING LEDGE AND SWIM OUT COPING TILES AND INSPECTOR COMMENTS False
REPLASTERN
TO CLOSE PERMIT#BPP13-1114
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-238267. CREATED AS
REINSPECTION FOR INSP-237469. Gates must self closing and locking
with locks min 54" from floor
The lock is at 54" but the door is not self locking
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 11,2015 For Inspections please call: (305)762-4949 Page 23 of 36
I41,
Miami Shores Village 77 N #4lis � Iu
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000
Phone: (305)795-2204
�GOR�4p' � ya Expiration: 12/27/2015
Project Address Parcel Number Applicant
9969 NE 4 Avenue Road 1132060171230 -.......
JOEL&ANDREA MINSKI
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone_ Cell
JOEL&ANDREA MINSKI 543 MIN Street (305)510-0916
NEW ROCHELLE NY 10801-
543 MIN Street
NEW ROCHELLE NY 10801-
Contractor(s) Phone Cell Phone $ 8,800.00
Valuation:
REGENCY POOL&SPA OF FLA INC 954-424-0134
Total Sq Feet: 709
Approved:In Review Available Inspections:
Comments:
Inspection Type:
Date Approved::In Review Fence
Date Denied: Final
Type of Work:Swimming Pool Occupancy: Pool Deck
Additional Info: EXISTING SWIMMING POOL RENOVATIC Bond Return: Wall Steel
Classification:Residential Scanning:3 Review Planning
Review Building
Review Plumbing
Review Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $5.40 Invoice# BPP-6-15-56076
DBPR Fee $3.96 06/30/2015 Check#:21685 $295.32 $0.00
DCA Fee $3.96
Education Surcharge $1.80
Permit Fee $264.00
Scanning Fee $9.00
Technology Fee $7.20
Total: $295.32
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 conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for E CTRICANG,MECHANICAL,WINDOWS, DOORS,ROOFING and SWIMMING POOL work.
OWNERS FFIDAVIT: I t all ttf�e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construc on and zoning. uthermore,I authorize the above-named contractor to do the work stated.
June 30, 2015
Aut d Si ature:Owner / Applicant Contractor ./ Agent Date
Building Department Copy
June 30,2015 1
M Miami Shores Village rI �
C_
Building Department JUN
gX01 `
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 13Y
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 ( O
BUILDING Master Permit R'^ —6W
PERMIT APPLICATION Sub Permit No.
MBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION M<ENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9959 NE 4 Ave. Rd.
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-3206-017-1230 Is the Building Historically Designated:Yes NO XX
Occupancy Type: SFR Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Joel Mlski /Andrea Minski Phone#:
Address:9969 NE 4 Ave. Rd.
City. Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Regency Pool and Spa of FL Inc. Phone#: 954-583-7373
Address: 6507 NW 13 Ct.
City: Plantation State: FL Zip: 33313
Qualifier Name: Rafael A Imbert Phone#: 305-684-3804
State Certification or Registration#: CPC056811 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: GGy�mm /��W City: State: Zip:
Value of Work for this Permit:$ e 900 - Square/Linear Footage of Work: M
Type of Work: ❑ Addition [Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Renew permit# BPP-5-13-1114 N 6 SUJi MM G L-
�Nb�AT� 4N '(�D® TANN( tIG f-CDGC 4�Nto SWI" CkAAPING
Specify color of color thru tile: ( I �v^�
Submittal Fee$ Permit Fee$ `f • v CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State 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 approa nd a reinspection fee will be charged.
I - .
Signature Signature
O ER :)r AGENT CONTRACTOR
The foregoing instrument s icknowledged before me this The foregoing instru ent was acknowledged before me this
is day day of — 20 1 5 by 2 day of 20 1jS- , by
who is personally known to �Vp Cc ,who is personally known to
me or who has produced r--Ii C fa as moor who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: \ 1 Sign:
Print: (\A • ��'�V.,,�. Print:
otary Public-State of Florida
Seal: Seal: - My Comm.Expires Jul 21,2016
SANDRA M.MELVIN ,,;:° Commission# EE 211333
* MY COMMISSION M FF 141045 Bonded Through National Notary Assn.
EXPIRES:July ,2018
***s******* ssss*********************s*s****s******************s**ss************s**
a c►
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
STATE OF FLORIDA
- t DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
_...r 1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
IMBERT RAFAEL A
REGENCY POOL AND SPA OF FLORIDA INC
6507 NW 13 COURT
PLANTATION FL 33312
Congratulations! With this license you become one of the nearly -
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range =* ,: STATE OF FLORIDA
from architects to yacht brokers,from boxers to barbeque restaurants. DEPARTMENT OF BUSINESS AND
and they keep Florida's economy strong. PROFESSIONAL REGULATION
Every day we work to improve the way we do business in order to CPCO56811 ISSUED: 06/08/2014
serve you better. For information about our services, please log onto
www,myflo6dalicense.com. There you can find more information CERT RESIDENTIAL POOUSPA CONTR
about our divisions and the regulations that impact you. subscribe IMBERT. RAFAELA
to department newsletters and learn more about the Department's
initiatives. REGENCY POOL AND SPA OF FLORIDA IN
Our mission at the Department is: License Efficiently. Regulate Fairly_
We constantly strive to serve you better so that you can serve your
customers. Thank you for doing business in Florida, iS CERTIFIED under the provisions of Ch 489 FS,
and congratulations on your new license! __.•ci rite Auc 31.zate �t406C8000i5E±
DETACH HERE
RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
CPC056&11
The RESIDENTIAL POOLISPA CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2016
IMBERT, RAFAELA i
REGENCY POOLAND SPA OF FLORIDA INC
6507 NW 13 COURT
PLANTATION FL 33313
iccl lFn nFfnFv?n1.d ni.gpi ay Ae RFn1 IIRFn rev I A\A/ CFn e I ianrnRnnnvrri
BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S.Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000
VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015
DBA:REGENCY POOL & SPA OF FLA INC Receipt#:POOL/MARINE CONTRACTOR
Business Name: Business Type:(POOL/SPA CONTR)
Owner Name:RAFAEL A IMBERT Business Opened:lo/ol/1996
Business Location:6507 NW 13 ST State/County/Cert/Reg:CPC056811
PLANTATION Exemption Code:
Business Phone:954-583-7373
Rooms Seats Employees Machines Professionals
2
For Vending Business Only
Number of Machines: Vending Type:
Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid
27.00 0.00 0.00 0.00 0.00 0.00 27.00
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied for 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 zoning 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 laws and regulations.
Mailing Address:
RAFAEL A IMBERT Receipt #039-13-00002774
6507 NW 13 CT Paid 07/07/2014 27.00
PLANTATION, FL 33313
2014 - 2015
Jun 23 15 12:06p Regency Pool and Spa 954-583-7311 _p.1
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TVE- IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW huavE BEEN ISSVED t0 7NE iR1SURE�NAM
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EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN R P�� E uC� T --
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fax 305-756.8972
Swimming Pool Contractor
Lic#CPCeSeal 1
CERTIFICATE HOLDER CANCELLATION
MIAMISH
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Building Departrnerrt ACCORDANCE WITH THE POLICY PROVISIONS.
10050 N.E.2nd Avenue
Miami Shores,FL.33138 AUTHORIZED REPPJMENTATnM
d eq,
ACORp 25(2014/01) The ACORD name and logo are registered marks of ACORE)RD CORPORATION. AU rights reserved.
C-1 C-2 C-3
R = 2,224.79' R = 2,094.79' R = 25.00'
p = 02'54'53"(C) A = 02'38'16"(C) A = 109'12'35"(C)
A = 113.18'(C) A = 96.44'(C) A = 47.65'(C)
C.B. = N69'11'01"E(C) C.B. = S69'02'43"W(C) C.B. = S54'45'15"E(C)
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SCALE:1"=30' SKETCH NO.:12-1413
DRAWN BY:SP SIDE 2 OF 2
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PINNELL SURVEY, INC.
4855 W.HII LSBOR0 BLVD.,SLTfE B-1 COCONUT CREEK FLORIDA 33073
PHONE(954)41S-4940 FAX(954)418-4941 EYL4II.:Oxdet&lIand"net
a CERTIFICATE NO.:LB6857
A_
SIIRVEX ADDRESS: ,f CERTIFY TO:
9969 N.E"4TH AVENUE ROAD 1.WEST CEN'T'RAL LEGAL SERVICES,P"A
MIAMI SHORES,FLORIDA 33liS ,! I� 2 FIDELITY NATIONAL TITLE INSURANCE COMPANY
3.JOEL MINSKI AND ANDREA MLNSKI
4,BRANCH BANKDZG ANTD TRUST COMPANY,ITS SUCCESSORS AND/OR ASSIGNS,AS
FLOOD ZONE&ELEVATIONS: TTEIRLNNTERESTMAY APPEAR J
j FLOOD ZONE:X j
w BASE FLOOD ELEVATION:N/A l POTENTIAL ENCROACIDJENTS:
CONTROL PAN=NO.:120652-0306-L
H S OVER THE WESTERLY
DATE OF FIlLtiI L*IDEX 09!li 09 1.4 FOOT CHAIN LINK FENCE AND C.B.S.WALLS CROS
}� PROPERTY LINE.
i
J 1.
i � y
LEGAL DESCRIPTION:
LOTS I AND 2,BLOCK 96,OF"AMENDED PLAT OF MIAMI SHORES SECTION N0.4"ACCORDING TO THE PLAT THEREOF,AS RECORDED
IN PLAT BOOK 15,AT PAGE 14,OF TEE PUBLIC RECORDS OF MIAMI-DARE COUNTY,FLORIDA"
3
i
u
s
2 s
LES GEND&ABBREVIATIONS:
n A =ARC D.E. =DRAINAGE EASMIENT P.C. =POINT OF CURVATURE
{ A/C =AIR CONDITIONER ELEV. =ELEVATION P.L =POINT OFINIERSECIION
BN
g A . =ANCHOREASEII E-M =ELECTRIC METER P.R.C. =POINT OF REVERSE CURVE
i ASPS• =ASPHALT F.P.&L.=FLORIDA POWER&LIGHT P.O.B. =POINT OF BEGINNING N
BJvL =BENICEMARK L.B. =LICENSED BUSINESS P.O.C. =POW OF COMMENCEMENT
B.CR =BROWARD COUNTY RECORDS L.P. =LIGHT POLE P.P. =POWER POLE
pC.B.S. =CONCRETE BLOCK STRUCTURE MS =MANHOLE R =RADIUS
CEATT.=CHATTAEOOCHEE (Iv1) =MEASURED. RES. =RESIDENCE
CONIC. =CONCRETE
MATNT. =MAINTENANCE RM, =RIGHT-0F-WAY
C.L.F. =CHAINLINKFENCE 1-10. =NUPdBER T =TANGENT
1 C L.P. =CONCRETE LIGHT POLE N.G.V.D.=NATIONAL GEODETIC VERTICAL DATUM (TYP.) =TYPICAL
t (C) =CALCULATED OH =OVERHANG U.E. -UMITYEASE4ENr
C.B. =CHORD BEARING ORB. =OFFICIAL RECORDS BOOK W.F. =WOOD FENCE
CR =CABLE RISER O/S =OFFSET W UL =WATER METER
(D) =DEED (P) =PLAT =DELTA OR CENTRAL ANGLE
DB. =DEEDBOOTC PB.CYL =PALMBEACH COUNTY RECORDS =CENIERITNE
vI D CR—MIAMI DADS COUNTY RECORDS P.B. =PLAT BOOK S =ELEVATION
¢ GENERAL NOTES: 1 c CERTIFICATION: ,
S.TATE OF SURVEY:BOUNDARY THIS IS TO CERTIFY THAT I HAVE RECENTLY SURVEYED THE
2.IF THIS SURVEY HAS BEEN REVISED AS INDICATED INTHE REVISION '!PROPERTY DESCRIBED IN THE FOREGOING TITLE CAPTION AND pp
BOX SHOWN HEREON,THEN ANY AND ALL PREVIOUS VERSIONS OF j '.,,HAVE SET OR FOLti,D MONI TENTS AS INDICATED ON THIS
THIS SL-RVEY PRHPARED BY pINNNELL SURVEY,INC.ARENULL&VOID. �,I SKETCH AND THAT SAID ABOVE GROUND SURVEY AND SKETCH II
5.THE PROPERTY SHOWNBEREON WAS NOT ABSTRACTED FOR ARE ACCURATE AND CORRECT TO THE BEST OF MY ICZOWLEDGE
OWNERSHIP,RMSTS-OF-WAY,EASEMENTS OR OTBERMATTERS OF AND BELIEF.I FURTHER CERTIFY THAT THIS SURVEY MEETS
RECORD BYP)NATELL SURVEY,INC.THEAB MAY BE ADDITIONAL
MINIMUM TECHNICAL STANDARDS UNDER RULE 5J-17,
RESTRICTIONS THAT ARE NOT DEPICTED ON THIS SURVEY THAT MAY FLORIDA ADMINISTRATIVE CODE,ADOPTED BY THE FLORIDA
BE Fovrm IN TEEPUBLIC REGARDS OF THE wUv rY,FOR WHICH THE STATE BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS.
SUBJECT PROPERTY IS LOCATED W.
4.UNLESS OTTIERWISENOTED,FIELD MEASUREMENTS ARB IN "THIS SURVEY IS NOT VALID WITHOUT THE SIGNATURE AND THE t
AGREEMENT WITH RECORD MEASUREMENTS. i ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR i
f; 5.ELEVATIONS SHOWI•IBBREON'(IF ANY)ARE BASED ON THE NATIONAL !i AND MAPPER {
GEODETIC VERTICAL DATUM OF 1929,UNLESS OTHERWLSENOTED.
6,UNDERGROUND IMPROVEMENTS AND UTILITIES ARE NOT LOCATED.
7.FENCE A.'M WALL OWNERSHIP IS NOT DETERMINED.
8.TRIS DRAWING IS TBB PROPERTY OF?DWELL SURVEY,INC"AND SHALL �— c
?TOT BE USED ORRBPRODUCED,WHOLE OX W PART WITHOUT t '�
WRn7BNPERMISSION&AUIHOR=ATIONFROM?DWELL SURVEY,I\C. j
t 9.ALL EASgMEN1SSHOWNONTHE ATTACHED DRAWING ARE PER 111E 1 1
RECORD PLAT(UNLESS OTEERWISE NOTED).
�i 10.THIS SURVEY IS FORMORTGAGE AND TTLT•E PURPOSES ONLY"
i 1I.BEARINGS SHOWN HEREON ARE BASED ON AN ASSUMED BEARING JASON H.PINNELL
OF SOUTH 00°08'58"E ALONG THE EASTERLY LINE OF LOT 1,BLOCK PROFESSIONAL SURVEYOR&MAPPER �
96,P.B.15,PG.14 M-D.C.R. ±, LICENSE NO.5734,STATE OF FLORIDA
SKETCH NO.:12-1418 j
DATE OF SURVEY.09/21/12
CHECKED BY:J.P.
FIELD BOOK/PAGE:425/27 �
REVISIONS DATE I CHK'D BY SIDE 1 OF 2