PL-10-530Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 139338 Permit Number: PL -3 -10 -530
Scheduled Inspection Date: November 23, 2011
Inspector: Hernandez, Rafael
Owner: SMART, DARIK & MARLENIS
Job Address: 540 GRAND CONCOURSE Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: NOVO & SONS, INC
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)751 -8127
Parcel Number 1132060171411
Phone: (305)444 -7177
Building Department Comments
PLUMBING
Passed
Failed
,Jrir
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
November 22, 2011
For Inspections please call: (305)762 -4949
Page 1 of 30
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
Permit Type: PLUMBING
Owner's Name (Fee Simple Titleholder)
Owner's Address
City t,�n't S h-"r s State
Tenant/Les ee Name
Email iilrWlGLf''
OZV'St
MAR 3 0 2010
Permit No. Pi 10— 501
Master Permit No.W)
10-4(9.
Phone # J (J t e / d)
Zip .3 1,3e-
Phone #
e-7/‘ &t, !-. Are_
Job Address (where the work is being done) ® c - e-t ► - l Cr- S'"C--
City Miami Shores Village County Miami -Dade Zip 5 3 13e.
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Flood Zone "re,
Contractor's Company Name .�' l/9/ S Js Phone # 30,x" dye /1z7
Contractor's Address j'7"4/,,7,. fa" p -
City VI-744 4f 1, ' State".. Zip 3 3/ 5 V
Qualifier Name /Z d /J� /f y 2/47?L + Phone # 3e f� 4' f' y 7/ e47
State Certificate or Registration No. G Are / 4/141g7:- ' Certificate of Competency No. Oe?4'77r6 ‘
Contact Phone 2 E -mail
Architect/Engineer's Name (if applicable)
Phone #
Value of Work For this Permit $1
Type of Work: ['Addition EAlteration
Describe Work: Ne-"' j
Square / Linear Footage Of Work:
ONew ❑ Repair/Replace ❑ Demolition
******** * * * * * * * * * * * * * * * * * * * * * * * * * *** * ** Fees * * * * * * * ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ a7 CCF $ i • CO /CC $ -
QQ
Technology Fee $ C2'-T0
Notary $ Training/Education 'ee $ D' C Q(
Scanning $ l 00 Radon $ (0.93 DPBR $ Cp .95
Double Fee $ Violation date:
Structural Review. $
Bond $
Total Fee Now Due $ (99,62 ,62 .70
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
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 not be approved and a reinspection fee will be charged.
Signature
___0000"-- . O� Agent
The foreg g instrument was ac owlet ged before me
�j-
day 02010, by i'j(Y1
who i personally ® d
own to me or who has produce
identification and who did take an oath.
NO
Sign:
Print:
AR PUBLIC:
My Commission Expires:
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of 3 - . , 20 J e) , by
who is personally known to me or who has produced
as identification and who did take an oath.
' ***,e
�'PA. �� oc'' P
c. v�
c�,
60,,
4, ...„c„, ,/may
** *, * * * * * *x ** * * *** * ** ** * **** *** *** . * *** ` 3 ** * * * ** * * * * *** * * * * *** * **** *, rat * **** ** * * * * * ** * * * * * *** * * * * **
5 r I 4) Plans Examiner Zoning
TARY 1e7
My Commission 130850579
' - - 0 /15/2013
APPROVED BY
Engineer
(Revised 07 /10 /07)(Revised 06/10/2009)
Clerk checked
e
I liat IJ
Construction Trades Qualifying Board
BUSINESS CERTIFICATE OF COMPETENCY
000011163
NOVO & SONS INC
D.B.A.:
NOVO ROBERTO
Is certified under the provisions of Chapter 10 of Miami-Dade County
AciP 0 JCO210, 114%Ufsi 09/
QUALIFYING TRADE(S)
0001 PLUMBING
••••40.1rec.axegoiMi,
rs;
SEE OTHER SIDE
0**
DO NOT FORWARD
NOVO & SONS INC
ROBERTO NOVO
4470 SW 2 ST
MIAMI FL 33134
226
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No.
Job Name
PLUMBING CRITIQUE SHEET
,(X) 0014"&"
_f-etfcarc.e_ �/leria6 14;-1,00Aw