PL-14-2Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 205720 Permit Number: PL- 1 -14 -2
Scheduled Inspection Date: January 15, 2014 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo Inspection Type: Final
Owner: BRIDGES, MARK & KATHERINE Work Classification: Repair
Job Address: 1207 NE 92 Street
Miami Shores, FL 33138- Phone Number (305)758 -7366
Parcel Number 1132050270310
Project: <NONE>
Contractor: THE NEW MIAMI SHORES PLUMBING Phone: (305)751 -2446
sullding Department comments
SANITARY SEWER REPAIR IN CRAWL SPACE I Passed Comments
INNSPECSPEC TOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP- 205665. RE- SCHEDULED AS
PER PLUMBING INSPECTOR OZZIE
Failed`°'`
Correction
Needed /t /Y
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
January 14, 2014 For Inspections please call: (305)762-4949 Page 36 of 36
f Miami Shores Village
Building Department
VII Q 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
`' DU Tel: (305) 795.2204 Fax: (305) 756.8972
6 INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
JOB ADDRESS: 00-T NE Onq !?I
FBC 20
JAN 08 2014
Permit No.
Master Permit No.g/— /y— 2
City: Miami Shores County: Miami Dade Zip: 3313 $
Folio/Parcel #: _1L ,3Z0 320 S - 0 2--- 0 3 10
Is the Building Historically Designated: Yes
NO Flood zone:
OWNER: Name (Fee Simple Titleholder): lLa¢ f lr►Z l:• 30ritlgks Phone #:
Address`: 007 V E R �p 4 T
City: M 644Y A' gh 4y ti State: L zip: 3 313 S
Tenantdxssee Name: Phone #:
Email:
CONTRACTOR: Company Name:
Address: In 0 y W
City: utOp i
Qualifier Name Von i i t
Alew Utla %w
State: FL
F.
/y Phone #:
State Certification or Registration #: e Fe. � 0 / C► 20 r Certificate of Competency #:
Contact Phone #: Email Address: err
DESIGNER. Architect /Engineer: Phone#:
Value of Work for this Permit: $J T Square/Linear,Footage of Work:
Type .of Work: OAddressys OAlteration ONew �IRepair/Replace ODemolition
Description of Work: J GLA ► t4w S?4" w &Wd
Submittal Fee $ �y Permit Fee $ CCF $ CO /CC $
Scanning Fee $
Radon Fee S
Notary $ Training/Education Fee $
DBPR $ Bond $
Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
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 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 hich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection wills ap roved and a reinspection fee will be charged.
Owner or Agent
The foregoin ' trument was acknowl dged befarerf ne this Zvi
day of JOtr1 , 20 A by ILOVV4
who is personally known to me or who has produced
As identification and who did take an oath.
My Commission Expires
4 7,
P � Q *= Commission # FF 42370
'''iMo•- on Expires
I. , ` August 04, 2017
Signature
Contractor
The foregoing instrument was acknowledged before me this Zvi
day of� 20
who is personally 1 wn to m*
e or who has produced
as identification and who did take an oath.
NOTARY
_ Sign:
" ERNAND
_ Print: °? Com (mission # FF 42370
sa ,., My C mmission Expires
My Commissio i;? August 04, 2017
APPROVED BY Plans Examiner
Structural Review
(Revised3 /12/2012XRevised 07 /10 /07XRevised 06 /10/2009)(Revised 3/15/09)
Zoning
Clerk
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KEN LAWSON
SECRETARY