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DEMO-13-2398Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-20175$ Permit Number: DEMO -10-13-2398 Scheduled Inspection Date: September 16, 2014 Permit Type: Demolition Inspector: Diaz, Osvaldo Inspection Type: Final Owner: ALBERTSON, KATHLEEN Work Classification: Plumbing Job Address: 730 NE 94 Street Miami Shores, FL Phone Number Parcel Number 1132060141690 Project: <NONE> Contractor: A&C PORTELA PLUMBING INC Phone: (786)547-4611 tsunamg uepartment comments DEMO OF SHED INSPECTOR COMMENTS False Inspector Comments Passed E� '�e Failed 1�ql� 3 L4J-) Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 15, 2014 For Inspections please call: (305)762-4949 Page 2 of 40 Miami Shores Village Building Department 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 OCT 2 2 013 FBC 20 00 BUILDING Permit No.Mm y c3 — �;3cfg PERMIT APPLICATION Master Permit No. -DLY1013 — RB9 (o Permit Type: PLUMBING JOB ADDRESS: � P6_ [ "l City: Miami Shores County Miami Dade Zip: 3 Folio/Parcel#: - 9 Is the Building Historically Designated: Yes NO Flood Zone: NYC) OWNER: Name (Fee Simple Titleholder): Phone#: 3 f- q6 ` t3, Address:��' City: State: - - Zip: Tenant/Lessee Name: Phone#: Email: f CONTRACTOR: Company Name: 4c, Y.v �` U M �7,a 'tilt • Phone#: Address: 0455 SW 3 h�e_ city: state: Fto� -- � �zip: 33 i_33 Qualifier Name: Phone#: _iP- t� I State Certification or Registration #: �-R, NUO Certificate of Competency #: Contact Phone#: _301('_ -1 GGb �_ © �?45 Email Address: RiUM b 1 n mak(. _ n—r DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ `r Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ONew ORepair/Replace ❑Demolition Description of Work: W tj 14��.N ��x�x��x�x��x�x+s�xm��•x��x�,��x��xx��x�Fees��x�x�x�x�x��xx��x�x�x��x�xa��x�xx��x+xx��xx��xx��x��x��x�n��x Submittal Fee $ Permit Fee $ ®104 ' 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 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 att hment. Also, a certified copy of the recorded notic of commencement must be posted at the job site for the first inspection w ch o c s seven (7) days after the building permit is ss d. & the absence of such posted notice, the inspection will not be appr�ved nd r ' spection fee will be charged. in .,,w�ackno or nt The forego' instrument w ledged before e this 14 day off, 20 �, by D ��O,- who is Awr personally known to me or who has produced `-I' 9s identification and who did take an oath. NOTARY Sign: L-IPACCA. Vq Print: Aok My Commission Expires: Contractor The foregoing instrument was acknowledged before me this day of 0c� , 20 _0, by h St , who is personally known to me or who has produced i 01-p F JUV�as identification and who did take an oath. NOTARY Print: MY CohmstioN d E8rmn EXPIRES: Febm wy 07, 2017 I My APPROVED BY /®-L%.! ;> Plans Examiner Structural Review (Revise0/1=012)(Reviwd 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) M F&=y07,20I7 Zoning Clerk