MC-13-2089Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-199157
Scheduled Inspection Date: May 05, 2014
Inspector: Perez, JanPierre
Owner: PICARD, MATHIEU
Job Address: 401 NE 103 Street
Miami Shores, FL 33138-2456
Project: <NONE>
Contractor:
FLORIDA POOL PATIO CORP
Building Department Comments
Permit Number: MC -9-13-2089
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Pool Heater
Phone Number
Parcel Number
1122310150130
Phone: (305)815-0181
POOL HEATER Infractio Passed Comments
INSPECTOR COMMENTS False
l
May 02, 2014 For Inspections please call: (305)762-4949 Page 6 of 26
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
May 02, 2014 For Inspections please call: (305)762-4949 Page 6 of 26
PERMIT j
Miami Shores Village
.BuildingDepartment
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 APR 2-2 2014
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949 ��'
TION
Permit Type: MECHANICAL
JOB ADDRESS:- ''"
FBC 20
Permit No. Ho N
Master Permit No. PC -n-9 13 - ,G E 7
City: Miami $hores County: Miami Dade Zip: 3 1
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple Titleholder):
Address:
City: j!. 4 4:': -;' i,1 0 r�e!� State:
NO Flood Zone:
TenanvLessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
Address. 17 (4,1 � i -c
City: State: — (�� Zip: .3 -3
Qualifier Name• (j
Phone#:
State Certification or Registration #: C! Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit C) r,° Square/Linear Footage of Work
Type of Work: OAddress OAlteration VNew ORepair/Replace Obemolition
Description of Work:
Submittal Fee $ Permit Fee 3 S t 0 CCF $ CO/CC $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ ��
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
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
114PROVEMENTS 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
promise in good faith that a copy of the notice of commencement and construction lien I roe
whose property is subject to attachment. Also, a certified copy of the recorded notice cowmen
for the first inspection which occurs seven (7 - lays after the building permit is sued. In the
inspection will not be approved and a reinspectio fee will be charged.
Signature Si tore
/ Owner or Agent
The forego' instrume71by
acknowledged before m s
day of 20 t r C:�
who is personall known to me or who has produced
As identification and who did take an oath.
NOT • "" ,nTmr t...
Sign:
Print:
My C
APPROVED BY
$2300, the applicant must
be delivered to the person
est be p
9096 at the job site
of,poKposted notice, the
Contractor
The foregoinsginstrument was acknowledged before �e�'j
day of �� 20 _, by �, I f� [�e� I - r' -
who is personally known to me or who has produced
as identification and who did take an oath.
Pis Examiner
Structural Review
(Revised 3/122012)(Revised 09/10/07)(Revised 06/102009)(Revised 3/15/099)
NO
Sig,
Priv
My
Zoning
Clerk
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20 l �'
Permit Type: MECHANICAL
OWNER: Name (Fee Simple Titleholder): �!rt' I `I i
�- ? 8
Address: 0 � K 1 �- d 0�
Lc 'jV eve
SEP 1.6 2013
BY:
Permit No. MU 3 " OkO 2F9
Master Permit No., W09 —
r
city: a 1 r state: I L zip:
Tenanth essee Name. '/'/;o,Phone#:
Dail:
JOB ADDRESS: t4 c) C. I o3
City: fMii NOW Shores County: Miami Dade Zip: � � r 3 6
Folio/Parcew 2
C) iS L _l I r
f f �s:��;
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: �r=i- PO�I r° 0 OGxhone#: 30S ',S C j �
Address: Ll I
City: G'� r l e t 1 State•
Zip:. � a �� 1 � �^
Qualifier Name: .( --t Phone#:
State Cerdhe'akion or Registration #: Certificate of Competency #:
Contact Phone#: Email Address:
DESIGN: 'i4rchiteallingineer. Phone#:
l
Value of Work for this Permit: SquardUmar Footage of Work: C' 0
Type of Work: OAddress DAlteration JjNew ORepair/Replace ClDemolition
Deseription-of Work:
C1-TCk2--
Submittal Fee $ Permit Fee $ -1CCF $ CO/CC $
�P4.S c• � - e
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
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_.#Hvered 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 lite 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 approved and a inspection fee will be charged
Signature �Si a
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this �dL —
day of 1 , 20 by �-t t h t t✓� 0 �
I�
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
•,,,,,••, C�MY8 B4
-'A MY EE
Sign: , MI.
Print: °�•
My Commission Expires:
APPROVED BY
4
(Revised 07/10/07)(Revised 06/10009)(Revised 3/15/09)
MWt g mg instrument was acknowledged before me thi C?
day of , C-7. 20 by e � LA 0 o L),qe
who is personally known tome or who has
_ a
as identification and who did take an oath.
NOTARY PUBLIC:. ;
Examiner
Zoning
Structural Review , Clerk