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PL-13-1033 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 �' 1052— Inspection Number: INSP-191274 Permit Number: PL-5-13-1033 Scheduled Inspection Date: August 15,2013 Permit Type: Plumbing - Residential Inspector: Diaz,Osvaldo Inspection Type: Final Owner: JORGE, MARIA Work Classification: Addition/Alteration Job Address:42 NE 94 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060130330 Project: <NONE> Contractor: CFC1428617 A&C PORTELA PLUMBING Phone: 3051343-2115 Building Department Comments REMODEL HALLWAY BATH Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passedj � P �� ` � l�L Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 14,2013 For Inspections please call: (305)762-4949 Page 4 of 46 Miami Shores Village ` ZF'C Building Department MAY 1-Q 201 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 LD BUILDING Permit No.?L I 1O!x4_S PERMIT APPLICATION Master Permit No.?-Cj 13^ l C)3 Z Permit Type: PLUMBING JOB ADDRESS: 42- Os q4 Sr City: Miami Shores County: Miami Dade Zip: 33 1313 Folio/Parcel#: It Is the Building Historically Designated:Yes NO 1X6 Flood Zone: OWNER:Name(Fee Simple Titleholder): Mo(iap-_�oabE_ Phone#: Address: L42. t 4� CA 15T'• City: M t A%.tA G*042� State: F:E-• Zip: 3 c�bv Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: ©��`�`� �IUM�`°�q LqL___Phone#: ?a 5 Address'Rb s- -- _Z? -1� / City: y+/ r State' f-L zip: 3 3) s� ? _! Qualifier Name: D� G f0(/+,e- L1 Phone#: State Certification or Registration#: C F—L I`tit%(t 7 Certificate of Competency#: Contact Phone#: Email Address: DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ 2,czc Square/Linear Footage of Work: 0 C4 r- "ePox - Type of Work: ❑Address UAlteration ONew air/Replace ❑Demolition Description of Work: A96.v 'tea—467�L- , A �r-SZ of -15bt Le`t a.-m. ��x�+��x��xu��a�x�x�xx,�x��xxFees�x�xx�xxmxxxxxxxxxxxxx��m*xx��xxxxxxz 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. "WARMING 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Sign Owner or Agent Contractor The foregoing instrument was acknowledged before me this (D*" The foregoing instrument was acknowledged before me this�� day of ,20.1 ,by_- qEi QO Q%K day of Vim\ ,20 [l,by k who is personal y known to me or who has produced to10 who i personall mown o me or who has produced 3 —;52. WA O As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC Sign: Sig Print: Print: My Commis My Commission Expir RMFCA K.PASIR" My WMMISSION#=87267A my$ECA M.PASTRANA %77 EMS:r rm,2017 �'cloN� �xsmx�x�x� � � +� �+ x��x�xx�xxxxx�x+x�*��a�xxxx�xmxxx�xxx�xx�x�xxxxmmxxx��xx��xxxxxxxxxxx�x APPROVED BY / lans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)