PL-14-441Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-216522 Permit Number: PL -3-14441
Scheduled Inspection Date: July 30, 2014 Permit Type: Plumbing - Residential
Inspector: Diaz. Osvaldo
Owner: MIAMI 4 INVESTORS LLC, MIAMI 4
"'n"00
TADO 1 1 r
Job Address: 75 NW 110 Street
Miami Shores, FL 33168 -
Project: <NONE>
Contractor: MG PLUMBING & SPRINKLER SERVICE
eullai
comments
KITCHEN BATHROOM REMODEL WITH NEW WALK IN
CLOSET
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (786)344-6463
Parcel Number 1121360030580
INSPECTOR COMMENTS False
Phone: (305)525-9236
No Additional Inspections can be scheduled until
re -inspection fee is paid.
July 29, 2014 For Inspections please call: (305)762-4949 Page 18 of 26
Inspector Comments
Passed
CREATED AS REINSPECTION FOR INSP-208565. caulk fixture
missing spout
vacuum breakers
escutcheons on pipes in cabinet
Failed
❑
plans /permit
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
July 29, 2014 For Inspections please call: (305)762-4949 Page 18 of 26
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
FBC 20
Permit No. t Ll L` I
Master Permit No.?- j �_ - y -:� Cl
JOB ADDRESS: _ —?S— i J' W . /tDi ptim-1
City: Miami Shores County: Miami Dade
Folio/Parcel#: / / —
Is the Building Historically Designated: Yes
NOy Flood Zone:,
OWNER: Name (Fee Simple Titleholder): M4801, 41 Phone#: JOS' ?07- Ya ys^
Address: / q0 AJ -6. Z"d 14+/ -
City: k✓l jA!V= S *C44- -s State: ie • Zip: 3 313 S-
Tenant/Lessee Name: Phone#:
Email: 4ftt�--L 9 1444 q :. 4 H
CONTRACTOR:
Address:
City:
ce
Qualifier Name:
Zip: 713 0 -�'y
-'a2 -23o�
State Certification or Registration #: \_jgt- i�/ C/2- "S-2 Certificate of Competency #: _
Contact Phone#:�/� �� ' Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ S S- P' d
Square/Linear Footage of Work:
Type of Work: DAddress"
DAlteration .
ONew
ORepair/Replace ODemolition
Description of Work: C
C .01C , UA,,v i 1` 1.
TQU2.rl .53W& �... .
Submittal Fee $ Permit Fee $2Z 5 w - CCF
Scanning Fee $
Radon Fee $
CO/CC $
DBPR $ Bond
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ `
L
Bonding Company's Name (if applicable)
Bonding Company's Address
City
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.
"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 building permit is issued. In the absence of such posted notice, the
inspection will not be approved �i pectin cll be charged.
oo�
Signature Signature
Owner or Agent ntractor
The foregoing instrument was acknowledged bMM4
s
day of 20 �, by ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commissi e
(407) 39" -
APPROVED BY
KAFAEL E OIAMPETRUZZI
My COMMISSION # EE088809
EXPIRES May 01, 2015
��Ac- 2
The foregoing instrument was acknowledged before me this
day of iV!J� , 20 ,y, by 4 o, , l L�e— /,
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Plans Examiner
Structural Review
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Zoning
Clerk
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
P50 N.E.2nd Avenue, Miami Shores, Florida 33138
)5) 795-2204 Fax: (305) 756-8972
LINE PHONE NUMBER: (305) 762-4949
JUN 0 0 2014
FBC 20
Master Permit No. d—
Sub Permit Nope /V y
BUILDING
ELECTRIC
ROOFING rTAREVISION
❑ EXTENSION
RENEWAL
PLUMBING
MECHANICAL
[:]PUBLICWORKS
[:] CHANGE
CONTRACTOR
CANCELLATION
[:] SHOP
DRAWINGS
JOB ADDRESS:_ /�;-AA) /10TW _
City: Miami Shores County: Miami Dade Zip: 34W 3313Y
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): W" I?lWdqv Sobl1 f -s Phone#: -:bq $0- tffjqr
Address: No M-6. W -M SZ9T 2
City: z S �C�S ' State: Zip: 3 31
��Tenant/Lessee Name: JU1.1�/tK-' -- Phone#: 1&6?`ce6 k�
Email: e5 t�D: e (J !� �4�1 . dVj
CONTRACTOR: Company Name: /`. ia,o.�ss'F�if i 4 /11 Phone#:
Address: /Z Aj( fB 6PL-O k 4'l °
City:
Qualifier
o Zip: ZI% 42
State Certification or Registration M nc-e—w 2.,b Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City:
State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work: _
Type of Work: ❑ Addition ❑ Alteration ❑ New E-'Repair/Replace
❑ Demolition
Description of Work:-a-��e¢C�
Sped
fv color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Notary
Radon Fee $ DBPR $ Bond $
Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ f
Bonding Company's Name (if applicable)
Bonding Company's Address
City
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.
"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.
Signature Signature,
Ownef'or Agent Contractor
The foregoing instrument was acknowledged before me this
this day of -L-6 20.1 y , by �aUA-&-3> a, Lkoll- .
who is personally kho has produced
As identification and who did take an oath.
NOTARY PUBLIC:
P
Sign:
Print: !r470 C4
ortW6tpi+�t�OFAMY COMMIS
�W EXPIRES February 2, 2018
398-0153 RoridallotarvService.com
The foregoing instrument was acknowledged before me
day of 1—C 20 1 Yby��5
who is personally known to me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
EXPIRES February 2, 2018
1(407)39"153 FloridallotaryService.com
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APPROVED BY 6�/!>'/C-f Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)