BPP-15-924Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-232910 Permit Number: BPP -4-15-924
Scheduled Inspection Date: June 22, 2015 Permit Type: Pools/Whirlpools/Hot Tubs
Inspector: Rodriguez, Jorge Inspection Type: Final
Owner: EMERSON, HELEN Work Classification: Repair
Job Address: 1458 NE 104 Street
Miami Shores, FL 33138 -
Phone Number (305)751-7252
Parcel Number 1122320320301
Project: <NONE>
Contractor: ALL FLORIDA POOLS AND SPA CENTER Phone: 305-893-4036
Building Department Comments
RESURFACE EXISTING SWIMMING POOL, NEW SAND mtracao rassea toommenss
SET, PAVER SYSTEM OVER EXISTING POOL DECK I
INSPECTOR COMMENTS False
AREA, NEW WATERLINE POOL TILE.
June 19, 2015 For Inspections please call: (305)762-4949 Page 10 of 21
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
June 19, 2015 For Inspections please call: (305)762-4949 Page 10 of 21
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
it
Project Address Parcel Number Applicant
1458 NE 104 Street 1122320320301
HELEN EMERSON
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
HELEN EMERSON 1458 NE 104 ST (305)751-7252
MIAMI FL 33138-2664
Contractor(s) Phone Cell Phone
ALL FLORIDA POOLS AND SPA CEN1 305-893-4036
In Review
Approved:: In Review
Denied:
of Work: Swimming Pool Occupancy: Private
ional Info: RESURFACE EXISTING SWIMMING POO Bond Retum :
Residential
Fees Due
Amount
Bond Type - Contractors Bond
$500.00
CCF
$8.40
DBPR Fee
$6.30
DCA Fee
$6.30
Education Surcharge
$2.80
Permit Fee
$420.00
Scanning Fee
$9.00
Technology Fee
$11.20
Total:
$964.00
Scanning: 3
Valuation: $ 14,000.00
Total Sq Feet: 450
Pay Date Pay Type Amt Paid Amt Due
Invoice # BPP -4-15.55253
04/20/2015 Check* 309530 $ 50.00 $ 914.00
04/27/2015 Check #: 309591 $ 914.00 $ 0.00
Bond #: 2690
Available Inspections:
Inspection Type:
Final
Review Planning
Review Building
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by . er myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOW OORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing informati s to and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the abo tractor to do the work stated.
April 27, 2015
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
April 27, 2015 1
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
E?B'UILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS
JOB ADDRESS: I%A ta 1.-rL k0A i -
FBC 20tO
_`C" -f
Master Permit No I ! jJ` (2
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:_ 11-1151- 016o l Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): ,UA1 1Ae1h-/ Phone#:
Add
City: M\AM% State:
Tenant/Lessee Name:
Email:
hone#:
613%
CONTRACTOR: Company Name: Lk0&,0/a P00L. Phone#: �*Sffii'q,,L
Address: l lrl)o fa`X,. &&
City: 41A t rvA% State: IL Zip:
Qualifier Name:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Certificate of Competency #:
ne#:
Address: City: State: Zip..
Value of Work for this Permit: $ ii, ow Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ['Repair/Replace ❑ Demolition
Specify color of color thru tile: //��
Submittal Fee $ ` Permit Fee $ 20 • % CCF $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $ SS) , a
TOTAL FEE NOW DUE $ (+1 14 , W
(Revised02/24/2014) Q CD
l
Bonding Company's Name (if applicable) VAV
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable) .11i
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 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.
Signature Suoy dc &aw��
OWNER or AGENT
The foregoing instrument was acknowledged before me this
tl+l� day of 20 1 V . by
lme_ ,who is ersonally known
me or who has produced
identification and w did take an oath.
NOTARY PUBL
Sign:
Print:
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
0 day of 6rol20 (S , by
trA Qftot ✓ , who i ers nally known o
as me or who has produced
identification and w di
NOTARY PUBLIC:
-'a")
Sign:
5� Print:
aN Seal:
EE
Bim, h���NobN
as
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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APPROVED
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SUB,IFCT TO COMPLIANCE WITH ALL FEDERAL
STATF AND COUNTY RULES AND REGULATIONS
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