PL-13-2661c 0"5,- 469;
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
inspection Number. INSP- 206292 Permit Number: PL-11 -13 -2661
Scheduled Inspection Date: February 04, 2014
Inspector: Diaz, Osvaldo
Owner: KOTALIK, KENNY
Job Address: 950 NE 100 Street
Miami Shores, FL 33138-
Project:
<NONE>
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number
1132060340200
Contractor: THE NEW MIAMI SHORES PLUMBING Phone: (305)751 -2446
suilidmg uepartment Comments
INSTALL NEW WATER HEATER
INSPECTOR COMMENTS False
Passed
Inspector Comments
CREATED AS REINSPECTION FOR INSP - 203575. PERMIT UNAVAILABLE
REMOVE OLD GAS LINE
Failed
Correction
Needed
Re- Inspection
❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 04, 2014 For Inspections please call: (305)762 -4949 Page 18 of 26
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
FBC 20
Permit No.
NOV 2 22013
Master Permit No. —2X,61.
JOB ADDRESS: 1 rJ 0 NF j 0 0'rh sft ew
city.. Miami Shores County: Miami Dade Zip: 3 �
Folio/Parcel#:
Is the Building Historically Designated: Yes NO U Flood Zone:
OWNER: Name (Fee Simple Titleholder): Phone #:_M5 -345-11 U
Address:- 50 N E 10o cw t
City: Wrn 8 Sh® ( ` ,3 State: Zip: X31 1;2
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: company Name: _The- MeW [410 44 2iores Pl onbeng Phone#: , -:t5) -2
Address: 90o W V f LI Ll P', W
city. barth HOrn'i state: t7 rda- Zip:
State Certification or Registration m 0 J V 2-U b Certificate of Competency #•
Contact Phone#: �-0 - 751- 21I Li(p Email Address: m s eply n 0 n o a a I ° r- on-1 °
DESIGNER: Architect/Engineer. Phone #:
Value of Work for this Permit: $ � 06 Square/Linear Footage of Work:
Type of Work: OAddress OAlteration
Description of Work: ' y rj� "`
Of ORepair/Replace DDemolition
c CZ.tC_ ..j- -- (� CD C� Ac_cxx®t S !^y
Submittal Fee $� Permit Fee $ ��do CCF $ CO /CC $
Scanning Fee $
Radon Fee $
DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $� %.S -Z6_ —4
'a
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 Signature
er or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 2Z
day of �oQ • , 20 J?1, by � �1 i k— day of �ioy ' , 20� , by h l'1 iS ,
who is personally known to me or who has produced who is personally known to me or who c1 Pn
As identification and who did take an oath.
NOT
Sign:
Print:
MyCommiss ° •NATHALIE ANNE FERNAND'
Commission # FF 42370
ae� My Commission Expires
August 04, 2017
APPROVED BY 1-2,L3 Plans Examiner
Structural Review
(Rwised3 /12/2012)(Revised 07 /10 /07)(Revised 000/2009)(Revised 3/15/09)
identification and who did take an oath.
Sign:
Print:
My Co THALIE ANNE FERNANDEZ
a•° "� Commission # FF 42370
* f
�.= My Commission Expires
�''n,;; „a•``O August 04, 2017 .
Zoning
Clerk
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Date: // e ZC, -/ 3
Permit No: PC ,13 _ L JC G/
Plumbing Critique
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.
Miami s Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
NOVEMBER 27, 2013
Permit No: PL13 -2661
Building Critique Review
FIRE DAMAGE
PROVIDE PLANS BY A STATE OF FLORIDA LICENSE ARCHITECT OR ENGINEER
FOR THE REQUIRED REPAIRS DUE TO THE FIRE DAMAGE. THE DRAWINGS
SHOULD REFLECT THE COMPLETE EXTEND OF THE REPAIR OF THE GARAGE
AND THE ADJACENT BATHROOM.
THE ARCHITECT AND OR ENGINEER SHOULD PERFORM AN EVALUATION OF
THE STRUCTURE AND PROVIDE DETAIL AND SPECIFICATION FOR THE
REQUIRED CORRECTIONS OR PROVIDE A STATEMENT INDICATING THAT THE
EXISTING STRUCTURE IS STRUCTURALLY SOUND.
Ismael Naranjo
Building Official
Plan review is not complete, when all items above are corrected, we will do a complete
plan review.
If any sheets are voided, replace them with new revised sheets and place behind the most
current page.