The URL can be used to link to this page

PL-15-1591 x _ Inspection Worksheet V/ Miami Shores Village Wp t5-- 15-c'm 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)795-2204 Fax:(305)756.8972 Inspection Number. INSP-237741 Permit Number. PL-6-15-959'1 Scheduled Inspection Date:April 1%2016 Permit Y PlumbingResidential Inspector. Hernandez,Rafael - Inspection `Type: Final Owner BREEN,JAMES�MAR Work Classification: Pool -Private Job Address:1481 NE 104 Street Miami Shores,FL 33138-2663 Phone Number (78617-3500 Project <NONE> Parcel Number 1122320320090 Contractor. VAN KIRK&SONS INC Phone:(954)755.4402 . Buiiding Department Comments PIPING FOR NEW SWIMMING POOL ft*UCBO- Passed INSPECTOR COMMENTS False Inspector Comments Passed Q6 KNOCK THE DOOR THERS IS A DOG Failed Correction Needed Re-Inspection F-1 Fee No Additional inspections can be scheduled untA re-inspection fee Is paid 33m 3 Miami Shores Village 10050 N.E.2nd Avenue NE ��,�. 4 ty �d S�i l3Us r.�>••s� " Miami Shores,FL 33138-0000 Phone: (305)795 2204 . M t "' Expiration: 0311612016 Project Address Parcel Number Applicant 1481 NE 104 Street 1122320320090 JAMES&MAR GREEN Miami Shores, FL 33138-2663 Block: Lot: Owner Information Address Phone Cell JAMES&MAR BREEN 1481 NE 104 Street (786)617-3500 MIAMI SHORES FL 33138- 1481 NE 104 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 VAN KIRK&SONS INC (954)755-4402 (786)326-2747 Total Sq Feet: 00 Type of Work:PIPING FOR NEW SWIMMING POOL Available Inspections: Type of Piping: Inspection Type: Additional Info: Main Drain Bond Retum: Final Classification:Residential Scanning:3 Rough Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# PL-6-15-56125 DBPR Fee $3.38 06/26/2015 Check#:39764 $50.00 $192.36 DCA Fee $3.38 Education Surcharge $0.20 09/18/2015 Check#:40013 $192.36 $0.00 Permit Fee $225.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $242.36 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 certify th9eqthe foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction an Futhe r , uthorize the above-named contractor to do the work stated. September 18,2015 A rized Sign u :Owner Applicant / Contractor / Agent Date Building Department Copy September 18,2015 1 CRTvV.D_ Miami Shores Village JUN to 2015 Building Department Y- 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 20 �d BUILDING Master Permit No 594 PERMIT APPLICATION Sub Permit NoMIS 7-1 r— 3T/ ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP !' CONTRACTOR DRAWINGS JOB ADDRESS: 1481 NE 104th Street City: Miami Shores County: Miami Dade Zio: 33138 Folio/Parcel#: 11-2232-032-0090 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): James Breen Phone#:786-617-3500 Address: 1481 NE 104th Street City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Van Kirk& Sons Inc. Phone#: 954-755-4402 Address: 3144 SW 13th Drive City: Deerfield Beach State: Florida Zip: 33442 Qualifier Name: Robert P. Van Kirk Jr., a Phone#: 954-755-4402 State Certification or Registration M G�F� -045.956 Certificate Competency#: e o h. or DESIGNER:Architect/Engineer: Phone#: Address / sm 1 9 '� City: State: Zip',, a Value of Work for this Permit:$ I '000, Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work:. '\J��j/��. ►■/��//,J��¢ ' ° 1 Specify color of color thru tile: fy Submittal Fee$ Permit Fee$ 0225 `~ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ t (Revised02/24/2014) Bonding Company's Name(if applicable) N/A 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 even (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and reinspection fee will be charged. Signature Signature NER or AGENT CONTRACTOR The foregoing instru ent was acknowledged before me this The foregoing instrument was acknowledged before me this PO day of 20 l .by20�by who personally known d6l*L ersonally kno 0 me.or who has produce a as me o0who has produced as w ,'hold- • r � h� � , � 9. ® identification and who d(dtltake an oath. identification and who dixakertoath. NOTARY PUBLIC: NOTARY PUBLIC: Sig Sign' Print KOSERT VAN KIRK III Print: STATE OF FLORIDA Seal: RY Pi Isai ie Seal: %J- Exom Cornm#FFOMM 67/ 97 *r*•was*ersas**r�•�s*�**►�*s**�x**xw�*��**s*�se��*�*e�**��*s**s*w•s�ss�*r*��*xr�**x�***as+�a*r;**�:•ssr«� APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)