PL-13-1853n P„e.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number. INSP-218890
Scheduled Inspection Date: October 14, 2014
Inspector: Diaz, Osvaldo
Owner: REBELO, ALEJANDRO
Job Address: 353 NE 94 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: DREAM POOLS OF SOUTH FL
awaing department comments
Permit Number: PL -8-13-1853
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number
Parcel Number 1132060136110
Phone: (305)910-9595
PLUMBING WORK FOR SWIMMING POOL AND SPA Infractlo Passed Comments
INSTALLATION I INSPECTOR COMMENTS False
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 10, 2014 For Inspections please call: (305)762-4949 Page 8 of 24
Inspector Comments
Passed
12�
CREATED AS REINSPECTION FOR INSP-197289. revision required for
new location of pool equipment
PERMIT WILL BE BY POOL EQUIPMENT
Failed
Correction
Needed
❑
l �
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 10, 2014 For Inspections please call: (305)762-4949 Page 8 of 24
Miami Shores Village
Building Department 3
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Fsc ?� 1
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. ?iY l
Permit Type: PLUMBING
JOB ADDRESS:
Ne y S 1
City: Miami Shores County: Miami Dade Zip: 1= --
Foho/Parcel#: I I- S) Z-JJ'.P — U 10
Is the Building Historically Designated: Yes
Zone:, )Ulf)
Tenant/lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: G)- I �'� C Phone#: �O " 9, Q
Address:OD 13 12J -
City: M I A j _ State:
Qualifier lame: T J t' l Phone# j�'"
State Cer�cation or Registration #: (- tI Certificate of Competency #:
Contact Phone#: 61 ---Email Address: � a , 0
DESIGNER: Architect/Emm�e` rn Phone;
Value of Work for this Permit: $ 9-00,C) SquareUnear Footage of Work:aly4
a
Type of Work: ❑Address DAlteration ONew ORepair/Replace ODemoliti
Description of Work:
Submittal Fee $ Permit Fee $ 'Of --kJ(I y CCF $ CO/CC $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Ter.hnology Fee $
TOTAL FEE NOW DUE $ 1 (0 9 • (d l
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
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, BORERS, 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
IlVIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COM MNCEMENT:'
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 Bence of such posted notice, the
inspection will not be approvedand are' pection fee will be charged.
Signature Signature
wner or Agent Contractor
The foregoing instrument was acknowledged befo this 1 The foregoing instrument was ac wledged before me this�� v 1
day of AaUJ20 by rte; day of AiA u f r, 20, by l�
who is perso y known to or who has produced who is persoknown to mei�r who has produced
As identification and who did take an oath. cation and who did take an oath.
NOT
Sign:
Print:
My Commission Expires:
NOTARY
My
16
APPROVED BY 9'�/?� P3 Plans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012)(Revised 07/10/07)(Revised 05/10/2009)(Revised 3/15/09)