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PLC-16-2560 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-267462 Permit Number: PLC-9-16-2560 Scheduled Inspection Date: October 20,2016 Permit Type: Plumbing -Commercial Inspector: Hernandez, Rafael Inspection Type: Final Owner: , Work Classification: Addition/Alteration Job Address:9475 NE 2 Avenue Miami Shores,FL 33138- Phone Number Parcel Number 1132060133760 Project: <NONE> Contractor: WALTER PLUMBING CORP Phone: (305)970-7116 Building Department Comments ALTERATION OF BATHROOM Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re-Inspection a Fee No Additional Inspections can be scheduled until re-inspection fee is paid. Permit NO. PLC-9-16-2560 Miami Shores Village Permit Type:Plumbing-Commercial 10050 N.E.2nd Avenue NE PerlillWork Classification:Addition/Alteration " Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 �iORioP 04/10/2017 Issue Date: 10/12/2016 Expiration: Project Address Parcel Number Applicant 9475 NE 2 Avenue 1132060133760 BANK OF AMERICA NA Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell BANK OF AMERICA NA 13510 BALLANTYNE CORP Place CHARLOTTE NC 28277- 9475 NE 2 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 4,800.00 WALTER PLUMBING CORP (305)970-7116 (786)234-2816 Total Sq Feet: 0 Type of Work:ALTERATION OF BATHROOM Available Inspections: Type of Piping: Inspection Type: Additional Info:ALTERATION OF BATHROOM Top Out Classification:Commercial Re Pipe Scanning: 1 Main Drain Heater Water Service Final Water Main Lavatory Underground Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 Invoice# PLC-9-16-61365 DBPR Fee $3.38 09/16/2016 Credit Card $50.00 $192.76 DCA Fee $3.38 Education Surcharge $1.00 10/12/2016 Credit Card $ 192.76 $0.00 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $4.00 Total: $242.76 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information ' c o.7, d that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-na d c o do the ted. October 12, 2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy October 12, 2016 1 IMAO Miami Shores Village - M �CFT"PrD Building Department SE 6 2.016 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY: INSPECTION LINE PHONE NUMBER:(305)762-4949 �l^ FBcio14 ►'I BUILDING Master Permit No. CC- 5- PERMIT APPLICATION Sub Permit No. VLC 16- 60 F--]BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL E"PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:] CANCELLATION ❑ SHOP U / CONTRACTOR DRAWINGS JOB ADDRESS: / �y N 2 Ave o kes 0. City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 113 Z o 6 0 /33 7,60 Is the Building Historically Designated:Yes NO_ Occupancy Type: M Load: -9ee°AAn'fConstruction Type: 11-6 Flood Zone: (` BFE: FFE: OWNER: Name(Fee Simple Titleholder): OYC &90, Phone#: ?-r Cy-_r y) -4 773 Address: / /b/ N , Sire e 7 City: C a —to &e State: Adi-le, Zip: 2825-1- Tenant/Lessee Name: 9*0,4- 'P"e' '4-.7ePhone#: grV-.,rye 2773 Email: l//2 . .S'opCAI.-2 Qwi ..JIL. CONTRACTOR:Company Name: i� G ��L°✓ 1!" �I�Y v/,ol G�� Phone#: Address: !f0 n$y .Sw City: 41/f T Z' , /G/ State: Zip: Qualifier Name: 4t/.P 116- 455'li 7//e rrG2 Phone#: State Certification or Registration#: CFS' /y2 75-/0 Certificate of Competency#: DESIGNER:Architect/Engineer: -�iY�i iv/f� �iV9/�+�Pr�n y ' �'�. Phone#: 8/3 Address: //3.1— 41 a,,, //.c 13/a2,0 city: Zg LWZot State: Zip: 36/ Value of Work for this Permit:$_ 8oy v Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ 74e.-,P El Demolition Description of Work: �fer�r f mon �� 84Th ry 0� . Specify color of color thru tile: Submittal Fee$ -5 0 Permit Fee$ 9-��/ CCF$ CO/CC$ Scanning Fee$ �tt, 00` Radon Fee$ :3' DBPR$ 3 ' Notary$ Technology Fee$ �('"W Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ ro TOTAL FEE NOW DUE$ lD....7cr..4n7 i')n I'MI n i Bonding Company's Name(if applicable) N/A Bonding Company's Address N/A City N/A State N/A Zip N/A Mortgage Lender's Name(if applicable) N/A Mortgage Lender's Address N/A City N/A State N/A Zip N/A 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 b d a d a reins tion fee will be charged. Signature _ Signature OWNER or AGENT CONTRACTOR The foregoing foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this g t day of J 20 1 _ by q+K day of YaRm 1 20 by Felipe Izquierdo-SVP BOA who' nally kno to �.,,In 1��( 7ev(-ez,who personally known t me or who has produced as me or who has produced as identification and w k {rh identification and who did o Cestelon NOTARY PUBUC NOTARY PUBUC NOTARY PUBLIC: STATE OF FLORIDA NOTARY PUBLIC: STATE OF SDA Com ni#00002842 Co mrt*00002BA2 Expires 8/2012020 Expires BJ20/ZOZO Sign: S' Print:M( V4hC SJ11h Print: 9 JA(4 (A (9t) Seal: Seal: APPROVED BY / 'r Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)