PL-04-368Inspection Number: INSP-206290
Inspection Worksheet
Miami Shores Village 1 `7 7 2
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Permit Number: PL2004-368
Scheduled Inspection Date: January 30, 2014 Permit Type: Imported Permit
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: ORTEGON, AMANDA Work Classification: <NONE>
Job Address: 9950 NE 4 Avenue Road
Miami Shores, FL 33138-2451 Phone Number
Parcel Number 1132060171160
Project: <NONE>
Contractor: R8d PLUMBING SERVICES CORP Phone: 305-823-6911
timiamg uepariment comments
SPA PIPING
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-199529. SECURE PUMP AND
REPAIR LEAK
Failed
Correction` "
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
January 29, 2014 For Inspections please call: (305)762-4949 Page 12 of 18
LM
OCT
'nZ82010
...............
October 27, 2010
CERTIFIED MAIL/RETURN RECEIPT REQUESTED
Mr. Frank Vazquez
President
Blue Water Pools
4811 N.W. 356' Avenue
Miami, Florida 33142
Re: 9950 N.E. 4TH AvEmm ROAD, MIArm SHOREs, FLORIDA 33138
Dear Mr. Vazquez:
I am writing to you as the owner of the residence referenced -above to confirm that on
October 27, 2010, I have sent a certified letter to Thomas Benton of the Miami Shores
Building Department giving him notice that I am hereby terminating your services
relat!*K to my property for failure to timely obtain final approval and closure of the
ope at, oval permit.
AMM/bjs
Certified Mail Provides:
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■ A record of delivery kept by the Postal Service for two years
importent Reminders.
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■ For an additional fee a Return Rece/pt may be requested to provide proof of
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Receie to cover the
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■ For an additional fee, delivery may be restricted to the addressee or
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receipt is not needed, detach sand affix label wito postage and mail.
IMPORTANT. Save this.=00t'add present it Wizen making an inquiry.
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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
�.0,&98V
NOV 0 5X010
BY:................:::::::
Permit No. 1- s `v
Master Permit No q-®
t
Permit Type: PLUMBING } , -c )
Owner's Name (Fee Simple Titleholder) t1l C-1-;3 Oa) Phone # 3�)14
Owner's Address 50ISZD P6 .7z;p a 2 M W(- 64
Ci64WY4 State [Pt'C% Zip 33
Tenantlessee Name Phone #
Email
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 S V N W Y i7
Contractor's Address _ 4P 1 Y A
g Phone #
Flood Zone _
-'3cd *Z
CityV V / F' Ky CM State r/ -L_ Zip i y -3�
Qualifier Name d12 0)6 a 4Z Phone # -C;4 At
State Certificate or Registration No. 00 P ,2 Certificate of Competency No.
Contact Phone E-mail
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Phone #
Square / Linear Footage Of Work:
- �S7-1,
Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace
❑ Demolition
Submittal Fee $ Permit Fee $
Notary $_
Scanning $
Double Fee
Structural Review. $
Training/Education Fee $
Radon $ DPBR
Violation date:
CCF $
CO/CC $
Technology Fee $
Bond S
Total Fee Now Due
See Reverse side -4
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 proper ' ttachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection whic occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not b a ed and a reinspection fee will be charged.
Signature:v, Signature)(
Owner or Agent
The for o' instrument was ac wle ed forwel;t�hise2g
day o , 20 0, by
who is personally known to me or who has produced
As identification and who did take an oath.
NOT
My Commission Expires:
(Revised 07/10/07)(Revised 06/10/2009)
Contractor
The foreg ing i strument was acknowle ed efore s 5
day of , 202 , b �
who is p ;rsonally known to me or who has produced
il
rl 1,% ia�
`7 dW Identification and who did take an oath.
A- JOTAR�N PUBLIC: IV � , ^ 11
Engineer Clerk checked
Miami Shores Village
Building Department
1"0050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Q I,, CHANGE OF CONTRACTOR I ARCHITECT
Permit N. r 4 "�VJe
Owner's Name (Fee
Owner's
City: q
Job Address (Of where work is being
r
City: Miami Shores State:—Florida Zip Code:
Contractor's Coany Nam 5.0 N � �� � L � rI � � I Phone
Address: 1701 � q P
City: vy l
Qualifier's Name:
Architect/ Engineer of Record Name:
Address:
City:
Describe Work:
I hereby c6 i1
unable or unwitith to complete the contract. I hold the Building Official and the
Shoresh
wne
The foregoing in en
this�day oflift,
Who is personally known to me or who has produced
State: �' v ; Zip Code: -" '1 l ''
AXJ3%�2�V'�Lic. Number: 66,�P v 'LY
Phone
State:
Zip Code:
that -'the work has been abandoned and/or the contractorlarchitect is
Signature
rami armless for all legal involve ent.
Signature
r or Agent Contractor or Architect
t was aknowl ged KbeforeAie The foregoing instrument was', a�� �aknowledge be� re
,2(�f�,by � this � day of �\'u a� , 20�(� I01
who i personally know o me or who has produced
indentification.
as indentification.
Notary jjW0&,'V
Sign:
Seal:
��c�Ta.��r>. �;,�•�',t;:
;C31A.
who i personally know o me or who has produced
indentification.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami h orida 33138
Tel: l3 51100 Q5;M5 .8972
BUILDING LDEC 2 2 2 Permit NoT 100 -3 6�
PERMIT APPLICATION - - - - - _ _ ter Permit No. -7
FBC 2001 "
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) l� r �F� `�`� Phone # � ' Ca 7
Owner's Address
City i'�G %� ��� p �®/% State F/ Zip - ' -
Tenant/Lessee Name Phone #
Job Address (where the work is being done) A ri 'rl /�
City Mann Shores Village County Miami -Dade Zip ,L
Is Building Historically Designated YES NO
G , r �` - GAS ' Z_ ✓�
Contractor's Company Name'�� �,1 0P -Phone #
Contractor's Address /C.m N j yt (. E -
City , /P%` 1l - State zip
Qualifier
State Certificate or Registrajtion No. L L ` Certificate of Competency
Architect/Engineer's Name (if applicable) Phone #
S Value of Work For this Permit �Q ®t� Square Footage Of Work:
Type of Work: E]Addition ❑Alteration ew ❑ Repair/Replace ❑ Demolition
Describe Work:
Submittal Fee $�/ Permit Fee s -,/zoo � CCF $ Ny C /CC
Notary $ Training/Education Fee $ . Technology Fee $
Scanning $ Radon
Code Enforcement $
Zoning Bond S,
Structural Plan Review. S
Total Fee Now Due S
(Continued on opposite side) �� ��
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property i ie o a ent. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection wh'ch curs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be ape�id a reinspection fee will be charged.
Owner or Agent 9
The foregoing 'M mentwas acknowledged before me this
day of ,ice , 20 a by
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of L�� , 20`� by A,��t%� �
who is personally know or who has produced who is personally known to me or who has produced
cation and who did take an oath.
NOTARY PUBL : NOTARY PUBLIC:
Sign:
Print: % -!�-Ak le7p '#3� 04M swo
MOD36-1
Sign:
Print:
My Commission Expires: *OW E "0 lviy t;ommisslon rxpires: =Vkft sib
r--
�k�h�:k�kak�k�k�k�k�k�kek�k:kik+kik*�kek�k#�kak�k�k�kak�kok�k�la �k�k�k�k ek�k*�k�k�k�kok�k�kak�k�k�k�k�k�ksk�k�kak�k�kakak�k�k�k��k�k�k�k�fa�kek�k�kak�kek�laakok�k�k�k�k�k�k$:ksk�k�ksk*�k�k�k�kkak�k�k��k
APPLICATION APPROVED AA Plans Examiner
Engineer
Zoning
Che 05/13/03
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305-795-2204
Printed: 1/6/2005
Applicant: VICTOR
Owner: ORTEGON
JOB ADDRESS: 550 NE 101
Plumbing Permit
Permit Number: PL2004-368
ORTEGON
VICTOR
ST
Contractor BLUE WATER POOLS OF SOUTH FLORIDA Contractor's Address: 3400 N. MIAMI AVE
Local Phone: 305/573-6269
Page 1 of 1
Parcel # 1132060171160 Legal Description: MIAMI SHORES SEC 4 PB 15-14 LOTS 1-2-3 BLK 95 LOT SIZE SITE VALUE
Fees:
Description
Amount
FEE2005-179
Building Fee
$160.00
FEE2005-180
CCF
$0.60
FEE2005-181
Technology Fee
$4.00
FEE2005-182
Training and Education Fee
$0.20
FEE2005-183
Submittal Fee
($50.00)
Total Fees:
$114.80
Permit Status: APPROVED Permit Expiration:
Work: SPA PIPING
Signed:
6/20/2005 Construction Value: $1,000.00
(INSPECTOR)
Total Fees: $114.80
Total Receipts: $0.00
rh
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 a
BUILDING �6 Permit Nc
l
PERMIT APPLICATION Master Permit N
FBC 2001
16 2095
.
Permit Type (circle)• Buil ' Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) I ��L`� �!Zl '�L��✓l Phone #"S L'
Owner's Address ` Pi % M _- 9/0.
City /V1 11-Y I/
Tenant/Lessee Name
State Fl— -
Zi
P
Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip ,
1s Building Historically Designated YES NO
Contractor's Company Name ��� GIG ��' �� moi' • t� Phone #E `c S �✓�
Contractor's Address IL' aIWA/ ;=�.%l�_7 .
iUr;,i,aa
city + l
State
�z
State Certificate or Registration No. (�`� iv, Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone4.
8 Value of Work For this Permit
Type of Work: . ❑Addition
Describe Work:
Submittal Fee S Pen
❑Alteration
New
Square Footage Of Work:
❑ Repair/Replace ,
CCF S
Notary S Training/Education Fee $ Technology Fee $
Scanning S Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
1$I
Total Fee Now Due $ 0 7 PAID,
(Continued on opposite
❑ Demolition
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 I MPROVEM[ENTS 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 con ' ion to the squance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a opy f the n t ce of commencement and construction lien law brochure will be delivered to the person
whose property is subject t attac ment. Yo, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection ich o curs sev (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be a proved and a rei ection fee will be charged.
Signature Signature 4
Owner or Agent Contra
The foreg�o^ing ' strilment was acknowledged before me this The foregoing instrument was acknowledged before
pmre/this
day of lr 20 by I��vl "2� /i��?� �/. QlU� , day of � 20 62S by 6AAAA 4
who ' erso�to me or who has produced vqhho.4' me or who has produced
As i n ' don and who did take an oath. as id and who did take an oath.
NOTARY PUBLIC. NOTARY PUBLIC: ,/
Sign: G� .w //r Sign:
Print: Q�44 ZIAAP :eV - Print: /l o6r scare
M CommissionE Expires: ?w� f Expre,�� �h,c=MWWw��°N
My xp' SsPbmber 28 2008 My Commission Expires:
'.a, tides Ezpm S"*rM r 28.2008
APPLICATION APPROVED BY
Plans Examiner
Engineer
Zoning
Cho 05/13/03