PL-08-626Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 04/18/2008
Inspector: Levrock, James
Owner: GRIECO, BETTY
Job Address: 1251 94 Street NE
Miami Shores Village, FL
Project: <NONE>
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
tt....„00 Phone Number
Parcel Number 1132050100050
Block: Lot:
Contractor: THE NEW MIAMI SHORES PLUMBING Phone: (305)751 -2446
Building Department Comments
replace kitchen sink
Passed
Failed
pector Comments
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid .
Thursday, April 17, 2008
Page 2of2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder)
Owner's Address (261 l I V,
CityM vang\ 51e-tor-PS State F
Tenant/Lessee Name
E -MAIL: A
Job Address (where the work is being done) t Z 5 ( N E ' 4 S+'
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # (1– 3205 - otO 005.0
Permit No.
APR 1 C 2308
BY:
Master Permit No.
Phone # 3/V h– 7 I
Zip 3313g.
Phone #
Is Building Historically Designated YES
NO
Contractor's Company Name1te NLetu Miami 5110M el/J.1161
C( ®o Ni w (44 SA-
Contractor's Address
one # 305-751 2 .44 6
City Mkuw\1 State -f\ Zip 331.6 Y-
Qualifier Name t ntS 11�'LCi Phone# 305 7S12.4 "46
State Certificate or Registration No. _F Cc) t c0 Certificate of Competency No.
E -MAIL:
Architect /Engineer's Name (if applicable)
Value of Work For this Permit $ 50 0
Type of Work: ['Addition LAtireration
Describe Work:
Phone #
Square / Linear Footage Of Work:
lair /Replace
['New
❑ Demolition
V.:\ \.en 5tr,V-
Submittal Fee $
* xxxxxxxxxxxxW *xxx *WWWWWVxxxxxxxC *Fees
Notary $ S .W
Scanning $ 0'00
Bond $
Permit Fee $
Training /Education Fee $
Radon $
Code Enforcement $
DPBR $
*x
CCF $ a (00 CO /CC
Technology Fee $ 4-co
Zoning $
Double Fee $
Structural Review. $ Total Fee Now Due $ 1 12 19
APR 1 1 2008
US7512
See Reverse side
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. 1 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: 1 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 ` approved and a reinspection fee will be charged.
Signature
Owner or A
The foregoing instrument was acknowledged before m��ethis it
day of �- `\ , 20�, by G1(A.('�' ALU Cl Gi "
who is personally known to me or who has produced}"t
1-� % As identification and who did take a oath.
NOTARY PUBLIC:
Sign:
Print:
Signature
Contractor
The foregoing instrument was acknowledged before me
day of
his
/6*
, 20 bDpp , by /in /s ilMai ili�1
who is personally known to me or who has produced
as identification and who did take an oath.
N A Y PUBLIC:
My Commission Expires:
xxxxxxxxxxxxxx * * **
i MY: COMMISSION # 00753565
Yxx *OPI Maarch 16 o 012 xr
(407) 398-0153 ti is
APPLICATION APPROVED BY:
(Revised 02/08/06)
Plans Examiner
Engineer
Zoning