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PL-13-2294Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 inspection Number: INSP- 200804 Permit Number: PL -10 -13 -2294 Inspection Date: December 04, 2013 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Owner: SANZ, CARLOS Job Address: 185 NW 108 Street Miami Shores, FL 33168- Project: <NONE> Inspection Type. Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360100250 Contractor: AA MASTERS MECHANICAL AIR MOVING AND ENGINEERIN Phone: (305)559 -7004 Buildina Department Comments REPLACE 15 LF OF SEWER PIPES INSTALL NEW CLEAN Infractio Passed Comments INSPECTOR COMMENTS False OUT Inspector Comments Passed °— Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 December 03, 2013 Page 1 of 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: PLUMBING JOB ADDRESS: FBC 20 OCT 0 8 2013 Permit No. / y Master Permit No. ! 13 City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder) kOJ • 5(x Address: i�J� eJ'�.� 1 "' �° City: YA\ 4�A\ -�,AACK � _ State: Tenant/Lessee Name: Email: CONTRACTOR: CQrkipany NaMe A S'EC S 6"E f CJJ , `� Phone #: � ✓ � ! ��® Address: 0 �. 'C.. ��'� e�. City: 1 A 11)' State: f Zip: Qualifier Name: Phone #: State Certification or Registration #: (' R IyZw6kj Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ S�Eo Square/Linear Footage of Work: . Type of Work: DAddress OAlteration ONew &Kepair/Replace ODemolition Description of Work: �� j �) IDT TWEI�sl Submittal Fee $45 Scanning Fee $ _ Notary $ Permit Fee $ mg, CCF $. Radon Fee $ Training/Education Fee $ Double Fee $ Structural Review $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ o Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 CONEVIENCEMENT.?' Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. -jr Signature Jl e / Signature Owner or Agent The foregoing instrument was acknowledged before me this day of QG7�Y , 20 L, by 64 O \ "F- SOLn I , who is personally known to me or who has produced_ -5 �°A A -IC6- s identification and who did take an oath. Con actor The foregoing instrument was ac owledged before me this day of �� , 20 L'� by 6 aJ "J , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: I Print: CIAN Print 4E1tA My Commission Ex pir `� MY t;t MMI,S W *EE160143 My Commission E �y RUM 160143 EI6'1RES: JAN 17, 2016 6qg �� 1� Nt�r�ns� E�IRES: JAN 17, 2016 Bondld through 1 et 1n IeiYt9tt0e APPROVED BY �// /�$''�� Plans Examiner Structural Review (Revised3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Zoning Clerk pi 13- ucT o 8 2013 GARAGE kj4v7LACs I's: CF O� sEwF-m F, f Ic 9 C 0,6 ,n f San LsiA&yx 10 K �) _lS \A[ 8;"' li ITY � M'cvvAj S•O(-el, f(, 33168 col ly FLORIDA ROOM DINING ROOM � )1,11 NG ROOM FLUMEW PLANS Approved -_4�L�_)Date D1 BATH ROOM GUEST BED-ROOM MASTER BED-ROOM