PL-08-955d
Inspection Date: 11/25/2008
Inspector: Levrock, James
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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Owner: PASQUALIN, AIMONE & TERRI
Job Address: 253 94 Street NE
Bi ipi 1 N i D
Miami Shores, FL 33138 -
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Gas
Project: <NONE>
Contractor: EWINGS PLUMBING INC
Phone Number
Parcel Number 1132060133820
Lot:
Phone: (305)235 -1028
Building Department Comments
INSTALL 1/2 GALVANIZED PIPE ABOUT 25' FROM
METER ALONG WALL PENETRATE THRU WALL
INSTALL GAS VALVE FOR STOVE.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Monday, November 24, 2008
Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATIO
FBC 2004
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder) TcjYr asqualm
Owner's Address 2.5" NE c y.ST(
City nittlit .\ State f
Tenant /Lessee Name
E- MAIL:
Job Address (where the work is being done)
Permit No. 1 LdV���J�
Master Permit No.
Phone # 3 . 1 . 0 0 5 4 4 1
Zip 331315
Phone #
.S.04AL otom,
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # X13206 0(1)'367 a / /
Is Building Historically Designated YES NO 1/
Contractor's Company Name W11^61j "fl(J$.%kl Tj1L Phone # 35 z..35 l
Contractor's Address 10155 .SW (to S- 4
City KVf„14Aa State T1 Zip 1)1
Qualifier Name t 4AxJ S .PiuLMr' Phone #
State Certificate or Registration No. CSC. GS-P2.1 Certificate of Competency No.
E -MAIL: ((l�'O �
t
Architect /E'ngineer's Name (if applicable) Phone #
Value of Work For this Permit $
ao
-3E1D
Square / Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New Repair /Replace
�/ i -� ❑ Demolition
Describe Work: T 1\ 1L C�4 vo, �l ' liT 2?o' Jett mire a / Mill
1 .aT' t Th Loa( C� tks cc3 Vu / IV 37Y6 smart —6
******** ***** * * **:F ********************Fee / ********* * **** * ********* ****************
Permit Fee $
Notary $ Training /Education Fee $ bi7. Technology Fee $ +.51)
Scanning n.0 Radon $ DPBR $ Zoning $
Submittal Fee $
CC $ (x.60 co/cc
Bond $
Code Enforc ril�t. $f ? c ble Fee $
otal Fee Now Due $ 1 6r
See Reverse side --*
Structural Review. $
JUN 1, 2 2008
CbM
MIA ! SHOR S ' l ,LAGS
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
Zip
Application is hereby made to obtain a permit to do the.wprkand 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. 1 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."
Zip
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
Owner or gent
The foregoing instrument was acknowledged before me this pZ
day of_ � , 20 by rerr/ /044 O
who is personally known to me or who has produced ,CL 7) • L
lea ys" f l / 6 3 I /r/ CP s identification and who did take an oath.
NOTARY PUBLIC:
■
;'••• 'v "a "yet AD BEUNSKY
�;1���, ic�'f Florida
111
y Commission Expi
xpir
1111
""''t%:°' Bonded Through National N
APPLICATION APPROVED
(Revised 02/08/06)
SC ASC/Y•Ir Sr* **
Signatur
4 —
/! 1
Contractor
The foregoing instrument was acknowledged before me this el(
day of
20 0 6, by "/ GJ•t o.1l ,s e t.4.) (#41,, '
(who io personally known to or who has produced
as identification and who did take an oath.
NOTARY PUilityI(
1
I
—
JEROMEADAM BELINSKY
bile - State of Florida
ssion ' . ires F e 27, 2011
r. ;_....a��...l
My Commission Expires:
* * * * * * * * * * * * * * * * ** * * * ***tC** * * * *]C3.i• * **** ***** *****,:************
rir,„ -
68
Plans Examiner
Engineer
Zoning