PL-12-639Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 177976
Permit Number: PL -4 -12 -639
Scheduled Inspection Date: August 31, 2012
Inspector: Hernandez, Rafael
Owner: FRYER, ANITA
Job Address: 758 NE 95 Street
Miami Shores, FL
Project: <NONE>
Contractor: LAS BRISAS PLUMBING
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060141890
Phone: (786)343 -3492
Building Department Comments
REROUTE INSTALL DOUBLE SINK INSTALL NEW
SHOWER.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 177906. CREATED AS
REINSPECTION FOR INSP- 176040. CREATED AS REINSPECTION FOR
INSP- 172301.
CALLED BY CRISTIANI
August 30, 2012
For Inspections please call: (305)762-4949
Page 5 of 6
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
RC- 12 -19S8
Inspection Number: INSP- 176040 Permit Number: PL -4 -12 -639
Scheduled Inspection Date: July 20, 2012
Inspector: Hernandez, Rafael
Owner: FRYER, ANITA
Job Address: 758 NE 95 Street
Miami Shores, FL
Project: <NONE>
Contractor: LAS BRISAS PLUMBING
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060141890
Phone: (786)343 -3492
Building Department Comments
REROUTE INSTALL DOUBLE SINK INSTALL NEW
SHOWER.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 172301.
CALLED BY CRISTIANI
July 19, 2012
For Inspections please call: (305)762 -4949
Page 5 of 5
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 172301
Permit Number: PL -4 -12 -639
Scheduled Inspection Date: July 06, 2012
Inspector: Hernandez, Rafael
Owner: FRYER, ANITA
Job Address: 758 NE 95 Street
Miami Shores, FL
Project: <NONE>
Contractor: LAS BRISAS PLUMBING
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060141890
Phone: (786)343 -3492
Building Department Comments
REROUTE INSTALL DOUBLE SINK INSTALL NEW
SHOWER.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
July 05, 2012
For Inspections please call: (305)762-4949
Page 3 of 13
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
Permit Type: PLUMBING
JOB ADDRESS:
15? NE
City: Miami Shorespp County:
Folio/Parcel #: $ 9C)
RECEIVED
APR 122012
FBC 20 10 c,
Permit No. t2L ( 2
Master Permit No. ZC 2 (o ' 0
Miami Dade
Zip: � g
Is the Building Historically Designated: Yes NO
Flood Zone:
OWNER: Nra�me (Fee Simple Titleholder): ,6 '\ d � ,I Phone #: 3o5. 196 , 6' G
II
Address: . qo m o-r
City:
t'I
Tenant/Lessee Name:
Email: C CA r l'
State: 4- L
eon
COnn
Zip: 33132
Phone #:
CONTRACTOR: Company Name: & � PLOPIL6
91
Address: c O 5C) / / T
City:
aorrral
Qualifier Name: AL-€)0 c'a
/2-C IA..
State:
State Certification or Registration #: £C- 14-a-0554
Contact Phone #: % ° 370 Vei Email Address:
Phone #: • (02. 9 399
Zip: 331 40 S' •
Phone #:
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone #:
* Value of Work for this Permit: $ Q' 000 Square/Linear Footage of Work:
Type of Work: °Address alteration °New DRepair/Replace.
rasi
Descri on of Work:
• 1 / l
itamillEttlrimmirj
°Demolition
Submittal Fee 6-0 D Permit Fee $ / ®' 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 whi,2 occur seven (7) days afier the building permit is issued. In the absence of such posted notice, the
inspection will not be d o reinspection fee will be charged.
Owner or Agent
The foregoing instrument was acknowledged before me this
day of
, 20 1, by FOlnm q I Gil of
who is personally known to me or who has produced
As identification and who did take an oath.
Signature
Contractor
The foregoing instrument was acknowledged before me this tq
day of al) /2l L- , 20 /4, by & JO �� tiq
who i ersonally known or who has produced
as identification and who did take an oath.
NOTARY PUB
My Commission Expires:
•
APPROVED BY Plans Examiner
Structural Review
(Revised3 /12/2012XRevised 07 /10 /07XRevised 06 /10 /2009XRevised 3/15/09)
Sign:
Print:
DAYLAI GU 'GIDLA
o. r, Pb i . t of Florida
•
versboitigi %i# EE 33358
My Commission Expires:
ON.ta
0/
Zoning
Clerk