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BPP-15-1128 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-234606 Permit Number: BPP-5-15-1128 Scheduled Inspection Date: December 15,2015 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: RANDLE,JULIA Work Classification: Repair Job Address:285 NE 103 Street Miami Shores, FL 33138-2430 Phone Number Parcel Number 1121360130440 Project: <NONE> Contractor: G.E POOLS CONSTRUCTION INC Phone: (786)355-3382 Building Department Comments RE SURFACING EXISTING SWIMMING POOL AND Infractio Passed Comments RECONNECT VALVE AT POOL PUMP INSPECTOR COMMENTS False Inspector Comments Passed <F?fl Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid i December 14,2015 For Inspections please call: (305)762-4949 Page 3 of 43 P* iO NO,pk Miami Shores Villages; � fhrtoWo 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 Phone: (305)795-2204 �' 3� �� „?� ,„ „ ., ,,33;;x, �• Expiration: 06/30/201 lit Project Address Parcel Number Applicant 285 NE 103 Street 1121360130440 Miami Shores, FL 33138-2430 Block: Lot: JULIA RANDLE Owner Information Address Phone Cell JULIA RANDLE 285 NE 103 ST MIAMI SHORES FL 33138-2430 Contractor(s) Phone Cell Phone Valuation: $ 2,300.00 G.E POOLS CONSTRUCTION INC (786)355-3382 Total Sq Feet: 450 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Review Electrical Type of Work:Swimming Pool Occupancy:Private Review Electrical Additional Info:RE SURFACING EXISTING SWIMMING P Bond Retum: Review Planning Classification:Residential Scanning:3 Review Plumbing Review Plumbing Review Building Review Building Review Mechanical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80Invoice# BPP-5-15-55532 DBPR Fee $2'25 12/02/2015 Credit Card $ 118.30 $50.00 DCA Fee $2.25 Education Surcharge $0.60 05/13/2015 Cash $50.00 $0.00 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $168.30 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 accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin Futhermore,-I authorize the above-named contractor to do the work stated. December 02,2015 A orized Signature:Owner / Applicant / Contractor / Agent Date ing Department Copy December 02,2015 1 Miami Shores Village ��'�� MAY � � 2015 0��-� Building uding Department BY: 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 O.� 11 PERMIT APPLICATION Sub Permit No. >(BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 2g,5. Ng /03 J City: Miami Shores County: Miami Dade Zip: 3 D Folio/Parcel#: 11 2� 3(e— 0%-'; - ®4-4 Q Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: �7 `t FF,1E: OWNER: Name(Fee Simple Titleholder): _J�-w�(. 19� P. Phone#: 3 05- 75 ^5T3) Address':e 9-2( 5 City: M lf1t!-tl1.L -I-An i)- State: PL - Zip: 3 e• Tenant/Lessee Name: Phone#: Email: ��^^ {� f CONTRACTOR:Company Name: �-G. I bdc g CO nsS_Lr6n Inc Phone#: I&P,3.5 E-3 3 e; . Address:, r 1.' 2-20 fu) 99 PL. City: �l I•P) n I State: PL- Zip: `�3 1 tv 15 Qualifier Name: Qy - l led-"o eSnv)I � e L 3c. Phone#: -7&359--3 3,? Z State Certification or Registration#: C P, Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: ( Value_Qf-Work for this-Pe_rmit.$ �' 3©� Square/Linear Footage of Work: ��) Type of Work: ❑ Addition ❑ ^^Alteration ❑ New XRepair/Replace ❑ Demolition 11�Description of Work: 5 o Yd�q C C X S`ll Al C, 6 LJmm i r 1 A P 66L . Specify color of color thru tile: l 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$_ • cy _ (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. Sign re Signature dkil OWNER or AGENT C /TRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 140AJ 20 15 ,by .3 day of 20_15 ,by �JVLiFJ 1?An k-P. who is personally known to (y XIX 4HO �JpC who is ersonall known to p Y � p v f ,S®i9i .mpor 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: Sign: Print: `:`•f"%L0UER0 Print: ,eAY PuAIDAPEdUERO `:iC� a ":•�'�� IAAYYCOMMISSION# 18551IT Seal: *Me "C', � _ . ,rt�i?r 5,2018 Seal: * * EXPIRES:Od dbu 5,2018 �OT Ec'.s:a T t[u engei t;c ary Services r Bonded ThN gudgetNolerY Services �4re r APPROVED BY �� Plans Examiner S/ Zoning Structural Review Clerk (Revised02/24/2014) i G.E. POOLS CONSTRUCTION INC. 4220 SW 97 PL MIAMI, FL 33185 786-355-3382 GEp®a1s(a,Yaoo.CO Lie. and Ins. CPC1458435 May 12, 2015 State of Florida County of Miami-Dade Before me this day personally appeared Guillermo Esquivel S. who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at Sworn to ( 7affi, d) and subscribed before me this /2 day of H 2015 ByvPersona y � Or produced identification Type of identification produced AMA PE©UM * * W COMM#FF 113M EXPIRES:Oaf 5,2018 Wed ThruWN*rySKft Print, type or stamp name of Notary o ♦5H�c'�s`r .... .,...� Miami shores Village Building Department �ORIDA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 1LJA VJWCLQ Fax: (305) 756.8972 Notice to Owner - Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers'compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this 2—day of HP,1, 20-6-- By—t_ LA-i f4 A Le . who is personally knomm to me or has produced as identification. Notary: at*�;P:'°4� A®A PEGUEFtO * MY coMMISSIOI#FF IM SEAL: * EXPIRES:OCUM 5,2018 ,pM,4 00\�e Bonded ft BudWoury SO" BMMIDARYSYRVEY swo" =I.=30' MAY 13 2015 _ �0 � sY• - film" 103st' COPY RcmFAce i 65 pca. �� I Lor-20 't BLOCK-119 4 F.I.P •` r 123.11' : 37 NO P 11. 6'W.F. -- �.��' 1� 063 - ' X iO4at OCK-1 9 8'W. 11.616'C.B.W W s �xk b `F' 10.14 11.01 R®�h �'; 10.65 4n an •••••• •• � i 3. 33.10' CR. • � �' • ., Lor-22 N • *! i f • BLOCK-119- �' p •••••• as �k' a •• 24.84' m ••••• • • •• '` 61.40' 04.50' v! . • o> ONE SrORI" g 4r.. . NCR �rE4 ••••• v�,x `^il •• M.#285 • p:. ani� `.. RES • �" of $ � •••••• � . • ... • /�)eM a AM L"t C'r+Fd'ffC+ .iT'C7NL-) 'yt . . v c LF.E.=10.86' • •••• ", � • t' .� 10.24 28.80' GARAGE ELEV.=10.1W • •�• '�, h�� • ? 11.65 '�' i•••• � « ' � Y .� n 10.EpA ••• x:° _ 10.92 ^� w 2.00' 10.24 9.91 ' � } Fv 10.60' P.C. 59.20' t 16.60' F.N.D. 10.37 9.62 fav NO ID. r $� L07 N BLOCK-119 2 s � ■ ■ 88°63 " B.C. -0 NJ '• .1233f•i :5'CONC.SWK: 2` x tea` NO ID. P Rs? � ie � r F 1.P 3/4` 9.99 9.66 r'1 NO CAP 18'MY m �ae x r� u s Fae�ttss vL .^,k ��-Y�$m�p.^}�F., - � .. - 1� r'� � ^�.s �,u�N, ra,•' j � �,'' .. ia ,*�"sa t• .1x �iC }' 4 'T `° �` a . -u; aF`' ,y ��„ T FK w n q P, Mismi9 ores 7i 5 , 131-0t3 DEPTe n . STATE AW GCt& rfUnAW = �C1 - it �w•-a �6 r�>� __ BI92 N W.TSH STREET,BUTTE 202 Nava 51�1"V C1�OYS Inc. 9e-0008576-2 MIAMI,FL 33128 SURVEY NO TELEPHONE:(308)264.2890 Nava FAX:(308)264-0229 DRAWN BY:TOO LAND SURVEYORS SHEET NO of 2 SURVEY OF LOT 21-2-3.SLOC K 119..OF AN AMENDED PLAT OF SECTI0N NO-5 OF lldllAlUl1 IS H ORE5,.,AMADADWG TO THE 1tAT TlFIFOF S r-%o LOQ till �VVR iv;FACIEE•ie,Or 1 PIE PUBLIC REGORbS OF MiAMWUAOE L;00W#T,rLVKiUiR PROPERTY ADDRESS: 285 NE 103 ST,MIAMI SHORES,FL 33138 FOR: JULIE RANDLE T _ t14 - - I SAT ao .. b0 +a0 Fav av !►0 2 Be .. I M 13 1� �! io 9 8 7 6 Z 41 �9 6 T b 5 A 3 2 1 , ; N{Z ►t u W raw L {� +� ',a �y' 1 14 {, 'dSB ID »o l30' 410 8e 2e �00� STR EST. T bA"WW! 3 h { ' iia2iia a 1•r r 3 e 1$ 13fols {6 17 18 Tj a t3 tom• • � 5 14 r 10 :3 s?�1r ' .. sipa6=a t s`�4 `r�R E. E. �Y , tINKy,,Sea.39-S2--4 "••• "' ' o gffiEVIATION AND MEANING LEGEND TYPICAL • A-ARC • . • FNIP-FEDERAL NATIONAL INSURANCE RAD.=RADIIS OF RADIAL --nn-OVERHEAD UTILITY LINES •• AIC=AIR ONQUIONER PAD • • PROGRAM ROE.-RANGE ••• =ANCHOR EASEMENT •••••4N.BEG.=INGRESS AND EGRESS R.P.-RADIUS POINT C.B.S.=WALL(CBW1 ••• =AL�OF •• •• EASEMENT ROLE @ ROOF OVERHANG C.L.F.ffi CHAIN LINK FENCE • =AL 30 • • L F.E a LOWEST FLOOR ELEVATION EASEMENT • eF j a ASPHALT •••••• L.M.E.-LAKE MAINTENANCE EASEMENT R W s RIGHT-OF-WAY 8L' C�QRNEia • L.P.=LIGHT POLE SEC,s SECTION -0"0' I.F.=RON FENCE i••gj(�R=BRO 1 QNTY REAOR�§'• M.m MEASURED DISTANCE S.I.P.=SET IRON PIPE L.B.#am -u-� W.F.-WOOD FENCE • C =BENCH MARK •••• MIH=MANHOLE SWK. SIDEWALK R� ar p.A!.SP�.t• �.4pJ.tM.' WAR wVfA7•APART M, TTAAVIXNT so:Q).. .9309O.m 6l Fw "••••• m ••••.• • �C CAI�SRAT,� • NOVO=NATKHVALGEODETIC VERTICAL TWP3TOWNSNIP • C.B. CAT®H B INS ••••.• DATUM U.E.-UTILITY EASEMENT • C.S.W.=CONCRWEBLOCK WA%L N.T.S.=NOT TO SCALE U.P.Q UTILITY POLE SURVEYOR'S NOTES 0000 CKS a CHS •••"• O.H =OVERHEAD UTILITY LINES W.M.a WATER METER 1)IF SHOWN,BEARINGS ARE REFERRED TO AN ASSUMED • O.R.B..=OFFICIAL RECORD BOOK W.R.=WOOD ROOF MERIDI W,BY SAID PLAT IN THE DESCRIPTION OF THE CL=CLEAR••• VKOIS m OFFSET W.S.=WOOD SHED PROPERTY.IF NOT THEN BEARINGS ARE REFERRED TO C.M.E.-CHAIN LINK FENCE DVH.-OVERHANG -t=ANGLE COUNTY,TOWNSHIP MAPS. .M E=CANAL MAINTENANCE P.B.=PLAT BOOK 2)THIS IS A SPECIFIC PURPOSE SURVEY. EASEMENTS P.C.=POINT OF CURVE =CENTRAL ANGLE 3)THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE LYtttt =R'.fTN jwTF P C,C,r POW OF COMPOIAND CAJRVE C C.S.=CONCRETE E SLAB, ►�.=PRO i at 4)IF SHOWN,ELEVATIONS ARE REFERRED TO C.S.=CONCRETE SLAB,, P.L.S.=PROFESSIONAL LANG � =MONUMENT LINE MIAMFOADE COUNTY. O.E.=DRAINAGE EASEMENT SURVEYOR O.M E=DRAINAGE MAINTENANCE P.O.B..n POINT OF BEGINNING ALL ELEVATIONS SHOWN ARE REFERRED TO EASEMENTS P.O.C..-POINT OF COMMENCEMENT NATIONAL GEODETIC VERTICAL DATUM OF 1929 DRIVE=DRIVEWAY P.P.=POWER POLE MIAM4DADE COUNTY BENCH MARK@ NS87 ENCR-ENCROACHMENT P.P.S..-POOL PUMP SLAB LOCATED®310, E.T.P.=ELECTRIC TRANSFORMER PAD P.R.C.=POINT OF REVERSE CURVE ELEVATION 10.54 FEET OF N.G.V:D.OF 19n FT E.-FINISHED FLOOR ELEVATION PRM-PERMANENT REFERENCE F N a FlAF 6bY1NtAldT )mFNT F.I.P.=FOUND RM PIPE rI.=rule!De-►Al"UtNGT SURVEYOR'S CERTIFICATION FAR=FOUND IRON ROD PVMT.=PAVEMENT F.N.=FOUND NAIL PWY=PARKWAY 1 HEREBY CERTIFY:THAT THIS"BOUNDARY SURVEY"OF F.N.O.=FOUND NAIL 8 DISK R=RECORD DISTANCE THE PROPERTY DESCRIBED HEREON,AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY("SURVE'cl COMPLIES WITH THE MVdMIJM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY. PROFESSIONAL LAND SURVEYORS IN CHAPTER 61017.6, THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING.AND SHOULD NOT BE FLORIDA ADMINISTRATIVE ODE PURSUANT TO 472.027• USED FOR CONSTRICT=PURPOSES, FLORIDA STATUTES. -cwivim�iNiw air iric ice:iv`ori w".i•i•: v u•.�_ aa.•wa•••v,o AFFECTING THE PROPERTY.THIS SURVEY IS SUBJECT TO DEDICATIONS,LIMITATIONS,RESTRICTIONS,RESERVATIONS OR EASEMENTS OF RECORD,AND LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. • THEB E FIE�LDY COULD BE SURVEY DRARAVNJ ATS A EA SHOWN S WING AND/CALE AND I O COOTREPRESENTATIONTO OF THE SURVEY WORK PERFORMED ON BY: O AGI�I v E. EASEMENTS AS SHOWN ARE PER PLAT BOK,UNLESS OTHERWISE SHOWN. - ?14 THE TERM"ENCROACHMENT'MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. ARCHITECTS SHALT.VERIFY ZONING REGULATIONS,RESTRICTIONS AND SETBACKS,AND THEY WILL BE RESPONSIBLE - FOR SUBMITTING PLOT PIANS NTH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN NEW CONSTRUCTIONS,UNLESS OTHERWISE NOTED.THIS FIRM HAS NOT ATTEMPTED TO LOCATE PROFESSIONAL LAND SURVEYOR NO. 6437 _ FENCE OWNERBHIP N07 DETERMINED. BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED. SURVEYOR). HEREON;THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. - THE SURVEYOR MAKES NO GUARANTEES AS TO T14E ACCURACY OF THE INFORMATION BELOW.THE LOCAL FEMA AGENT SHOULD BE CONTACTED FOR VERIFICATION.THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED REVISED ON: ....��....� ......•x..a,.,••,..,.. nn•s•.u.,..•u.•u.-,•w„mv..wwsew w.ww. n•x nr.•,nu.wwn.w•nw