PLC-08-457Inspection Date: 11/07/2008
Inspector: Levrock, James
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Owner: YEHEZBEL, HAIM
Job Address: 9806 2 Avenue NE
Miami Shores Village, FL
Project: <NONE>
Contractor: FALCON FIRE PROTECTION INC
Permit Type: Plumbing - Commercial
Inspection Type: Final
Work Classification: Sprinkler System
edinimene Phone Number
Block:
Parcel Number 1132060132241
Lot:
Building Department Comments
FIRE SPRINLER SYSTEM FOR TEATHER
1. ®v
� 2p0�
Passed
In . : `
- ' •
'1:+ r ,' omments
I ,;E DEPT APPROVED. COPY OF IT ON JOBSITE
Fail .ed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Thursday, November 6, 2008
Page 1 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No. PLC e4s7
PERMIT APPLICATIO141 F "',*"N 7VEr
Master Permit No.
FBC 2004 Ur 1008
illr'7mmd ��mmQ eln
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder) 1141 N( ' /J mac.. / Phone #
Owner's Address 2 f 0 7/ .sr. #k 30c-7
City 1-4( 4 kt 1 10 C,A.��1 State •'G -ClTZ / ast Zip
Tenant/Lessee Name
E -MAIL:
Phone #
Job Address (where the work is being done) ® 0/ 6,'E ,4 V&es/ (/
City M'ami Shores Village County Miami -Dade Zip
FOLIO /PARCEL# /ela.2 k /3g 24/
Is Building Historically Designated YES NO
Contractor's Company, Name r e 4 / C. ( r t ) 7E7/i1 Poor - T A / C , Phone # ( 3 0 J 5 e - 0178
Contractor's Address pc 0 ,L) f/ .5-6 S7
City !-mil{ I-1/ State Pe- Zip 3 / ,&,6
Qualifier Name Z.-- 0,5 "C42Z& •,S Phone # tom$ S- 2 ,t-'78
State Certificate or Registration No. 04 8a. /4 0 00 //9 Qom' Certificate of Competency No.
E -MAIL:
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ 1 p 0 OD. CO
filea,iit0 3113 3 3Y,21T4
7t -3 n
crilleateflok FALL 6i I
�t6,0A iat•. f0 dCN.$Lh9i1 i'.b:
Phone #
Square / Linear Footage Of Work: ✓7 % /iL)
Iteration ❑New ❑ Repair /Replace
❑ Demolition
******* * * * * ** * * *w,wwww * * * * *xxxxxxxx * ** *Fees * * * **
Submittal Fee $
Notary $
Permit Fee $
Training /Education Fee $
Scanning $
Bond $
Radon $
Code Enforcement $
DP.BR $
CCF$
CO /CC
Technology Fee $
Zoning $
Double Fee $
Structural Review. $
OCT 2.7 2008
WAWA is DES VILLAGE
Total Fee Now Due $
RE, CC? 1:32200
e fteu a sitlt
3 `1i1 9? rtt;-
, t�•sti Ck
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. [ 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 , , , • , ce of such posted notice, • the
inspection will not be approved and a reinspection fee will be charged
Signature Signature
Owner or Agent
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:
Sign:
Print:
My Commission Expires:
*xx *xxxxxxxxx *xxxxx * * * * * * * * * * ** * ** *xxxxx * *xx
APPLICATION APPROVED BY:
(Revised 02/08/06)
Contractor
The foregoing instrument was acknowledged before me this f0
day of M Ui , 20 0c , by �- s C4trei-c
who is personaIlknewn to me or who has produced
as identification and who did take an oath.
NOT ` PUBLI
Sign:
Print:
My Commi
1 _A
Sanded Throw
-- - - "Mr-
x xxxxx *x *9c* * * * * * * * * * *xxxxxxx *xxx *xxxxxxx * ** **x ** ** *xxxxx*
Plans Examiner
Engineer
Zoning