PL-16-537 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-253688 Permit Number: PL-2-16-537
Scheduled Inspection Date: March 24,2016 Permit Type: Plumbing - Residential
Inspector: Hernandez, Rafael Inspection Type: Final
Owner: ROSS, IAN &CORY Work Classification: Solar
Job Address:640 NE 98 Street
Miami Shores, FL 33138- Phone Number (305)979-3879
Parcel Number 1132060171820
Project: <NONE>
Contractor: SOUTH FLORIDA POOL HEATING Phone: (954)341-2002
Building Department Comments
PLUMBING FOR INSTALLATION OF SOLAR PANELS ON Infractio Passed Comments
ROOF TOP TO HEAT POOL. INSPECTOR COMMENTS False
Inspector Comments
Passed PAUL
954-448-0512
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
March 23,2016 For Inspections please call: (305)762-4949 Page 12 of 36
0 3i SEt;
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Y .nL v-' di�1t4 (1111 4 \
Miami Shores Village to
10050 N.E.2nd Avenue NE '
Miami Shores,FL 33138-0000 �•, ,
Phone: (305)7952204 ' PP
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Expiration: 08/30/2016
Project Address Parcel Number Applicant
640 NE 98 Street 1132060171820
Miami Shores, FL 33138- Block: Lot: IAN&CORY ROSS
Owner information Address Phone Cell
IAN&CORY ROSS 640 98 Street (305)979-3879
MIAMI SHORES FL 33138-
640 98 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
SOUTH FLORIDA POOL HEATING (954)341-2002 Total Sq Feet: 0
Type of Work:PLUMBING FOR INSTALLATION OF SOLAR Available Inspections:
Type of Piping:
Inspection Type:
Additional Info: Final
Bond Return: Rough
Classification:Residential Scanning:1 Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# PL-2-16-58841
$2.25 03/03/2016 Credit Card $ 109.10 $50.00
DCA Fee $2.25
Education Surcharge $0.20 02/29/2016 Credit Card $50.00 $0.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $159.10
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and-iia s co with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this p it I assume response)ility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELCTRICAL,PLUMBING, I ,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFI AVI certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and onin . Futhermore,I authorize the above-named contractor to do the work stated.
March 03,2016
Authorized S nature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 03,2016 1
Miami Shores Village CFF.TI F:,-�!.
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY.
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20
BUILDING Master Permit No y
PERMIT APPLICATIONub Permit No. �,_
BUILDING ELECTRIC ROOFING REVISION EXTENSION RENEWAL
;LUMBING MECHANICAL PUBLIC WORKS [:].CHANGE OF CANCELLATION SHOP
// p CONTRACTOR DRAWINGS
JOB ADDRESS: l0�.o p <6:sa&
City: Miami Shores County: Miami Dade Zio• 3 3�
Folio/Parcel#: < Is the Building Historically Designated:Yes NO
Occupancy Typ Construction Type:. Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Ci CYSc3 Phone#:3� �Z L -- 30C
7
Address: LQ.O �p
City:_ G qA4_'v� Sue e Vela State: 0 ut I., Zip: 33 �
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: ` _ _
Address: l7 Z) 1
City: State: VV Zip: 33
Qualifier Name: Phone#:
State Certification or Registration#: CIt 4-C7 S?a3 Certificate of Competency M
DESIGNER:Architect/Engineer: Phone#:
Address "
City: State: Zip:
Value of Work for this Permit:$ r re/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration 1 nEj Repair/Replacedd❑ Deemolition
Description of Work: �� �1� � 4cj 1"C3-v
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 147C) CCF$ (Lo CO/CC$
Scanning Fee$ 5 Radon Fee$ ®` DBPR$ Notary$
Technology Fee$ (3, Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ �Oq - i
(Revised02/24/2014)
Bonding Company's Name(if appT,cable) M r
Bonding Company's Address,
Y State ZIP
cit
Mortgage Lender's Flame(if applicable)
Mortgage Lender's Address
city state Zp
r .
Application is hereby made to obtain a permit to do the work and kaftliations as iraiicate& I cNWy that no work or instaRafion has
commenced prior to the issuance of a permit and that as work will be performed to meet the standards of all taros re01115ting
construction in this Jurisdiction- I understand that a separate permit must be secured for ELECfRiC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC.....
OWNER'S AFRDAVIT. 1 certffy that alt the foregoing information is accurate and that all work wilt be done In compliance with all
applicable laws regulating construction and zoning.
aWARNING 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-"
Nonce to Applicant: As a condition to the Issuance of a buff&W permit'with an estimated value oweedmi g$25W,the applicant must
promise in goad fait+that a OW of dw notice of cmnmenrrment and conutrueffan Ifen low bmclume will be deed to the person
whose property fs so*,a to attachment ALso,a certified copy of the recorded notice of commencement must be posted at the fobsite
for the first inspection wbfch occurs seven 17j dys after the bufldbrg pemut is nwmd. In the absence of such posted notice,•the
inspection wffl not be approvedo °A e�be�� °
Signature ` Signature
ER or AGENT CONTRACTOR
The foregoing instrument s a
cknowledged before me this The foregoing instrument was acknowledged tame me this
—day of -D .20�� -by '1: of ` D 20 —�by
who known to c> S who is to
wtro Kos as
produced— -mss' '� —as me or who has produced
Co
me or
identification and who did take an oath. limon and who did take an oath.
NOTARY PUBM NOTARY pm
�= �
�•«� PmBxC
Print: «• Print * * #FFMW
a*OWUMFFWW Seal: as 1Z28j7
Seal:
s�3,p,ar,a, ss
APPROVED BY C Plans Examiner Zoning
Structural Review Clerk
(Revbedo2/24/2014)