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MC-14-1395 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-215011 Permit Number: MC-6-14-1395 Scheduled Inspection Date: February 19, 2015 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: BUTLER,JACQUELINE Work Classification: Pool Heater Job Address: 1461 NE 102 Street Miami Shores, FL 33138-2621 Phone Number Parcel Number 1132050240140 Project: <NONE> Contractor: DREAM DESIGN POOLS INC Phone: (954)916-5337 Building Department Comments PERMIT TOR REPLACE MC11-1247 TO FINISH POOL Infractio Passed Comments INSPECTOR COMMENTS False I I V -, I is Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. February 18, 2015 For Inspections please call: (305)762-4949 Page 3 of 30 • Miami Shores Village r;-< Building Department . JUN 3 0 2014 10050 N.f.2nd Avenue,Miami Shores,Florida 3313$ BY. Tel:(305)795-2204 Fax(305)7554972 INSPECTION LINE PWME NUMBER:(305)M-4949 FBC 20 IC' BUILDING wbsw PemIt NO �' �' 4 PERMIT APPLICATION Sub Permit No. M C - ❑BUILDING ❑ELE TRIC ROOFING pREVIsIoN EXTENSION PRENEWAL PLUMBING IM MECHANICAL PUBLIC WORKS IMCHANGEOF CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1461 NE 102 STREET City: Miami Shores County: Miami Dade T.la: Fogo/Parcei :11-3205-0241}144 Is the&Adkg Wil►DedrMed:Yes NO X r Occupancy Type: Load: Construction Type: Flood Zane: BFC: FFE• OWNER:Name(Fee Simple Titleholder): JACQUELINE BUTLER Phone#;786-797-5527 Address:1461 NE 102 ST City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Emaih CONTRACTOR;Company Name: DREAM DESIGN POOLS, INC_ Phi: 954916-5337 ,address; 13771 N Garden Cove Circle city: DAVIE State: FL 33325 Qualifier Name. RAFAEL PELLERANO Phoned: 786.402-2253 State Certification or Registration#: CPC1=00(3 51 V .31 Certificate of Competency#.- DESIGNER: :DESIGNER:Architect/Engineer. Phone#• Address: City: State• Zip: Value of Work for tw Pemdt:$AI c- s�� SJR Footage of Wada Type of Wont: ❑ Addition p Alteration ® ❑ Repair/Replace ❑ Demolition Description of Work Specify color of color lhru lie- Submittal Fee S Pem*Fee S t CCF S MCC$ Scanning Fee S Radon Fee$ DBPR$ Notary$ Technology Fee$ Trak ft/Education Fee$ Double Fee$ structural Rewews$ Bond$ TOTAL FEE NOW DU€$ i IRevised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lenders 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, 51GN5, POOL5, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNERS 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 FAIWRE 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 BEFORE RECORDING G YOUR NOTICE OF COMMENCEMENT."' Notice to Applicant: As a condition to the issuonce of a buklding permit*ft:on estlmowd value exceeding$25W, the applicant must promise In good faith that o copy of the notke of dement and consduction pen law brochure will be delivered to the person whose property a subject to attachment Also,a aertgW copy of the recorded mice of catmumcement must be posted at the job site for the first inspection which occas seven (7)days after the bmVmg per W is issuedin the abserx a of such posted notice, the inspection will not be approved and a reinspection fee wiN be charged. Signature Signature C --- — OWNER or AGENT CONTRACTOR The foregoing instrument was admmywieciged before me this The foregoinginstrument was acknowledged before me this day of s Ci 20 l l ,by 'LQ day of 20 1-'J ,by who is aer3onally known to .who is personally known to me or who has produced as rice or who has produced as identification and who did take an oath. identfication and who did take an oath_ NOTARY PUBLIC: NOTARY PUBUCt Sign: e A1 Signs Print: UL ./� �1 �� Print' d'7J Seal- Seal; 4)* d Notary Public State of Florida of Florida Luis Ariel Duarte M Commission EE 183181 183181 sWggs***** s****ts**sssss*******s4;9 s APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revi5edo2l24/27734)