PL-12-894Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
C)
Inspection Number: INSP- 173785 Permit Number: PL -5 -12 -894
Scheduled Inspection Date: May 21, 2012
Inspector: Hernandez, Rafael
Owner: SALUP, ANTONIO
Job Address: 9333 N MIAMI Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: MG PLUMBING & SPRINKLER SERVICE
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (786)488 -7694
Parcel Number 1132060130350
Phone: (305)525 -9236
Building Department Comments
CAP DRAIN AND WATER FOR SINK IN BACK ROOM
Passed
T=1/
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 32 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
MAY172012
IBY:
BUILDING Permit No. r7L (Q4
PERMIT APPLICATION / Master Permit No.
FBC 20
Permit Type: PLUMBING
OWNER: Name (Fee Simple Titleholder): /dl D Up Go �$",AZ.EB Phone #: -igeo (/�� 6
Address: °f333 NAt'adue' UQ
City: hit 'U✓ .' Stogy State: rt Zip: 33 1 rO
Tenant/Lessee Name: Phone #:
Email: .CMC% 241,04.' 20
aeS
JOB ADDRESS: 413 33 A) °
City: Miami Shores County:
Folio/Parcel #: // 32 06 at) 3 5o
Miami Dade Zip: 3 3 )SO
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: O 121,4fdaidifie;y4ovs-z.61_ 5 Phone #: jed.r -92-34
Address: /24 ,! /J) 3 sp
City : /l'd -t- 44 State: " ° Zip: 3(c9
Qualifier Name: L774/4-1 C=am M /l/y�($�t.�•� Phone #:
State Certification or Registration #: at%9 Zv Certificate of Competency #:
Contact Phone #: J Of J Z '91-3 1-- Email Address: A914-14-1110 4./f !)//hr6 4J/,1O, e-gt>"7
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ ® -- a Square/Linear Footage of Work:
Type of Work: DAddress OAlteration
ONew Cepair/Replace
ODemolition
Description of Work: A4& r--7-v,4
0177
*w* * * *** s+*** ******** ******** * *+ * ** Fees+ x+ s+ n+ x******* ******* ** ******+x *•x*********** ***
Submittal Fee $ Permit Fee $ /CD — CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE 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 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
I
Owner or Agent /'`]
The foregoing instrument was acknowledged before me thin!
day of
who is person
2/y
known to me
who has produced
Signature c_./
a9 /
Contractor
The foregoing instrument was acknowledged before me this %�
day of 11 / , 20 /rby(7
to me or who has produced
as identification and who did take an oath.
NOTARY PUBLI
As identificatiurxnd who did take an oath.
PUBLI
OTARY PUBLIC STAT ff e
gL
CTATR OP PLORto4
r
A n 12 23
tONUIIia compANY 1Ncaap J
2,2012
ANY INCORpORA tED
********** ************** *> k*+ k> k***+ k*******+ k*** ******* *+ A******4 ****>k *+ k*+ k*+ A+ R***> k**** ***> k*+ N****+k*N+k*****+k*+k*****
APPROVED BY
1 /
Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Zoning
Clerk