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PL-15-1080 r � s Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-234163 Permit Number: PL-5-15-1080 Scheduled Inspection Date: August 26, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: FRONTAL, RAUL Work Classification: Pool - Private Job Address:585 NE 93 Street Miami Shores, FL 33138- Phone Number (305)609-6700 Parcel Number 1132060141030 Project: <NONE> Contractor: ROSMEL POOL INC Phone: (305)592-7900 Building Department Comments POOL PIPING Infraction 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. August 25, 2015 For Inspections please call: (305)762-4949 Page 9 of 48 Miami Shores Village p 10050 N.E.2nd Avenue NE \ v, ` tol Primate Miami Shores,FL 33138-0000 "` ` VFX " Phone: (305)795-2204 Expiration: 12/0912015 Project Address Parcel Number Applicant 585 NE 93 Street 1132060141030 Miami Shores, FL 33138- Block: Lot: RAUL FRONTAL Owner Information Address Phone Cell RAUL FRONTAL 585 NE 93 Street (305)609-6700 i MIAMI SHORES FL 33138- 585 NE 98 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,800.00 ROSMEL POOL INC (305)592-7900 ...._., _ ... ......,... __ ._. _ Total Sq Feet: 0 Type of Work:POOL PIPING Available Inspections: Type of Piping: Inspection Type: Additional Info: Main Drain Bond Return Final Classification:Residential Scanning: 1 Rough Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# PL-5-15-55453 DBPR Fee $3.38 06/12/2015 Check#: 12814 $ 187.96 $50.00 DCA Fee $3.38 Education Surcharge $0.40 05/06/2015 Check#: 1029 $50.00 $0.00 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $237.96 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 with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS, ROOFING and SWIMMING POOL work. OWNERS A AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction nd' onin . F h ore, I autho the above-named contractor to do the work stated. June 12, 2015 Authorized Signature:Owner / Applicant Contractor / Agent Date Building Department Copy June 12,2015 1 Miami Shores Village F,1V Building Department By MAY 06 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY: INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 16 BUILDING Master Permit hlolayp_ 5- 1 ())`G ' PERMIT APPLICATION Sub Permit No-?i_ 15- 10 BO VF-IBUI ING r-] ELECTRIC F_� ROOFING F_� REVISION [--I EXTENSION F_JRENEWAL PLUM PLUMBING ❑ MECHANICAL F__jPUBLIC WORKS r-1 CHANGE OF ❑ CANCELLATION F-] SHOP CONTRACTOR DRAWINGS JOB ADDRESS: sl City: Miami Shores County: Miami Dade zip: -5--_51_511:'� Folio/Parcel#: 'i 1 , (t, q I C __i)C% Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): �k il­t'_'; i Phone#: Address: '-4 Q 1z__I vic-As -AnA -I--)r --it 161'3 Zip: "531(cC, City: C-'Z:0 PD4,,C State: Tenant/Lessee Name: Ni Phone#: Email: CONTRACTOR:Company Name: RL'.Aoel I Lx' Phone#: _6 _!5 C1_2 ), Address: 19OWS \j LL11 -50 City: e-a - 1L)CE141 State: .-Zip: 1(n Lr Qualifier Name: al'! N't'i(A h/-A L� �'t Ck Phone#: Jc State Certification or Registration M. (I,?(-, 114SUR(-,4 Certificate of Competency#: L. DESIGNER:Architect/Engineer: I 0V-0LC_'0A PC-j. 3L9 I Phone#: Address: i l sL,--) I A v—, City: .. "._6Li`1'6 State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: El Addition El Alteration F-1 New 0 Repair/Replace El Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ so - Permit Fee$ CCF$ CO/CC$' Scanning Fee$ Radon Fee$ DBPR$ Notary$_ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 1 Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable)�Ti! 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. e Signature _ '-__ -- Signature �- OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this •2,,:1 day of tk)l A►;�11 ,20 t :) by 2I day of tl�(1-i't ill 2 ` by who i ersonally know_n;to �4'�I t"f1"i�*. -tc--,who i personally knowr�yto .__. -- 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 PUBLIC: Sign: ° i (, Sign: Print ARAlp, Print: 4 ��I ? rT UUMN1110D EXPIRES:May 15,2017 '*AL MYCOMMISSION#FF 008989 Seal: Seal: EXPIRES:May 15,2017 ' 7hru Notary Publ c Underwriters -=�� o�,, Bonded Thru Notary Public Underwriters APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)