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PL-12-627Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 172228 Permit Number: PL -4 -12 -627 Scheduled Inspection Date: April 27, 2012 Inspector: Hernandez, Rafael Owner: BROWN, BRUCE Job Address: 402 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: WESTLAND PLUMBING CORP Permit Type: Plumbing - Residential Inspection Type: Rough Work Classification: Addition /Alteration Phone Number (305)758 -1303 Parcel Number 1132060140470 Phone: (305)863 -6223 Building Department Comments NEW LAWN SPRINKLER SYSTEM Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments April 27, 2012 For Inspections please call: (305)762 -4949 Page 6 of 11 shore s Village atilt Building Department 10O5(i N .2nti t € nn€, M ani Shores, Florida 331 8+ Tel: (3 .) 795_2204 Fax: (305 ?56:8972 TON'S PHONE NUMBER: (305) 762'.17't 9 ON PEE:. IT APPLICATION FBC20 Permit T ,' U1 ING Name (Fee Simple fltichoiidet`) Address City: Tenantll,.essee Bolan I. toni' P\ (09\71 Master Permit No, Phone#: JOB ADDRESS; 4o 7.. .. City: M[aoti= Shores dip. Folio/Parcct# . Is the B lsto j tetlz ire. pia 1►ami Dade Coonty CONTRAC Rt Company Name: Address: t Q lAi? s 4- City: (-1 CIAO CIL Qualifier Name .. v� ,� s State Cettz eatic toa Rogiora 4 Comae Pbane#. 79tei Z36, DESIGNER; Areis:ttectlEnginecr '1/41■I e %\-lau—D z ►- Flood Zone. 171 /4 Phone#c S ° 636 sue. t0 tr. I ZIP: ?f. ( 6- C° . ':l d0 CertifeatE of Competency Phone#; ee Value of Week:I Iles Permit. $ Z• equate/Linear :Footage o. ©( Type of Wo ri D;ption of W'ar ftetation mol tion: Submittal'Fee$ Penult Fee $ Scanning Fee $' .Radon Fee ,$:; Notary $ Double Fee $ CCF $. DB"R $ Technology Fen $. CO/CC $ • Bond $ TOTALFEE NOW DUE $ . 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 FT .F,CTRICAL 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 not be approved and a reinspection fee will be charged. y � � Signature 20 _ ��/1. Signature 1.. leror _ The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: t Sign: l� Print: D My Commission D MaaAMAweaatrtaw.PEw,,s MY COMMISSION • EE187165 ' EXPIRES February 07, 2014 I * * * * * * * * * * * * ** APPROVED BY Plaids Contractor The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: * * * * * * * * * * * * * * * * * * * * * * * ** �L Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk 'LOCATION- "SKETCH SCALE: I .': (Op' • a w F- U FLOOD ZONE: x KITI9 No • litoir-Pri..W5—e7 011t4111 Miami Shores Village APPROVED DATE ZONING DEPT BLDG DEPT SUBJECT TO COMPUAN +' WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS T\ 14 I1 LegeAd RGon ;r ASP 66u/,4 BK1 R4 10,1/A Rs:. p. - j Pvrt Se "S V THIS IS A FLOOD HAZARD ZONE COMMUNITY PANE o.- PANEL No. U. 3 SUFFIX • G �A BASE FLOOD ELEV. : NA LOWEST FLOOR ELEV.. E, , G`^ b''j pG4 11/et lone L/c(ac bird %a'/ o fr" ge. ,J1- hi ri l roq 5Il4y l)p'cc?s 12-o6. 52 NJMONT THIS IS NOT A FLOOD HAZARD ZONE DATE OF FIRM: 1 HIGHEST ADJ. GRADE • A 2 11111 0 PO #10 ai D D r NS AwA Un 1 1 .. n �mmT� pmro V12 • W I we WPM 0 > CA z L C < X m1T1 0 r 0 C') z C) 0) C m z 0 NOTE : UNDERGROUND ENCROACHMENTS, IF ANY, NOT LOCATED. Lock, ktirtc : L0 I herebyj certify that this sketch of survey of the above described property is true and correct to the best of my knowledge and belief as surveyed and platted under my direction. I further certify that -this survey meet the minimum requirements adopted by the. Society of P ssional Land Surveyors and the Florida Land Title Association and also CH 21 HH-6 F.A. code. There arirp encroac ants, xcept as shown. Notes: I. If shown, bearings are to an assumed meridian (by plat) A►,I,0 (Par A pnarr. Diu