PLC-11-2068Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 166415 Permit Number: PLC -11 -11 -2068
Scheduled Inspection Date: January 06, 2012
Inspector: Hernandez, Rafael
Owner:
Job Address: 9475 NE 2 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: BAY PLUMBING COMPANY
Permit Type: Plumbing - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060133760
Building Department Comments
REMOVAL OF EXPOSED COPPER WATER LINE
SERVICING THE ICE MAKER IN THE FREEZER AND
REPLACE WITH A NEW COPPER WATER LINE RUN
ABOVE THE SUSPENDED CEILING.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
January 05, 2012
For Inspections please call: (305)762 -4949
Page 4 of 19
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Nov 0 7 2011
R-L-11 -7/C06''
Permit No.
Master Permit No. a l ° A 'WI c
Permit Type: PLUMBING
OWNER: Name (Fee Simple Titleholder): Bank of America Phone#:
Address: 525 North Tryon
City: Charlotte State: North Carolina Zip: 28202
Tenant/Lessee Name: Phone #: ,
Email:
JOB ADDRESS: 9475 NE 2nd Ave (Also referenced as 9499 NE 2nd Ave)
City: Miami Shores
Folio/Parcel #: 11- 3206 -013 -3760
Is the Building Historically Designated: Yes
County: Miami Dade
zip: 33138
NO X Flood Zone:
CONTRACTOR: Company Name: Bay Plumbing Co. Phone #:
Address: 3029 SW 28th St
City: Miami State: FL zip: 33133
Qualifier Name: Phone #: 305 -446 -8141
State Certification or Registration #: Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ ;ao (r1 0 d • o d Square/Linear Footage of Work:
Type of Work: Address ❑Alteration New ARepair/Replace EDemolition
BREAKROOM: Removal of the exposed copper water line servicing
Description of Work:
the ice maker in the freezer and replace with a new copper water line
run above the suspended ceiling.
***************************************Fees**************** **********•x*+x*a:****+x** ** **
Submittal Fee $ 1 p. ID Permit Fee $ /. ® CCF $
Scanning Fee $ Radon Fee $ DBPR $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
CO /CC $
Bond $
TOTAL FEE NOW DUE
Ikair470
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, BOTT.F,RS, 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 va -, e exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law rochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of co:' 'ncement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. %n the absence of such posted notice, the
inspection will not be approved and a reinspe, tion fee will be charged.
The fore
day of
Owner or Agent
oing instrument was acknowledged before me this 9
�nd A
o me or who hodui
who is perso
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Nicole Glass
yl !it My Commission EE032587
" es po Expires 10/05/2014
* * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED BY
Signature
Contractor
The forego' g instrument was acknowl ged before me thi A
day of , 2017, by ✓ / ✓,�-5
who is : rsonally known me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Comni
********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
irraEORGE FEL,ICIANO JR.
MY COMMISSION # EE084486
EXPIRES May 31, 2015
m
* **
Zoning
Clerk
Nov 17 2011 10:38AM HP Faxbay Plumbing Co 3054462248
MIAMI -DADE COUNTY
TAX COLLECTOR
140 W. FLAGLER ST.
1st FLOOR
MIAMI, FL 33130
page 2
2011 LOCAL BUSINESS TAX RECEIPT 2012
MIAMI -DADE COUNTY - STATE OF FLORIDA
EXPIRES SEPT. 30, 2012
MUST BE DISPLAYED AT PLACE OF BUSINESS
PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10
FIRST -CLASS
U.S. POSTAGE
PAID
MIAMI, FL
PERMIT NO. 231
451970 -9 THIS IS NOT A BILL - DO NOT PAY
RENEWAL
BUSINESS NAME / LOCATION RECEIPT NO. 471852-5
BAY PLUMBING COMPANY STATE* CFC057007
3029 SW 28 ST
33133 MIAMI
OWNER
BAY PLUMBING COMPANY
Sec. Type of Business
This Is j4t6A Well CONTRACTOR
BUSINESS TAX RECEIPT. IT
DOES NOT PERMIT THE
HOLDER TO VIOLATE ANY
EIBBTINO REGULATORY OR
ZONING LAWS OF THE
COUNTY On CRIES. NOR
DOES IT EXEMPT THE
MOLDER FROM ANY OTHER
PERMIT OR LICENSE
REQUIRED BY LAW. TNIS 1S
NOT A CERTIFICATION OP
THE NOLOER'S OUAUFlC4-
TIONS.
PAYMENT RECEIVED
MIAMI -DARE COUNTY TAX
COLLECTOR:
09/16/2011
60020000929
000045.00
SEE OTHER SIDE
WORKER /S
1
DO NOT FORWARD
BAY PLUMBING COMPANY
ROBERT L BEANS
3029 SW 28 ST
MIAMI FL 33133
111111,Ii11 1111 1, 11I111II11 ,11,11111I1111111fII,i,ii11 ► ►3 I1