PL-14-238ax-_. 19 001*
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number. INSP-213266 Permit Number. PL -2-14-238
Scheduled Inspection Date: June 03, 2014
Inspector: Diaz, Osvaldo
Owner: BONDE, KENT
Job Address: 960 NE 92 Street
Miami Shores, FL
Project: <NONE>
Permit Type: Plumbing - Residential
Inspection Type: R
Work Classification: Addition/ eration
Phone Number f
: I
Parcel Number 1132060060110
Contractor: TWIN BROTHER Phone: (305)332-1969
r[mem Loommenrs
INTERIOR REMODEL KITCHEN1p0""
INSPECTOR COMMENTS False
June 02, 2014 For Inspections please call: (305)762-4949 Page 27 of 41
spector Comments
PassedEk"r
��X�3,14
Failed F
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
June 02, 2014 For Inspections please call: (305)762-4949 Page 27 of 41
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
JOB ADDRESS: wo We R2 Ir
FBC 20
Permit No. p
Master Permit No.& L/
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): Phone#:
Address: iel✓I >r orma &"a
City: 9. ;. State: t 4 . Zip:
Tenant/Lessee Name: '—
Email: d'+
CONTRACTOR: Compo Name: I
�
Address: A /
City:
Qualifier Name:
9=L -
®r fug 'Fi
State Certification or Registration #: Ceroficate of Competenc #:
6 Email Address: `�'� /0ite�
ENftiNE`H_:"AtChlthcY ng Phon
U, rthis lv'hermit ,Square/Linear Footage of Work:
Type of Work: ❑Address A OAlteration C ONew ORepair/Rlace'
Description of Work:
ODemolition
'qWA'0V)F1\
Submittal Fee $ !z 2,6D Permit Fee $ ✓`�� CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond
Technology Fee $
10
TOTAL FEE NOW DUE MA
Bonding Company's Name (if applicable)
Bonding Company's Address
City F 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. , �. t> 'p `�'t s ;
"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, 2tp�licant 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 trust be posted at the job site
for the first inspecfiop-pkich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspectionapp v spection fee will be charged.
Signature ' Signature �° �//
Owner or Agent
The foregoing instrument was acknowledged before me this ��
day of , 20`_, by e l�N (t
who is personally known tome or who has produced
As identification and who did take an oath.
Contractor
The foregoing instrument was ackno5le4ged before me this -
d
day of LAMW , 20 / by
who is personally known to me or who has produced
°< • ` GUADALUPE DE LEON
NOTARY PUBLIC: NOTARY P Notary Public - State of Florida'
MyCommission Expires
# FFFaO 0033 21, 17
Sign: �� I P Sign:
Z: UJJVVJ(.V1V
Print: _ : u A g A a y ®u a L l P: - Print:
My Commission Expires: Commission # My Commission Expires:
:E173059. c y
APPROVED BY
//- // Plans Examiner
Structural Review
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Zoning
Clerk
From: Mlsael De Leon Fax: +1 (888) 691-3926 To: TWIRL BROTHERS PLU Fax: +1 (306) 756-8972 Page 3 of 4 2/612014 11:20
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From: Mlsael De Leon Fax: +1 (888) 691-3926 To: LIABILITY MIAMI SHOF Fax: +1 (306) 766-9972 Page 1 of 1 2!7/2014 9:43
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PLANTATION FL 333.17 IIaSUREieA: Federated National Insurance - ---
iNaWw€e Ila aaRs Southern Insurance CompaW
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THIS IS TO CEMWY THAT THE F°OL1C9E8 OF WSUFANCE LISTEV :BELOW HAVE BEEN, ISSUED TQ'THEINSURED-NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTViA NSTANDING AMY REQUIFtMENT, TERM OR ZONDIITON Or ANY -CONTRACT OR OTHER DOCUMEtiT WTH •RESPECT TO MUCH THIS
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EXCLUSIONSAND CONDIT-IONS OF SUCH POLICIES. LIMITS 'SHOVAI MAY -HAVE BEEfd REDUCED BY PAIIh CLANS.
S4 OULD:AWV OF ME ABOVE DES POLICIES'BE CANCa LED BEFORE
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