PL-08-634Inspection Number: INSP -80709 Permit Number: PL -4 -08 -634
Scheduled Inspection Date: October 22, 2009
Inspector: Levrock, James
Owner: MEYER, NICOLA & GUNTHER
Job Address: 860 NE 98 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: CEBALLOS INC
Building Department Comments
PLUMING WORK FOR NEW ADDITION
Passed
Failed
Correction
Needed
Re- Inspection
Fee
October 21, 2009
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972 ac -2 E3
Ins l for Comments
For Inspections please call: (305)762 -4949
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)981 -0540
Parcel Number 1132060142550
CkT17
Page 33 of 34
fi
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder) 11/4.0 1 '1 Phone # j/
Owner's Address / ' ?Ce
City A 1 4- �! ) Y
Y M �� vS-� State P✓
Zip k3
Tenant/Lessee Name / Phone # 1/
E -MAIL:
Job Address (where the work is being done) ri o -j 4. gj ce
City A' Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # ' /0( • o t4-. a%0
Is Building Historically Designated YES
33/ - 'State
f
Contractor's Compa
Contractor' s
City
Zip _
Qualifi r Name Phone # .90 27 e ifit
State Certificate or Registration No. QO ®p / ill T$ Certificate of Competency No. 0 00/ `Z/ 7Y
E -MAIL:
Architect/Engineer's Name (if applicable)
Value of Work For this. Permit $ 11 r r
Type of Work: dlAddition ['Alteration
Describe Work: 1 i
Structural Review. $
Miami Shores Village
Building D epartment
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
New
Phone #
Square / Linear Footage Of Work: 1'
**** * * ******xxxxxx***** **x*****x*** ****F * *** *********x* xxxxxxx xxxxeYx xxxx*** ******
Submittal Fee $ Permit Fee $ ZG 1-150
Notary $ •— Training /Education Fee $
Scanning $ 'co
Radon $ DPBR $
Bond $ Code Enforcement $
APR 1 5 2008
C �1
Master Permit No. P O� 02 '2d
Double Fee $
Permit No.
J?O 7i� , (Oz ? /�"j'i�Y
hone# d� - 9fC`f rii 2 7 `�`�f
❑ Repair /Replace ❑ Demolition
CCF $ 4U0 CO /CC
Technology Fee $ & • a
Zoning $
Total Fee Now Due $ 01 •
E PR 1 P 2308 J
Ys Ulm
See Reverse side -
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
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: [ 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 issue. 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 The forego in
day of , 20 , by day of
who is personally known to me or who has produced who is per
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
„ :",'""`�"•",•. ••.'. "'s *s. s4xx4: $aYx 'x*** **************** ** * ***xxx
APPLICATION APPROVED BY:
(Revised 02 /08/06)
Zip
Contractor
!Attu t was acknowle
, 20 ® erb
nally known to me o o has produced
Pim
as identification and who did take an • oath.
.�pRY **:(i, JESUS MANSO
* MY
EXPIRES: July 14, 2009
@endedThm Budget Nstary Simian
NOT • t7
/ j/W Mr0115', I
mission Expires:
Plans Examiner
Engineer
Zoning