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PL-10-1281Inspection Number: INSP - 148477 Scheduled Inspection Date: August 25, 2010 Inspector: Hernandez, Rafael Owner: STOBS, MARTHA Job Address: 828 NE 99 Street Project: <NONE> August 24, 2010 Miami Shores, FL 33138- Contractor: HOME OWNER Building Department Comments 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 Permit Number: PL -7 -10 -1281 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060142440 REPLACE SHOWER HEAD AND SINK FAUCETS AND NEW TOILET Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 8 of 26 Job Address (where the work is being done) City Miami Shores Village Contractor's Address City Qualifier Name Contact Phone Architect/Engineer's Name (if applicable) 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: (305) 762.4949 BUILDING PERMIT APP.ICATION FBC20 Permit Type: PLU$BING Owner's Name (Fee Simple Titleholder) i Y ax - 4 kk_ I f l • S Phone # 'Ds- 7 SS — Owner's Address 6�i� ' E • lot c X City State � � � Zi p 3 Tenant/Lessee Name Phone # Email I M IV■ S4 ei OLt) \ . w l County FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name Ut4 State Zip Phone # State Certificate or Registration No. Certificate of Competency No. E -mail Miami -Dade Permit No. 91—t O l ?� Master Permit No.J. t 0 ^ �� Phone # Phone # , pS —? o — a - `T) ) Zip 33 1 3 Value of Work For this Permit $ A W -_I, Square / Linear Foo age Of W 5 X 8 Type of Work: ❑Additon ❑Alteration [New Repai eplace ❑ Demolition Describe Work: t Yt \G S — n I ^fr() \ '4- ******** * * * * * * * * * *** * * * * * * * * * * * * * * * * * ** F * *,* * * * * *,* * * * * ** * * * * * * * * * * * *** Submittal Fee .03 Permit Fee $ / 6C.) — CCF $ ©' "� O CO /CC $ PAt9 Notary $ Training/Education Fee $ Q Technology Fee $ 0 ' W Scanning $ 3 Radon $ 0- ao DPBR $ r roue Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 1 Old 00 See Reverse side -* Li Id Flood Zone IV C7 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 of , , ( , 2010, by Y amt C S� , who is personally known to me or who has produced 6—•l j As identification and who did take an oath. NOTARY PUBLIC: \ .0 11111 111/ Sign: ter _ ; � S. Sign: Print: ; rn : o ;o fn ;� Print: - O —, -- a m; —= - "' - " o ° y Z. My Commission Expires: o� �.• �"' ****** * ** * *** * *** * * * * **** * * * * * * * *� Ato II�f t`i;1r *\* :*****************************, r** * * * * *** ** **** * * *** * * * * * * * * ** My Commission Expires: APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) Engineer Clerk checked Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Plans Examiner Zoning