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POOLMiami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Tenant/Lessee Name City Gt 17 Mit Qualifier - /Oa LU t Architect/Engineer's Name (if applicable) Total Fee Now Due $ (Continued on opposite side) 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Electrical RE Ell ED AUG 805 Owner's Name (Fee Simple Titleholder) f L Phone # 3yj Y - 72 3 3 Owner's Address /0 q'' City / /4 v 5p.t5 State L Zip 33, 3' Phone # Job Address (where the work is being done) /(.2 ,xl • ! - City Miami Shores Village County Miami -Dade Zip 3 13.? Is Building Historically Designated YES NO Contractor's Company Name hC k/eCirt C M ' S -o e # aetr 026 q- 99'z Contractor's Address /OW W State Fe r /la n d� ,,��yy���,, n � State Certificate or Registration No. 000( 97 /Certificate of Competency No. $ Value of Work For this Permit 7.0 0 Square Footage Of Work: Type of Work: ❑Addition Alteration [✓New ❑ Repair/Replace ❑ Demolition Describe Work: r1.,�o�� ., r— � / V p`v 4.v414 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ ,7.7...57 m0 CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ ' Zo(��ninn � Bond $ Rew Code Enforcement $ Structural Plan ieW�.`$ 1 Plumbing Mechanical Roofing Permit No. "—L- 2(67 ster Permit No. Zip 33/ST Phone # "'66 d'f 7J--- 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoir : instrument was acknowle day of , day of who is personally known to me or who has produced who is (rsona� nown to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Co ission APPLICATION APPROVED BY: Chc 05/13/03 ntifica on and w did take an oath. * *** * *** * *** * ********** * *** * *** * *** * ****** * *** * *** * *** * ********** * *** * *** * *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *************************************************** * ************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL MIT FEE ITEM SPACE HEATERS MIT FEE fEUI UNIT FEE ITEM SWITCH OUTLETS AM TUB LIGHT OUTLETS CENTRAL HEATING IDET RECEPTACLES I S V(ASHER SERVICE TEMPORARY ► ISPOSAL FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK RINKING SERVICE REPAIR/METER CHANGE REFRIGERATION L0OR DRAIN TRAP APPLIANCE OUTLETS PROCESS REASE RANGE TOP UNDERGROUND NTERCEPTOR OVEN ABOVE GROUND TANKS .AVATORY TRAY WATER HEATER PRESSURE VESSELS .,,,AIRY WASHER MOTORS 0- 1 HP STEAM BOILERS MIMES MOTORS OVER 1- 3 HP HOT WATER BOILERS MOWER POT/3 CUM. MOTORS OVER 3- 5 HP MECHANICAL ;11 RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ;INK. 'INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 }P FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEN INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPR I N3(I.ER -WELL SPECIAL PURPOSE SWIMIING POOL OUTLETS DIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMS UTILITY -SEWER SIGN TINE CLOCK UTILITY -WATER FIXTURES SEPTIC TAM( _ ANTENNA RELAY TELEVISION OUTLETS ORAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK RE INSPECT ION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE AFTER SET (GAS) GAS PIPING AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/7/2005 Applicant: PAUL Owner: MOSHEIM JOB ADDRESS: 1098 Parcel # 1132060143460 NE 96 Contractor REGENCY POOL & SPA OF FLA INC Local Phone: 954 -424 -0134 Signed: (INSPECTOR) Building Permit Permit Number: BP2005 -1138 MOSHEIM PAUL ST Contractor's Address: 11260 N. W. 14 STREET Legal Description: MIAMI SHORES SEC 3 PB 10 - 37 LOT 1 Fees: FEE2005 -10558 FEE2005 -11267 FEE2005 -12145 FEE2005 -12146 FEE2005 -12147 FEE2005 -12148 FEE2005 -12149 FEE2005 -12150 FEE2005 -12151 FEE2005 -12152 Description Structural Fee Structural Fee Building Fee CCF Training and Education Fee Technology Fee Builders Bond Radon Scanning Fee Submittal Fee Total Fees: Amount $50.00 $25.00 $690.00 $13.80 $4.60 $17.25 $300.00 $3.81 $15.00 ($250.00) $869.46 Total Fees: $869.46 Total Receipts: $0.00 a FM K I' Permit Status: APPROVED Permit Expiration: 1/28/2006 Construction Value: $23,000.00 Page 1 of 2 BLK 81 LOT SIZE IRREGULAR 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Work: NEW POOL AS PER PLANS Signed: (INSPECTOR) In consideration of the issuance to me of this permit, 1 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 1 assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: PERMIT # 13 ° 113s CONTRACTOR: 1✓1`(GY( SPA WC SUBMITTAL DATE: 8/ ) `p5 PROJECT TYPE: NEW \iliINM1n( POO ZONING ‘ � FIRE RE.J, g /2/4 a STRUCTURAL IMPACT FEES ELECTRICAL HRS /DERM ■ PL II / �(Noc MECHANICAL �� BLDG 65/ e Inspection Number: INSP -31638 Permit Number: BP2005 -1138 Inspection Date: 11/06/2006 Inspector: Grande, Claudio Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: REGENCY POOL & SPA OF FLA INC Building Department Comments See attached letter from the Engineer approving the change of the steps as shown on the plans.11 /06/06 CG. Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Monday, November 6, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Cl. Permit Type: Imported Permit Inspection Type: Final Work Classification: Pool - Private Phone Number (305)757 -8233 Parcel Number 1132060143460 Block: Lot: Phone: 954 -424 -0134 Page 1 of 2 4 4kZ4 NOV 0 2 2005 4 ' ,�`� MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date i Z 05 Type Insp'n t I`.1 Permit No.l 273 Name ) L M x'4 M Address log8 96 ST Compa 'PI E G Phone # (3c 2b4 '1914 -(3C6) - 9962 Inspection Date Io1z4 )�"J Approved �1 Correction Re- Insp'n Fee ❑ BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Titleholder) ? �L 0/ 119,4-r.en, Phone # dos -"7' 7 — g'Z 3 3 Owner's Address /U9� , . F_ 96 Sal �T City G ?7`,a -,v„ 5,z/ 5 State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES Contractor's Company Name / �- .//''�7 Phone # gay-:- 41- Oaf Contractor's Address / 3 C77 City /14i4.i Qualifier Adtrite - / is ac l State Certificate or Registration No. Tc 4 f P" Certificate of Competency No. Architect/Engineer's Name (if applicable) � �' Phone # 3,j- 66749.-E $ Value of Work For this Permit 73,,0490 - '" Square Footage Of Work: 3JI Type of Work: Addition [Alteration VfNew ❑ Repair /Replace [✓Demolition Describe Work: PA*?/ iid2l7244) 6)4;37- p 4 AkJ A' , 144 Submittal Fee $ 2 Permit Fee $ Notary $ Training /Education Fee $ Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: 305 795.2204 Fax: (305) 756.8972 EI . /ED J , 205 Elect /o95s' f v. C. 96 State County Miami -Dade NO * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plumbing Mechanical Roofing Zip 3 3( Phone # - . CCF$ aster Permit No. Zip Zip 33/ Technology Fee $ Zoning Bond $ Structural Plan Review. $ 50 • ft 25 fi 75 Permit No. - < 18 ), ;3 CO /CC Bonding Company's Name (if applicable) I Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) P A / 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 ssued. 1 the absence of such posted notice, the inspection will not beepproved and a reinspection fee will be charged. x ■ Signature / !/ /, ,�,,�r Signa Owner or Agent The foregoing instrument was acknowledged before me this � The for day of I/y ,20C ,by day of e this .Contractor e i t was acknowle,%ge V, 20 bY4r— who is personally known to me or who has produced who is personally known to • or w' o has produced As identification and who id take an oath. as id= ficat}ern . : who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Ex * * * * * * * * * * * * * * * ** s •_ No':Ty •u is My Commission Fires Aug 7, 2005 ''iiii Commission DD040148 � **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** i✓ 6 /144 -- .A1(4/ Plans Examiner APPLICATION APPROVED BY: chc 05/13/03 NOTARY PUBLIC: .ry Commissk+ Sign: Print: My Co mission Expires: Expires Octoow [ro, 2005 ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Engineer Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 4S- //3Y Job Name Md514 e irn Pao / ion NE' STRUCTURAL CRITIQUE SHEET m.4 7/2/ ,,,,. W Ment y / ' ;/44// s rare s 4, /A n " �/ r Stole of aa/ a'Avicd dashed ou //.4e N. 57 2) 711is doPsn'J af'/''car 061 f uryeli or- yowr Sec,. VIP-4. • Miami Shores Village Building Department 10050 N.E.2nd Avent Miami Shores, Florida 3313 Tel: (305) 795.24)5 Fax: (305) 756.891 Permit No. Off" //3 Job Name Mdlh e im pao/ /d98 nre n STRUCTURAL CRITIQUE SHEET )7§.4 8 12 4o, � rdenii y Me J. 4i/ s aa/-es 4v/A "x" ) 4-9 ell Ai s. ,e of os/ apILI dashed ®ew / /site (fh• SP- 21. his elapse/ aft pear osti fz.rr ye y r your fec /. tlYF- � • Q n 1—F-6 1L1r,p. /S Q.�. /S d`'fYl1 V 1' C i..1 cam" F/V /SC/ ✓ od ro CO , • CTOR'S SIGNATURE & ' ATE �. `tea vtizSiwte4T/ill BUILDING DEPARTMENT 10050 H.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138-2382 TELEPHONE (305) 795 -2204 FAX (305) 756.6972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFTY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or nstalled at 105 > '- Shores,_ Fl., and hereby affirm that one of he following methods will be used to meet the requirements of Chapter 515, Florida Statutes. :please initial the method(s) to be used) The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirments of Florida Statute 515.29; The pool will be equipped with an approved salty cover that complies with ASTM F1346 -91; / All doors and windows providing direct access from the home to the pool will be equiped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with 'release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor o the second de ; ee, punishable by fines up to $500 and /or up to 60 days in jail as establishe in Cha. ter 77 F.S. OWNER'S SIGNATURE & DATE OWNER'S NAME ( PLEASE PRINT) NOTARY P • CITY COPY l 1�Rr Py KEVIN t . � -# , * MY COMMISS e t DD 429174 EXPIRES: August 7, 2009 dr 'rf o. no e ` < 4 Bonded Thru Budget Not sly Services ROLL -A-WAY POOL FENCE • Z0190 ME. 16I COURT NORTH AMON BEACH. FL 3317& SPECIFICATION I OV L SAF I f BAR IER - rw Roll•A -way Pool Fence Matto. f defense against children drowning DETAIL. 2 -1/2" SOLID DRABS • SPRING ,� fF! 1400K 4 EYE LATCH DETAIL: 6LEEvE3 FENCING' WE61.4 NYLON POLY COATED NE1CSWT, 48!....': . . • ,'GECTION6, 5 POLES PER 12' SECTION, 6PX P 300.APART POLE elm I1.4L.4t1.•(049e.3 8E.41.1LE88 TUJDE) • FIXED TO DEO( I -1a" ANGLE CAR 2- eV 5/15 11..tL • .., 2 -'0 X 1 -1/2' TAP CONS TO DECK &POS. 1133 TELIr!•tf()NES: DADE: 932.3345 BROWARD: 135 -2404 CORAL SPRINGS/BOCA: 994,6099 WEST PALM BEACH: Q5S 2303 POOLsAFF7YRARRIER~ • em Roll -A Way Pool Fence 111 N°. CWOR1110901MICIINCIRPR aayw ROLL - A - WAY POOL AENCE OF DADE COUNT% 1410 . 20100 ME. 15M COURT NORTH ARAM aEAcrt, PL 33r79 January 01, 2002 Dear HuildingOffciab and Contractors: Pool Safety Harrier fences meet the barrier requirements of code 424.2.17 in the following manger: • The top of the barrier is a minimum of 48" high • The bottom of the barrier is flushed witb the top of the pool deck • The fence Is mounted a minimum 20" away from Ike water's edge • Gaps in the barrier do not exceed 3" and at kast use ead of the barrier is rot removabk without took • There are no horizontal numbers if you have questions, please feel tree to can us at (NS) 932 -3345. Thank you, Sincerely, 93ovu Owner- Pool Safety Harrier TELEPHONES: DADE: 932-3345 BROWARD: 4354490 CORAL $PLpNQSI0OCA: 3044099 WEST PAW SEAM 666.230.1 Date - AO Miami Shores Village Building and Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as , located at /U c moo' w . c e A 1 1 X SWIMMING POOL OWNER'S CERTIFICATION 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 a 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 an approved barrier prior to final inspection and use of the pool. Legal Owner Note: This certification is to be submitted with a swimming pool permit application in duplicate. MESSAGE: DATE: &> 2.9 , o5 TO: Jim I l FROM: Y° r 1 erg `ca S o' ed, V ettac e 10050 N.E. 2 " Ave Miami Shores 33138 -2382 305- 795 -2209 FAX TRANSMITTAL Number of Pages Including Cover 4 N - Cct . � >'� k m r, q (Dc' 1 c� r N m /2,c 5 i J G r )c 1D-c r V v H- 4= r3 Po5 - 1 13 305 — mac, —oqs FAX 6 FAX: (305)756 -8972 Miami Shores Village Building Department Permit No. Job Name 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756,8972 sheii) -t BUILDING CRITIQUE SHEET ! / A0L S4e, rite e) 2u 4,0vcca6 -•2/Zv ■'1 he's J UIL G�is Pizoposx ege GiC tli )L SEE INSPECTION HISTORY Revision of plans have not been done, stairs to pool are not as per approved plan. Gates to pool area, are not self - closing /self - latching, and latch is not at 54" high. Door and window alarms have been installed instead of the baby fence around the pool. 10/16/06 CG. Passed Inspector Comments Failed Ih Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 10/16/2006 Inspector: Grande, Claudio Owner: Job Address: Project: <NONE> MOSHEIM, PAUL AND SUZY 1098 96 Street NE Miami Shores Village, FL 33138- Contractor: REGENCY POOL & SPA OF FLA INC Building Department Comments Monday, October 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -29869 Permit Number: BP2005 -1138 Act Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Pool - Private Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: 954 -424 -0134 Page 1 of 2 Permit No. 41,141 IC/ 9 C 2005 miAml S O ES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request DateAkhk n Type Insp'n 3+ '.` „y�3`'�� '.�`_` �vA. `o„) Name \\4'4, Address �� � ` c J� Company Phone # Inspection Date ‘D ,\ Approved Correction Re- Insp'n Fee ❑ May 22, 2006 AQUATIC ENGINEERING CONSULTANTS 4910 SW 72n Avenue Miami, Florida 33155 Phone (305) 667 -8975 Fax (305) 662 -1002 Website: AQUADYNAMICS.NET e -mail: INFOnaAQUADYNAMICS.BIZ Chief Building Inspector City of Miami Shores Inspection Division Miami Shores, Florida ,P b S — l L 38 Re: Mosheim Residence Swimming Pool 1098 NE 96 Street, Miami Shores Dear Sir or Madam: AQU Dtswzi G AQUADYNAMICS DESIGN Oar, nt�. This letter will certify that I accept the change in the pool steps as built from the plans approved for permit. The change will not affect the operation of the pool nor create any safety issues with the regard to use. Please contact me at the office if there are any questions regarding this certification. Sincerely, Aquadyn Ofelia Taboada, P. E. State of Florida No. 55339 sign Group, Inc. B oo oaeo S: \Office \WPDOCS \Regency Pools \Mosheim_Miami Shores_Regency Pools_Change Steps In Pool OK_5- 22- 06.doc revision of plans not done three times inspected and still not corrected 10/25/06 CG Passed Inspector Comments Failed Correction Needed Re- Inspectio Fee ($75) No Additional Inspections ca re- inspection fee is paid. Inspection Date: 10/25/2006 Inspector: Grande, Claudio Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: REGENCY POOL & SPA OF FLA INC Building Department Comments Wednesday, October 25, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -30649 Permit Number: BP2005 -1138 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Pool - Private Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: 954 -424 -0134 Page 1 of 2 MIAM S • ' ES VILLAGE NOV 08 2005 BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n Permit No. EPO — 1 13a Name -P1►V L iLQS -� 4 NI Address j Cl E 142. Company ICY f �oL S (�1 ) 583 — — 1313 Phone # Inspection Date Approved Correction Re- Insp'n Fee 11 17 jc5 ( /74#04 5 # 4 e-e Acir.A) Inspection Worksheet Miami Shores Village 10050 N. 2nd Avenue Miami Shores, FL Pho (305)795 -2204 Fax: (305)756 -8972 Inspect Nu Inspection Date: 05/10/2006 Inspector: Grande, Claudio Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: REGENCY POOL & SPA OF FLA INC Building Department Comments Wednesday, May 10, 2006 Block: It- Permit Type: Imported Permit Inspection Type: Final Work Classification: Pool - Private Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: 954 - 424 -0134 Page 2 of 2 Passed Inspector Comments 0 th_ea/leeistd,JIY? 4-3 ,�' L Po - ✓ Sa)//01 f ,,c�a ,s Q 07e _ ell 'lei ge O e ,t4 a/ . ; / Q r <$ S 4. w w` co JV di S re, s L h, `` Failed Needed Correction 610.,2 s Hoy- r 7 Ce Vc)s /-4-' 7 d - -i 4.�.41 S,e r /Evoce 140( /4/5-70,4666 y �60 AAdol, 7 -:-. � � / ✓ A � � 7 � Ax--4 /� I ' _ ✓ 6.4r..J/ M.J' ) 1/ Re- Inspection Fee ($75) No Additional Inspections can be scheduled re - inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N. 2nd Avenue Miami Shores, FL Pho (305)795 -2204 Fax: (305)756 -8972 Inspect Nu Inspection Date: 05/10/2006 Inspector: Grande, Claudio Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: REGENCY POOL & SPA OF FLA INC Building Department Comments Wednesday, May 10, 2006 Block: It- Permit Type: Imported Permit Inspection Type: Final Work Classification: Pool - Private Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: 954 - 424 -0134 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 'Inspection Num NSP -31883 00 Inspection Date: 11/08/2006 Inspector: Grande, Claudio Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Wednesday, November 8, 2006 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Page 1 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 'Inspection Num NSP -31883 00 Inspection Date: 11/08/2006 Inspector: Grande, Claudio Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Wednesday, November 8, 2006 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Page 1 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/7/2005 Applicant: PAUL Owner: MOSHEIM JOB ADDRESS: 1098 Contractor Local Phone: Parcel # 1132060143460 Signed: NE 96 (INSPECTOR) Building Permit Permit Number: BP2005 -1300 MOSHEIM PAUL ST Contractor's Address: Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 1 Permit Status: APPROVED Permit Expiration: 3/6/2006 Construction Value: $8,000.00 Work: POOL DECK Page 1 of 1 e� \ tY1 BLK 81 LOT SIZE IRREGULAR Fees: FEE2005 -12160 FEE2005 -12161 FEE2005 -12162 FEE2005 -12163 FEE2005 -12164 Description Building Fee CCF Technology Fee Training and Education Fee Scanning Fee Total Fees: Amount $125.00 $4.80 $3.12 $1.60 $3.00 $137.52 Total Fees: $137.52 Total Receipts: $0.00 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) P4v -. /')/ S / I Phone # - 75" 7 - i3 Z-3 3 Owner's Address // 2'7 e " E City /)/g_ State G Zip Tenant/Lessee Name Job Address (where the work is being done) / t `/ ! ,.. - .- (/ e �7iv c 1.- A. - City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name f} ( � >�,, % C ?. -rir� c >rj j , �N Phone # 756 - 5 >Y5 - 7c / y Contractor's Address c / ti City it 1 . 1 „-, State L Zip C Qualifier /er c-" v, n. , c a State Certificate or Registration No. C � ( t Z I Certificate of Competency No. Architect /Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 1.1 `'S c' c.. -' Square Footage Of Work: .7 CC 0 5 r Type of Work: Addition ❑Alteration Describe Work: r -e-_, /G_ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 !I Iii .' tr% SEP n 6 26a5 v ['New Permit N0f 5 6. '3K.J aster Permit No. PZ.COJ " ( ( 35 Phone # ❑ Repair /Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ G 7i % - CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond 5 Code Enforcement $ Structural Plan Review. 5 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage I end 's'NatYP(t?a Iicable) Mortgage 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 occ rs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will 4t be approved a . a reinspection fee will be charged. )4Signature NOTARY PUBLIC: Sign: Print: Chc 05/13/03 APPLICATION APPROVED BY: As identification and who did take an oath. ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** fOSignature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing i }1struient was acknowledged before me this 1� , 20v , by day of ,20,by day of 77/ who is personally known to me or who has produced Zis per onally known to me or who has produced tom' �,as ti ation and who did take an oath. NOTARY PUBLI Official Seal Sig Print No err Public, State of Florida Mr Comm, expires May 20, 200 My Commission Expire: No, DD323502 KEVIN LOUD * MY COMMISSION # DD 429174 My Commission Expires: s ; EXPIRES: August 7, 2009 " .. e Bonded Thru Budget Notary Services ***** f*** F*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning DATE TIME S,R -TIME DISTANT STATION ID 05/15 10:37 00'57" 954 583 7311 MESSAGE CONFIRMRTION MODE TX 05/15/2006 11:49 ID =MIAMI SHORES UILLAGF PAGES RESULT 000 NO D.CODE S.C. 21A4 BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305 75 972 EV ED 26115 `I Mas Permit Type (circle): Building Electrical �lumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) �y F• /10S -i /' Owner's Address /O7/ ,L /6 SS7 � Cite h // ^ 6 State Tenant /Lessee Name /1 /4.■ Phone # Job Address (where the work is being done) /09P IfO • City Miami Shores Village County Miami -Dade Zip ;j3/ 3; Is Building Historically Designated YES NO Contractor's Company Name / ,►- / V ' ' Phone # Contractor's Address r to�/ /1.1J /3 Cite frA"/11 State / /�j Zip 335/3 Qualifier 2 i4ec7 State Certificate or Registration No. 5 Value of Work For this Permit Type of Work: ❑Addition Describe Work: Total Fee Now Due $ (Continued on opposite side) ,x...6„Apa Architect/Engineer's Name (if applicable) p& 7"0 irf- e - Phone It At C47 —JS7/ //m ❑Alteration Ater :Of/ * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** G - Submittal Fee 5 Permit Fee $ 1 / CCF $ CO /CC Notary 5 Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ ( L8PAID er Permit No. Certificate of Competency No. New Permit No. Z 3 9 Phone # )G!l" 7T7 g2 , 3 3 Zip 3/ . Square Footage Of Work: ❑ Repair/Replace 3j,'q0i 0 -) ❑ Demolition 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 iss ed In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20_, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 • in NOTARY PUBLIC:: Mary Chaviano • My Commission DD087828 Expires October 24, 2005 oat Signatur, The fore day of Sign: Print: '6ontrac to ent was ac 20 a, by who is personally known to me or w o has produ as identification and who dic My Commission Expires: r **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ****** * '***************** fi*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** i l%I Plans Examiner Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR ' S NOTARIZED SIGNATURE N B. NEED NOT BE ADDENDUM. RESENTT ON SUBSEQUENT APPLICATIONS.) E OBTAINED, THE OWNER'S NOT PLUMBING ELECTRICAL MECHANICAL [EH UNIT FEE ITEM UNIT SWITCH OUTLETS FEE ITEM SPACE HEATERS MIT FEE ATH TIE LIGHT OUTLETS CENTRAL HEATING IDET R RECEPTACLES A/C (WIND) ISKIIASH SERVICE TEMPORARY A/C (CENTRAL) ISPOSAL FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK RINKING DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION LOOR TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING PEASE RANGE TOP UNDERGROUND TANKS NTERCEPTCR OVEN ABOVE GROlWO TANKS AVATORY ►' Y TRAY WATER HEATER U.F. PRESSURE VESSELS :LODES WASHER MOTORS 0- 1 NP _ _ STEAM BOILERS MI ER MOTORS OVER 1- 3 NP ITT WATER BOILERS POT/3 COMP. MOTORS OVER 3- 5 NP MECHANICAL VENTILATION ;INK, ;INK. RESIDENCE MOTORS OVER 5- 8 NP TRANSPORTING ASSEMBLIES ;INK. SLOP MOTORS OVER 8- 10 NP _ ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 if FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 NP COOLING TOWERS WATER CLOSET MOTORS OVER 100 NP VIOLATION INDIRECT WASTES A/C WINDOW . REINSPECTION WATER SUPPLY T0: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS 1 HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMIMING POOL OUTLETS COM11ERCIAL WATER SERVICE SIGN TEES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TAN( ANTENNA RELAY TELEVISION OUTLETS DRAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK RE I NSPECT I OI SOAKAGE PIT CU. FT. CATCH BASIN . DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER NEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) 1 GAS PIPING r I I ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR ' S NOTARIZED SIGNATURE N B. NEED NOT BE ADDENDUM. RESENTT ON SUBSEQUENT APPLICATIONS.) E OBTAINED, THE OWNER'S NOT PLUMBING ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: PL2005 -239 Printed: 9/7/2005 Applicant: PAUL Owner: MOSHEIM JOB ADDRESS: 1098 NE 96 Contractor REGENCY POOL & SPA OF FLA INC Contractor's Address: 11260 N. W. 14 STREET Local Phone: 954 -424 -0134 Parcel # 1132060143460 Signed: (INSPECTOR) Plumbing Permit MOSHEIM PAUL ST Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 1 Fees: FEE2005 -12153 FEE2005 -12154 FEE2005 -12155 FEE2005 -12156 FEE2005 -12158 Description Building Fee CCF Technology Fee Training and Education Fee Scanning Fee Total Fees: Amount $170.00 $1.20 $4.25 $0.40 $3.00 $178.85 Total Fees: $178.85 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 1/28/2006 Construction Value: $1,400.00 Work: POOL PIPING �Cr 8 r t (,�,n , � - 'sr - ? 0 V tl fv CIS 13D2.1 Page 1 of 1 BLK 81 LOT SIZE IRREGULAR 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: � 43 40 © goo I \ MIAMI SHORES VIL BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 101 I DE Type Insp' n M_ 1 1===..2.- I Nl Permit No. P L ^ Z3e=1 Name 1:::) L_ 1. SS -4 1 Address 1 O e ^ C S? Company I c_y S Phone # c 9-) 5 r /7 Inspection Date 1 0 t4 �• • r Approved Correction ❑ Re- Insp'n Fee ❑ Inspection. Number: I Inspection Date: 04/26/2006 Inspector: Devaney, Michael Owner: Job Address: Project: <NONE> Building Department Comments Thursday, April 27, 2006 MOSHEIM, PAUL AND SUZY 1098 96 Street NE Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: EMPIRE ELECTRIC MAINTENANCE & SERVICE INC Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: 305 - 264 -9982 Page 1 of 2 Passed Inspector Comments / ` 8/(42 7`,F7 ",/ r Azgz- d;' �_ /l Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. .11721. until Inspection. Number: I Inspection Date: 04/26/2006 Inspector: Devaney, Michael Owner: Job Address: Project: <NONE> Building Department Comments Thursday, April 27, 2006 MOSHEIM, PAUL AND SUZY 1098 96 Street NE Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: EMPIRE ELECTRIC MAINTENANCE & SERVICE INC Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: 305 - 264 -9982 Page 1 of 2 'Inspection Number: II P -155 Inspection Date: 04125/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Project: <NONE> Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N. . 2nd Avenue Miami Shores, FL Pho ; (305)795 -2204 Fax: (305)756 -8972 r: Contractor: EMPIRE ELECTRIC MAINTENANCE & SERVICE INC Building Department Comments Monday, April 24, 2006 Block: 263 Permit Type: Imported Permit Inspection Type: Rough Work Classification: <NONE> Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: 305 - 264 -9982 Page 2 of 2 Passed Inspector Comments r 1./1/41.1 3,S _ ,A // a, Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until 'Inspection Number: II P -155 Inspection Date: 04125/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Project: <NONE> Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N. . 2nd Avenue Miami Shores, FL Pho ; (305)795 -2204 Fax: (305)756 -8972 r: Contractor: EMPIRE ELECTRIC MAINTENANCE & SERVICE INC Building Department Comments Monday, April 24, 2006 Block: 263 Permit Type: Imported Permit Inspection Type: Rough Work Classification: <NONE> Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: 305 - 264 -9982 Page 2 of 2 • stgelts c IN Inspection Numt P -155 1.2.015-263 Inspection Date: 04/25/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Miami Shores Village, FL Project: <NONE> Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: EMPIRE ELECTRIC MAINTENANCE & SERVICE INC Building Department Comments Monday, April 24, 2006 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: 305 - 264 -9982 Page 1 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until • stgelts c IN Inspection Numt P -155 1.2.015-263 Inspection Date: 04/25/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Miami Shores Village, FL Project: <NONE> Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: EMPIRE ELECTRIC MAINTENANCE & SERVICE INC Building Department Comments Monday, April 24, 2006 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: 305 - 264 -9982 Page 1 of 2 i� Inspection Number: I P -'f 5560 Inspection Date: 04/25/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Miami Shores Village, FL Project: <NONE> Contractor: EMPIRE ELECTRIC MAINTENANCE & SERVICE INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: 305 - 264 -9982 Monday, April 24, 2006 Page 2 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until i� Inspection Number: I P -'f 5560 Inspection Date: 04/25/2006 Inspector: Devaney, Michael Owner: MOSHEIM, PAUL AND SUZY Job Address: 1098 96 Street NE Miami Shores Village, FL Project: <NONE> Contractor: EMPIRE ELECTRIC MAINTENANCE & SERVICE INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number (305)757 -8233 Parcel Number 1132060143460 Lot: Phone: 305 - 264 -9982 Monday, April 24, 2006 Page 2 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/7/2005 Applicant: PAUL Owner: MOSHEIM JOB ADDRESS: 1098 NE 96 Electrical Permit Permit Number: EL2005 -263 MOSHEIM PAUL ST Contractor EMPIRE ELECTRIC MAINTENANCE & SERVIMMI ctor's Address: 1041 SW 67 AVE Local Phone: 305 - 264 -9982 Parcel # 1132060143460 Fees: FEE2005 -12165 FEE2005 -12166 FEE2005 -12167 FEE2005 -12168 FEE2005 -12169 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $225.00 $0.60 $0.20 $5.62 $3.00 $234.42 Total Fees: $234.42 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 1/28/2006 Construction Value: $700.00 Work: RELOCATE SWIMMING POOL EQUIPMENT NEW POOL ROUGH Signed: Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOT 1 (INSPECTOR) )0 eNK Page 1 of 1 BLK 81 LOT SIZE IRREGULAR 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: