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BPP-15-865 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-232362 Permit Number: BPP-4-15-865 Scheduled Inspection Date: August 03, 2015 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: LONGMAN, PATRICK Work Classification: Addition/Alteration Job Address: 1499 NE 104 Street Miami Shores, FL Phone Number (305)677-3046 Parcel Number 1122320320110 Project: <NONE> Contractor: CHAMPION CONCRETE Phone: (305)252-8055 Building Department Comments POOL DECK AND POOL RESURFACING infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 31,2015 For Inspections please call: (305)762-4949 Page 5 of 28 Ir 06M -44 6-865 Ud j°' s ey Miami Shores Village1W.F" IS)Hot, 7tti t 10050 N.E.2nd Avenue NEfl>f�10*0 3Oft Miami Shores,FL 33138-0000 rM It > mit t8t P?ROVED "�. Phone: (305)795-2204 . �. 3 Expiration: 12/0112015 Project Address Parcel Number Applicant 1499 NE 104 Street 1122320320110 PATRICK LONGMAN Miami Shores, FL Block: Lot: Owner Information Address Phone Cell PATRICK LONGMAN 1499 NE 104 ST (305)677-3046 l MIAMI FL 33138-2663 Contractor(s) Phone Cell Phone $ 11,200.00 Valuation: CHAMPION CONCRETE (305)252-8055 (786)402-4802 Total Sq Feet: 900 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved: : In Review Pool Deck Date Denied: Wall Steel Type of Work:Swimming Pool Occupancy:Private Fence Additional Info: Bond Return : Final Classification: Residential Scanning:3 Review Plumbing Review Electrical Review Electrical Review Planning Review Planning Review Planning Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Building CCF $7 20Review Building Invoice# BPP-4-15-55187 DBPR Fee $5.04 04/14/2015 Cash $50.00 $324.28 DCA Fee $5.04 Education Surcharge $2.40 06/04/2015 Check#: 1926 $324.28 $0.00 Permit Fee $336.00 Scanning Fee $9.00 Technology Fee $9.60 Total: $374.28 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% h the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsiVity for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,7the HANICAL,WINDOWS,DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I ce that foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin er I authorize the above-named contractor to do the work stated. June 04, 2015 Authorized Si ature:Owner / Applicant / Contractor / Agent Date Building Department Copy June 04, 2015 1 '►� � �� Miami Shores Villa �.FrF 6 Village APR � 2015 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �__-- 1� Tel: (305)795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC M 0 BUILDING Master Permit No'e--FF—t5-RGA PERMIT APPLICATION sub Permit No. E�IUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP i CONTRACTOR DRAWINGS JOB ADDRESS: ! 4 441 0/4; City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-72-'L— Ozi 2-- 0110 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): P*-71Lta4- L M&A0 4..; Phone#: Address: i q 4 ty A-5- /0115;r City: 1,46"; 3,17,0ite3 State: t-- Zip: 7 ;14-Y' Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Phone#: Address: d ey 1 Ir-3 `jam X17"t f� City: ydf State: - Zip:,�1)2X Qualifier Name: .JA�/�� '7�y��''r.� Phone#: 7!2j`4((Z OA-Z State Certification or Registration#: Certificate of Competency J'-5'0ytyS DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$_ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: �� Specify color ofrlcolor �thru-tile: Submittal Fee$ U Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ t:>(J V `-"' TOTAL FEE NOW DUE$ L-U (Revised02/24/2014) �''4 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 mus a posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence such posted notice, the inspection will not be approved and a reinspection fee will be charged. • w Signature i �! Signature OWNER or AGENT ONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Z day of /Lk 20 1 S by day of "%,-a 120 / by 4 016✓1 who is personally known to oi✓y)-7c 6/j-5i/,V who is personally known to me or who has produced .DL L-SZS-67Y-66-IM-42 me or who has produced S:�ru1� as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: r• SignSign: Print: K Print: nu I ri LUX WA� Seal: Y MY COMMISSION FF 172019 Seal: _�' + MY COMMISSION#FF 172019 EXPIRES:January i8,2019 =s' EXPIRES:January 18,2019 ti Bonded Thru Notary Public UnderwritersR 1 Bonded Thru Notary Pubic Undo writers **************************** ************************************************************************ APPROVED BY Plans Examiner ( � Zoning Structural Review Clerk (Revised02/24/2014) (-I hA ut- APR 2015 F?L NAIL f OFF 0.1 NOEL `TAVERS _ - �otiE' �- 0 BLOCK 3 15&5 _- - <. /iA�, LOT 12 .> +� D 7Y"f!- z m m tarn' � 6. e Z 1 cr a CX� -eep^7,i G c T ° - w ONE STORY ` m �` MS RMCL ov #1499 3 - �, -moi e I HAIX 3 (L M " LOT 12 _ CL 59 • cli T ` PA ••••s• •••• • ••• 4' t � 4'x •••:•• • ACP21.45 �` T� •••• • ••� a • ^ ID 4PALT ASPH;t - •••••• • • F • • • N 75.00' 1P) 5� 625. TO _ Fut 5 K `� 75.04' M FIR 51!r1 NO[LS CONK. 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