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PL-10-1370Inspection Number: INSP - 149471 Scheduled Inspection Date: August 30, 2010 Inspector: Hernandez, Rafael Owner: TREFZGER, KAREN Job Address: 34 NW 98 Street Project: <NONE> Contractor: METROPOLITAN PLUMBING INC Building Department Comments REPLACE BROKEN PLUMBING LINES Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 6- August 27, 2010 Miami Shores, FL 33150- 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 -1370 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1131010330190 Page 19 of 34 BUILDING Permit No. P I O L310 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: PLUMBING Owner's Name (Fee Simple Titleholder) . ,�"en £ • ` �► e,�hone # 3 )S ?c2, q,), q' Owner's Address 3 7 NIA/ qe4'11 5+ City 1'f') f I frr f .. OQ' State FL_ Zip 33 /S Tenant/Lessee Name /1/ Phone # „fit/ € - Email n etc- e 'Lobes — e 3 aJ te! 0 C COO w\ [III Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip '3 /' FOLIO /PARCEL# I 33 -Qtot O Is Building Historically Designated YES NO Contact- Phalie Value of Work For this Permit $ a Type of Work: ❑Addition 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 ['Alteration ,i9 /VW 91Q/4 5±" Describe Work: 6`° 'x �� / Contractor's Company Name _ I tT1OPO L) T4 Al "III Phone # 1tX ' J (. P `� ° 7D- Contractor's Address 1! .,/ 5/ City) - �`/ State; psi,' ; Qualifier Name / `/mil/ �, j 1 � ' '4//�� -f Phone # �Q�' - k e(-- 7 7 ' ' d State Certificate or Registration No. ( �� 242 50 /52 Certificate of Competency No. 1 Square / Linear Footage 0 Work: Flood Zone paTERVSB JUL 2 9 2010 E -mail Archi€ectiEngmeer'4 Name (if applicable) 4/4 Phone # ❑New Repair/Replace El Demolition ******** * * * * * * * * * * ** * * * * * * * * * * * * * * * * * ** F * * * ** * * * * * * * * ** * * * * * * * * * * * * ** ** Submittal Fee $ Permit Fee $ C ° CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR_$ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 4 9 See Reverse side -3 N/A 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 NOTARY PUBLIC: My Commission Expires:' °° % l i 2 * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY (Revised 07/10/07)( Revised 06/10/2009) e-, a day of who i As identification and who did take an oath. known tom r who has produced �� NOTARY PUBLIC-STATE OF FLORIDA ' William `•- Garcia Commission #DD791209 - ' Pxpires: MAY 21 201 91rDmG CO., INC. Plans Examiner Engineer Owner or A_ent The foregoing instrument was ackn� dg b ore me this,2 g' The foreg ing instrument was ac lwowlodgeccia e fo re ie t ,by Ii day of l i . l 20 l® w ho is personally known to me or iylfa llks pro as identification and who dii3:take an oath. NOT ' UBLIC: MATILDE C. RAMI Publi . S : to of Florida Print: My Commission c ssi, leV647oo6 dedTaugh National Notary Assn. *,********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Clerk checked