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PL-16-287 t A -Z-X� Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)785-2204 Fax: (305}756.8972 Inspection Number. INSP-252103 Permit Number. PL-2-16-287 Scheduled Inspection Date: March 07,2016 Permit Type: Plumbing- Residential inspector: Hernandez,Rafael Inspection Type: Final Owner: LOWMAN,MARCI Work Classification: Solar Job Address:75 NE 101 Stret Miami Shores,FL 33138- Phone Number (305)981-4477 Parcel Number 1132060131550 Project <NONE> Contractor. DISCOUNT POOL HEATING Phone: (754)8004566 Building Department Comments meas - INSTALLATION OF A SOLAR WATER HEATING SYSTEM, INSPECTOR COMMENTS False ROOF MOUNTED Inspector Comments Passed Failed Correction Needed Re-Inspection Fee No Addidonal Inspections can be scheduled unffl re-inspsrdon fee Is paki Miami Shores Village a 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 ' , Phone: (305)795-2204 �,>^ � � ` E�� Expiration: 0812812®1fi Project Address Parcel Number Applicant 75 NE 101 Street 1132060131550 Miami Shores, FL 33138- Block: Lot: MARCI LOWMAN Owner Information Address Phone Cell MARCI LOWMAN 75 NE 101 Street (305)981-4477 MIAMI SHORES FL 33138- 75 NE 101 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,600.00 DISCOUNT POOL HEATING (754)900-6566 (727)686-5185 Total Sq Feet: 00 Type of Work:INSTALLATION OF A SOLAR WATER HEATI Available Inspections: Type of Piping: Inspection Type: Additional Info: Bond Return: Final Rough Classification:Residential Scanning:1 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# PL-2-16-58535 DBPR Fee $2.25 03/01/2016 Credit Card $112.30 $50.00 DCA Fee $2.25 Education Surcharge $0.60 02/02/2016 Credit Card $50.00 $0.00 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $162.30 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. Futh I authorize the above-named contractor to do the work stated. March 01,2016 Authorized Signature:Owner / Applicant / Contractor / Agent ate Building Department Copy March 01,2016 1 ' Miami Shores Village = � I FEB 0 2 2016 Building Department I 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 20l y BUILDING Master Permit No.1C _j62cPi PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 75 N E 101 st St /,22 -2 p� City: Miami Shores County: Miami Dade 3 /O Folio/Parcel#: 11-3206-013-1550 Is the Building Historically Designated:Yes NO Occupancy Type: SFR Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Marci Lowman Address: 75 N E 101 st St City: Miami Shores State: FL Zip. 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Discount Pool Heating DBA All Solar Solutions Phone#: 954.475.6160 Address: 244 SW 30th St City: Fort Lauderdale State: FL Zip: 33315 Qualifier Name: Robert Monteagudo Phone#: 954.475.6160 State Certification or Registration#: CVC56794 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: s SSV Square/Linear Footage of Work: to"MIRM6❑ Addition ❑ Alteration [2 New ❑ Repair/Replace ❑ Demolition Description of Work: Installation of a Solar Water Heating System, Roof Mounted Specify color of color thru tile: FF Submittal Fee$ Permit Fee$ 150•�—� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ `` TOTAL FEE NOW DUE$ Ila •�� (Revised02/24/2014) s + 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 fust 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-4" Signature rVV OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 ' by I )- day of ��ALVVW 20_j� ,by �A'C l-0w*"��h who is ersonally known o Robert Monteagudo w o ersonally known to me or who has producedas me or who has produced as identification and who did take an oath. identification and who did to NOTARY PUBLIC: NOTARY PUBLIC: S n Sig n: Pr)n . Print: Kevin Kohler r ;•••;°G� dWDYKIJM Seal: MY COMMISSION#FF 142M Seal: �e P+ , 1i€WN WILM * EXPIRES:Jahr 15,2010 `'• ••' , MY 0MM!SSiON#FF gaffil a"�tF��pP��p QO(1�Ed TIIfU IN .S/fYICIS t EXPIRES:DwWber 22.kig �Ci fL��`O BaraleC tmr6u�tY ############################################################################################################ APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)