PL-16-1151 Inspection Worksheet
Miami Shores Village r
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-267213 Permit Number: PL-4-16-1151
Scheduled Inspection Date: September 14, 2016 Permit Type: Plumbing - Residential
Inspector: Hernandez, Rafael Inspection Type: Final
Owner: BLANCO,JUAN Work Classification: Pool - Private
Job Address:146 NW 92 Street
Miami Shores, FL 33150- Phone Number
Parcel Number 1131010160010
Project: <NONE>
Contractor: ONE STOP POOLS&CONSTRUCTION, INC Phone: (305)297-5120
Building Department Comments
POOL PIPING Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REIN PECTION FOR INSP-257785.
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
September 13,2016 For Inspections please call: (305)762-4949 Page 44 of 44
t, Miami Shores Village " ;PM*
10050 N.E.2nd Avenue NW
`. #� �. rl
Miami Shores,FL 33138-0000
Phone: (305)795-2204
Al
16 Expiration: 01/07/2017
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Project Address Parcel Number Applicant
146 NW 92 Street 1131010160010
JUAN BLANCO
Miami Shores, FL 33150- Block: Lot:
Owner Information Address Phone Cell
JUAN BLANCO 146 NW 92 Street
MIAMI shores FL 33150-2229
Contractor(s) Phone Cell Phone Valuation: $ 800.00
ONE STOP POOLS&CONSTRUCTIW (305)297-5120 Total Sq Feet: 0
Type of Work:POOL PIPING Available Inspections:
Type of Piping: Inspection Type:
Additional Info:
Main Drain
Bond Return: Final
Classification:Residential Scanning: 1 Rough
Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# PL-4-16-59581
DBPR Fee $3.38 07/11/2016 Credit Card $236.36 $0.00
DCA Fee $3.38
Education Surcharge $0.20
Permit Fee $225.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $236.36
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 ssume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELEC I L,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFI I I cert' that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an ut ore,I authorize the above-named contractor to do the work stated.
July 11,2016
Autho zed Signature:Owner / Applicant / Contractor / Agent Date
Buildin Department Copy
July 11,2016 1
Miami Shores Village
Building Department APR 2 S 2018
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 BY:
INSPECTION LINE PHONE NUMBER:(30S)762-4949
FBC 2014
BUILDING Master Permit No.(26yp I(to — S
PERMIT APPLICATION Sub Permit No.r-FU -- I I I
❑BUILDING ❑ ELECTRIC ROOFING REVISION EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
f CONTRACTOR DRAWINGS
JOB ADDRESS: I k W AI 4.L sr
City: Miami Shores County: Miami Dade Zip: &0
Folio/Parcel#: o l - o� [p -ool n Is the Building Historically Designated:Yes NO
Occupancy Type: `J� Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):iO(In hco u) Phone#:
Address: 14(42 w
City: D Ili I ' State: Zip:33 s:0
Tenant/Lessee Name: Phone#:
Email: �,, '/ �-� �74ZR—�
CONTRACTOR:Company Name:®� 0 �71C,0ftS-WC1`0n -a-YL� Phone# �1
Address:_�7]1.�� SW ,4q lca.'[e'
City: Miami State• U( Zipa 1
Qualifier Name: IC& Phone,(
State Certification or Registration Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 600 .0o Square/Linear Footage of Work:
Type of Work: F-1 Addition
,� Alteration F-1New F-1 Repair/Replace F-1 Demolition
Description of Work: 1&1
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ � CCF$ CO/CC$
Scanning Fee$ 0 e-) Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ 19 Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$Z m
(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 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 commencemen ust be dosted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the ab n e of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
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Signature21e!?2;;0Signature
OWNER or AGENT ONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
Z ay of 20 �,,q by 02Pi d ofby
mho is personally kno��n w 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:
�ppY PVB
WCHELL E OSA-CLARK .s�Pnr r�W C E IN A- K
Print: _°' '% MYCOMMISSIo FF1 68 Print: _° e` MYCOMMIS I
EXPIRES:MAY 28,2018b EXPIRES:MAY 28,2018
Seal: Opp10 Bonded through 1st State Insurance Seal: 'Bonded through 1st State Insurance
d
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)