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PL-15-2166 (2) Inspection Worksheet Miami Shores Village , 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-257991 Permit Number: PL-8-15-2166 Scheduled Inspection Date: May 03, 2016 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: GERVAIS, MATHIAS Work Classification: Pool - Private Job Address:96 NW 92 Street Miami Shores, FL 33150- Phone Number (786)942-7767 Parcel Number 1131010160070 Project: <NONE> Contractor: AQUARAMA POOL INC Phone: (305)934-4226 Building Department Comments NEW POOL PIPING Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed I V1 CREATED AS REINSPECTION FOR INSP-242134. no access 2pm Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid May 02,2016 For Inspections please call: (305)762-4949 Page 30 of 33 s IWV 5-21, Miami Shores Village fITY1r7"} s P � 10050 N.E.2nd Avenue NW Miami Shores,FL 33138-0000 € 00", 0f>°' +Cidr� SrB g Phone: (305)795-2204 �Iu� APPF t � �toRin� �... Ex Iration: /2912016 Iue>rtef tl2#t'E 5 p- F Project Address Parcel Number Applicant 96 NW 92 Street 1131010160070 MATHIAS GERVAIS Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell MATHIAS GERVAIS 96 NW 92 Street (786)942-7767 MIAMI SHORES FL 33150- 96 NW 92 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 1,500.00 AQUARAMA POOL INC (954)529-4552 _._... ..,._.,,r,. .....,_. _. .. TotallSq Feet: 0 Type of Work:NEW POOL PIPING Available Inspections: Type of Piping: Inspection Type: Additional Info: Main Drain Bond Return: Final Classification:Residential Scanning:3 Rough Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee Invoice# PL-8-15-56843 $3.38 12/01/2015 Check#:2364 $ 193.96 $50.00 DCA Fee $3.38 Education Surcharge $0.40 08/24/2015 Credit Card $50.00 $0.00 Permit Fee $225.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $243.96 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,MECH AL,WINDOWS,DOORS,ROOFING and SWIMMING POOL wor . OWNERS AFFIDAVIT: I certi hat a foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fut rmo ,I authorize the above-named contractor to do the work stated. December 01, 2015 Authorized Sign to : ner / Applicant / Contractor / Agent Date Building Depa nt Copy December 01,2015 1 r � Miami Shores Village " L2015F AUG Building Department 9m 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 _y-+-k7 FBC 20�'�� _ BUILDING Master Permit No. - 6- (5 " 2(Cot-) PERMIT APPLICATION Sub Permit No "?L �` tS 2(� BUILDING ELECTRIC ROOFING REVISION EXTENSION RENEWAL O—PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP � C]ry CONTRACTOR DRAWINGS JOB ADDRESS: CV1 -A �X I `°lA l� Com: Miami Shores County: Miami Dade Zia: Folio/Parcel#:11-3101-016-0070 Is the Building Historically Designated:Yes NO X Occupancy Type: SFH Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Mathias Gervais Phone'#:786-942-7767 Address:92 NW 96 st City: Miami Shores State: FL Zip: 33150 Tenant/Lessee Name: Phone#: Email: mgervais@thesetaihotel.com CONTRACTOR:Company Name: Aquarama Pools, Inc. Phoneft: 305-934-4226 Address: 304 Indian Trace 503 City: Weston State: FL Zip: 33326 Qualifier Name: Jose Yzquierdo Phone#: 305-934-4226 State Certification or Registration M CPC1456811 Certificate of Competency#:I DESIGNER:Architect/Engineer: Vicente Franco Phone#: 305-305-5631 Address: 10776 nw 84 In#5 city. Miami state: FL Zip: 33178 Value of Work for this Permit:$ S CFb Square/Linear Footage of Work: Type of Work: ❑ Addition El Alteration New F-1 Repair/Replace ❑ Demolition Description of Work: �6L 1 1 Specify color of color thru tile: Submittal Fee$ Permit Fee$ �� CCF$ O/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ,� 0 (Revised02/24/2014) f � 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 wi�I 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence uch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENTE R The foregoing instrument was acknowledged before me this The foregoing instrume s a owledged before me this May of 20 ,by clai of 20 l ,by P who is personally known to who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: �.••• P TO SANCHEZ Flogirla Sign: ��RY BERTO SANCHEZ Print: Commission#FF 245271 + Rotary Public State of Florida Print: I ac' My Comm. xpu .� e= Seal: hu;;;°P' Bonded ttuough National Notary Assn. Seal �'• ,�� Q �y Comm.Exp res Jun 29,2019 B=IedMmugt oftoil Notwy Assn a�s��*axe****a�s�x�r�er*sir*es��a�x�s*s�a�s�x�es**sees*eta.*ws�sx�s$sr�r*w�w�r�r�sa�aae�sww�*+asffi*e$��x�*s*r�a��agassa�sras��s� APPROVED BY //-Y'/� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)