PL-10-324Inspection Number: I NSP- 136791
Scheduled Inspection Date: July 26, 2010
Inspector: Hernandez, Rafael
Owner: BRAZIS, LILLIAN & ALBERT
Job Address: 330 NE 97 Street
Miami Shores, FL 33138-
Project: <NONE>
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Contractor: ALADDIN PLUMBING & CONSTRUCTION CORP
Building Department Comments
PLUMBING HOOK UP FOR DISHWASHER AND SINK FOR
KITCHEN REMODEL
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
July 23, 2010
For Inspections please call: (305)762 -4949
Permit Number: PL -3 -10 -324
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060135850
Page 2 of 18
Miami Shores Village
Building Department
10050 N.E.2hd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit No. 91 ) 0 f4
Master Permit No f ) 0'32 P
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: PLUMBING
Owner's Name (Fee Simple Titleholder) ae 0-7 Q AiO /A e,( Phone #
Owner's Address 33 Q /Jt
City H 1 Q t .Q State zip - 33}
Tenant/Lessee Name
Email
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
i t 9 7 sir.
Phone #
County Miami -Dade Zip
Is Building Historically Designated YES NO ,< Flood Zone
Contractor's Company Name
Contractor's Address ,6* / y / /
City )t / ���. ' , y , State V
Qualifier Name ®ms 9- Hem QSe 9 Phone #
Phone #
1003N35
MAR 0 2 2010
BY: �..
(.0146
VI1C, 1-
c RI'
State Certificate or Registration No. C FC_ Q2 6 5 Certificate of Competency No.
Contact Phone E -mail
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ $7Q Square / Linear Footage Of Work:
Type of Work: ❑Addition II ['Alteration fNew Repair/Replace El Demolition
u
Describe Work: f./A s.�y �i •, aC , ,‚ 4? 1-0-0 k
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ D' Permit Fee $ o0 A0t4 CCF $ a( 0,0 CO /CC $
Notary $ Training/Education Fee $ 0 ' 0 Technology Fee $0'10
Scanning $300 Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $ S4 0
See Reverse side -*
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 MR 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
er ona
01.
A
co
• t a 9�
00 0
The fo
dayo
who
NOT
Sign:
Print:
APPROVED BY
Owner or Agent
inn instrument was a
2010,by
LIC:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Revised 07 /10 /07)(Revised 06/10/2009)
own to me or who has produced
a s identification and who did take an oath.
AI
Signature
Contractor /
The foregoin instrument was acknowledged before me this /
day of t'Id\ , 20/c 4 , b y CJ - e5 trf ,
ho is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
, %1C-STATE OF FLORIDA
Talherine A. DuMn
Commission #DD857841
e...,, .. # )Mpires: MAR 07,'013
U 'Plans Examiner
Engineer
Zoning
Clerk checked