RC-16-113 (3)Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
p,L Ili 113
Inspection Number: INSP-237050 Permit Number:, PL-5-15-1175
Scheduled Inspection Date: August 15, 2016
Inspector: Hernandez, Rafael
Owner: BERSHIRE, CHAD
Job Address: 650 NE 97 Street
Miami Shores, FL 33138-
Project <NONE>
Contractor: WESTLAND PLUMBING CORP
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Drainfield
Phone Number
Parcel Number 1132060171640
Phone: (305)863-6223
Building Department Comments
REPAIR DRAINFIELD
tnfractio 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
CREATED AS REINSPECTION FOR INSP-234945. provide copy of HRS
approval to city
sod required on lawn
repair damaged sidewalk and clean surrounding area
DIVISION OF
Envi ronmentat Heatth
Florida Health
Miami -Dade County
OSTDS/Well Division
11805 SW 26th Street • Miami, FL'33175
Inspector "GY' , (D Y)1 CMG _ Date
Address 6S7o€ C1~7' 1
Comments:
(//5"/2o/5 -
OSTDS # P P1 1 S s-3k:
537f>e fir
Signature