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PL-14-2664 266 n! 3 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)795-2204 Fax:(305)756-8972 Inspection Number: INSP-224654 Permit Number. PL-12-142664 Scheduled Inspection Date:April 07,2015 Permit Type: Plumbing- Residential Inspector: Diaz,Osvaldo Inspection Type: Final Owner: CATHERINE HABERMANN,GLENN Work Classification: New cnon Job Address:164 NE 105 Street Miami Shores,FL 33138-2033 Phone Number Parcel Number 1121360130660 Project: <NONE> Contractor: STAR-LITE POOLS Phone:(954)747-3377 Building Department Comments PLUMBING FOR NEW CONSTRUCTION POOL. Infractio Passed Comment; INSPECTOR COMMENTS False Inspector Comments Passed Failed L Correction ❑ ' Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee Is paid Aprll 06,2015 For Inspections please call:(305)762-4949 Page 10 of 63 Miami Shores village f - I Building Department DEC 0 8 2014 90050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20(0 BUILDING Permit No. 1��= ~ �. PERMIT APPLICATION baster Permit No:7E�pp- `Y `I_)(-G5 Permit Type:PLUMBING JOB ADDRESS: 164 NE 105 STREET City:_ Miami Shores County: Miami Dade gyp. 33138 Folio/Parcel#: 11-2136-013-0660 Is the Building Historically Designated:Yes NO X Flood Zone: OWNER:Name(Fee Simple Titleholder)•GLEN FORD AND CATHERINE HABERMANN phone# 305-505-7104 Address.164 NE 105 STREET City: MIAMI SHORES Ste: FL Tap: 33138 TenantOJessee Name: NA Phone# Email: NA CONTRACTOR:Company Name: STAR-LITE POOL BUILDERS phone#. 954747-3377 Address: 10875 NW 52 STREET SUITE 8 City. SUNRISE State. FL Tap: 33351 Qualifier Name. L w(- s� Phone#. 954747-3377 State Certification or Registration#: CPC.VA 5?5 0 Certificate of Competency#: Contact Phone#. 954747-3377 Email Ate: STARLITEPOOLBLDRS@HOTMAIL.COM DESIGNER:Architect/Engineer. DAVID FAERMAN Phone# 561-445-1787 Value of Work for this Permit:$1000- SquardLinear Footage of Work: Type of Work: DAddress (]Alteration ANew ORepnWReplace ODemolition Description of Work; PLUMBING FOR NEW CONSTRUCTION POOL * e * we�ea� �a�eF�*s teea�s���ss �� �es� s Submittal Fee$9(3' 00 Permit Fee$ ie 2 Z CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Dmtble Fee$ Stractaral Review$ TOTAL FEE NOW DUE$ NA B4niiupgCompany's Name(if applicable) NA Bonding Company's Address City NA State NA zip NA Mortgage Lender's Name(if applicable) NA Mortgage Lender's Address NA City NA State NA Zip NA 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 m this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 wristruction ami zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EMPROVEMENTS 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$25M. the applicant must promise in good faith that a copy the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attar Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which oc s seven (7) days after the Building permit is issued In the absence of such posted notice, the inspection will not be approved a reinspection fee will be charged Signature- Signature A/ Owner or gent Contractor The - instrument was acknowledged before me this� The foregoing instrument was acknowledged before me thiss day of 20),by day of �.�.,` 20 1q.,by who is personally known to me�orho has produced_,.,E— who' personally known to me r who has produced LAI As identification and who did take an oath. as identification and who did take an oath. NOTARY UBLIQ NOTARY Q 6 gg/& Sign: Sgt: DA-1- MY ,� ,� Print: - Print: ` r� 1'LDA- - Co— X P - 16 My ". � DALE .E My _ n Ct .nn EE 09128 Cu ;ssion#I:E+199428 ''=_ �= EXi2i es Jurie 6,?_015 ,J 'er Expirc�Jtirsse 8.' 15 g„� au riwTwyr-ainx e�s�o�s saes*s is t te *s* APPROVED BY o Plans Examiner Zoning Structural Review Clerk WwiseM2/2012)Wr4ised 0711WIXRrAsed 06nW2W9XR"ised 3115M)