PL-14-1065Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-212957 Permit Number: PL -5-14-1065
Scheduled Inspection Date: December 10, 2014 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: NAVARRO, MIGUEL Work Classification: Pool - Private
Job Address: 50 NE 96 Street
Miami Shores, FL 33138 -
Phone Number
Parcel Number 1132060130630
Project: <NONE>
Contractor: CUSTOM POOLS Phone: (305)255-5315
Building Department Comments
NEW POOL PIPING
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
December 09, 2014 For Inspections please call: (305)762-4949 Page 6 of 43
t
Miam nnores v wage
Building e e t
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER. (305) 762,4949
BUILDING
PERmyr APPLICATION
Permit Twes PLUMBING
MAN 222014
FBC 2®
Permit No / L/ " !®cS.Sr
Master Permit No ��G� —
JOB ADDRESS: 50
City: Mi mi Shores
��,: Miami Dade' Zip:
Fofio/PffWV' O(0 ®
is the Building History
:Yes NO fqoodZow
OWNER: :ne (Fee Simple Tifleholder).
i
1, iIL/ �� t
stow.
No Ci -
Email.
CONTRACTOR: Company Name:
(�Ca/Sr�/a _- !"���� Phone#:
Address: =$0 5LO 131 ST. 00
3
State' � �
L
City: / --
Qualifier Name:
State Certification or Registration # � _5 �'� Certificate of #
� �
Contact Phonet Email address:
DF,SIGNER: Architect/Engineer:
viahze .of Work for this Permit: $ � � � �' Ssluare/Lir+ear Footage of Work:
Tvft of Work: UAddress [Alteration
®New ®Repairr/Replace
Submlttai Fee $
�o Permit Fee $ �2 5' — CCF $ CO/CC $
Scanning Fee $ halon Fee $ DBPR $ Bond $
Notary $Tr&WnWWucat1on Fee $ TechmoloU Fee $
®Demolition
Double Fee $ Straetural Review $
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
City
State
A11
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 thlacoof the notice of commencement and construction lien law brochure will be delivered to the person
whose properly is subjechment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection urs seven (7) days after the building permit is issued In the abse of such posted notice, the
inspection will not be apd a reinspection fee will be charged.
Pwner or Agent
The foregoing instrument was acknowledged before me this "r�'
dayof , 20 L:7— by 4 !we/ %W/ kc ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: Ao-
Print: 4LYA) 246V
My Commission Expires: //0
EXPIRES: JanuerY Undaartited
Bonded Trio! Nater/ �c
Contractor
The foregoing�il)(strument was acknowledged before me this CV/
day of VV , 20 &, by
who is personally known to me or who has produced
APPROVED BY (--� S"I-L i `i Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: . % ,,P/�iry �fe t/�°:1��eo ;,.�.,-,�o I�
*.,
My Commission &L, ON ii i 12 ,4f8
Zoning
Clerk