BPP-15-2489 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-250281 Permit Number: BPP-9-15-2489
Scheduled Inspection Date: January 27,2016 Permit Type: Pools/Whirlpools/Hot Tubs
Inspector: Naranjo, Ismael Inspection Type: Final
Owner: FARACH, RUBEN M Work Classification: New
Job Address: 114 NE 109 Street
Miami Shores, FL 33161-7042 Phone Number (305)281-7790
Parcel Number 1121360090150
Project: <NONE>
Contractor: SUNSET POOL AND SPA Phone: (305)804-1068
Building Department Comments
NEW POOL, SPA& DECK PAVERS Infractio Passed Comments
INSPECTOR COMMENTS False
spector Comments
Passed CREATED AS REINSPECTION FOR INSP-244546. 12-23-2015
Need to finish the landscaping.
Failed 71 o y
Correction ��
cs
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
January 26,2016 For Inspections please call: (305)762-4949 Page 22 of 62
i
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-249613 Permit Number: BPP-9-15-2489
Inspection Date: December 18, 2015 Permit Type: Pools/Whirlpools/Hot Tubs
Inspector: Dacquisto, David Inspection Type: Survey Final
Owner: FARACH, RUBEN M Work Classification: New
Job Address: 114 NE 109 Street
Miami Shores, FL 33161-7042 Phone Number (305)281-7790
Parcel Number 1121360090150
Project: <NONE>
Contractor: SUNSET POOL AND SPA Phone: (305)804-1068
Building Department Comments
NEW POOL, SPA& DECK PAVERS Infractio Passed comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
December 18, 2015 Page 1 of 1
N.E. 109th STREET
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1. LEGAL DESCRIPTION PROVIDED BY CLIENT THIS SURVEY IS NOT VALID WITHOUT
2. NO SEARCH OF THE PUBLIC RECORD FOR THE PURPOSE OF ABSTRACTING TITLE WAS PERFORMED BY THIS OFFICE THE SIGNATUREAND THE ORIGINAL RAISED SEAL
3. NO SUBSURFACE IMPROVEMENTS WERE LOCATED AS PART OF THIS SURVEY OFA FLORIDA LICENSED SURVEYOR AND MAPPER
4. ALL ANGLES AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED UNLESS OTHERWISE NOTED
Permit No. BPP-9-15-2489
>ygORE,s Miami Shores Village t Permit Type:Pools/11Ml llrlpools/HOt Tubs
10050 N.E.2nd Avenue NE �' Work Classification New
Miami Shores,FL 33138-0000 PPermit Status:APPROVED
%�— Phone: (305)795-2204
oRiop
Issue Date:10/26/201 5 Expiration: 04/23/2016
Project Address Parcel Number Applicant
114 NE 109 Street 1121360090150
RUBEN M FARACH
Miami Shores, FL 33161-7042 Block: Lot:
Owner Information Address _Phone _ Cell
RUBEN M FARACH 114 NE 109 Street (305)281-7790 _
I MIAMI SHORES FL 33161-
114 NE 109 Street
MIAMI SHORES FL 33161-
Contractor(s) Phone Cell Phone Valuation: $ 27,000.00
SUNSET POOL AND SPA (305)804-1068 Total Sq Feet: 346
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: Bond Return: Wall Steel
Classification:Residential Scanning:3 Review Electrical
Review Planning
Review Building
Review Building
Review Structural
Review Plumbing
Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Plumbing
Bond Type-Contractors Bond $500.00 Invoice# BPP-9-15-57261
CCF $16.20 09/30/2015 Cash $50.00 $1,466.50
CO/CC Fee $50.00
DBPR Fee $12.15 10/26/2015 Cash $ 1,466.50 $0.00
DCA Fee $12.15 Bond#:2893
Education Surcharge $5.40
Permit Fee $810.00
Plan Review Fee(Engineer) $80.00
Scanning Fee $9.00
Technology Fee $21.60
Total: $1,516.50
In consideration of the issuance to me of this permit, I ee to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plan draw gs,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all uiiork don by either myself, m t, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WIND WS,DOORS,RO ING a d SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoi pg informatI n is accura and that all ork will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize th above na ontra or to do the wo stated.
October 26, 2015
Authorized Signature:Owner / Applicant / ontractor / Agent Date
Building Department Copy
October 26,2015 1
Miami Shores Village
Building Department :;-7
2015
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 e
INSPECTION LINE PHONE NUMBER:(305)762-4949 C��
FBj�C 2+0''(
BUILDING Master Permit No. 11" p t 5
PERMIT APPLICATION Sub Permit No.
XPUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: t LA F— � 5j
City: Miami Shores [� County: Miami Dade Zip: 3-6 161
Folio/Parcel#: 'Z�_3L ^®®-! (`�150 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: X BFE: FFE:
OWNER: Name(Fee Simple Titleholdaer): cL. Phone#:$��
Address: I. ,q , --0 1,)� t
City: �CA,VW � �p,3 State: Zip: 1
Tenant/Lessee Name: Phone#:
Email: ®�
CONTRACTOR:Company Name: �gel VS.----"r �S r'v`� Phone#: 3�-®C/q-4 (%S
Address:1�
City: V SI V.C..Wd'k State: FL.- Zip:a3 i aS
Qualifier Name: 'So Im l�w i7-4!®z- Phone#:30S-90V"1�9
State Certification or Re_gistratition#: CR L'®q q Q8'j Certificate of Competency#:
DESIGNER:Architect/Engineer: N V-\Jr24- ID CC'1 VIE(32 S Phone#:
Address: 1 S'T S rJ 1 City: I State:,P L Zip: �
Value of Work for this Permit:$ 2 7� T n a Square/linear Footage of Work: 13"I ro �!
Type of Work: ❑ Addition ❑ Alteration ,sNew ❑ Repair/Replace ❑ Demolition
Description of Work: �raC�) G7 L � �� Cep,,�3.
Specify lOr'of color thru tile:
Submittal F4
4��� �� •�Permit�F � � �1:0 CCS$
. .,
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ Soo , o)
TOTAL FEE NOW DUE$ (0
(Revised02/24/2014) i / 4 6G e S;(�)
Bonding Company's Name(if applicable)
Bonding Company's Address
a
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 absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signatur r Signature
NER or AGENT NTRACTOR
The foregoing instrument was acknowledged before me this The foregoinnstrument was acknowledged bef a�me this
—061 day of 25
jday of 20�.� by
who ie�ersonallykno who i personally knows o
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: Sign: J
Print: /`7,�?.t /ALA AV Ail 13 Print: /`Y�� �/� �✓✓�n"
Seal: Seal: "r' M BULNES
••1••y P`e M Bl1LNES ;tea°` Notary Public-State of Florida
Notary Public-State of Florida i• '•?My Comm. Expires Jun 23,2017
?• •"s My Comm.Expires Jun 23,2017 �a, r:
.wit Commission#FF 030252 o;��ft��•.° Commission#FF 030252
************ *'k•,nen *I 'T11 i 11i ****************** * A Ai[Q3W4AtdtfAbaklktlaElkMW **********
APPROVED BY Plans Examiner ( Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami
.... �, shores
e.� village
Building Department
��OA1Dp 10050 N.E.2nd Avenue
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)sckno ed a that a new swimming pool, spa or hot tub will be constructed or Installed at
S 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
84101.17.1.15 will prot a pool perimeter.The plans shall show the fence location and method of
attachment,includi 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
latchinghocking 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
Private Swimming Pool Safety Requirements,and upon expiration of the Permit,ithout compliance with the
presumed to be unsafe.I understand that not having one of the above instal ewill con utel�
viol of Chapter 51 F . an d will be considered as committing a misdemeanor of the second
deg a pun able s vid in Section 775.082 or Section 775.083 F.S.This form must be signed
by o r! gen the p e contractor.
1
RA T 'S SIG T EA.ND DATE
1 jGNATURE AND DATE
OWNER'S NAME(PLEASE PRINT)
Notary Public-State of Florida
sell
131-10mmission#FF 030252 WLNES
�S-State of Florida
' •" BOfIdP(!Th!npgp National Notary Assn. ' •e 4'4�
Q�e Y Comm. xpires Jun 23,2017
,,F F1.�O• Co►nmission#FF 030252
� Bonded Thro h
u9 Natipnai Notary Assn.
Sam"" Miami
shores
village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
TIVE COVENA
RESTRICNT PROTECTIVE POOL ENCLOSURE
KNOW ALL MEN BY THESE PRESENTS:
WHEREAS,the undersigned
is/are the fee
simple owne(s)of the following described property situated and being in Miami Shores Village,Florida:
Address: (
I "
Whereas,the undersigned owner(s)
desire to utilize said Lot(s)as a single building site,and the undersigned owners)do(es)hereby declare and agree as follows:
I• That the property will not be used in violation of any ordinances of Miami Shores lydlage 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/myproperty
to mecode et code requirements for pool barriers we,as owners will immediately install a proteie osure to 7
a pemift for such fence.
IV. Thatat,,I/we,as ow
ner(s)(s)hold nts Miam�o Villagehates for any negligence or in
having the enclosure. injury that results from not
es
V. K enclosure belongs to said property.I agree to maintain&or replace said endosure in the event that is
damaged or removed by any case.
NOW,THEREOF,for good and valuable consideration the undersi
conditions set forth herein. gned 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
FURTHER,the undersigned declare(s)that this covenant is intended and shall conscovenant r titutear estdunndive covenant
concerning the use,enjoyment and title to the above Property
binding upon the undersigned,his/her successors and assigns Saand rn�ay o y e� i S o with land or ddsshall be
successors,in accordance of said Vivage then in effect Village
OWRINT
OWNER SING&PRINT
I H re Py Certify that on this day personally appeared before mee
# as identification and he/she acknowledgeand has produced ID
for purposes there in exprossed. that he/she executed the foregoing,freely and voluntarily,
SWORN TO AND SUBSCRIBED before me on this day of
0
(Revised 05)2209 NOT Y PUBLIC STATE OF FLORIDA
OEM
blic-State of Florida.Expires Jun 23,2017sion#FF 030252
Through Hafipnal Hatay Assn.
' ,ylloRBS G�
Miami Shores Village
L----- 0 Building Department
�lORIDA 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
SWIMMING POOL OWNER'S CERTIFICATION
Date 91
-It.]
�T
Miami Shores Village
Building &Zoning Department
Attention: Building Official
certify that I am the legal owner of the property described as
11n`C4'ats"cated at
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.
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.
Legal Own r
Note:This certification is to be submitted with a swimming pool permit application in duplicate.