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BPP-15-2642 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-256400 Permit Number: BPP-10-15-2642 Scheduled Inspection Date: April 14,2016 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: BLAKE, MARY ALICE Work Classification: Repair Job Address:9632 NE 5 Avenue Road Miami Shores, FL 33138- Phone Number Parcel Number 1132060170140 Project: <NONE> Contractor: ALL FLORIDA POOLS AND SPA CENTER Phone: 305-893-4036 Building Department Comments RE SURFACING EXISTING POOL Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-256114. CREATED AS REINSPECTION FOR INSP-245918. Gate must be self closing 04/07/2016 Failed CANCELLED BY IRA Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid Apra 13,2016 For Inspections please call: (305)762-4949 Page 16 of 29 E Miami Shores Village g y t 10050 N.E.2nd Avenue NE x ••• Miami Shores,FL 33138-0000 Phone: (305)795-2204 Expiration: 04/23/2016 Project Address Parcel Number Applicant 9632 NE 6 Avenue Road 1132060170140 MARY ALICE BLAKE Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell MARY ALICE BLAKE 9632 NE 5 AVE RD MIAMI SHORES FL 33138-2443 Contractor(s) Phone Cell Phone Valuation: $ 3,950.00 ALL FLORIDA POOLS AND SPA CENT 305-893-4036 _._ .. �..........F_..._ _� Total Sq Feet: 850 Approved:In Review Available Inspections: Comments: Date Approved::In Review Inspection Type: Final Date Denied: Review Planning Type of Work:Swimming Pool Occupancy: Review Building Additional Info:RE SURFACING EXISTING POOL Bond Return Classification:Residential Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# BPP-10-15-57459 DBPR Fee $2.25 10/19/2015 Check#:310546 $50.00 $119.90 DCA Fee $2.25 Education Surcharge $0.80 10/26/2015 Check#:310584 $119.90 $0.00 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $3.20 Total: $169.90 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 forgoing informatio I ccurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above- ntractor to do the work stated. October 26, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy October 26,2015 1 t6 t/S Miami Shores Village �w Building Department OCT 1 20,5 4 10050 N.E:2nd Avenue,Miami Shores,Florida 33138 8Y. Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20/�/ar*� BUILDING Master Permit NooaP/f>/ —_ 2Z PERMIT APPLICATION Sub Permit No. UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [–]RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION 0 SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City Miami Shores County Miami Dade Zip: 3-5/38 Folio/Parcel#: //' 32o(v'O!7- ®/yp Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): W'O'ey .gf%�Grc 0.61440.6144/� Phone#:�'Z/ - 138 Address: 32 "V4. ,,���� City: W40M/ Mew State: Zip: 33/3 Tenant/Lessee Name: Phone#: Email: 1 CONTRACTOR:Company Name: ifl 1`–/O�Ci e�0 TOo Phone#:�' ofle Z3� Address: &7 /• C.d (/14 City: State: Gam• Zip: Qualifier Name: Phone#:�'�_ 3,9 State Certification or Registration#: C:,0� Cf• 62'Y,570 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: 4.e City: State: Zip: Value of Work for this Permit:$ �§gzqj-Gd Square/Linear Footage of Work: tp� Type of Work: ❑ Add' ' ❑ A ration ❑ New L_•IJ Re air/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ ��'L:a qC`2 Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ rr TOTAL FEE NOW DUE$ L l 9. 9 — s (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lenders 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. SignatureKaw AR&enmel— Signature OWN or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this _V1 day of �`� ,20 1� by �-day of OCT ,20 I S by A-V oa 40-jv- ,who i ersonal y kno o A-it()Z<*S.- ,whoersonally kno 3h to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUB Sign: Sign: Zeal: N Pr' ,�.. 25-LUIS •'°g4e �y CO !'SSS o251T eal: * EXp tES:0No�sY * ��r V41,OF F° ek+k8e8etleq�WY�&�k�k�k�k�k*�k�k�k*b�F�kY��k�kffi�k�k�k�k$�k&�kd��k Nt�k�k �k8yp/�y�YB�k�k8e�6�k�it�bW�k�N&�b�k�kW&�bffi#N��b�kM��kM��k�k�M�kk�k�kM��kN�+NY��k�k$tl��k�ktl��kK�*�kM��b�N�k�kM��k�kir���k�1c APPROVED BY t Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) e r MARY ALICE BLAKE DURABLE POWER OF ATTORNEY 1,MARY ALICE BLAKE, hereby appoint and empower my daughter,PATRICIA M. BROWER, and my son,THOMAS E.BLAKE,as my true and lawful attorneys-in-fact,to act for me and in my name and on my behalf to do the following. The concurrence of both my attorneys-in-fact is not required. A. Collect, receive, and receipt for any and all sums of money or payments due or to become due to me. B. Sue in my name and behalf for the recovery of any and all sums of money or payments due or to become due to me and to collect on any judgments recovered by me and execute satisfactions of the same. C. Initiate, defend, continue, or settle suits on my behalf or to enforce the exercise of these powers granted to my attorney-in-fact. D. Hire or discharge (with or without cause) employees including, but not limited to, physicians,nurses, attorneys, and domestics. E. Deposit to or withdraw from, or draw checks or drafts upon, any and all savings or checking accounts,money market funds,or any other type of account in my name;open,modify,or close any such accounts in my name in any bank or financial institution or with any insurance or brokerage firm; and endorse my name to any and all negotiable instruments. F. Pay any and all bills,accounts,claims,and demands now or hereafter payable by me. G. Receive and endorse for deposit in any account any payments that I receive from any branch or department of the United States or other government,including without limitation,Social Security payments, Department of Veterans Affairs payments or grants, Medicare or Medicaid payments, and tax refunds. H. Represent me before any office of the Internal Revenue Service or any state agency; prepare and sign any tax return on my behalf;receive confidential information regarding tax matters for all periods,whether before or after the execution of this instrument;and to make any tax elections on my behalf. I. Receive and open my mailtcharptlypaikng address,and otherwise represent me in any matter concerning the U.S. Posta?5ervj* •• • .. ... .. . . . .. . ... .. ... . ... .. . . . . . . . . . . .. . . .. . . .. Initials Durable Power of Attorney ••• ••• Page I . . . . . . .. .. . . . .. .. ... . . . ... . . t J. Borrow money and to otherwise incur or guarantee indebtedness for which I will be liable,and to secure any such indebtedness by mortgage or other security interests encumbering my assets. K. Act for me in any business or enterprise in which I am now or have been engaged or interested or with respect to any trust in which I have a beneficial interest. L. Manage all assets and properties belonging to me or in which I have any interest,and to expend whatever funds my attorney-in-fact deems proper for the preservation, maintenance, or improvement of those assets or properties. M. Compromise, arbitrate, or otherwise adjust claims in favor of or against me or any assets or entity in which I have an interest, and to agree to any rescission or modification of any contract or agreement. N. Participate in any type of liquidation or reorganization of any enterprise. O. Join with other persons with whom I own property as joint tenants with right of survivorship or as tenants by the entireties in any transaction regarding that property. P. Vote and exercise all rights and options, or empower another to vote and exercise those rights and options,concerning any corporate stock,securities,or other assets;to enter into or approve agreements for merger, reorganization, or equivalent transactions with respect to any company or enterprise;to delegate those rights to an agent;and to enter into voting trusts and other agreements or subscriptions. Q. Exercise all rights and options, or empower another to exercise those rights and options, concerning sole proprietorships, general or limited partnerships,joint ventures, business trusts,land trusts,limited liability companies,and other domestic and foreign forms of organizations. R. Buy, sell, exchange, lease, convey, and grant options with respect to any real or personal property, and to negotiate for and to enter into contracts and agreements of every nature, concerning real or personal property,including homestead or exempt property. Any such contract, agreement,or lease will be valid and binding for its full term even if it extends beyond my lifetime or the duration of this power of attorney. S. Exercise all powers even though my attorney-in-fact may also be acting individually or on behalf of any other person or entity interested in the same matters. T. Transact all business, ma4, e4tt'te aidoia*'A'oaJedge all contracts, orders, deeds, bills of sale, assurances, promissory notes,'rne$tgaJes'and o1heOnstruments of any nature which may be requisite or proper to effectuate any matter or things pertaining to or belonging to me. .. . . . 6?JW— ... Initials Durable Power of Attorney ••. • . • .•. . 0 Page 2 . . . . . . . . . . Goo 0 . .. .. . . . .. .. t U. Make gifts for estate planning purposes;change the beneficiaries of any life insurance policies or other qualified or nonqualified benefit plans;create or fund revocable or irrevocable trusts for the benefit of myself or of other persons; and consent to the creation or extension of trusts established by other persons for my benefit. V. Continue or discontinue my membership in any club or other organization. W. Accept or resign on my behalf from any offices or positions which I may hold, including any fiduciary positions. X. Continue, use, or terminate any charge or credit accounts. Y. Employ and compensate any investment management service,financial institution, or similar organization to advise my attorney-in-fact and to handle all investments and to render all accountings of funds held on my behalf under custodial, agency,or other agreements. Z. Enter into any safe deposit box for which I am a lessee and add or remove items;and to enter into or terminate any safe deposit box lease or lease for vault space. AA. Disclaim any property interest that I would otherwise receive. BB. Demand, obtain, review, and release to others medical records or other documents protected by the patient-physician privilege, attorney-client privilege, or any similar privilege, including all records subject to,and protected by,the Health Insurance Portability and Accountability Act of 1996, as amended ("HIPAA"). I designate my attorney-in-fact as my "personal representative"under HIPAA. CC. File or process claims for any medical bills with all insurance companies through which I have coverage, including but not limited to Medicare and Medicaid, and to receive from Blue Cross/Blue Shield or any other insurer information obtained in the adjudication of any claim in regard to services furnished to me under Title 18 of the Social Security Act. DD. Invest in assets,securities,or interests in securities of any nature,including(without limit) commodities, options, futures, precious metals, currencies, and in domestic and foreign markets or investment funds, including common trust funds;to trade on credit or margin accounts (whether secured or unsecured); and to pledge assets for that purpose. I further authorize my attorney-in-fact to take all other actions as may be necessary or appropriate for my personal well-being and the manapeme4 of tpyaffairs,as>idly and as effectively as if made or done by me personally. •• • • . .. . . . . ... . . . • .. ...• ..• . .• .. ..• . ••• •• ••• . ••• •• . • • • c- ... Initials Durable Power of Attorney 0:0 ••• Page 3 . . . . .. . .. . . . . . . •• •• . . . •• .. ... . . . ... . . Despite the foregoing powers,my attorney-in-fact may not(i)deal with insurance policies I own on the life of any of my attorney-in-fact, or (ii) except as specifically authorized by this power of attorney, distribute assets so as to discharge a legal obligation of my attorney-in-fact. My attorney-in-fact shall keep full and accurate inventories and accounts of all transactions for me as my agent. Such inventories and accounts will be made available for inspection upon request by me or by my guardian or personal representative. My attorney-in-fact need not file any inventory or accounts with any court or clerk. Any third party to whom this power of attorney is presented may rely upon an affidavit by my attorney-in-fact stating,to the best of my attorney-in-fact's knowledge and belief,that this power has not been revoked,that I am then living,and that no proceedings have been initiated to determine my incapacity. No third party relying on this power and that affidavit will be liable for any losses, damages, or claims caused by compliance with the action requested by my attorney-in-fact, unless that third party has actual knowledge of my death or the revocation of this power. This durable power of attorney will not be affected by my subsequent incapacity except as provided in Chapter 709 of the Florida Statutes. It is my specific intent that the power conferred on my attorney-in-fact will be exercisable from the date of this instrument,notwithstanding my subsequent disability or incapacity, except as otherwise specifically provided by statute. If any part of this power of attorney is declared invalid or unenforceable,that decision will not affect the validity of the remaining parts. My attorney-in-fact do not have an affirmative duty to act under this power of attorney and will not be liable for any claim or demand arising out of any acts or omissions,except for willful misconduct or gross negligence. In witness whereof,I have executed this durable power of attorney on September 23, 2004. MA ALICE BLAKE Signed in the presence of: K / 0Z) N6- 67/ Signature Street Address l&n/ , 0C33`6� Prin name .. ... . .City, State ad ZIP :Aejktr &��A Signature Street Address 461 . :'. . .. . . .. . . . Printed name ••• • • City, State and. Durable Power of Attorney ••• • 0:0 Page 4 . . . . . . . . . . . •• •• . • . •• .. ... . . . ... . . fi STATE OF FLORIDA COUNTY OF MIAMI-DARE The foregoing instrument was acknowledged before me on September 23,2004,by MARY ALICE BLAKE. (Official Notary Signature and Notary Seal) i-f K. r°dii-49 t-r�Ll-- (Print,Type,or Stamp Commis ,.#A&of Notary Public) Personally Known OR Produced Identification e„ % - r�op Type of Identification Produced iAiofo'�RkVQA /fica- D-- Pgao-5,?l-a a-bYl K.=W501\PMS6329.wpd •• ••• • • • • • •• • •• • • • • ••• • •• ••• •• • • • •• • ••• •• ••• • ••• ••• • •• • • •• • • • • • •• • • • •• • • •• • • •• Durable Power of Attorney •;• ; ; ; 0:0 Page 5 . . . . . . . . . . . .. .. . • . .. .. ... . . . ... . .