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PL-13-1678Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 , lb Inspection Number: INSP-195984 Permit Number: PL -7-13-1678 Scheduled Inspection Date: November 13, 2014 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Owner: GRIFFITH, WILLIAM Job Address: 795 NE 97 Street Miami Shores, FL Project: <NONE> Inspection Type: Final Work Classification: Addition/Alteration Phone Number (305)401-6279 Parcel Number 1132060142360 Contractor: A&C PORTELA PLUMBING INC Phone: (786)547-4611 Comments PLUMBING WORK FOR BATHROOM AND BEDROOM '"Ha`U0 Passea comments INSPECTOR COMMENTS False spector Comments Passed Failed 64�:' Correction Needed Re -inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. November 13, 2014 For Inspections please call: (305)762-4949 Page 1 of 45 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: PLUMBING A.0 k 2 JUL .� 6 263 9 Y, a!��...— FBC 2010 Permit Nr -P1 13- lVl t Master Permit N(__ g JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 2313$ Folio/Parcel#:11$20(oU1q2_ 9(p0 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): WilkG r f h Phone#: 3QT-'c/O I — 4,239 City: State: F ri Zip: _'313t% Tenant/I.essee Name: Phone#: Email: C. CONTRACTOR: Company Name: 10,1 L. �� 11b'One#: J P 6 r V Address: 3S S� �3 +�'✓K city: k\ �I-n State: zip:. Z I) '3 J Qualifier Name: 1V 1 �� Q� � Phone#: 057—Cl (05- 7'91� State Certification or Registration #: CC`Certificate of Competency #: Contact Phone#: -705 — I (Pr-- d �- Email Address: r P (Ilk, a, '1 DESIGNER: Architect/Engineer:y t' J. 'Artlae Phone#:. 245 - 310 " X036 Value of Work for this Permit: $ 0 CID, Square/Linear Footage of Work: 1 Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work:�t�dw12 � (,� �(� k kV-fJ AA,FJ S goe , _ 0L_ Submittal Fee $, Scanning Fee $ Permit Fee $tl . CCF $ CO/CC $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 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 iss . In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. r ✓� Signature Signature Owner or t Contractor The foregoing instrument was acknowledged before //me this 22 day of , 20 -&, by '� kn�►v► Jt U rill who is personally known to me or who has produced�f d� C� As identification and who did take an oath NOTARY P Print: ---------------- My Commission Expires:tnI25F My eol�asSIOrl 6 BES72624 EXPIRES: UMMY 07, 2017 The foregoing instrument was acknowledged before me this day of U , 20 3, by IAr Ir: who is person to me or who has produced. Pt as identification and who did take an oath. NOTARY Sign: Print: My Commission Expires: REBECA M, PASTRANA EXPIRES: Fetinwy 07, 2017 ,H sk $a aH Ha qe ga Ha ak aH qs Xe,Is ak ak ak ak aH ak ak ak ak Hs ga $a ga Hs qa ak ak ak ak aH 8e ak ak Ha ak aH aIa sk ak ak ak aH ,k aH ak aH ak Ke Ka aH Ha ak �a ak aH ak $a ga ak ga,k ak aR a',a sk aH ak aH ak aH ga ga ga ak ak $a ak ds ga sH,H ak Ha aH ek Ha sk �a,Hak sk,k,k,k sR,k �,k Ha sK,R Hs,k sk,k APPROVED BY Plans Examiner Zoning Structural Review (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Clerk MIAMI-IDADE COUNTY, rt O:-2012 COLLECTORTAX TAX RECEIPT 140 W. r. # A t' OFfLORIDA FLOOR151 PURSUANT TO COUNTY CODE0 -2 MIAM, Fl. is . # 4 THIS IS NOT DO NOT RECEIPT NO. i NO: i iilM BUSINESS NAME / LOCATION i " 2655 SW 33 AVE OWNER to 9 C PORTELA PLUMBING INC SEE BACK OF RECEIPT FOR PLUMBING CONTRACTOR A LIST OF NOM -PARTICIPATING MUNICIPALITIES Receipt #mer�m#�u`st DO NOT FORWARD regWer in Ow whaM work to to be A B C PORTELA PLUMBING INC ate. ARMAN O PORTELA PRES 2655 SW 33 AVE MIAMI FL 33133 PAYAlF1 FXOMM hIlAW)ADS TAIL co"m 2011 02270001001 000200.00 #ef� 9'!i{{#!lB fbf #F{kdOflAkkfkllklB##►# t 4k78Etk�/ill8pf�! I g U.S. POSTAGE- i PAS � # , PERMIT' NO, 239- THIS 13 NOT A BILL w 00 NOT PAY!RENEWAL q Q 5212" RacgwT No. RUSINESSE I LOCATION C ORTELA PLUMBING INC CC 04POQ00I 2655 SW 33 AVE 33133 MIAMI a OWNER A & C PORTELA PLUMBING INC . WORKER/Sof , $winen I PLUMBING CONTRACTOR m THIS m OKY summ"s23,E Lilo" OR DO NOT FORWARD zwjm JAws or nm coulay on efffm mm . gP MmT$R On ae �l OF A 9 G PORTELA PLUMBING•INC ARMANDO PORTELA FRES 0 2655 SW 37P AVE ov TAX MIAMI FL 33133 07/0612011 60070000035 000045.00 fife/i{l11�{feitlaf#kBk�,I/t}�iltktleliatlllf!l01Fk91t�lDl1i SEE OTHER SIDE , MIAMI-IDADE COUNTY, rt O:-2012 COLLECTORTAX TAX RECEIPT 140 W. r. # A t' OFfLORIDA FLOOR151 PURSUANT TO COUNTY CODE0 -2 MIAM, Fl. is . # 4 THIS IS NOT DO NOT RECEIPT NO. i NO: i iilM BUSINESS NAME / LOCATION i " 2655 SW 33 AVE OWNER to 9 C PORTELA PLUMBING INC SEE BACK OF RECEIPT FOR PLUMBING CONTRACTOR A LIST OF NOM -PARTICIPATING MUNICIPALITIES Receipt #mer�m#�u`st DO NOT FORWARD regWer in Ow whaM work to to be A B C PORTELA PLUMBING INC ate. ARMAN O PORTELA PRES 2655 SW 33 AVE MIAMI FL 33133 PAYAlF1 FXOMM hIlAW)ADS TAIL co"m 2011 02270001001 000200.00 #ef� 9'!i{{#!lB fbf #F{kdOflAkkfkllklB##►# t 4k78Etk�/ill8pf�! I b �