BPP-16-2771$ 1,800.00J
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. BPP -10-16-2771
PtPermit Type: Pools!WhirlpoolslHot Tubs
r m i Work Classification: Repair
Pemiit Status: APPROVED
Issue Date: 12/21/2016
Expiration: 06/19/2017
Parcel Number
Applicant
333 NE 92 Street
Miami Shores, FL 33138-
1132060136370
Block: Lot:
JOHN LONGMAN
Owner Information
Address
Phone
Cell
JOHN LONGMAN
333 NE 92 Street
MIAMI SHORES FL 33138-3133
333 NE 92 Street
MIAMI SHORES FL 33138-3133
Contractor(s)
AQUARAMA POOL INC
Phone
(305)934-4226
Cell Phone
Valuation:
Total Sq Feet:
0
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: Swimming Pool
Additional Info:
Classification: Residential
Occupancy: Private
Bond Return :
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.00
$2.00
$0.40
$100.00
$9.00
$1.60
$116.20
Pay Date Pay Type Amt Paid Amt Due
Invoice # BPP -10-16-61630
10/13/2016 Cash $ 50.00 $ 66.20
12/21/2016 Credit Card $ 66.20 $ 0.00
Available Inspections:
Inspection Type:
Final
Review Planning
Review Building
Review Building
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 LECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS ''FFIS; VIT: I; - regoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constr +o/ an. zoning. or-, I authorize the above-named contractor to do the work stated.
December 21, 2016
Au horiSd ignatu'=: Owner / Applicant / Contractor / Agent
Buildin •'Department Copy
Date
December 21, 2016 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)7954204 Fax: (305)756-8972
nspection Number: INSP-268843
Inspection Date: January 03, 2017
Inspector: Riveron, Alexis
Owner: LONGMAN, JOHN
Job Address: 333 NE 92 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: AQUARAMA POOL INC
Permit Number: BPP -10-16-2771
Permit Type: Pools/Whirlpools/Hot Tubs
Inspection Type: Final
Work Classification: Repair
Phone Number ()_-
Parcel Number 1132060136370
Phone: (305)934-4226
Building Department Comments
POOL RE -PLASTER
rd to Passed Coanments
INSPECTOR COMMENTS False
Passed
Inspector Comments
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled
re -inspection fee is paid.
until
For Inspections please call: (305)762-4949
January 03.2017
Page 1 of 1
\s ��
titin`
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
RE-oralirr,0,
OCT I s 01B
BY:
FBC 20N 5.-1-1`
Master Permit No. PPI P — 1
Sub Permit No.
11LDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION 0 SHOP
CONTRACTOR
r
JOB ADDRESS: 333 / v �/v q)/11- s
City: Miami Shores
County: Miami Dade
DRAWINGS
Zip: 3313
Folio/Parcel#: Is the Building Historically Designated: Yes
Occupancy Type: Load:
Construction Type:
Flood Zone:
BFE:
NO
FFE:
OWNER: Name (Fee Simple Titleholder): .J 0b.J t_ d� M O Phone#:
Address:
�3 3 .1‘)� �a s-e:r e e
City: M ;41A, v i f Pe ./ State: F t.
Tenant/Lessee Name: Phone#: Tar -- Z)-7--6.
)-7IV
An, 4-r (jM.,/, , C...,
,„440, �avL,, Phone#: 30S--4:11 34 -42-?.,40
t_e
0S— i34-4-
t_e-4- 0'3 1-i 4-tr--186 -ZSz-1031
State: -- Zip: `-.-3 3 ZCo C4 j1
H%eIrti-
Zip: ?? /sd
Email: D /U )V L0
CONTRACTOR: Company Nam
Address: t"� CVc1-t"
City: i\/ V C5'fi Dl.^...
Qualifier Name: �pSc �'�`?�2V c�Th
State Certification or Registration #: G?G 1 L-h5G,A i \ Certificate of Competency #:
Phone#:
DESIGNER: Architect/Engineer:7/.� Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ I/ 800 f Square/Linear Footage of Work:
Type of Work: ❑ AdditionAlteration n New ❑ Demolition
Description of Work: 1�o) 1
kRepair/Replace
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
Radon Fee $
(Revkad(17 /74/7M 41
t�`o CCF$
2 ,O DBPR $
• co/cc $
L 'VO
Notary $
Training/Education Fee $ Double Fee $
Bond $
TOTAL FEE NOW DUE $
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. 1 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 approv . d a reinspe -e will be charged.
Signature
0 or AGENT
The foregoing instrument was ac nowledged before me this
day of Z , 20 t (D , by
L-0/.4 G ti.100i4, who is t2ersonally known to
as
cCD
me or who has produced
identification and w
NOTARY PUBL C:
•
Notary Public State of Florida
Regino Betancourt
Ai My Commission GO 023377
d' Expires 08/22/2020
Sign:
Print.
Seal:
*******************************
APPROVED BY
iom,; ,r%7 PoA hill Al
***** *******s**************************************s******************s**
IT
The foregoingjinstrument was acknowledged before me this
l 0 da of p l7 , 20 I CO, by
Z& j r -a), who is personally known to
me or who has produced
identification an
NOTARY PUBLIC.
AGRI 01,4e. Notary Public State of Florida
Regino Betancourt
AT My Commission GO 023377
"/(1.w Expires 08/22/2020
as
Sig
Pri t
Seal:
Plans Examiner Zoning
Structural Review Clerk
Miami Shores Village
Building Department
CONTRACTORS' REGISTRATION
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
A. COPY OF QUALIFIER'S STATE LICENCES
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF LIABILITY INSURANCE*
D. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL
CONTRACTOR'S TAX RECEIPT.
D. COPY OF LIABILITY INSURACE*
E. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
*YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW:
Certificate Holder:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
Certificate must specify the description of operations or contractor license number.
BUSINESS NAME:
BUSINESS ADDRESS: CITY STATE ZIP
BUSINESS PHONE: ( ) FAX NUMBER ( )
CELL PHONE ( ) QUALIFIER'S NAME:
QUALIFIER'S LIC NUMBER:
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
2601 BLAIR STONE ROAD
TALLAHASSEE FL 32399-0783
YZQUIERDO, JOSE JAVIER
AQUARAMA POOLS INC
304 INDIAN TRACE APT 503
WESTON FL 33326
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from architects to yacht brokers, from boxers to barbeque
restaurants, and they keep Florida's economy strong.
Every day we work to improve the way we do business in order
to serve you better. For information about our services, please
log onto www.myfloridalicense.com. There you can find more
information about our divisions and the regulations that impact
you, subscribe to department newsletters and leam more about
the Department's initiatives.
Our mission at the Department is: License Efficiently, Regulate
Fairly. We constantly strive to serve you better so that you can
serve your customers. Thank you for doing business in Florida,
and congratulations on your new license!
RICK SCOTT, GOVERNOR
STATE OF FLORIDA
Yt DEPART„MENT-OF,BUSINESS.AND
I.- - PRTOFESSIO, ikgEG, CATION -
CPC1456811 , 1S'1TO8L09-/2016-
CERT,GOM ERIOL L PbOtlSl?/ �C-O;I�tTR -
YZQUIERDO,-Z. .S,�EE JA '+ER ` • ' ._ -`�
�AQUARAMA'FO.OLS i1 Q'w.E1' ,;. "' �-�
„`-..
����
A ._.
--------- .
r,IS CERTIFIED...„....--.—.1.13
.un.er-1he_prov_.isions orC:h-489�FS:
xEfpirst.6 dalew-' AUG'31; 20 L16080900'02134 -
DETACH HERE
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
LICENSE NUMBER
-...Y
_
'- •
* _
•
N.
. CPC1456811,
^
- r
ii
tis"
,: .
t;;'-`�.
-'._ .
'
.
.1"
'--
.'.
The COMMERCIAL POOUSPA CONTRACTOR. -''�-
Narried.below IS CERTIFIED. „ -
Underthe. proyisions-tif.'Chapter•489-FS. _
Expiration date AUG,31; 20:18--- �; -` * '`-f
YZQUIERDO JOSE JAVIE,
A'QUAARAMA=POO,CS-IN 4,.
304 1NDJAN'TRACEZAP T-566:
WE�T:O � •FLS 33326� •-�•�`�_
.17
DISPLAY AS REQUIRED BY LAW
ISSUED: 08/09/2016
SEQ # L1608090002134
BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000
VALID OCTOBER 1, 2016 THROUGH SEPTEMBER 30, 2017
DBA: AQUARAMA POOLS INC
Business Name:
Owner Name: JOSE J YZQUIERDO/QUAL
Business Location: 304 INDIAN TRACE #503
WESTON
Business Phone: 954-529-4552
Rooms
Seats
Employees
2
Ret #: POOL/MARINE
107
Business Type:ceip(COMMERCIAL
CONTRACTOR)
Business Opened:04/15/2006
StatelCountylCertlReg:CPC14 5 6 811
Exemption Code:
CONTRACTOR
POOL/SPA
Machines Professionals
For Vending Business Only
•
Vending Type:
Tax Amount
. Transfer Fee
NSF Fee
Penalty
Prior Years
Collection Cost
Total Paid
27.00
0.00
0.00
2.70
0.00
0.00
29.70
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT
WHEN VALIDATED
Mailing Address:
AQUARAMA POOLS INC
304 INDIAN TRACE #503
WESTON, FL 33326
This tax is levied for the privilege of doing business within Broward County and is
non -regulatory in nature. You must meet all County and/or Municipality planning
and zoning requirements. This Business Tax Receipt must be transferred when
the business is sold, business name has changed or you have moved the
business location. This receipt does not indicate that the business is legal or that
it is in compliance with State or local laws and regulations.
2016 - 2017
Receipt #02C-16-00000092
Paid 10/04/2016 29.70
JEFF ATWATER
CHIEF FINANCIAL OFFICER
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
**CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW* *
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 4/17/2016
PERSON:
FEIN:
YZQUIERDO
200204235
BUSINESS NAME AND ADDRESS:
AQUARAMA POOLS, INC
8300 NW 168 ST
MIAMI LAKFS FL 33016
SCOPES OF BUSINESS OR TRADE:
LICENSED POOL
CONTRACTOR
EXPIRATION DATE: 4/17/2018
JOSE
J
Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by riling a certificate of election under this section
may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only
within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be
exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate,
the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13
QUESTIONS? (850)413-1609
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
BUILDING CRITIQUE
DATE: 10-14-2016
PERMIT NUMBER: 16-2771
1. Provide the following documents.
> Restrictive covenant Protective Pool Enclosure.
> Notice of swimming pool, SPA and Hut Tub Safety Act.
> Swimming Pool Owners Certification.
2. R4501.17 Residential swimming barrier requirement.
Residential swimming pools shall comply with Sections R4501.17.1 through R4501.17.3.
3. Reflect compliance with Miami Dade County Technical amendment to chapter 42(Residential) of the
Florida Building Code E4206.4.1
Ismael Naranjo, B.O, CFM
Building Director
M iami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
REQUIREMENTS FOR POOL PERMIT
Building permit application must be accompanied by:
❑ Sub permit applications (Electrical, Plumbing, Mechanical)
Si(.2 Copies of survey (no more than 7 years).
❑ If survey is older than 7 years it needs Survey Affidavit.
❑ 2 Sets of plans signed and sealed.
Show on the plans: Location of septic system, all intended setbacks of pool, location of
the pool equipment, deck and fences.
s shall be reviewed and approved by HRS department.
idential swimming pool, spa and hot tub Safety Act form completed and signed by owner.
�1 S ' ing pool Owner's Certification form completed and signed.
.�7 Restrictive Covenant Protective Pool Enclosure form completed and signed by owner.
❑ 2 2 sets of manufacturer specifications for safety net, barrier or alarm.
The County adopted the following local technical amendment to Chapter 42 (Residential)
of the'Florida Building Code. E4206.4.1 Mllaximunz Voltage.
The maximum voltage for each luminaire in any private swimming or recreational bathing
pools shall not exceed the Low Voltage Contact Limit, which is defined as a voltage not
exceeding the following values:
(1) 15 volts (RMS) for sinusoidal alternating current
(2) 2.1.2 volts peak for nonsinusoidal alternating current
(3) 30 volts continuous direct current
(4) 12.4 volts peak for direct current that is interrupted at a rate of 10 to 200 Hertz. The
maximum incandescent lamp size shall be 300 watts.
Rev. 10-08-15 1. Naranjo
Miami Shores Viiiage
Building Departmen
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Oct 142016
Permit No: BPP -10-16-2771
RECEIVED
DE 172016
BY
Building Critique Review
. 1./ Provide the following documents.
?✓ Restrictive covenant Protective Pool Enclosure.
? ✓ Notice of swimming pool, SPA and Hut Tub Safety Act*:elllaNrU fi' �Ie/?iL 1S flafflize
?✓ Swimming Pool Owners Certification. 7 T 7tfIS tS ExlsTt i
POa trE 2 (Wl SECCK
2. R4501.17 Residential swimming barrier requirement. OF.0ealcuffiC�( m� P �n
Residential swimming pools shall comply with Sections R4501.17.1 through W�`"Kant.
R4501.17.3.
3. Reflect compliance with Miami Dade County Technical amendment to chapter
42(Residential) of the Florida Building Code E4206.4.1
Ismael Naranjo
Building Official
Plan review is not complete, when all items above are corrected, we will do a complete
plan review.
If any sheets are voided, remove them from the plans and replace with new revised
sheets and include one set of voided sheets in the re -submittal drawings.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE
KNOW ALL MEN BY THESE PRESENTS: j
WHEREAS, the undersigned Jo( -ii i LOAD Ei iil Ft AJ is/are the fee
simple owner(s) of the following described property situated and being in Miami Shores Village, Florida:
Address: 3333 IVE 9 2 I J Q S7. fil l 4 r` ' j k e ..S Fr_ 33 13&
Whereas, the undersigned owner(s)
desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare
and agree as follows:
I. 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 installs 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 conceming 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 o be • rased by Miami Shores Village, or its successors, in accordance of said Village then in
effect.
,%/ om,f fpft.)
& PRINT v
OWNER SIGN & PRINT
I Hereby Certify that on this day rsonally appeared before me J oA L� VV\O. (1
and has produced ID # L $;S- 4(((o 6)73(n4as identification and he/she acknobr(edge that he/she
executed the foregoing, freely and voluntarily, for purposes there in expressed.
SWORN TO AND SUBSCRIBED before me on this / day of Jl/.W
(Revised 05/2209
PATRICIA 1. NICOLAU
Notary Public, State of Florida
Commission # FF 45906
My comm. expires Aug. 15, 2017
,20 ! G
NOTARY PUBLIC STATE OF FLORIDA
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 new swimming pool, spa or hot tub will be constructed or installed at
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 complies 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 Zink or wood fence, etc.) will protect the pool perimeter. The plans must specify the 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, S ., an d will be co . ' : - as committing a misdemeanor of the second
degree, punishable a • • vided in = ' • n 775.082 or Sectio •� 75.083 F.S . This form must be signed
by the owner/age . ' the • ' e contractor.
CONTRACT
i
CONTRACTOR'S
RE AND DATE
AME PLEASE PRINT)
/// 6,
�
NER'S SIGNATURE AND D E
'V LO.F et /4,.A%
(7'S�'S NAM LEAS PRI T)
NOTARY PUBLIC
PATRICIA 1. NICOLAU
Notary Public, State of Florida
Commission # FF 45906
My comm. expires Aug. 15, 2017
&Lek k'
culAR:64 I'(4
Date
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
SWIMMING POOL OWNER'S CERTIFICATION
1217116
Miami Shores Village
Building & Zoning Department
Attention: Building Official
1 certify that I am the legal owner of the property described as
, located at 4333 UE 92 '3- W2:1 -
I RI_ 33/39
In accordance with Section 33-12(0, Code of Metropolitan Dade County, I certify that I
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 ins
pool.
Legal Owner
on and use of the
Note: This certification is to be submitted with a swimming pool permit application in duplicate.
910) \b-Z1rt1
-lotion:
A 16, Block 47 of MIAMI SHORES SECTION NOT >rrnrding t the plat
recorded inP)aBookj1i►'t to 70, of the Public
Dade Cour>Fr2SiMiami Shires Village
APPRO\'EO
BY
DATE
ZONING DEPT
BLDG DEPT
SUBJECT (0 GC&IPUANCE % WMM ALL FEDERAL
STATE ANI) CCM Y AAA; MID REGULATIONS
Certified to: Mark Campbell
Community Number: 120652
Community Name:VILLAGE OF MIAMI
Panel: 302
Suffix: L
Date of Firm Index: 9/11/2009
Firm Zone: X
Base Flood Elevation: N/A
TOPOGRAPHIC SURVEY
Date of Field Work: 03/11/2011
Date of Completion: 03/21/2011
BENCHMARK INFORMATION
Benchmark No : N-5683
Benchmark Elevation: 9.65
Property Address:
333 N.E 92 STREET
MI SHORES, FLORIDA 33138
Survey No. S-9400
t
SHORES
GENERAL NOTES:
-LEGAL DESCRIPTION PROVIDED
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LOCATIOry. TipH
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NOT
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- EXAMINATION OF THE ABSTRACT OF TITTLE •W1Lii_ HAVE TO BE MADE TO DFIY14.414•
RECORDED INSTRUMENTS. IF ANY, AFFECT•THIS. PCOPERTY. • •
- THE LANDS SHOWN HEREON WERE NOT A%STRACTI[D FOR iASEM4NT OR Ojlig•RAORDEO
ENCUMBERANCES NOT SHOWN ON THE PIAT. •
- UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR•OTHER IMPROVEMENTS WERE
NOT LOCATED. • • 1 • • • •
-ONLY VISIBLE AND ABOVE GROUND ENCROACHMENTS LOCRTTQ_•
-WALL TIES ARE TO THE FACE OF THE WALL
-FENCE OWNERSHIP NOT DETERMINED.
-BEARINGS REFERENCED TO LINE NOTED AS B.R.
- BOUNDARY SURVEY MEANS A DRAWING AND/OR GRAPHIC REPRESENTATION OF THE SURVEY
WORK PERFORMED IN THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND/OR NOT TO
SCALE.
- NO IDENTIFICATION FOUND ON PROPERTY CORNERS UNLESS NOTED.
- NOT VALID UNLESS SEALED WITH THE SIGNING SURVEYOR'S EMBOSSED SEAL.
- DIMENSIONS SHOW ARE PLAT AND MEASURED UNLESS OTHERWISE SHOWN.
- ELEVATIONS IF SHOWN ARE BASED UPON N.G.V.D. 1929 UNLESS OTHERWISE NOTED.
-THIS 15 A BOUNDARY SURVEY UNLESS OTHERWISE NOTED.
-THIS BOUNDARY SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES
NAMED HEREON. THE CERTIFICATIONS DO NOT EXCEED TO ANY UNNAMED PARTIES.
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SURVEYOR'S CERTIFICA ION: I HEREBY
TRUE AND CORRECT REPRESEN
THIS COMPLIES WITH THE MMII
STATE OF FLO^DA BOARD OF
FLORIDA •0 IN .TRATIVE CODE
SIGNE
MIGUE PINO'A
NOT •LWIT
ELECT'ONIC SE
THE RIGINAL R
OUT AN
L AND/.
ISED S.
4TION
UM T
ROFE
URS
CERTIFY THAT THIS BOUNDARY SURVEY IS A
F A SURVEY PREPARED UNDER MY DIRECTION.
HNICAL STANDARDS, AS SET FORTH 8Y THE
IONAL LAND SURVEYOR'S IN CHAPTER 61617-6.
ANT TO 427.027 FLORIDA STAUE`;.
UTHENTIC ELECT
THIS MAP IS N
L OF A LICENSE
FOR THE FIRM
S.M. No.5101 STAT£ OF Ft ORIDA
IC SIGNATURE AND AUTHENTICATED
VALID WITHOUT THE SIGNATURE AND
SURVEYOR AND MAPPER.
MIGUEL ESPINOSA
LAND SURVEYING, INC.
10665 S.W. 190th STREET SUITE 3210
MIAMI, FLORIDA 33157
PHONE: (305) 262-2992
FAX: (305) 971-8383 ,
www.espin()Salandsurveying.com
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N.E. 92nd STREET
Legal Description
Lot 15 & Lot 16, f
thereof, as recon
Records of Dade
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