PL-15-2552 1, arrnit 1
�. -1�466
s N° Miami Shores Village T 'T Alin NOW�1
10050 N.E.2nd Avenue NE
On
Miami Shores,FL 33138-0000
Phone: (305)795-2204 ` Pik
F ..,
�� 13 Expiration: 05/0412016
?.: ..
Project Address Parcel Number Applicant
999 NE 94 Street 1132060350010 MICHAEL SCORNAVACCA
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
MICHAEL SCORNAVACCA 999 NE 94 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
ADVANCE SOLAR&SPA INC (954)938-8507 Valuation: $ 1,665.00
Total Sq Feet: 00
Type of Work:INSTALL POOL SOLAR HEATING SYSTEM Available Inspections:
Type of Piping: Inspection Type:
Additional Info:
Final
Bond Return
Rough
Classification:Residential Scanning:3 Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
DBPR Fee Invoice# PL-10-15-57351
$2.25 11/06/2015 Credit Card $ 166.70 $0.00
DCA Fee $2.25
Education Surcharge $0.40
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $166.70
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 stri9tconformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I as m responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRIC ,PLPMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
i
OWNERS AFFIDAV I h t�theoregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and z r -to do the work stated.
November 06,2015
o ed in :Owner / Applicant / Contractor / Agent Date
Buildi g D partment Copy
Novembe 06, 15 1
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-245208 PermitNumber: PL-10-15-2552
Scheduled Inspection Date: December 15, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Typ �Solar Owner: SCORNAVACCA, MICHAEL Work Classificatio
Job Address:999 NE 94 Streety/ v
Miami Shores, FL 7 I��
Phone Number
Project: <NONE>
Parcel Number 11;060350010
Contractor: ADVANCE SOLAR&SPA INC Phone: (954)938-8507
Building Department Comments
INSTALL POOL SOLAR HEATING SYSTEM Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed '
y
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
For Inspections lease call: 305 762-4949
p p ( )
December 14,2015 Page 16 of 43
Miami Shores Village g OCT 012015
Building Department ]By:
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20i f
.o
BUILDING Master Permit No. /-! --
PERMIT
PERMIT APPLICATION Sub Permit No.-R/ /. §' �. r�
❑BUILDING F-1ELECTRIC E:] ROOFING ❑ REVISION [:] EXTENSION ❑RENEWAL
4LUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
1CONTRACTOR DRAWINGS
JOB ADDRESS: "V"b-4 ! ± N��1
City Miami Shores County: Miami Dade Zip: �it
Folio/Parcel#: 11— 3a®(.D-Qas-not ) Is the Building Historically Designated:Yes NO
Occupancy Type: Load: 'Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(--Fee Simple Titlehholder):�� c jf,\ >Gorn0-\jC�-��Phone#:305 -41 J
Address: "PAq NJe 1 Ytt S+r�+ 2
City: tut 1Dn`l 'S"nC S State: F o Zip:
Tenant/Lessee Name: Phone#:
Email: 1164-939-25
�
CONTRACTOR:Company Name:Ad I(�n e sn i n Ir ,_S� Phone#: 1164-9 39-25®=
Address: `'1<A�o, ',,B ) )„S3� `,� ��
City:�A-. LA�. df-y-dC1
. -e. State: R ., ��a��
Qualifier Name: em'o n C-5-niah m Phone#:q 5'-1 - -1J2-Ko-+
State Certification or Registration#:C IC IsA.o6(-Qg Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State Zip:
G0
Value of Work for this Permit:$ �' Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration TgzNew 1:1Repair/Replace ❑ Demolition
Description of Work: PCx>t X-71 Cjy
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ ��4 '`y 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)
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."
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
sem,.
OW N ER or AGENT CONTRACTOR
Theforegoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
1). \ day of E'��P�n,)}2.N ,20�J by daof �� ,�,}fin.b4a2, ' ,20 , by
( <*raCG'o%,%Ara ho' ersonaliy know wh s persona ly k�noArr 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:
' A&�Sign: Sign.
Print: Print:
Qye
ao�pie Notary Public State of lorida
Seal: 4: Kristen Brown Seal: sve Notary Public State or Florida
My Commission EE 828145NO
Kristen Brown
Expires 08119/2016 �q` My Commission EE 828145
FIExpires 08/19/2016
f 0. 2.5 � Zoning
APPROVED BY � Plans Examiner g
Structural Review Clerk
(Revised02/24/2014)