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PL-09-373• Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: April 01, 2009 Inspector: Levrock, James Owner: ANGEL, CARLOTA Job Address: 333 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: AFFORDABLE IRRIGATION, INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Sprinkler System UmpiessoisoPhone Number (305)759 -6052 Parcel Number 1132060135070 Phone: 305 -681 -6322 Building Department Comments March 31, 2009 Page 1 of 1 0 Passed , Insp - o C ,mments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until March 31, 2009 Page 1 of 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATIO FBC Permit No.R_h 1 11 Master Permit No. Permit Type (circle): Plumbing INE•1111. 4111/111116 Owner's Name (Fee Simple Titleholder) *,9'1-104t fef Phone # 0(.1 J ,7,37 — 0 Sol- Owner's Address 333 it/. 67 %j3 S7 J , - ,.So,e'.r City / / 4 ' t State C:... Zip 3.„77.31-- Tenant/Lessee Name Phone # Job Address (where the work is being done) 333 /0-6-- / 57A 7 City Miami Shores Village County Miami -Dade Zip 33/ ,5 FOLIO / PARCEL # IS Building Historically Designated YES NO Contractor's Company Name Contractor's Address ; , .Gc/ City Aid-/,6'* r' State e.— Qualifier Name j �dL t`® c ;sf� f Phone # (3 c ff 32 l� State Certificate or Registration No. Certificate of Competency No. 7 e ®e )/7 Phone # (5..” � 6F-/—‘1 2. Zip 3 y r‘S' Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ❑Additioonn^ Alteration ONew ❑ Repair/Replace ❑ Demolition Describe Work: NI) �1S1 ******** * * * * * * * * * * * * * * * * ** * * * * * * * * * * * ** Fes * * * ** * * * * * * * * * * * * * * * ** ** * * * * * * * * * * * ** * * * *** �iila . Submittal Fee $ Permit Fee $ CCF $ • Notary $ Scanning $ % Bond $ Structural Review. $ CO /CC Training/Education Fee $ r ( Technology Fee $ 4 ,_ Radon $ • E 'fo eitie DPBR $ Aii 9 3 2009 SHORES � .�� L A GE Zoning $ 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 commeieed prior 1111 the iss oo of a pwnit and that all work will 4soperfonrielkto melt the standards of all laws regulating construffon in this jurisdiction. I understaild that a separate permit must be secured for ELECTRICAL, AtbRK, 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 /7' day of 'Y 20 o 7 , by ���4® 73y ,9e( who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Contractor The foregoing instrument was acknowledged before me this day of 200T, by �! a7?'' /®f , who is personally known to me or who has produced as identification and who did take an oath. My Commission Expires: , MARCO ROSAS s MY COMMISSION # DD 706232 141 EXPIRES' 19L1, 2011 t•.. Ygxg 4c9roY,Y,Y,Y3c4e*** ***** **'****: *tor ** NOTARY PUBLIC: Sign: Print: rFe Toledo My ommission Expires: z ' -,T = = Commission #DD815435 e TD /e JT Jo T I ARY PUBLIC -STATE OF PLORWA APPLICATION APPROVED BY: (Revised 02/08/06) ATLANTIC BONDING al, INC. Plans Examiner Engineer Zoning Igo • • • 0•• • • , . • ••• . •• •• 70,0204.--► •• ••' • •• • •• • • •• • • • • • • • • • • • • • • • • ••• S • • ••• • ••• •• • • • • •• • • • • • • • ••• •• 8,94//11,4c4- 15-'6 e, 0 / ©Z S 7S e 7/ 2 u e /y'iar ii4fre ( 3 2oic4 3S 6ti. E Ci t- idepm, /ITARY PUBLIC -STATE OF FLORIDA ""'' Jorge Toledo Commission #DD315435 '••..,; /,.••° Expires: AUG. 22, 2012 BONDBD TBRU ATLANTIC Bhp Co, INC. A ,'/I/ 5c'nS9/v CC# 96P000219 :. Affordable Irrigation, Inc. 198 NW 139 Street Miami, FL 33168 Tel: (305) 681 -6322 LI! II) COMPLIANCE WITH AU ) COUNTY RULES AND RE I I Nip UM 0 .cif 8,94//11,4c4- 15-'6 e, 0 / ©Z S 7S e 7/ 2 u e /y'iar ii4fre ( 3 2oic4 3S 6ti. E Ci t- idepm, /ITARY PUBLIC -STATE OF FLORIDA ""'' Jorge Toledo Commission #DD315435 '••..,; /,.••° Expires: AUG. 22, 2012 BONDBD TBRU ATLANTIC Bhp Co, INC. A ,'/I/ 5c'nS9/v CC# 96P000219 :. Affordable Irrigation, Inc. 198 NW 139 Street Miami, FL 33168 Tel: (305) 681 -6322