PL-08-1461Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
p60 • • • • •
Inspection Date: 11/04/2008
Inspector: Levrock, James
Owner: KOKIEL, JOEL
Job Address: 1431 101 Street NE
NOV 0 5 2
Miami Shores Village, FL
Project: <NONE>
Contractor: EWINGS PLUMBING INC
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
a L.,
Block:
Phone Number
Parcel Number 1132050240280
Lot:
Phone: (305)235-1028
Building Department Comments
REPLACE GAS WATER HEATER& GAS PIPING FROM
METER TO NEW FIXTURES
n
e or Comments
Passed
Failed
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-inspection fee is paid .
Monday, November 3, 2008
Page 2 of 2
Miami Shores Village
Building Department
1005.0 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING RIECEGV'
PERMIT APPLICATION
FBC 2004
Permit Type: Plumbing
Owner's Narne (Fee Simple Titleholder) 46. Owner's Address ` %\ S kw
AU 2006
Kotut
Permit No. ?Lot--
. Q -- J It
Master Permit No.
Phone
7bt- 543-0770
City \l,(�,t/4 State •
Tenant /Lessee Name Phone
E -MAIL:
Job Address (where the work is being done) '')Nv Tj ,S Ctlzwil.)
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # I32-05 07- `tO1$0 , /
Is Building Historically Designated YES NO 1/
Contractor's Company Name Z\kil 5 ��N& 1kl Phone # D5 235-la V
Contractor's Address �1�� SS 5\ u SI ,T It
City KUlJ\ State C l Zip 33151
Qualifier Name difr £�hh Phone #
State Certific to or Registration No. Cr W .5� 2 1 Certificate of Competency No.
E -MAIL: Our � dlni lA_ kpAk I •(Awl
Architect /Engineer's Narne (if applicable) Phone #
Zip
Value of Work For this Permit $
-113col
Square / Linear Footage Of Work:
Type of Work: ❑/Addition ❑Alteration ['New �epair /Replace ❑ Demolition
Describe Work: loam LJlii� •CW%tTiY 2 80 'pre ,ii pm » iTer /°
Vet) pnftb,
% % % % % % % % % %XX XXX % % % % % % % % % % %�. % % % % % %if % % % % %Fpw/) % %% % % % %% %�: % % % %%% % % % % %X % % %X % % %a': )'C % % % % % %1G % % % %%
Submittal Fee $ Permit Fee $ CCF $ CO /CC
Notary $ Training /Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $
Structural Review. $
Code Enforcement $ Double Fee $
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: t 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 COMMENC.F 1�T ►ya�
pi Notice to Applicant: AS a conauson to ire ,.rsuance of a ourramg permit room -we 6.,.4.,,r.1�1 vurgse ex
C( promise in good faith that a copy of the notice of commencement and construction Gen taw brochure will be delivered to
C( whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at
for the first ins ction which occurs seven (7) days after the building permit is Issued In the absence of such posted
No inspection will be approved and a reins *on fee will be charged
pre
wp
%Or b, Signature
ins Owner or Agent
kiriAityOUR
the persor'I N G,
the job sit OF
notice, th
Contractor
The foregoing instrument was acknowledged before me this 01( The foregoing instrument was acknowledged before me this°
.�/
2OOJ by .-.1 r CE . n e e c , day of 44.14 , 20 Pr by o,
Si€ daof
who is ally know, a me or who has produced
Th<
t must
Jerson
)b site
e, the
As identification and who did take an oath.
day NOTARY PUBLIC:
whc
who is personally know) to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
NO
My Commission Expires:
Sign (
Print APPL�
My(
ero"c 4.1C+rn ?o11„s15 ath.
0103+ �
"'� 1, e, . JEROME ADAM BEUN
Notary Public - State of Florida
F. • . ! � • My Commission Expires Feb 27, 2011
R.Q 6ED'8ilio # DD 645190
''',;8;,;;i0" Bonded Through National Notary Assn.
•
* *, , * * * * * ** * * * * **--* * * * * * * * * * * * ** * *** * ** * * * * ** * * * * * * * * * * * * **
** *41T A1}WCAPI MwMwM41Rkife*# ** **
Notary Public • State of Florid§
• F. My Commission Expires Feb 27, 2911
Commission # DD. 645 9
Bonded Thrn igh nratinrE OR
APPLICATION APPROVED r. Y:
(Revised 02/08/06)
************* * * * * * * * * * * * * * * * * * * * * * * * * *x,wxr, r.
O8-7-0 6
Plans Examiner
Engineer
Zoning