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PL-11-1691Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CL Inspection Number: INSP- 164453 Permit Number: PL -9 -11 -1691 Scheduled Inspection Date: May 21, 2012 Inspector: Hernandez, Rafael Owner: RHODES, LISA Job Address: 1341 NE 103 Street Miami Shores, FL 33138- Project: <NONE> Contractor: PAU PLUMBING CONTRACTOR INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050300140 Phone: (305)934 -2894 Building Department Comments PLUMBING WORK FOR NEW INT. REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments May 18, 2012 For Inspections please call: (305)762 -4949 Page 5 of 38 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 No. PERMIT APPLICATION Master Permit No FBC 20 Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder): LA S (Z.{-I 0 Dt S Phone #: 71 °4 3327556 Address: l 31i I NE. 103 ST City: MI AJ M S {IMES State: FL- zip: )3138 Tenant/Lessee Name: Phone #: Email: SEP j. 5 2011 JOB ADDRESS: 1,341 N E 103 ST City: Miami Shores County: Miami Dade Zip: 33 138 Folio/Parcel #: ,1- 3205 - O3O - O 144 0 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: ?,C.)14.416 1 � j- 6144'T4ACP04-- Phone #: 3� X41.4 294 Address: 35Z WoA4' - City: a i e t,t rI-( State: L Zip: 2 ? ©1�� Qualifier Name: ,V Ar..o p &D'*'"O Phone #: .0, j q'1 3zsl `P State Certification or Registration #: 1'4 eZ 6, a 1 0 Certificate of Competency #: Contact Phone #: W 5 'n 34 2,2343 Email Address: 1r^+eyrvac-ooa9 -to t AQ&C..too t . DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ (01 000 00 Square/Linear Footage of Work: Type of Work: ❑Address Ca- Aeration UNew ORepair/Replace ❑Demolition Description of Work: S4r)-4.z49zt.4, Ger'op / tr,rrc -e€.0 6t.. . L.dv ode I, **:x*a*** * ****x:x:**** **** : *x::x:x**x:*x: *x:x:*** Fees** x�x�x�************: x�: x:: x�x� ::�x:x** **n��xx:�n *�xx�******* Submittal Fee $ Permit Fee $ .2 Z,�''� CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ I `� 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, BOIT.RRS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S A M:DAVI : 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."' 4 • Notice to Applicant: As a condition to the issuance of a building permit with an estimated' value exweeding $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 xis ?'dc /eh) Owner or Agent The forego day o ho ispera instrument was .'c ,owledge efore Sign: Print: My Commission Expires: 201 ,b e this known to me or who has produce As identification and who did take an oath. Contractor The foregoing instrument was acknowledged before me this,2 -' day of �c305 , 20 X, by r' who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: *************** *: x**** ****** *: x********** * ** *** ************ **** ** ::x**** **** ******:x****** * ***x *** ****:x***** * *** APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Zoning Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING. BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 SOTO, REYNALDO PAU PLUMBING CONTRACTOR INC 5I�T 38TH STREET HIALEAH FL 33012 Congratulations! With this license you baicome one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the Departments initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE BATCH NUMBER