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PL-08-418pr Inspection Worksheet . r"I Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 • Inspection Date: 04/09/2008 Permit Type: Plumbing - Residential Inspector: Levrock, James Inspection Type: Main Drain Owner: GUERRA, LUIS Work Classification: Pool - Private Job Address: 162 107 Street NE Project: Miami Shores Village, FL <NONE> Block: Phone Number Parcel Number 1121360070190 Lot: Contractor: POOLTECH OF MIAMI INC I I Phone: (305) 226-7510 .. Riiii1dinn npnartmpnt r-nnampnfic PLUMBING WORK FOR A NEW SWIMMING POOL. IkT IN 10 2000 e for Comments Passed Failed Correction Needed Re-inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid . Tuesday, April 8, 2008 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 eo(w • Job Address: 162107 Street NE Miami Shores Village, FL Project: <NONE> Contractor: POOLTECH OF MIAMI INC Buildino Denartment Comments Phone Number Parcel Number 1121360070190 Block: Lot: Phone: (305) 226 -7510 PLUMBING WORK FOR A NEW SWIMMING POOL. Passed sp for omments Failed El Correction Needed , Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Friday, May 23, 2008 1 Page 1 of 2 Inspection Worksheet W �. Miami Shores Village �i o 10050 N.E. 2nd Avenue Miami Shores, FL % ----- ------------------ - - - - -- - -- .------- - - - - -. - -- ------------------------- - - - - -- --- - �.... �' - one: ( Fax: (305)756 -8972 . Scheduled Inspection Date: May 05, 2009 Permit Type: Plumbing - Residential Inspector: Levrock. James Owner: GUERRA, LUIS Job Address: 162 NE 107 Street Miami Shores, FL 33161 -7032 Project: <NONE> fj I� Parcel Number Inspection Type: Final Work Classification: Pool - Private Phone Number 1121360070190 Contractor: DESIGNER POOL & SPA LLC Phone: (30W22-4681 Building Department Comments /v teD . 0 Ins p *r Comments Passed i Failed - Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 04, 2009 Page 28 of 34 LUIS GUERRA 162 NE 107 Street MIAMI SHORES FL 33161 -7032 Contractor(s) Phone Cell Phone DESIGNER POOL & SPA LLC (305)522 -4681 Type of Work: PLUMBING Type of Piping: POOL Additional Info: Bond Return: Classification: Residential Fees Due Amount CCF $7.20 Change of Contractor Fee $75.00 Education Surcharge $2.40 Permit Fee - Additions/Alterations $175.00 Scanning Fee $6.00 Technology Fee $4.38 Total: $269.98 Valuation: $ 12,000.00 Total Sq Feet: 448 I Total I Amt Paid I Amt Due I $ 269.98 $ 269.98 1 $ 0.00 Payment Type: Check / Number: 29745 Available Inspections: Inspection Type: Top Out Main Drain Final I Ej 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 November 18, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Tuesday, November 18, 2008 4 Po/-Yu� .1.1 1 11 1 0 Miami Shorec "Villa-ge Building Departni.c'ni 10050 •N.L-.2nd Avenuu, Nliunfl Shores, Uluricla:13 138 •ret; (3415) 795,220• Fax: 005) 7%8972 BUILDING PERMIT APPLICATION F13C.' 2004 Pernii(Tyj)e, Plumbing 1"crnift No. Master 1'cruiit 'No 7, h any Owner's Name (Fcc Simple Tidelidider) Ownor's. A. ddress state Terl'ant/1-cssat Nanic Phone 1! ... ... .. . ...... ....... .. .... Job Address (where the work is being done) ciLV­-.....- Miami Shores Villa&q -(itinty ia -Da4 C.' —Nt-qi i. Zip FOLIO / PARCEL 4 Is 0WIding Historically Designated YRS.. NO SM, Contra(,torls Company Name,' .u. r Qual Mor Narno Phone f. • State Cordrimare or Kagistmdon No. Certificate. of C.'ompetericy No... E-M.AIL:Kr-� 4-A Architect/Engineer's Name f applicab'c} Theatre #.: "I*N- Value of Work For this Permit S Square I Linear Footage Of Worit; Typt, of Work: LIAdditlon DAltcrud I P 9Nl0W 0 •crait-/R.cplarx. Fj DeMOHGOn a Nov 14 zu Ad q*i. k**-.,. ** Fees*, *,k* -u f•k•", ".4. u 4 •. •. 1.* 11. I F, Lan Notary S Training /Education Fix Technology Pee Scantling Radon DPRR Bond $ Code Double Structural Review. $_ TotQI Fee Nov Duc Fa ...... .... as identification and who did take an oath. as identification and who did an. oar::. NOTARY PUBLIC: Sign: Print: . C a1: , MY rnss ERiKA ZAPATA Notary Public - State of Florida +Commission Expires May 82010 Commission DD 549831 0. onded By National r a•v c Chg4 i 8'OS NOTARY PUBLIC Sign: Print: My Commission Expires: ••pnphpi :r.A ZAP e'A, ;A • =o`"`cMy *otary Public • Sta e ; t Florida "iprid Commission Expires May 8, 2010 Commission # pG ',49831 . f Assn. Miami Shores 'pillage Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. "l) y (- ' ' PERMIT APPLICATION �'�'ts � ster Permit No FBC 2004 NOV 14 2008 Permit Type: Plumbing ---° Owner's Name (Fee Simple Titleholder) ,` Cn j if ! Phone # Owner's Address � �,<�k !QE" V"D ) City°`" 'Ri'ti `� `fir a_.� State Zip Tenant /Lessee Name Phone # E -MAIL: Job Address (where the work is being done) }�-- City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name ` �,) t. t I ,r�, Phone # fb I { R Contractor's Address {> ss tf� "i-- City �(ty"Yl� State��....._ Zil Qualifier Name 1 1 ( t y`i' € Phone # State Certificate or Registration No. Certificate of Competency No. E -MAI Cyr V t -r ti%ty'ii ('V: , 1, i `(,y) Architect /Engineer's Name (if app licab le) �`1ar. t e Phone #yj Value of Work For this Permit $ . (= 0. :) Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alterati n e1 New ❑ Repair/Replace Describe Work:` �.. q} ❑ Demolition Submittal Fee $ Permit Fee $ 15 643LOl (M%TWt1 CCF $ CO /CC Notary $ Training /Education Fee $ Scanning $ Bond $ Structural Review. $ Radon $ Code Enforcement $ Technology Fee $. DPBR $ Zoning $ Double Fee $ Total Fee Now Due $ See Reverse side —> Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip WE 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. 1 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 $2500, the applicant must promise in good.faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to t. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspec ' w . ch occurs s' ven (7) days after the building permit is issue n the absence of such posted notice, the inspection will no be proved and a inspection fee will be charged �`� Signature Owner or Agent Signatu The fore oin instrument as acknowledged before me this The foregoing instrument was Icknowledged before me this l. day of_3, 20 Z, by day of mz 20 y �rir� who is personally known to me or who has produced who 's ersonall� know y me or who has produced As identification and who did take an oath. fi ti nand who did take an oath. NOTARY PUBLI ER,KA ZAPAiA NOTA ERIKA ZRP4rq ,1p0.y P`e `� a, : Notary Public - Staie of Florida _ � ° = Notary Public •State of Florida '41}' Commission Expires May 8; 2010, N .v �Ir Commissa n Expires May 8, C. 2010 Commission pD 549831 Sign: CC Sign: S 9331 ., r Sign: c Print: F Print: t ..�' My Commission Expires: My Commission Expires: F' iC>:, tX> C] C1CYY] CX' X�C�YYYXYfI) ;K� *,r,�jX>CY%X *)C]YxnFKX>Fa: Y % X] [Y�.)YY'XY'.' %]tXY%�Y7'GXX1'[S: Yip[ YX> C%' X�X'] ftt' X�tYIYX] F]: X%% X] rY�. t: � :X' *>'fY�.]:Y.X]FXi.YYY.i:%Y n APPLICATION APPROVED (Revised 02/08/06) Plans Examiner Engineer Zoning *sN°$ hr Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 F[oxtt�" Project Address 162 NE 107 Street Miami Shores Village, FL LUIS GUERRA Parcel Number 1121360070190 Block: Lot: 162 NE 107 ST MIAMI SHORES FL 33161 -7032 Contractor(s) Phone Cell Phone POOLTECH OF MIAMI INC (305) 226 -7510 Type of Work: PLUMBING Type of Piping: POOL Additional Info: Bond Return : Classification: Residential Fees Due Amount CCF $7.40 Education Surcharge $2.40 Permit Fee - Additions /Alterations $175.00 Scanning Fee $6.00 Technology Fee $4.38 Total: $194.98 LUIS GUERRA Valuation: $ 12,000.00 Total Sq Feet: 448 Total Amt Paid Amt Due $ 0.00 $ 0.00 $ 0.00 1 Payment Type: APR 0 7 PAID Available Inspections: Inspection Type: Final 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. April 07, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Monday, April 7, 2008 Miami aml Shoes Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Rte E—OVED Permit No. ?Lot- 4 PERMIT APPLICATION MA 0 7 X008 aster Permit No.. 1 06 -41 FBC 2004 �_ _L.0 Permit Type: Plumbing Owner's Name (Fee Simple Tiitlehdlder) Lin 6zim . Phone # Owner's Address I �Z WE 161 ST City--ftU State zip 33 l b Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip . FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name TM -R61 0 ���� Phone # Contractor's Address q POOL SW 40 ,57 city flk 1Qm Qualifier Name I State yrt . State Certificate or Registrati�o�n No. CKI U5 E- MAIL: I�x51T(%�LIM tcwl L Architect/Engineer's Name (if applicable) ?�S -Z2-6-75/() Zips 145 Phone # 1F6 -Z-% Wo Certificate of Competency No. C. P`(1 055 6 3 Value of Work For this Permit $ IZAD•00 Square / Linear Footage Of Work: +41s f. Type of Work: ❑Addition ❑Alteration [clew �"A��I ❑ Repair /Replace El Demolition Describe Work: I'U(� �?1U�wx/!��', Submittal Fee $ Permit Fee $ 0 J CC $1 CO CC Notary $ --- Training /Education Fee $ a' Technology Fee $, 4.OK Scanning $ Ulu Bond $ Structural Review. $ Radon $ DPBR $ Code Enforcement $ Double Fee $ p Total Fee Now Due $ 1_114 Zoning See Reverse side —> Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Zip Mortgage Lender's Address City State g 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 COIN1YIIINCEMENT -" -- - — Notice to Applicant: As a condition to the Issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person! must whose property is subject to attachment Also, a certified copy of the recorded notice of commencement must be posted at the job site V erson for the first Inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the site Inspection will not he ed any4reyspection fee will be charged Z i , ¢, the Ownek or Agent 11 ' Aovfetor The foreg ' ent as acknowledged before me this 4- The foregoing instrument was acknowledged before me this day of , 20; by day of � 200 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification d Aw NOT „ ERIKA ZAPATA ,ICNotary Public - State of Florida May 8, 2010 Si 9-2 l)D 549831 Print: TXXIMM-M2 WW My Commission Expires: My Commission Expires: xxa'c is d: iczxac ac is do ai k$c &ir xirxx4e �k ae &xiczx9c axx3cxxzxaY a'r APPLICATION APPROVED BY take an oa& as identification and who did take an oath. N ERIKA ZAPATA Nota ry Publi - State of Florida May 8, 2010 Sign: 1 Prmt: My Commission Expires: 7—my Commission Expires: rxic iezxic a:xx xxxicxx4:xaY r. &xxxzxic do i:xxnc 4e 9:xxd: is iexicxxrxr. x9: d: is 4: ricx r. aY icxxrx 1114!�Ajl Plans Examiner Engineer Zoning (Revised 02/08/06)