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PL-12-1985Inspection W+f3i'rktht3et Miami Shores "Village 1060 N,E� 2nd Avenue Miami Shor %fit. Phgn*: C305)'I!W2204 FaX: (306)750.8,0 72 inspection Nurriber IINSP 2024617 Permit i umw: PL404 -2 -1 9$5 Scheduled Inspecition mate: November 05, 2013 Kermit Type: P1umb3ng - Residential InsWtor: Dtaz, Qsvallo C3umer. PETERS ON, ©lRK & ELIZABETH Work Clasalflcatlon: AdditiontAlteratic .lob Addres- 1350 NE 101 Stredi` isiaml $ihorQS, PL Ph,e.Rll Parcel Number 113fi23tt Project: <NONE* Contractor CAPITAL GENERAL CONTRACTORS DEVELOPERS INC Phones (105)827.$2,14 BuIldipg Department comments PLUMBING WORK FOR NEW ADDITION ARID INTERIOR intract � A.mments LEEMODEL INSPECT COMWNTs InspWor Comments Failed Correction- Needed Re- inspection] Fee No Aditonat inVeotiane cwbe schedaW aW re -insn feb I&oaki NoveanbejrQ44�2p1;3 fur inspections please call: 00070 P 6 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: 1350 N.E. 101 STREET FBC i 2 Permit No. Master Permit No. E2 L City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel #• 11- 3205 -023 -0020 Is the Building Historically Designated: Yes NO '� Flood Zone: VE l O � A Eq OWNER: Name (Fee Simple Titleholder): DIRK PETERSON & ELIZABETH PETERSON phone#: Address: 1350 N.E. 101 STREET City: MIAMI SHORES State: FLORIDA Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: CAPITAL GENERAL CONTRACTORS & DEVELOPERS, INC. phone#: 305 -827 -6211 Address: 480 W. 84th STREET, SUITE B -106 City: HIALEAH State: FLORIDA zip: 33014 Qualifier Name: CARLOS A. BELLO Phone#: 305 - 827 -6211 State Certification or Registration #: CFC1428436 Certificate of Competency #: Contact Phone#: 305 - 827 -6211 Email Address: CGC @CAPITALGENERALCONTRACTORS.COM DESIGNER: Architect/Engineer. A & I ASSOCIATES Phone#: 305 - 310 -5030 Value of Work for this Permit: $ 9 i D 37, D 0 Square/Linear Footage of Work: Type of Work: DAddress DAlterafion / � ORepaidReplace ODemolition Description of Work: 01�� i Xrl n4a- t 6471412601J ,4.S Ag2k o%S Submittal Fee $ Permit Fee $ 3 f ( CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ I� ' Bonding Company's Name (if applicable) N/A Bonding Company's Address City State Mortgage Lender's Name (if applicable) N/A 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 COIVIlVIENCEMENT. 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 Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 8th The foregoing instrument was acknowledged before me this 8th day of October , 20 —by Elizabeth Peterson day of October , 20 by Carlos A. Bello , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: oA" v "pyv OLGA L. CRUZ r °.� «`�'� Notary Public - State of Florida • My Comm. Expires Sep 23, 2013 Sign: �a ns pmt. O#ga L. Cruz My Commission Expires: 91 313 APPROVED BY Bonded Through National Notary Assn. Plans Examiner identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 9 ga L. C .•��'� pLa% ., - -- OLGA L. CRUZ My Commission �;"mm. Expires Sep 23, 2013 '.,��mission # OD 894805 Through National Notary Assn. Zoning Structural Review Clerk (Revised3 /1=012) Mevised 07 /10 /07)(Revised 06(10/2009)(Revised 3/15/09)