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PL-14-543Inspection Worksheet Miami Shores village 10050 N.E. 2n0 Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (306)7564972 Inspection Number:. INSP- 209330 Permit Number: PL -3 -14 -543 Scheduled Inspection Date: April 01, 2014 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Owner. BRASAD, AIDA ,lob Address: 1700 NE 105 Street 206 Miami Shores, FL Project: <NONE> Inspection Type: Final Work Classification: ,addition /Alteration. Phone Number Parcel Number 1122300600240 Contrad.�or. LASSETER PLUMBING CO INC Phone: (305)525.5075 Isuluting Department Comments REPLACE VANITY CABINET IN EAST BATHROOM AND tnfrac o Passi REINSTALL EXiSTIN'G SINK AND FAUCET UNIT 206 INSPECTOR COMMENTS FOse Permit value was adjusted by i. Naranjo because the job only requires one inspection. March 31, 2014 For Inspections please call: (305)762-4849 Page 24 of 50 Inspector Comments Passed k Failed Correction Needed Re- inspection Fee No AddWonal InspecHons can be scheduled un81 reAnspection fee is paid March 31, 2014 For Inspections please call: (305)762-4849 Page 24 of 50 lq Miami Shores ill 3 � S o es V age 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: 'to3 kL 105 S-T FBC 20 Permit No. MAR 1 z01� Master Permit No. p/ /!v —S3 City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Zone: OWNER: Name (Fee � e Simple Titleholder): 7 OLD A�- l �'I 70 5 Phone #: �6 9` ` 9 9�2% Address: 91 do o 4• _9/9 s city: 1%19ire i S 1dJ_ Sfstate: f-%D —� �� zip: —g,? J2 ,c? Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: Z SJAk5r ; V?141Wt1/_q Phone #: 306 --873 ' %/C-7D Address: , 's city: dorto fA \ ,�� P j% �t /� State: 5L Zip: � °7 l C Qualifier Name: �Z V �► r\ V\ & LA Sze -r 5_r i Phone #: State Certification or Registration #: CFC ©-4 (.,o Certificate of Competency #: Contact Phone #: M_ -! � �. `� 7� Email Address: 4430S u0 -/-0A jVAA446 w!q • AAiG DESIGNER: Architect/Engineer: Phone #: �• 00 Value of Work for this Permit: $ 00 • Square/Linear Footage of Work: Type of Work: UAddress DAlteration ONew 04air/Replace Description of Work: '—' L Submittal Fee $ 're w Permit Fee $ 1 /. 0`" Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond Technology Fee $ TOTAL FEE NOW DUE $ 1AO> L dP.-L 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 which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature o C[ Waewd Owner or Agent I The foregoing instrument was acknowledged before me this day of , 20 14, by A100 — f3 P--4J� Xt- , who is personally known to me or who has produced 4:::L-1 D As identification and who did take an oath. NOTARY PUBLIC: \\0����1uum►y���,i era ''. .`.\� ; °yes �° • °•. Sign: Print: Z: NIV My Commission Expires: Signature Contractor The foregoing instrument was acknowledged before me this day of , 20' by who is personally known to me who has produced;.<:?Z- identification and who did take an oath. APPROVED BY '��� "/ �!' 'f`�' Plans Examiner Structural Review (Revised3 /12/2012XRevised 07/10/07 )(Revised 06 /10 /2009)(Revised 3/15/09) NOTARY PUBLIC: Sign: �otary g :1Public �M F a State at F10rm �6Hcisno Ms o 1 L4W ni F 0e2763 Zoning Clerk