PL-15-180Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-227694 Permit Number: PL -1-15-180
Scheduled Inspection Date: February 10, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo Inspection Type: Final
Owner: ADRABI, ARRA Work Classification: Repair
Job Address: 57 NE 93 Street
Miami Shores, FL 33138 -
Project: <NONE>
Phone Number
Parcel Number 1132060130400
Contractor: THE NEW MIAMI SHORES PLUMBING Phone: (305)751-2446
ounainW uruarunrn< <.vnunt;nw
SANITARY LINE IN CRAWL SPACE WILL BE REPLACED I INSPEC-"
BY NEW PVC INSPECTOR COMMENTS False
February 09, 2015 For Inspections please call: (305)762-4949 Page 21 of 38
Inspector Comments
Passed
�/r
CREATED AS REINSPECTION FOR INSP-227611. NOT READY
C)
Failed
Correction
Needed�
Re-Inspection ❑
Fee
No Additional Inspections can
be scheduled until
re -inspection fee is paid.
February 09, 2015 For Inspections please call: (305)762-4949 Page 21 of 38
6 �I-±,�r--.? Miami Shores Village
Building Department JAN 27 2015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 (0
BUILDING Master Permit No. 4!5� —
PERMIT APPLICATION sub Permit No.
❑BUILDING
❑ ELECTRIC
F-1 ROOFING
❑ REVISION ❑ EXTENSION
❑RENEWAL
]PLUMBING
[__j MECHANICAL
F -]PUBLIC WORKS
❑ CHANGE OF ❑ CANCELLATION
❑ SHOP
CONTRACTOR
DRAWINGS
!OB ADDRESS:
54 / 1C Aor �
n
3rd >�rt d
City:
Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#: /1
- 320 % — 01 J "
/
040 ®
Is the Building Historically Designated: Yes
NO
Occupancy Type:
Load:
Construction Type:
Flood Zone: BFE:
FFE:
OWNER: Name (Fee Simple Titleholder): -iVrrA .4
Address:, 8157 !UE q3 rd �37reej
City: (ll,m 1 �QS State:
Tenant/Lessee Name:
Email:
Phone#:
CONTRACTOR: Company Name: 1nQ NQW �(awi ���,Qe�' 7)"4 Phone#: ��"
Address- 6l d o VW
City: I State:: Zip: 33 i ('o D
Qualifier Name: 6;t&, Phone#:
State Certification or Registration #: C 20f Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
-c
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
DeswhAiae_oLW&rka:, . I.(.l�i.� uiV C�./'� �
W
V,.I {.f11,'' VYIVI V' VVIVI �/1I M MII�•
Submittal Fee $ Permit Fee $�ai CCF ` CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
1
Structural Reviews $ Bond $
TOTAL FEE �. OW DUE $ jib a �
(Revised02/24/2014)
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. 1 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 absence of such posted notice, the
inspection will not be approved and a reinspection ee will be charged.
Signature Signature
OWNER or AGENT
The�fjorggoing instrumentwasacknowledged before me this
day of Jo ua k-, 20 by
who is personally known to
me or who has produced as
The foregoing instrument was acknowledged before me this day of _ 20 16 by
me or who has produced
identification and who did take an
N TA Y PUBLIC:
l
Si n: YP,.
�'• Ni
Print: ' ' = MY
Seal:
who is personally known to
as
Public - State of Florida
Commission #E EE 154640
Bonded Through National Notary Assn,
APPROVED BY l Plans Examiner Zoning
T
Structural Review Clerk
(Revisedo2/24/2014)
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JAN 27 2015
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Approved 13aite
Disapproved
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CARMEN A. RIVERA
Notary Public - State of Florida
My Comm. Expires Mar 16, 2016=Commission #F EE 154640
= Bonded Through National Notary Aso.
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