PL-15-172 9/9/D
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone:(305)785-2204 Fax:(308)756.8872
Inspection Number INSP-250711 Permit Number. PL-1-15-172
Scheduled Inspection Data January 25,2016 Permit Type: Plumbing -Residential
Inspector: Diaz,Osvaldo Inspection Type: Final
Owner. GRIMALDI,KARINA Work Classification: Pool -Private
Job Address:1125 NE 81 Terrace
Miami Shores,FL Phone Number (786)265-5527
Parcel Number 1132050010140
ProjGct eNONEs
Conbwbr: DOLPHIN POOLS&SPAS INC Phone:(854)927.6537
Building Department Comments
SWIMMING POOL PLUMBING. Infrectto Passed Commewds
INSPECTOR COMMENTS Felse
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Inspector comments
Passed CREATED AS REINSPECTION FOR INSP 227133.pool heater relief line
shall be within six inches of finished grade
Failed
Correction
Needed
Re-Inspection
Fee
No Additional Inapelorul can be scheduled wd
re•Inspectihn fee is pail.
January 22,2016 For Inspections please call:(305)7624849 Page 24 of 51
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1I Miami Shores Village
10050 N.E.2nd Avenue NE 0
Miami Shores,FL 33138-0000
Phone: (305)795-2204NIZ LINEN
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Expiration: 01/12/2016
Project Address Parcel Number Applicant
1125 NE 91 Terrace 1132050010140
KARINA GRIMALDI
Miami Shores, FL Block: Lot:
Owner Information Address Phone coil
KARINA GRIMALDI 1125 NE 91 TERR (786)285-5527
MIAMI SHORES FL 33138
Contractors) Phone Cell Phone Valuation: $4,800.00
DOLPHIN POOLS&SPAS INC (954)927-6537 (754)244-7727
Total Sq Feet: p
Type of Work:SWIMMING POOL PLUMBING. Available Inspections:
Type of Piping: Inspection Type:
Additional Info:
Main Drain
Bond Retum: Final
Classification:Residential Scanning:1 Rough
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.00 Invoice# PL-1-15-54253
DBPR Fee $3.38 01/26/2015 Credit Card $50.00 $192.76
DCA Fee $3.38
Education Surcharge $1.00 07/16/2015 Credit Card $ 192.76 $0.00
Permit Fee $225.00
Scanning Fee $3.00
Technology Fee $4.00
Total: $242.76
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 information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the abov contractor do h r ted.
July 16, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
July 16,2015 1
Miami Shores Vil
Building Department JAN s 2015
100501 N.E2rsl Ayer ^Mlwd S tom Florida 33138
Tei:(Mb)7135-2204 Fbc(M6)75SM72 BY:
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