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PL-08-1538Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 08/28/2008 Inspector: Levrock, James Owner: DEVINE, MICHAEL & CLAUDIA Job Address: 54 102 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: THE NEW MIAMI SHORES PLUMBING Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration 06,L00000,0• Phone Number 305 - 759-4883 Block: Parcel Number 1132060131470 Lot: Phone: (305)751 -2446 Building Department Comments WATER SERVICE AND REPIPE 1. Passed ns • e ]tor Comments ° it Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Wednesday, August 27, 2008 Page 2 of 2 ttMo hqpw Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING P p -' �3 ermit No. � PERMIT APPLICATION Master Permit No. FBC 2004 AUG 2u 2!;08 BY: Permit Type: Plumbing ,-1 Owner's Name (Fee Simple Titleholder) lCnat DCNI r)? CtVe.10,08►C tone # 305 -4q5-196( Owner's Address 54- t4 E 102 rl CitytAlCtm1 Sl10 tQ ( State P Zip 3313E). Tenant/Lessee Name Phone # E -MAIL: l Job Address (where the work is being done) 5 4 Ni e 102 n d City Miami Shores Village County Miami -Dade FOLIO / PARCEL # - 5206 - 013- 1176 zip 3313E Is Building Historically Designated YES NO S Yes Contractor's Company Name 1" e W a I'Y11 Phone # Contractor's Address G oo N (,t.) 14 4 S Plombiny _os 7S12i44G City 1'\\O' ( State i- 1 Zip `3 ((p Qualifier Name DelrI IS k C V G h\,0 Phone # 305 '75(2-446. State Certificate or Registration No. C F C 0 j G Z ©S . Certificate of Competency No. E -MAIL: Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 214 % 5 00 Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New, Repair /Replace ❑ Demolition Describe Work: Ikol -se' ef(.)( Cc an a R'e- ye- , xx * xnxxxxxxxxYxx *xx ** xxxrxxx7. * .,r, , Fees,* *xxxrxx *xx .,,,x, ,,,,xrnrxxr.,— ,,rxrxxxrx Submittal Fee $ Permit Fee $ 4 F CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ 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. [ 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: 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'persoij whose properly 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 The foregoing day of who is person au.k, Owner or Agent instrument was acknowledged before 20 cam, by me this ly known to me or who has produced N As identif n and who did take an oath. Contractor The foregoing instru ent was acknowledged before me this day of L , 2(IC� , by iI,(f�kJ1k7 ! who is personally known to me or who has produced as identification and who did take an oath. Y PUBLIC: Print: My Com ,' ONIM! LION 0 DD75 565 EXPIq• , march 10, 2012 rxxxx *xrrxxx *xxxxx * ***** xrxxxxxx *x * *xxxxxr,.xxxxrxxr APPLICATION APPROVED BY: (Revised 02/08/06) Ala , . IT-eV' Plans Examiner Engineer Zoning