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MC-13-854 A Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-223141 Permit Number: MC-4-13-854 Scheduled Inspection Date: December 01, 2014 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: HOLT,JAMES Work Classification: Pool Heater Job Address:361 NE 97 Street Miami Shores, FL 33138-0000 Phone Number Parcel Number 1132060135760 Project: <NONE> Contractor: SWIMMING POOLS OF FLORIDA INC Phone: (305)597-3950 Building Department Comments MECHANICAL WORK FOR SWIMMING POOL Infractio Passed Comments CONSTRUCTION INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-189931. CANCELLED BY ESTEVAN CONTRACTOR 305-597-3950 Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 26,2014 For Inspections please call: (305)762-4949 Page 14 of 27 - , Miami Shores Village ''' Building Department V 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 FBC 20 BUILDING Permit No. PERMIT APPLICATION Master Permit No. CJI ? Permit Type: MECHANICAL JOB ADDRESS: V J City: Miami Shores County: Miami Dade Zip: ItL Folio/Parcel#: Z��n bl Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): Phone#: Address: City: State: Zip: Tenant/Lessee Name: Phonek Email: CONTRACTOR:Company Name: `/S Phonek Address: ( %-A ow City: 1 State: Zip: ��k l( Qualifier Name: P Phonek State Certification or Registration#: r Certificate of Competency#: Contact Phone#: �, Sdf c�� �� Email Address: Cgp n S� 6D `�j pn 1 > ( )on. DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:3 1 Square/Linear Footage of Work: Type of Work: ❑Address ❑Allteration ❑New I ❑Repair/Replace ❑Demolition Description of Work: 1200) rYl eG�� )1 ,5 t(21 J 0i—t! 6 n �x���:������+x�*��xxxx�x�:x�:x*�*�•xx�x�xx�x Submittal Fee$ Permit Fee$ r 0�V t)e CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ lYL 11 ' 1 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 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 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 n4earovd and a reinspection fee will be charged. Signature Signature Owner or Agent C actor The foregoing instrument was acknowledged before me this v� The foregoing in trument was ackno dged befor,m this C) day of ,2013,by �YYI eF. � C�� 1 T, day o i -120 j3 by � r,(�Y�� who is personally known to me or who has produced aijnP who is personally known to me or who has produced�'L�nV As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC NOTARY BLIC: Sign: Sign: X 114r? �' A E Y ublP Print: ' Not #AE1 Print Ex Malortda �/ �„�,• COM Mar?,# 2018 My Commissio x�i „,�:•� Commission! E 2016 My Corn t EE 176938 E 178938 ��xxxx*x�x�*�*x�*�*��x�x�����«*xxxa•xxx:x�x*xx��xxx�*�mxx�x*�xxxx�x*x�*x*��*xxxx:xx��x�*xxxx���*�*x�x>K�xxx*xxx APPROVED BY Plans Examiner Zoning Structural Review Clerk Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) ORR Miami shores Village Building Department 10050 N.E.2nd Avenue OR Miami Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL,SPA AND HOT TUB SAFETY ACT I (We) acknowl dge that a newkswimm g pool, spa hot tub will be constructed or installed at 2�4f Il�- Q� I'S IV ;710t,0t• % , CAS 1�1-_Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please 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 Manufacturer's Specifications). A continuous,one-piece(child)barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter.The plans shall show the fence location and method of attachment,including one end that shall not be removable without the aid of tools.(Submit Manufacturer's Specifications). A combination of non-dwelling walls and fences(screen enclosure,child fence,masonry fence walls,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,R4101.17.1 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 with Florida Building Code,R 101.17.1.9(Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool Oe4neter and all doors will be equipped with a self-latching device with positive mechanical latching/locking installed a min.54"above the threshold. If this option is selected,submit plans showing all types and location of all perimeter protection.The plans must also show the location and type of all openings,and the hardware type for each location.(Submit Manufacturer's Specifications). In accordance with the Code,the pool may not be filled with water without compliance with the Private Swimming Pool Safety Requirements,and upon expiration of the permit,the pool shall be presumed to be unsafe.I understand that not having one of the above installed will constitute a violation of Chapter 515,F.S.,an d will be considered as committing a misdemeanor of the second degree,punisha s provided in Section 775.082 or Section 75. F.S.This form must be signed by the owner/a t d the prime contractor. CO RA 0 ' S G ATUR AN DATE ANGELA A w CONTRA PRINTMar 7,2016 WNE I3VfTLA 9AEZ om ssion#EE 176938 _ r �'State of f .�%�` , d�R •ExWfes altar 7 bride NOTARY PUBLIC EE 1769301e ,SNA14 - 132 ORES G,t t 'Y M fl ,,,,,M Miami shores Village Building Department OR to 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 WIMMING POOL OWNER'S CERTIFICATION Date Z-o A Q I --;s Miami Shores Village Building &Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as 19 Z 20 Unk qL located at �)(Or o c q - S� \ ami s�er i es . In accordance with Section 33-12(f), Code of Metropolitan Dade County, I certify that I 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 eliminate the need for obtaining a permit and erecting and approved barrier prior to final inspection and use of the pool. r Legal Owner Note:This certification is to be submitted with a swimming pool permit application in duplicate. Miami Shores Village Building Department SPR 17 2014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �J Tel:(305)795.2204 Fax:(305)756.8972 _"ar INSPECTION'S PHONE NUMBER: (305)762.4949�Y' FBC BUI LDI NG Permit N � -�`7 PERMIT APPLICATION Master Permit No 13— es-1— Permit Type; M ECHAN"I//CAL r&' JOB ADDRESS: . V V1;+- City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: t l nj&6- -&113 v e I sthe Building Historically Designated: Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): V(i nets Phone#: Address: Ala q7-4't City: e4.h'Li 9 2oy-eJ State: �� Zip: 33 05 . Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 51jly'*h I r U PceRCY' % Phone#: _306-597-3750 Address: e I Il'1 " 56 '5--� City: A.i`A.l'y * State: Zip: Qualifier Name: Ni r YVt1P,l 4/ew1r.tVj,-Z Phone#: State Certification or Registration#: U�G"j /cam;�68 Certificate of Competency#: Contact Phone#: Email Address: CO3 S-pa T--/-Ccen DESIGNER:Architectngineer: 00 Phone#: -3c)5- ;;?6'1- 'E �l Do Value of Work for this 6C3 Squarefl-inear Footage Work: Typed Work: ❑Add ss B ❑Alterati &New ❑Repair/Replace ❑Demolition De=lptlon d Work: et*h,,,yo,cro es Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ 1 NNIN, . . 1 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 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 condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencem must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the a se c such posted notice, the inspection will not be approved and a reinspection fee will be charged. QV— Signature Signature Y, Ow r or Agent Mntractor The fore ingi strument was ackledged before The fore Ming i strument was acknowl dged befo e m this, day of ' .20��by _J�-�-' 'S m s day of ,20� by �n 6 � w is personally known to me or who has produced who's personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTA R IC: NOTARY P LIC: Sign: Sign: ny Print: 3°tea ;t Florida Print: _ a - My Comm. Exp n: Phar 7, 201 b %;' •�� MY mm. Expues Mar 7,2016 My Commission Exp My Corr= iofi, ,. s: Commission u Q FOF F,;r`' Commissic'] a t_t '�h4s8 EE 176938 r ��anna �a�e�k�Ia�ksksksIs:kak�k�k�alaga%Ia�kaksksksk��kakak�sEsak �I:�kx:sksksk�k :ksk�k�k�k�k�k�k�k:kik%k:k%k�kaksk��:a>E�:cgs�k�yeya,kye�k�k�k�ask�k>�����kx:�kHa��k��k:k$asFsaesksk�k�k8+�1+��kakakikak�kak�k�k�k�k3'��I=>� APPROVED BY 1 �la s Examiner Zoning Structural Review Clerk (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)