PL-14-997Inspection Worksheet r
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 _
Inspection Number: INSP-212504
Scheduled Inspection Date: December 04, 2014
Inspector: Diaz, Osvaldo
Owner: BECERRA, EDUARDO
Job Address: 839 NE 97 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: ROSMEL POOL INC
Liwiaing Department comments
POOL & SPA PIPING
Permit Number: PL -5-14-997
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number (786)390-3312
Parcel Number 1132060142610
INSPECTOR COMMENTS False
Inspector Comments
,�
Passed
Failed 6-,
Correction
Needed ❑..� ���- l
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until LZ- it 6
re -inspection fee is paid.
Phone: (305)592-7900
December 03, 2014 For Inspections please call: (305)762-4949 Page 5 of 46
Miami Shores Village
Building Department
90050 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
Permit Type: PLUMBING
JOB ADDRESS: :939 !JP- '1'7 "-5,+
MAY 15 2014,
BY: -- —y
FBC 20
Permit No. t4
Master Permit No. I �f_�Oq�
City: Miami Shores County: Miami Dade Zip: 331-38
Folio/Parcel#: I I- `'32o(.^ 014- 2610
Is the Building Historically Designated: Yes
NO _71 Flood Zone:
OWNER: Name (Fee Simple Titleholder): 'E�-=LJQL eJop 0. -_P>eGe'rr'Q Phone#: :3'%-3 9 Q�Y�5r--
Address: $ 3'1 OF— 'P"15+
City:State:Zip: 3 3!3 8
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR Company Name:i2clr-'15 , I> -UC
Address: g D 4 5 X_. t.J 3 Gyf. �,.; 1 e� 4 O
City: �)_C_y11QA State: 47-f— Zip:3'� 1 (°
Qualifier Name: ' V0 ALQ— Phone#:
State Certification or Registration #: 0JPL 14-5 4 S 0 -4 Certificate of Competency #:
Contact Phone#: C-)86) --54!5 & 15 5 Email Address: "A,05 & e0&10PJ1AW IS- 401+4
DESIGNER: Architect/Engineer: �i ��►- �i�✓« P ` • ZS31 Phone#: sr - 31
Value of Work for this Permit: $ ?, Square/Linear Footage of Work: _? L !!�p -
Type of Work: ❑Address DAlteration' ONew ORepair/Replace 013emolition
Description Work: ci,*x�
Submittal Fee $_ Permit Fee $_ fk1 '`-► CCF $ CO/CC $it
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ S1
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
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 commencement must be posted at the job site
f or the 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 reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was ackno jI d d before me this
day of i� _, 20 , by C�U 9<A C� 1�►� - t day of PI 20 (Li, byV6>i`6� Ks, da -V,12, .
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.
NOTARY PUBLIC:
identification and who did take an oath.
NOTARY PUBLIC:
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APPROVED BY -5'l`{ Plans Examiner
Structural Review
(Revised3/12120I2)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Zoning
Clerk