PL-14-163Miami 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
FBC20L.7
BUILDING Permit No. epc__l (c13
PERMIT APPLICATION Master Permit No. 9.c...) LI -1 1
Permit Type: PLUMBING
JOB ADDRESS: t</ 1 f7 /V €
City: Miami Shores County Miami Dade Zip: 3 l 3d
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO X Flood Zone:
OWNER: Name (Fee Simple Titleholder): CtJ 1�-7 \Q t" ¢°-0"5 Phone #: 7'7 3P77
Address: (at-to IQ E 'l4 S 1r -
City: M..(ct I t 5 ire 5 State: F L— Zip: 3 (3
Tenant/Lessee Name: Phone #:
Email: COS a@ r@ 3,NL&tt . 0
CONTRACTOR: Company Name: Vok V1VV,IJ\9 Core Phone #: qgu:?-3y3 -8)27
Address: 2St S() 101- A ra-
City: A' '(2 ' State: fl., Zip: 3 3/6 S-
Qualifier Name: 'Rail); rf 61 Phone #: r796 - aY 3 -.WE/
State Certification or Registration #: ere, AV2 $''6 f S Certificate of Competency #:
Contact Phone #: 7 % -3 Y3- grz r1 Email Address:
DESIGNER: Architect/Engineer: ` ' „ Phone #:
Value of Work for this Permit: $ 3S ut-) Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration UNew kRepair/Replace DDemolition
Description of Work: 4a 01 Q /44.?.t n , rpw1a dfL/j4S lag n o
Submittal Fee $5 v - Permit Fee $ ��� CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) Vv 4' (.s U
Mortgage Lender's Address
City State 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.
Owner or Agent
The foregoing instrument was ac wledged before me this The fo
day of 21 , 20 , by , day of
•"'"ga7is persona) wn to me or who has produced w
As identification and who did take an oath.
Contractor
going instrument was acknow ged before me this
20 Cc by n « '-; (.`j
wn to me or who has produced
' dentification and who did take an oath.
NO
Si
• C TSMARYP4SC REUA
MY COMMISSION 6 FF O 29
L EXPIRES: May 26.2017
Print:
My Commission Expires: My Commission Expires:
................................................................................... .................
APPROVED BY
Plans Examiner
Structural Review
(Revised3 /12/2012XRevised 07 /10 /07XRevised 06 /10 /2009XRevised 3/15/09)
Zoning
Clerk
iLc. I 6
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: I NS P- 213506
Scheduled Inspection Date: June 10, 2014
Inspector. Diaz, Osvaldo
Owner: ROSS, IAN
Job Address: 640 NE 98 Street
Miami Shores, FL 33138-
Project <NONE>
Contractor: FIX PLUMBING CORP
Permit Number PL -1- 14-163
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)979 -3879
Parcel Number 1132060171820
Phone: (786)343 -8127
Building Department Comments
KITCHEN AND MASTER BATH REMODEL
Infractio
Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 206349. NO ONE HOME
June 09, 2014
For Inspections please call: (305)762 -4949
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