PL-14-846Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number. INSP-211389 Permit Number. PL -4-14-846
Scheduled Inspection Date: July 08, 2014 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: DAVIS, KARIN AND TIMOTHY Work Classification: Addition/Alteration
Job Address: 80 NE 94 Street
Miami Shores, FL 33138- Phone Number
Project <NONE> Parcel Number 1132060130300
Contractor. LUIS QUALITY PLUMBING Phone: (786)256-2210
isunming Department comments
ALTERATION OF BATHROOM AND CONNECT TO SEPTIC infractlo Passed Comments
TANK INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
July 07, 2014 For Inspections please call: (305)762-4949 Page 9 of 43
Miami Shores Village
Building Department APR
�26
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 20 (3
BUILDING Master Permit No. �) �— 7n
PERMIT APPLICATION Sub Permit No. FL_ `&*�
❑B ILDING
❑ ELECTRIC
❑ ROOFING
❑ REVISION
❑ EXTENSION
❑RENEWAL
PLUMBING
❑ MECHANICAL
❑PUBLICWORKS
[:]CHANGE
CONTRACTOR
❑CANCELLATION
❑ SHOP
DRAWINGS
JOB ADDRESS: % ice- ctuil" o*
City: ``Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 1�%(� Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 1\� � � `� Phone# Ld 1�
Address:'' M k4
kyN at
��u�
City: CMA State: Zip:
Tenant/Lessee Name: TSta Phone#:
Email:
CONTRACTOR: Company Name: J/ `S 6,& z" a s L/LA �' Phone#: /V�6 Z 21e)
Addresses 91'x✓ Lc� C:
City:
Qual.
State Certification or Registration #:
Zip:
L� Phone#:
Certificate of Competency #: d �4,0•' U��C> <'1 C.
DESIGNER: Architect/Engineer: Phone#: -
Address• City:
State: Zip:
Value of Work for this Permit: $QL (-- -,-. . -, Square/Linear Footage of Work:
Type of Work: ❑ Addition _U] Alteration F-1 New
er ElRepair/Replace ❑ Demolition
Description of Work: A/C / ^► -- *� =-1 //,4 r/�o<..-,•�
�%%D
Submittal Fee
Scanning Fee $
Permit Fee $ Z 2 �' CCF $ CO/CC $
Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
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 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 insp tion which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspecMe
'tlo
and a reinspection fee will be charged.
Signat Signature rel
Owner or Agent 'Contractor
The foregoing instrument was acknowledged before me this
this 23 day of r' 201by'�yMc?��/Lois
who is rsonally known to me r who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sig r--4
Print:
My Commission Expires:
The foregoing instrument was acknowledged before me 'q9
day of I _ . 20 h by
who is personally known tome or who has produced
NOTARY
Sign:
Print:
49° Notary Public State of Florida My
Fabiola Moreno -Bo
• My Commission EE032588
Not tt Expires 10/08/2014
eee�xree�x�xe�►***eee�x�x�x*eee�xee�x+�e
APPROVED BY �•l5>05®
as identification and who did take an oath.
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Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)(ReAsed 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)