PL-13-591 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number. INSP-188055 Permit Number: PL-3-13-591
Scheduled Inspection Date:August 14,2013 Permit Type: - Residential
Inspector: Diaz, Osvaldo . Inspection Type: Final
Owner: ROBINET, PATRICE Work Classification: Pool- Private
Job Address:1055 NE 96 Street
Miami Shores, FL Phone Number
Parcel Number 1132060143710
Project: <NONE>
Contractor: HL SERVICE&REPAIR INC Phone: (786)210-8072
Building Department Comments
PLUMBING FOR NEW POOL Infractio Passed Comments
INSPECTOR COMMENTS False
9 Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 13,2013 For Inspections please call: (305)762.4949 Page 1 of 36
r Miami Shores village MAR 2 6 2013
Building Department BY—
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20 1
BUILDING Permit No. l
PERMIT APPLICATION Master Permit No.
Permit Type:PLUMBING
JOB ADDRESS: �, �r.5 big g� 1
City: 1Miami Shorefs_ Coun Miami Dade Zip: FL j
Folio/Parcel#:
Is the Building Historically Designated:Yes NO X" Flood Zone:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address:
City: State: O DA f7/ DOR
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: 0 � � Phone#:
Address: f gym! 21A kYr8_T,2-^
city: State:
Qualifier Name: Phone#: QT �
State Certification or Registration#: Certificate of Competency
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ 1 Square/Linear Footage of work:
Type of Work: DAddress OAlteration Ql ew ORepair/Replace ❑Demolition
Description of Work:
Submittal Fee$ Permit Fee$ .2) CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
r
i 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 COMN ENCEMENT."
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 f7) 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.
Signature Signa
�wasoarclkmowledgied Contractor
The foregoing before me this The foregoing ins ent was acknowledged fore me this
day of UC-ith 20 ?by '[",r�` day of . 20 by
who is personally known to me or who has produced who is personally known to me or who has produced -
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print:
Mpom k�l Print
My Commission Ex ' My Co
' MARIBEL DOMINWU p�►RIBEL DOWN
°, 3a W COMMSSI+1#EE192618
•'£ MY COMMISSION t EEIgnIS
Pon as ee�
APPROVED BY Plans Bxaminer Zoning
l
Structural Review Clerk
(Revise /12/2012)(Revis 07/10 107)(Revis 06110/2009)(ReviW 3/15/09)