DEMO-14-1581Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972)(E �M('() t 4
Inspection Number: INSP-217676
Scheduled Inspection Date: August 13, 2014
Inspector: Diaz, Osvaldo
Owner: ,
Job Address: 9723 NE 2 Avenue
Miami Shores, FL 33138 -
Project: <NONE>
Contractor:
PIPELINE PLUMBING SERVICES INC
eunaing Department comments
DEMO PLUMBING
Permit Number: DEMO -7-14-1581
Permit Type: Demolition
Inspection Type: Final
Work Classification: Plumbing
Phone Number (305)949-9049
Parcel Number 1132060134210
INSPECTOR COMMENTS False
Phone: (305)978-4715
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-216335. PROVIDE HARD CAP
AT ALL FIXTURES BEING REMOVED
Failed a
Correction
Needed ❑ stn
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
August 12, 2014 For Inspections please call: (305)762-4949 Page 20 of 32
Miami Shores Villag ����T
Building Department JUL 2 2 2014
10050 N.E.2nd Avenue, Miami Shores, Florida 33'.38
Tel: (305) 795-2204 Fax: (305) 756-8972 BY:
INSPECTION UNE PHONE NUMBER: (30S) 761.4
FBC 20
BUILDING Master Permit NgfA /4-1-1667,
PERMIT APPLICATION Sub Permit No ZjL— /57
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
C1UMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [-]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: '?*717 VC
Falco/Parcel#: /1- 3.10 (e - ®I.I - ��i ® Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction type: C 6 & Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): t�sa.�• C !27A 3 N F A A t r 44 L Phone#:.36d 9W -
City:14rgk Hs..,.�, Arnack State: 144-- Zip:
Tenant/Lessee Name: Phone#:_
Email:
CONTRACTOR: Company Name:
Address:
Croy: k -i a r i state:
Qualifier Name:Fri n 1C L6®`® Phone#
State Certification or Registration #: Certificate of Competency #:
DESWNER: Architect/Engineer: S+C(kta% RM S4.l1A Phone#. 15"Y 4/9- 3A
Address: Lq'r 1..�e St Arj&.W1 v City: ... State: L--(-- Zip: �3 3
Value of Work for this Permit: $ Square/L.inear Footage of Work: , �,�,,G�.� F
Type of Work: El Addition ❑ Alteration ❑ New ❑ Repair/Replace 2 Demolition
Description of work: d' C APO:
Specify color of color thm tile;
Submittal Fee $ Permit Fee S IM, " CCF $ CO/CC $
Scanning Fee $ Radon Fee $ OSPR $ Notary
Technology Fee $ Training/Education Fee $ Double Fee $ .
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ _
(Rntwdo2/24/2024)
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 Zip
Application is hereby made to obtain a permit to do the work and instaNations as indicated. I certify that no work or installation
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regula
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POI
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MA
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTENI
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE REC
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the Issuance of a building permit with an estlmated value exceeding $25W, the oppllcant n
promise In goad faith that a copy of the notice of commencement and construction Iden law brochure will be delivered to the pei
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the Job
for the first inspection which occurs seven (7) days after the building permit is Issued. In the absence of such posted notice,
inspection will not be approved a94 a reinspection fee will beihanged.
O R or AGENT
The for Ding instrume was acknowledged before me this
day of 20 by
ho ' personally n wn to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
The foregoing instrument was acc nowiedged before me this
__/�' i)ay of 20 !�, by
who is personally known to
�ificaCn
ed as
idid take an oath.
NOTARY PUBLIC:
Sign: !'— Sign:_
Print: SAMPrint:
Seal: ►� � SALEM Seal:
�� MYCOMMISSION 033100
EXPIRES: OCT 20, 2017
Banded #=gh 1st -&M inswv=
APPROVED BY Plans Examiner
Structural Review
(Rmised02/24/2014)
— I SAMMY SALEM
MY COMMINON #T
DIPIRES: OCT 20, ti
Bonded through 1st"
Zoning