PL-14-1640Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection
Inspection Number: INSP-216812
Scheduled Inspection Date: October 30, 2014
Inspector: Diaz, Osvaldo
Owner: WADE, RUTHANN
Job Address: 452 NE 92 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: TWIN BROTHER
Limiamg uepanment comments
REMOVE AND REPLACE KITCHEN CABINETS
Permit Number: PL -7-14-1640
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number
INSPECTOR COMMENTS False
Inspector Comments
Passed Q
Failed
I
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
1132060140040
Phone: (305)332-1969
October 29, 2014 For Inspections please call: (305)762-4949 Page 9 of 36
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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
JREC��
UL 2 9 2014
BST: - ---
FBC 20 k`3
Master Permit No. V-CA%A — �63 5
r�'
Sub Permit No. ,1 LA --1 (.0 (qc)
❑ REVISION ❑ EXTENSION ❑ RENEWAL
v�LUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: "T> _
City: rMiami Shores County: Miami Dade zip: 331 3Z
Folio/ParcelM �1'� of - oo*o Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): c L°C .r,p�a l-�� Phone#: - z4 `( d
Address:!4c-z- Ne W_e 1
City: �A k&ekn State: �n Zip X31
Tenant/Lessee Name: 6�Vr i Phone#:
Email:
CONTRACTOR: Company Na e: �I.ei (� /� l�i'��"—� &V'A&GMA-P� Phone#: �✓ 3�� / `% t `�
Address: �4oe9Y' 4-64
City: 1
Qualifier Name:
State Certification or Registration M
e#: 4 (- 9•
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
Value of Work for this Permit: $Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work:
N
Zip:
❑ Demolition
Specify color of color thru tile;
Submittal Fee $ 5c)' Permit Fee $ 150, CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
Double Fee $
Bond $
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 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
i"�� —
Signature au, a'� Signature l
140TI III 9;3•Ti_114 4 041
The foregoing instrument was acknowledged before me this
2$_ day of 20 141 , by
L.. 'Ak who is personally known to
me or who has produced L -4k-- 0(1 F11:e as
identification and who did take an oath.
NOTARY PUBLIC:
Print:
Seal: REBECA M. PASTRANA
MY COMMISSION 4 EES72624
EXPIRES: Fdnvwy 07, 2017
CONTRACTOR
The foregoing instrument was acknowledged before me this
9_'K day of __16tU 20 J� by
\AU } \,O_('2 - who is personally known to
!�
me or who has produced #— a:1 I�—i �P as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:4
Print:
Seal:
APPROVED BY - / `� Plans Examiner
Structural Review
(Revised02/24/2014)
REBECA M.PASTRANA
MY COMMISSION N EB972624
EXPIRES: Fdminy 07, 2017
Zoning
Clerk