PL-16-1377Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-259235 Permit Number: PL -5-16-1377
Scheduled Inspection Date: November 02, 2016
Inspector: Hernandez, Rafael
Owner: PIPERATO, JOSEPH
Job Address: 10025 NE 5 Avenue
Miami Shores, FL
Project: <NONE>
Contractor: NATIONAL POOL DESIGN LLC
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Pool - Private
Phone Number
Parcel Number 1132060171200
Phone: (305)559-1020
Building Department Comments
PLUMBING FOR NEW SPA
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed
CV'
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Inspector Comments
November 01, 2016
For Inspections please call: (305)762-4949
Page 10 of 51
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
10025 NE 5 Avenue
Miami Shores, FL
Permit
Permit NO. PL -5-16-1377
Permit Type: Plumbing - Residential
Work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 6/2/2016
Expiration: 11/29/2016
Parcel Number
1132060171200
Block: Lot:
Applicant
JOSEPH PIPERATO
Owner Information
Address
Phone
Cell
JOSEPH PIPERATO
10025 NE 5 Avenue
MIAMI SHORES FL 33138-
10025 NE 5 Avenue
MIAMI SHORES FL 33138-
Contractor(s) Phone
NATIONAL POOL DESIGN LLC (305)559-1020
Cell Phone
Valuation:
Total Sq Feet:
$ 1,200.00
300
Type of Work: PLUMBING FOR NEW SPA
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.25
$2.25
$0.40
$150.00
$3.00
$1.60
$160.70
Pay Date Pay Type
Invoice # PL -5-16-59850
05/19/2016 Check #: 18675
06/02/2016 Credit Card
Amt Paid Amt Due
$ 50.00 $ 110.70
$ 110.70 $ 0.00
Available Inspections:
Inspection Type:
Main Drain
Final
Rough
Review Plumbing
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 assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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 . re, I authorize the above-named contractor to do the work stated.
June 02, 2016
Auth• .ture:Owner / Applicant / Contractor / Agent
Building Department Copy
Date
June 02, 2016
1
-
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20N
Master Permit No. 15?? Ka —13-1(c.
Sub Permit No. ?Lk Co
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: l V V�� 0 6111 Pr`(/
,
City: (Miami Shores Counntw3 ty: Miami Dade Zip: 1
Folio/Parcel#: 1 1 2_01P-01-/ - 1f 2_00 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): JSI Y I P / Pe/ W) Phone#: — W3- - /02 -
Address:
State: T1
City: ii i i voce.
Tenant/LesseeTName:
Email: , J K GP` d cfib/ .ir)-%?
CONTRACTOR: Co pang Name: Al l/ i6��/ 4L)/ )C J %
,/�
Address: 2-3 S /in � 212-
2
City: iniiM/n/
State:
Qualifier Name: /4-14-Qd/
t2di'i
`,( j
DESIGNER: Architect/Engineer: ViC /(�/ eeIe_ Phone#:
Address: /�,�� J City: / State:�/���Zip:
Value of Work for this Permit: $ / .97)6 Square/Linear Footage of Work: w-{Je)
State Certification or Registration #:
Phone#:
Zip:
Phone#: '3 ^ 5517---l(J
ffez
Phone#:
Zip:
-7(16—Certificate J Certificate of Competency #:
Type of Work: ❑ Addition ❑ Alteration - ❑ New
Description of Work:
❑ Repair/Replace ❑ Demolition
lttm5ly fief/4J ,a2
Specify color of color thru tile:
Submittal Fee $ SI' Permit Fee $ /5-0-----
J0r CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ 11,0•-R
TOTAL FEE NOW DUE $ • O
(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 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 rei . pe tion fee will be charged.
Signature
/AI\
/ OWNER(AGENT
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
W "HAday of 1-1k1 , 20 16
1 -ase --04 Pirb- 'fa , who is personally known to
me or who has proded
identification and who did take an oath.
NOTARY PUBLIC:
, by i s - day of , 20 lb , by
i Cf(LEO b V-069-1 w$2-, who is persotnlown to
as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
r 14 eiwo
************
MARIA THERESA PINO
Notary Public - Stats of Florida
* Commission # FF 15388
14 Comm. drR'Nsij 1`,*21)1?
Sign: 'OY�ew-•�t.r- of
Print:
Seal:
*********************
APPROVED
(Revised02/24/2014)
Plans Examiner
Structural Review
MARIA THERESA PINO
Notary Public - Stats of Florida
'Commission # FF 15968
*My, ComraU E111110* WET* ? W
Zoning
Clerk