PL-14-1766Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-217803 Permit Number: PL -8-14-1766
Scheduled Inspection Date: December 17, 2014
Inspector: Diaz, Osvaldo
Owner: ,
Job Address: 150 NE 109 Street
Miami Shores, FL 33161 -
Project: <NONE>
Contractor: EF DESIGN & CONSTRUCTION
tsuuaing uepartment comments
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (305)219-8267
Parcel Number 1121360090120
Phone: (305)409-4581
REMOVE AND REPLACE KTICHEN AND BATHROOM. Infractio Passed Comments
REPLACE ROTTEN DRAINS IF NESSARY WITH PVC I
INSPECTOR COMMENTS False
December 16, 2014 For Inspections please call: (305)762-4949 Page 11 of 45
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
December 16, 2014 For Inspections please call: (305)762-4949 Page 11 of 45
BUILDING
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
- T`
vZ.
AUG 12 2014
FBC 20 l�
Master Permit No.9, c 1- '- 1-6 S'
PERMIT APPLICATION Sub Permit NO. T L I `-t -- \-1
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[PLUMBING [:]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
JOB ADDRESS: ( E0 N E ((? 9 S -f' -
DRAWINGS
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FF€:
OWNER: Name (Fee Simple Titleholder): A k 1 K-44 .Tn u e T m tC i4 TS Phone#:
Address: 14365 sA9u `7'7 A,uP
city: M i A "A, Lk State: Zip: 4 ?n (G„
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: EF D e—Si Q n Phone#: ��f� �� �{ ® qZ I S -S
Address: ZRA `DPW ) ;�`� 0&y/ e
City: atn b '0 ii- State: Zip:
Qualifier Name: Phone#: C46 �1
State Certification or Registration #: C 1 !=i 2 2 2 2-1 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 'V00,9. c -V Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Ke1;gd&✓e_
l, 4-7,,�i
• 4 .
Specify color of color thru tile;
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Radon Fee $
Training/Education Fee $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ d
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 ao9nce of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
e
D—,
Signature
Cd49�I� 1<•TtT�IX��ir
The foregoing instrument was acknowledged beforeme this
day, of
/ v 20 Jr by
IUL-���i'•1l e� �dtho is p sonally known fig
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: --..m-
SANDY RO p
Commission # EE 116040
The foregoing instr'bment was acknowledged before me this
day of , 20 ®/ by
fit f.dg2 , who is rsonally known
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Print: - '\ h -
Seal: "a: ;^ SANDY ROMERO
Commission # EE 116040
_. ._
My Commission Expires
July 26, 2015
APPROVED BY Plans Examiner
Structural Review
(Revised02/24/2014)
Zoning
Clerk