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BPP-16-460 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8872 Inspection Number: INSP-267171 Permit Number: BPP-2-16460 Scheduled Inspection Date: October 12,2016 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Mesa,Michel Inspection Type: Final Owner. STANDAERT,NATACHA Work Classification: New Job Address:576 NE 97 Street Miami Shores,FL 33138- -. Phone Number _(646)460-6061 Parcel Number 1132060171510 Project: <NONE> Contractor. La Casa de las Piscinas Inc Phone:(305)633-9699 Buiil;ft R!g0jen#Comments NEW POOL AND DECK ON PAVERS SAND 'INSPECTOR `INP OR COWENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP 266489.CREATED AS REINSPECTION FOR INSP 253248. Need to provide Miami Shores Village —-- approved as-built survey, pass required pool barrier inspection and finish the landscaping. Failed 9-1216 same comments. Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re4nspection fee is paid. October 11,2016 For Inspections please call: (305)762-4948 Page 17 of 38 e Vicente Franco,PE 10776 NW 84 LN#5 MIAMI,FL. 33178 INSPECTION LOG 576 NE 97 ST Miami Shores, FL 33138-2460 Permit#: BPP 216 460 According to visual inspection, I hereby attest that to best of my knowledge and professional judgment that the existing soil conditions are in compliance with the footing allowable bearing pressure of 2000 PSF. Should you have any question please don't hesitate to contact our office, respectfully submitted, s w -; O No. 62531 ST , ATE OF �� 470 Lic. No./01sm 03/21/16 vfranco9876@gmall.com • Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-255476 Permit Number: BPP-2-16-460 Scheduled Inspection Date: March 25,2016 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Rodriguez,Jorge Inspection Type: Wall Steel Owner: STANDAERT, NATACHA Work Classification: New Job Address:576 NE 97 Street Miami Shores,FL 33138- Phone Number (646)460-6061 Parcel Number 1132060171510 Project: <NONE> Contractor: La Casa de las Piscinas Inc Phone: (305)633-9699 Building Department Comments NEW POOL AND DECK ON PAVERS SAND Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-253246. Missing: Electrical bonding Rebars under drain Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid March 24,2016 For Inspections please call: (305)762-4949 Page 22 of 28 E 3 '' ry„r, ;Z ��/0 '. a 3 v y a Miami Shores Village P ■ Peirta>t Imo ) a 10050 N.E.2nd Avenue NES z Miami Shores,FL 33138-0000 y � Z Phone: (305)795-2204 �£ `OR A � Expiration: 09118/2016 �tl 'i6 P Project Address Parcel Number Applicant 576 NE 97 Street 1132060171510 Miami Shores, FL 33138- Block: Lot: NATACHA STANDAERT Owner Information Address Phone Cell NATACHA STANDAERT 576 NE 97 Street (646)460-6061 MIAMI SHORES FL 33138- 576 NE 97 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone La Casa de las Piscinas Inc 305 633-9699 Valuation: $ 23,500.00 ( ) (305)216-3907 mm.,: ..m._ .: ......._ ..._..rr_,. _ N...... _ _,.. .. Total Sq Feet: 721 Approved:In Review Available Inspections: Comments: Date Approved::In Review Inspection Type: Fence Date Denied: Final Type of Work:Swimming Pool Occupancy:Private Pool Deck Additional Info: Bond Retum: Wall Steel Classification:Residential Scanning:4 Review Mechanical Review Electrical Review Electrical Review Planning Review Structural Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt DueReview Plumbing Bond Type-Contractors Bond $500.00 Review Plumbing CCF $14.40 Invoice# BPP-2-16-58745 CaCC Fee $50.00 02/19/2016 Check*2047 $50.00 $1,396.56 DBPR Fee $10.58 03/22/2016 Check#:1426 $ 1,396.56 $0.00 DCA Fee $10.58 Bond#:3023 Education Surcharge $4.80 Permit Fee $705.00 Plan Review Fee(Engineer) $120.00 Scanning Fee $12.00 Technology Fee $19.20 Total: $1,446.56 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 foreg ' j informat'on is accur to �do d at all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the abov med the work stated. March 22, 2016 Authorized Signature:Owner / Applicant / Contractor / Agent ate f Building Department Cop March 22,2016 1 ° . G Miami Shores Village �� , g FEB 19 20% Building Department B Y:.&L__71 1 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2QY-/ 2r BUILDING Master Permit N., 3 5;�0 PERMIT APPLICATION Sub Permit No. BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑MECHANICAL PUBLIC WORKS CHANGE OF ❑CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: �7 9�-:7 := City: Miami Shores County: Miami Dade Zip: 3/ Folio/Parcel#: JJ a z f/71 /Z� Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): ne#: 6Y 6 61 Address: R_eQ U LVJ City: t .fit _P/a State: Zip: _ � ) Tenant/Lessee Name: Phone#: Email: i CONTRACTOR:Company Name: �� �--��� ' 1�IA6ne : 3-74 Address: e/ Al' City: S Zip: Qualifier Name: '�s a C ��L Phone#: 3/07 State Certification or Registration#: e 1°/ f'®Certificate of Competency#: DESIGNER:Architect/Engineer: --7- 14 Phone#: '7e"'O Address: City: State: Zip: Value of Work for this Permit:$ 3 j 5W °— uare/Linear Footage of Work: a Type of Work: ❑ Additio ❑ Iteration N w ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: --�^ 1 Submittal Fee$�I_Permit Fee$ -�05 - � CCF$ ! e� CO/CC$ �® Scanning Fee$ «' Radon Fee$ ( 0. G;2? DBPR$ 16- � Notary$ Technology Fee$ Training/Education Fee$ L4- Double Fee$ rb Structural Reviews$PO- (Z Bond$ TOTAL FEE NOW DUE$ (Rev1wd02/24/2014) I 4 Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lenders Name()f 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. a "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 Applkcant: As a condition to the Issuance of a building permit with on estimated value exceeding$Z=,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 aertijied copy of the recorded notice of commencement mustbe at the job site for the first Inspection which occurs n (7) days after the building�rt Is issued. In the absence of s ch po d notice, the Inspection will not be approve / e1 n fee will be charged. f1r •-- Signature 0 Signature rAGENT NTRACTOR The foregoing instrument oras acknowledged before me this The foregoing instru ent was acknowledged before me this Ig f� day of a R V 20 �1,by day of A' -.11 20 J�- ,by f Vas E who is personally known to o is personally known to. me or who has produced A me or who has produced as identificatio w )� takeA0Rl IkRNANDEZ Identifica . Y P 4>' G;;•. O lP'µY PVA��i� ADRIANA HERNANDEZ NOTARY PU _ Notary Public State of Florida NOTARY • ; My Comm.Expires Feb 2,2018 . _ Notary Public-State of Florida •• .•c C' Commission*FF 88137 .a.; y Comm.Expires Feb 2,2018 M ;o •;,° ". Co sion 0 FF 88137 Sign: Sign: Print: rl'O Td rel T AAA Print: �� "� Seal: Seal: i #i#ii##i#iii APPROVED BY A Plans Examiner 0 ning Structural Review Clerk (Re41sed02/24rM4) 2/17/2016 STATE OF FLORIDA LA CASA DE LM MCIN" INC. COUNTY OF DADE 2601 NW 18 TERR.MIAMI,FL.33125 CPC1456901 305.633-9699 Before me this day personally appeared Maria C.Rodriguez who,being duly swom,deposes and says; that she will be the only person working on the project located at: 576 ne 97 st.,Miami Shores,FI. cer ly, Ma' C.R Iguez P S/QU IFIER Swgm to(er ffi7! ]id subscribed before me this 7 ftday of y� 20/ ,by PERSONALLY KNOW-w' Or produced ID D name of notary] ,a+/01• VIVIANA GARCIA Notary Public-State of Florida • My Comm.Expires Jun 27,2016 Commission#EE 212108 n4�ia Bonded 7w*National IN"Assn. Miami shoresVillage Building Department 10050 N.Und Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 Notice to Owner- Workers' Compensation Insurance Exempt on 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 employees,including the owner,must obtain who employs one or more part-time or full-time orkers'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 cover from the contract is company for day labor,Part-time employees or subcontractors. BY SIGNING BELOW Y 0 G T YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: State of Florida County of Miami-Dade The foregoing was acknowledge before me this day of ,20 1 . By T� a �Cwho is personally known to me or has produced as identification. Notary: ""p''% �- tate Z Notarylor a SEAL: My Comm.Expires Feb 2,2018 �� o?�'•- Commission#E FF 88137 Miami Shores village Building Department 10050 N.E2nd Avenue ZOR Miami Stores, Florida 33138 Tel:ON)795.2204 Fox: (305) 75S.8972 NOTICE OF RMMEWS RESIDOMAL SWINIM POOL,SPA AND HOT TUB SAFETY ACT I (ft)ackrweiledge that a now fool,�or ltd tub will ' ori id at UWW FL,, ane! hrareblt affirm that one of the wl0 be and 10 meat of OwpW 515, ad Ow RvIde Odft Cab R4101.17. P the nes)to be used: The pool ail be equipped with an appoited ad*pad cotes ttet comples w1h ASTM F1346.91.(Su6 s 4ecmcdmj A (ddb)barrier medrig the of Fbft Wift Code R4101.17.1.15 wB pmbd the pool pe rkneter.Tie-pi m sly dm the fertce bcdon wW natiod of one wxl that dial riot be ivinmiabb tt'OM to ab of tools.(Submit M nnui ►rer's rts). A comer of nwHivieft waft aid Bose(scsedh Vie,ted fence,numM IBMwets,dwh brit or wood finece,W.)wII p ubd the pod perimeter.The On must spe o the type and be dm of d nett doeft welb.PWIda Bulft Cods,R4101.17.1 of pubdon vfth hioDiporales dnft wele vM d y aD 9e pool perbider aid d WW=ad dcas wII be that ed dmm cmVoig wBh Fbt BWft Cab,84101.17.1.9(Std MmmladuWs 3peci }. Arty cant of h=p x"dsrethtg walk hrfh6t operilrip d y ado Ivi pool perimeter and all dams will be t a self- ft deft WIh pore medianical bidr rsg a adr.54"dbm the ifth b optbn b subrd pbm ad types and btwlot of all pe tft pr n.The Om mtet deo show the bcdon&W type o1 dl off,wW the hwftm type for each bcdotx(SAM MmwbWWs Stens)• In ac cordatm with the Codef,the pot may not be til with water wit comp&m vM the Private Swinind"Pawl Safely and upon ern of to permit,to poW dM be Ovestuned to be utse.i undwdod tial not having one of the above hisbiled will constitule a violation of Chapter 51§". ,an dw6l be cmisidered as cmmdft or ofthe degree,punMublebt Solon 7MO82 or Mian 775 Harm signh� Pd=enohtr ��/O ,A� • • ly • ° •M ORS,SIMTURE AND DATE A AS . • ; ; OR'S AIAAIfE PR . PROM, All ••• ••• • •• ; . . ���� • ;•• A�lRRM�A�I°1f'i_ _ _ • -� ;oa► ,•; ADRIANA ttERNANDEZ Notary PWMc-State of Florida ci°.'"�°H'e'rs ADRt�NPN I RI It11QE7? e • My Comm.Expires Feb 2.2018 3 _ .Staff og res• • • '•.',►F�.,�a •' Commission*FF 88137 s+.�� 0.` 3►Com.E �eb4•�018r ; . ••puma •,�;1.", COfthsfM AE PF 08437 •• ,•• `'; Inspection Worksheet ►. Miami Shores Village d 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-267265 Permit Number: BPP-2-16-460 Inspection Date: September 14,2016 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Dacquisto, David Inspection Type: Survey Final Owner: STANDAERT, NATACHA Work Classification: New Job Address:576 NE 97 Street Miami Shores, FL 33138- Phone Number (646)460-6061 Parcel Number 1132060171510 Project: <NONE> Contractor: La Casa de las Piscinas Inc Phone: (305)633-9699 Building Department Comments NEW POOL AND DECK ON PAVERS SAND Infractio Passed Comments INSPECTOR COMMENTS False Passed Inspector Comments L11 �D 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 September 14,2016 Page 1 of 1 Miami shores Village Building Department 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) acknowledge that a novo swimmft moi, spa or hot tub will be constructed or installed at —4'"?-r— < , T 7 `' Miami Shores, FL, and hereby affirm that one of the following methods will be used to most the requirements of Chapter 515, Flores duel and the Florida BcrfNdIng Code R4101.17. Plem initial the method(s)to be used: The pool will be equipped with an approved suety pool cover that complies with ASTM F1346-91.(Submit ManubctuWs Spec ificatlons). A continuous,are-piece(cam berm meeting the reqilremertts of Florida Building Code R4101.17.1.15 will protect the pool perimeter.The plans shall show the fence kation and method of attach ertt,including one end that shall not be removable without the ail of tools.(Submit Manufacturer's Spedlic ations). A combination of non-dwa ft waft and fences(screen enclosure,child fence,masonry fence wad,Chain rmk or woW fence,etc.)will protect the pool perimeter.The plans must speer the type and location of all non dwelling walls.Florida Building Cale,R4101.17.1 �/ Any combination of proton which dry dwelling wails with openings directly mtD the pool perimeter and all windows and doors will be equipped with exit alarms com plykig with Fbdda Building Code,84101.17.1.9(Submit Manufacturer's Specifications). Any combbuibm of protection which inc orporcilles dwelling waft with openings directly into the pool perimeter and all doors will be equipped with a self4atching device with positive mechanical Iatchi Qfioc V Installed a min.54'above the ttu+eshokl.If this option is selected,submit plans showing all types and location of all pedirnethr protection.The plans must also show the Dation 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 oiled 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 InsWIed will constitute a violation of Chapter 515 . .,and will be considered as committing or of the peofid T;Nn nish" in Section 775.082 or Section 775 farm be signed prime contactor. gpv OR'S SIGNATURE AND DATA AND DAscv e S --O D eP-T CONTRACTORS NAME(PLEASE PRINK ;•• S NINE JPLFASE PRINT) G`t�,-trl r-rL40 i s r 1/`�. i>a '��BAW ADRIANA HERNANDEZ • „ 3:,• ;°`: Notary Public-State of Florida • y •;,'o�"�P�.�c� ADRIANA HERNANDEZ My Comm.Expires Feb 2.201: +: Allt3ry Public-state of Florida '•,,F,,,,�o?r Commission#►FF 88137 • . . •:N o.� MI Comm.Expires Feb 2,2018 ""st"" • •• • » :„ .�:�~ 'f�,mmission#FF 86137 • ••• . .. Ordered Or. r HomeParm . �• 1 end, 30 tL L, NL. 97th STREET: ............................, . •?t': s'' i LA — s — — SO'iaa+T- tairet Phil _ tater Asrwtt �eaSVT 0000 • • • • • PP'PSI P 6:666• •00 6 • • �, :• 0 Ar •• 6666• • • • • •• • 660609 ,a •_ 6••66 0 .q 6 .•.�, •000• ••6• 6 •66.00 0 • 0000• •m.�''''3• e ••0.66 00 • •0:00 • dna 'lam :•: •06 6 A 0 •, • .CGS '•T.•:•.::•:.• :' ... •• ••:i •16aQ• 2 9 6A8 � tl7 .� • •.. LOT t luau :� :'; ..... BLOW 99 � •.��. ems_ •::=;� m':. ;'• :.. ' `�� .....it. ''�• a �:.. .. -.s 4• as #i •:�:' riA l/Y _ og Lor 19 i LOT 21 I LOT 42 BLOCK s8 O soi �atsr i rir rR' SUM"Of afrEmsp-AWMAY EXTENDS ONTO PARKWAY.EASTERLY C B S.WALL EXTENDS BEYOND LOT Lp1£ i Cin � W S J 00-f aB A �*��a�"40F MAPOF BOUNDARY SURVEY7m, XXa�wevaaPMunas a o mA gnmAA,US pmpeYAd*OW. eltTo r 576 NE 97 ST MIAMI SHORES,FL 33138 6a aim •" FORTM FILA smw p.&W.Na 5101 SURVEYORS,INO. STA FLORIDA =A== E TVRtIDn•aW wrWrrcnT® 15271 NW60AVE,SURe208 �rvA�wt WMW" EWW^n=AW- — MunLakes.FL 33014 RAt�sE�i�Au �mvEvaeAxuuarre WWW. Survey pate:19J912015 Sun18Y coae:041525 Pap 1 of 2 NOt VON WithOut ad pages• Miami shoresVillage e� Building Department 10050 ISLE.2nd Avenue Miami Stores, FWida 33138 Tel: (305)795.2204 Fbx: (305)756.8972 SURVEY AFFIDAVIT STATE OF(FLORIDA) 0 00 COt1hJ#Y-OF(DADE).. . 0 . 0 . 0000.. The undersigned Af t,'�,� S��n n i. hereby attest that 0000 .. .. • . . • .. (Propeq 76,�-e., The't clued survi i.Xer6arnred by 0-f?, f ,7--yD� h • --:*Go ({darns of stm►eYK' cny) 0000.. .• 0000.. • 7- FordWrIlik �. f Fl. 3 3I3 F 0000.. 0000 Perlomred on (date of survey)Is an acme representation of the exi tfig conditions and lams of d smxtures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the properly without first providing a survey less than sum (7)years old old.The Affiant, as property owner,further agrees to remove or obtain pemilits for any structures which now may exist on the arty which are not permitted or which may violate zoning or builder code regulations. The Affiant Mier un<lerslands that the exitence of any such structures nra in as applicable to this or other permits. Further ro Pro"Owner'ftft Name SWO AND SUBSCRIBED before nrs this day of Affiant is rsortalty known to me, produced as identification. HERNANDEZ Notary Public-State of Florida Raised an 5F3T1l009r at 6112109 My Comm.Expires Feb 2,2018 Commission#FF 88137