PL-13-1607 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone:(305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-199046 Permit Number: PL-7-13-1607
Scheduled Inspection Date: September 17, 2013 Permit Type: - Residential
Inspector: Diaz,Osvaldo . Inspection Type: Final
Owner: CHRISTINA POULOS, RAYMOND SLATE Work Classification: Addition/Alteration
Job Address:9230 NE 2 Avenue
Miami Shores, FL 33138-2805 Phone Number
Parcel Number 1132060133050
Project <NONE>
Contractor: MG EXCELLENCE SERVICE CORPORATION Phone: (786)247-7067
Building Department Comments
KITCHEN AND BATHROOM REMODEL Infractio Passed Comments
INSPECTOR COMMENTS False
` Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-195457. INSPECTION NOT
READY FOR FINAL
KITCHEN SINK NOT CONNECTED
TOILETS NOT GROUTED, SHOWER VALVES NOT CAULKED
Failed WATER NOT ON AT TIME OF INSPECTION
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 17,2013 For Inspections please call: (305)762-4949 Page 24 of 39
Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 J Ll L 17 2 J3
Tel:(305)795.2204 Fax: (305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949 --_-
FBC 2
BUILDING Permit No. t -6- 1 U0--)
PERMIT APPLICATION Master Permit No.fc�/ 1-3—) a
Permit Type: PLUMBING
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): �C>L `l 1CJP Phone#:�l
Address:
City: 13Q State: -
Tenant/Lessee Name: Phone#:
Email: 1 cil��S�� �G•Cf
CONTRACTOR:Company Name: �C t /t R--�� Phone#:
Address: 1.510- 6
City: State:-- Zip:
Qualifier Name: 1
Phone#:
State Certification or Registration#: FV � Ce tifi
�atqo�Compet #:
Contact Phone#: Email Address: ,
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ 11 OW •Do Square/Linear Footage of Work:
Type of Work: UAddress DAlteration ONew ORepair/Replace C]Demolition
Description of Work:
Submittal Fee$ 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 which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not he approved and a reinspection fee will be charged.
Signature
P
Owner or Agent �ntractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 0,0 by day of ,20� by
who is p rso known o me or who has produced who is erso known to or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PPUBLIC: NOTARY PUBLIC:
l
Sign: Sign:
Print: Print:
My Commission Expires:
s Eli Plac eres pup y 0Q11
My Commission Ex ' Nom w�
My Commission EE 884850 NQ se, or 8 g19
rq M1 Expires 03/1712017 oR` 81a
y" 5 p5M1
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012XRevised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)