DEMO-10-192Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
DEMO -i•10 -qS
Inspection Number: INSP - 135051
Permit Number: DEMO -2 -10 -192
Inspection Date: May 03, 2010
Inspector: Hernandez, Rafael
Owner: MAJOROS, PAUL & MILDRED
Job Address: 601 GRAND CONCOURSE
Miami Shores, FL
Project: <NONE>
Contractor: NOVO & SONS, INC
Permit Type: Demolition
Inspection Type: Final
Work Classification: Plumbing
Phone Number
Parcel Number 1132060172140
Phone: (305)444 -7177
Building Department Comments
DEMO AREAS WITH PLUMBING AS PART OF LARGER
INTERIOR DEMOLITION. LIMITED TO INTERIOR DEMO
ONLY
Passed
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
For Inspections please call: (305)762 -4949
May 03, 2010
Page 1 of 1
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
TipC-CTITTIE
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BUILDING Permit No.IJrij Yl./ If
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APPLICATION Master Permit No. g C j p -- CI 7--
FBC 20
Permit Type: PLUMBING
Owner's Name (Fee Simple Titleholder) I ICJ red A c J irros Phone # 305 51 q Coos
Owner's Address v-tu -k4 colt 0 LP-<_
City MI 6.wvi h State Zip 331 3 U
Tenant/Lessee Name yl r(n.. Phone #
r ; l dl-{d '' r-►nCi elro s c 4 . °
Job Address (where the work is being done) -S G'J'r .. as Gi U\re..
Email
City Miami Shores Village County Miami -Dade
r i 9 >066 LI,o
Is Building Historically Designated YES NO t/
FOLIO / PARCEL #
Contractor's Company Name ,4't7g O p4 X 4,2,4/j
Contractor's Address '/'/ X0 f'�/ 2 Sit'
City ?t/1 State 7/ 1,7 Zip (33 / /
Qualifier Name A e.).8 p,-/2 ;t- ,.f' o v0 Phone # 3 a r YY G1 %/ zX
Zip
Flood Zone
C 3v.S"3o3
Phone # idr 4/4/ ' /'71�� l 81/
State Certificate or Registration No. Certificate of Competency No. pp0.0 -71/ 6-iy
Contact Phone 305 - 30 3 - f ' f ( �@ � . E -mail
Architect /Engineer's Name (if applicable)
Value of Work For this Permit $
Phone #'
Square / Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New
Describe Work: e i'YN O O-vrOk vv)
ado
❑ Repair/Replace '
•
as
emoli'tion
P
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * ** * * * * * * * * * * * * * * * * * ** * * * * **
Submittal Fee $ Permit Fee $ 756 tz, ,`47.
Notary $
Scanning $ 3 Radon $ DPBR $
Double Fee $
Structural Review. $ Total Fee Now Due $ 04`/
Training /Education Fee $ 0.10
CCF $
Violation date:
CO /CC $
Technology Fee $ O'60
Bond $
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 Addrs a.
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 Applic•
promise in • yod fait
whose property i
for the first insp e
inspectipn will n
As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
that s y of the notice of commencement and construction lien law brochure will be delivered to the person
chment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
ccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
and a reinspection fee will be charged.
ssbjec
tion
tbea
to att
hich
prov
Signatu
Owner or Agent
The foregoi g instrument was ackno (1e• ged b orew'm his 3
day of 1J; /11.'1 ►r IOby Ml(l� • `C.�1' AIL
who is personally kno n to me or who has produced
Signature .., ; -,6 Qyf"
Contractor
The foremor, . • • • instrument was acknowledged before me this
day of — , 20 /rD , by
who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
4S'
L/W �c7 1SoN4y° Sign:
Sign: ►VII �1
titi Print:
d •
NOTARY PUBLIC:
Print:
My Commission Expires:
APPROVED BY 41,
2 2
Plans Examiner Zoning
(Revised 07 /10 /07)(Revised 06/10/2009)
Engineer
Clerk checked