PL-12-1857 CIP 2---;- 19 56
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-179605 Permit Number: PL-10-12-1857
Scheduled inspection Date:September 17,2013 Permit Type: Plumbing - Residential
Inspector: Diaz,Osvaldo
Inspection Type: Final
Owner: GROPPER,ADAM Work Classification: Addition/Alteration
Job Address:9901 NE 13 Avenue
Miami Shores, FL Phone Number
Parcel Number 1132050090480
Project: <NONE>
Contractor: FLORIDA POOL PATIO CORP Phone: (305)815-0181
Building Department Comments
POOL PIPING FOR NEW POOL Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed �� 1
Failed .I -3
q' I
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 17,2013 For Inspections please call: (305)762-4949
Page 1 of 39
Mlam Shores Village OCT 0
,
Building Department aYa°o ®m000mm�
10050 N.112nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING Permit No. P1 IWI
PERMIT APPLICATION
Master Permit No.
FBC 20
Per�tiit Type:PL!10 M'
OWNER:Name(Fee Simple Titleholder)• y:9V► CO2
• Address:.{��®i ,t�1� 1� I�-v9e _..
City: _M A rh i .Sk or e 5 State: r-
Zip:_ 33 1 3
Tenant%iessee Name: —
_
Email:
JOB ADDRESS: CY CI O I N P_ 1:1
,
City: 1ltiami Shores County:- Miami Dade Zip:
Folio/Parcel#: ,S
Is the Building Iistorlcully Desighatedi Yes
NO
. Flood"Ldn
CONTRACTOR:Company Name: +1 co Address �
City: M •a M P State: .
Qualifier Name: r Phone#•�P�S^�/j A J`�/
State Certii~ication or' egisttatiori'#:` CP M? Certificate oft6i i cy'#:`
Contact Phone*. 3O - -Z�®Q 1 I - Email Address:
DESIGNER:ArchiwaMne6ei AY )P_yn4j�'Frail Cp Phone#.' % 30$ 6(03'�
Value of Work for this Permite SquareAAnear Footage of Work: ttv,6ij�
Type of Work: 13Address OAlteration
ew ORepair/Replace ODeraolition
Description of Work: P6 I A 0 _
Submittal Fee$ Permit Fee$_ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ TraininglEducation Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
Bonding Company's Name(if applicable)
Bonding Company's Address -- -
z ,
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 WORD,P.UMB 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 TW ki FOR
jMPROVEMENTS 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 propen,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 pr and a reinspection fee will be charged.
Sipature_22 Signature 06kla S V(;()�
O er or Agent Contractor
The for oing instrument was ackno $edged efore me this The foregoirngg instrument was acknowledged before
day of ,201 by day of � lam/ ,20 a°by
w is personally known t e 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: ;v. KART A GKOPPER NOTARY PUBLIC:
«. :«= ply COMMISSION#EE032278
% CPIRES October o5,2014
Si �9"�ry'' trots 9orviMOW Sign:
t:
Print' N1Y ISSION#ioel rVM
else lhtu
My Commission Expires:
My Co sotary pubes tJrrd3c5wttets
APPROVED BY b Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10M7)(Revised OMN2009)(Revised 3/1909)