PL-16-1254 Inspection orksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL 252
Phone: (305)795-2204 Fax: (305)756-8972 `
Inspection Number: INSP-258533 Permit Number: PL-5-16-1254
Scheduled Inspection Date: August 16, 2016 Permit Type: Plumbing -Residential
Inspector: Hernandez,Rafael
Inspection Type: Final
Owner: GLINN, MacDAM & DENISE Work Classification: Pool - Private
Job Address:1201 NE 102 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132050250160
Project: <NONE>
Contractor: ROSMEL POOL INC Phone: (305)592-7900
Building Department Comments
Infractio Passed Comments
POOL PIPING INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction D
Needed
Re-inspection
Fee L —1
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 15,2016 For Inspections please call: (305)762-4949 Page 7 of 38
..................................
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-257901 Permit Number: PL-4-16-1172
Scheduled Inspection Date: August 16,2016 Permit Type: Plumbing - Residential
Inspector: Hernandez, Rafael Inspection Type: Main Drain
Owner: BARRANTES,JACQUELINE Work Classification: Pool - Private
Job Address:9879 NE 13 Avenue
Miami Shores, FL Phone Number (917)698-2863
Parcel Number 1132050090490
Project: <NONE>
Contractor: ESSIG POOLS INC Phone: 305-949-0000
Building Department Comments —
Infractio Passed Comments
POOL PIPING INSPECTOR COMMENTS False
Inspector Comments
Passed El
Failed
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
Auuust 15,2016 For Inspections please call: (305)762-4949 Page 5 of 38
VE
Miami Shores Village P "
M Y -t ® 2010
BuildingDepartment
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
0 QA �
BUILDING Master Perm!t No,5PPl�- I�S3
PERMIT APPLICATI®Nn
Sub permit Na�1 I �` 1
[BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING MECHANICAL [PUBLIC WORKS [] CHANGE OF ❑ CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
ON: Miami Shares Coun Miami Dade
Zi
Folia/PaeceP#: 5° 025•moi is the Building Historically Designated:Yes NO
Occupancy Type: Load: Is
Type: Flood Zone: BFE:, FFE
OWNER:Name(Fee Simple Titleholder):`i�l�;��r4r Phone#: _ �`'°e# sy ��g�
Address: 1 Zn 1 � lh� �
City:—_ 1-1i opo ml St IP State: 4PL
Tenant/Lessee Name: ,
Phone#: '
Email:
CONTRACTOR:Company Name: 1�1�,Mp E1L� y Phone#: °Sl�
CCD
Address: —�
City: �` 1 State: ZI
p _3 11
Qualifier Name: _-- lia^�b v, r_
Phone#:
State Certification or Registration#:_ (9 �, !y /� Certificate of Competency#:
DESIGNER:Architect/Engineer: ''s IPhone#:rte' r�
Address: �--1
7 '`° Gty:— "ami State: FIL Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ lace Re air Re
p / P ❑ Demolition
Description of Work: y
Specify color of color thru tile:
Submittal Fee$ E�1�5 • 00 Permit Fee$ CCF$—L CO/CC$
Scanning Fee$ `a - Cil Radon Fee$ DBP�R p$ Notary$___
Technology Fee$ a Training/Education Fee -_-� ' —C�
Double Fee
Structural Reviews$
Bond$
TOTAL FEE NOW DUE$—I_s�.t a � j
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
State Zip
City -
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
city
State Zip
a permit to do the work and installations as indicated, 1 certify that no work or installation has
Application is hereby made to obtainthat all work wa permit and ill be performed to meet the standards of all laws regulating
commenced prior to the issuance
construction in this jurisdiction, i understand that a separate per
must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC.....
OWNEWS 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
YOU MAY
RESULT IN YOUR PAYING ICE FOR INIPR®�lEE�NTS TO YOUR PROPERTY.®RAN ATTORNEY�EF�RE REC®R®ING
END
`O OBTAIN FINANCING, CONSULT WITH YOUR LENE
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
notice of col mmencement muow brochure will st be posted of the job site
e delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded
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.
Signature_ R
Signature CONTRACTOR
OWNER or AGENT
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
! day of ^ \ ,2Q IU by
J_day of_���� '24�-�---'by — _:;Sp ,,,,ho is .rsanaily know to
ho is ersonally know to ��i�r-t-L-� 1�r��--e—�
as
as me or who has produced
me or who has produced
identification and who did take an oath.
identification and who did take an oath..
NOTARY PUBLIC:
NOTARY PUBLIC:
Sign:
Sign:
Print: e-
Print: M�RCOs A.MtARTINEL
Ps;,
MARCOS A MARINE � Seal: �4,'` MY COV%ISSIoN#FF 008989
Seal t f.IY Oh"MISSION#FF
EXPEXPIRES.ivlay i5,2017
IRES:May 15,2017
; T`
I e o.F`o,o Bonded Thru Notery Pubfc Under+�nters
l+Haid Thru NotaryPublic Un:Jcnv s
J�- .Zoning
APPROVED BY Plans Examiner
—fqIlp
Clerk
Structural Review
(Revised02/24/2014)