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PL-16-14 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number. INSP-250411 Permit Number: PL-1-16-14 Scheduled Inspection Date:June 06,2016 Permit Type: Plumbing- Residential Inspector: Hernandez,Rafael Inspection Type: Final Owner: KERR, DANIEL Work Classification: Pool- Private Job Address.759 NE 94 Street Miami Shores,FL 33138- Phone Number Parcel Number 1132060142020 Project: <NONE> Contractor: ROSMEL POOL INC Phone: (305)592-7900 Building Department Comments POOL PIPING In ractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction a Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. y ie Miami Shores Village IP 7'y e I^�ftl ri -Rs0 ntal 10050 N.E.2nd Avenue NE I+6*{*$#1 0t1'P", Ya� Miami Shores,FL 33138-0000 2 Phone: (305)795-2204 issue oate"2l3l 0' Expiration: 08/01/2016 Project Address Parcel Number Applicant 759 NE 94 Street 1132060142020 Miami Shores, FL 33138- Block: Lot: DANIEL KERR Owner Information Address Phone Cell DANIEL KERR 759 NE 94 Street MIAMI SHORES FL 33138- 759 NE 94 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 ROSMEL POOL INC (305)592-7900 _. .. .. Total Sq Feet: 0 Type of Work:POOL PIPING Available Inspections: Type of Piping: Inspection Type: Additional Info: Main Drain Bond Return: Final Classification:Residential Scanning:1 Rough Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# PL-1-16-58231 DBPR Fee $3.38 02/03/2016 Check#:13261 $ 187.96 $50.00 DCA Fee $3.38 Education Surcharge $0.40 01/06/2016 Check* 13241 $50.00 $0.00 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $237.96 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 information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-na a contragtor to do the work stated. February 03, 2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy February 03,2016 1 Miami Shores Village Building e art ent J N 0 6 2016 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 }� Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 S� BUILDING Master Permit No.� ��r FBC 2019 PERMIT` APPLICATION 2�LG ' - Sub Permit No. �(❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION EXTENSION ❑RENEWAL LUMSING 7 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: `1 S E y S t Ci : Miami Shores County: Miami Dade ' i : 3313 Folia/Parcel#: 1 1 n '3 d.® ` ®1 L� . � is the Building Historically Designated:Yes 'NO OccupancyTYpe Load: Construction Type: Flood Zone: BFE: FFE OWNER:Name(Fee Simple Titleholder): ^� Phone#:_ Address: City: State: Tenant/Lessee Name: � Email: Phone#: CONTRACTOR:Company Name: �`�a C }� Y,l� Phone#: 3©5•5cT,:;t •1�OO Address:---- � bt� kA-) 25 City: ► ,ra ` State: FL �3 V-1 �— Zip: Qualifier Name: 1✓I i r-E1n P ����' Phone#:�_3®51 59 2 a . State Certification or Registration#:- 1�G 1 �-1 S(ACA Certificate of Competency#: DESIGNER:Architect/Engineer: Address: �r®2.c i l a.,3t•l!Phone#: City: State: F L. Zi p -3 Value of Work for this Permit:$ ® Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition Description of Work: sPecify color of color thru tile: Submittal Fee$ so• CK) Permit Fee$ Z?�< � CCF$ CO/CC Scanning Fee$ d Radon Fee$-- jam__ DBPR$ Notary$ � I Technology Fee Structural Reviews Training/Education Fee$��` `I Double Fee$ $ Bond$ (RevisedO2/24112014) TOTAL FEE NOW DUE$ Pz °� Bonding Company's Name(if applicable) Bonding Company's Address city State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address t1l 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. 1 understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,EfC..... 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 NOTICE OF COMMENCEMENT IN EN® RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the notice oCeof a commenilcerng permit ment and constructs nnlien law brochud value rewillbe el delivered to/icant must t a person promise in good faith that a copy of the f 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 e building permit is issued. in the absence of such posted notice, the inspection will not be approved and a reinspect fee will be Signature Signature CONTRACTOR OWNER or AGENT The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this "!)Q�day of by -day of 20_jnk�by ersonaily known to M I%rt ke V cL"I?�who is ersonally known as me or who has produced me or who has produced _ identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign- Print: A Y �Z Print: Print: �' 1✓L .•��.'"B'•,, MARCOSA.MARTINEZ Seal: c` MY COMMISSION#FF 008989 _*� *' Seal ;totate MARCOSA.MARTINEZ o EXPIRES:May 15,2017 *; +: MY COMMISSION#FF 008989 "'aF Bonded Thru Notary Public Underorriters EXPIRES:May 15,2.017 g,q' Bonded Thru Notary Public Underwriters >ksk kPek+Xk�3F�'M��ik�5kfaF;>tigcg3.ee�>.e .' #ksP skPsk9kkkkskdF#ok#�kuokRfdaka'��"#atys#�fsgak#sd=k�Fskk&k�extkp�e3k��+kA�kek�#+S�ksk�tl:tgh>k+k�AC9ks}kk#�Rh Zoning APPROVED BY - v yb Plans Examiner Clerk Structural Review (Revised02/24/2014)