PL-14-272Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 207147 Permit Number: PL -2 -14 -272
Scheduled Inspection Date: March 27, 2014 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: MCINTIRE, CAROLEE Work Classification: Addition /Alteration
Job Address: 867 NE 91 Terrace
Miami Shores, FL 33138 -
Phone Number
Parcel Number 1132060050280
Project: <NONE>
Contractor: EH WHITSON PLUMBING Phone: 954 - 9294599
comments
INSTALL NATURAL GAS TANKLESS WATER HEATER INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed �-
Correction
Needed
Re- Inspection ❑
Fee —�
No Additional Inspections can be scheduled until
re- inspection fee is paid.
I
March 26, 2014 For Inspections please call: (305)762 -4949 Page 7 of 28
e 0 N% Miami Shores Village -F—C r,
D� t) FEB 13 2014
V) Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
�Je Tel: (305) 795 2204 Fax: (305) 756.8972
�y PECTION'S PHONE NUMBER: (305) 762.4949
FBC Zo U0
BUILDING Permit No.
PERMIT APPLI A Master Permit No
Permit Type: PLUMBING
JOB ADDRESS:
7 N rZ g I S1- -FeZ
City: Miami Shores ® County: Miami Dade Zip: , 3
Folio/Parcel #: ` —' ®t� 0 5'
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple
Address: 846-7 N f
NO Flood Zone:
Crag. o%. ga Mc
,°r T
�O 5`724 - 411 e
13 13
City: tn i Q YYI 1 1A C Va .S State: `•• Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: `J• 9 . \N" ,TS®N 1 Phone#: : Z S5q I
Address: 410U. <. St cIr nv v—,
City: G L. %,y 6 ® r--.> state: ``'L► Zip: d Zr a
�.,
Qualifier Name: + ®� 'L 1 P �i4 Phone#: gS4--1 �l — 3 -6q y
State Certifications for Registration i 14Z 5 7 8-4 Y Certificate of Competency #
Contact Phone#: S�� y Email Address:
DESIGNER: ArchitectlEngineer. Phone#:
Value of Work for this Permit: $� Square/Linear Fo'ptage of Work:
Type of Work: ❑Address
Description of Work: 7i
OAlteration ❑New
ODemolition
�Ss
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 $11 b
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 rson
whose property is subject to attachment. Also, a certified copy of the recorded notice of cement ust be posted at ob site
for the first inspection which occurs seven (7) days after the building permit is iss d In the ab ce su os o * e, the
inspection will not be approved and a reinspection fee will be charged
Owner or Agent
The foregoing instrument .,as a ow1ledg before me this
W.
day of � ? Jam , by 6 M 12 ,
who is personally known to me or who has produced
CV As identification and who did take an oath.
NOTARY PUBLIC:
The foregoing ' trument was )mowledged before me this i
Zo�is f , 20 by ,
°personally known to me r who has produced
as identification and who did ta Y&dpj};
NOTARY PUBLIC:
Sign: = •
• .O
Print: I ULM •
My Commission Expires: Wg%.�;;.. *�
APPROVED BY Plans Examiner Zoning
Structural Review
(Revise6 /1212012)(Revised 07 /10/07)(Reviaed 06/10/2009)(Revised 3/15109)
Clerk
PL
14 -a�a-
*..i WHI 'TS ON I"I.A.1 M RING
421 SOUTH 21 AVENUV'
HOLLYWOOD, FLORIDA 33020
(954) 929 - 3599
S11 L'L_'TS I P LA N S
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ZIP CODE: P I 10 N E
ALL. WURKTOCOMPLYNNTI'll N.F.P/A/C0DK#
ESTIMATED -JOB COST:
OW-113
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v.
Miami shores
Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Date: 2.13 - I � j
Permit No: PL, 14 . 2.') -Z
U t= t T • ! R t
L,co..r }JF; v/ Cam/ S
i
Osvaldo "Ozzie" Diaz
Chief Plumbing Inspector
Plan review is not complete, when all items above are corrected, we will do a complete
plan review.
If any sheets are voided, remove them from the plans and replace with new revised
sheets and include one set of voided sheets in the re- submittal drawings.