PL-15-1142 Zle
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-249139 Permit Number: PL-5-15-1142
Scheduled Inspection Date: December 15,2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: SCORNAVACCA, MICHAEL Work Classification: Pool - Private
Job Address:999 NE 94 Street
Miami Shores, FL Phone Number
Parcel Number 1132060350010
Project: <NONE>
Contractor: DESIGNER POOLS INC Phone: (305)969-6300
Building Department Comments
POOL PIPING Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
PassedCREATED AS REINSPECTION FOR INSP-234704. PROVIDE SOLAR AND
HEAT PUMP PERMIT
Failed G
Correction
Needed ❑
Re-Inspection a
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
December 14,2015 For Inspections please call: (305)762-4949 Page 31 of 43
Permit MQ.
,.- 1 64
,gH ,,mss o Miami Shores Village Permit T,yp, Plllumin -.Re identir l
10050 N.E.2nd Avenue NE (��q// �*'ss �
SYSF'I �i4�
'�,1
,
Miami Shores,FL 33138-0000 e r,
Perm Status PPR VED
hoRi� Phone: (305)795-2204
,
• 5/21/2015 Expiration: 11/17/201
Project Address Parcel Number Applicant
999 NE 94 Street 1132060350010
Miami Shores, FL Block: Lot: MICHAEL SCORNAVACCA
Owner Information Address Phone Cell
MICHAEL SCORNAVACCA 999 NE 94 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
DESIGNER POOLS INC (305)969-6300 Valuation: $ 1,000.00
__.., __. ..... y . .._ ...._.__ .:.._. ..., Total Sq Feet: 0
Type of Work:POOL PIPING Available Inspections:
Type of Piping:
Inspection Type:
Additional Info:
Main Drain
Bond Retum: Final
Classification:Residential Scanning:1 Rough
Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# PL-5-15-55552
DBPR Fee $3.38 05/14/2015 Credit Card $50.00 $186.36
DCA Fee $3.38
Education Surcharge $0.20 05/21/2015 Check#:008359 $ 186.36 $0.00
Permit Fee $225.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $236.36
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 tha foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. F ermor ,I Uthorize the above-named contractor to do the work stated.
May 21, 2015
horize ign ture:Owner / Applicant / Contractor / Agent Date
Buil g Department Copy
May 21,2015 1
Miami Shores Village
5BY-
INSPECTION
��r
Building Department1.4 2615 s
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305)795-2204 Fax:(305)756-8972 LINE PHONE NUMBER:(305)762-4949
FBC 20«
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No. U!5—
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION. ❑ EXTENSION ❑RENEWAL
[PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): i cd*a J wugic p. Phone#:
Address: {{ �(�q IV q Lf ST
City: State: ext_ Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: ;6P�¢PI . DO L Phone#: 30 r' 1 W G 3�D
Address: ��'� s� `� w a
City: �k` t,. State: �`��. Zip: 3 3 t g G
Qualifier Name: J 6 CI¢ R C I A. Phone#:
State Certification or Registration#: CqC Iq ri f 8 ' Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 1 wig Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 06 p C2 L p. (2l W C
Specify color'of/�color thru tile:
Submittal Fee$ 0 ' 0�1Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE
NOW DUE$ Z moi'o
(Revised02/24/2014) c_�iv V G G
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." T
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 A�
VOWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
/7day of � y 2011- , by l p day of WAW 20 1 Ir by
4-6 1,a v?N4d4CA ,who is personally k own to �L9 P t1,,#.« far ts113`personafly known to
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: Sign: d tai
Print: �r,t �at��Y Print: �� `tlx
;' � 'Seal: Seal: ,i�.'- NELSON SUAREZ
WIS GMICA •
� MY COMMISSION#FF136345
W COMMISSION 9 EE 1557 ,
EXPIRES June 25.2018
EXPIRES:Det'smber26,2015 „or ,,.•°'
,j t tary Thru NoPUM Umknwdters QgEL Servlce.com
.10
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)