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MC-16-462 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 6 PP I cp —q Y0 0 Inspection Number: INSP-253257 Permit Number: MC-2-16-462 Scheduled Inspection Date:August 24,2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: STANDAERT, NATACHA Work Classification: Pool Heater Job Address:576 NE 97 Street Miami Shores,FL 33138- Phone Number (646)460-6061 Parcel Number 1132060171510 Project: <NONE> Contractor: La Casa de las Piscinas Inc Phone: (305)633-9699 Building Department Comments INSTALL HEAT PUMP Infractio Passed Comments INSPECTOR COMMENTS False 2A Inspector Comments Passed 01 Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 23,2016 For Inspections please call: (305)7624949 Page 1 of 34 ? i N4�4 jy, ff shwa i, Miami Shores Village ■ / e; 1e�lanical=- intlit",. 10050 N.E.2nd Avenue NE Pool or, Miami Shores,FL 33138-0000 001 � xm Phone: (305)795-2204 i� Iss uDate 2t1 Expiration: 10/15/2016 Project Address Parcel Number Applicant 576 NE 97 Street 1132060171510 Miami Shores, FL 33138- Block: Lot: NATACHA STANDAERT Owner Information Address Phone Cell NATACHA STANDAERT 576 NE 97 Street (646)460-6061 MIAMI SHORES FL 33138- 576 NE 97 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 250.00 La Casa de las Piscinas Inc (305)633-9699 (305)216-3907 Total Sq Feet: 00 Tons: Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Approved:In Review Review Mechanical Comments: Date Approved::In Review Date Denied: Type of Work:INSTALL HEAT PUMP Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# MC-2-16-58747 DBPR Fee $2.00 04/18/2016 Check#:2071 $58.60 $50.00 DCA Fee $2.00 Education Surcharge $0.20 02/19/2016 Check#:2047 $50.00 $0.00 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $0.80 'Total: $108.60 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 pertainingthereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting1his 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,MEC L,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFF�D IT: I cern all t e for ing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a oning. ermore,I th nze the above-named contractor to do the work stated. April 18,2016 Auth rized Signatupi Owner / Applicant / Contractor / Agent Date Builds g Department Copy April 18,2016 1 Miami Shores Village Building Department FEB 19 2016 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 `��=J INSPECTION LINE PHONE NUMBER:(305)762-4949 S. FBC 201 BUILDING Master Permit No.1--o P P 6 c PERMIT APPLICATION Sub Permit No.�. ' L) Z ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP , CONTRACTOR DRAWINGS JOB ADDRESS: �7� /4',+, <-- 177 --.!5; ° City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: /f �P 17 l�/b Is the Building Historically Designated:Yes NO Occupancy Type: Load: ,�Coo�nstruction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): " a G�� --57- �w� Phone#: Address: 67-7 67-7 �r �? City:/ � ate: r-P Zip: 233 J 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: �- •4 e r�a-r r c7 ';"hone#: Address: -` 7- -,-/ City: °1 tate: P=Z Zip: J Qualifier Name: �-✓ l� C Phone#: �lT� '�SEP=�I P7 State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: �! Phone#: Address: City: State: Zip: Value of Work for this Permit:$ a r Square/Linear Footage of Work: Type of Work: ❑ Addition ❑�Alterati n Ne ❑ epair/Replace ❑ Demolition Description iono Work:rk. X75 r37`T� �� i� sc Specify color of color thru G tile: {� Submittal Fee$ 5n 6 Permit Fee$ v 0t vv CCF$ O•• CO/CC$ Scanning Fee$ ® Radon Fee$ DBPR$ a`' Notary$ pp� Technology Fee$ Training/Education Fee$ Double Fee$ !`J Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ -Co (Revised02/24/2014) 1 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 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 s osted notice, the inspection will not be approved a d r ' spec ' fee will be charged. Signature Signature rAGENT XNTRACTOR The foregoing instrument was acknowledged before me this The foregoing strument was acknowledged before me this day of c92 1 .20. 1b .by t� ff day of 20 l ,by f@ rac a .S.�a�eP— o is personally known to N)�� m ho 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 take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: � '� 'k Print: f ^"'`'� 4ll'7Q Seal: Seal: ,c' Y P o,,, ADRIANA HERNANDEZ "A ADRIANA HERNANDEZ = •° Notary Public-State of Florida • Notary Public-State of Florida ' .yF p My Comm.Expires Feb 2,2018 �N>yf My Comm.Expires Feb 2,2018 x��x*�x * mix *4n��arabi�x�x* sRR�t9iiIQtklExSf !&#�s�x +xixwma� *s��x *�x *' a' `oxne>k� * iiuxs�x8m*1a�* APPROVED BY 1 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)