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PL-15-2436 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-244186 Permit Number: PL-9-15-2436 Scheduled Inspection Date: December 23,2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: PERRA, OTTAVIA Work Classification: New Job Address:10659 NE 11 Avenue Miami Shores, FL 33138- Phone Number (305)322-8777 Parcel Number 1122320280320 Project: <NONE> Contractor: ROSMEL POOL INC Phone: (305)592-7900 Building Department Comments POOL PIPING infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed dL.Z3"� Correction Needed Re-inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid December 22,2015 For Inspections please call: (305)762-4949 Page 14 of 59 3 t 3 Miami Shores Village " _ �' 10050 N.E. ` 2nd Avenue NE r t� III Miami Shores,FL 33138-0000 3 Phone: (305)795-2204 Expiration: 0481612016 Project Address Parcel Number Applicant 10659 NE 11 Avenue 1122320280320 Miami Shores, FL 33138- Block: Lot: OTTAVIA PERRA Owner Information Address Phone Cell OTTAVIA PERRA 10659 NE 11 Avenue (305)322-8777 MIAMI SHORES FL 33138- 10659 NE 11 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone ROSMEL POOL Valuation: $ 2,000.00 L INC ( 05)592-790 O ��,..�._..�..... .�_._.. � .._3 .._..0 Total Sq Feet: 0 Type of Work:POOL PIPING Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Retum: Final Classification:Residential Scanning:3 Water Main Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee Invoice# PL-9-15-57201 $3.38 10/19/2015 Check*13088 $243.96 $0.00 DCA Fee $3.38 Education Surcharge $0.40 Permit Fee $225.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $243.96 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 AFFIDAVIT: I certify that all the foregoing in rmation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore I authorize the ab v na 9 ntractor to�tne work stated. October 19, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy October 19,2015 1 l Miami Shores Village ------ Building Department epartment 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 SEP 2 4 015 Tel:(305)795-2204 Fax:(305)756-8972. INSPECTION LINE PHONE NUMBER:(305)762-4549 -_ BUILDING FBC 20 PERMIT APPLICATION �Master Permit No. - S Zq3 Sub Permit No.—KC- lS- L-3 []BUILDING ❑ ELECTRIC Ej ROOFING ❑ REVISIONQ EXTENSION ❑RENEWAL PLUMBING MECHANICAL PUBLIC WORKSCHANGE OF ❑ [] CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami ShoresCounty Miami Dade Zlo f=olio/Parcel#. 1 1. 2 Is the Buitding Historically Designated:Yes -NO Occupancy Type: Load: Construction T e: Yp __Flood Zone: BFE: FFE . OWNER:Name(Fee Simple Titleholder); Phone#: Address:__ I Dt - 1A City: State: FL Zip:— 1-55 Tenant/Lessee Name:_ I A Email: Phone#: CONTRACTOR:Company Name:_ j -4>--I., IPv Phone#: 305.5901 �g©p Address: 1Jt„J City: --I State _ F( ZRP: �31(cCo Qualifier Name: Phone#: State Certifcation or Registration#:(' ,(4-L Izz"'-g n Certificate of Competency#: S" 9 q DESIGNER:ArehitectJEngineer:- .u Gi v+n ®1-a 7;[1 ➢fit (0(�3 y ] Phone#: Address' SnAJ l 22 V. M i Cfty: ten..' State: FL Zip: 3S I W Value of Work for this Permit:$`��'� ®� Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ED New EDRepair/Replace ElDemotitian Description of Work: �l Specify,color of col®r thru glia: Submittal Fee$ ;M Permit Fee$ CCF$ CO CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ ""-- Bond$ (Rev1sed02/24J2014) TOTAL FEE NOW DUE$ ICJ i Bonding Company's Name(if applicable) Bonding Company's Address State City rip Lender's Name(if applicable) Mortgage Lender's Address" Zip City State lation has Application is hereby made to obtain a permit to do the work and installations as ctoemeet certify standards ds of allno work y lawns 'regulating commenced prior to the issuance of a permit and that all work will be performed construction in this jurisdiction. 1 understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNAFFIDAVIT: I certify that ail the foregoing information is accurate and that all work will be done in compliance with all appiicable laws regulating construction and zoning. ,'WARNING TO OWNER. YUR-.FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY MAY RESULT IN YOUR PAYING ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to icant must the issuance of a building permit,with struction /lien taw b ochured value dwi�beivered m the �olthe person promise in good falth that a copy of the notice of commencement an o a certified copy of the recorded notice of commencement must be posted at the job site Also, ice t to attachmenfi. e o such posted notice,is sub ectabsence p whose property 1 for the first inspection which occurs seven (7) days after the,building permit is issued, In the a inspection will not be approved and a reinspection fee will be charged. u&- . Signature Signature CONTRACf0R OWNE or AGENT The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 by day of rJ tQ i;,by 4t+°a ,who is rsonaliy know to / who is ersonallykno to me or who has produced as me or who has produced_ as identification and who did take an oath. dentification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: C14 Sign: Print: r g Print Seal: Seal: k'�. MARCOSA MARTINEZ f*: AMARCOS A MARTINEZ MY COMMISSION#FF008989it MY COMMISSION##FF 008989 EXPIRES:May 15,2017 Bonded Thru Notary PuW,.UnderwriteBonded � korx� zna4f`b°°° ThruNotaryPubliounderwriters k��akokexokAh#3�hand� � .Zoning APPROVED BY G/� 5 Plans Examiner Clerk Structural Review .... .�--- (Revised02/24/2014)