PL-13-1947//
E
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-198031
Scheduled Inspection Date: January 22, 2014
Inspector: Diaz, Osvaldo
Owner: MELTZ, JONATHAN
Job Address: 157 NE 104 Street
MIAMI SHORES, FL 33138-2028
Project: <NONE>
Contractor:
STAR -LITE POOL BUILDERS
tsunamg uepartment comments
77777
PLUMBING FOR NEW POOL
Permit Number: PL -8-13-1947
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number
Parcel Number 1121360130750
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Phone: (954)747-3377
January 21, 2014 For Inspections please call: (305)762-4949 Page 6 of 39
Miami Shores village
Building Department AUG 2 6 2013
10 050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972
INSPECTION'S PHONE NUMBER (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
JOB ADDRESS: 157 NE 104 STREET
FBC 20 t
Permit No. L-' 3
Master Permit No.� r
City: Miami Shores County: Miami Dade gip; 33138
Folio/Parcel#:
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): JONATHAN MELTZ Phone#: 786-'269-5630
Address: 157 NW 52 STREET
City: MIAMI SHORES State: FLORIDA Zip; 33138
Tenant/Lessee Name: NA Phone#:
Email:
CONTRACTOR: Company Name: STAR -LITE POOL BUILDERS Phone#: 954-747-3377
Address: 10875 NW 52 STREET, SUITE 8
City: SUNRISE State: FL Zip; 33351
Qualifier Name: RONALD M BIXLER Phone#: 954747-3377
State Certification or Registration #: CPCO56418 Certificate of Competency #
Contact phone#. 954-747-3377 Email Address: STARLITEPOOLBLDRS@HOTMAIL.COM
DESIGNER: Architect/Engineer. DAVID FAERMAN phone#. 561-445-1787
Value of Work for this Permit: $1000.00 Square/Linear Footage of Work:
Type of Work: DAddress DAlteration DNew ORepair/Replace
Description of Work: PLUMBING WORK FOR NEW SWIMMING POOL
Submittal Fee
Scanning Fee $
Notary
Permit Fee $ _Y0U . CCF $ CO/CC $
Radon Fee $
Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond
Technology Fee $
ODemolition
TOTAL FEE NOW DUE $ I S q' 14�9
Bonding Company's Name (if applicable) NA
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable) NA
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
E"ROVEMENTS 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 wil*"oe approved and a reinspection fee will be charged.
V Owner or Agent
The foregoing instrument was acknowledged before4 this s.—
day of JULY , 201 by S)D� myki" 7'
who is personally known to me or who has produced `�
DA= As identification and who did take an oath.
NOTARY
Sign:
Print:
My Commission
Contractor
The foregoing instrument was acknowledged before me this
day of JULY . 20 � by RONALD M BIXLER
who isrso�e n�k=12.Mp or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign&4��IZI----
print
0 DALE A MASKER
DALE A. MASKER
Commission # EE 099428 My
Expires June 6, 2015
seeded Pau Tmy Fein bwmm 800385-7019
APPROVED BY Plans Examiner
Structural Review
(Revised3/14MMXRmised 07/10W)Wkevised OOW2009)Mevised 3/15/09)
DALE A. MASKER
Commission # EE 099428
Expires June 6, 2015
Zoning
Clerk