PL-14-1036Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 214016 Permit Number: PL -5 -14 -1036
Scheduled Inspection Date: June 18, 2014
Inspector: Diaz, Osvaldo
Owner:
Job Address: 186 NE 109 Street
Miami Shores, FL 33161-
Project: <NONE>
Contractor: WALTER PLUMBING CORP
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360090090
Phone: (305)970 -7116
Building Department Comments
REPLACE WATER SERVICE
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- 213111. CREATED AS
REINSPECTION FOR INSP- 212758. WATER SERVICE OK
NEED TO ADDRESS WATER PRESSURE AT ALL FIXTURES FOR FINAL
June 17, 2014
For Inspections please call: (305)762 -4949
Page 13 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
FBC20I. 0
Permit No.
Master Permit No.
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
JOB ADDRESS: 186 NE 109th St
RE C
MAY 2 0.2014
J
,mow
Lt- -tO (c
City: Miami Shores County:
Folio/Parcel#: 1 \ --2`3b 0001 -s OOG
Is the. Banding Historically Designated: Yes
Miami Dade
Zip: 33161
NO Flood Zone:
OWNER :. Name (Fee Simple Titleholder): 1 142. ceOpe� 1 ' \Qt.'\ W Phone#:
Address: 1 COVW� �1Va s e- 260
city: 140kty�t .
State: CA_ zip: %202C)
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: WALTER PLUMBING CORPORATION
Address: 4054 SW 113TH AVE
City: MIAMI
Qualifier State: FL gip: 33165
ualifier Name: WALTER GUTIERREZ Phone#: 305 -970 -7116
State Certification or Registration #: C FC 1427510 Certificate of Competency #:
Contact Phone#: 786.663 -5785 Email Address: WALTERPLUMBING @BELLSOUTH.NET
DESIGNER: Architect/Engineer: Phone#:
Phone#: 305 -970 -7116
Value of Work for this Permit: $1 ,950.00 Square/Linear Footage of Work: 80
Type of Work: DAddress DAlteration
Description of Work: Replace water service
DNew Repair/Replace
DDemolition
* ** *** * * * * * * *** * * * **** * * ****** *** **** Fees************* * * *s* * *** * * * ***** * * * * * * * * * * * * **
Submittal Fee ) Permit Fee $ 1S6 • CCF $ CO /CC $
M-t Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Doable Fee $ Structural Review $
TOTAL IBE NOW DUE $ I b
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Tp
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 re/zspection fee will be charged
Signature.
Owner or Agent
The foregoing instrument was acknowledged before me this li
day of det ,20 V , by 1.il
who is own to me or who has produced
As identification and who did take an oath.
NOTARY P cj_ C:
Sign:
Print
My Commission
ANDREW ANTONI
I'S MY COMMISSION # EE185735
EXPIRES Apra 02, 2016
APPROVED BY
Signature
Contractor
The foregoing instrument was acknowledged before me this D IL
day of /4 417 , 20 l by `J7, 64ehV re
who is personally known to me or who has produced
/L+° Lem, , A-t as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print
My Commission : Y puao EDGARDO R. MATTA
Notary Public - State of Florida
9 My Comm. Expires Feb 14. 2015 �:
* * * * * * * * * * * * * * * *** *** **
Plans Examiner
Structural Review
(Revised3/12t2012)(Revised 07 /10 /(ThRevised 06/10 /2009)(Revised 3115/09)
Zoning
Clerk
PL _6- 19- 1036
NE 109th ST.
MAY 21
DATE
STRUCTURAL
ELECTRICAL
PLUMBING
MECHAN jAL
HUT OFF VAL
WATER METER
OX SUBJECT TO COMPLIAN•, E V■lit{ F
.LL fELERAL
S ATE COUNIV RULES AND REGJIAit
NE 108th ST.