PL-14-403Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 208261
Scheduled Inspection Date: March 13, 2014
Inspector: Diaz, Osvaldo
Owner: MAJOR, ALAN
Job Address: 105 NW 94 Street
Miami Shores, FL
Project: <NONE>
Contractor: THE NEW MIAMI SHORES PLUMBING
Buiuiing Department comments
REMOVE EXISTING TANK TYPE HEATER AND INSTALL
TANK LESS NATURAL HAS HEATER NORITZ MODEL
#NR981 -OD NG
Permit Number: PL- 3- 14-403
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Gas
Phone Number (305)751 -6021
Parcel Number 1131010330730
INSPECTOR COMMENTS False
Inspector Comments %
Passed
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Phone: (305)751 -2446
March 12, 2014 For Inspections please call: (305)762-0949 Page 20 of 29
Miami Shores Village
Building Department
10050 N.E.2nd Avenue Miami Shores Florida 33 3
l s
VI Tel: (305) 795.2204 Fag: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: PLUMBING
Owner's Name (Fee ample itlehol \\der) l nn� iV�W `7 `1
Owner's Address
Permit No.
MAR 05 20%
Master Permit No. l 11,
CitYAAm i�riQ(i11f� State F Zip
Tenant/Lessee Name
Email
Job Address (where the work is being done) [ C) LV
Phone #
City Miami Shores Villaee County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO Flood Zone
Contractor's Company Name hl(p�
Contractor's Address q1) 00 1 VA4 6T_
City V� u('C,
Qualifier Name
State
State Certificate or Registration No. L EnC nly 1 Q�_
Contact Phone Z� E -mail
Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ _ l(/l.J
Type of Work:
❑Addition
❑Alteration
Square / Linear Footage Of Work: _
❑New "R air/Replace
❑ Demolition
Submittal Fee $ 6 Permit F60 $ 2� t• CCF $' CO /CC $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $
Double Fee
Structural Review. $
DPBR $
Violation date:
Bond $
Total Fee Now Due $ nlf, ` J �
See Reverse side ->
:.
Bonding Company' "s a . Naihd (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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not approl$�d and reinspection fee will be charged.
Signature.
The foregoing instrument
before me this ti-�h
day ofCl , 20 &, bb�
who is personally known to r who has produced.
As identification and who did take an oath.
Signature )VAA--,Al
Contractor
The foregoing instrument was acknowledge before me "this
day of , 20 j , b T'(,dW f ,,
to me r who has produced
identification and who did take an oath.
NOTARY
NOT
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Sign:
Sign.
Print:
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Print:
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My Commission Expires:
My Com
NATHALIE ANNE FERNANDEZ'*
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A iALIE ANNE FERNANDEZ
Commission # FF 42370
Commission # FF 42370
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APPROVED BY
Plans Examiner
Zoning
Engineer
(Revised 07 /10 /07)(Revised 06/10/2009)
Clerk checked
MAR 052014
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