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PL-14-1352Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 38138 Tel: (305)795-2204 Fax: (305) 756-8972 INSPECTION UNE PHONE NUMBER: (305) 962-4949 BUILDING PERMIT APPLICATiON ❑BUILDING ❑ ELECTRIC ❑ ROOFING JUN 4 014 FBC 20 I o Master Permit No., H ) 2- � L f� Sub Permit No. t' L J y —13% Z ❑ REVISION n EXTENSION QRENEWAL ®PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF E j CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 150�NW 101 STREET City: Miami hores County Miami Dade Zip: 33150 Folio/Parcel#: 11-3101-023-0210 is the Building Historically Designatedi Yes .NO X . Occupancy Type: _ Load; Construction Type: Flood Zone: - BFE: FFE:..: OWNER: Name Simple Titleholder) RICARDO:GONZALEZ Phone#: 786.715.0071 Address: 465 BRICKELL AVE #3503 city: MIAMI, State: FLORIDA ZIP: 33131.: Tenant/Lessee Name: Phone#: Email: RGONZALF�BASINGEN.COM CONTRACTOR: Company Name: PSG PLUMBING SERVICE, INC. Phone#:. 305.79 .7304 Address: 3892 NW 125 STREET city: OPA LOCKA state: FLORIDA Zip: .33054 Qualifier Name: PEDRO GUZMAN Phone#: 305.796.7304 State Certification or Registration m CGC1412657 Certificate of competency#; DESIGNER: Architect/Engineer: JOSE RUBEN JIMENEZ phone#:. 305, 82,2836 Address: 7950 NW 53 STREET. STE 337 City: MIAMI state; FL zip: 33.166_ Value of Work for this Permit± $ Square/Linear footage of Work: 5 '� Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: KITCHEN AND BATHROOM REMODELING Specify color of color thru tile: Submittal Fee $ Permit Fee $ c�� CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology fee $ Training/Education Fee $ Double fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Re*ed02/24/2014) 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 rel spection fee will be charged. Signature—L;--- 2, Signature OWNS CON OR The foregoing instru ent was acknowledged before me this The for oing instrument was acknowledged befoe this OX day of 20 �, by C da of 20 Nr . by LSsL►&-1�I��tZ' who is personally known to'kaO who is personally known to me or who has p�rsoducedQ �A''T'20' -40W-0 as me or who ha"roduced as identification aj►d who did take an oatlk, identificationjan(I wgdid take an Print: Seal: ouRDES A. CHANG r , CoWaSSIOIN 9 FFM707 �IRES;,ime09,2018 NOTAR U Sig Print: Seal: APPROVED BY 6 Lei -gyp Plans Examiner Structural Review (Revised02/24/2014) A.CHANG ' COMAMON 8 FF094167 FJ P=.Jane09, 2018 Zoning Clerk R Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 1y - Inspection Number. INSP-218313 Permit Number: PL -6-14-1362 Scheduled Inspection Date: September 02, 2014 Permit Type: Plumbing - Residential Inspector. Diaz, Osvaldo Owner: GONZALEZ, RICARDO Job Address: 150 NW 101 Street Miami Shores, FL 33138 - Project <NONE> Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1131010230210 Contractor: PSG PLUMBING SERVICES, INC Phone: (305)796-7304 Comments KITCHEN AND 1 BATHROOM REMODEL INSPECTOR COMMENTS False nspector Comments Passed EJ CREATED AS REINSPECTION FOR INSP-214770. provide dual angle stop at kit d/w secure d/w hose caulk shower trim Failed bi Correction FQCJ- Needed �2''1 `7 Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 29, 2014 For inspections please call: (305)762-4949 Page 11 of 26