PL-14-128041
V
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-214355
Scheduled Inspection Date: March 24, 2015
Inspector: Diaz, Osvaldo
Owner: REID, LISETTE
Job Address: 290 NE 95 Street
Miami Shores, FL 33138 -
Project: <NONE>
M
Permit Number: PL -6-14-1280
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (305)632-5357
Parcel Number 1132060133700
Contractor: UNIVERSAL PLUMBING CORP Phone: (305)887-3131
tsuuamg uepartment comments
KITCHEN RENOVATION
INSPECTOR COMMENTS False
March 23, 2015 For Inspections please call: (305)762-4949 Page 2 of 52
Inspector Comments
Passed
Failed
Correction
Needed
❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid
March 23, 2015 For Inspections please call: (305)762-4949 Page 2 of 52
Miami Shores Village CFTN1
Building Department JUN 1sZ0�4
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 'Y°
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (30S) 762-4949
FBC 200
BUILDING Master Permit No. / /���
PERMIT APPLICATION Sub Permit No. ,ems/ 14-1— / Z:�
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
DRAWINGS
JOB ADDRESS: /y� (�
City: Miami Shores County: /" G' Miami Dade Zips -?1.s
Folio/Parcel#: Z 2060 —01.3 —306 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: gonstruction Type: Flood Zone: FFE:
OWNER: Name (Fee Simple Titleholder): L khone#:
Address: z`70 /�
City: !" i ( n" I 11% C�/� �� Stater Zip: ate/
Email: f i '�
CONTRACTOR: Company Name: "Orx"2500K 144"AW44.1'=,W w Phone#:
Address: �' 1� ®✓� /
City: State: Zip: /'3:xv ! 3
Qualifier Name: . ���G/?��/ Phone#:.� / .1'l
State Certification or Registration #: �G.. I �W ^/0?/ Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
Value of Work for this Permit: $ e ®® Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace
Description of Work: 'KCke_ n r -e h W &+1'oAj
Specify color of color thru tile:,
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Radon Fee $
Zip:
XDemolition
�Y CCF $ CO/CC $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ A/17 • O
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
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 TG 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 fee will be charged.
Signature Signatur1,04 a
a ,
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
16 day'of _, �OYt 20 , by
o:e
who is personally known to
me or who has produced Wt),9,3 3 6fS2-9'-0 as
identification and who did take an oath.
NOTARY PUBLIC:
Sign
The foregoing instrument was a nowledged.before me this
day of * v 20 by
who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLI .
Sig .
Print:
Seal: Joanna M Feffdano Seal:isq ; P EXPIRES April 17, 2017
My Commieelon FF 082753 FloridallotaryService.com
f . 00ru MOMS 01/12/2018 1 (407) 398.0153
as
APPROVED BY /d-4 1 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)