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BPP-15-1820 (2) 82 i Miami Shores Villagetp Pntil t�� rSWri�i 10050 N.E.2nd Avenue NW WOI* a5sfticarvr► �1At Miami Shores,FL 33138-0000 y q p{y 'Pw1, AAf,"' �E Phone: (305)795-2204 0R �21Dp` r Expiration: 02/27/2016 Project Address Parcel Number Applicant 5 NW 107 Street 1121360070480 MILLICENT MCFADDEN Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell MILLICENT MCFADDEN 5 NW 107 Street MIAMI SHORES FL 33168- 5 NW 107 Street MIAMI SHORES FL 33168- Contractor(s) Phone Cell Phone _.__ $ 23,350.00 _. ROSMEL POOL INC (305)592-7900 Valuation: Total Sq Feet: 699 Approved: In Review Available Inspections: Comments: Inspection Type: Date Approved: :In Review Fence Date Denied: Final Type of Work:Swimming Pool Occupancy:Private Pool Deck Additional Info:NEW SWIMMING POOL AND DECK Bond Return: Wall Steel Classification:Residential Scanning:4 Review Electrical Review Planning Review Building Review Building Review Plumbing Review Plumbing Review Structural Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# BPP-7-15-56410 CCF $14.40 08/31/2015 Check#: 12993 $500.00 $931.92 DBPR Fee $10.51 DCA Fee $10.51 08/31/2015 Check* 12993 $881.92 $50.00 Education Surcharge $4.80 07/21/2015 Check#: 12898 $50.00 $0.00 Permit Fee $700.50 Bond#:2826 Plan Review Fee(Engineer) $160.00 Scanning Fee $12.00 Technology Fee $19.20 Total: $1,431.92 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 inf rmation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the ab -name Itod he work stated. L August 31, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 31, 2015 1 f arR , -- Miami Shores Village -� � g JUL 21.2015 Building Department gy; , 1 - r 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 1 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 F B C 20/jy- h BUILDING Master Permit NO/Pz E �/c Z24 PER IT APPLICATION Sub Permit No. UILDING ❑ ELECTRIC ❑ ROOFING F-1 REVISION ❑ EXTENSION RENEWAL PLUMBING [7 MECHANICAL PUBLIC WORKS F_� CHANGE OF F-1 CANCELLATION 0 SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 45 1Jl,j 10-1 S t City: Miami Shores County: Miami Dade Zip: 33\lo 1E! Folio/Parcel#: 1 13(a 00 nw Ko Is the Building Historically Designated:Yes NO '✓ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): UII liat It me fad&.'a Phone#: Address: 5 t%_ . 1 O`I !E�-t- - City: State: !71 Zip: `533 (OV Tenant/Lessee Name: tJ Phone#: Email: CONTRACTOR:Company Name: Phone#: �3.'-�c.IGQ, Address: St A nLAC) City: State: CL.._ Zip: -)IIA O Qualifier Name: Phone#: 3C}5i 7�%CO State Certification or Registration#: C_'A IL_15io&_I! Certificate of Competency#: DESIGNER:Architect/Engineer: _HC� c , 4? 1L`lS Phone#: --605--505-577L4g Address: 1'3�F�l 1 n A ) 'T��r. City: M o.rr+I State:&.., Zip: 3►-1 S Value of Work for this Permit:$ `7 3. 35�'!.�" Square/Linear Footage of Work: 4�c`j " 2_9'Ci SG?rr j T e of Work: ❑ Addition s 0io J yp ❑ Alteration El ❑ Repair/Replace Demolition Description of Work: `y ew f�C o 1 1&' I(--- Specify color of��color__tllhru tile: Submittal Fee$ � V `�U Permit Fee$700. _S' 0 CCF$ CO/CC$ Scanning Fee$ 12.`26 Radon Fee$16 . _t;T— DBPRR$ Notary$ Technology Fee$ • 2.6 Training/Education Fee$ L' • O Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) , 3$ Bonding Company's Name(if applicable) i� p Bonding Company's Address ) t} City State Zip Mortgage Lender's Name(if applicable) 1 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. !( oti�u Signature Signature _4�e�— OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of .►�I-11�� I 20 i S by day of_II 20 1 S by (' � 1 FCJ ic� J Who i ersonally know✓ to iM i r V LY v'c v x-- I e_ ,who i personally know me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Gi: Sign: � ✓ I G Print: ur . } nc,— c%, �iv�� -� Print: I-u Z- P_1tt4-NC:,, �* YP��,a Buz a eill Ai � ` ' a I_uz Nelero i m r)n Seal: c=�: COMi,;ISS1-,q#FF019052 Seal: a,, t 39. EXPIRES: tdAY19,2017 ��=COMi,iISSICiI#FF01905` '••� �°•' Y1y�W.AARONNOTARYAs 39' x? E PIRE$: PJlAY 19,2017 o,OF,1;, ;N NI.AARONNOTARY.ccn n APPROVED BY Plans Examiner ` Zoning �y Structural Review Clerk (Revised02/24/2014) r S�pG 19'Z � OR ;.,, u,„ Miami shores Village 'Ii7*L V' Building Department OR ID 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Com ensation 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 L day of t--4"� ,20 iS . By t-M',1 I ,<�-�•t L����;t� e-, who is personally known to me or has produced as identification. Notary: SEAL: `o�',pYP�j�o,,Luz I�eteriA � comiS sz,4 4 FF 019051" XUR1RES- M919,2017 'NWW.MRONNOTARYmm no S NIEL POOLS & OUTDOOR E NVIRONNIEN S Date: — State of F1 LLr LJ r, County of '�gIJC: Before me this day personally appeared_�;r– ��,r�IGS who, being duly sworn deposes and says: He or she will be the only person working on the project located at: ►J L—) 101 5 t Sworn to(or affirmed)and subscribed before me this 1 `� day of �I 20_1'S by M 1 rt%ocz T Personally known Or produced identification Type of Identification produced p��Y Pv'•i� Luz Helet-aAraCin = � ��=Cl)MialSSICY#FF01905'° y: ?e E PIRES: MAY 19,2017 �•'• �.: ;yWW,AARONNOTARY.con huu Print,Type or Stamp Name of Notary 8045 NW 36 Street-Suite 540 Doral- FI 33166 Sales 305-592-7900 Fax 305-592-7997 www.rosmelpools.com CPC-1456804 ♦ Shores iami village 1141 IJ I TVBuilding Department Auk10050 N.E.2nd Avenue OR Miami Miami Shores, Florida 33138 Tel: (305) 795.2204 0py Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL,SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at N 1 7Z7 �1- ( , ;5�66pe 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, R4101.17.1.9(Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter 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,punishable as provided in Section 775.082 or Section 775.083 F.S.This form must be signed by the owner/agent and the prime contractor. a- CON RACTOR'S SIGNATURE AND DATE OWNEkYSIGKXTURE AND DATE COt TRACTOI�R'S NAME(PLEASE PRINT) OWNEffS NAME(PLEASE PRINT) L� i$1e1 n Ari �n x. IA COW iISSICN#FF 01905 7" I` kj I_) E7TIRES: MAY 19,2017 NOTARY PUBLIC NOTARY PUBLIC % ; ;;;°.' WVNI AARONNOTARY.com p�u6, e eeu, n T ,. *��IT Mom �ItY Ajo<i� Luz�aIQ.I + +{��6�lS. •`e4 '-_COMtntSSICB#Fr #FF01905:3 , Luz Hiilean Ar,. n � ria EXPIRES: �A�:" 3: MAY 19,2017. ?: eCUMIi[SSICY#FF01905W "' ii.no,` ~.AARCt:' '. 4.AARONNOTARyjDr MAY 19,2017 i"IWW.AARONNOTARY.com .J SN11C. 2ORES L� 1 � iami Shores Village sell .,,„ �. � Building Department FLR OIOp` V1 10050 N.E.2nd Avenue Miami Shores, Florida 33138 co Tel: (305) 795.2204 Fax: (305) 756.8972 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PRESENTS: WHEREAS,the undersigned �- )i 1is/are the fee simple owner(s)of the following described property situated and being in Miami Shores Village,Florida: Address:!E� a :)`� ) ► Q-1 St "'s .-Ft, Whereas,the undersigned owner(s) k—A 1 �%t< c.r-,A— .7 #e`er-1_ desire to utilize said Lot(s)as a single building site,and the undersigned owner(s)do(es)hereby declare and agree as follows: 1. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami-Dade County now in effect or hereinafter enacted. II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. III. That if any of our adjoining neighbors remove any portion of their fence or wall,or if our/my property shall fail to meet code requirements for pool barriers,we,as owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. IV. That,I/we,as owner(s)hold Miami Shores Village harmless for any negligence or injury that results from not having the enclosure. V. If enclosure belongs to said property,I agree to maintain&or replace said enclosure in the event that is damaged or removed by any case. NOW,THEREOF,for good and valuable consideration,the undersigned do(es)hereby declare that he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER,the undersigned declare(s)that this covenant is intended and shall constitute a restrictive covenant concerning the use,enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon the undersigned,his/her successors and assigns and may only be released by Miami Shores Village,or its successors,in accordance of said Village then in effect. 0 NE IG &1qV '��c"0 NER SING&PRINT I Hereby Certify that on this day personally appeared before me M,1 I 1/1e "C and has produced ID # Vr L— 0_ as identification and he/she acknowledge that he/she executed the foregoing,freely and voluntarily, for purposes there in expressed. SWORN TO AND SUBSCRIBED before me on this ')©day of 4 201 7S `�\ NOTARY PUBLIC STATE OF FLORIDA (Revised 05/2209 btu NeleaA rasmn =x°•' �j Go=Coni iSSICY#FF01905`? :�'• �Z Ey PIRFS: MAY 19 2017 ''iF.... viww:AAR0NNoTARYsew SNoREs L,`tt; IaT I iami Shores Village UP Building Department �ZORiDA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Date Miami Shores Village Building &Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as ID&u 4.2-315 cat 1�7 ��► �c-� l L �► ,r-„�,� ���.�;► c �t On 3located at S.��% t tom`-i �7r, M i or-v�� �F-,.c-tee.�� '3�►l0� In accordance with Section 33-12(f), Code of Metropolitan Dade County, I certify that 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. 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. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. CFN:20140870040 BOOK 29436 PAGE 2744 DATE:12/19/2014 01:29:36 PM DEED DOC 2,520.00 HARVEY RUVIN,CLERK OF COURT,MIA-DADE CTY THIS INSTRUMENT PREPARED BY AND RETURN TO: KARINA BAS HOME TITLE AGENCY,INC. 400 UNIVERSITY DRIVE 3RD FLOOR CORAL GABLES,FLORIDA 33134 Folio Number:11-2136-007-0480 Space Above This Line For Recording Data THIS WARRANTY DEED,made the 2nd day f December 2014 by DIEGO AG�I]IRRE,A SINGLE MAN,herein called the grantor whose post office address is r�� IUW 9:2 q� l�/Q IM f S ko yeS F L 3 3f iao MILLICENT F.MCFADDEN,a 51Yld1C' W b(V r-) and MADELINE COLLINS. Q SI Plod e Jjy_1 whose post office address is 5 NW 107TH ST,MIA SHORES,FL 33168,he inafter called the Grantees: (Wherever used herein the terms"grantor"and"grantee"include all the parties to this instrument and the heirs,legal representatives and assigns of individuals,and the successors and assigns of corporations) W I T N E S S E T H:That the grantor,for and in consideration of the sum of TEN AND 00/100'S($10.00)Dollars and other valuable considerations,receipt whereof is hereby acknowledged,hereby grants,bargains,sells,aliens,remises, releases,conveys and confirms unto the grantee all that certain land situate in MIAMI-DADE County,State of Florida, viz.: Lot 16,Block 211,Dunning's Miami Shores Extension No.3,according to the map or plat thereof,as recorded in Plat Book 42,Page(s)33,of the Public Records of Miami-Dade County,Florida. TOGETHER,with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD,the same in fee simple forever. AND,the grantor hereby covenants with said grantees that the grantor is lawfully seized of said land in fee simple;that the grantor has good right and lawful authority to sell and convey said land,and hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever;and that said land is free of all encumbrances, except taxes accruing subsequent to December 31,2014. IN WITNESS WHEREOF,the said grantor has signed and sealed these presents the day and year first above written. Signe Baled and delivered in the presence of. Wit e s#1 gnature D G AGUIRRE iz--buj . Witness#1 P*# Nam Witness#2 Sigrloture pO � Witness#2 Printed Nam Te_ STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before me this 2nd day of ecember,2014 by DIEGO AGUIRRE who is personally known to me or has produced L as i ification. SEAL Notary Public r q Printed Notary Name .u.yY,iin. �M �rcn`W a ISN .«�..,•�.�� _,. ..�3 Z 1 � STATE OF FLORIDA,COUNTY OF DADE pCOUry� I HEREBY CERTIFY that the foregoing is a true and vJ` corre copy 4 the original on file in his g pa offica,Drll 2L AD 20 '1 HARVEY RUVIN.CLERK,of Circuit and County Courts. xe mus* �pP Deputy Clerk WrrV If".—y Rte"` 218226 `OVNT i,