BPP-11-578Inspection Number: INSP-157874 Permit Number: BPP-4-11-578
Scheduled Inspection Date: April 20, 2011
Inspector: Bruhn, Norman
Owner: PEARSON, LEONARD
Job Address: 246 NE 103 Street
Miami Shores, FL 33138-2431
Project: <NONE>
Contractor: BUILDING CONCEPTS OF FLORIDA
Building Department Comments
REPAIR POOL SURFACE RE MARCITE
Passed
Failed
Correction
Needed
Re-Inspection
Fee
April 19, 2011
No Additional Inspections can be scheduled until
re-inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspector Comments
For Inspections please call: (305)762-4949
Permit Type: Pools/Whirlpools/Hot Tubs
Inspection Type: Final
Work Classification: Repair
Phone Number
Parcel Number 1132060134880
Phone: (305)796-0096
Page 10 of 20
bile Vic,ut.
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING p
OWNER: ame (Fee Simple T' leholder : EO I!
Address: 0 X1 �
City:
Tenant/Lees - N • e:
Email: G
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
JOB ADDRESS: 67 AI E 1o3
City: Miami Shores (� County:
Folio/Parcel #: 1 T :q,0 7 013-if g e0
Is the Building Historically Designated: Yes
NO
Miami Dade
Master Permit No.
CONTRACTOR: Company Name: C CD/4( S �L-
U
Address: te )41.t.) - -
Cit plikuvic • State: rt—
Qualifier Name: V . X4
State Certification or Registration #: L. ® 3
Contact Phone #: 7/k) cola Email Address:
Value of Work for this Permit: $ 600
Type of Work: °Address °Alteration
Description of Work: 1
Permit No. PZ) ( -S75
PEA R�o Ai Phone #: (3a) l e g gg ;1
Zip: 3 1
Flood Zone:
Zip: tS°
Phone#: 79 to e
Certificate of Competency #:
V leoii D L
DESIGNER: Architect/Engineer: Phone#:
Square/Linear Footage of Work:
°New ) tepair/Replace °Demolition
>iAfi_c_traJ
1 9
COLOR THROUGH ROOF TILE IS REQUIRED acknow edged by:
***********Irk******* r**** , *Irk irk***Irk**F * *rr t **x*wkw**** rx,Y,.,w , err ***I r****Irk r****
'Y)
Submittal Fee $ 1 _ Permit Fee $ /06
p+oom was
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
Zip: 3 3 1 3 $
W0
Phone#: gO Oa%
DBPR $ Bond $
TOTAL FEE NOW DUE $ (0 3` ZV
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 R.F,CIRICAL 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 insp - n which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection '11 n be approved and a r pection fee will be charged.
Owner or ent 1 Contractor
L k The foregoing instrument was acknowledged before me this ` k The foregoing instrument was acknoow ged before me this 4
day of A? t— , 20 I! by yOt'l Z.. f .C2•."? day of Alai L , 20 << ' by t Cl u2. LAyv
who is personally known to me or who has produced CA—A R who is personally known to me or who has produced—
as identification and who did take an oath.
As identification and who
NOTARY PUBLIC:
Sign: _ i..t� <� c .
Print: _ �
� ; ■��o`: . \ r ��
**** r* * ******** *** ****'**** * *** *****,;4t ti44 4 t�t*** ** *,r,a,Y,�**** ****,+nr**** **** sae****, ,r **** x**44l t ate****
APPROVED BY Li elie Plans Examiner Zoning
Sign:
Print:
My Commission Expires:
Structural Review Clerk
(Revised 07/10107XRevised 06110/2009)(Revised 3/15/09Xrev6/4/10)
id take an oath.
1,H1S /'.
Signature
NOTARY PUBLIC:
My Commission Expires:
t
A E9,911ifekri
ZONING DEPT
BLDG DEPT
SUt3JECT TO cc
STATE AN!) t
Miami S l• mes Village •
•,ANGE' WiT-1-1 ALL FEDERAL '
t U L ES AND REGULATIONS
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Owner's Name: LEONARD PEARSON
Job Address: 246 103 Street
Miami Shores, FL 33138 -2431
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 4/4/2011: Yes
Comments:
Issue Date: Not Issued
Folio Number:1132060134880
Owner's Phone:
Total Square Feet: 375
Total Job Valuation: $ 1,800.00
Contractor(s)
BUILDING CONCEPTS OF FLORIDA
Phone Primary Contractor
(305)796 -0096 Yes