PL-10-1145Inspection Number: INSP - 146662
Scheduled Inspection Date: August 20, 2010
Inspector: Hernandez, Rafael
Owner: STEAD, MARC
Job Address: 825 NE 97 Street
Project: <NONE>
Miami Shores, FL 33138-
Contractor: MARS POOLS
Building Department Comments
August 19, 2010
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: PL -6 -10 -1145
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Pool - Private
Parcel Number 1132060142600
Phone: (954)214 -2844
PLUMBING WORK FOR SWIMMING POOL
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 10 of 22
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BUILDING
PERMIT APPLICATION
FBC 2004
Tenant/Lessee Name
E MAIL:
Job Address (where the work is being done)
City Miami Sho Village Coun
FOLIO / PARCEL # - ?a66 - -
Is Building Historically Designated YES NO
Value of Work For this Permit $ d ® t O I)
Type of Work: ❑Addition ❑Alteration EiNew
Describe Work: S
Submittal Fee
Notary $
Scanning $6 'M
Bond $
Structural Review. $
JUN 222010 Sid
Building Department BY
Miami Shores Village
>0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. PI IN
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder) Marc 54 eq d Phone #
J
Owner' Address A (. q 7
City I col i 5 pc PS state Fr
Phone #
1111 54't d;)bel' +4,fief
a � N6 97 5
'-Dad
Zip
�313g
I R)
s K l`m ri 1 04- (oo l Sp
Master Permit N
Contractor's Company Name 1 rOlrs [1).b is ,.L[r'G Phone #
Contractor's Address 05 ML 4)1O c R R U L -fi
City Sun r e state F-e, I Zip 3'3351
Qualifier Name \ ci € ( , 5 J r "f P hone # Q 5 Lt ", / t( ^ 2 Li
State Certifi or Registration No. e j Certificate of Competency No.
E MAIL: C1 C 15 a o i , cowl
Architect/Engineer's Name (if applicable)
Phone #
7S6 - 37S -7Sali
Zip J 1
as
Square / Linear Footage Of Work:
❑ Repair/Replace
❑ Demolition
d
••••••••••••••••••••••• •••••F ••••••••••••••••••••••••••••••••••••••••••••
Permit Fee $ 2 2 5- CCF $ 1 •W CO /CC
Training/Education Fee $ Q• 00 Technology Fee $ • 40
Radon $ DPBR $ Zoning $
Code Enforcement $ Double Fee $
Total Fee Now Due $ t 6 10
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 T() 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
Owner > Agent Contractor
The fore oing instrument was acknowledged before a this / The foregoing instrument was acknowledged before me this
day of 20 1 0, by Mare � q(1 , day of , 20 _, by in,' gel Veaxiii
who is personally known to me or who has produced who is personally known to me or who has produced
NOTARY PUBLIC:
Sign:
Print:
,._;21111 ,iy,-
x. lrW GWENDOLYN R. r 7 F ttr�1�` i
MY COMMISSION N DD9615Bti
e lg EXPIRES. April 19, 2014
1.550 3Nr5TARY N. Net,"
My Commission Exp
* * * * * * * * * * * * ** * **
APPLICATION APPROVED BY:
(Revised 02/08/06)
As identification and who did take an oath.
MY COMMISSION #DD787884
EXPIRES: MAY 12, 2012
Bonded through 1st State Insurance
as identificati
NOTARY PUBLIC:
CA
P Print: S t 0
My Commission Expires: /14 12.4 CO &O /c L
* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** fit* * * * * * * * * * * * * * * * * * * * * * ** * * * * * * **
Plans Examiner
(/ Engineer
Zoning
•