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PL-14-886Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number. INSP-211696 Permit Number: PL -5-14-886 Scheduled Inspection Date: August 05, 2014 Inspector. Diaz, Osvaldo Owner: BLANCO, JUAN Job Address: 146 NW 92 Street Miami Shores, FL 33150 - Project: <NONE> Contractor: REGOSA ENGINEERING SERVICES INC tsuuaing uepartment comments KITCHEN AND 2 BATHROOM REMODEL Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1131010160010 INSPECTOR COMMENTS False nspector Comments Passed E:q/ Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Phone: (786)262-2964 August 04, 2014 For Inspections please call: (305)762-4949 Page 4 of 32 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 Master Permit No.x/�(— Sub Permit Noic Ii — ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLICWORKS [:]CHANGE CONTRACTOR ❑ CANCELLATION ❑ SHOP DRAWINGS JOB ADDRESS: 1% NW 91 e>T985T City: Miami Shores County: Miami Dade Zip: 33150 Folio/Parcel#: 11- 3101- 6110® Oe10 Is the Building Historically Designated: Yes NO Occupancy Type: "6S Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): &*tq co Phone#: Address: Wo KJW C7 b ST City: " '&jtq � State: ` Zip: '33t Tenan Email: t014 /Lessee Name: Phone#: 1 04re 961 ; van (nar cos lolcllga 6iugtr� I, cow CONTRACTOR: Company Name: ,�� i/oGi . e N6 �d ► t Phone#: pug'?,9�y Address: �d a %M n City: � State: Qualifier Name: PAJITAkfa Phone#: %. 26Z .1�©!6� State Certification or Registration #: L' FC - 4414 M Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Ad Value -of Work for this Permit: Type of Work: ❑ Addition ❑ Alteration N City: ❑ New State: Zip: Footage of Work: Repair/Replace ❑ Demolition Specific color of color thru tile: Submittal Fee $ Permit Fee $ Z Z5 CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Iq3 • /� Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State WE 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 on estimated value ex ing .$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law broc re will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commend en must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. in the bse ce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature X v Owner or Agent The foregoing instrument was acknowledged before me this 01, day of a 20 L(�- by , 04 DM who i ers Laly:kn:o:w�Ao me or who has produced -®— As identification and who did take an oath. The foregoing instrument was ackngWledged be or Inq this day of 0 , by O who isersonally know to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLI . LUZ EDITH GIRALDO MY COMNIISSION # EE53278 EXPIRM: March 22 2015 Sign: Sign =T=RY m Nowwav *s000ut nseoc co Print:ova I_CA®O Print: My Commission Expires: '*= OMMISSION # EE108490 My Commission Expires: 2` % nl� EXPIRES July 04, 2015 (407)38&0153 FWddaN09eryServbe.com APPROVED BY 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)