RC-14-1616Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-222905
Scheduled Inspection Date: November 06, 2014
Inspector: Rodriguez, Jorge
Owner: , KALYANI VENTURES, LLC
Job Address: 30 NW 92 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor:
ABOVE BOARD RNC CONSTRUCTION INC
5ullaing Department comments
Permit Number: RC -7-14-1616
Permit Type: Residential Construction
Inspection Type: Final Building
Work Classification: Alteration
Phone Number
Parcel Number
1131010170210
REMODEL 2 BATHROOMS REMOVE EXISTING Infractio Passed Comments
PLUMBING FIXTURES REPLACE WITH NEW AND RE- INSPECTOR COMMENTS False
TILE WALLS AND FLOORS
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
November 05, 2014 For Inspections please call: (305)762-4949 Page 31 of 35
BUILDING
PERMIT APPLICATION
Miami Shores Village LBY:
JUL 2 5 2014
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
FBC 200
Master Permit No. bL ,1" ^ tC) I6
Sub Permit No.
0BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR �+�y� DRAWINGS
JOB ADDRESS: 30 OV . 61. %O/�.�JC "o 5� jo%1 J A ex e>
Com: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple
hone#: -1 or 9 I 1p- folp 1
Address: 6 U 113 gD e !(e- M 4 Q CE -4-nL A1J D J -,-K,
City: X thGGi! 1 State: E— Zip: '?
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
'K, 9r S'6I-!Sr516
Address: _i Sf60 i4 U-� N k 2 t" o
City: -&vin 0 !P e to c State: ( Zip: S :3 02 .%
Qualifier Name: �� �� Phone#:
State Certification or Registration #: C G C 1 5- 19 b `"7 "7 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $�®• ®� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: K FMObee?, 13&'i%i-QPM �'i a rZd: YM' 4" Ua- LSO 220
Specify color of color thru tile:
Submittal Fee $ �Q 0�) Permit Fee $ �-1 J� ` CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ -=10
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
RESULrt 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 Z. /IOCl - Signature
Z4
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
_('o9 day of rl- 20 �� , by day of ����� . 20 14 , by
vAt4- > 5 mwy," -, . who is personally known to cl-nG6ez; S C,4UL- , who is -personally known to
me or who has produced
VL_ v�2iU&,-
as me or who has produced el `r,7 A_'J 61""- as
identification and who did take an oath.
identification and who did take an oath.
NOTARY PUBLIC:NOTARY
PUBLIC:
Sign:n,
_ a --� �cc<• =
Sign:
Print:
®
Print:
o�
Seal:;'-`
-•. •�.�"� _
Seal:
��-{• "_
� :���
>k>k>K�k>k>d�>k*&*�k�k�k4�k�k*�%�k�k�k>kNeffi*4�k�M�k*&�k�k��k�k�k�k&ffi�k9�>k�k�k>k>k�k>K�k�k*ste�le�e#��kfle+k*tle�k#�U�k4+k�k>k>k�k�k>kfleak�k�k�k�k�k*�k+k+k*de�le�Ie�k�k�k�kt��k�k+k�k�k�k�k&�k�k�F�k�k
APPROVED BY
L c Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)
30 N.W. 92 nd St
Miami Shores, Fla. 33138
Bathroom Remodel Scope of Work
• Remove existing plumbing fixtures, tile, and light fixtures
• Prep walls and floor and install new drywall if necessary.
• Install new plumbing fixtures, tile and light fixtures
Cost - $ 4000.00
g
X
H
o
W�
�LU
ad
JUL 2 6 2814
BY:
•' J
a v
a�
®
Lb
ADD SMOKEICARBON MONOXIDE DETECTORS.
ANY AND ALL CLOTH AND RUBBER
INSULATED CONDUCTORS TO BE REPLACED.
O
V
CD 0 CD
c'
IL CD CL
000
CD
r'
cr
C ca
1Aso
co
�
N
_ -•
—•o,
cn
o
CD
o
CD
o
3
0
3
rn
BATHROOM RECEPTACLE ON 20 AMP CKT
AND G.F I PROTECTED