PL-14-318 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number. INSP-225577 Permit Number: PL-2-14.-318
Scheduled Inspection Date: December 22,2014 Permit Type: Plumbing- Residential
Inspector: Diaz,Osvaldo
Inspection Type: Final
Owner: CHEF AWAI,CAMILLE Work Classification: Pool- Private
Job Address:1370 NE 103 Street
Miami Shores,FL Phone Number (305)710-3331
Project: <NONE> Parcel Number 1132050300080
Contractor: MIAMI CUSTOM SWIMING POOL Phone: 305-592-8066
Building Department Comments
POOL PIPING FOR NEW POOL Infracdo Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-207469. no plan no permit
Failed
Correction .41
Needed ti
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
December 19,2014 For Inspections please call: (305)7624949 Page 26 of 38
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Miami Shores Village
Building Department
90050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972 —�2
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC20-���e�® _
BUILDING Permit NL0 1
PERMIT APPLICATION Master Permit No.
Permit Type: PLUMBING
JOB ADDRESS: 1370 NE 103 St.
City: Miami Shores County: Miami Dade gip: 33138
Folio/Parcei#. 11-3205-030-0080
Is the Building Historically Designated:Yes NO X Flood Zone:
OWNER:Name(Fee Simple Titleholder):Camille Chee Awai Phone#:
Address:1370 NE 103 St.
City Miami Shores State. FL Zip. 33138
Tenant/I.essee Name: Phone#:
Email:
CONTRACTOR:Company Name: Miami Custom Swimming Pool Corp. Phone#: (305)592-8066
Address: 1065 Bass Point Road
City: Miami Springs State: FL Zip. 33166
Qualifier Name: Jose Quinones Phone#: (305)725-4765
State Certification or Registration#: CPC 1458439 Certificate of Competency#: 000018565
Contact Phone#: (305)592-8066 Email Address: miamicustom@yahoo.com
DESIGNER:Architect/Engineer: Kenneth Pfeiffer phone#: (786)235-2435
Value of Work for this Permit:$ 11d0- ® 0 Square/I.inear Footage of Work:
Type of Work: ❑Address OAlteration ONew ORepair/Replace ODemolition
Description of Work: Pool Piping
Submittal Fee$ Permit Fee$ 1 300. CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
e
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 ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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.
111WARNING 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 such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
,
Signature Signature
Owner or Agent -619t/actor
The foregoing instrument was acknowledged before me this f 1 The foregoing instrument was acknowledged before me thisLL
I
day of 20 1 �by Cla.yt L� C .�� uJ/j)day of Ft t _,20 t,by
who is personally known to m or who has producedho' personally known to or who has produced
As identification and who didttake:lan oath. as identification and who did take an oath.
NOT Y PUBLIC: NOTARY PUBLIC:
Sign: Si t.*4 MY I SI�i FLLF 0111
�-; EXPIRES:May 14,2017
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Print-.--7-e-2&&, Y N°°JAS Print: ::: .s'r r 1!: �t� ��r�i�nd►�e p--^-"'-'a'�Notify+ServicN
a . ... 40�-
My Commissio1% * Iff COMMISSION A EE 845938 My Commission Expires: �,P I�r r
EXPIRES:January 12,2017
mr9j���oP`Oe BMWThU pNatarySe+rkes
APPROVED BYPlans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012)(Revised 07/10/07)(Revised W10/2009)(Revised 3/15/09)