PL-06-2543Inspection Number: INSP -29546
Scheduled Inspection Date: September 03, 2010
Inspector: Hernandez, Rafael
Owner: DYS, ALICE
Job Address: 1700 NE 105 Street 102
Project <NONE>
Miami Shores, FL
Contractor: EDDY MARTINEZ PLUMBING SERVICE
Building Department Comments
September 02; 2010
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
Phone Number
- i (G -1 ,7 Z-
60
Permit Number: PL -10 -06 -2543
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Parcel Number 1122300500020
Phone: 305 -883 -8486
kitchen cabinets
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 7of7
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 95 04 Fax: (305) 756.8972
Miami Shores Village
Building Department
Owner's Name (Fee Simple Titleholder) Still Phone #
Owner's Address '2 5
City AO XI' 0 ILA. l ( State
Tenant/Lessee Name
Architect/Engineer's Name (if applicable)
(Continued on opposite side)
F
$ Value of Work For this Permit 5
* * * * * * ** * * * * * * * * * * **
Submittal Fee $ Permit Fee $
Notary $ Training/Education Fee $
Scanning $ 300 Radon $ Zoning
G d Ti nfw o. r a M N O .00 Structural Plan Review. $
Total Fee Now Due $ I &7.1
Permit No. its
$EVIERV7,.
OCT 1 1. 2006
B Y } ( .
Master Permit NO. ge, CG
Phone #
Square Footage Of Work:
, * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
/ 6
0.,P0
CCF $
Technology Fee $
Mechanical Roofing
Nqw c( 'jg1 o - 1 c l
39S 6 0-1,0 41 03
Zip 3 3 I Co Cl
Phone #
Job Address (where the work is being done) (7 o laS i ,s-2._
Cit ‘g Miami Shores Village County Miami -Dade Zip 231 3 S
Is Building Historically Designated YES NO X
Contractor's Company Name f 1 r� 2 phone #
Contractor's Address ( (.. 2' Ave
City H i Cl l a k State - FC .. Zip .3 3 01 C
Qualifier E ddy h 1:v - hr : ie 2—
State Certificate or Registration No. CFC 05'7 Lo 91
Certificate of Competency No. 9S P c c 2.9Li
Type of Work: DAdditi Iteration ONew Repair/Replace
Q,`d ❑Demolition
Describe Work: 1 t--- � Q 11 f
Bond $
COICC
Bonding Company's Name (if applicable)
Bonding Company's Address
City R ,t7,
Mt rh ktr e Name kiT pplicable)
Mortgage Tender's Addiess
City State Zip
Signature
NOTARY P , LIC:
Si
Print: !d e e et/ /I �.
My Commissio Fv l , rrpg •
*
* * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
chc 05!13/03
State
Owner bf Agent
Notary Public S a e of F
My Commission D
_ Expires 07/1
1 J 4S iL4' r /
Application is hereby made to obtain a permit to, do the work and Nations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all. work, be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that*- stwcits perhtit 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 certed 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 n be approved and a reinspection fee will be charged
The forego= g instrument was ackn ledged before me this
day of _ d 2064 , by ,
who i personally known to me or who has produce
As identification and who di take an oath.
* * * * * * * * * * * * * * * * * * * * * * * * * **
* * * * * * * * * * * * * * * * * * * * * **
Contractor
The foregoing instrument was acknowledged before me this
day of , 20tAt, by ( , 1 irat -Eine Z. ,
who is personally known to me or who has produced iea I l `.
as identification and who did take an oath.
NOTARY PUBLI
Sign:
Print: L c�.1 C 1 s Sj cis t .- 2
My Co
EXPIRES: Apr. 30,2010
Florida Notary Se vlcacom
*
Plans Examiner
Engineer
Zoning
* * * * **