PL-07-1350®ORE,
L®`�� Inspection Worksheet
y� Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
E�'rEs M r' _
��®a�vP Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-59344 Permit Number PL -6-07-1350
Inspection Date: 08121/2007 Permit Type: Plumbing - Residential
Inspector: Levrock, James Inspection Type: Piping
Owner: HARVEY, WALTER AND TIA Work Classification: Pool - Private
Job Address: 41 105 Street NE
Miami Shores, FL 33138-2030 Phone Number (305)751-7751
Parcel Number 1121360060120
Project: <NONE>
Block: Lot:
Contractor: CALYPSO POOL CO. Phone: 305-265-9682
Buildina Denartment Comments
NEW POOL PLUMBING
ector Comments
Passed��
h q
Failed
Correction
Needed a
Re -Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Tuesday, August 21, 2007 Page 1 of 2
Miami Shores Village
10050 N.E. 2nd Avenue
` -.....Miami Shores, FL 33138-0000
Phone: (305)795-2204
�'toRivt*
Permit NO. P L-6-07-1350
Permit Type: Plumbing - Residential
en m Work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 711712007 1 Expiration: 01813/2005
Project Address Parcel Number _.. _. Applicant
41 NE 105 Street 1121360060120
Miami Shores, FL 33138-2030 Block: Lot: WALTER AND TIA HARVEY
Owner Information Address Phone Cell
- .. .
WALTER AND TIA HARVEY 41 NE 105 ST (305)751-7751
MIAMI SHORES FL 33138-2030
Contractor(s) Phone Cell Phone
CALYPSO POOL CO. 305-265-9682 (305)592-9392
Type of Work: NEW POOL PLUMBING
Type of Piping:
Additional Info:
Bond Retum :
Classification: Residential
Fees Due
Amount
CCF
$1.80
Education Surcharge
$0.60
Permit Fee - Additions/Alterations
$170.00
Scanning Fee
$3.00
Technology Fee
$4.25
Total:
$179.65
Valuation: $2,100.00 -
Total
2,100.00Total Sq Feet: 0
Total Amt Paid Amt Due
$ 0.00 $ 0.00 $ 0.00
Payment Type:
-7' JUL I OND
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
July 17, 2007
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
Tuesday, July 17, 2007 1
F Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Plumbin
Owner's Name (Fee Simple Titleholder
a(URE'�T
JUN 2 7 2007
tz� .........
Permit No. 1t-~ \_J%
Master Permit No.v—Phl
one #
O-.1. a A��ddre s I L-11�
City L:A . "� h0 State Zi '� 3 1 -3�-
Zip
Tenant/Lessee Name ��%� Phone #
Job Address (where the work is being done)
City
FOLIO / PARCEL #
1c) 5
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address )(o
NO
2-0 Phone #:30.5 -- S9 2- 9 3`7
City r State ��- Zip �J
Qualifier Name--%L(,.(�� �c b Q� J Phone #�J 2A939 2 -
State Certificate or Registration No. oAql- C) Certificate of Competency No.
E-MAIL:
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ Square / Linear Footage Of Work:
Type of Work:. ❑Addition
Describe Work: .
❑Alteration 5ew ❑ Repair/Replace ❑ Demolition
x****xxx*>ti***xxx**xx*xx**x*a *****x*xsex*Fees********x**x*xxxerx*xxx**x***sex*************x
Submittal Fee $ Permit Fee $ )90 CCF $ "" 6c) CO/CC
Notary $ Training/Education Fee $ 1 ( Technology Fee $.
Scanning $;moi " Radon
Bond $ Code Enforcement $
Structural Review. $-
DPBR $
Zoning $
Double Fee $
Total Fee Now Due $ i •°�
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
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 exceedin $ 500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure w' l e delivered to the`person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement t be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued I the abs of such posted notice, the
inspection will not be approved and a reinspection fee will be charged J /
Signature i
Owner or Agent
The fore ing instrument was acknowledged before me this
day of= 0-7, by
who is personally known to me or who has produced '�
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
a �/ ,,.vt. aYgC% V1J
Print: C"� cc
Urinto
My Commission Expires: � qr SondedThn,
s &%aq%-�4
APPLICATION APPROVED
(Revised 02/08/06)
Signature.
Contractor
The fore ing i_jWrument was acknowledged before me this (j
day of, 20 _ , by 19-9-C-03 &O9R Jet
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
MY COMMISSION # DD 622838
EXPIRES: Decembgr il.4o10
�ndenvdter�
Plans Examiner
Engineer
Zoning
• 1
Inspection Number: INSP-57296 Permit Number. `PL -6-07-1350
Inspection Date: 07/31/2007 Permit Type: Plumbing - Residential
Inspector: Levrock, James
Inspection Type: Main Drain
Owner: HARVEY, WALTER AND TIA Work Classification: Pool - Private
Job Address: 41 105 Street NE
Miami Shores, FL 33138-2030
Project: <NONE> '
Pho� Number
ParNumber
Block: Lot:
(305)751-7751
1121360060120
Contractor: CALYPSO POOL CO. Phone: 305-265-9682
Buildino Denartment Comments
NEW POOL PLUMBING
V
_41—
sp r Comments
Passed
Failed
El -
Correction
Needed
Re -Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Tuesday, July 31, 2007 Page 2 of 2
Inspection Worksheet
Miami Shores Village
o� 10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Date: 10/09/2007
Inspector. Levrock, James
Owner: HARVEY, WALTER AND TIA
Job Address: 41 105 Street NE
Miami Shores, FL 33138-2030
Project: <NONE>
Contractor: CALYPSO POOL CO.
Buildina Deoartment Comments
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number (305)751-7751
Parcel Number 1121360060120
Block: Lot:
Phone: 305-265-9682
NEW POOL PLUMBING
n t Comments
Passed
Failed
Correction
Needed
Re -Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Friday, October 5, 2007 Page 2 of 2