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PL-08-1527Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 0e) a Inspection Number: INSP -92834 Permit Number: PL -8 -08 -1527 Scheduled Inspection Date: June 09, 2010 Inspector: Hernandez, Rafael Owner: ALLEGRA, FRAN Job Address: 1160 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: JOHN JONES PLUMBING SPECIALIST INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050180390 Phone: (954)966 -6834 Building Department Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 08, 2010 For Inspections please call: (305)762 -4949 Page 26 of 26 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Sinn„p1e Titleholder) Owner's Ad ss /IA 1 Ii'r % f b £wc( E.a oc 2009 Permit No.l 081--191 Master Permit No. J 0W? 4iphone# 305---715.--7611T City Q "l / /;l /Wi State Zip &T S3 Tenant/Lessee Name Phone # E -MAIL: 4( riAg Job Address (where the work is being done) 1 I Co 0 IV t V City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated County Miami -Dade zip 3313Y Contractor's Company Name j 044 J Nom b1,4 Contractor's Address S „ -vik , 7 City 41 �- State Qualifier Name j Oh a 7 Qlt i Phone # 9P/ TG G G g 3 State Certificate or Registration No. GYMC- ©1-'7 .7 Certificate of Competency No. E -MAIL: D�_ J/ � Ir^ a Architect/Engineer's Name (if applicable) 1EO LA Phone # Na Phone # 95y-946—ors/ Zip 333 TV V of Value of Work For this Permit $ /2,006 Square / Linear Footage Of Work: Type of Work: ['Addition L Alteration ❑New ❑ Repair/Replace Describe Work: t•w cwhp1.16 TOfL . Arei ltir• RhinIzec . ❑ Demolition Submittal Fee $ Permit Fee $ Y�(/ Notary $ Training/Education Fee $ �•C 0,0 c� Scanning $ ( • OET) Radon $ DPBR $ • * * * * * * * * * * * * * * * * * * * ** CCF $ �• � � CQI�',�C .�CNx7ll! Technology Fee $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 433.2 (p See Reverse side -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, 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 b proved a reinspection fee will be charged Signature Owner or Agent The foregoing instrument was acknowledged before m day of, /L ,20 CI, by who is onally known to me or who has produced 1- As identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPRO (Revised O2/08 /O jai :'�eei, KFi1STA FARNDELL • �} * PAY (MISSION # DD 907289 • EXPIRES: August 19, 2013 asp Nee Bonded lluu Met Notary Santee re'14 del/ Signature t i Contractor The foregoing instrument was acknowledged before me this r7 day of .: 20 arty ok J 7- u who is p , ; to me or who has produced 0../f, as identification and who did take an oath. KII1STAFARNDELL • MYDOMMISSI0N #OD907289 EXPIRES: August 19, 2013 ''eop,� Bonded Rau BOW Notary Solos NOTARY PUBLIC: Sign: Print: My Commission Expires: A4A5 rad/71 u/ * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning