DEMO-15-471E " —
A f b' p
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-229385 Permit Number: DEMO -3-15-471
Scheduled Inspection Date: April 09, 2015 Permit Type: Demolition
Inspector: Diaz, Osvaldo Inspection Type: Final
Owner: MARINO, STEPHEN Work Classification: Plumbing
Job Address: 1066 NE 94 Street
Miami Shores, FL 33138- Phone Number 305-812-0629
Parcel Number 1132050120120
Project: <NONE>
Contractor: JT MECHANICAL SERVICES LLC Phone: (954)367-3463
iuuamg uepartment comments
REMOVE SINK, TUB, AND VANITY SHOWER IINNSPECSPEC Passed Comments
TOR COMMENTS False
In pector Comments
Passed
y�5
Failed
.rte
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid
April 08, 2016 For Inspections please call: (305)762-4949 Page 8 of 33
BUILDING
PERMIT APPLICATION
❑BUILDING
PLUMBING
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
❑ ELECTRIC ❑ ROOFING
MAR 0 4 2015
FBC 20 15
Master Permit No. 1-�(-no 1,13-
Sub
,1 Sub Permit Noze.00c)��,
❑ REVISION ❑ EXTENSION ❑ RENEWAL
[:]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ' C1.01 je t
City Miami Shores County Miami Dade Zio•
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
OWNER: Name (Fee Simple Titleholder):
Add
Construction Type: Flood Zone: BFE: FFE:
0<-�//;? -GC 21
City: 10 1 eA A., d, � � ret f � State: Zip: M 13
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
Address: ,5q C) o�
City: et
Qualifier Name:
State Certification or Registration #:
of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State Zip:
Value of Work for this Permit: $ UCS !J Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration/ ❑ New J ❑ Repair/Replace Demolition
r
Description of Work: {� �n;.,i t l` &1,44,44 j'/I / ']�cJo/�Ila, 4111)k . 4,1r/
Specify color of color thru
Submittal Fee $ Permit Fee $ fc)(J,.— CCF $ CO/CC $
Scanning Fee $
Radon Fee $
DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $
(Revised02/24/2014)
Bond $ _
TOTAL FEE NOW DUE $
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 a of uch posted notice, the
inspection will not be approved and a reinspection f�will be charged. ��
or AGENT
The foregoing kLqTnt was acknowledged before me this
�
day of 1 , 20 tS . by
Y1 May L►il t) who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
The foregoingiinstrument was acknowledged before me this
day of 20 p - , by
vm"'l C-7At wIs personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Print:
Seal: _.`' WCOMMISM#EE640717 Seal:
EXPMS. March 2017
Bided Thru No" PW&4wwwffhm
APPROVED BY --*6- /S Pians Examiner
Structural Review
(Revised02/24/2014)
R ancy Milan
My Commission EE 843210
Expires 10/1412018
Zoning
Clerk