PL-14-266Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-207110 Permit Number: PL -2-14-266
Scheduled Inspection Date: August 07, 2014 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: GORMAN, SEAN CHELSEA Work Classification: Pool - Private
Job Address: 372 NE 98 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: SWIMMING POOLS OF FLORIDA INC
tsuiming uepanment comments
PLUMBING FOR NEW POOL
Phone Number
Parcel Number 1132060135680
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Phone: (305)597-3950
August 06, 2014 For Inspections please call: (305)762-4949 Page 4 of 25
Miami Shores Village FFB
g 2 2014
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
Permit No. / �! _O
Master Permit No. pp AL i9v
JOB ADDRESS: 3': , % q? _5�
City: Miami Shores f County: Miami Dade Zip:
Folio/Parcel#: l 1— .7�o� � V5— 56 VO
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): a0l_ t Gb�'InCl-Vl Phone#:
Address: 37OZ Ne- G 4 6+
City: ( c a h i SVS State: Ft Zip: 330r
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: %i h,y P06i s -0 - ' rjct i c 6 ,Phone#:
Address: 6q I 'r ivy
City: /11 t G. 1-Y11 State: Zip: I bac
Qualifier Name: incal ve ( /4mc�h.Lrz Phone#:
State Certification or Registration #: Certificate of Competency #:
Contact Phone#: _U 5C7—.3q!j0 —Email Address: Co 5p® P/• 610M
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $ 1,000 Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration 4qew ❑Repair/Replace ❑Demolition
Description of Work:
i'l on.bo r -O `fir Aeiy f dd I .
Submittal Fee Permit Fee $. ;(3M CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond
Technology Fee $
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
0
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection wAich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection w,;X not be app d and,,a�d. n einspection fee will be charge , ,
Signature_ Signature
Owner or Agent Contractor
The foregoing instrument was ack
day of O1 I2\ , 20 1 _�,, by
wh6ls personally known to me or
%1 As identific
this The foregoing instrument was acknowled&Jbefore me
day of � O UO s 20f ` { by
J Nf TA,
who ' personally known to me or17
a
C_ r
,tike Wi o as identificati
y
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N01NOTARY PUBLINOTARY co4>nl�seAF,0,dj$sF F/
Sign:
Sign: _
Print:
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Print:
My Commission ExpireY —Y My Commission Expires:
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APPROVED BY J Z '/`x Plans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)