PL-08-1945Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: I NSP- 127876
Scheduled Inspection Date: October 28, 2009
Inspector: Levrock, James
Owner: WESTON, MICHAEL
Job Address: 660 NE 98 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MARLOW S PLUMBING
Permit Number: PL -11 -08 -1945
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060171810
Phone: 305 -652 -3031
Building Department Comments
REPLACE HOT TUB TO 2 BATH RESIDENCE REPLACE
TUB, SHOWER PAN 2 WC 2 LAVATORIES
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
InSpectortomment#
r,
October 27, 2009
For Inspections please call: (305)762 -4949
Page 6 of 8
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 (circle • uildin Roofing
Permit No. s° C
Master Permit No.
06-111-S
Owner's Name (Fee Simple Titleholder) 1e .40-r / Z' 547 Phone # 3 05-- 252- o //9
Owner's A ._ ddress li_ � , 4 57
City .41 , J3 40 rt5 State / . Zip ;Xi
Tenant/Lessee Name Phone # OT"- 727° ®//9'
Job Address (where the work is being done) 6'O P 57--
City Miami Shores Village County Miami -Dade Zip .3 3'_,
FOLIO / PARCEL #
Is Building Historically Designated YES NO �S
Contractor's Company Name 4o- /���, 4,1 . Phone # 39 5 - P ,‘ ' Y .9.6)'
Contractor's Address 7O 2 Jr.., 4, .5- 1e, .
City i%7/ / State // . Zip J,?,/23
Qualifier Name 04 "-Ale -71144 64.■ two Vl...__ Phone # ✓70 --6' - 7 8 '
State Certificate or Registration No. (ll" /92 a 2 73 Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ 7 42d4" . e2� Square / Linear Footage Of Work:
Type of Work: DAddition ['Alteration ['New
e
Describe Work:
Repair/Replace jJ Demolition
2 L -
**** * * * * * ****** ** * **** ****** * ** ** ** Fees************* ** ******** * *** ** * *** ***********
Submittal Fee $ Permit Fee $ 2 Y6-- CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $
Structural Review. $
Double Fee $
NOV 8X00
CCG3
MIAMI SHORES VILLAGE
Total Fee Now Due $
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. 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 mus %' posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence such posted notice, the
inspection will not be approved and areinspection 'e will be charged
Signa
The foreg
day of �, �'��'��lh ►,
ing ins
Owner or gent
m t was ac ow
0 ,b�
Signature
The fore oin g in, ow1;4 ed before m5iisi_
day of _1 ,20® ,by 1f IJO o
who is rsonally known to me or who has produced
tram ° nt was a
who i personally known to me or who has produced
identification and who did take avath.
NO ARY PUBLIC: ��:013
e off°
Sign:
Print
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * ** * * * * * * * *x
APPLICATION APPROVED
(Revised 07/1W07)
J2.
n'ification and who did take ajwath.
PUBLIC: 1tig413
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Sign:
Print:
My Commission Expires:
* * * * * * * * * * * **
rl �� °P Plans Examiner
Engineer
Zoning
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