MC-10-1144Inspection Number: INSP - 146661
Scheduled Inspection Date: August 24, 2010
Inspector: Perez, JanPierre
Owner: STEAD, MARC
Job Address: 825 NE 97 Street
Project <NONE>
Contractor: MARS POOLS
Building Department Comments
August 23, 2010
Miami Shores, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Phone Number
Permit Number: MC -6 -10 -1144
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Pool Heater
Parcel Number 1132060142600
Phone: (954)214 -2844
SUPPLY AND INSTALL POOL HEAT PUMP
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 9 of 35
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Mechanical
Owner's Name (Fee Simple Titleholder) 01q C
Owner's Address
City 1 ►') 01 1 11 f Ores S State r- [, Zip g3 `3g
Phone #
Tenant/Lessee Name
E- MAIL:
Job Address (where the work is being done)
SOS ''5*
City Miami Shores Vill County Miami-Dade
FOLIO / PARCEL # I I VD 6 - 0/ cl
Is Building Historically Designated YES NO
Contractor's Company Name c> ' pU C) Is
nr r,� 100? v�
City
Contractor's Address
/0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. K/ i I
Qualifier Name / • - R' I
Certificate of Competency No.
Architect/Engineer's Name (if applieable)
Describe Work:
Submittal Fee $
Notary $
Scanning $ ray.no
Miami Shores Village
Building Department
Value of Work For this Permit $ .3 ODD Do
Type of Work: ['Addition ❑Alteration 1174w
Sopp1y °- 7n -M II . v1
***************************************F ms
Permit Fee $
Training/Education Fee $ CJ• '
Radon $
DPBR $
Master Permit No.
re Phone #
835
Zip
Phone #
Phone #
Ic-103.11w3
JUN 2 Z010
BY:
Phone # ([/ ✓ / 7597(/
3:35/
Square / Linear Footage Of Work:
❑ Repair/Replace ❑ Demolition
Nog. 4 R)/r?p
407? CCF $ I• g) ^C(3 /CC
Technology Fee $ a' `4J
Zoning $
Bond $ Code Enforcement $ Double Fee $ n
Structural Review. $ Total Fee Now Due $ (02„' q--)1)9
See Reverse side —
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
Sign:
Print:
My Commission
* * * * * * * * * * * * **
Signature �--
Owner or A = nt
The fo oing instrument was acknowledged before me thi
kn/
day of_, 20 10 , by ► v IQrc' 5+e4
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
APPLICATION APPROVED BY:
(Revised 02/08/06)
GWENDOLYN U. SIEIVART
MY COMMISSION 0 DU961436
EXPIRES: April 19, 2014
y Fl. Notary Discount Assoc. Co
NOTARY PUBLIC:
Contractor
The foregoing instrument was acknowl ed fore yte this
day of , 20 , by Menge
! 1e r'e
who is personally known to me or who has produced
as identification and who did take an oath.
IRMA N OCASIQ
MY COMMISSION
Sign: RES:
through navy State 5fl,.e
Print: _di" L 1 *Or !+Sr 3
My Commission Expires: 1 . � / a! a U/ a.
V
/1
Plans Examiner
Engineer
Zoning