PL-13-525Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-213507
Scheduled Inspection Date: September 17, 2014
Inspector: Diaz, Osvaldo
Owner: JULIANA MIRANDA, PAUL ADAN
Job Address: 500 NE 97 Street
Miami Shores, FL 33138 -
Project: <NONE>
Permit Number: PL -3-13-525
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number
1132060171540
Contractor: UNIVERSAL PLUMBING CORP Phone: (305)887-3131
bunting uepartment comments
NEW FULL BATHROOM HALF BATH
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-213272. CORRECT ITEMS
E�( LISTED ON INSPECTION TICKET
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
September 16, 2014 For Inspections please call: (305)762-4949 Page 10 of 45
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
FBC 20 UO
Permit No. FU 3 -52-5
Master Permit No. Cc( 3 — S -2--
X JOB ADDRESS: 5000 ;? 71e .Sir
City: Miami Shores County: Miami Dade zip: 7713-F
Folio/Parcel#: 11 — 32 A� — 047-- Iria
Is the Building Historically Designated: Yes NO X Flood Zone:
OWNER: Name (Fee Simple Titleholder):_ Ir ,i��/L HMAI Phone#: 10-r J 33312 57P
Address: S00 /V £ 1-7 ?"i S i
City: hIA1 1 SA10A f f State: ICZ Zip: 3
Tenant'Lessee Name: Phone#:
eei
Email: / P. 4AV AMC. GO/%
CONTRACTOR: Company Name:
Addr(
City:
Can?
I" -
Qualifier Name: u- �' �/G ;fit Phone#. � ' I cal
State Certification or Registration #:C_�� ZCC./�C�� / Certificate of Competency #:
Contact Phone#: Email Address:/�:r.�2/!
DESIGNER: Architect/Engineer: Phone#:
C)a
Value of Work for this Permit: $o?ia Square/Linear Footage of Work:
v
Type of Work: ❑Address DAlteration *ew ❑Repair/Replace ❑Demolition
Submittal Fee $ Permit Fee $ e 223- ^ CCF
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CO/CC $
DBPR $ Bond
Technology Fee $
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 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 faiih 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 b approve and a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this /-S7 The foregoing instrument was acknowledged before me this eQ
day of &4ad , 2Q13 , by �Ayl.. day of �'7v►'tfi. , 20 /3, by
who is personally known to me or who has produced// who is personally kiiown io me or who has produced
As identification and who did take an oath.
as identification and who did take an oath.
NOTARY PUBLIC:
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NOTARY PUBLIC:
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APPROVED BY <,� '�- - 23- %') Plans Examiner
K.-mvi 13 Structural Review
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Zoning
Clerk