PL-18-2239Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Parcel Number
Issue
Permit NO. PL-8-18-2239
Permit Type: Plumbing - Residential
Work Classification: Gas
Permit Status: APPROVED
te: 8/2412018
Expiration: 02/20/2019
Applicant
1421 NE 103 Street
Miami Shores, FL 33138-2625
1132050310150
Block: Lot:
VILMA QUINTANA
Owner Information
Address
Phone
Cell
VILMA QUINTANA
1421 NE 103 Street
MIAMI SHORES FL 33138-
(305)527-3904
1421 NE 103 Street
MIAMI SHORES FL 33138-
Contractor(s)
CORAL REEF PLUMBING INC
Phone CeII Phone
(305)361-6769 (786)298-6853
Valuation:
Total Sq Feet:
$ 3,500.00
0
•
Type of Work: GAS LINE, STOVE, LAUNDRY, WATER HEA
Type of Piping:
Additional Info: GAS LINE, STOVE, LAUNDRY, WATER HEA
Bond Return :
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$2.63
$2.00
$0.80
$175.00
$9.00
$3.20
$195.03
Pay Date Pay Type
Invoice # PL-8-18-68634
08/22/2018 Check #: 1347 $ 50.00 $ 145.03
08/24/2018 Check #: 1348 $ 145.03 $ 0.00
Amt Paid Amt Due
Available Inspections:
Inspection Type:
Final
Press Test
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 AFFIDA IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constru and -. ing. Futhermore - . . ' - he above -named contractor to do the work stated.
August 24, 2018
Agent Date
Building Department Copy
August 24, 2018 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Tel: 305-795-2204 Fax: 305-756-8972
Inspection Number: INSP-001144-2018
Permit Number: PL-8-18-2239
Scheduled Inspection Date: October 29, 2018
Inspector: 1 Massanet, Maykel
Owner: VILMA QUINTANA
Address:
Project:
1421 NE 103 ST
Miami Shores, FL 331382625
Contractor: CORAL REEF PLUMBING INC
OSVALDO JAVIER LEON
Permit Type: Plumbing - Residential
Inspection Type: Plumbing -Final)
Work Classification: Gass
Phone Number: 3055273904
Parcel Number: 1132050310150
Phone Number: 3053616769
Building Department Comments
GAS LINE, STOVE, LAUNDRY, WATER HEATER
Checklist Item
General Comments
Passed
False
Comments
Inspector Comments
Passed
Hr
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 26, 2018 For Inspections please call: 305-762-4949
Page 6 of 27
DROP TEST CERTIFICATION FORM
SD CONSTRUCTION LLC
328 CRANDON BLVD SUITE 226 KEY BISCAYNE, FL 33149
,JOB SITE ADDRESS: 1421 NE 103th ST MIAMI SHORES, FL.33138
Permit # PL-18-2239
Type of installation: New Rough
Description of Work: Performed drop test and proves negative.
System Pressure from Meter: 0.5 PSI If hybrid system, branch pressure:
Appliances present at the time of installation:
W/H X Dryer X BBQ_ Pool Heater . Cooktop X Range _Oven
Grill Fryer C. Cooker Boiler Space heater Steam table
Hood Rice cooker Others: GENERATOR
Water Column: 8.2"
Test Duration: 30 minutes
Date of Test: 10/22/2018
Technician's name: Osvaldo Javier Leon
Technician Signature:
Dated: 10/22/2018
STATE OF FLORIDA
COUNTY OF DADE
Sworn to end subscribe before Me this 1022/2018, by OSVALDO JAVIER LEON
(X) Personally known ( ) Produce identification
Signature o
Print Name
PO BOX 524677 MIAMI, FL 33152 i PH: 305-361-6769 i FAX: 305-629-9815 I CFC# 1426671 I LP 35932
Email: Estimator@coralreefolumbing.com
❑ New
BUILDING
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
RECEIVED
AUG 222018
co h
FFnBC 20(�
Master Permit No. IL C_ 1 S ' i q
PERMIT APPLICATION Sub Permit No. P \
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
LUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: \`'\ L\ 1 v� \O J �
City: Miami Shores
County: Miami Dade
Zip: 3 \� F7
Folio/Parcel#: \\ - 37_..n- (3\ - \. ° Is the Building Historically Designated: Yes NO
Occupancy Type: Load: \ Construction Type: Flood Zone: BFE: FFE:
V OWNER: Name (Fee Simple Titleholder): �\ma Q.6\ !\" \ (\ Chi Phone#:
Address:
City:
147.\ 1D2)��' s- .
\8'M\ 6Vo Q - State: ��--
Zip:33136
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: N ( \ VSLQ---C\
?\'3iv
AS,
Address: -PC) 30.)4- Zt'\(7
Phone#:
City: /v\\ 2'M \ State: -VL-- Zip: --1D-7- \ 5
Qualifier Name: a Qs:3\6\Q .\-) \ C c
/l- e cDr\ Phone#:
/�
State Certification or Registration #: l C. \ L\ L (SI lS?�Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 3S0Q Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
Description of Work: 6-lag Sy'a v LAp., z jL/ / w
❑ Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ / 7 S ` c. CCF $ CO/CC $
Scanning Fee $ Radon Fee $ Z • C-C3 DBPR $ Z ' 3 Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ S • C 3
(Revised02/24/2014)
#Bondii 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 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
Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of CCL , 20 , by ay of )4 ^G rc,\-- , 20 ` , , by
VV\INi Wi1/4,‘- , who ' \f ds0U\ _ c L , w s personally known to
me or who has pro uced
identi ica ion and who did take an oath.
NOTARY PUBLI :
Sign:
Print:
Seal:
;.i MY COMMISSION # GO 121819
o has produced as
identification and who did take an oat
NOTARY PUBLI
Sign:
Print:
Seal:
APPROVED BY 1/1/? Plans Examiner Zoning
Structural Review
(Revised02/24/2014)
Clerk