PL-13-2088Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-211902 Permit Number: PL -9-13-2088
Inspection Date: May 13, 2014
Inspector: Diaz, Osvaldo
Owner: PICARD, MATHIEU
Job Address: 401 NE 103 Stropt
Miami Shores, FL 33138-2456
Project: <NONE>
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number
Parcel Number
1122310150130
Contractor: FLORIDA POOL PATIO CORP Phone: (305)815-0181
Building Department Comments
POOL PIPING
Infractio Passed Comments
INSPECTOR COMMENTS True
PassedCREATED
ED
Inspector Comments
AS REINSPECTION FOR INSP-211663. CREATED AS
REINSPECTION FOR INSP-210253.
PLANS CURRENTLY SHOW A GAS POOL HEATER
❑Failed
A MECHANICAL PERMIT WILL BE REQUIRED FOR THE HEAT PUMP
✓/ �__ f y
� 9
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid
For Inspections please call: (305)762-4949
May 13, 2014 Page 1 of 1
Miami Shores Village 7BY:
F'
Building Department g p 16 2013 �
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
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
JOB ADDRESS: _ ue 6`�1 c)
Permit No. 03 '� PL'—W �; '
Master Permit No. 1 r o_11.b `►
City: Miami Shores County: Miami Dade Zip: e
Folio/Parcel#: b .�, - 2, 2 � I — C' d 5 C �
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple I
Address: 4 0 1 �=
NO Flood Zone:
At1-lltC" P,
City: I I`� '1 I I'1 �� Y-'' State: gip: 3 I
Tenant4.essee Name: (AV Phone#:
Email:
Ci D
CONTRACTOR: Company Name: FL r r 01F Phone#: 0 U l
Address: `-�. 0 02 c I "
City: IIF, G i. e d State: 7�p; '.3 Ijg 6
Qualifier Name:
N
State Certification or Registration #: Certificate of Competency #:
Contact Phone#: Email Address;
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ L C) Square/Linear Footage of Work: _-
Type of Work: OAddress DAlteration �Ikew ORepair/Replace ODemolition
Description of Work:
Submittal Fee $ Permit Fee $ ' CCF $ CO/CC $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $2 6,
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
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 delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of comm t must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. n the ab e �� of suc� . osted notice, the
inspection will not be approved and4 reinspection fee will be charged.
Signature �i i Signature
Owner or Agent ��� Contractor
The forego' instrument was acknowledged before this The foregoing instrument was acknowledged before me
day of 20 L , by �� "6 Ft L' i 2+�2D , day of . 20 by Y P ► j (2
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: b� ;` MY COMM! EE X14 Print =k; , MY COMMISSION # EE 187
:. 9044
gm iidRC undo
My Commissio w4ed Th" Nou My z' ` ded rnro nio�ry I3u6iIc unicambep dar�nttere
anraY�Y�Yardrisk�Ir&,re,4eY+t�&akatr�Y�Yatde*t ir�Ter&�e,xa4�Trir�rardF7e�raYa�ir�Y�r&�Yvr�rdr�kraHeirdrtr&de�krkdrdraY��Trx*a&�Yars4aYsY*�Y�edrdFatadrt�e�ksYaYdrdeaskkax&a+r�Y�trdeda,xdrrks4&shs4��e
APPROVED BY /®,3 ® -/_I Plans Examiner
Structural Review
Wvised3/12/2012)(Rmised 07/10/07)(RMsed 06/10/2009)(Rmised 3/15/09)
Zoning
Clerk
Miami -Shores Village
Building Department
10050 N -E -2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Far. (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit Type: PLUMBING
JAN 11 RC14
BY: - _.
FBC 20 L�
Permit No.
Master Permit NO-!---' I 12LI-L I
JOB ADDRESS: Z3
City: Miami Shores
county. Miami Dade zip: _ 3"1 -fl
Folio/Parcel#:
IS the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder):_ k! id) Ph..#:
Address:— C I r- ti_L C
City. A- � � -) ( �� 1--, 1 State: zin:
TenanV1,essee Name: —Phone#. -
Email:
CONTRACTOR.- Company Name:
-Yhone#. C
Address: _
city.
State:
pp
Qualifier Name: Ct. L_ I A Phonek
State Certification or Registration 8_LA 5 -I.Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer. Phonet
Value of Work for this Permit- $ —Square)Unear Footage of Work
Type of Work UAddress �Uteration
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
LINew URepair/Replace, UDemolition
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
I (_- tt --
CCF $ CO/Cc $
DBPR$ --Bond $
Technology Fee $
TOTAL FEE NOW DUE
r {
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
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 exceed' , the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law broc will be livered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of co mme ement b osted at the job site
for the first inspection which occurs seven (7) days after the building permit is issuedthe ab se posted notice, the
inspection will not be approved and a reinspection fee will be charged. //:/� ✓
W�
Signature !� , // - /-� Signature
Owner or Agent Contractor
The forego instrument was acknowledged before me this The foregoing instrument was acknowledged before me this''
day of ,> CL �, 20 L by A , � a n e 12 l day of - 9 -�, . 20 by 0- t - L� r (`
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: -) c-,- C- `p. T l�di `� Sign:
Print: J Print:-
"� GIADYSBORGES ,•Jin 6'•.,
(3LADYS BORCaES
My Commis si _ W COWSSIDN 8 EE 046167 MY - . MAtSSIDN ? EE W167
' EXPIRES: December 17, 2014 '. EXPIRES: Dewnber 1 T, 2014
Bondi Thru Nay Pubic Itrutenvrbm � .A �, Bonded Thru Notary Pu* ugdwwritn
APPROVED BY�) a� `-/�e Plans Examiner
Zoning
Structural Review Clerk
(Revised 3112J2012){Revised 07/10107xRevised 06/1012009)(Revised 3l15/09)