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PLC-18-3490Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 9600 .NE 2 AVE, Miami Shores, FL 33138 Contacts Issue Date:11/26/2018 Parcel Number 1132060132510 Permit NO.: PLC- 11 - 18-3490 Permit Type: Plumbing - Commercial Work Classification: Alteration Permit Status: Approved Expiration: 05/20/2019 PALAZZO LC0NI LLC Owner PALAllO LEONI LLC Applicant TODD LEONI TODD LEONI PO BOX 3i703, MIAMI, FL 33238 PO BOX 38170.3, MIAMI, FL 33238 WESTIAN ", PLUMBING CORP Contractor CARLOSCOBOS 675 V E-- DR * ** Business: 3058636223 Other-7862360198 Inspection Requests: Descripf'ci1 NFW BATHROOM TOILET LAVATORY AND FLOOR ; valuation: $ 9,000.00 DRAIN 13 COMP KITCHEN SINK 1 MOP SINK 1 HAND SINK 2 "-�- — - 1305-762-4949 GREASE TRAPS 1 WATER HEATER 2 FLOOR DRAINS Tots! 5q Feet: C17.00 Fees Amount Application Fee - Other $50.00 CCF $5.40 DBPR Fee $4.05 DCA Fee $2.70 Education SLI,ch.rge $1.80 Permit Fee $220.00 Scanning Fee $3.00 Technology Fee $6.75 Total: $293.70 I� i Payments Date_Paid Amt Paid ____ Total Fees $293.70 Credit Card 11/19/2018 $50.00 Credit Card 11/26/2018 $243.70 Amount Due: $0.00 Building Department Copy In considers, on of the issuance to me of this permit, I acree 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 fo- all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECH XNICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFF!DAVIT: I certify that all the foregoing it `ormation is accurate and that all work will be done in compliance with all applicable laws Ngulatir; .,i---!.' cti:)r^anyiqgnirA. Futher re, I authorize the above named contractor to do the work stated. Authcr:xcc 3i;na. ra: Ow. Applicant / Contractor / Agent Date November 26, 2018 Page 2 of 2 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 �ECEIVED 9 1018i 0-h FBC 201 + BUILDING Master Permit No. CC $ Is lZZ60 i' PERMIT APPLICATION Sub Permit No. ICZ �I ' 1 f1 O ❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I fO oo M .P. 2 gave U .,. � `. ris P. q&,A— City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: I I 3'7-C> 6 0 j 3 Z S 10 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ► d cl, 1 o Q Y1 l Phone#: ) 17 X Z Address: �0 3eg 3a 17o3 I City: M bV�- v- t 1 State: 1 L Zip: '3 "5 Z 3 X Tenant/Lessee Name: GtYCih�y �OyDQ�(. ov\I %� hoc Phone#: - 5,&2 -!a2c)b Email: %"c)7 L r�r✓I C�yz�C--I/f CONTRACTOR: Company Name: W&Aa AC ,AdJp �L M)OLVI& Phone#: SOS Sto3laZZ3 Address: %01 u ��.5� 24 S 1- City: XA La k&dL �% State: ,;:::L a r Lflat Zip: 316o t D Qualifier Name: Cyr• 1,0 e—on lei eS Phone#: '14to 7OS& 0 148 State Certification or Registration #: (r F L 0W1 I / b Certificate of Competency #: DESIGNER: Architect/Engineer: Address: Phone#: Value of Work for this Permit: $ G , 000 Square/Linear Footage of Work: State: Zip: Type of Work: ❑ Addition X Alteratio1n� ❑ New 1 ❑ Repair/Replace. ❑ Demolition Description of Work: 0,6 un �d71. sin rloo Yn Tb \al (.r�0a lcearV Q1aD T' + jdarL.&wVY) t 3 ca,nn� lr� ti l`C�.,� �7 � v1.� L M O P Ist w� 1 4�- � �' mOS.— �ate�S Q. _"A_li'_MP5 I Wa�Q,r ea��r' 2 "Floor Dta % v>, s Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Permit Fee $' - Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $. DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Bonding Company's Name (if applicable) _ Bonding Company's Address City State Mortgage Lender's Name (if applicable) _ Mortgage Lender's Address City State Zip 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 ap roved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACT The foregoing instrument was acknowledged before me this day of 06940 20 l� by -VD(Jnt0A11 who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLI Sign: The foregoing instrum��en//t was acknowledged before me this 46 day of /d/041W, ..r" , 20 a by G,. 164 640 S who is personally known to as me or who has produced F 0. L" as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ' Print: Seal: 92,� ANDREW VOGEL Seal: g�r� Notary Public State of Florida Barbara E PeredaMMISSION t FF919683 My Commission GG 188624ES: November 25, 2019 1Expires 04/30/2022 **********************#****#***#■*#**s*ssss*****#*ssss***�R******s****#***** * ** * * ** * * * * �*•*#***** APPROVED BY � ��/l� Plans Examiner Zoning -r Structural Review Clerk (Revised02/24/2014) C, C I � - ZZS o ` 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-002009-2018 Scheduled Inspection Date: December 03, 2018 Inspector: Massanet, Maykel Owner: TODD LEONI Address: C-9600 NE 2 Ai�E`_=- Miami Shores, FL 33138 Project: Contractor: WESTLAND PLUMBING CORP CARLOS COBOS Permit Number: PLC-11-18-3490 i Permit Type: Plumbing -,Commercial Inspection Type: Plumbing Underground Work Classification: Alteration Phone Number: Parcel Number: 1132060132510 Phone Number: 3058636223 Building Department Comments NEW BATHROOM TOILET LAVATORYAND FLOOR DRAIN 13 COMP KITCHEN SINK 1 MOP SINK 1 HAND SINK 2 GREASE TRAPS 1 WATER HEATER 2 FLOOR DRAINS Checklist Item Passed _::Pending General Comments False Pending FOG inspection Inspector Comments Passed El Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. November 30, 2018 For Inspections please call: 305-762-4949 Page 18 of 29 DERM PROCESS NO.: U DATE: '�/� TIME: MUNICIPAL PROCESS/PERMIT NO.: ADDRESS: ( ff) A) �2 A,,�( 7S_ COMMENTS: 6-al -%;3 J0 INSPECTOR NAME: aolA PHONENO.: INSPECTOR E-MAIL• a�/��U/%7/ �� -� EjAPPkOVEO SIGNATURE: / . , HYORQII�AE[H/\M|CALFQG CONTROL DEVICE (H-FCD)INSTALLATION INSPECTION' rnIArnr NY|/kNYI-DADE CQQNTyRER-DERyN FOG CONTROL PROGRAM TO BE FILLED OUT BY THE APPLICANT Building Permit No.:4A��,Pzz_ -il -/y --;3 Lw DERM Process No.: Site Address: Folio: Zip Code. - Contact Person: Title- 004 ..................... . ....... [__...__ ... ...... ------ ...... ............ I ............. . ... .............. . Ph: Email: -_-_-_'_ FOR RER-DERM USE ONLY I)f RM Inspector: Ph: OERMGu [ 'Ph: -__--- --_ --'-. Email: Email: i-'---------- - ------------ '------ '----------- '---INFORMATION FROM APPROVED PLANS - (2 i ON -SITE INSPECTION CHECK LISTM2----._�__ � aDa- # ITEM i Yes No Not I ; r Applicable -- �- -- -- - - ---------------------------- ----------------------------------------------------- -- -- - - - - - ------ -•------------ -- 1 Are plans available on site with DERM approved stamp ❑ ARE THE FOLLOWING PER APPROVED PLANS? i 2 FCD location i ! ❑ 3 Identification of the FCD visible ; i 4 Installation of the FCD (inlet outlet) El' i 5 ;FCD type Ll -- ---------------- --_------ ------ ___._____-__ 6 I FCD size (gpm) C.... C.I ---------------- 7 FCD lbs of grease retention ❑ 1 8 FCD accessibility [� ----- --------- --- 9 Sampling point installation v _______--- �__ _ -- --_ ----- --- 1_- -- - fi ------- -- I --- --- _µ; i 10 I Sampling point accessibility---------- V�__ I ❑ I- -- ------------- 11 Monitoring alarm system ❑ ❑ -------------------------------- —---------------------------- ._._--_--__------------------------------------------- , i 12 i Solids separator installation ❑ ❑ s ; 13 ; Inspection outcome PASS' FAIL. ❑ " Payment of re -inspection fee required prior to requesting the second re -inspection and thereafter. The total amount to be paid is eighty dollars and sixty-three cents ($80.63). To make the payment contact the DERM Cashier at 305-372-6755. The confirmation number obtained from the DERM Cashier shall be provided to schedule the re -inspection. 2 If the inspection results show that the FOG Control Device (FCD) is not what was approved on plans, the applicant would have two options: a) Revise the plans to show alternative FCD. which would need to be approved by DERM and Plumbing, or b) Replace the FCD to match the one on the approved plans. and schedule a re -inspection.