PL-18-764Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-300109 Permit Number: PL-3-18-764
Scheduled Inspection Date: August 16, 2018 Permit Type: Plumbing - Residential
Inspection Type: Final
Owner: LONG, SETH & LYNETTE Work Classification: Drainfield
Inspector: Massanet, Maykel
Job Address: 444 NE 93 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MR C'S PLUMBING & SEPTIC INC
Phone Number (305)325-6976
Parcel Number 1132060140200
Phone: (305)651-7859
Building Department Comments
NEW SEPTIC TANK & DRAINFIELD.
expiration warning sent out 1/3/16
REPLACED PL-8-17-2147
Infractio 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
HRS APPROVAL ON FILE
August 15, 2018
For Inspections please call: (305)762-4949
Page 4 of 42
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permi'
Issue Da
Permit NO. PL-3-18-764
Permit Type: Plumbing - Residential
Work Classification: Drainfield
Permit Status: APPROVED
818I20'l1
Expiration: 02/04/2019
Parcel Number
Applicant
444 NE 93 Street
Miami Shores, FL 33138-
1132060140200
Block: Lot:
SETH & LYNETTE LONG
Owner Information
Address
Phone
Cell
SETH & LYNETTE LONG
650 W Avenue
MIAMI BEACH FL 33139-
(305)325-6976
650 W Avenue
MIAMI BEACH FL 33139-
Contractor(s) Phone
MR C'S PLUMBING & SEPTIC INC (305)651-7859
Cell Phone
Valuation:
Total Sq Feet:
$ 10,000.00
400
Type of Work: NEW SEPTIC TANK & DRAINFIELD.
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$o.00
$o.00
$o.00
$0.00
$175.00
$0.00
$0.00
$175.00
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-3-18-66906
03/26/2018 Credit Card $ 50.00 $ 125.00
08/08/2018 Credit Card $ 125.00 $ 0.00
Available Inspections:
Inspection Type:
HRS Approval
Final
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 zoning. .rrpore, I/a orize the above -named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent
August 08, 2018
Date
Building Department Copy
August 08, 2018 1
IVIIdI 1 II al IUI CJ 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
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS:
City: Miami Shores
Master Permit No.
❑ REVISION
❑ CHANGE OF
CONTRACTOR
s4-N
FBC 20M
Sub Permit No. P1 e-q(0Q
❑ EXTENSION RENEWAL
0 CANCELLATION ❑ SHOP
DRAWINGS
County: Miami Dade
Folio/Parcel#: /j-3a66 '6/41-- 64).4-0
Occupancy Type:
Load:
Construction Type:
OWNER: Name (Fee Simple Titleholder): cal
Address:
City:
1\il(a.t
Ne
ViLdYe.A State:
Zip: 3_513 0
Is the Building Historically Designated: Yes NO !�
Flood Zone: BFE: FFE:
P
Phone#:
Zip:
3S13e
Tenant/Lessee Name: Phone#:
Email: 'f
CONTRACTOR: Company Name: V V C rS ?lu � i - 5e zC Phone#:
City: MJa /U.._- 9 j State: l �—
Qualifier Name: t? 44L UL— Iw Phone#:
Address:
State Certification or Registration #: JD 6 1 c Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Zip:
Value of Work for this Permit: $
Type of Work: ❑ Addition ❑ Alteration ❑ New
Description of Work:
Square/Linear Footage of Work:
❑ Repair/Replace
❑ Demolition
J F f t
` 0 Y-f-9lack Pi r9 21U
Specify color of color thru tile: \i s de
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ H - St) Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE S
R
Bonding Company's Name (if applicable)
A//'
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Bonding Company's Address
City State Ai
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 reinspection fee will be charged.
Signature
GENT
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
3Y-1 day of A ve;, 20 / , by <. 3 day of A KC , 20 / , by
Gmy , who is personally known to eaMilk/i 1e.kc ,who is personally lcaewn to
me or who has produced pri very L+ce nSe- as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
*********
Vo;1A /sl l "l f vtl.'1
; •sl: DONALD MARTIN
ck
MY COMMISSION # GG102743
EXPIRES May 09, 2021
APPROVED BY
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
WA4.-b
Plans Examiner
f%r r+ I4 .lUiiltt i.,
As9V , DONALD MARTIN
=+�, = MY COMMISSION # GG102743
''�i';,M1 aEXPIRES May 09, 2021
Zoning
Structural Review Clerk