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PL-14-1791Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-219855 Scheduled Inspection Date: September 18, 2014 Inspector: Diaz, Osvaldo Owner: MORALES, ANNE & NESTOR Job Address: 474 NE 95 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: ACTION PLUMBING OF MIAMI INC tiunming uepartment comments Permit Number: PL -8-14-1791 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Repair Phone Number (305)283-7233 Parcel Number 1132060140440 Phone: (305)278-6900 REPLACE WATER PIPING INSIDE THE HOME WITH Infractio Passed Comments CPVC RESET TOILET, LAVATORY SINK AND WATER INSPECTOR COMMENTS False HEATER. Inspector Comments Passed E�j CREATED AS REINSPECTION FOR INSP-219800. Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 17, 2014 For Inspections please call: (305)762-4949 Page 28 of 33 y Miami Shores Village Building Department C TVF-' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 AUG 2014 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 Y: FBC 20 BUILDING Master Permit NoP PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL LUMBING [:]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP DRAWINGS �1 (�/CONTRACTOR "l (' Ste( JOB ADDRESS: i% tic fit= City: Miami Shores County: )J �_ Miami Dade Zip: / Folio/Parcel#: tlo G 0 n Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: _V; RL OWNER: Name(Fee Simple Titleholder): �� _ Q Phone#: ress. City: r �< iQ�� State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Addr c 3► 3 City: State: P Zip: J "7 r Qualifier Name: Aws Phone#: :74-55&– 0(o State Certification or Registration #: l �� Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ q, a'OV ' C -r70 Square/Linear Footage of Work: Type of Work: ❑ Addition/ ❑ Alteration ❑ New pair/Replace ❑ Demolition Descriptlpn of W rk: i.f�t� (4,h 2 L 10�- 1,14 Sk1 ��. A. I. 7_ i A If / .. t // o Specify Submittal Scanning Fe : _ rad=on Fee $ ' _e __' •— Technology Fee $ Training/Education Fee $ Structural Reviews S (ReAsed02/24/2014) CCF $ DBPR $ Notary $ Double Fee $ _ Bond $ TOTAL FEE NOW DUE $ r2m 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. Signature Signature —LL L--,,, OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of AIA4414 20 /e , by 13 day of h%kf ✓J j' 20 t'� . by Ane- who is personally known to V\* 04 n C.0 %I ►**-J , who is personally known to me or who has produced �I�r;�a D,t o U eM L tCQmc&as me or who has produced (=l. "DL C4 S'2. 3 So . 60 ` '7.as 7 identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign Print: Print: I Jcry ,`ot""Y °jai;-. GILBERT PIERRE SAINT Seal: a * • ° Seal: wn,t, « �. _ Notary Public - State of FloJ o p'''•., off,= My Comm. Expires Jun 26, 2MARIE FitiUEROA Commission # EE 21142 =' • •- Notary Public - State -:ROA -'�,Ilili��, % 9,� My COMM. Expkes Mar 3, 201 ] [I IIIIk+kIkIk1111111111kIkIk1I11kIkKllkMnk�klk�kek1- +k I- - * SII �k k+k1I11kIklkNt/lllk�k�kltllk&�klklklk IkN1�.g0 n1"` �`i11k�kIk6Alilip '� '/ 4�klk Ik+kNl>k&Iklklklklk APPROVED BY'_L-iy Plans Examiner Zoning Structural Review (Revised02/24/2014) Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO.TI 4; Q62 O1 q t)y�f{o THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 2. Description of improvement: 3. Owner(s) name and address: rJAj(F C_ - Interest Interest in property: Name and address of fee simple titleholder: 4. Contractor's name, address and phone number: _ ,—, 5. Surety: (Payment bond required by owner from contr, ctor, if any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Owner Owner(s)' honzed Officer/Director/Partner/Manager Prepared By G�- � ;� pv a f _ Prepared By, Print Name 0`d Print Name Title/Office Title/Office STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknoedged before me this &I-�h day of r D` By ��'n o -Ln /L-_ L �n Mn ❑ IndivEdually, or ❑ as for ❑ Personally known, or produced the following type of identification: 0 V .4 Signature of Notary Public: Print Name: �` 1 111/// 1 (SEAL) :ter* :°�� Notary Public -State of Florida VERIFICATION PURSUANT TO SECTION 92,525, FLORIDA STATUTES , a;' My Comm. Expires Jun 26, 2016 Under penalties of perjury, I declare that I have read the foregoing and �i�FOFFt�p� Commission # EE 211426 that the facts stated in it are true, to the best of my knowledge and belief. Signature of Owners) wner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By By hof Lu� &,� V40 Go CSA I& r (—}lJT ttli � e% o o s v► S o Zd Li144, c4Li9r Glo7lvs LA," art e� •..:.• ioo•oo •i �� Glom+ s,��i • . • • .. • o (—}lJT ttli � e% o o s v► S o Zd Li144, c4Li9r Glo7lvs LA," art e� Per w► PL 8 Y74 9S s� vin cv., s � s rl 3� ►� a CfC.ty��os� ,5corc ep uta: *MD LPC- Qalwasiti-el u �w f� I 41-t 4at ��o�.�� -� exp s-F►,� -E-�b ae�a,as . v HteIL" , .4?-+ev- -t+fig �1-e �E 11ni S o� rS 4-L ✓G 141'7 40 BY- 31a 'If a4- AVWskar ,i y + 104 Vk IV �h �t - j; Ae • • s • •ifZ•• •••• • •• ••••• • • �h �t - j; Ae