PL-14-749Miami Shores Villag
Building Department \.,
W050 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: bt , /Z"9!' Sa .
City: Miami Shores County:
Folio/Parcel #: s
Is the Building Historically Designated: Yes NO V
--7 (0,
C�
Permit No.
Master Permit No. !3 - ,2ge0
Miami Dade
OWNER: Name (Fee S' le Titleholder): LEE t L L__
Address: if . Z e q77 ?7
city: in d -/L `.00 State:
Tenant/Lessee Name:
Zip: 3
Email: /esIysfpti;f Cam
CONTRACTOR: Company Name: ' t'-‘.) 1 Phone#:
h
Address: -%A°k
City: \ \ State: 1. �i 331 bS"
Qualifier Name: \�.'� 'pN S. Phone#: p:
State Certification or Registration #: Certificate of Competency #: I L 10\
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
bQ
Value of Work for this Permit: $ 5720 1®® Square/Linear Footage of Work:
Type of Work: 0 Address Alteration 0 New 0 Repair/Replace air/Re lace 0 Demolition
Description of Work:
d :L'Lfy itJ4 - ,. - pcOS7
Flood Zone:
Phone#: 64—) • 24°l' i 5P*"
Zip: 33,3?
Phone#:
+x **** * *** ** ********* ** *** * ****** ***** Fees* * *** *** **** ** ***** ** *************:r *********
Submittal Fee $ Permit Fee $ ' , o- CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
67.66
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
N14
Mortgage Lender's Name (if applicable)
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 o curs seven (7) days after the building permit • issued. the of such posted notice, the
i n s p e c t i o n wi . I I i rov , �.r a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of M�it- . 20 �, byji ,
who is personally known to me or who has produced (-O ` '
As identification and who did take an oath.
NOTARY PUBLIC: \`\�ve r
co .��.
•erg :�
Sign: = °i
Print:
My Commission Expires:
APPROVED BY
rr�uS TM, *" A\.
Signature
Contractor
The foregoing instrument was acknowledged before me this Z �
I -
day of ems , 20 1 i4 by ! 1 -r 1 D k4--e%O ar
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Y -15 " Plans Examiner
Structural Review
(Revised3 /12t2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
. A ELENA CEPERO
Commission # EE 141550
My Commission Expires
14, 015
Zoning
Clerk
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 214794
Permit Number: PL -4 -14 -749
Scheduled Inspection Date: June 25, 2014
Inspector: Diaz, Osvaldo
Owner: LEE, PATRICK AND LESLY
Job Address: 62 NE 109 Street
Miami Shores, FL 33161 -7040
Project <NONE>
Contractor: DIAL PLUMBING CORP
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Gas
Phone Number (786)261 -4675
Parcel Number 1121360110350
Phone: (305)221 -8569
Building Department Comments
TANK LESS WATER HEATER INSTALLATION
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 - 214470. CREATED AS
REINSPECTION FOR INSP- 214268. no one on site
NOT READY CANCELLED BY CONTRACTOR
June 24, 2014
For Inspections please call: (305)762 -4949
Page 29 of 35
a
DIAL PLUMBING CORP.
9940 SW 22nd St.
(305) 221 -8569
Florida Building code, Fuel Gas
Miami, Florida 33165
License # RF 0042876
SECTION 406 (IFGS) INSPECTION, TESTING, AND PURGING
406.1 General. Prior to acceptance and initial operation, all piping installations shall be inspected and
pressure tested to determine that the materials, design, fabrication, and installation practices comply with
the requirements of this code.
Owners Information:
Patrick and Lesly Lee
1122 NE 97th St.
Miami Shores, FL. 33138
Type of Installation: Remodel
System Pressure from Meter: One pound
Permit Number: 13 -2860 m+ Ifs Peklilltt-
Ft- LILl7'1 6a2%-
This is to certify that the natural gas system installed at the Residence located at
62 NE 109th St. Miami Shores, FL. 33161
satisfactory.
X
Co tractor Signat
Print Name: Fran
re . ualifier)
A. Fonteboa
State of Florida
County of Miami Dade
Sworn and subscribed before me this 24th
has had a drop test completed and the result test was
day of June
Date: 06/24/2014
, 2014
(SEAL)
Notary Public State of Florida
Caesar Costero
I My Commission EE138853
d
Expires 01/17/2018