MC-14-267Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 -
Inspection Number: INSP-207113 Permit Number: MC -2-14-267
Scheduled Inspection Date: August 11, 2014 Permit Type: Mechanical - Residential
Inspector: Perez, JanPierre
Inspection Type: Final
Owner: GORMAN, SEAN CHELSEA Work Classification: Pool Heater
Job Address: 372 NE 98 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060135680
Project: <NONE>
Contractor: SWIMMING POOLS OF FLORIDA INC Phone: (305)597-3950
tsuiming uepartment comments
HEAT PUMP FOR NEW POOL Infractio Passed Comments
INSPECTOR COMMENTS False
<Z9 l
August 08, 2014 For Inspections please call: (305)762-4949 Page 2 of 27
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
August 08, 2014 For Inspections please call: (305)762-4949 Page 2 of 27
lams Shores Village Plt��
Building Department I FEE 12 201B
Y.
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 t/
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20
BUILDING Permit No. HU�j e26:;iz
PERMIT APPLICATION Master Permit No..8 i'P %'-/
Permit Type: MECHANICAL
JOB ADDRESS: -3 7,2 Ae- (q (Il�+
City: Mia ,
Ll
Shores County: Miami Dade Zip: 33/
Folio/Parcel#: L — 06— o6 —a� �o
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Tit
Address: 37�A - N(�-
City: A i 41 h1 T ', 5 llState: Zip: '331,59
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: �'5W1 in �Tlt Y19RG_iS u`F Fall JO, Phone#:
(?
Address: I/ y I v/P4 60.!j+
City: _��i A,Tr i-' State: F-1 Zip:
Qualifier Name:
State CertificationorRegistration #: Certificate of Competency #:
Contact Phone#: l -070 56'l - ,3Ci_'5'0 Email Address: (5�) 11 �}" n 5 ' / •
DESIGNER: Architect/Engineer: Phony
Ob
Value of Work for this Permit: $ Sare/Linear Footage of Work:
Type of Work: ❑Address e IOAlterat�on UNew r_� ❑Repair/Replace
of
Submittal-® Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
ODemolition
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $73', A
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 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 gpproved gt@'V reinspection fee will be charged. n
Signature Signature
Owner or Agent Contractor
The foregoing instrument was ackkno�1 ledge before me s The foregoing instrument was acknow edged before me this
day of ��, 20 1 , by Or�ay of f) (, 20 Lq, by
My Commission Expires:
Structural Review Clerk
Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)