PL-13-1249 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-192895 Permit Number: PL-6-13-1249
Scheduled Inspection Date: December 17,2013 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: GONZALEZ, FEDERICO Work Classification: Pool - Private
Job Address:21 NW 101 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1131010180220
Project: <NONE>
Contractor: GENIE POOLS Phone: 305-260-9555-
Building Department Comments
PLUMBING WORK FOR NEW POOL AND SPA Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
PassedI^' [-
All-
Failed
� L
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
December 16,2013 For Inspections please call: (305)762-4949 Page 3 of 30
a '
Miami Shores Village �
Building Department JUN ® s 2013
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax: (305)756.8972
INSPECTION'S PHONE NUMBER: (305)762.4949
FBC 20 I
BUILDING Permit No. I �'!��
PERMIT APPLICATION Master Permit No. I "•
Permit Type:t
UMBIN
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: 93 15 0
Folio/Parcel#: I I - 31 0 I - 01 $ - 012 C)
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder):_ � f a COQ X13 — �'� Phone#:
Address: - 1 NI vqj 0 1 S tr e Clk
City: NMCA.oM% S�A Q-'Op� State: F I Zip: 7 1 S CG
Tenant/Lessee Name: PJ J A Phone#: Sj i A
Email: NIA
CONTRACTOR:Company Name: Vim 42- ip OO l S Phone#: (30S3-2-(G0 q 5�c�
Address: 1.jwg0 S '," l2S s-t re e-.i If -zo
City: M 10-fy%1 State: F ! Zip: 3
Qualifier Name: C_17_ (ri LA C1, d-ACk Phone#: y Co C -G SSS
State Certification or Registration#: SLV c, I L45 7 CS 5 Certificate of Competency#: (�
Contact Phone#:(3C S)2(o 0-C/S$S Email Address: 1 ai"CXx Li-'01 _ .�Q— k7 L)O(,f L-&fn
DESIGNER:Architect/Engineer: ECS u o-fd o aa-( (E. Phone#: (-1'F5 Co 2.301 - i q O S-
Value of Work for this Permit:$ S CD O Square/Linear Footage of Work: 2-56 51f POOL
Type of Work: ❑Address DAlteration 4New I]Repair/Replace ❑Demolition
Description of Work: ng-VJ Q C:0 1 O-A)CA S'J2Q- p , p; n�-4
Submittal Fee$ Permit Fee$, ?�Z5, CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ •
Bonding Company's Name(if applicable) N
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable) N)A
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 ELECTRICAL WORK,PLUMBING, SIGNS,
WELLS,POOLS,FURNACES,BOILERS,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
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 roved and a reinspection fee will be charged.
Signature Signature `► I 0�'
Owner or Agentii nn Contractor
The foregoing instrument was acknowledged before me this U The foregoing instrument was acknowledged before me this(10
day of M61 .20Q!-,by FF D D K r CD CgO nW t day of 20 V ,by LIQ UG i--Z 0
who is p5!!�As
a or who has produced who is pers ally known to me r ho has produced
'ficationand who did tak a oath. incation a wnoi e an ath.
`•SPRuo'a G RELUARDIA
NOTARY PU LIC: G BRIEL E. UAR IA NOTAR Notary Pu lic S to of FI rida
otar Public-Sate Florida CoQ; My Co .Exp Jul 4, 013
Q° o Expir 14,2013 of g��+`' m ' sion#D
a. unu
Sign: oe ?``' Com iissio # D 903043 Sign:
Print: Print: 11_q I? e
My Commission Expires: My Commission Expires:
APPROVED BY F�� "�3 Plans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Mellon: Rick Scott
Governor
To protect,promote&improve the health r
of all people in Florida through integrated ti John H.Armstrong,MD,FACS
state,county&community efforts. HEALTH State Surgeon General&Secretary
Vision:To be the Healthiest State in the Nation
June 28, 2013
(Genie Pools)
12940 SW 128 Street
Miami, FL 33186
RE: Contingency Letter
Application Document No:AP1110474
Centrax Permit Number: 13-SC-1478116
OSTDS Number:
21 NW 101 St ('feActr1w,> eAc.;nZ--AteZ)
Miami, FL 33150
Lot:15 16 Block:2 Subdivision:
Dear Applicant:
This will acknowledge receipt of an application dated 06/07/2013 for a permit to use an
existing onsite sewage treatment and disposal system located on the above referenced
property.
From a review of your completed application, it has been determined your existing system is
adequate for the proposed use.
This permit is granted for the construction of a new swimming pool. There will be no increase
in sewage flow or characteristics and no impact on the unobstructed area.
*********************APPROVED*********************
If you have any questions on this matter, please call our office at(786) 315-4444.
Sincerely,
Astrid Edwards, nee upervisor III
L;
Enclosures Miami-Dade C ty alth DD rtment
cc: O.S.T.D & el rogram
Florida Department of Health www.FloridasHealth.com
in DADE COUNTY TWITTER:HealthyFLA
1725 NW 167 St,Opa Locka,FL 33056 FACEBOOK:FLDepartmentofHealth
PHONE:(305)623-3500.FAX:(305)623-3645 YOUTUBE:fldoh