PL-14-1539Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-222858 Permit Number: PL -7-14-1539
Scheduled Inspection Date: November 25, 2014 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: JORDAN, JENNIFER Work Classification: Gas
Job Address: 1022 NE 91 Terrace
Miami Shores, FL
Phone Number (386)986-9440
Parcel Number 1132050010300
Project: <NONE>
Contractor: EH WHITSON PLUMBING Phone: 954-929-3599
Building Department Comments
install new tankless water heater and run gas lines to water Infractio Passed Comments
heater, cook top and bbq I
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-216083. NO ACCESS
Yf NO PLANS NO PERMIT
PROVIDE DROP TEST FOR FINAL
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
November 24, 2014 For Inspections please call: (305)762-4949 Page 18 of 42
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
77UL 17 2014
BY.
FBC 20 f3
BUILDING Master. Permit No.
PERMIT APPLICATION Sub Permit No.P-0q'i5
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
IdPLUMBING [:]MECHANICAL ❑PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
DRAWINGS
JOB ADDRESS: ty 22 �A E L I TE K _) e
City: Miami Shores County: Miami Dade Zip: 33 � �i J s
Folio/Parcel#: 0 -2,jZbL o 0l — b3 b 6 Is the Building Historically Designated: Yes NO V
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee SimpleTitleholder): I i- N N I FE P :l0 Q f4 N Phone#: 3 b,5-- r271— S 7 3 S—
Addresss:MIAMI
10 2 r 2 N G �q I� TE IL
I" I
City: I A M I � H b K.fAState: FL Zip: n 13 p p�
Tenant/Lessee Name:
Email: SENN 709-D AW
L. CIDM
CONTRACTOR: Company Name: C' H-yu H m o N T�A M i3 1 N Phone#: 2 Vq - 124 — 3 5117
Address: 413 S 11 sT AVE
City: H O U' Iy`i ® oD State: 9 L— Zip: 33 o Z v
Qualifier Name: —SO H N Ll PK -A- Phone#: J �-4 — 9 23 " !o -bS-
State Certification or Registration M is F C 1 4 Z 5' 7 V Certificate of Competeriev M
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 2) ?'Z O . 60 Square/Linear Footage of Work:
Type of Work: ❑ AdditionAlteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: �i��
Specify color of color thru tile:,
Submittal Fee $ Permit Fee $ ZZ s-1� CCF $ CO/CC $
Scanning Fee $
Radon Fee $
DBPR $
Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $ o
116r4ding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
Zip
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 gethe job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the sence of s ch p d notice, the
inspection will not be approved and a reinspection fee will be charged. �1
The foregoing
UWritn or r i
ment was ack wledged before me this
20 by
h is personally known to
me or who has produced
Seal:
Signatu
The foregoing Ihstrument IVA as a knowledged before this
day o 20 by
W
is personally known to
me or who has produced
Identification and who did take an oath.
Seal:
APPROVED BY ���.z� ! Plans Examiner
Structural Review
(Rev1sed02/24/2014)
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421 SOUTH 21 AVENUE
1101.1:NAN' 'UUt), FLORIDA 33020
(954) 929 — 3599
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M"I SHORES VILLAGE
E.H. Whitson Plumbing
421 South 21st Avenue
Hollywood, FL 33020
CFC1425789
Customer Name:+��
Address:
City, State, Zip: /7'r
Phone #: _
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All Work to Comply With N.F.P.A. Code
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