PL-14-2292 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-221825 Permit Number: PL-10-14-2292
Scheduled Inspection Date: May 05, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: GUGUEN, ALICE Work Classification: Pool - Private
Job Address: 10601 NE 6 Avenue
Miami Shores, FL 33138- Phone Number
Project: <NONE> Parcel Number 1122310120020
Contractor: AQUARAMA POOL INC Phone: (954)529-4552
Building Department Comments
PLUMBING FOR NEW POOL Infractio Passed Comments
INSPECTOR COMMENTS False
r-11C.-A
Inspector Comments
Passed E6
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
May 04,2015 For Inspections please call: (305)7624949
Page 3 of 40
Miami Shores Village - -
�� 7FD
Building Department OCT 172014
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 i
Tel:(305)795-2204 Fax: (305)756-8972
INSPECTION LINE PHONE NUMBER: (305)762-4949
FBC 2® 1C
BUILDING Master Permit No. 16Vp 1,--1— -2-2-,U l 1
PERMIT APPLICATION Sub Permit No. FL I y 2 ZpI— 2-
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
®PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: _(Q 6o► A V t--'
City: Miami Shores County; Miami Dade zip: 33 i 3Qs
Folio/Parcel#: 11 -2-2-3 1 •- 012- -ooZO Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): -/Akhil. C7M\/Ais 1A1,1 F J6,jPhone#: �8G 2-4/ 5-}/9
Address: 10601 0C GA AvL
City: A 4 1 Si-fe" State: �ic�j2�.a� Zip: 33 jjo
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: G)cJAI?AWA PALS Phone#: 3C95 `13V S/Z 2G
Address:,30q ftiD•A,) -TZc' -son
City: State: cri2i
Qualifier Name: Phone#: '>05 `?3'IIV2ZC
State Certification or Registration#: Cl'C 1q,56$1/ Certificate of Competency#:
DESIGNER:Architect/Engineer:_ VICLe &Atjc C, Phone#: 305 3C5 S43.1
Address: /04-71✓1� o Lh �S City: l�iAr+l State:7C. Zip: 33, 149
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: 1Y Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: d'FW Foot Pe nnR1,1 F;
Specify color of c or hru tile:
Submittal Fee$ Permit Fee$ e27 - CF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 3 •651- 6
(Revised02/24/2014)
{ A
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State 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.
Signatre Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument Ns ac nowledged before7e this The foregoin instru nt w s acknowledged before a this
day of 20 by day of 20 > by
ho is personall nown to who is personal) own to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC NOTARY P BL C:
J
Sign: Si
Print: Print:
Sea.. C"*r`� r`''"`'"
^ Seal:
K9r T�9` P otanV Public State of Florida
Nota Dubuc tate or Florida Ro';eno Sanchez
ROherlo San hez rty„n i�;ssien FE043995
h-EG439N i'ii
F•a_ �5'2Vi4 � C ':/05/2014
APPROVED BY 2!" Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)