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DEMO-14-190!* Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 206493 Scheduled Inspection Date: March 19, 2014 Inspector: Diaz, Osvaldo Owner: BROWDER, EDWIN Job Address: 500 NE 96 Street Miami Shores, FL 33138 Project: <NONE> r Permit Number: DEMO -1 -14 -190 Permit Type: Demolition Inspection Type: Final Work Classification: Plumbing Phone Number Parcel Number 1132060140700 Contractor: FIX PLUMBING CORP Phone: (786)343 -8127 tiunatng uepanment comments KITCHEN AND MASTER BATH DEMO INSPECTOR COMMENTS False Inspector Comments Passed Failed �� A4_ -,- Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 18, 2014 For Inspections please call: (305)762 -4949 Page 18 of 51 Miami Shores Village Building Department 10050 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 JOB ADDRESS. ® (� -rt4 , u RY..... _. - ---- -- FBC 2013 Permit No. N Master Permit No. 1 `-1 - L%6V City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes OWNER: Name (Fee Simple NO Flood Zone: 33139 305) 5-02- 60S8 Address: &O� City: "lAY1I S O'L" State: Zip: 33t Tenant/Lessee Name: Phone#: Email: I5 elttl tv _ 6m,: AMQ hcTC 1- 10 CONTRACTOR: Comnanv Name: / / X �(v m U Phone#: -011!� I Address: 42,5& 1 S to 1da2 '411. v City: 4A State: Zip: 33 447-5— Qualifier Name: �1rY1 I G �' (� �/ Phone#:�� State Certification or Registration #: ::e o18 wW9 Certificate of Competency #: Contact Phone #: 786 31 K 3 Lee Email Address: DESIGNER: Architect/Engineer: �.��# . n Phone#: Value of Work for this Permit: $ �� ®° ® SquarelLinear Footage of Work: Type of Work: ❑Address ❑Alteration ONew r` ORepair/Replace Demolition Description of Work: V-4-MA-ft-, Submittal Fee $ �'°� Permit Fee $ !�° CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary. Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ . BondiAg Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address 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 MPROVEMENTS 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 en (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved a a r ' spection fe will be charged. Signature Signature Owner or ent Cntractor The fore oing instrument was ackn edged before me this The foregoing instrument was acknowk ge d before me s day ofAh , 20 �L , by �q day of = , 20by � P is personall wn to or who has produced who i rsonally o o me or who has produced entification and who did take an oath. as identification and who 'd take an oath. NOTARY I kJJBL I NOTARY PUBLI Sign: Sign Print: L' %15 P L` OP-0 ( Print: � r' My Commission . CHRISTINE A SOLOPERTO My Commission Expir Ex N�►y Public - State of Flo" '� � ,:, YORA09ORM My Comm. Expires Feb 21 2016 :, WC0?MSS0#tE84 , 8 EXPIRES: 21, 2017 COOMISeiOn # EE 171751 BerdedThre APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised3112/2012)(Revised 07 /10 /(Y7)(Revised 06 /10 /2009)(Revised 3/15/09)