PL-13-1951. qx
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Inspectiion Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795:2204 Fax., (305)756 -8872
Inspection Number. INSP- 198071 Permit- Number. PL -8 -13 -1951
Scheduled Inspection Date: April 08, 2014 Permit T pe: Plumbing - Residential
Inspector Diaz, Osvaldo
Owner. AJAMI,- IAMRAM
Job Address: 171 NE 102 Street
Miami Shores, FIL 33138-
Project: <N.ONE>
Inspection Type Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060131840
Contractor: ENTERPRI-SE PLUMBINO INC Im. Phone: (772)341 -8992
Comments
PLUMBING WORK FOR KITCHEN REMODEL
False
Inspector Comments
Passed
Failed El
Correction y
Needed ❑
Re- Inspection
Fee
No Additional Inspections can be scheduled until
winspection fee Is paid.
April 08, -2014 For inspections please call: (305)762 -4949
Page 6 of 37
Miami Shores Village I
Building Department JAN; 4 014
90050 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
BUILDING Permit No. VL ` S' t
PERMIT APPLICATION Master Permit No. RC13 -1772
Permit Type: PLUMBING
JOB ADDRESS: 171 NE 102 STREET
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel*
Is the Building Historically Designated: Yes NO X Flood Zone: NO
OWNER: Name (Fee Simple Titleholder): KAM RAN AJAMI Phone#. 954 873 3999
Address: 171 NE 102 ST
City: MIAMI SHORES State: FL Zip:
Tenant/lessee Name: Phone#:
Email: AJAMIK @GMAIL.COM
CONTRACTOR— Company Name. AA�lrr 92 J=; Ce, Jr /U H1oQ Ut, Phone #:
City: P v1h ' e, . State: lrz
Quali fier Name: i` ° y
Phone#•
State Certification or Registration #. C.I= L= 1 L. 2.. 210 �1_ k Certificate of Competency #:
Contact Phone#: _772, 34.1 94Y 9, Email Address:
DESIGNER: Architect/Engineer: NONE Phone#:
Value of Work for this Permit: $ 480 Square/Linear Footage of Work: NA
Type of Work: ❑Address ❑Alteration ❑New 131tepair/Replace ❑Demolition
Description of Work: REPLACE TWO TOILET, THREE SINK, CHANGE TRIM
Submittal Fee $ Permit Fee $ /c�� ® CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $
. if
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable) ) NQ °
Mortgage Lender's Address
Zip
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.
"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 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 ` 4w.wL , w` �' Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this
day of ��°► 20, by
who i onally kno me or who has produced
As identification and who did take an oath.
NOTARY PUBLI
1o%"Pfe'''. ERZSEBET DR. NOLL
Notary Public - State of Rorlda
Sign: + ' 014
° " .'••'r � � Commission # DD 993236
Print: 'r N b %,° ;,',: °`�
My Commission Expires:
APPROVED BY
The foregoing instrument was acknowledged bef re in e this
day of 20 a, by
w y known to me or who has produced-(.— -
as identification and who did take an oath.
NOTARY PUAWI�,, - WAYNE MITCHEtt
MY COMMISSION I EE COM
EXPIRES: August ,
Plans Examiner
Structural Review
(Revised3 /1=012)(Revised 07 /10 /07)(ReAsed 06 /10/2009)(Revised 3/15/09)
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Print AAO in
My Commissi4Expires: 9" e;l ° 20f5r-
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' 2013 / 2014 ST. LU=E COUNTY LOCAL BUSINESS TAX APT
culls Cwr, s7: UK2e COUNTY TALC CQLLE =
MAC!` INES OR / ROOMS SEATS EMPLOYEES 1
TYPE OF 1711 A CON /y, BING CON RACTOR
BUSINESS (Pluwnbing
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BUSINESS / Kenneth Morris
DeA► NAME Enterprise Plumbing ItIC
MAILING Kenneth Morris
ADDRESS 4473 SW Babylon St
port St L.ude, FL 34953
BUSINESS 4473 SW Babylon St
LOCATION pcot st Lude, FL 34953
K1of Pt St Lucie
420 -660 -0421 -000/4
paid 07/2912013 12.35
CFC1427675
P06000019426
0209- 20130729 - 001397
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RECEIPT 9 1012$14
EXPIRES SEPTEMBER 30, 2014
RENEWAL
ORIGINAL TAX $12.35
PENALTY
COLLECTION COST
TOTAL $12.35
Law requires this Loral Business Tax Receipt to be d1�Yed you* at the place of bual n w In such a Mannar
that it can be open to the view of the public are! suit to 1t on by all duly audwrixed *Ricers of the exonty.
Upon fallure is do so, the Local Business Taxlrayw shall be "Oct to 00 payment of another total Sualness Tax for
the some business, profession, or occrpatit"L
pursuant to Stals Law, an Local Business Tax ReGelpts shall be sold by the Tax Collector beginning July I& of each
year and shall eWre on September 30th of the succeedhV Year. Those Local Business Tax Receipts renewed
beginning OdoW 1st shall be delinquent and submit to a dounquenw penalty of 10% for the month of October, plus
an additional 5% penalty for each month of deNnquencv there0ter until pail; pr+avided thatthe Intel deAnquOnCT
penaitV shalt not exceed 29% of the Lam! Busteess Telc for the delinquent establishment, based on
In addition to the penalty, the Tax Collector Mali be entitled 0 a C011011 ft CONt fee of from aftr $$1.0 September 3�1, of the
the amount of the Local Business Tax, which slhan be opllected from deltntprent taxpayers
business year.
The receipt a local Business Tax only, It does not perish the Local B TaXPO r to violate any existing
mguiatory or zw thug laws of the state, county or . it also does not exempt the Local 8trsiness Taxpayer frhun any
other taxes, Itcenses or permits that may be required by law.
Local Business Taxes are subject to change according In law.
Kenneth Morris
4473 SW Babylon St
port St Lucie, FL , 34953
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HOLDER. THAI CERTIFICATE DOES NOT AMEND. EXTEND OR
3109 Oleander Ave
ALTER THE COVERAGE QED BY THE POLICIES BELOW.
10050 NE 2nd Ave
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Fort Pierce, FL 34962
77 467-6656-
INSURERS AFFORDING COVERAGE
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ANY REQUIREMENT. TERM OR CONDRION OF ANY CONTRACT OR OTHER D=AWNT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. OMSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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Miami Shores Village
DATE THEREOF, THE I UND VMAVR WEI. ENDEAVOR TO MIAa10 IDA" MOTTI N
10050 NE 2nd Ave
NOTICE TO THE cERTIF DER NAMED TO THE LEFT. FAILURE TO DO 80 SHALL
Miami Shores FL 33136
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FAX 954 724 1794
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Miami Shores Village
Building Department
10050 N.E2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 7952204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
JOB ADDRESS:
Cto2 (z -r
FBC 20
Permit No.
- ------------------
Master Permit No. (<G ► 3-- l 2-'Z
City: Mai Shores County: Miami Dade 71p: 2 I)E
Folio/Parcel#: Is the Building Historically Designated: Yes NO K Flood Zone:
OWNER: Name (Fee Simple
kv,�.w,,rm..,
City. M i Q—� -5 ka,,,,4 State: P-(- Zip: '31 If
Tenant/t essee Name: ^ Phone#.
Email: W, Ck
CONTRACTOR: Company
Address:
City:
Qualifier Name:
State Certification or Registration #• r Certificate of Competency #:
Coutact Phony#: Email Address:
1
DESIGNER: Architect/Enginew. ,�,^ _ Dc,�„�,
Value of Work for this Permit:
Type of Work: UAddress
Descrintion of Werkn
DAltenWon
NTNMW
0z-~VWW
ODemolition
Submittal Fee $ Permit Fee $- /,Q. CCF $. COWC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ ____,^__ Technology Fee $
Doable Fee $ Structural Review $
TOTAL FEE NOW DUE
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
a
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
A
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 ONMR: YOUR FAILURE TO RECORD A NOTICE OF
CONMIENCEMENT 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 cerKfifd copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days ajer the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee wilf�e charged.
Signature Signature
Owner or AgeLt Contractor
The foregoing instrument was acknowledged before /me this The foregoing instrument was acknowledged before me this
day of , 20 _, by Mi f14'7d" day of .20 _, by
who is personally known to me or who has produced fi �— who is personally known to me or who hat produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY P
Print:
wwqrq
My Commission Expires
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
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APPROVED BY > � ®-�) Plans Examiner
Structural Review
0Wsed3 /122012XReviW 07 /10 /0WWiisad 06nOR009WMW 3/15/09)
Zoning
Clerk