PL-10-2145Inspection Number: INSP- 153951 Permit Number: PL -12 -10 -2145
Scheduled Inspection Date: December 20, 2010
Inspector: Hernandez, Rafael
Owner: MUDAFORT, MIGUEL
Job Address: 9207 NE 1 Avenue
Project: <NONE>
Contractor: BIONIC PLUMBING CORP.
Building Department Comments
GAS VENT INSTALLATION
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
December 17, 2010
Miami Shores, FL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
0-69
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060133150
Phone: 305 -498 -9100
Page 19 of 28
BUILDING
PERMIT APPLICATION
FBC 20
JOB ADDRESS: q a 01 N E 1
City: Miami Shores
Type of Work: DAddress
Description of Work:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (309 762.49
c E
Permit No. t -41441c
❑Alteration
P e-cm\ - 1 --
County:
Submittal Fee $ Permit Fee $
X 00
a c
Scanning - Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Miami Dade
Master Permit No.
Permit Type: PLUMBING N f � � l Q
OWNER: Name (Fee Simple Titleholder): N 1 q u e L I (�- i u dei 4OrI ?Co � Phone #: o a IF -2/ /,3
Address: gaol NI C I A vem u-e,
City: M 111 i 5 h d c S State: Flan c, G.
Tenant/Lessee Name: Ptf t/ a
Email: °r'1 1 o ui?, m COh
Zip: J 3
Phone #:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO f Flood Zone: NO
CONTRACTOR: Company Name: ,Ar.no ;7`-(.ea �•"�cs� e. e_Phone #: fc2„L5? _de
Address: Ol ( C -t.".J 9 1; '/
City: rV (J� State: Zip:
Qualifier Name: G. Al2_ 6t/1 -o"e7 . _ Phone #:
Stake Cer Registration #: ®� l !� �� Certificate of Comp tenc #:
Contact Phone#: 2 f10 Email Address: �� I^" I' (�6 , CO L✓ DESIGNER: Architect/Engineer: IV
Pho
❑New epair/Replace
qi.P9M2115
O E C 0 3.2010
Y11'0 yt152J
zip: 33/ 3Y
Value of Work for this Permit: $ 9 (I\ Square/Linear Foo ge of Work:
❑Demolition
* * * * ******* ****** ***** ******•x ****** ****F * * ** x **** ********* qua: ********* ** u *** **+x*x:****
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding 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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
•
Contractor
The for- ;oin. in«m me' as ackn
day o� / "'' by ! �i�� day of . �; II _, 20, by
who is pgrson ewn to me or who has produced who is per onall o to{{1�e or who has pro
cin � � and who
a
A
PUBLIC:
I
Sign: 1 �y L . ' J I
Print:
NO
ged before e
?i � _ COMMISSION # C(17292RO My Commission Expires:
�OFF%d ° g at nv c'
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iN+k=ksk+k=k =ksk=k=k �k�k�k�k$ jkNa�Nik �k=k�R�k %�k�k�k�k�k **** akakiFA�* �kak= k= kHaHai k* �k= k= ki k= k* nk�k�knk' k= knk= k*= k- k�k�k�k�k�k�k�k %k�F�k�F�k�k�k�k�k�k* 4
Plans Examiner
d take an oath.
Zoning
Clerk