PL-10-586Scheduled Inspection Date: August 12, 2010
Inspector: Bruhn, Norman
Owner: MAIDBREY, JESSE
Job Address: 1130 NE 100 Street
Project: <NONE>
Miami Shores, FL 33138-
Contractor: NELMAR PLUMBING INC
Building Department Comments
August 11, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 139990 Permit Number: PL -4 -10 -586
For Inspections please call: (305)762 -4949
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132050190440
Phone: (305) 261 -3942
Passed
gl--
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 7 of 23
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: PLUMBING
Owner's Name (Fee Simple Titleholder)
Owner's Address 1
City N j CP(
Tenant/Lessee Name
Email
state (�
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES I NO
Contact Phone E -mail
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ❑Addition
Describe Work:
•
Radon $
Miami Shores Village 51K777:
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
Permit No. 9 1,10 - 5
IS OD
100 Sr
Zip 33 38
Phone #
tt30 lye to 51
Phone #
Training/Education Fee $ f J'
0-00 g'DO
Master Permit No.
Phone #
Square / Linear Footage Of Work:
Bond $
BY:...
Flood Zone
* * * * * * ** *A * **r * * * * ** * * *** * * * * * * * ** F * * * * * * * * * * * * * * * * ** ** * * * * * * * * * **
-
ipiCCF $ O'
CO /CC $
Technology Fee $ O•
Notary $
Scanning $ 3
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $ 1 55`(_013 1
See Reverse side —*
Contractor's Company Name Ala jM elk PL,..„.....6;,1 Phone # .301 261-3 9(f 2
Contractor's Address T .9 5( se,/ ` f r o Ve t ~�
City 14/1 f / 7 Pt ( State 1" Z'1 • Zip 3 3/ J
Qualifier Name L. t/ t F 430 ft i 5 ut Phone # 3 0 J- 2-67- 3 5 L
State Certificate or Registration No. 2 F0o 3s2ot, Certificate of Competency No. lip' 0Oda 0 95
EAlteration ['New ❑ Repair/Replace ❑ Demolition
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 iss . In the absence of such posted notice, the
inspection wil be approved and a re' spection fee will be charged.
Signature
Sign:
Print:
Owner or Agent
The foregoing instrument was acknowledged before me this 31
day of Wl.4NCk , 20 to , by JeSSe It
who is pe
As identification and who did take an oath.
NOTARY PUBLIC:
OMA4
My Commission Expires:
col 1Iaolb
own to me or who has produced
aawuaaumaaatancc =ac a Caaaatataaatate3,aac
SILVAA M. DURA I •
t Cam 4 DDC60C285 L
F __ ::: ;IreS
Nom
•
Signature
Sign:
Print:
My Comm
***************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
Plans Examiner
Engineer
Contractor --.
The foregoing instrument was acknowledged before me this 3 f
day of &von -e l , 20/ 0 , by L i& 4 ' i _ - ,
who is per onally own to me or who has produced
as identification and who did take an oath.
NOTARY PUB IC:
i - (
**fie * * ** * * * * * ** k ** 9e :Ydedtdedc:@4r9r9reY**4e9c***
Zoning
Clerk checked