PL-14-2770a
4
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-225500 Permit Number: PL -12-14-2770
Scheduled Inspection Date: March 17, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: P
Owner: MICHELLE CANERO, PENN DAVIS Work Classification: Gas
Job Address: 384 NE 94 Street
Miami Shores, FL Phone Number
Parcel Number 1132060136140
Project: <NONE>
Contractor: THE NEW MIAMI SHORES PLUMBING Phone: (305)751-2446
comments
GAS LINE REPLACEMENT FEEDING TANKLESS ""'a`°" rassea t1ommenrs
HEATERS APPROX. 40FT INSPECTOR COMMENTS False
March 16, 2016 For Inspections please call: (305)762-4949
Page 7 of 38
Inspector Comments
Passed E:Er
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid
March 16, 2016 For Inspections please call: (305)762-4949
Page 7 of 38
MSP
Lob Name:
Pen Davis
Address:
384 NE 94th St
Miami Shores
24 HOURS
MIAMI SHORES PLUMBIN
TELEPHONE: 900 N.W. 144th Street
(305) 751-2446 Maw, FI 33168 FAX:
CC# CFC019205 (305) 754-5402
Licensed and Insured
Drop Test
Permit # PL -12-14-2770
City Miami Shores
Operating Pressure
Lock-up Pressure
Test Pressure
Minutes
Performed By
0.6-0.8
6.8
6.2
20
George Rack!
BUILDING
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
PERMIT APPLICATION
FBC 20 [0
Permit Type: PLUMBING
SEE 17 2014
L;
Permit No.���—Z�
Master Permit No.
Owner's Name (Fee Simple Titleholder) Opk) Phone #
i
Owner's Address c I�
City`AMB 5/10u.. State /1i
Tenant/Lessee Name
Email
Job Address (where the work is being done) L3 Y � 140
zip 3343
Phone #
City Miami Shores Village CountyMiami-Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company NameIhe AA) f Al amt
Contractor's Address
City --t '` rain 1
Qualifier Name
NO-) (44 S
NO Flood Zone
Phone # '�05 - q 6l `a` 4-6
State T l ood a Zip 13
115 Phone # JUS' o
State Certificate or Registration No
.
kj 4 l Certificate of Competency No.
Contact Phon&5 761. 04-- J E-mail {�% 1 �,(1'Ii�/ �f `6�
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $02 oo
Type of Work: ❑Addition ❑Alteration
Describe Work:
Submittal Fee $S
Notary $
Square / Linear Footage Of Work: 09
[]New Repair/Replace ❑ Demolition
Permit Fee $ / ` A® CCF $ CO/CC $
Training/Education Fee $
Scanning $ Radon $
Double Fee $
DPBR $
Violation date:
Technology Fee $
Bond $
Structural Review. $ Total Fee Now Due $ p`' � 30
See Reverse side -->
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 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 afier the building permit is issued. In the absence of such posted notice, the
inspection will not a ap roved and a reinspection fee will be charged.
Signature Signature
Owner or Agent�� Contractor
The foregoing instrument was acknowledged before me this The foregoing �instrument was acknowledged before me this Q -1
day of �g, 20 Lf, by day of Q l�l� , 2014, by'DENI-5 I (� 1,W
who is personally known tome or who has produced who is personally known tome or who has produced
As identification and who did take an oath.
Print: 'P MP410 , I CAR -MEN A. RIVEHA
Al., "Y of Florida
My Commiss ; •= My Comm. Expires Mar 16, 2016
o; Commission # EE 154640
�Orai. 11% , Bonded Through National Notary
APPROVED BY , fL- foy-f Plans Examiner
Engineer
(Revised 07/10/07)(Revised 06/10/2009)
as identification anho did take an oath.
NOT Y PUBLIC:
Si
Print: ,.•"�"Jr�••,,, CARMEN A. RIVERA
M Commissi •? My Comm. Expires Mar 16, 2016
My Commission # EE 154640
Bonded Through National Notary Assn.
•uuu�•
Zoning
Clerk checked
TANKLESS RHEEM WATER
HEATER
MODEL # RTG-95XLN
199,000 BTU
NE 94TH STREET
BACK ALLEY
N
pL111�G PLANS
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Id��u. / /�r-cam- �i�
,)ennis A�ela,�Llu,