PL-13-8840Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL _ u
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 190152 Permit Number: PL -4 -13 -884
Scheduled Inspection Date: June 26, 2013 Permit Type: Plumbing - Residential
Inspector. Hernandez, Rafael
Owner: RAMOS, MARIA ERICA
Job Address: 308 NE 96 Street
Miami Shores, FL 33138-
Project <NONE>
Contractor: PLUMBING BY SALOMON
Building Department Comments
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)757 -8815
Parcel Number 1132060135990
Phone: 305-935 -9214
SET FIXTURES ON EXISTING ROUGH, NEW SHOWER rnrractro rassea comments
PANS, NEW SHOWER VALVES, NEW WATER I INSPECTOR COMMENTS False
CLOSETAND THREE LAVATORIES ONLY
Passed
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
June 25, 2013 For Inspections please call: (305)762 -4949 Page 9 of 33
Miami Shores Villag"e"
Building Department APR 2 6 2013
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 Vim--'
INSPECTION'S PHONE NUMBER: (3057 762.4949
�1 1
PERMIT APPLICATION
Permit Type: PLUMBING
FBC 20 to
Permit No. 7 L 13 M+
Master Permit No. q—C , { :?:7 ---7 .y 9
JOB ADDRESS: 308 NF c m Tla SR'
City: Miami Shores County: Miami Dade Zip: 3313,A
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): k.A'R i mA A. 'PA LLw'D t m c% Phone #: a 8 G - S4 8041
Address: 3qk13 r-AC ~l 6 'r% Tr
City: MIAMI S iA Cb Rai State: 'FLcM;uA Zip: 3 3 13Q
Tenant/Lessee Name: Phone #:
Email: Car%
CONTRACTOR: Company Name: ?1..o w n i p!4 fo V Gal t Phone #: ILK Z44 60 SI
Address: t�E Z I °L -r-c-RA.
City: ko%r & State: ��$�� Zip:
Qualifier Name:
State Certification or Registration #: Certificate of Competency #: ;118( S4 td 1813 %9
Contact Phone #: 7=AC -25 V(0 (90 S q Email Address:"�9*4A 6! 4Q% _ (MN—
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ Square/Linear
Type of Work: OAddress OAlteration
ONew
Footage of Work:
epair/Replace
ODemolition
Description
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y�o�f�Work:
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y�j�, - `�o
6.Wey i &` Y-eJ a Ak C j W �1� �W �auL9
-a-4j&
Submittal Fee $ Permit Fee $ 1-5--0 CCF $ CO /CC $
Scanning Fee $
Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $ ' 3
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 COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a buildingpermit 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 abs er h posted notice, the
inspection will not be approved and a reinspection fee will be charged.
c
r
Signature Si
Owner or Agent
The foregoing instrument was acknowledged before me this
day of E by t1rc�q Q (la 4
who is p onally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Contractor
The foregoing instrument was acknowledged before me this 27r
day of , 201 j, bySAt � ``
�
/� ' �
who is personally known to me or who has produced F"-'i )�
as identification and who did take an oath.
NOTARY PUBLIC:
Si Sign: (?
Print: PrintNQjtRY PUBl1C
My Commission Expir Mj'c NROMER0 My Commission Expires: '•. Commission ;
> 0"EE136473 c!'' .•EE173059
i aoo�NOrnar D03,2015 �i� �i�J ' •'xx��
APPROVED BY }l Plans Examiner
Structural Review
(ReviseQ /12/20 1-2)(Revised 07/10/07 )(Revised 06 /10 /2009)(Revised 3/15/09)
Zoning