PL-13-2326Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-201118
Scheduled Inspection Date: July 10, 2014
Inspector: Diaz, Osvaldo
Owner: PINEIRO, KEVIN
Job Address: 51 NE 99 Street
Miami Shores, FL
Project: <NONE>
Contractor: A&C PORTELA PLUMBING INC
tiunamg uepanment comments
PLUMBING FOR NEW KITCHEN AND STUB FOR
FUTURE BATH AS PER PLANS
Permit Number: PL -10-13-2326
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (305)303-7344
Parcel Number 1132060131280
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: (786)547-4611
July 09, 2014 For Inspections please call: (305)762-4949 Page 3 of 44
�. C
OCT 1 2013
t m
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
Permit Type: PLUMBING
JOB ADDRESS:
FBC 20 I
I�_
Permit No. �
� -j
Master Permit No.
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes
Rce
Zone: /UtD,
OWNER: Name (Fee Simple Titleholder): i ;'j + -T-t Phone#: Bes- —1 -77
Address:
i -
Address: N A-)'`� C� 't
City: 624A--';> ';> State• C'L- Zip: M —(3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: f ` C fcf'�P I(,- T10 ,M b :''I � ') ac Phone#:
Address: a bT5 S� ?-3 ` `�Ij
-
City: �1 14 M i State: F -C- Zip: 3 3133
Qualifier Name: Dz4v i )) ?0 P ice- Phone#: � 65- a �� r-
3 u S °-
State Certification or Registration #: C r_C 1 q. L810)-+ Certificate of Competency #:
Contact Phone#: S'-- 0 -4-75- Email Address: P � � '4 /�' °t'` ° �% �'� r� Cti ii C , C
DESIGNER: Architect/Engineer: Pym ( Phone#:���'0 1 -�-qZ -Z I/
Value of Work for this Permit. �/. ���Square/Linear Footage of Work:
Type -of Work: ?Address-� ?Altera ` n ?New ORepair/Replace ODemolition
Description of Work:'(,—�'� dV�r--7 1,L L4/ " !�7�1? �
Subnd Fee Permit Fee $
Scanning Fee $ Radon Fee $
CCF $ CO/CC $
DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
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.
i
City17
State
Zip
Zip
Applicatibq is hereby trade, 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 commencement must be posted at the job site
for the first inspection which o seven (7) days after the building permit is is ue . In the absence of such posted notice, the
inspection will not be p ed and a rei pection fee will be charged.
Signature
Signature -
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this
day of A_ f , 20 0, by iC§1V IA.; 19c i Ej-as:e' >
who is personally known to me or who has produced
fad f7 L-(-- As identification and who did take an oath.
NOTARY
The foregoing instrument was acknowledged before me this
day of 9;, (fPT- , 201, by r (� 1 -A
who is personally known to me or who has produced OL-
6)!�-J int 1-�g as identification and who did take an oath.
NOTARY PUBLIC:
Sign• .� Sign: �`. -
Print: REBECA M. PAS
Print: RE SSION a SEM24
MY Co1b1 M ION 9 EE872624 +�! F E7KPntES: Fahrumyr p7, ZU17
My Commission Expires: °� FJtP1tfFS: Felsumy o� X17 My Commission Expires: a
APPROVED BY /2-'/0?:N Plans Examiner Zoning
N
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)