PL-13-18310
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number. INSP- 197145 Permit Number: PL -8 -13 -1831
Scheduled Inspection Date: February 19, 2014 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: , Work Classification: Addition /Alteration
Job Address: 70 NE 99 Street
Miami Shores, FL 33138- Phone Number
(305)970124
Parcel Number 1132060131050
Project <NONE>
Contractor: REGOSA ENGINEERING SERVICES INC Phone: (786)262 -2964
Building Department Comments
PLUMBING WORK FOR INTERIOR REMODEL
Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
y �
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 18, 2014 For Inspections please call: (305)762 -4949 Page 3 of 53
a,
Miami Shores Village
Building Department
Zo050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949'
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
�u 3
t No Z
PermiVI 1 iT
_ t IN
Master Permit No. —)
0
JOB ADDRESS: 90 NE clot S'7
City: Miami Shores County: Miami Dade Zip; X31395
Folio/ParceA t L 3�WL - 013 P 10 M
Is the Building Historically Designated: Yes NO Flood Zone: P lW
OWNER: Name (Fee Simple
VS
NI &N I U R E: ULIC Phone #: 3 04 9�O L
City: 1A / X # &L State: f1, Zip: 3.3)31
Tenant/l,essee Name:, _
Email: re- � o
CONTRACTOR: Company Name:
Address: �t %_r..' STt
City . 1 State: "t•L-.* Zip: 7�O
Qualifier Name: almn, q Phone #• •2
State Certification or Registration #: r,L+ ' �����- 1 Certificate of Competency #:
Contact Phone #: Email Address: WNTO'� rJ} 1 L • 1�tY1
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: Square/Linear Footage of Work:
Type of Work: OAddress I OAlteration New Demolition
Description of Work:
Submittal Fee $ Permit Fee $ CCF $ C0/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Trandng/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
♦ � A
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 taws 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
MPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN t- TTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value
promise in good faith that a copy of the notice of commencement and construction lien law bra
whose property is subject o ana ent. Also, a certified copy of the recorded notice of commet
for the just inspectio icl curs seven (7) days after the building permit is issued. In th
inspection will not a ed d a reinspection fee will be charged
Signature Signature
Owner or Agent
The foregoing instrument was acknowledged before me this H
day of ,20 jbbyQ�lTle -r t"�+ -e—
who is personally known to me or who has produced
As identification and who did take an oath.
�. ` • ,� •
My Commission Expires: �-- 2 °� c°
ittg $2500, the applicant must
ill be delivered to the person
must be posted at the job site
ce of such posted notice, the
The foreg ng instrument waaacknow ged before hiss''?
day o , 20 5, by r
A is personal kno to me or who has produced
as identification and who did take an oath.
APPROVED BY (�� 0 -l3 , ®7 Plans Examiner
Structural Review
(Revised 3/122012)(Revised 07 /10/07)(Revised 061102009)(Revised 3/15/09)
NOTARY
Sign:
My Commission E
W. Commission #E
My Commission
Zoning
Clerk