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MC-16-204 M-' ' &- 2a2 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-251597 Permit Number: MC-1-16-204 Scheduled Inspection Date: May 25,2016 Permit Type: Mechanical- Residential Inspector: Perez,JanPlerre Inspection Type: Final Owner: ROSSETTI,JOHN Work Classification: Pool Heater Job Address:549 NE 95 Street Miami Shores, FL Phone Number Parcel Number 1132060140740 Project: <NONE> Contractor: PARKWOOD POOLS INC Phone: (954)583-3355 Building Department Comments POOL HEATER Infractio Passed comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid May 24,2016 For Inspections please call: (305)762-4949 Page 6 of 34 Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 Phone: (305)795-2204 . Expiration:09/2412016 Project Address Parcel Number Applicant 549 NE 95 Street 1132060140740 Miami Shores, FL Block: Lot: JOHN ROSSETTI Owner information Address Phone Cell JOHN ROSSETTI 549 NE 95 ST MIAMI FL 33138-2731 Contractor(s) Phone Cell Phone Valuation: $ 2,500.00 PARKWOOD POOLS INC (954)583-3355 �..�T.,�.__..�. Total Sq Feet: 0 Tons: Available Inspections: Additional Info:POOL HEATER Inspection Type: Classification:Residential Final Approved:In Review Review Mechanical Comments: Date Approved::In Review Date Denied: Type of Work: Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# MC-1-16-58447 DBPR Fee $2.00 01/26/2016 Check#:1141 $50.00 $161.80 DCA Fee $2.00 Education Surcharge $0.60 0328/2016 Check#:2240 $161.80 $0.00 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $2.40 Work without Permit Fee $100.00 Total: $211.80 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 certb that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fu I a the above-named contractor to do the work stated. �T March 28,2016 Authorized Si ature:Iner / pplicant / Contractor Date Building Department Copy March 28,2016 1 Miami Shores Village - Building Department JAN 26 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY; INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. bpP PERMIT APPLICATION Sub Permit No. 6,C l�o`- 2©� ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 549 NE g5 S+C&'f City: Miami Shores County: Miami Dade zip: 331132 Folio/Parcel#: 1 1-3ao(,a- btu(•-074o Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 1kn r&Sr, zL Phone#: 3o5-51to-'1'15S Address: �5 S AWE 9S $ku± City: MAUL hkah , State: Ft, Zip: 33131 Tenant/Lessee Name: 0/R Phone#: Email: n CONTRACTOR:Company Name: I?dM,,U=C1 %MIS, �G. Phone#: �-583-33SC Address: (461 W, Sdd VA,1 , &rA, City umkatimn. State: FL., zip 333113 Qualifier Name: Daae A m8 Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: 01A Phone#: Address: City: State: Zip: Value of Work for this Permit:$ +SOb_— Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration KI New EJRepair/Replace El Demolition Description of Work: r*a 1 Reati1 Specify color of color thru tile: Submittal Fee$ � 'Ct Permit Fee$ 190 % ®b CCF$ I • E�Q CO/CC$ Scanning Fee$ 3• Ql Radon Fee$ e 63 DBPRrr\\$ �® Notary$ Technology Fee$ 2 , q Training/Education Fee$ ® • 60 Double Fee$ 1 CO `CM Structural Reviews$_ 0 Bond$ TOTAL FEE NOW DUE$ 161 . ga-V (Revised02/24/2014) 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 AFFIDAWT: 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered•to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatur Signature OWNER or AGENT CONTRACTOR The for oing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this oZ day of 20 16 .by (216 day of 20 1(o ,by ToSSr ho is personally known to plus 41- r4 ho is personally known t4 me or who has produced ckve nl� as me or who has produced as Identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign Sign Print: Le I rint: SYPU@�•.• C RYL MORGANSe ... ' MY COMMISSpa ION#FF00887a °a� �.: CHERYL MORGAN EXPIRES June 28.2017 ` "• MY COMMISSION#FF008874 •.F OF F��.:• :.y.".. ...P F��[(pp��pp��'GG jftt��frl�pp Jpp (n��77 �@ O o` 3�iili$itt�jCib'�F>lr+1t767R�4[Ar�7RfIY+R�It�R�lt �t�ttffiNnbtk�aab9�k$�M$+N 19 I (407)398-0153**� FlorldallotaryS®wioo,®®r� APPROVED BY t 4?ns Examiner Zoning Structural Review Clerk (RevisedOZ/24/2014)