MC-11-1969Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 165828
Scheduled Inspection Date: January 04, 2012
Inspector: Perez, JanPierre
Owner: MORALES, YURI
Job Address: 302 NE 92 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MARS POOLS
Permit Number: MC -10 -11 -1969
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Pool Heater
Phone Number (305)790 -3849
Parcel Number 1132060136480
Phone: (954)214 -2844
Building Department Comments
SUPPLY AND INSTALL HEAT PUMP (SWIMMING POOL)
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
January 03, 2012
For Inspections please call: (305)762 -4949
Page 6 of 31
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
BUILDING
PERMIT APPLICATION
FBC 20
Permit No. IV'`! ` I 1669
Master Permit N
Permit Type: MECHANICAL
OWNER: Name (Fee Simple Titleholder): "Jr, u , /)` ?t c'c. /'C -) Phone: .305 7f1 ' 3EcY i
Address: 9 b 91 /1j d ,.. 3ti ¢e.1
City: /));C: in ,), a it." State: f I— Zip: 3 3/ 3
Tenant/Lessee Name: Phone #:
Email: y vl l t i -,L rt ,5 rif G,. L5 r; , e c i ii
JOB ADDRESS: 3 6 A Alt ' /;% ..5 ,
City: Miami Shores County: Miami Dade Zip: 33 3 / 3
Folio/Parcel#: i j ° 3 e 6 . -. f / 3 "1,c/ S 6
Is the Building historically Designated: Yes NO N,s' Flood Zone:
CONTRACTOR: Company Name: / 2 /G ( C /� i ,) C Phone #: % �2J Y �i (0c1
Address: Li 65 .ttW / (CA ,4 v it- R 33
City: ,) i.i DNr / 0 C t r State: F/-- Zip: 3 3 35)
Qualifier Name: ") 2 / CI) 0 6- ) / � . 5- a' Ii,i 1 I -4 Phone #: 9SY' al ) 2/..,a3 571 y
, State Certification or Registration #: L I` JG ) 6 %c/ >� Certificate of Competency #:
Contact Phone #: (f : y',31) Yr ' v y . Email Address: I, J''hC d.5 Rid )5 Co- ,.4Z- C c G 6, 6'D
DESIGNER: Architect/Engineer: Phone#:
Value of Work for:this Permit: $ 3 1)t (. ° Square/Linear Footage of Work:
CJAlteration
Type of Work: ❑Address,,
Description of Work:
Tew ORepair/Replace
ODemolition
6.06 i a5—k)) / / cd �� 168 ?� 5� /}01,➢
It************************** . *********Fees********************************************
* ** * *** * **** * *** * * *** **
Submittal Fee $ Permit ee $ i ® i 00 ' CCF $ CO /CC $
Radon Fee $ DBPR $ Bond $
Technology Fee $
Scanning Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
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 FT FCTRICAi- 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 b approved a a reinspection fe jll be charged.
Signature
wner or Agent
The foregoing instrument was acknowledged b ore me this / The fo
day of l,c'h bCv-- , 20 j , by yL4 U'I }tu`�v e, i , day o
who is personally known to me or who has produced ,F
LP _5 - As identification and who did take an oath.
NOTARY PUBLIC:
Signature
Sign:
Print:
My Commission Expires CWENDCLY O. STEWART
f,/ MY
COMMISSION # DD961586
A# M
April 19, 2014
l4.40.3.NOTARy F7 Notary Discouai ASSOC CO.
******* * * * * * * * * * * * * * * * * * * * **4*+kagn
APPROVED BY
Ll%
Contractor
w s acknow . :e l before
,20 11,b _It/i,_.
who is personally known so me or who has produced
as identification and who did take an oath.
UBLIC: .
* ** ** * * * **
1 Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
NOTARY
Sign:
t:
CLAUDIA
A54 ppr dlic - State of Florida
My Comm Expires Sep 23.2015
° Commission # EE 128810
n ,ed Through NallonaI Notary Asen.
* * * * * * * * **
Zoning
Clerk