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PL-17-1803Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)7564972 — 1 Inspection Number: INSP-286000 Permit Number: PL -7-17-1803 Scheduled Inspection Date: October 12, 2017 Inspector. Hernandez, Rafael Owner: DEL RIO, JUAN R. Job Address: 123 NE 97 Street Miami Shores, FL 33138-2332 Project <NONE> Contractor: LONCUS PLUMBING CONTRACTORS INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1132060132440 Phone: (305)218-1004 Building Department Comments NEW BATHROOM AND LAUNDRY SINK WASHER Infractlo Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments October 11, 2017 For Inspections please call: (305)762-4949 Page 11 of 22 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number APPRO Expiration: 01/17/2018 Applicant 123 NE 97 Street Miami Shores, FL 33138-2332 1132060132440 Block: Lot: JUAN R. DEL RIO Owner Information Address Phone CeII JUAN R. DEL RIO 123 NE 97 Street MIAMI SHORES FL 33138-2332 123 NE 97 Street MIAMI SHORES FL 33138-2332 Contractor(s) Phone CeII Phone LONCUS PLUMBING CONTRACTORS (305)218-1004 Valuation: Total Sq Feet: $ 2,500.00 0 Type of Work: NEW BATHROOM AND LAUNDRY SINK WASHE Type of Piping: Additional Info: NEW BATHROOM AND LAUNDRY SINK WASHE Bond Return : Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.80 $3.38 $3.38 $0.60 $225.00 $3.00 $2.40 $239.56 Pay Date Pay Type Invoice # PL -7-17-64576 07/21/2017 Credit Card 07/13/2017 Cash Amt Paid Amt Due $ 189.56 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Top Out Final Review Plumbing Underground 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 AFFID VI : I - ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and.. • ni g. F ermore, I authorize the above-named contractor to do the work stated. July 21, 2017 t thort Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date July 21, 2017 1 q`\,-)\° 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 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING . LUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: RECEIVED JUL 13 2017 FBC Zoeu Master Permit No. A ( - b - /7 - / 2/8g Sub Permit No. f f t 1 cJ 3 ❑ REVISION ❑ EXTENSION RENEWAL O CHANGE OF 0 CANCELLATION El SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Occupancy Type: IN100o0137M 'yO Load: Is the Building Historically Designated: Yes Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): —ISuQ: ti Address: ‘1.14 ‘34t. ck\ S� NO K BFE: FFE: Phone#: 54S..'AV1- eiN0c City: 01.1),W. S>& 4 State: Tenant/Lessee Name: Email: ►N.1 _ %%kw) Q. Uc? J m\. Q..0.• Phone#: Zip: J� CONTRACTOR: Company Name: L©n 6 -os I /vim b r;c: c os1Tl2A(TO// Address: /3D a 5,:c) 70 A -v Phone#: 3os-2/2 -/dof City: a'n State: FL- Qualifier G Qualifier Name: 46=73'7 ti e z' State Certification or Registration #: CFC\L) 2.$O DESIGNER: Architect/Engineer: Address: Zip: '3% `f Phone#: 2-41'-/ 00761 Certificate of Competency #: Phone#: City: State: Zip: Value of Work for this Permit: $ 2- Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration LNew ❑ Repair/Replace Description of Work: /3 R-7- /2-00ti "9"71-'6 �n ❑ Demolition 5lGi/4 e -e -,-.4)-S li &2 - Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Permit Fee $,'f Radon Fee $ CCF $ DBPR $ CO/CC $ Notary $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE$ ! 89 era 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 OKOMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated ya(ue exceeding$2500 the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure swill be delivered to the. person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted dt'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 CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this �.1. day of •IVAkik , 20 » , by / 2— day of -7/// , 20 /7 , by .) I404.. �A� , who is personally known to 4e --4C/ '% e6 /o , who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ;Q;�fl::ti ;% ARTURO ALFONSO 1,4 MY COMMISSION # GG 075921 �p EXPIRES: February 22, 2021 ••Fgg fist Bonded Thru Notary Pubic Underwtiters APPROVED BY (Revised02/24/2014) i*************** * identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: DAYMI OLVERA Notary Public - State of Florida •= Commission sGG093344 My Comm. Expires Apr 11, 2021 6crdad t ou;'ilaticrainotaryAssr. 7-13 !9 Plans Examiner Structural Review Zoning Clerk