PL-10-244Inspection Number: INSP - 135832 Permit Number: PL -2 -10 -244
Scheduled Inspection Date: March 12, 2010
Inspector: Hernandez, Rafael
Owner: HOLDINGS, LLC, CAV
Job Address: 289 NW 111 Terrace
Miami Shores, FL 33168-
Project: <NONE>
Contractor: JUPITER FARMS PLUMBING & IRRIGATION INC
Building Department Comments
March 11, 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
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Repair
Phone Number
Parcel Number 1121360010380
Phone: (305)662 -7979
plumbing work for water heater and kitchen remodel
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 7 of 17
Project Address
289 111 Terrace
Miami Shores, FL 33168-
1121360010380
Block: Lot:
CAV HOLDINGS, LLC
Owner Information
CAV HOLDINGS, LLC
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Address
Valuation:
Total Sq Feet:
Contractor(s) Phone CeII Phone
JUPITER FARMS PLUMBING & IRRIGI (305)662 -7979
Type of Work: plumbing
Type of Piping: Water heater & Kitchen Remodel
Additional Info:
Bond Retum :
Classification: Residential
Fees Due
CCF
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$100.00
$3.00
$0.80
$104.60
Building Department Copy
March 02, 2010
ROV
Expiration: 08/2312010
Parcel Number
801 UNIVERSITY Drive
PLANTATION FL 33324-
Phone
Invoice #
PL -2 -10 -37069
Invoice Total Amt Paid Amt Due
$104.60 $104.60 $0.00
Applicant
CeII
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Final
2
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: PLUMBING ' Ail N-
afredA-- d
Phone #
) s ail
Owner's Name (Fee Simple Titleholde
Owner's Address
City 111 6 MJk,
Tenant/LesseeNa
Email d V -LW G Q r
Job Address (where the work is being done) 5 Ni (i
City Miami Shores Village County
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name '• 3 t4 t 6, t'il't
-s
s (7 2 Pil L- er-,n
Value of Work For this Permit $ 900 CO-
Type of Work: ❑Addition ❑Alteration
Describe Work:
Double Fee $
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
Permit No. P■
Zip
Miami -Dade
Master Permit No.
Phone #
Architect/Engineer's Name (if applicable) Phone #
[New ❑ Repair/Replace
Violation date:
Structural Review. $ Total Fee Now Due $ 104 `0
FEB 1 8 2010 gli
- R
Zip
Flood Zone
ei
{ � � - b`?
Contractor's Ad
City ` , State Pt Zip 33t-1 g
/ a
Qualifier Name rd ill- lil ciel Phone # 5 3 3 to 7
State Certificate or Registration No. CFC 04/05'72- Certificate of Competency No.
Contact Phone 772-h 2b 3 - 2ve ®3 E -mail
Square / Linear Footage Of Work:
See Reverse side -*
❑ Demolition
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ //4M 'CCF $ 0.J (00
Notary $ Training/Education Fee $ Q
Scanning $ )' Q Radon $ DPBR $
CO /CC $
Technology Fee $ ®K
Bond $
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 In the abse of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this _S The foregoing instrument was acknowledged before me this
day of .W; , 20 to , by CAS \J 1 A , day of A d , 20 /61 by vt c4 , : / �� ,_
who is personally known to me or who has produced PLI o who is personally known to me or who has produced fC Ord
As identification and who did take an oath. entification and who did take an oath.
NOTARY ' L / NOT : LIC:
s
S
itt ►t►
r b
• ' S • � �J ``�•
0 ", Q ' /1 'S I,c2is Examiner
Print:
My Commissi;;n Expires:
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
Engineer
Sig
Print:
My Commissio
,UIn
, ,.o :Y /4 SEAN R. MCLAUGHLIN
FAY COMMISSION # DD 889290
fX ? ES May 12, 2013
Boni ed "no U Nouy Public Underwriters
**
Zoning
Clerk checked