EL-15-381 (2)Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-231931 Permit Number: PL -1-15-123
Scheduled Inspection Date: April 09, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz. Osvaldo
Owner: LLC, CID 1050
Job Address: 1050 NE 91 Terrace
Miami Shores, FL
Project: <NONE>
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (305)586-6050
Parcel Number 1132050010340
Contractor: GON GAR CORP Phone: (786)258-1213
comments
NEW FLOOR INSTALLATION AND NEW VANITIES
CABINETS. INSTALLATION IN BOTH BATHROOMS. INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-226768. WORK NOT READY
:01 MISSING LAVATORY SINK IN HALL BATH DOWN STAIRS
KITCHEN DRAIN SHALL USE AN END CONTINUOUS WASTE DISPOSAL
SHALL CONNECT DOWNWARD TO P -TRAP
Failed ❑ DAN SHALL BE SECURED AND PROVIDE HOSE CLAMP FOR
CONNECTION
OPEN CONNECTION FOR DAN HOSE AT DISPOSAL
Correction
Needed ❑ Ae-
Re-inspection ❑ S
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
April 08, 2015 For Inspections please call: (305)762-4949 Page 24 of 33
Miami Shores VillagecWpm
Building Department JAN 1) 2015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY'
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 10
BUILDING Master Permit No. g� 6- (9.2 -
PERMIT APPLICATION Sub Permit No�l:
[—]BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS []CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1050 N.E. 91 TER
City Miami Shores County Miami Dade Zip:
Folio/Parcel#:11-3205-001-0340 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: X BFE: FFE:
OWNER: Name (Fee Simple Titleholder): CID 1050 LLC Phone#: 305-586-6050
Address: 10 NW 2 STREET
City: MIAMI State: FLORIDA Zip: 33128
Tenant/Lessee Name: Phone#:
Email: MPORT075@GMAIL.COM
CONTRACTOR: Company Name: _ � Goa- e r P. Phone#:1K Q53 -R
Address:
ll
City: "t', L nc _mk state:'
1p� La r ( da. Zip: 3
Qualifier Name: A. L QS G )A C\ Phone#: r �L 1
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone
Address: City: State: Zip:
Value of Work for this Permit: $ 2)Square/Linear Footage of Work:
Type of Work: ❑ Addition
`, pp ❑ Alteration F-1New ❑ Repair/Replace ❑ Demolition
Description of Work: Tad
Specify color of color thru tile:
Submittal Fee $ 90 °_6'j;sv
Permit Fee $ _ 150' C $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
(Revised02/24/2014)
DBPR $
Notary $
Double Fee $
Bond $ G /�
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 absence of such posted notice, the
inspection will not be approved and a reinspect' fee will be charged.
Signature Signature
WNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of �/� 20 (� by
0.-CL� who is ersonally know' E:!1- to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
MARCIA BENNETTI
Sign: Notary P - State of Florida
Jul 25, 2017
Print: .f F 039037
4ao%
Seal:
The foregoing instrument was acknowledged before me this
day of 20�by
,ho is ersonally known o
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: ' 6 t " ® MAI ,i NN TT I '
5W*4,X= bliNotary Puc - State of Florida
Seal:: My Comm. Expires Jul 25, 2017
�`' Commission N FF 039837
APPROVED BY �/ Z - S' i Plans Examiner
Structural Review
(Revised02/24/2014)
r
as
Zoning
Clerk
M50) 4W-1
4��MATE OF FLc)MIDA
REGULATioN
'�Y•CONSTRUCTION INDUSTRY LICENSING BOARD
• , NORTH
MONROE STREET
••
1AU-"SSEE FL
3239"783
GARCK ALBERTO
GON GAR CORP
2201 SW 5 PL
FORT LAUDERDALE FL 33312
Owninon of ft DepwhmM b; Liosn
V* mmufWm toswve you t e'rso ' R egukft m
canT
an Y nm rmma r" Fla serve
DETACH HERE
RICK SCOTT; GOVERNOR
FC'I TM
The PLUMBING
CM-
Named below IS -CER
Under f m Prmislons.i
Eamon Bite: AUG
GON 'GAf
2201 -SW
FORTLAI
KEN LAWSON, SECRETARY
STATE OF FLORIDA !
aEPnRTMEOff OF M-mmsMaim A un R+DFt�StONA#. REGULATON
CONSTRUC71 DUSTRY �t fG
BOM:,
s
G7
l � r r