PL-14-2321iy
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-222016 Permit Number: PL -10-14-2321
Scheduled Inspection Date: March 19, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo Inspection Type: Final
Owner: DALEY, EUGENE Work Classification: Pool - Private
Job Address: 467 NE 100 Street
Miami Shores, FL 33138-2446 Phone Number
Parcel Number 1132060170530
Project: <NONE>
Contractor: CALYPSO POOL CO.
tsunamg uepanment comments
PIPING FOR POOL
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction F'
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid
March 18, 2015 For Inspections please call: (305)762-4949 Page 5 of 38
BUILDING
PERMIT APPLICATION
[BUILDING
*UMBING
ELECTRIC
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JAN 2 0 2015
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION UNE PHONE NUMBER: (305) 762-4949 BY:
E] ROOFING
❑ MECHANICAL ❑PUBLIC WORKS
F (BSC 20 ��-j
Master Permit No. � T p- I ®' N - 23 f c)
Sub Permit No. PL " i C) --14' 232,
REVISION
❑ CHANGE OF
t CONTRACTOR
JOB ADDRESS: I 00
❑ EXTENSION RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
Folio/Parcel#:_ Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: N (Fee Simple Titleholder):_ 0 0 Q •e, /'1 C � /� I ��Phone#-
Address. �(.0 -7 0 1 c-) c� ST
City: �—A 'S k 5 State C Zip: 3 3 +�
Tenant/Lessee Name: Phone#.
Email:
CONTRACTOR: Company Name:
Address: 7 4 U o A,
City: JIL--'l. ( lxln/t
Qualifier Name: �r
State Certification or Registration #:
SC) Poo l Cl0
1 Phone
I 0Ct
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#.
Value of Work for this Permit -
Type of Work: ❑ Addition
naer►iMi— —6 W-16.
❑ Alteration
Z&2 j 2-V
3)3-
DESIGNER:
)Z
City: State: Zip:
Square/Linear Footage of Work:
New ❑ Repair/Replace ❑ Demolition
Specify color of color thru We;
Submittal Fee $ Permit Fee $�f • CCF $ CO/CC $
Scanning Fee $ Radon Fee $ . DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ -� Zq •
(Revisedo2/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
Cm' 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. 1 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.
Signa a Signatur
4 �w
101 OWNER or AGENT CO CTOR
The 1foregoing instrument was acknowledged before me this The foregoing instru ent was acknowledged before me this
l day of 20 S by day of '20 15 . by
who is personally known to . who is personally known to
me or who has produced le- 04 &-V as me or who has produced —(ya r ra rmmzd %f L as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
PI
N I' i•
�-..Yt.! �.t�'J,. _ .. _ � �r►"�lC�Y�'/�`SMNI
sssssssssssssssssss+rsssssssssssssssssssssssssssssssssss+sssssssssssssssssssssssssssssssssssssssssssssssssssss
APPROVED BY ® v 24 -.es Plans Examiner
Structural Review
(RWsed0Z/24/2014)
Zoning
Clerk
ti
Miami Shores Village��'
Building Department 0c 1 2014
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 3Y:.-
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (30S) 762-4949
FBC 201U
BUILDING Master Permit No.a-12fD-1-A- 2-3�11
PERMIT APPLICATION Sub Permit Nol _ ` 1 q— '2_3 '2
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
]PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
J�,, 1 CONTRACTOR DRAWINGS
JOB ADDRESS: _ -T 0 7 N E( 0 D ST pp
City: Miami Shores County: Miami Dade Zia: O
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 9- Q IC V-) l U Phone#:
'
Address: ' l (P -I L2 (:�__ 10 ® S T
City: P l k -o-, i Sir \ O 2e S State: P - L-- Zip: i?) 13
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:'--,
SO POD ` o®
one#: -3 ®S JS C1 Zj3`712-
Address 0 S \--# 1 1,1
City: " / Nss_ Ail I —State: L_ Zip: �3 ,
Qualifier Name: (2Pt(2-L.QS G CO -1 2�' e-2—` Phone#:
State Certification or Registration M 12 f ® S -7't Certificate of Competency M
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $_ I D Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration [(New ❑ Repair/Replace
Description of Work:
Specify color of color thru tile:
❑ Demolition
Submittal Fee $ Permit Fee $ A17,2A. r CCF $ ® CO/CC $
Scanning Fee $ _'21 , 03 Radon Fee $ DBPR $ Notary $
Technology Fee $ L ° GO ® Training/Education Fee $ 0 '-4 0 Double Fee $
Structural Reviews $ 0 Bond $
TOTAL FEE NOW DUE $ co
(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
TZ
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 low 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.
SignatA�::����� aL9�
OWNER or AGENT
The foregoing instrument was acknowledged before me this
o day of 2014 by
e n e i((V-�, who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Signature
�2A �(&/
CONTRACTOR
The foregoing instrument was acknowledged before me this
20 day of 0 20 11-4 , by
CDPC'(2A ®S & W1 personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
as
Sign:
Sign:
Print -e1PN
OflGES
�?LjDMmber
Print: r a.
®LADY RQ S
N1Y COMMISSION 0 EE 048187
Seal: g ,m
EXPEXPIRES:
Bonded r 17, 2014
Public Underamjen;
Seal: '%AF; --0V'
December 17, 201
Bonded Thru Notary Public Undom tere
aaaaaaaaa*****a*a*aaa**********aa*aa*a*aaaaaa*aa***a*aaaaaaa**aa****aaaaraa********aaaaaaaaaaaaaaaa*******aa
APPROVED BY /t •'mss Plans Examiner Zoning
Structural Review _ Clerk
(Revised02/24/2014)