PL-13-764Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number INSP-189262 Permit Number. PL. -4-13-764
Scheduled Inspection Date: July 17, 2013 Permit Type: Plumbing - Residentlal
Inspector: Diai, dsvaldo
Owner: RITTER, STEVEN
Job Address: 29 NW 105 Street
Miami Shores, FL 33150-1241
Project <NONE>
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number 1121360050300
Contractor: ALL TECH PLUMBING INC Phone: (305)345-4368
Building Department Comments
REPLACE KITCHEN SINK AND CONNECT DISHWASHER Infractio Passed Comments
INSPECTOR COMMENTS False
Passed
Inspector Comments
75
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
m -inspection fee Is paid.
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Miami Shores Village APR 15 2013
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
FBC 20 tC
Permit No, ,j2 c,i -3 —')L -i
Master Permit No. ` �j �.
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: � 3!
Foho/Parcel#:
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): `� �° °a `� � Phone#: 5 --?- S 1
Address: 2- '� O ' 1 Cl
City: k"( . '-Z> C- e, S State: Zip: 3� �' l 3 53
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Au;zee-o-rr ^xg6" ' fAr, Phone#:
Address:
City:
Qualifier Name: _
State Certification or
Contact Phone#: re
Zip: 3-3 I0%5—
Phone#: rte) 3
Certificate of Competency #:
DESIGNER: Architect/Engineer. Phone#:
Value of Work for this Permit: $ .d Square/Linear Footage of Work: ,
Type of Work: DAddress OAlteration ONew ORepair/Replace ODemolition
VN
Submittal Fee $ ' �' Permit Fee $ �' ��'' CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
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 WITIFYOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE 0000MMENCEMENT."
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 bq,charged.
Is
Signature
Owner or Agent
The fore mg instrument was acknowledged before me this 4t
dgy of by �" i% L e
who is onally known to a or who has produced
As identification and who did take an oath.
NOTARY
Print:
My Commission Expires:
APPROVED BY
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p"y .' gee °I florida
My Cows. EWn ad 21.1113
Comadss W4 DD 901155
signatureLC4���;=;7--
J
Contractor
The foregoing instrument was acknowledged before me this ( 4'
day of > L , 20 13, by A�Ppy Z`-et7�
who is personally known to me or who has produced
ip �- as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission E OF FLORIDA
v oldman
ODD910671
Epir 1LG.08 2013
—15 Plans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)