PL-15-2391 0_11 16;__�
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-228379 Permit Number: PL -2-15-239
Scheduled Inspection Date: February 18, 2015
Inspector: Diaz, Osvaldo
Owner: YZQUIERDO, JOSE
Job Address: 1351 NE 101 Street
Miami Shores, FL 33138.
Project: <NONE>
Contractor: AQUARAMA POOL INC
Building Department Comments
POOL PIPING
TO CLOSE PERMIT#PL13-674
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number
Parcel Number
1132050230080
Phone: (954)529-4552
Infractio Passed Comments l
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-227628. rolled over by inspector
64
Failed
L v'l
Correction ❑
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
reinspection fee is paid.
February 18, 2015 For Inspections please call: (305)762-4949 Page 46 of 52
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FEB 4 2015
BY:
BUILDING Master Permit No. ll? r- (5 - 2:�
-o
PERMIT APPLICATION Sub Permit No.
❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION jENEWAL
�PtLIMBING ❑ MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
"
JOB ADDRESS I i - ;I%c= i "} I v
City: Miami Shores
County: Miami Dade
Zip:
Folio/Parcel#: 1— 3105- 02-23-
C---,(2,?X--) Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type: Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
�� ` a _ �=
9
Phone#:"
Address: 1z
tC s
City:. i
State:
Zip:
Tenant/Lessee Name:
Phone#:
Email: ca-e-v
-0-
0----CONTRACTOR:
CONTRACTOR:Company Nam :
xQA' i7 4"C'6 5 C
Phone#: �'� ►3 �
Address: a
City:
State: '�._
zip:7� 7
Qualifier Name: CX
Phone#:
State Certification or Registration #:, C -17C— I q ;�L r Certificate of Competency #:
DESIGNER: Architect/Engineer: ` X. tom . C- Phone#: "- 'Sim (�-13)
Address: (L', (.;i City: Q" tzc State: Zip: '
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition Alter tion ew ❑Repair/Replace ❑Demolition
Description of Work: � 1�r _ c� V r -v— �" o
'PL- 13 - r
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Z 2'-5 — CCF $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
DBPR $
CO/CC $
Notary $.
Double Fee $
Bond $
TOTAL FEE NOW DUE $
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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
for 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
OW ERAGEN N ACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 by -day of ��- Q-- '20 , by
Qt%3M who is personally known to <Z- zj ,v.J%— .Tri who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
4PRY P(,BNotary NU°IIG 01a' .,� . �� •
Seal: 2° ® �1' Roberto Sanchez
5,- o My commission EE043995
oi e�°� Expires 12/05/2014 ` y
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Print:
# Roberto Sanchez
Seal: ' a My Commission EE043995
pTEOf,v Expires 12/05/2014
as
APPROVED BY 2-�5 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)