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DEMO-11-441Inspection Number: INSP- 157157 Permit Number: DEMO -3- 11-441 Scheduled Inspection Date: March 16, 2011 Inspector: Hernandez, Rafael Owner: WEBER, MICHAEL & MARY Job Address: 1700 NE 105 Street 419 Project: <NONE> Miami Shores, FL Contractor: METROPOLITAN PLUMBING INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CAP PLUMBING REMOVE WASHING MACHINE Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments March 15, 2011 For Inspections please call: (305)762 -4949 Permit Type: Demolition Inspection Type: Final Work Classification: Plumbing Phone Number Parcel Number 1122300500760 Page 28 of 35 BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder): 44 £' Y Address: /700 /V e ° no 5 57 City: AP/ Vote/ 5 #1®.6 s Tenant/Lessee Name: City: Miami Shores Is the Building Historically Designated: Yes Type of Work: ❑Address Description of Work: Miami Shores Village Building Department ❑Alteration Submittal Fee ISO , Permit Fee $ l Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ 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. at f t -44 Master Permit No. 14' Ez 4// State: 7 zip 3 3 43 8' County: Miami Dade Phone #: Phone#: JOB ADDRESS: /'/ 7c2 N- /Os ST 41 1/1 % I- / /tf4 Email: ❑New ❑Repair/Replace MAR 1 0 2011 BY: _.....o......00. .. Zip: 33 /3 8 Folio/Parcel #: NO Flood Zone: CONTRACTOR: Company Name: /tie rata /'®Z- 77.9 /4 //1.1 67 Phone#: 3O5 m SSR ° 2 7 X-0 Address: /d 2< E / ¥ 8 T City: Nfxi € 6'9 S-i State: G Zip 330/0 Qualifier Name: Al / ej Oe G `i u r e. v / av e Phone #: State Certification or Registration #: Certificate of Competency #: CFA" 0 Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: 1n CL. Value of Work for this Permit: $ Square/Linear Footage of Work: Demolition * ** *** **** ************* * *** ************ Fees+ x**** ****** ** ****** ************************* CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 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' The fo day of who is Print: My Commission Expires APPROVED BY Owner or Agent ng_instrument was ac ** ** *************************** 2 ,0(3 (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Contractor owledged l e reme this 17 ' The f of ins ent was acknowledged Wore me this OA) V �1! 1 day o 20 by M1 Ue( 601111( r / 0 e or who hs roduced ho is personally known to me r who. ' has' pi :educed ' P Y � P 4d uced as identification' ah.d *lip did fake, an oath•" IC: <) e e by As identification and who did take an oath. �y�wnf1IiN1 !2 $: c Poe Notary Public State of Flonda ; Desiree Ramos a < My Commission DD877402 • Ex . ires 04/05/2013 - V +v ' RY PU LIC: Structural Review t ' orida ' on r May30,2011 Comissioii)A,DO 647006 Bonded Through National Notary Assn. NOT Print: My Commission tit :: `a' — **********> k*************** ***********131*************1H** *************X11**&**** 1.1(-41 Plans Examiner Zoning Clerk