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BPP-16-3 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-250306 Permit Number: BPP-1-16-3 Scheduled Inspection Date:April 14,2016 Permit Type: Pools/Whirlpools/Hot Tubs Inspector. Rodriguez,Jorge Inspection Type: Final Owner: RAYMOND, RICHARD Work Classification: Addition/Alteration Job Address:970 NE 100 Street Miami Shores,FL Phone Number 3051757-6572 Parcel Number 1132060340190 Project: <NONE> Contractor: ALL FLORIDA POOLS AND SPA CENTER Phone: 305-893-4036 Building Department Comments POOL COPING. SAND SET PAVERS OVER EXISTING Infractlo Passed Comments PATIO AND NEW WALKWAY. INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction a Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. April 13,2016 For Inspections please call: (305)7624949 Page 8 of 29 Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 Phone: (305)795-2204 � � y, , � .EN rrt , Expiration: 08102/2016 Project Address Parcel Number Applicant 970 NE 100 Street 1132060340190 RICHARD RAYMOND Miami Shores, FL Block: Lot: Owner Information Address Phone Cell RICHARD RAYMOND 970 NE 100 ST. 3051757-6572 MIAMI SHORES FL 33138 Contractor(s) Phone Cell Phone $ 19,000.00! Valuation: ALL FLORIDA POOLS AND SPA CENT 305-893-4036 Total Sq Feet: 1800 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 Retum: Wall Steel Classification:Residential Scanning:3 Review Building Review Building Review Plumbing Review Electrical Review Planning Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# BPP-1-16-58215 CCF $11.40 02/04/2016 Check#:311140 $1,126.50 $50.00 CO/CC Fee $50.00 DBPR Fee $8.55 01/04/2016 Check#:310866 $50.00 $0.00 DCA Fee $8.55 Bond#:2983 Education Surcharge $3.80 Permit F%, $570.00 Scannine $9.00 Technology!Fee $15.20 Total:3 $1,176.50 C'.J P•J CJ cn 1. Inconside tion of the i uance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining ' reto and 1 trict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting s permit ssume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for LECT A PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. 1-, OWNERS- FID at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construct! Futhermore,I authorize the above-named contractor to do the work stated. 44 February 04,2016 Ai horized Signature:Owner / Applicant / Contractor / Agent Date BuilcRhg Department Copy February 04,2016 1 0 Miami Shores Village 1 -b Building Department 9 JA o4 ? ,s 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 �1 d 111 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 Tom,,,_ FBC 201 L1 BUILDING Master Permit No. EPP, (0 PE MIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL ❑PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: e!b1Y•tc-- z®D s City: Miami Shores County: Miami Dade Zip: 3a®,-39 Folio/Parcel#: &--3 Z 000 8!ey 190 is the Building Historically Designated:Yes NO Occupancy Type: Load: Constructions Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):_ • Phone#: 2,676- , Ec,x Address: 7 1/Al,s! /OQ City: 1G .0r!Ji� JVdC�.� State Zip: -33/3Q Tenant/Lessee Name: Phone#: Email: ((��,�,, CONTRACTOR:Company Name: '4'z, s�/D.�i 9 �a) Phone#: d'Y3' Address: '06 !� City: i. 41sv-11 dq State: � Zip: �3/dad Qualifier Name: .O0;0 O Phone#:P)3--V0(3. State Certification or Registration#: e ;�O-' 02-4/41'!5�0 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: 4 Value of Work for this Permit:$ ! �� d00• Square/linear Footage of Work: �tciC� Type of Work: ❑ Add' ' ❑ Alteration ❑ ew p%air/Replace 1:1 Demolition tion of Work: �C) - Specify color of color thru tile: � Submittal Fee$ `CQ Permit Fee$ t 5 `d' � CCF$ / �b CO/CC$ ' 0D Scanning Fee$ • QZI Radon Fee$ DBPR$ Notary$ Technology Fee$ s ` Zd Training/Education Fee$ -� u0 ' � Double Fee$ Structural Reviews$ Bond$ `�� TOTAL FEE NOW DUE$ ��1CJ ° ��✓ (Revised02/24/2014) (, 1 �" SID • 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 bu'ding permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be ch ged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrumen as acknowledged before me this The foregoing instrument was acknowledged before me this �U day of zee 20 ®,'S- ,by day of S ANI 20 !` by Cy 60 40 /MD who i _e_rsonrry now o ia Cam., who i Zmonally know 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: n e / NOTARY PUBLIC: lJ� Sign: Sign: Print:- �670 Print: ru Seal: *MY COMM S ane 25, rvtce� ...°�� ISSION t EE877�2 pse e25 Seal: MY COMM �o� gdms„eua * e EXPIRE� e25,2017 �r�°f�° �4jeooc�°P� dcrtded'�"' APPROVED BY f Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014) f • ALLFL-2 OP ID:GJ CERTIFICATE OF LIABILITY INSURANCE DA121041201TE Y) 12!04/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER C Insurance B Ken Brown,Inc. NAME:ONTACT David R.Griffiths PO Box 94817 PHONE LM,No .321-397-3870 nlc No:321-397-3888 Maitland,FL 32794-8117 MAIL David R.Griffiths ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURERA:Amerlsure Ins Company 19488 INSURED All Florida Pool&Spa Center INSURERB:Amerisure Mutuill Ins.Co 23396 All Florida Distributors,Inc. 11720 Biscayne Boulevard INSURER C: Miami,FL 33181-3110 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IND WVD POLICY NUMBER MM/DDIYYYY) (MMIDoorfm LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS MADE AIOCCUR CPP20309001001 07/15/2015 07/15/2016 PAMAGE TO RENT0-- REMISES Ea occurrence) $ 100,00 MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 21000,00 POLICY Al JECT F LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE UA131UTY COMBINED SINGLE LIMIT (Eaacd $ 1,000,00 A X ANY AUTO CA20662960901 07/15/2015 07/15/2016 BODILY INJURY(Per person) $ ALL UTO ED SCHEDULED AUTOSBODILY INJURY(Per accident) $ X HIREDAUTOS X AUUTOSWNED PPRe08E�ddent, GE $ X UMBRELLA LUAB X OCCUR EACH OCCURRENCE $ 2,000,00 B EXCESS LIAR CLAIMS-MADE CU20662970701 07/15/2015 07/15/2016 AGGREGATE $ 2,000,00 DED I I RETENTION$ $ WORKERS COMPENSATION X I PE AND EMPLOYERS'LIABILITY STATUTE I X ITT A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WC205115708 12/31/2015 12/31/2016 E.L.EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEd$ 500,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached K more space is required) Swimming pools-installation,service,or repair-below ground. CERTIFICATE HOLDER CANCELLATION MIAMISH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building&Zoning Dept ACCORDANCE WITH THE POLICY PROVISIONS. Angle AUTHORIZED REPRESENTATIVE 10050 NE 2nd Avenue Miami Shores,FL 33138 6L4" ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD ' ASP1 o ° Licensed&Insured E . State:CPC 024450 Keeping Customers Happy For Over 40 Years 11720 Biscayne Boulevard • North Miami, Florida 33181 •Telephone: 305 893-4036 • Fax: 305 895-45 7 eP ( ) � ) 5 www.aliflolidapool.com • E-mail: service"Ifloridapool.com Attn: CONTRACT Date: /,gap- Property O ner Job Site Name Address Address s City City,Zip / Size of Pool Spa PHONE# (H) (0) Special Instructions 0tZ Fax E-mail All Florida Pool&Spa Center will be responsible for the following checked items: k Emptying of the pool/spa water using our submersible pumps. ❑ Sandblast pool/spa walls and floor-sandblasting Is needed to remove old painted surfaces.We will spread the sand on the premises.unless otherwise noted.Remarks: ❑ Soundproof Pool/Spa-chipping out all loose and hollow areas to allow for a solid application of new pool surface. Up to 10% of surface area included in price. ❑ Acid Wash Pool/Spa-Acid washing is needed to clean and etch pool surface. ❑ Multicoat bonding applied as a preparation to resurfacing pool/spa.This step insures a good bond of the new surface to the existing structure and prevents delamination. ❑ Apply Mar bletite to pool/spa surface.New surface is applied with the steel trowel method to insure smoothness and consistency. ❑ Apply Diamond Brite Aggregate to pool/spa. New surface is applied with the steel trowel method to insure smoothness and consistency.Exposed Aggregate surfaces are slightly rougher and have shade variations,but are much more durable and long lasting. All Florida Pool &Spa Center and the material manufacturer guarantees Marbletite for 2 years materials and labor. Diamond Brite Exposed Aggregate is guaranteed for 10 years material 5 years labor(residential)and 5 years material and labor (commercial).The guarantee is for blistering,flaking or peeling.The guarantee does not include cracks or stains.Stains can be caused by improper water balance.Guarantee is not transferable. Remarks: Tile-a new inch tile line will be installed around the interior perimeter of the pool/spa.Tile included from our wide stand ion. Remarks: 6 Brick&Coping-The existing coping will be taken off and hauled away.The bricks will be installed perpendicular to the pool. Bricks include less no ed Remarks: / �� 1�s Of 4 D^ec n - / ' .' ,pQq / ala ❑ Piping-All piping work is done with sch ule 40 P.V.C.All below-ground plumbing is guaranteed for 1 year. Complete balancing of new water with: 1.Chlorine 2.Sequestering Agent 3. Balance pH 4. Balance Stabilizer 5. Balance Total Alkalinity 6. Balance Calciu Hardness. ow water preflitered to mini a initial ineral st ' ing.) Oth Work, Mat 'als,or Equipment:14-51-1rj��! �r '•�, ' A Terms of Payment:50%deposit upon signing contract. "4* Deposit due o signing contract 50%_ ct� Sub Total$ Due upon 25%_ Tax$ Due upon 20%_ • co Total$ Balance(due upon initial wa chemistry balance) 5%_$ COST OF PERMITS OR PLANS EXTRA Electrical Not Included. ACCEPTANCE OF P O -The prices and conditions set forth on fro�an � t � e by acre Date of Accept ❑ 1 have received pa$e 2 roperty er All Florida Pool&Spa Center Representative Property Owner Buyer acknowledges that he/she has read and received a complete legible copy of this contract including terms and conditions contained therein. WHITE COPY-RETURN TO ALL FLORIDA POOL&SPA CENTER' YELLOW COPY-CUSTOMER PINK COPY-ALL FLORIDA POOL&SPA CENTER AFPSC 04/11 — Rick Scott Mission: Governor To protect,promote&Improve the health of all people in Florida through Integrated John H.Armstrong,MD,FACS state,county&community efforts. Jahn HEALTH State Surgeon General&Secretary Vision:To be the Healthiest State in the Nadon January 15, 2016 Ira Balimoll 970 NE 100 Street Miami, FL 33138 RE: Modification to a Single Family Residence -No Bedroom Addition Application Document Number: AP1219998 Centrax Permit Number: 13-SC-1653759 970 NE 100 Street Miami, FL 33138 Lot: 3 4 Block: 170 Subdivision: Dear Applicant, This will acknowledge receipt of a floor plan and site plan on 01/13/2016 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. Proposed rear pavers walkway. No objection letter was issued by C. Icaza on 01/15/16. This office has reviewed and verified the floor plan and site plan you submitted, for the proposed remodeling addition or modification to your single-family home. Based on the information you provided, the Health Department concludes that the proposed remodeling addition or modification is not adding a bedroom and that it does not appear to cover any part of the existing system or encroach on the required setback or unobstructed area. No existing system inspection or evaluation and assessment, or modification, replacement, or upgrade authorization is required. Because an inspection or evaluation of the existing septic system was not conducted, the Department cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use. You may request a voluntary inspection and assessment of your system from a licensed septic tank contractor or plumber, or a person certified under section 381.0101, Florida Statutes. If you have any questions, please call our office at (305) 623-3500. SincereVa Carlos Engineer III Department of Health in Dade County Florida Department of Health www.floridahealth.gov In Dade County• -,Florida TWITTER:HealthyFLA PHONE: (305)623-3500 FACEBOOK:FLDepartmentofHealth YOUTUBE:fldoh --�.. -:i SAS a�.a;i� FiS:j(,jr�1L3�E..'' --- •'—_.---`—� -L -P, Its Successors and/orAmiqris LEGAL DESCRIPTION: 3-A 4 JAN 0 2016 t_ot: 1� Block: 170 -ww7. Subdivision: Section No. 8 Of Miamihares According to the Plat thereof as recoited in G j Plat Book: 14 Page: 33 Public Records of MIAMI-DADE C unty, FIo-Pda. t� f ADDRESS: = `� 970 NE 100 STREET °�� `s ���o • MIAMI SHORES, FL 33138 •••` • /off cao' jr,,,��• ....�. Encroachments Noted: V ....ti, LOCATION SKETCH • + • • e 1 /�K�, �S ••• ••• as. SCALE 1A9 •• •• •e•• ew>! • e0l/I 9 • `daNe s JARis o ue�y o .� . • • 1\ .e�.. ClIZI t 1 � �� ?S,�t 1;,• tce ,�•� 1 -.00 3 ^ / i� � ELS �eor�d• z,00'__ NOTES: A)All Clearances and/or encroachments Shown hereon are of apparent nature. Fence ownership visual means- Legal ownership of fences not de am nod. 'Q •- ,� CG B)The Issue of this survey Is only for the exclusive / and Specific use of those persona,parties or ) J. institutions shown In the certification.Any other Tj // GL J Intended use will require written approval from the u� (- - f(1 certifying surveyor or firm. C)Code restriction and title search are not reflected �+{ GOT �C✓ y l��• on this survey. J ' D)The flood Information shown hereon does not Imply that the referenced property will orwill not free fl from flooding or damage and does not create Oablllty on the part of the firm,any officer or employee thereof, for any damage that results from reliance on said Information. } EI he lands depicted hereon ware surveyed Per the Gg I description and no claims as to ownership o rte's of till-are made or implied. {�, .� Underground \ ! +. At 1,6-,;1 k C Encroachments,U any,not located. I /D Pf/ FYM 7 ) hereby cenity that the survey represented \ oerear masts the minimum technical Stan- _ _ - cards set forth Ey the Board of Land Surveyors — lnchaptato Cti•eFlo•iCaAdminlslrativeCode THOMAS J. KELLY, INC. pu' nt to Ssctlan 12.025 Fla.Statutes. r _ L.B. #6486 JO A.PEREA,P.S.&M.#4858 l / SURVEYORS-MAPPERS-LAND PLANNERS ATE OF FLORIDA333 PALERMO AVENUE CORAL GABLES, FLORIDA 33134 OT VALID UNLESS IMPRINTED WITH AN f:NBOSSED SURVEYORS'S SEAL 1,-A (305) 444-7692 DARE NOTES: ' (954) 779-3288 BRWD 3 2F SHOWN.BEARING ARE TO AN ASSUMED l� r (p (305) 441-6494 D MERIDIAN(PY PLAT). ADE FAX (954) 779-3260 BRWD FAX '1/ 2 IF SHOWN, ELEVATIONS ARE REFERRED N.6.V.D 1929. DATE FIELD WORK SCALE SURVEY NO. 3 THIS IS A BOUNDARY SURVEY. O7/0612001 111 _ 2^ (/ 01-2889 . . . . . . : . . . 13 _. V I)I RA1