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PL-05-1036Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i Inspection Date: 12/29/2005 Inspector: Devaney, Michael Owner: SMART, DARIK & MARLENIS Job Address: 540 GRAND CONC Street Miami Shores Village, FL Project: <NONE> Block: Contractor: BLUE WATER POOLS OF SOUTH FLORIDA Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number (305)751 -8127 Parcel Number 1132060171411 Lot: Phone: 305/573 -6269 Building Department Comments Wednesday, June 28, 2006 Page 2 of 2 7 /7 In ct r Comments / Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid . Wednesday, June 28, 2006 Page 2 of 2 441 4 „ , . • • Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone;4305)795 -2204 Fax: (305)756 -8972 Inspection Date: 12/28/2005 Inspector: Levrack, James Owner: SMART, DARIK & MARLENIS Job Address: 540 GRAND CONC Street Miami Shores Village, FL Project: <NONE> S25'IO4 Permit Type: Plumbing - Residential Inspection Type: Main Drain Work Classification: Pool - Private Phone Number Block: Contractor: BLUE WATER POOLS OF SOUTH FLORIDA Parcel Number 1132060171411 Lot: Phone: 305/573 -6269 Building Department Comments Tuesday, December 27, 2005 Page 1 of 2 Passed f.. specto "' C Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Tuesday, December 27, 2005 Page 1 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone :305)795 -2204 Fax: (305)756 -8972 Inspection Date: 01/19/2006 Inspector: Levrack, James Owner: SMART, DARIK 8< MARLENIS Job Address: 540 GRAND CONC Street Miami Shores Village, FL Project: <NONE> Block: Contractor. BLUE WATER POOLS OF SOUTH FLORIDA Permit Type: Plumbing - Residential Inspection Type: Pool Work Classification: Pool - Private Phone Number Parcel Number 1132060171411 Lot: Phone: 305/573 -6269 Building Department Comments Thursday, January 19, 2006 Page 2 of 2 Passed Ins o Comments 1 A fi l9 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Thursday, January 19, 2006 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 DEC 1 CO5 M Permit No. PLO - I o J ster Permit No. Permit Type (circle): Building Electrical Mechanical Roofing Owner's Name (Fee Simple Titleholder) 14 4 7 J - ' Phone # '3i' �✓4/ Q 27 Owner's Address OW b ; 1. 7� 7 '-j . City ij. ,2 State i% • Tenant/Lessee Name Zip Phone # Job Address (where the work is being done) City Miami Shores Villa e County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name s!L or-77,4 . e., . Phone # Ser 273 4- -2.1-0 Contractor's Address Nat ,f/. ilaity,d(f�. City PUN State Qualifier pApieet. mtaittje State Certificate or Registration No. ed.t /J Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: ['Addition . ❑Alteration Describe Work: fM Pf i•�%. [New Square Footage Of Work: ❑ Repair/Replace ❑ Demolition Submittal Fee $ Permit Fee $% '.ry C,,.. CCF $ CO /CC. Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ ,8. �O Total Fee Now Due $ (Continued on opposite 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approa reinspection fee will be charged. rr Signature Owner or Agent The foregoing instrument was acknowledged before me this 27 The foregoing instrument was acknowledged before me this_ day of dr. , 20 O, by )•,iel/' -GPI , day of ./%' , 20 ter, by PRZa W1%, wle is pers Hall•, lr.:,ow to me or who has produced wh&is per riown$o me or who has produced As ti ation and who did take an oath. as identi . ,: d who did take an oath. "1!/ ,: Contractor NOTARY PUBLIC: Sign: Print: My Commission 'fir's: My `*„ M1v onxrli„ 00357880 NOTARY PUBLIC: Sign: Print: My Commissi /r Tres: * * * * * * * * * * * * * * * * * * * ** *, ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** l **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ****)f ** APPLICATION APPROVED BY: Chc 05/13/03 2 - 2 to'j Plans Examiner Engineer Zoning EI ADDENDUM TO BUILDING PERMIT APPLICATION AN AtPLI CAT ION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, '''HE OWNER'S NOTARIZED SIGNATURE, NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL TEM ATH TU3 10E7 ISHWASHER ISPOSAL RINKING FOUNTAIN LDCR DRAIN CREASE TRAP NTERCEPTOR .AVATCRY .AUNDRY TRAY :LOTHES WASHER MOWER ;MK, POT /3 COMP. $INK, RESIDENCE $INK, SLOP TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES UNIT FEE ITEM SWITCH OUTLETS UNIT FEE L I Gi{T OUTLETS 1 RECEPTACLES SERVICE TEMPORARY ITEM SPACE HEATERS CENTRAL HEATI} A/C (WIND) UNIT FEE SERVICE SIZE IN AMPS A/C (CENTRAL) D.CT WORK SERVICE REPAIR/METER CHANGE APPLIANCE OUTLETS RANGE TOP REFRIGERATION PROCESS AND PRESS PIPING UNDERGROLE TANKS OVEN WATER HEATER MOTORS D- 1 If ABOVE GROIN) TANKS U.F. PRESSURE VESSELS MOTORS OVER 1- 3 If STEAM BOILERS HOT WATER BOILERS I MOTORS OVER 3- 5 HP MECHANICAL VENTILATION MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES l MOTORS OVER 8- 10 if MOTORS OVER 10- 25 HP ELEVATORS/ESCALATORS MOTORS OVER 25-10D HP FIRE SPRINKLER SYSTEMS COOLING TOWERS MOTORS OVER 100 FP WATER SUPPLY TO: A/C UNIT 1 A/C W I tJDOW VIOLATION RE I,NSP,ECT I ON AIR CONDITIONERS STRIP HEATER FIRE SPRINKLER HEATER -NEW INST. HEATER - REPLACE LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE SEWER CONNECTIONS UTILITY-SEER UTILITY -WATER SEPTIC TANK RELAY GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMf,ERCIAL SIGN TLEES . SIGN TRANSFORMERS SIGN TIME CLOCK F I XTLRES ANTENNA TELEVISION OUTLETS DRAINFfELD, 4' TILE/RES. PUMP & ABANDON SEPTIC TANK SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET VIOLATION REINSPECTION SOLAR WATER HEATER FIRE STANDPIPE POOL PIPthu LAWN SPRINKLER SYSTEM: GAS RAKE METER SET (GAS) GAS P!PIk: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Issue Date: 12/21/2005 Expires: 12/01/2006 Owner's Name: DARIK & MARLENIS SMART Permit Type: Plumbing - Residential Work Classification: Pool - Private Job Address: 540 GRAND CONC Street Miami Shores Village, FL Contractor(s) Phone Primary Contractor BLUE WATER POOLS OF SOUTH F 305/573 -6269 Yes Comments: POOL PIPING Additional Information Type of Work: POOL PIPING Type of Piping: Additional Info: 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $1.20 Education Surcharge $0.40 Miscellaneous Fee $60.00 Permit Fee - New Construction $100.00 Scanning Fee $3.00 Technology Fee $4.00 Total: $168.60 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL -12 -05 -1036 Phone: 1132060171411 Lot: PB: Total Square Feet 0 Total Valuation: $ 1,400.00 Required Inspections Final Invoice Number PL -12 -05 -23202 Total: , Amt Due $168.60 DEC 21 PAID Amt Paid 4,1 Frei . (013 0 Building Department File Copy Applicant Signature NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.