PL-13-787 Inspection Worksheet
Miami Shores Village 13 - C)
10050 N.E.2nd Avenue Miami Shore FL
Shores,
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-189453 Permit Number: PL-4-13-787
Scheduled Inspection Date: September 17,2013 Permit Type: Plumbing - Residential
Inspector: Diaz,Osvaldo
Inspection Type: Final
Owner: ,MIAMI PROPERTY SOLUTIONS Work Classification: Addition/Alteration
Job Address:1026 NE 91 Terrace
Miami Shores,FL 33138- Phone Number
Project: <NONE> Parcel Number 1132050010310
Contractor: PSG PLUMBING SERVICES, INC Phone:(305)796-7304
Building Department Comments
RELOCATE LAUNDRY AND KITCHEN AND BATHROOM Infractio Passed Comments
REMODEL INSPECTOR COMMENTS False
nspector Comments
Passed EE/ (/
Failed
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 5 of 39
Miami Shores Village � . 1 2013
Building Department 000000�o
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)7614949
BUILDING
Permit No.
PERMIT APPLICATION Master Permit No. i --j
FBC 20
Permit Type:PLT1 ► T 'r...-- -
OWNER:Name(Fee Simple Titleholder) Atz�A-rlm I r�Q �� G�v '®h
Address•.. /�_� 4honet.
City: Am I 5 .�e State. �� •_.__—�,_•
lip;—
Tenantltessce Name: ]'li
fl
Email:
JOB ADDRESS: •
City: Miami Shores County: Miami Dade zip: �
FolioMarcel#•
Is the 3g osty bgaed-Yes p
Flbod lobe:
CONTRACTOR:Company Name: A � Phone#:-,150.S:--> �®
Address:
City: "n. /4,a State:
d
Qualifier Name k-t� n�� (.,c� a�� - Phone#:
State CerflAcation�►k*egistration°#: � "°
,�Certf"icate oi`Cdimietenc '#'
Contact Phone#: Email Address:
DESIGN916 Architect/Engmeei ' °r Phone#:
Value of Work for this Permit:$ SquamUnear Footage of Work.-
Type of Work: DAddress DAlteration DNew /Replace DDemolition
Description of Work:
c,
G
Sdbmittal Fee Pi�rmit Fee$ CF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Band$
Notary$. Training/Education Fee$ Technology Fee$
Double Fee$ 1 0 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 ELECTX(CA, WORK,1?I.UMBJNG,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 lie posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the Zabse a of such posted notice, the
inspection will not be approve ection fee will be charged.
Signature Signature
Owner o Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was A knQwled ed before me this
day of R el ,20-by w��Ar `�Pdt day of 1 20 j ,by Rb 6,v z
who is personally known to me or who has odu -
who is personally known to me or who has produced p y ,_ pr ,.�
As identification and who did take an oath. , as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC
Sign: Sign.
Print Print: t e-
• �0o My Commission Expires:
My CUtnllli3 � �Y Commtasion EE1121o2
Exp�es 07/13/2Q1B 9lOZtCtlLO sagdx3
z0 t l33 Uq"WUw3
eaa .x .x�dw�'Y .i xas+mx
APPROVED BY 7 � Plans Examiner Zoning
Structural Review ' Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)