MC-12-1811Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL r
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-179212 Permit Number: MC -10-12-1811
Scheduled Inspection Date: March 18, 2013 Permit Type• Mechanical - Residential
Inspector: Perez, JanPierre
Owner: WOLSTENHOLME, BRIAN
Job Address: 380 NE 91 Street
Miami Shores, FL
Project: <NONE>
Contractor: NAVARRO PLUMBING & MECHANICAL CO
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comments
DUCT WORK FOR GARAGE CONVERSION
12/04/2012 - PENDING HEAT LOAD CALCULATIONS
BEFORE ROUGH MECHANICAL INSP.
Inspection Type. Final
Work Classification: Addition/Alteration
Phone Number (305)758-3477
Parcel Number 1132060190200
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Phone: (305)244-5832
March 15, 2013 For Inspections please call: (305)762-4949 Page 8 of 54
Miami Shores Village
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
FBC 20 l)
Permit Type: MECHANICAL
OWNER: Name (Fee Simple
RE
Cr
20,2
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Permit No. M L1 I �r I I
Master Permit No. I L6
City:.. k ' fd 6�r S 5 State: Zip:
TenantUssee Name: Phone#:
Email:
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcelt
Is the Building Historically Designated: Yes NO Flood Zone:
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CONTRACQTOR::Company Name: 4Ja.Wh d' � Phone#:'1c5 U/! i 53�
Address: l 6 boy, 22 a, RV
City:
Qualifier Name:
zip: 3 3222-
S0,5 7yca SSt32.
State Certification or Registration #: (2A& ( ? 5 6 0 44 S' Certificate of Competency #:
Contact Phonek --3(} S Z L./ S Z_Email Address:
DESIGNER: Architect(Engineer: Phone#:
Value of Work for this Permit: $ 7.9u. - 420 Square/Linear Footage of Work: 2,,oc�'- o,::,
Type of Work: DAddress OAlteration ONew URepair/Replace ODemolition
Description of Work:
q.� y
Submittal Fee $ Permit Fee $ U CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Pt
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State Zip
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 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 be charged.
Signature Signature
Owner or Agent Contractor
The foreg 'ng ' s
day o
,ho is pe
- , NQTARY P Q
P� r i10 os F,Ot*�o,S
P - gra 23.2
ces Sep ��a Sign:
Boo Tp�ooO
las xaminer
Structural Review
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Print:
My Commission Expires:
I5$1old ERISM
: Seuapry.11.241$
;WM,V�, 71N,.. Zoning
Clerk