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)