PL-13-1295Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-213676
Scheduled Inspection Date: June 11, 2014
Inspector: Diaz, Osvaldo
Owner: PEARSON, LEONARD
Job Address: 246 NE 103 Street
Miami Shores, FL 33138-2431
Project: <NONE>
Contractor: MG PLUMBING & SPRINKLER SERVICE
comments
Permit Number: PL -6-13-1295
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number 1132060134880
Phone: (305)525-9236
REPAIR WATER DAMAGE VANITY SINK REMOVE AND I "... "" 1- " ...... '
REPALCE TUB INSPECTOR COMMENTS False
Inspector Comments
PassedEEr
CREATED AS REINSPECTION FOR INSP-213630. LEAK UNDER SINK
AND NO WATER PRESSURE ON COLD SIDE
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
June 10, 2014 For Inspections please call: (305)762-4949 Page 19 of 32
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: .2 A-/,:�, 4e
10��
JUP� 1® 2013
L-_.
FBC 20 to
Permit No. r-2 _.,1 '5 —1 Z'9 5
Master Permit No. V -C 13 —12,c, 4
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple Titleholder): L-WE"�r
Address: ®_ - r'
City: �CyJYp�fta LQ1 c_ State: _
Tenant/Lessee Name: 1 I, P -S d &J
NO iC
Zone:
Email.•�n1
d c -n, S Qnei r�.'� e"jv1cid � l®'Al®wide '
.I�
CONTRACTOR: Company Name: IM � -! 9 «-e- L Y6&0;!; : '3
Address: f 2 C' -r Xi
City: State: ��' Zip: Z"/z
Qualifier Name: A_( Phone#: ,3 q,- ^ �23.E
State Certification or Registration #: qo ' _ Q a 9 Zes Certificate of Competency #:
Contact Phone#:.%(%% �LS� �JZ3 Email Address: �G�•�-sK���//� �P��'`7
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ J-070• c -x2 Square/Linear Footage of Work: Z'-1
Type of Work: L 1. Address ❑Alteration ONew *epair/Replace ODemolition
Submittal Fee $ 45 ® 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 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 q ���
Own or Agent Contractor
The foregoing instrument was acknowledged before
me this � The foregoing instrument was acknowledged before me this Z�
day o L 120 I by � � � �J ���!d , day of /k1AV 20 , by Jf
who is personally known tome or who has produced rL/�-Zo is pe ovally known t e or who has produced
As identification and who did take an oath. as identification and who did take an oath.
Structural Review Clerk
(Revised3/12/2012XRevised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)