MC-14-2718Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-230538 Permit Number: MC -12-14-2718
Scheduled Inspection Date: March 23, 2015 Permit Type: Mechanical - Residential
Inspector: Perez, JanPierre
Inspection Type: Final
Owner: MARTINEZ, SANTIAGO Work Classification: Pool Heater
Job Address: 285 NE 95 Street
Miami Shores, FL 33138- Phone Number (773)793-0782
Parcel Number 1132060133960
Project: <NONE>
Contractor: IBEX TECH CORPORATION Phone: (786)242-4930
aunamg uepanment comments
INSTALLATION OF POOL HEATER. Infractio Passed Comments
INSPECTOR COMMENTS False
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP-225111. need to secure unit to
slab
March 20, 2015 For Inspections please call: (305)762-4949 Page 19 of 31
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
DEC i _ f
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 -
BUILDING
PERMIT APPLICATION
❑BUILDING { ELECTRIC ❑ ROOFING
❑PLUMBING dMECHANICAL
JOB ADDRESS: 285 N E 95 St
BC 20 (� i
Master Permit No 1 "<
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County Miami Dade Zip•
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
Address:.__ Z13t;
g� !s�' v
City: k laftp o LI) Dre S State: Ft, Zip: 3313 3"
Tenant/Lessee Name: C—riG Peary u. Phone#: i7;. 4 %6O�!
Email: e,r,c, >ee%ude;5 l!�V® e irm�ti�<( �
CONTRACTOR: Company Name: IBEX Tech Corp. Phone#: 305-600 3137
Address: 12355 SW 129 CT, Suite 3
City: Miami State: Florida Zip: 33186
Qualifier Name: Eduardo K. Perez Phone#: 305-878 2598
State Certification or Registration #: EC13002186 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Per
Type of Work: ❑ Addition
Description of Work;,
State: Zip:
Square/Linear Footage of Work:
❑ Alteration Q New ❑ Repair/Replace ❑ Demolition
Specify color of colorr�thru tile:
Submittal Fee Permit Fee $ CCF $ -Z, CO/CC $
Scanning Fee $ Radon Fee $ - DBPR $ �R Notary $
Technology Fee $_ Training/Education Fee $ Double Fee $ 0
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ ` 2 ,
(Revised02/24/2014)
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 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.
C-Ktc. F Phu
Signature Signature �� k Pte&
OWNER or AGENT
The foregoing instrument was acknowledged before me this
_k% day of Df-cennbe r .20 14 . by
who is personally known to
me or who has produced Drivers Gam as
identification and who did take an oath.
NOTARY PUBLIC:
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of ec n b er , 20 1t� , by
who is personally known to
me or who has produced Drivers U Censtas
identification and who did take an oath.
NOTARY PUBLIC:
Sign:— •� Sign.
Print:-und"R 1 a TOb oLre�� Print: �U ■ t 11 t 1 V� Toy b care S
Seal: o°i �p�''+Cynthia Tabares Seal: ,•0"Y ... fl,, Cynthia Tabes
?i 8nLCOMMISSION#EE117960 ''z�� � C40MMISSION#EE117950
9 0
EXPIRES: AUG. 01,2015 ?g �9 EXPIRES: AUG. 01,2015
�'•.R; 6F`,:• ; "M.AARONNOTARY.com �'• ?F�f;.e�' ^MrN.AARON NOTARYcom
APPROVED BY ` ` plans Examiner Zoning
Structural Review Clerk
(RevisedO2/24/2014)
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Zvi
iti
OR Bk 29298 Pq 2598v (Ips)
RECORDED 09/05/2014 139551-'13
HARVEY RUVINv CLERK OF COURT
hilAMT—DADr C:Oe•_41l3'`t' r FLORIDA
LAST PAGE
Know all men by these present, that I Santiago Martinez (Grantor) having a fee simple interest in
the property located at 285 NE 95`" Street Miami Shores, desiring to execute a SPECIAL
POWER OF ATTORNEY, hereby appoint my cousin, Eric Periu, of 285 NE 95" Street, Miami
Shores FL, as my Attorney -in -Fact to act as follows, GRANTING unto said full power to
Execute any and all Permit Applications with the Village of Miami Shores for the property,
commonly known as 285 NE 95' Street Miami Shores FL.
All acts done by means of this power shall be done in my name, and all instruments and
documents executed by my Attorney -in Fact hereunder shall contain my name, followed by that
of Eric Periu and the description "Attorney -in -Fact", excepting however any situation where
local practice differs from the procedure set forth herein, in that event local practice may be
followed. This SPECIAL POWER OF ATTORNEY shall be valid and may be relied upon by
any third practices until such time as any written revocation is provided by Grantor.
s
Signed
Santiago Ma, mez [GRANTOR]
The undersigned witness certifies that Santiago Martinez [GRANTOR], known to me to
be the same person whose name is subscribed as principal to the foregoing power of attorney,
appeared before me and the notary public and acknowledged signing and delivering the
instrument as the free and voluntary act of the principal, for the uses and purposes therein set
forth. I believe him to be of sound mind and memory.
Dated: August 27, 2014
[SEAL]
Notary Public
°DFFRCIAL SEAV
Maureen A. Manan
Notary Pubes, State of Ipinois
My Commission E*ria June 1- 2915 FLORIDA,
COUNTY OF DADE
HEREBY CERTIFY that this ,s a true copy of the
""'nal filed ,n this office on day of
AD 20
p '37VFSS my hand Official Seal.
VE R VIN, Fait, f c, ud d co"
ty omts
.o.