EL-15-2318 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
J"v I
Inspection Number: INSP-243336 Permit Number: EL-9-15-2318
Scheduled Inspection Date: September 28, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: MENDEZ, BENIGNO Work Classification: Pool - Private
Job Address: 551 NE 105 Street
Miami Shores, FL 33138-2044 Phone Number
Parcel Number 1122310140280
Project: <NONE>
Contractor: MESA BROTHERS INC Phone: (305)345-1974
Building Department Comments
INSTALL NEW POOL EQUIPMENT ON EXISTING POOL Infractio Passed Comments
ELECTRIC. INSPECTOR COMMENTS False
Inspector Comments
Passed
i
Failed � � to�1�
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 25, 2015 For Inspections please call: (305)762-4949 Page 22 of 39
Miami Shores Village "\ `Typwop
10050 N.E.2nd Avenue NE \,
Miami Shores,FL 33138-0000
Phone: (305)795-2204
Expiration: 13/2 0 1
Project Address Parcel Number Applicant
551 NE 105 Street 1122310140280 � BENIGNO MENDEZ
Miami Shores, FL 33138-2044 Block: Lot.
Owner Information Address Phone Cell
BENIGNO MENDEZ 551 NE 105 Street
MIAMI SHORES FL 33138-2044
551 NE 105 Street
MIAMI SHORES FL 33138-2044
Contractor(s) Phone Cell Phone Valuation: $ 600.00
MESA BROTHERS INC (305)345-1974
._.. ....,.._ ._ ..... _ .... _...... Total Sq Feet: 0
Type of Work: INSTALL NEW POOL EQUIPMENT ON EXIST Available Inspections:
Additional Info: Inspection Type:
Classification:Residential
Final
Scanning: 1
Light Niche
Bonding
Review Electrical
Alarms
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# EL-9-15-57053
$3.38 09/25/2015 Credit Card $236.36 $0.00
DCA Fee $3.38
Education Surcharge $0.20
Permit Fee-Additions/Alterations $225.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $236.36
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 ELECTRICAL, PLUMBING, MECHANICAL,WINDOWS, DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is a r e and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named o a r to do the work stated.
September 25, 2015
Authorized Signature:Owner / Applicant / c / Agent ate
Building Department Copy
September 25,2015 1
Miami Shores Village
Building Department 01
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305)795-2204 Fax: (305)756-8972 '
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 ( 0
BUILDING Master Permit No.—B?Pv��- �3D
PERMIT APPLICATION Sub Permit No.
❑BUILDING ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION [-]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
N
CONTRACTOR DRAWINGS
y
JOB ADDRESS: S 5 1 1 10 S
City: Miami Shores County: Miami Dade Zip' 4
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder):_ t:�e a I cp o ni f n lP Z Phone#:
Address: 5 5 1 N F" i D s S1
City: & _(�LCIVR-6 State: F-L Zi
Tenant/Lessee Name: Phone#:
Email:
(CONTRACTOR:Company Name ,_ / o
Phone#:
Address: (.S l Cl'� �l7�
r , / �-
City: ( t th 4ti�ti 4 State: Zip:
Qualifier Name: Phone#:.��.�7
,r -
State Certification or Registration#: Certificate of Competency#: z,/C T 77
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Cp CSO, Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑l Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: pool- dN-n e Ylt on E'0 S'f
�_ el �c�•r:�
Specify color of color thru tile:
�Z1�me�
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ SG SCD
(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 approved and a reinspection fee will be charged.
Signature " '�''� Signature
OW E'R or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
2— day ofAl-K, 20 IS by �5 day of�_ =i'(1' 20�, by
(B_. 4 r)c P1 f 6-Je2 who is personally known to 1 -c 2- who is personally known to
me or who has produced as - me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: c Sign:
Print: .°" Print:
� G
k * MY COMMISSION#FF 165583MYMMISSION#FF084758
Seal: Seal:
or EXPIRES:October 5,2018 Seal EXPIRES:JAN 21,2018
"'OFWv BondedThruBudgetNotaryServkes
Bonded through 1st State Insurance
************************************************************************************************************
APPROVED BY 'Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
0 see
BOUNDARY SURVEY :'•': :.: :'•': : WNN� L M% �MEWFRUORM L HD �]LaC�C UR2 O wDll
13217 S.W.46th Ln.
. 1 20
Phone/Fax: 305 223-6060
SCALE ( )
5 L
...................../O As ha/t Pave e t P .... .................................................................................................................. E mall.rvlzea a.13 mall.com Mlam, orlda 33175 33 Y @9 L.6.8000
................................�....................................................
.........................t ...............................
: ..--.. ....:::::::.. ...........-..............:...............-.....:....::..... ................................::::::::::::::::::.
..........•.w.w.............*.f.........+►................................................................... 75.00.......::.-::::::.:::::::::::::::.-::.-::::::::::.-:::.-:.-::.-::::::-::.::::::::::.-:.-:::::::.-::.-::.-::.:-.:-:.-:::::::.-::.-::......
FD. A *A 19
— —— ��o FD PROPERTY ADDRESS: 55 1 NE 105th 5t. Miami Shores, FL. 33 138
„ • • l/z"1.P. • • •••
112'1.P,
LEGAL DESCRIPTION: Lot 19 and the West 1/2 of Lot 20, Block 110, of AMENDED PLAT OF SECTION
•• :•: : : : �• '• " a 43.00' FIVE OF MIAMI 5110RES, according to the plat thereof as recorded In Plat Book 10, at Page 47, of the
•• ' ••• •• 32.50' Public Records of Miami Dade County, Florida.
4'C.L.F. °
O
p g
O . � Pool
°N 4'C•L.F
a
a
d
�e°a.U
A o
18.20,
Conc.Pool Deck
.2' . °
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.1,...N....._E...._3
0...7
.TrS[!
1T.._.
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22.00
7.00
Pool Fqutpment
LOT- 8 Remainder of�, Ne iCSTH ST0 14.14
BLOCK- Lot 20
lo.00ReXX
1!
BLOCK- l l O _ .. . .
: I
LOT /9 W. 112 of
Lot 20
BLOCK- l lO ° 1 _:. _. ['lid_.._..
X m � .
,NE 11k5TN 6T
/0.00 40.50'
Q " LOCATION MAP
14.50' lo.00' N.T.S.
t
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t\
m
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%2"1.P. 10 112,
%2"l.P. B.C. gLot 24
° a NOTE:
5'Sdewalk' a..75.00'a a a' , e. 2 7-/4' ELEVATIONS ARE REFERRED TO MIAMI DADE COUNTY BM# N/A ELEV.= N/A OF N.G.V.D. OF 1929
JOB NUMBER:
LEGAL NOTES
p 23'Parkway j THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP.EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO
DETERMINE RECORDED INSTRUMENTS,IF ANY,AFFECTING THE PROPERTY.THIS SURVEY IS SUBJECT TO DEDICATION,LIMITATIONS,
m m RESTRICTIONS,RESERVATIONS OR EASEMENTS OF RECORDS.LEGAL DESCRIPTION PROVIDED BY CLIENT.THE LIABILITY OF THIS SURVEY IS
LIMITED TO THE COST OF THE SURVEY.UNDERGROUND ENCROACHMENTS,IF ANY,ARE NOT SHOWN.THIS FIRM HAS NOT ATTEMPTED TO
LOCATE FOOTING AND/OR FOUNDATIONS AND/OR UNDERGROUND IMPROVEMENTS OF ANY NATURE.IF SHOWN BEARINGS ARE REFERRED
TO AN ASSUMED MERIDIAN.IF SHOWN ELEVATIONS ARE REFERRED TO N.G.V.D.OF 1929.THE CLOSURE IN THE BOUNDARY SURVEY IS
ABOVE 1.10000.THIS SURVEY IS NOT INTENDED FOR NEITHER DESIGN NOR CONSTRUCTION PURPOSES.FORTHOSE PURPOSES S
ES A
k TOPOGRAPHIC SURVEY IS REQUIRED.
:: ti: t%t':::: ...:......:::::::: .:::;'::::::: :....: A�i::ii;; is: `iti :;:::i :::i;::::::i::': a: :`:t:i::i::i:::::::ti:; s:.:;':::`; :::i::?:::::'iir:?:: :tii:::'i:: 7
NEvE l 05th St. .......................................::..:::.:.:::::...:..:...:...:......................................... DATE OF FIELD WORK. L eC. 4 2O l�,
TIFIED
CER TO:
......................
..............: . : ......... ..::
s:: : . . . :.:;i::iii.:i.:.ii:.:.;...i.i..:::•:::• F .........................................._:: : :: ;:_.:...
BENIGNO S. MENDEZ
REVISED ON:
.......... .:::... l9AsPhalt Pavement ........... . . .
5 TOTAL
kk 7
>: ::::.:i:i.?': iY v v .:....:.:.: that the attached Sketch of Serve of h herein
I hereby cert t attac ed a the e
described roe is to the best of m knowled a and belief,a true and
property rtY Y
9
correct representation,of a field survey performed m direction.
LEGEND AND ABBREVIATIONS And also meets the Minimum Technical Standards as set forth by the
Florida Board of Professional Surveyors and Mappers in chapter
=CENTER LINE FD. =FOUND IRON PIPE AC =AIR CONDITIONED UNIT A =ARC DISTANCE C.G. =CURB&GUTTER 5J-17.050 thru 5J-17.052 F.A.C.pursuant to Peclon 472.027 F. S.
P/L =PROPERTY LINE O.H.L. =OVERHEAD UTILITIES W.M. =WATER METER D =CENTRAL ANGLE V.G. =VALLEY&GUTTER
M/L =MONUMENT LINE C.B. =CHORD BEARING U.E. =UTILITY EASEMENT R =RADIUS E.M. =ELECTRIC METER
RNV =RIGHT OF WAY (C) =CALCULATED C.B.S. =CONCRETE BLOCK STRUCTURE 0 =DIAMETER STY. =STORY no n(�I n�nv no 0
C.L.F. =CHAIN LINK FENCE (M) =MEASURED P.C.P. =PERMANENT CONTROL POINT B.C. =BLOCK CORNER SEC. =SECTION ARTURO R.TOIRAC P.S.M.3102
W.F. =WOODEN FENCE (R) =RECORD D.M.E. =DRAINAGE MAINT.EASEMENT TYP =TYPICAL MH. =MANHOLE Professional Land Surveyor&Mapper
=ELEVATION ENC. =ENCROACHMENT P.O.B. =POINT OF BEGINNING S.W. =SIDEWALK CL. =CLEAR Not valid without the signature and the original embosed seal of a
CONC. =CONCRETE SLAB RES. =RESIDENCE P.O.C. =POINT OF COMMENCE PL. =PLANTER F.F.ELEV. =FINISH FLOOR ELEVATION Florida Licensed Surveyor and Mapper.