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PL-13-2486009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Zy Inspection Number: INSP-202388 Permit Number: PL -11-13-2486 Scheduled Inspection Date: December 29, 2014 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: POZO, JAMES AND YAMILETH Work Classification: Addition/Alteration Job Address: 11028 NW 2 Avenue Miami Shores, FL 33168-4304 Phone Number Project: <NONE> Parcel Number 1121360020260 Contractor: AA MASTERS MECHANICAL AIR MOVING AND ENGINEERIN Phone: (305)559-7004 tsunamg uepartment comments REINSTALL FIXTURE IN THE KITCHEN AND NEW Infractio Passed Comments BATHROOM I INSPECTOR COMMENTS False Inspector Comments Passed Failed F-1 Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid December 29, 2014 For Inspections please call: (305)762-4949 Page 2 of 26 Miami Shores Village Nov 01 2013 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC20 BUILDING Permit No.1' L a y 86 PERMIT APPLICATION Master Permit No. 9C 13 -" d � 91/ Permit Type: PLUMBING JOB ADDRESS: City: Miami Shores County: Miami Dade zip: Folio/Parcel#: r'1 2 1moo 2 n 9e- a Is the Building Historically Designated: Yes NO ✓ Flood Zone: OWNER: Name (Fee Simple Titleholder): AM� c' T 2 a b Phone# � iy� 23'� �9�� Address: © tO N% W i 4je vvc-e City: _�{ t A(8=41 State: L zip: r— Tenant/Lessee Name: Email: i AA- tic �s-F-t .ts �4,v n��vcn g � e/i c.t r►4g, 91" /A;�( CONTRACTOR: Company Name: ^ t O k.4 s t UW&!deA Phone#: 541t) (.-?6K Address: (emC e j /0-r?'Nrye,4 City: A4 t Al M i State: jq_ zip: 3 Qualifier Name:_MuSk& 9 &P—rYh Phone#: State Certification or Registration #: Contact Phone#: c'"9C /`f s G PC_ 9 Email Address: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 'qo®r Do Square/Linear Footage of Work: Type of Work: ❑Addresss ❑UA�lteration [ . ❑,NLew_ �/ j /®Repair/Replace ❑Demolition Description of Work: R 04'V`/ 4d l #4t' k le /&� "U 9 I GLA, tf o� A440 A?4 'oo^ 49V Av"_ Submittal Fee $ Permit Fee $ $ CO/CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ j 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 r 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 commenceme ust be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued the se ce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. i Signature �14tO Owner or Agent1f% ) Contractor The foregoingin��ttrument was acknowledged beforemethis t* The oregoin . strums tJ /was acknowledged before me this } 1ps day of Q '/�►20.'�3, by ,3 m"A2_'5 1020 day of ®� bet', 20 �, by 149SUS C U� who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY 1b4 orFbeliq Sign: +ob" Pak ZSign: Print / Print: My Commission Expires: My Commission !0r APPROVED BY--�t�i/ �' S i5 Plans Examiner Zoning Structural Review (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Clerk dwo41164we.00d" 04#00"101- tww 39* 00.1 AOR *"We p,