BPP-16-1927 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-263004 Permit Number: BPP-7-16-1927
Inspection Date: October 13, 2016 Permit Type: Pools/Whirlpools/Hot Tubs
Inspector: Mesa, Michel Inspection Type: Final
Owner: KLEIN, NELSON Work Classification: Repair
Job Address:9310 BISCAYNE Boulevard
Miami Shores, FL 33138- Phone Number (786)344-2378
Parcel Number 1132060141610
Project: <NONE>
Contractor: AP WELDING AND STEEL MANUFACTURER CORP Phone: (305)825-4511
Building Department Comments
POOL RESURFACING 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
October 13,2016 Page 1 of 1
PP
Permit
'
Miami Shores Village "Ima W8 POW 1jr!1C 1 ��,�[1bei
10050 N.E.2nd Avenue W�C sitl tldt f �ir
Miami Shores,FL 33138-0000
P!6w
he'r� 3 ` Phone: (305)795-2204 3� =
IN
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7l2512Q13 Expiration: 011211201
Project Address Parcel Number Applicant
9310 BISCAYNE Boulevard 1132060141610
KLEIN&SALOME INVESTMENT
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
KLEIN &SALOME INVESTMENTS LLC 9310 BISCAYNE Boulevard (786)344-2378
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,200.00
AP WELDING AND STEEL MANUFACI (305)825-4511 Total Sq Feet: 450
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Review Electrical
Type of Work:Swimming Pool LJceyR,Lfnc ',P:v`a
yE Review Building
Additional Info: Bo d etu
Classification:Residential scanning:3
JOB i kx
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80 Invoice# BPP-7-16-60555
DBPR Fee $2.25 07/25/2016 Credit Card $ 173.30 $0.00
DCA Fee $2.25
Education Surcharge $0.60
Notary Fee $5.00
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $173.30
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 foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an ning. Futhemaore,I authorize the above-named contractor to do the work stated.
July 25, 2016
AutlidyOed Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
July 25,2016 1
- ' r Miami Shores Village 1�_ 4,...,L
JUL 12 2016
Building Department
i 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 J
INSPECTION LINE PHONE NUMBER:(305)762-4949
FRC 20/� -rA
BUILDING Master Permit No./��/�
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
C� CONTRACTOR DRAWINGS
JOB ADDRESS: J °J i5CAI AJ6 _6LL/P
City: Miami Shores County: Miami Dade Zip: 331323
Folio/Parcel#: I I r 3-9,®(1 "O I q —/6210 Is the Building Historically Designated:Yes NO k
Occupancy Type: Qwt✓;L0_ Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Kjx(A! 44,-v 54a)m 6 ��vJrSi MF_N�S Phone#: ? 3
Address: 8.50 NG j 2>2I/D T-E 2
City:�/. o/) • 13. State: L Zip: 33 1 (2.2
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: 4'�W 6G 4A I(o kN7 Sl IifiL P444v i4Ct)Qr Phone#: W sJ - y80 -414,8
Address: y( 50 W i g Ay j
City: H 1A L -,41-1 State: � �- Zip: _5 3 of 2
Qualifier Name: `®^��t SO S d �L l t`7 Phone#:
State Certification or Registration#: C 6 C 1_9 1("955 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ ZUo •GG Square/Linear Footage of Work: Cl)U
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tele:
IV
Submittal Fee$ Permit Fee$ C0 ' CJ0 CCF$ c�0 CO/CC$
Scanning Fee$ C'Q Radon Fee$ 0, c;)-S DBPR$ _ Notary$
Technology Fee$ ' q® Training/Education Fee$ i) ' 60 Double Fee$ /
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ d_-�3 ''30
(Rev(sed02/24/2014)
1
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, POOL5,
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.
"WARDING 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.
(19
Signature Signature
OWNER or AGENT CONTRACTOR
(f The foregoing instrume t was acknowledged before me thisThe foregoing instrument w s acknowledged before me this
/ day of 20 ,by ^�!/ day of 20 ,.by
71 ii c
ho is personally known to /who is personally known to
me or wh has produced as me or who has produce��f�
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sig Sign:
Fin tate of Florida !
Notanl Print:
q'4 nn F F 53 °"• ,, in
0 082
Se °c Joanne F Seal: k A9Y CONGO.IsSiOil#FF 6aio63
•.y °o E,,r-o 0111212018 ` EXPIRES:September 22,2017
�l OF N FrF 4 Bondej Toru BudgltNctary SeMCc s
s
APPROVED BY ` Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
I
SN,x0c.�S D
n
lo.o d.n� Miami Shores Village
° �• Building Department
R� 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305)795.2204
Fax: (305) 756.8972
SWIMMING POOL OWNER'S CERTIFICATION
Date- ()--:3/ '3/ /(q
Miami Shores Village
Building&Zoning Department
Attention: Building Official
I certify that I am the legal owner of the property described as
SINbC�� �/�M I Cy s , located at_ 0316 &i(PYNE bao
In accordance with Section 33-12(f), 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 inspection and use of the
pool.
Legal Owner ccs
Note:This certification is to be submitted with a swimming pool permit application in duplicate.
.... Miami shores Village
OR
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:
WHEREAS,the undersigned-Auf ltj�S��r' 1N � I dr(p�f� �(IC is/are the fee
simple owner(s)of the following described property situated and being in Miami Shores Village,Florida:
Address: S 31 c 3 i S C A—� >� �j� ✓D
Whereas,the undersigned owner(s) 1,E�� SAL�/►� ((bIA)i/�j►r� L L
tr
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.
ll. 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 concerning 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 only be released by Miami Shores Village,or its successors,in accordance of said Village then in
Te t. t' 1NA%W-"u c
�' t AA
WNER SIGN&PRINT OWNER SIGN&PRINT
I Hereby Certify that on this day personally appeared before me--F i Geo 1 vv�
and has produced ID#� 4 o_ ®�T- 63�as identification and he/she acknowledge that he/she
executed the foregoing,freely and voluntarily,for purposes there in expressed.
SWORN TO AND SUBSCRIBED before me on this 13da 1 ,20'
n�sP%� YANADYPRIErO
s.:• MY COMMISSION @ FF 214031 O
o= EXPIRES:March 25,2019 AR UBLIC STA F FLORIDA
(Revised 0 Bonded Thru Notary Public Umlenvriters
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