PL-13-2851Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-220151
Scheduled Inspection Date: September 25, 2014
Inspector: Diaz, Osvaldo
Owner: ,
Job Address: 102 NE 106 Street
Miami Shores, FL 33138-2037
Project: <NONE>
Contractor: MG EXCELLENCE SERVICE CORPORATION
Building Department Comments
INTERIOR REMODEL
J
Permit Number: PL -12-13-2851
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (786)371-8479
Parcel Number 1121360050080
INSPECTOR COMMENTS False
Phone: (786)247-7067
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-204904. Missing all escutcheons
1Z on supply and drains
dual angle stop shall be separate at sink and ice line
toilet in powder room to close to lavatory
Failed ❑ caulk all trims in tub/shower
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
September 24, 2014 For Inspections please call: (305)762-4949 Page 26 of 34
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: (303) 762.4949,
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
JOB ADDRESS: 1o2 2 D`J'C.� [ nj, st
DEC 2 ® 2013
FBC 20
Permit No. ! / / 3
Master Permit No..&,
City: Miami Shores County. Miami Dade Zip: 63 3
Folio/Parcel#:
Is the Building .Historically Designated: Yes NO Flood Zone:
OWNER Name (Fee Simple Titleholder). rjVUA
Phone#: 4;
Address: r (� -T-
City: State: zip:
Tenant/lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: '� 'Phone4:71d
Address•-/ �—T A) I
City: 1 A -4-A � state:
Qualifier Name: U" Phone#•
State Certification or Registration #:, t y _A -j z) Certificate of Competency #:
Contact Phone#:YL, �3r ®� Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 40 01040 0-0 Square/Linear Footage of Work:
Type of Work: ❑Address DAlteration ONew —ORepair/Replace
Description of Work:
CW 1A A 9(ALM ,i1\t2 O o A._ a
Submittal Fee $_5-C, ` Permit Fee $3�(1 CCF $ CO/CC $
Scanning Fee $
Radon Fee $
DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
ODemolition
TOTAL FEE NOW DUE $ 03 5r -S 0
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
EMPROVEMENTS 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.
Sl
Owner or Agent
The foreoing instrument was ackn wledged before me this The fore oing instrum72.
t wasVckno4edged before me this
day o 20�� , by i�l� Q'� day of by
oispersonally knownto me who produced who is personally known to me r who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
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0610
My Commission Expires: p"a,
tare
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APPROVED BY 4:t::Z 2J> 6-1'f Plans Examiner
Structural Review
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009XRevised 3/15/09)
NOTARY PUBLIC:
Sign: - (Q�1'
Print:
My Commission Expire,
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Zoning
Clerk