RC-06-1927Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 22611
Permit Number: RC -7 -06 -1927
Inspection Date: 01/08/2007
Inspector: Grande, Claudio
Owner: STOBS, CAROL
Job Address: 815 99 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Kitchen Cabinets
Block:
Phone Number (305)751 -1692
Parcel Number 1132060340100
Lot:
Building Department Comments
Friday, January 5, 2007
Page 1 of 2
0
1
Passed
Inspector Comments
vr
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Friday, January 5, 2007
Page 1 of 2
1Aik& --e G 8fcimP
Miami Shores Village q
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
li■IkA1�x) 81aytea
4� bakAA
,l� y�l � � =SG Permit No�� ��
BY.
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) Carol S. Stobs Phone # 305 -751 -1692 Work
Owner's Address 815 N.E. 99th Street
City Miami Shores State Florida 33138
Zip
Tenant/Lessee Name Phone # 305- 754 -8520 Home
Job Address (where the work is being done)
815 N.E. 99th Street
City Miami Shores Village County Miami -Dade ZipM 3313'8
FOLIO / PARCEL # 1132060340100
Is Building Historically Designated YES NO X
Contractor's Company Name
Contractor's Address
Phone #
City State Zip
Qualifier Name Phone # 11
State Certificate or Registration No. Certificate of Competency No.
F
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ Qtl B 000
Square / Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: Remove termite damaged wood in garage and kitchen and remove Wti_I✓ 'E °damaged
wall between bathroom and Kitchen. Install new kitchen cabinets and replace cabinet and
)83
tile in bathroom.
h
* * ** ****** *** * * ** * ****** * ***** * * *** * ** Fees* * *, ********* * * * * * * * * * ** ** * *** * * * * * * * * * * * * **
Submittal Fee $$`y 1 Permit Fee $
Notary $
Scanning $
Training/Education Fee $
00
zai
Radon $ DPBR $
CCF $ (Qh (3" CO /CC
Technology Fee $17-S0
(Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
See Reverse side
AU624PA
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 beodone 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 it 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
Signature
Owner or Agent Contractor
-Th
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
r'Th
day of A-1-1,11,( , 200 6 , by (_,A L I . . i �- )-1 day of , 20 , by
who is personally known to me or who has produced who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
LANUri S. SAWYER
Print MY COMiii iSSlON ,' DD 185088
EY,PIRIS:Jun6 19,2007
N nJed Th■■ 16,l -4y PUt)1 r, Ur:�7envril�r.
_s.
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
Sign:
Print:
My Commission Expires:
*,******************** * * * * * * * * * * * * * * * * * * * * ** * * * * * * * **
) )0 Plans Examiner
Engineer
Zoning
NOTICE OF COMMENCEMENT
A RECORDED COP S
Y MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
0. 9il
PERMIT N W_ ` TAX FOLIO NO. 1(32.,.O6OZ4DtD0
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
111111111111 11 181111111111 l 111111111111 11 111
Prepared by
CFN 2006R0873870
OR Bk 24814 F's 0472; Ups)
RECORDED 08/11/2006 13 :18:35
HARVEY RUVIHr CLERK OF COURT
MIAMI-DADE COUNTYi' FLORIDA
LAST PAGE
1. Legal description of property and street/address: Lot 314 and the East % of Lot 13, Block 169 of
"Miami Shores Section Eight" according to the Plat thereof, as recorded lat —Book 14
Page 33 of the Public Records of Dade County, Florida 815 N.E. 99th Street, MiamiSh
2. Description of improvement: Remove termite damaged wood in garage and kitchen and remove water
damaged wall between bathroom and Kitchen. Install new kitchen cabinets and replace
3. Owner(s) name and address: Carol S. Stobs
815 N.E. 99th Street, Miami Shores, FL 33138
Interest in property: 100%
Carol S. Stobs
815 N.E. 99th Street, Miami Shores, 1!'L 33138
Name and address of fee simple titleholder:
GContractor's name and address:
JC rlv
51fice K /8y-ci! tM(ct- 51-1.).•#1,7)- 3360
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address: Donald W. Stobs, Jr.
9505 N.E. 5th Ave., Miami Shores, FL 33138
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address: Beth Ann Stobs
580 N.E. 92nd Street, Miami Shores, EL 33138
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date i - pecified)
Signature of Owner
Print Owner's Name
Carol S. Stobs
Sworn to and subscribed before me this
Notary Public
Print Notary's Na
My commission expires:
123.01 -52 PAGE 4 8/02
Cijsti 5b1OS
Address:
5- o N(_ G12n,d
/til rwli(i ,�l�ane r 1=t_
313k
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
NAME: Cot ra 1 5. 5 *4s
• DATE: 8 O Z
Els N E 96111 S kN ,L 1/14 ■ r St.AIs. "L
.
Do hereby etition. the Village of Miami. Shores to act as my own contractor pursuant to the laws
of the State of Florida, F.S 489.1403(7). And I have read and understood the following disclosure
statement, which entitles the to work as my own contractor; I further understand that I as the
owner must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor. You have applied for a
permit under an exception to the law. The exemption allows you, as the owner of your property,
to act as your own contractor even though you do not have a license. You must supervise the
construction yourself. You may build or improve a one - family or two - family residence. You may
also build or improve a cornthercial` building at a cost of $25,000.00 or less. The building must be
for your own use and occupancy. It may not be built for sale or lease: If you sell dr lease a
building you have built yourself within one year after the construction is complete, the law will
presume that you built for sale or lease, which is a violation of this exemption. You may not hire
an unlicensed person as a contractor. It is your responsibility to make sure the people employed
by you have licenses required by state law and by county or municipal licensing ordinances. Any
person working on your building who is not licensed must work under.your supervision and must
be employed by you, which meansthatyou must deduct F.I.C.A and with - holdings tax and •
provide workers' compensation for that employee, alias prescribed by law. Your construction
must comply with all applicable laws, ordinances, buildings codes and zoning regulations.
Please read and initial each paragraph.
1. I hold title to the above property and I am planning on doing this construction
Initial L- S
ADDRESS:
2. I understand that as an owner - builder 1 must abide by all zoning ordinances and
building regulations in effect at the time of permit application
Initial
3. .I have an understanding of the 2004 FBC & FRC and understand that this
department and its inspectors are there to help enforce and interpret the code.
There is a copy of the code in this office for review.
Initial
C55
4. I ' understand that the building official and inspectors are not there to design,
alter or give advice on how to meet code —. only if the structure meets the
minimum code.
Initial ��
5. I understand that as an owner - builder, that any contractor disputes with sub-
contractors and myself must be handled in a civil court with the advice of an
attorney. The department will not mitigate.any contract disputes.
Initial �S 5
6. I understand that if I compensate any person or company for work performed
they are required to have a business license in the county. If for any reason they
do not posses a business license I will be responsible and liable for any wrong
doing from this unlicensed company-or person.
Initial
7. hunderstand that if any.person.gets injured on my construction project—they are
entitled to workmen's compensation. And if they do not posses a workmen's
policy I could be held liable for all doctor and related cost which could include
loss of wages during recovery from injury.
c
Initial
8. I. understand that under state and local laws I can not do any Electrical,
Plumbing, Heating, Air & Roof work on my property with out first .obtaining
the proper permits by licensed contractors.
Was acknowledged before me this ) 0 day of
By Coa0) 5.5 6/
Initial
,20 6
who was personally known to me or who has
Produced there License or L 4 S 3 Y 2' ;I ) 7 - S -"1- Qs identification.
MONICA USSETH dig
MY COMMISSION # OD 439
EXPIRES: October 20, 200
doodadTluu Navy Wublla Unman
07/18/2006 00:18 FAX 3052483518 CAMPBELL DR MIDDLE
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Scale: I Approved by:
Drawn by:
Date: 6 -12 -06 7
Revised: MARIA
BILO'S KITCHEN CENTER
KITCHEN
Drawing number:
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LANGER
ELECTRIC SERVICE COMPANY
SINCE 1939
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AUG IMIZMEWrgl
La 2 s 2006 U
BY:
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OFFICES IN DADE • BROWARD • PALM BEACH f / tideroiSalkalCeradasAtsroanm
CORPORATE OFFICE: 8901 KW. 7TH AVENUE • MIAMI, FLORIDA 33150 • (305) 7 9 -5777 • FAX (305) 759 -3553
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Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Carol S. Stobs
Permit No. C �7 s4
Master Permit No. RC 06-1927
Plumbing Mechanical Roofing
Phone #
305- 751 -1692
I'
Owner'sAddress 815 N,E. 99th Street
City, Miami Shores
Tenant/Lessee Name
Florida
33138
State Zip
Phone #
Job Address (where the work is being done) 815 N.E. 99th .Street
City Miami Shores Village County Miami -Dade Zip 33138
FOLIO / PARCEL # 1132060340100
Is Building Historically Designated YES
NO X
Contractor's Company Name Lafl -
Contractor's Address �
Phone #
City ' p y - t'Th State Zip 150
Qualifier Name L . (7--!)_.(- ( . Lan Or 6� Phone #
State Certificate or Regis Lion N9.ECC)O C) 00 Certificate of Competency
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $' 5A 0 . Square / Linear Footage Ofl Work:
Type of Work: I ��--��,�,
yp Addition Alteration New t Repi 11. place ❑ Demolition
Describe Work: � k ' �-� ®� � '�` a ( �a - V K� 1 1 O ) ,
** **** ** * ** * * * *, ** *, *, * * * *, * *, * *,r, *, Fees * *, * *-* * * *,k.** *, * *, * * * * * *** * * * ** * * * * * * * **** **
CCF $ 1 H2O CO /CC
Submittal Fee $ Permit Fee $ Are>
Notary $ Training/Education Fee $ i �0
Scanning $ 3.00 Radon $ DPBR $ Zoning $
Technology i'ee $ ?) -7<
Bond $ Code Enforcement $ Double Fee $
Structural Review. $
Total Fee Now Due' $
See Reverse sidA 'r 8 2 4
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 'te
for the first inspection which occurs seven (7) days after the building permit is issu - e absence Qf -such posted
inspection will not be approved and a reinspection fee will be charged
Signature di ( e - ,? F Signature
Owner or Agent ontractor
The foregoing instrument was acknowledged before me this �
1--)-1, � The foreg o � . it ent was ackno ledged before me thisjf(�
day of �� , 2O (, by --t - 574), day of , 204 , b r Q ,
who is personally known to me or who has produced who is personally known to me or who produced ..../
as identification and who did take an oath.
th
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
wr
WYER
515 • EXPIRES: U ew t°k Bonded l n Nolan/ Public
APPLICATION APPROVED BY:
(Revised 02/08/06)
NOT
Sign:
Print:
4E OF FI OR®,
Cuesta
#t?: ,843
My C
mmission Expires:
2 — 2 Plans Examiner
Engineer
Zoning
:AN A-rPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
•
PLUMBING
ELECTRICAL
MECHANICAL
ITEM
3ATH TL8
UNIT
FEE
ITEM
SWITCH OUTLETS .
UNIT
FEE
ITEM!
SPACE HEATERS
UNIT
FEE
3 I OET
L I G-(T OUTLETS
CENTRAL HEAT I h'G
3ISHWASHER
RECEPTACLES
i 0 -
A/c (WIND)
)ISFOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
3R I NK I NG - FOUNTAIN
.SERVICE SIZE IN ALPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE CUTLETS
R
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TCP
(
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVEGROUND TANKS
LAUHORY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 FP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 FP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 NP
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5- BHP
TRANSPORTING ASSEMBLIES
SINK,' SLOP
MOTORS OVER 8- 10 FP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 FP
FIRE 'SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 FP
COOLING TOWERS
WATER CLOSET
•
MOTORS OVER 100 NP
VIOLATION
INDIRECT WASTES
A/C WINDOW
REIiHSRECTJON
WATER SUPPLY T0:
AIR CONDITIONERS
A/C UNIT
STRIP HEATER
FIRE SPRINKLER .
'HEATER
GENERATORS TRANSFORMERS
'
-NEW INST.
GENERATORS • TRANSFORMERS
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COMMERCIAL
WATER.SERVICE
•
SIGN TUBES
SEWER CONNECTIONS
...SIGN
TRANSFORMERS
UTILITY -SEWER
SIGN T I ME CLOCK
UTILITY -WATER
FIXTURES
•
SEPTIC TANK
'ANTENNA ,.
RELAY
TELEVISION CUTLETS
•
DRAINFIELD, 4 TILE/RES.
VIOLATION
PUMP L ABANDON SEPTIC TANK
•
REINSPECTION
SOAKAGE PIT CU. FT.
C° e.\\`r t) cTAN,S
CATCH BASIN
DISCHARGE WELL
00MESTIC WELL
AREA DRAIN
TOOF INLET'
SOLAR WATER HEATER
'IRE
STANDPIPE
'COL
PIPING
1
.AWN SPRINKLER SYSTEM
1
IAS RANGE
•
(
STEP, SET (GAS)
�i
:Ac PIPING
1
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i
�.
Inspection Worksheet
Miami Shores Village
0/2
10050 N.E. 2nd Avenue Miami Shores, FL f2C0
Phone: (305)795 -2204 Fax: (305)756 -8972
Kril
Inspection Number: INSP -25396 Permit Number: EL -8 -06 -2204
Inspection Date: 01/08/2007
Inspector: Devaney, Michael
Owner:
Job Address: 815 99 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: LANGER ELECTRIC COMPANY
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number
Parcel Number 1132060340100
Lot:
Phone: (305)759 -5777
Building Department Comments
Friday, January 5, 2007
Page 2 of 2
JAN 0 9 2001
Passed
Inspector Comments
f'
8,71-'g7
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Friday, January 5, 2007
Page 2 of 2
\ \', ate`°\
BUILDING
PERMIT APPLICATION
FBC 2004
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 3313$
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
815 N.E.
Owner's Address
JUL 2 8 200h JIll
B1: .....
Perri it No. XO-2OZZ
Master Perziit No. if cod, ° / 92 7
Electrical Plumbing Mechanical Roofing
Carol Stobs Phone# !,i 305- 751 -1692
99th St.
City Miami Shores,
Tenant/Lessee Name
State Fl. Zip 33138
Job Address (where the work is being done)
City Miami Shores Village County
FOLIO / PARCEL # 1132060340100
Phone # 305 - 754 -8520
815 N.E. 99th St.
Miami -Dade
Zip 33138
Is Building Historically Designated YES NO x
Contractor's Company Name Lasseter Plumbing Co. Phone # 305 - 893 -7180
Contractor's Address
865 N.E. 130th St.
City North Miami State Zip 3161
Qualifier Name
John Lasseter
Phone #
State Certificate or Registration No. CFC041696
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $?�
Type of Work: ['Addition
305- 893 -7180
Certificate of Competency No.
Phone #
Square / Linear Footage Of Work:
El/Alteration DNew ®Repair/Replace ❑ Demolition
Describe WorkRe lace kitchen sink waste arm sink and Dishwasher. MASTER BATH: replace lay.
waste arm, recipe Water to water closet and shower, relocate shower drain
to east.
** * ** * * *,* * * * * * ** ** * * * * * * * * * * **
Submittal Fee $
Notary $
Scanning $
Permit Fee $
* * * ** *Fees **
10'
,1(0
Training/Education Fee $
Radon $
********** * * * * * * * * * *. * * * * * * * * * * * * * * * * * * **
CCF $ 1 2.0 CO /CC
Technology Fee $ 4-1S
Zoning $
DPBR $
Bond $ Code Enforcement $
Structural Review. $
Double Fee $
Total Fee Now Due $
See Reverse side S 6r /
AUG 2 4 PAID
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 issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print
My Commission Expires:
************** * * * * * * * * * * * * * * * * * * ** * * * * * * * * * **
APPLICATION APPROVED BY:
(Revised 02/08/06)
Contractor
The foreg /g instrument was acknowledged before me this --2/
day of 20 t14,-; by .3-6 zl
who is ' . ersonally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign: zyax Jty °/2�
Print C111- (Si(I
My Commission Expir
RISTINA PORRAS
EXPIRES: May 30, 2009
r � •!tt, $• aondidThW Notary Public Undenxrttera
Plans Examiner
Engineer
Zoning
;AN ArPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
.
PLUMBING
ELECTRICAL
MECHANICAL
ITEM
3ATN 1113
UNIT
/
FEE
ITE1I
SWITCH OUTLETS .
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
3IDET
LIG1iT CUTLETS
CENTRAL HEATING
3!SHWASHER
/
RECEPTACLES
A/C (WIND) '
)ISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL)
lR INK If3 - FOJNTAIN
SERVICE SIZE IN Ahf'S
DTI WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
Z
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 FP
STEAM BOILERS
SHOWER
/
MOTORS OVER 1- 3 FP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3- 5 FP
MECHANICAL VENTILATION
SINK, RESIDENCE
/
M]TCRS OVER 5- 8.FP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MiQTCRS OVER 8- 10 FP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 FP
FIRE 'SPRINKLER SYSTEM
URINAL
M]TCRS OVER 25-100 FP
•
COOLING TOWERS
WATER CLOSET
.
2
MJTCRS OVER 100 FP
VIOLATION '
IICIRECT WASTES
A/C WINDOW
REI,NSP,ECTION
WATER SUPPLY TO:
AIR COM ITIONERS
•
A/C UNIT
STRIP HEATER
FIRE SPRINKLER .
'HEATER
GENERATORS TRANSFORMERS
'
-NEW INST.
GENERATORS• TRANSFORMERS
HEATER- REPLACE .
GENERATORS TRANSFORMERS
.
LAWN SPRINKLER -WELL
•
SPECIAL PLRPOSE
SWUM ING POOL
OUTLETS COMfiERCIAL
WATER. SERVICE
SIGN TUBES
SEWER CONNECTIONS
UTILITY
,•.SIGN
TRANSFORMERS
.
-SEWER
UTILITY
SIGN TIME CLOCK
-WATER
FIXTlRES •
SEPT IC TANK
RELAY
ANTE MA
TELEVISION CUTLETS
i
ORAINEIELD, 4 TILE/RES.
PUMP
VIOLATION
8 ABANDON SEPTIC TANK
SOAKAGE
RE INSPECT ION
•
PIT CU. FT.
CATCH
BASIN
DISCHARGE
WELL
•
ODIESTIC WELL
AREA.
•
DRAIN
'
100E INLET•
;OLAR WATER HEATER
' IRE
�
STAMPIPE
'COL
�
PIPING
�
.AWN SPRINKLER SYSTEM'.
•
.AS RAKE
ETER
•
I
SET (GAS)
1 •
:AS PIPIN_
j
l
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 23483
Inspection Date: 01/08/2007
Inspector: Levrack, James
Owner: STOBS, CAROL
Job Address: 815 99 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: LASSETER PLUMBING CO INC
Permit Number: PL -7 -06 -2022
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number (305)751 -1692
Parcel Number 1132060340100
Lot:
Phone: 305 -893 -7180
Building Department Comments
Friday, January 5, 2007
Page 2 of
im09200
`1 • ector • . mments
Passed
11/4/
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Friday, January 5, 2007
Page 2 of
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