PL-11-1426Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 162936 Permit Number: PL -8 -11 -1426
Scheduled Inspection Date: December 16, 2011
Inspector: Hernandez, Rafael
Owner: MCCREADY, JAMES
Job Address: 1399 NE 103 Street
Miami Shores, FL
Project: <NONE>
Contractor: ALL TECH PLUMBING INC
Permit Type: Plumbing - Residential
Inspection Type: Top Out
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132050300190
Phone: (305)345 -4368
Building Department Comments
REMODEL EXISTING KITCHEN AND TWO BATHROOMS
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
6)1".
December 15, 2011
For Inspections please call: (305)762 -4949
Page 4 of 16
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
raffgrg�UG n a 2011
BUILDING Permit No. PI
PERMIT APPLICATION
FBC 20
Master Permit No. 1 1 L v
Permit Type: PLUMBING
OWNER: Name (Fee Simple Titleholder): (1 S rep,` Phone #cC ) 7& - LI 6
Address: VIgati W.E. War\ .
City: Of \\ 60VA StIla
State: Ft..
Zip: 3313 t
Tenant/Lessee Name: Phone #:
Email: YM eC t' ea. a Li .SvQi'�� c `; t1< . CO'ot\
JOB ADDRESS: \ l i a )
City: Miami Shores
Folio/Parcel #:
County:
Miami Dade Zip:
Is the Building Historically Designated: Yes NO Flood Zone:
co 2
CONTRACTOR: Company Name: �c J C t I (9 � ice/ t -' (;:21 Phone #: , FI s _zi
Address: �J
City:
Qualifier Name:
State:
04a L.-, C e..
State Certification or Registration #: C r ill 2. 42.5 S7 Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Zip:
Phone #:
Value of Work for this Permit: $ 1.ig 00 Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Repl e // ❑Demolition
Description of Work: tit e-
® 13> —e2
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * *********+x ******** + *********m*•x****x:** ** **
Submittal Fee $ Permit Fee $ /5-0 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 1 6fl1C)
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 ' . t be approved and a reinspection fee will be charged.
Signature
Owner or
a.17
,enti
The foregoing instrument was ackn
h
ledged before me this
day of , 20 11 , by l)M ( ��rer�
who ispersonally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
nt: .i
My Commission Ex i�O ® w ;
y p � My Commissi
�! °: : .i
4 °is. swigs ° °. °. -,
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 i by �Otic 3 L. c �I
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
APPROVED BY
��O..
Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Zoning
Clerk