PL-15-922Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-232895 PermitNumber: PL -4-15-922
Scheduled Inspection Date: September 26, 2016
Inspector: Hernandez, Rafael
Owner: COWAN, PATRICK
Job Address: 87 NE 92 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: MANNY'S PLUMBING SERVICE INC
Building Department Comments
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
2 NEW BATHROOM 1 NE WATER HEATER RELOCATE Infractio
THE KITCHEN, LAUNDRY AND EXISTING BATHROOM I INSPECTOR COMMENTS
AT MASTER BATHROOM 2 FLOOR
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Phone Number (786)547-3255
Parcel Number 1132060130290
False
Phone: (305)219-5625
ents
September 23, 2016 For Inspections please call: (305)762-4949 Page 1 of 36
Permit NO. PL -4-15-922
Permit Type Plumbing - Residential
1 1 lot Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 7131/2015 j Expiration: 01/27/2016
Project Address Parcel Number Applicant
87 NE 92 Street 1132060130290
Miami Shores, FL 33138- Block: Lot:
PATRICK COWAN
Owner Information Address Phone Cell
PATRICK COWAN 87 NE 92 Street (786)547-3255
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
MANNY'S PLUMBING SERVICE INC (305)219-5625
Type of Work: 2 NEW BATHROOM 1 NE WATER HEATER RE
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential Scanning: 1
Fees Due
Miami Shores Village
CCF
10050 N.E. 2nd Avenue NE
m Miami Shores, FL 33138-0000
DCA Fee
Phone: (305)795-2204
fi<ORID
3.40
Permit NO. PL -4-15-922
Permit Type Plumbing - Residential
1 1 lot Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 7131/2015 j Expiration: 01/27/2016
Project Address Parcel Number Applicant
87 NE 92 Street 1132060130290
Miami Shores, FL 33138- Block: Lot:
PATRICK COWAN
Owner Information Address Phone Cell
PATRICK COWAN 87 NE 92 Street (786)547-3255
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
MANNY'S PLUMBING SERVICE INC (305)219-5625
Type of Work: 2 NEW BATHROOM 1 NE WATER HEATER RE
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential Scanning: 1
Fees Due Amount
CCF 10.20
DBPR Fee 8.66
DCA Fee 8.66
Education Surcharge 3.40
Permit Fee 577.50
Scanning Fee 3.00
Technology Fee 13.60
Total: 625.02
Valuation: $ 16,500.00
Total Sq Feet: 1633
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL -4-15-55250
07/31/2015 Credit Card $ 625.02 $ 0.00
Avaname I
Inspection Type: i
rg ro
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 certi t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futh re, I authorize the above-named contractor to do the work stated.
July 31, 2015
Authorized Signature: Owner / Applicant / Contractor / Agent uate
Building Department Copy
July 31, 2015 1
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
APR 2 0 2015
FBC 201 C -N
MBUILDINGMasterPermitNo. 5- _l `c_)
PERMIT APPLICATION Sub Permit No. el --I S'-Gzz
BUILDING ELECTRIC ROOFING REVISION EXTENSION RENEWAL
PLUMBING MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: S-4- N E 22 S reel -
City: Miami Shores County: Miami Dade Zip: (v S
Folio/Parcel#: J1 32_6Lp b13 6-290 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): i'ta(1C i Phone#: 7 b(o `o • 3 2
Address: E 92"
City: . State: l_ Zip:13
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: t a N a S s` Hsi uS envtee Phone#: 36' aZ^x}333
Address: V-31 W $!*y X502- a
City: State: L Zip: 33O\Z
Qualifier Name: 0,V4u,6— Quiz -bo ,,,o Phone#: Z -C
State Certification or Registration #: C fc njoonc. Certificate of Competency #: _
DESIGNER(; Archit /Engineer: tM Dm/k (k Cwh /t e-k_ Phone#: ,
Address: -3 73 AA
II
S --
c
7I
r^ City: M Statc
Value of Work for this Permit: $ l 6,,w • Square/Linear Footage of Work:
Type of Work:. P Addition Alteration New Repair/Replace
Description of Work: Q2) 001111 6A 'fV(_n^ +'l_S 11/-C v Pew t
r,— Zip: "S"C. 1 3q
Demolition
LcrvR Alt, r- I TZ,N 1.kO(L4 Z
Specify color of color thru tile:
Submittal Fee $_ 45:e Permit Fee $ 5_'& x: CCF $ I (3" ?,4-,) -CO/CC $
Scanning Fee $ c7 Radon Fee $ , L!! " 41 (P DBPR $ 6 r 6 b Notary $
Technology Fee $ ! 3 i8 Training/Education Fee $ y Double Fee $ .
Structural Reviews $ Bond $ ( L
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 State1
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 approved and a reinspection fee will be charged.
Signature 61
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of tl , 20 1!S—_ by
a f Cy ML ,who is personally known to
me or who has produce- -fD/ • LO' as
identification and who did take an oath.
NOTARY PUBLIC:
Signature-.----
CONTR TOR
The foregoing instrument was acknowledged before me this
a day of (` \ , 20 1S by
1 ` lQhyeA —;4,Cc\oifYlo , who is personally known to
me or who has produced C. --N F_A— as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: Sign:
Print: Print:
Seal: REBECA M. PASTRMA
MY COMMISSION # EEsn624
a EXPIRES: Fdaaary 07, 2017
Seal: M
REBECA M. PASTRMA
MY COMMISSION # EE872624
EXPIRES: February 07, 2017
ac
APPROVED BY _ . Plans Examiner Zoning
Structural Review Clerk
Revised02/24/2014)