PL-15-2841 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-247489 Permit Number: PL-11-15-2841
Scheduled Inspection Date: February 16,2016 Permit Type: Plumbing - Residential
Inspector: Hernandez, Rafael Inspection Type: Final
Owner: RENES, CECILIA Work Classification: Pool - Private
Job Address:705 NE 94 Street
Miami Shores, FL 33138- Phone Number (786)587-0701
Parcel Number 1132060141960
Project: <NONE>
Contractor: GRAY DOLPHIN POOLS&CONSTRUCTION INC Phone: (305)207-0606
Building Department Comments
NEW POOL PLUMBING Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed Ile
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
February 12,2016 For Inspections please call: (305)762-4949 Page 12 of 38
Miami Shores Village ;BY:
`�
V 0 2015
Building Department
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 20/
BUILDING Master Permit No. LE/,� '27�7
PERMIT APPLICATION Sub Permit No.P/' 0.
❑BUILDING r-] ELECTRIC F-1 ROOFING F-1 REVISION F-1 EXTENSION RENEWAL
XPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 710`:� h 9
City: Miami Shores County Miami Dade Zip• 2,—SA 555"
Folio/Parcel#: NN r 23�AC56.::�, –OWA -Gli�ls the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):__ LejcA ` ins Phone#:
Address: -�\C)`_) A_)la" S=.D=
City: w x lint\ y State: Zip: amk
Tenant/Lessee Name: Phone#:.
Email:
CONTRACTOR:Company Name: Gx)rnunTa Abone#:
:
Address: �f�� ��� _ A e 'hCALA
City: \ 111 State: _ _ 1;P;L_ Zip: 3_3::� - –1
Qualifier Name: 0"__A ( Phone#:
State Certification or Registration M Certificate of Competency#:
DESIGNER:Architect/Engineer: ��G2kjL-e A C-11 V,_Iff- Phone#:
Address: A Vi (���'y s City: State:��Zip:
Value of Work for this Permit:$ — l.Jd' Square/Linear Footage of Work: epy�z_"41
Type of Work: ❑ Addition ❑ Alteration [ New ❑ Repair/Replace ❑ Demolition
Description of Work: A®04- e4,;a 7/�tGj
Specify color of color thru tile: �s
Submittal Fee$ Permit Fee$ Z ZS CCF$ COAC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revisedo2/24/2014)
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 copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subje to ment. Also,a certified copy of the recorded notice of commencementmust be posted at the job site
for the first inspectio whi h o s seven (7) days after the building permit is issued. se such po ed notice, the
inspection will not be pp r ved an reinspection fee will be charged.
l�
Signature Signa e
O ER or AGENT CONTRAC R
The foregoing instru ent was acknowledged before me this The foregoing in ument was acknow a ged before me this
, day of 0�?R�„yr 20 ��'' by day pflk�70 20 l—r— by
who is personally known to 1 * Zg042Z_. who is personally known to
me or who has produced as me or who has prodec—ed as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUB NOTARY PUB
).
Sign: Sign:
Print: Print:
Seal: Seal:
P
APPROVED BY � Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)