PL-14-2613Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-226067
Scheduled Inspection Date: January 13, 2015
Inspector: Diaz, Osvaldo
Owner: MARKESET, YAPRAK
Job Address: 1438 NE 104 Street
Miami Shores, FL
Project: <NONE>
Permit Number: PL -12-14-2613
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (202)329-9986
Parcel Number 1122320320290
Contractor: DOUGLAS ORR PLUMBING INC Phone: 3051887-1687
tiunamg uepartment t:omments
REPLACE UNDERGROUND SANITARY PIPING FROM
WASHING MACHINE AND KITCHEN TO OTHER SIDE OF
DRIVEWAY AND CONNECT TO EXISTING 4"
UNDERGROUND SANITARY
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-224186. YATRAK 202-329-9986
Failed]
Correction
Needed ❑ 13'i�
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
January 12, 2015 For Inspections please call: (305)7624949 Page 15 of 29
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Miami Shores Village
Building Department
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 745.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4%9
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
DEC 01.2014
FBC 20 t 1'
Permit No. P —) H 613
Master Permit No.
JOB ADDRESS: J�-r J Y 70��
City: - -- Miami Stores County: Miami Zip: 3 3 1 3 P
Is tate Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple
/ 4-t > r-) A
City:
Tenam/Lessee Name:
Email:
CONTRACTOR: Company Name:
Address:
City:
Qualifier Name: Yy U r r IV 1A
State Certification or Registration #: _
Contact Phone#:
DESIGNER: Architect/Engmeer.
State: Zip:
k -Ar
FM-
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Value of Work for this Permit: $ I. QV SquareaAmear Footage of Work:
Type of Work: C Address OAltermion ONew 011apair/Replace coemontion
Submittal Fee $70(neD $70(Permit Fee $ z4� , CF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ TrainingIfEducation Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE
Bonding Company's Name (if applicable) t 1
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address A 0
City State
Zip
Zip
45-17
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
FINANCINGt 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection not be approved a reinspe fee wi be charged
Signature—,;_ Signature
Owner or Agentl r Contractor
The foregoing instrumentamlient was acknowledged before me this The foregoing was
1A MEacknowledged before me this l 7
day of _ 1 V 2Q�, by _CC11 � -fV ���—t day of L.l,
20 , by a 0
who is y kno 11 or wh� has ptmluced who ' Wally kno me or who has pradaced
-' -A.$) idemYd&t ion ana'who did take an oath.
NOTARY PUBLIC:
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My Commission Exp .'•o''a': o4B"'•••
MONICA ALVAREZ
Sai•b
Commission # FF 70091
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My Commission Expires
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October 22, 2016
APPROVED BY 12 -?`?t Plans Examiner
Structural Review
(Revised3/12(2012XRevised 07/10fflNRevh%d 06/10tMXRev:sed 311s/o9)
as identification and who did take an oath.
NOTARY PUBLIC:
Print: Mon'l C U Mlva 6
My Commission Exp ��
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MONICA ALVAREZ
Commission # FF 70091
My Commission Expires
October 22, 2016
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