PL-08-863rkx
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
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Inspection Date: 05/19/2008
Inspector: Levrock, James
Owner: BURKET, MICHAEL
Job Address: 67 94 Street NE
Project:
Miami Shores Village, FL 33138-
<NONE>
Contractor: CORAL WAY PLUMBING CORP
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number (415)595 -3910
Parcel Number 1132060130570
Lot:
Phone: (305)263 -1811
Building Department Comments
Remove and replace water line from meter to residence
Passed
n ti• e I t r Comments
l�
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Friday, May 16, 2008
Page 2of2
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BUILDING
PERMIT APPLICATION
FBC 2004
O�� (b s Mia mi Shores Village
36s--__ : 33
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type: Plumbing
Owner's Name (Fee Simple T1itI holder) V( Qr L& C b UQ Phone # J 0 S-- )-J K! /c
Owner's Address 7 1L/ , 1 ti .3 t
City I-.t ll kbkt State (� Zip j ag
Tenant/Lessee Name jj Phone #
E- MAIL: 1•.kp C 01 ( t c.. jj \ Sal? [ lk . 03
Job Address (where the work is being done)
City Miami Shores Village County s� Miami -Dade Zip
L
FOLIO /PARCEL# 1! �j 0 (0 ®t ': S70
Permit No. ?LOB-861
Master Permit No.
Is Building Historically Designated YES NO
Contractor's Company Name G �. L j iOck- Nt • C b Phone #
Contractor's Address /4 4 1.i.) ! C 4
CityjC s.
k k \ % State (, Zip
Qualifier Name CAF ( l r t-() Phone # SO 5-- 2 t' 3 N 1(
State Certificate or Registi tion No. !keii /7 /C-6 Certificate of Competency No.
E -MAIL:
Phone #
331'S
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ O' Z Square / Linear Footage Of Work: (t
f
Type of Work: ['Addition ['Alteration ['New
Describe Work: 1e o✓>;, �,/a . kj k( b\c„.
Repair /Replace ❑ Demolition
14(' �j�-r� /& S CQ ,
*****X******** XXXX XX * * ** *Y.***XYY)www**Feeswww* * *r.iaFr.Ic***.XX XXXXr,x*ww.Xr.XXXdeXXr.XXX
Submittal Fee $ N Permit Fee $
Notary $ Training /Education Fee $ 0.2-0
Scanning $ '3.1)13 Radon $ DPBR $
CCF$ d60 CO /CC
Technology Fee $ +.38'
Zoning $
Bond $ Code Enforcement$ Double Fee $
Total Fee Now Due $ $ ./
Structural Review. $
MAY 15 2008
Cosh
MIAMI "1773 APE
ar
See Reverse side —>
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
City State
Zip
6py
( i t
k t
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 G.hat.,,alt.,;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: f 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 properly 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
inspect will not be approved and a reinspection fee will be charged.
Signature
Owner Agent Contractor
The foregoing instrument was acknowledged before me this The foregoi g instrument was acknowledged before me this
day of , 20 6 by , day of , 20 6�, by
who rs ally known to me or who has produced who is er .nally known to me or who has produced
As identification and who did take an oath.L as identification and who did take an oath.
NOTARY PUBLIC:
NOTA
ISSION # DD
.446; � / IRES: July 20,
Sign: `�. ",�� ._J i.
_
Aa
My Commission Expires:
** w x x x x x x x x x x*Y, Y, * Y, x x x x* C*x
APPLICATION APPROVED
(Revised 02/08/06)
My Co mission Expires:
..x xr-xxxxxr,r, xxxrrxxrxx*xxxx rx xx*xr.xa:*r.xxxrxx *rr. *xicr-
Plans Examiner
Engineer
Zoning