PL-13-141 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 °" a
Inspection Number: INSP-197255 Permit Number: PL-1-13-141
Scheduled Inspection Date:August 14,2013 Permit Type: Plumbing - Residential
Inspector: Diaz,Osvaldo Inspection Type: Final
Owner: LLERENA, MARX Work Classification: Gas
Job Address:1550 NE 103 Street
Miami Shores,FL 33138-
Phone Number (786)981-1301
Parcel Number 1132050310110
Project: <NONE>
Contractor: YERBILLAS SERVICES INC
Building Department Comments
NEW GAS LINE FOR GENERATOR, POOL HEATER, BBQ Infractio Passed Comments
RANGE AND TORCHES INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-184726.F1 tj
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 13,2013 For Inspections please call: (305)762-4949 Page 35 of 36
• Yerbilla Services, Inc State Certified Plumbing Contractor CFC-1427286
S
August 14, 2013
City Of Miami Shores
10050 NE 2nd Ave
Miami Shores
(305) 795-2204
Reference: Drop test letter for 1550 NE 103 ST
Permit #13-141
To May Whom Concern
Dear City of Shores plumbing Inspector:
A drop test was done at the address mention above, using a manometer;
the test duration was for 10 minutes and the reading 11 inch WC. After the
10 minutes of test reading remain the same. All system was test by gas
meter test port. If you have any questions regarding this matter please call
me.
Sincerely: �p•�M oD1#FF
'v
Jorge Yerbilla Jr
2423 SW 99 PL MIAMI FL,33165 PHONE: 786-488-5212 FAX: 786-228-9274 EMAIL: Info @yerbillaservices.com
AC# 6236769 STATE OF FLORIDA
DEPARTMCE STRUCTO IND SIIADTRYRLICENII AG 8 AR�TION
SEW L12073102049
LI ENSE NBR
107/31/2 0 12 118213375 CFC1427286 ,
The PLUMBING CONTRACTOR
Named below IS! CERTIFIED
under the provisions of Chapter489 FS
Expiration date: AUG 31, 2014
YERBILLA, -TORGE JR
YERBILLA SERVICES INC
2423 SW 99TH PL
MIAMI FL 33165-2649
RICK SCOTT KEN LAWSON
GOVERNOR SECRETARY
DISPLAY AS REQUIRED BY LAW
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PERIrsT moo.as,
598297-1 THIS IS NOT A BILL—DO NOT PAY RENEWAL
BUSINESS NAM/LOCATION APT NO. 624178-0
YERBILLA SERVICES INC STATES CFC1427286
2423 SW 99 PL
33165 UNIN BADE COUNTY
OWNER r3_ Iy 1
YERBILLA SERVICES INC
Sec, m Bush WORKER/S
196 PLUMBING CONTRACTOR 1
THIS IS ONLY A LOCAL
SUS,NESS TAY RECEIPT.IT
DOES NOT PERMR THE
HOLDER TO VIOLATE ANY
Z
EXISTING LAWS OF 71-M DO NOT FORWARD
coum on CrIwS. NOR
DOES IT EXEMPT THE
HOLDER FROM ANY OTIRR
PERMIT OR LIC£HSE
REOUIRED BY LAW.TM IS YERBILLA SERVICES INC
NOT THE A CER SQUAON OF JORGE YERBILLA PRES
THE OUALIFlCA•
2423 SW 99 PL
PAYMENT RECEIVED MIAMI FL 33165
MIAMI-OADE COUNTY TAY
COLLECTOR:
08/09/2012
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S98297-1 THIS YERSILLA SERVICES INC STATE# CFC1.427206
2423 SW 99 PL
331`65 UNIN DAVE COUNTY
OWNER
RBILLA SERVICES INC
1 P U B SIG CONTRACTOR WORKER/S
MLIMYR A LOM
HOUM YO X
TAW; NOT FORWARD
YERRILLA SERVICES INC
JORGE YERRILLA PRES
2 423 SW 99 PL
PAVVM KNOM say MIAMI FL 33265
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SEE MER SM
Alli Miami Shores Village
Building Department
10050 NZ.2nd Avenue,Miami Shores,Florida 33138 JAN 2 8 2013
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER(305)762.4949
FBC 20'10
BUILDING Permit No. �1 ' ' 1
PERNIIT APPLICATION Master Permit No. FZt,1Z —7 1'13
Permit Tyw:PLUMBING •–�
JOB ADDRESS:_LSSc� �E l O 3 S ,
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Tuleholder): ct"�. 'v �' s.a Phone# `7�6 2 5 c)
Address•— k �;--N y _ � ST
City: M(-'tm� S( /l{ State:
Tenanta,essee Name: / Phone#•
Email: � �L � 1�s�t/u v�C_ coy"
1�,
CONTRACTOR Company Name: 1
L�
��' 1�,� 3 as c- Pion#: -3)-Z&d4 a g Z t 2
Address-QA-2-22 2�K� f"J/
City: W kov'n l Sta Zip--�3q b
QualifierName:7��DYL-6 fe& i Ula Phone#:
State Certification or Registration#:C;PC 14 Z 2:Z 42 Certificate of Competency#:
Contact Phone# Email Address:
DESIGNER:Architect/Engineer. Phone#:
saC'
Value of Work for this Permit:$ i SquarnJLinear Footage of Work:
Type of Work: DAddress ( Alteration ONew 0 /Replace ODemolition
Description of Work: ly�°t� C?]ow L wt, r'�4� r�t�� �L gq� _
Submittal Fee$ G0' P Permit Fee$_ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ TminhWEducation Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ � � '
Bonding Company's Name(if applicable)
Bonding Company's Address
City State zip
Morlgage 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.
L°WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IlVIPROVEMENTS 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$2500, the applicant must
promise in good faith that a copy of the no ' of commencement and construction lien law brochure will be delivered to the person
whose property is subject to anachmen Iso,a certified copy of the recorded notice of commencement must be posted at the job site
for the first ' ction which occur seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will t be approved a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 i�,by day of ` fr4- .20�,by ,
who' nay kno to me or who has produced whcr sonally knoo me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOT X PUBLIC: NOT PUBLIC:
Sign: Sign
1 Pe
PtinC Print-
DAMAYI
41 r nYe4
My Commission Expires: I. ;;= M OMMISSION#EE 066066 My Commiccipn �: EXPI ES Apol 1,2015
EXPIRES:April 1,2015 `'Ff Qll Bonded Thru Public Underwriters
Bonded Thru Notary Public Underwriters
rA�#�eAfs$�¢�$egegO�,SB���#�A�e��B�prLA M4�lalts A8�8$er�ge@$�eAa ���¢�rg�se,6�sArB��� �R ��A #E��Biegatk�AS�Se��$�8 �8��888��to�abYaB
APPROVED BY '9' f'3/—t2 Plans Examiner Zoning
Structural Review Clerk
Mevised3/12/L[l12)Mevned 07/10/07"riised O6110120W)atmised 3/15/09)
DBPR-YERBILLA,JORGE JR; Doing Business As: YERBILLA SERVICES INC, Cer... Page 1 of 1
3:48:53 PM 112812093
Licensee Details
Licensee Information
Name: YERBILLA, 3ORGE 3R(Primary Name)
YERBILLA SERVICES INC (DBA Name)
Main Address: 2423 SW 99TH PL
MIAMI Florida 33165-2649
County: DADE
License Mailing:
LicenseLocation:
License Information
License Type: Certified Plumbing Contractor
Rank: Cert Plumbing
License Number: CFC1427286
Status: Current,Active
Licensure Date: 02/14/2007
Expires: 08/31/2014
Special Qualifications Qualification Effective
Construction Business 02/14/2007
View Related License Information
View License Complaint
1940 North Monroe Street Tallahassee FL 32399:: Email:Customer Contact Center::Customer Contact center:850.487.1395
The State of Florida is an AA/EEO employer.Coovriaht 2007-2010 State of Florida.Prlvacy Statement
Under Florida law,email addresses are public records.If you do not want your email address released in response to a public-records request,do
not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact
850.487.1395.*Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must
provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee.
However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address
which can be made available to the public.Please see our Chapter 455 page to determine if you are affected by this change.
https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=4FBA6CEC9B5566A148... 1/28/2013