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DS-15-1639 (2)as /S-/�39 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-250026 Permit Number: PL-12-15-3184 Scheduled Inspection Date: January 04, 2016 Permit Type: Plumbing - Residential Inspection Type: Final Owner: , CIO GFB TAX SERVICE LLC Work Classification: Drainfield Inspector: Diaz, Osvaldo Job Address: 1316 NE 105 Street Miami Shores, FL 33138- Project: <NONE> Contractor: JASON'S SEPTIC INC Phone Number (305)609-2522 Parcel Number 1122320270150 Phone: 305-252-1080 Building Department Comments FIX DISCONNECTION BETWEEN EXISTING TANK TO EXISTING DRAINFIELD Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Inspector Comments OY— ‘4,/' Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. January 04, 2016 For Inspections please call: (305)762-4949 Page 15 of 23