PL-13-2526Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-222179 Permit Number: PL -11-13-2526
Scheduled Inspection Date: October 28, 2014 Permit Type: Plumbing- Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: TORO JTRS, LUIS Work Classification: Addition/Alteration
Job Address: 1270 NE 98 Street
Miami Shores, FL 33138- Phone Number (305)733-3821
Parcel Number 1132050090310
Project: <NONE>
Contractor: REGOSA ENGINEERING SERVICES INC Phone: (786)262-2964
Building Department Comments
REMODEL CABANA BATH AND MASTER BATH: REPLACE Infractio Passed Comments
ALL FIXTURES INSTALL NEW STEAM MACHINE INSPECTOR COMMENTS False
Inspector Comments
Passed 4 CREATED AS REINSPECTION FOR INSP-215091. REVISE PLAN TO
SHOW ADDED W/M OR REMOVE OUT OF SCOPE
CJ
Failed
f
Correction ❑ l �
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 27, 2014 For Inspections please call: (305)762-4949 Page 24 of 35
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: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
NGV 0 7 2013
FBC 20 to
Permit No. P, ( -3 — 2 S�
Master Permit Nolyl—A S "'9 ez�llq
JOB ADDRESS: 121V {vim C) 8 '
City: Miami Shores County:DAD'�_ Miami Dade Zip: '2>3,12?
Folio/Parcel#: it —'32 -os --ate °1 --02> t o
Is the Building Historically Designated: Yes
OWNER: Name (Fee Sim le Titleholder): V AOL Ar !
Address: 1 '� la -�+_
City: �6 atXA t. S 1%0 &.�h State:
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: _
Address: 1 � 41(�, r-" 0 F;- A
Flood Zone:
Phone#: 506
zip: X313 w D
Phone#: 3 C1 �J 8, 3 3 3_/
PJ VG A� /J b "'03 l N(Phone#: �-86 QTss �3 2 �
City: AA -A.,, State: Zip: �//S16
(`l
Qualifier Name: G-0 ® a L�Z!7'�� , Phone#:
State Certification
-�o�rpR/e�gistration #1: }C—�C 1 L41'1?A L Certificate of Competency #:
Contact Phone#: - f4 l9 � "I �i� Email Address: cabe, 6 c G►tiT GI 4 �-
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 4 �I Oo Square/Linear Footage of Work: `9�
Type of Work:, ❑AddrW „ , ❑Alteration ❑.1New'n ",'O&epair/Repiace ❑Dei
Description of Work;,
Submittal Fee $ Permit Fee $ `'� " CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ /91. • S_b
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
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 issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged. n
Signature v vv "" Signature
Owner or Agent Co actor
The foregoing instrument was acknowledged before me this CDC. The foregoing instrum as acknowledged before me this fk%
day of ,by � �1d -c day of V3 , by GvWW<, ,
who is personall own o me or who has produced L TQ who is personall know)entification
me or who has produced -E.D
As identification and who did take an oath. and who did take an oath.
NOTARY P NOTARY
L&OJSign: Sign: —LI
V >` ! Commission # DD 969514 $�,. •`��s / W 61.w W I•
Commission # DD 969514
My Commission Expi s: My Commission Expires My Co fission Ex *' My Commission Ex ices
!' 'fan"o`� March 09, 2014 z off;. p
i '�1/1111��� ' March 09. 2014
APPROVED BY �.�//-�Z /J Plans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
N
.. • �'. � �. tib �. 0
�� TE:
ALL SHEETS'MUS,T-.BE- • S MUST-.BE-REVIE ED
MIAMI-DADE COUNTY BUILDING DEPARTMENT
Herbert S. Saffir Permitting and Inspection Center
11805 SW 26th Street (Coral Way), • Miami, Florida 33175-2474 (786) 315-2100
APPLICATION FOR MUNICIPAL PERMIT APPLICANTS
THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE
AND/OR DEPARTMENT OF ENVIRONMENTAL RESOURCES MANAGEMENT
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[ ] New Construction on
[ ] Demolish
PROVIDE MUNICIPAL PROCESS t,
[ ] Shell Only
Job Address
[ ] Alteration Exterior
[) Addition Detached
Folio- Jt�'
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00
Lot
Block
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Subdivision
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Metes and bounds_
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[ ] New Construction on
[ ] Demolish
Vacant Land
[ ] Shell Only
['1 Alteration Interior
[ ] Addition Attached
[ ] Alteration Exterior
[) Addition Detached
[ ] Relocation of Structure
[ ] Re -Roof. .
ABER HERE L.6;C /"
47za---'
Contractor No.
/ A/�j .
Last four (4) digits of Qualifier No.
�e
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Contractor Name
-Qualifier Name
Address %n ,V
City State /-C
Zip -3
Current use of property
Description of Work
[ J
[ ] Foundation Only — - ""`� +'ter ]Enclosure Sq. Ft.Units —�— .Floors
Repair
[ ] epair Due to Fire Value of Work
MBLD * [ ]-Chg.-Contractor. Owner 1
Category ? %�D �✓ q� S
[ ] Re-Jssue ' �' Address
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[. ] MELE a .: a
MLPG Re -stamp :' City d State � Zip 33i3a
W. Phone.2S.t y23
R [ ] MMEC > [ ] Revision z,.
FIRE o Last four (4) digits of
[ ] [ ],Not Applicable for
Fire Owner's Social Security No.
o z. Name Name
z a Address 3 i- x
o d w w Address
LU V City State Zip3D� f
CL d. Phone a w City State Zip
Phone
J Z 1 am requesting a Special Request Plan.Review (SRI) to be scheduled as soon as possible at the rate• of.$190 for the first hour and
a $&5 per each addition hour in addition to the review fees. Minimum charge one-hour.
U a N
tiLU w .15` Request:
U, > > . Date:
LL O L 2nd Request:
LU
Date:
3rd Request:
Date:
z
a / am requesting Optional Plan Review (OPR) to be scheduled as soon as possible at the rate of $75 for each discipline: Additional
a review fees may apply.
z°
W 1s1 Request* OpR (expedite reviews)
C 2"d Request: Effective 2/18/2011 DERM is NOT accepting
C-1
Date:
0
3d Request:
• Date;
YAF--XG8010?-Municipa1 P. -k Appli-i—d.