PL-14-283Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-221385 Permit Number: PL -2-14-283
Scheduled Inspection Date: October 14, 2014 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: MARTINEZ, MARTA GAMALLO Work Classification: Pool - Private
Job Address: 10528 NW 2 Avenue
Miami Shores, FL 33150- Phone Number
Project: <NONE> Parcel Number 1121360020030
Contractor: SWIMMING POOLS OF FLORIDA INC Phone: (305)597-3950
euilaing Department Comments
NEW PLUMBING FOR NEW POOL
INSPECTOR COMMENTS False
October 10, 2014 For Inspections please call: (305)762-4949 Page 14 of 24
Inspector Comments
Passed.
Failed
E](
-
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 10, 2014 For Inspections please call: (305)762-4949 Page 14 of 24
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Oiami Shores villa A
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Building Department 7BY:
B 13 204
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
v
FBC 20
BUILDING Permit No. Pj //i ad's
PERMIT APPLICATION Master Permit No.00?
Permit Type: PLUMBING
JOB ADDRESS: I Qjr';�g %VP �i Sd
City: Miami Shores County: Miami Dade Zip:33�5o
Folio/Parcel#: �`1�� Ud `(�
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): Ma 1� IVICv 4' kW -'Z Phone#:
Address: /VrY GVy
City: '�jc- CA I -) —i Y1C�rt'vr Stater Zip: Aso
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Jl l F1Or✓242, ° Phone#: S� Z:�
Address: 6gA1 -IvkJ 5o3+
City: M�,' �%r� State: F/ Zip: —2316C.-
Qualifier
2316?Qualifier Name: 11ah tlel PP/MCyYiJ-C Phone#:
State Certification or Registration #: Certificate of Competency #:
Contact Phone#: (jo5) g7'--wSU Email Address: Com)- 3 �� 6
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ � 560< Oy Square/Linear Footage of Work:
Type of Work: ❑Address OAlteration New ORepair/Replace ❑Demolition
Description of Work:
MOW Plumbl-,rh5l ��r Wil.
Submittal Fee $ %(J -Od Permit Fee $
LZ5 .�-- CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
i
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 hat a co y of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is su j ct to tt ch , ent. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspect' wh'-h o u seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not e pp oved nd reinspection fee will be charged.
Signature
Signature KJ — Si g
wner or Agent f Contractor
The foregoing strum4t was ackn wle before me this -11iday of'SO-1(1 2014, by <- A o Q{�-yYV
wlW is personally known to me or who has produced
U(/'L. " As identification and who did take an oath.
NOTARY PUBLIC -a,
Sign: �>01 ` a'LX SIC 1c:
Print: ,a
G� BAEZ
Y.S.Notary Public - State of Florida
M Commission E fir'
Y ,ter '�My Comm. Expires Mar 7, 2016
-'e�<<,a•` Commission # EE 176938
The fore oing instrument was acknowled d befor me his
day of f' U9- , 20 N by '1
who i ersonally known to me or who has produced
_iu as identification and who did take an oath.
NOTARY PUBLIV:
Sign: _
Print: _
My Co
APPROVED BY / r3� L 13"�f` Plans Examiner _
Structural Review
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
ni
ANGELABAEZ
Notary Public - State of Florida
N .o My Comm. Expires Mar 7, 2016
Clerk