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PL-15-1572 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-237593 Permit Number: PL-6-15-1572 Scheduled Inspection Date: November 18,2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: VERA, EDUARDO Work Classification: Pool - Private Job Address:950 NE 95 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132050070120 Project: <NONE> Contractor: ROSMEL POOL INC Phone: (305)592-7900 Building Department Comments POOL PIPING Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Il Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 17,2015 For Inspections please call: (305)762-4949 Page 2 of 33 � mss+° s t" Miami Shores Village t 10050 N.E.2nd Avenue NE #+ � ` + i6oool Priv! W Miami Shores,FL 33138-0000 ' PetmitStetus.APPI�3VI=D Phone: (305)795-2204 st � f Expiration: 02/20/2016 Project Address Parcel Number Applicant 950 NE 95 Street 1132050070120 Miami Shores, FL 33138- Block: Lot: EDUARDO VERA Owner Information Address Phone Cell EDUARDO VERA 950 NE 95 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 ROSMEL POOL INC (305)592-7900 _.._,..,. _. . Total Sq Feet: 0 Type of Work:NEW POOL,DECK AND SPA Available Inspections: Type of Piping: Inspection Type: Additional Info: Main Drain Bond Return: Final Classification:Residential Scanning:2 Rough Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# PL-6-15-56103 DBPR Fee $2.25 DCA Fee $2.25 08/19/2015 Credit Card $ 163.70 $0.00 Education Surcharge $0.40 Permit Fee $150.00 Scanning Fee $6.00 Technology Fee $1.60 Total: $163.70 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 AFFIDAVIT: I certify that all the foregoing ormation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize e a e- med c tractor to d the work state¢, G� August 24, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 24,2015 1 Miami Shores Village Building Department SM 9 Z Nnr 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 201 BUILDING Master Permit No. 5 2 ( s -- i s� I PERMIT APPLICATION Sub Permit No. PL--A5- 1S-7q-' ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION E]RENEWAL N?,,;LUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ©I-,5 --A. City: Miami Shores County: Miami Dade zip: fj � Folio/Parcel#: i 1' Nun DM a a I an Js the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): le:30t)-'ea n V"C' Phone#: Address: 95D AE TS 5tn City: IAi Lei zAccireS State:_ 6 Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: fill Phone#: ] Gal=1G� Address: -mr% klu) vv-- City: �� State:- irL Zip: Qualifier Name: M'w- yy-A a Ye C� Phone#: n®!!S- '-SC1Q Gj®Q State Certification or Registration#: 07 C. IL15WnLV Certificate of Competency#: DESIGNER:Architect/Engineer: V�r y ,j jo a n ®y D ic 3%:j\ Phone#: "! %La--1 Vs "5- Address: ` l ��e 1 D Z)a 'pkY� City: ��c�a�+►✓t j State:�L Zip: .�J)�� Value of Work for this Permit:$ ap -Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: C� �► ;�1 Bl Specify color of color thru tile: 33 Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ f Bond$ TOTAL FEE NOW DUE$ (RevisedO2/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address pr 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. Signature "� Signature or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of J U iM 20s�15 by day of, JJ L by d ori)- C) Vexo- .who is ovally known t +f 0. ho ersonally know o 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: C4 Sign:JAI i Print: LV Print: � ►o Z_ f Ae lana a n °cvue,� u y Seal: aQ�rgvP11yA�c :COMMISSION#FF01Seal °°"ra''�•. BuzHelero{a6 n =a EXPIRES: MAY 19,2017 3a�~IL %'o-S OMMISSIONiIFF0190liB ApR0NN9TARY �y ` EXPIRES: MAY 19,2017 WWw.a„e' ��ss'pFP•°°° 1MVW,AAR0NN0TARfx3a APPROVED BY -4-'Z-5'5 Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014)