PL-14-1600Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-216515 Permit Number: PL -7-14-1600
Scheduled Inspection Date: July 30, 2014 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo Inspection Type: Final
Owner: EDUARDO MARTINEZ, GLENN Work Classification: Addition/Alteration
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Job Address: 1201 NE 94 Street
Miami Shores, FL 33138- Phone Number (305)578-5573
Parcel Number 1132050100010
Project: <NONE>
Contractor: THE NEW MIAMI SHORES PLUMBING Phone: (305)751-2446
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comments
REPLACE WATER SERVICE WITH NEW PVC SCH 80 vaoawu
FROM METER TO HOUSE INSPECTOR COMMENTS False
July 29, 2014 For Inspections please call: (305)762-4949 Page 17 of 26
Inspector Comments
Passed12r
I
Failed
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 17 of 26
Miami Shores Village - 7�7- 1 ,Ip
JUL 2 4 2014
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138' - -
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20A�—`
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
❑ BUILDING
EiPLUMBING
JOB ADDRESS:
❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION F-1 RENEWAL
❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
ACONTRACTOR DRAWINGS
UV W Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple
Address: ID) D Aj
91
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V
City:
State'
Zip: � 3 3
Tenant/Lessee Name:
Phone#:
Email:
CONTRACTOR: Company Named
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Phone#:
Address: z� L ® AJ W
City:
State•
Zip:
Qualifier Name:
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Phone#: :�;yf' '?r/—
State Certification or Registration #:
Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address:
City:
State: Zip:
Value of Work for this Permit: $
Square/Unear Footage of Work: 14
Type of Work: ❑ Ad 'tion ❑ Alteration
Description of Work: � (� (l�/�Q t'q- 1y
❑ New VO
i'�
Repair/Replace 6 Demolition
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Specify color of color thru tile:,
Submittal Fee $ Permit Fee $ 5
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $ _
Structural Reviews $
(Revised02/24/2014)
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ ,
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. IZ)CONTRACTOR ence of such posted notice, the
inspection will not be approved and a inspection fee - be charged.
Signature Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
-241 day of V�� J� 20 / Al7 , by
AA
Q Irl VfIAZ personally known to
me or who has produced
The fore o„i�g instrument was acknowledged before mm this
B day of � � 20 � by
MnIAC latl I who is personally known to
as me or who has produced
as
identification and who did take an oath. identification and who did take an oath.
NOTARY U NOTAR
Sign: Sign:
Print: Print:
Seal: ��•as ;w.,, NATHALIE ANNE FERNANDEZ Seal:
NATHALIE ANNE F:F42J
Commission # FF 42370 `'�o`oor P °�''
• ,'• ^4 Commission # F
.r My Commission Expires 3* 'g
.= M Commission
August
04, 2017 Y
APPROVED BY t �j / Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
EDUARDO MARTINEZ
1201 NE 94TH STREET
MIAMI SHORES, FL 33138
PERMIT # 141600
THE NEW MIAMI SHORES
PLUMBING
900 NW 144TH STREET
MIAMI, FL 33168
LIC. CFC -019205
PH. 305-751-2446
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94TH STREET