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PL-15-779Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231744 Permit Number: PL -4-15-779 Scheduled Inspection Date: April/j', 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: MAINADE, FRANK & KELARA Work Classification: Septic Job Address: 925 NE 92 Street Miami Shores, FL 33138 - Project: <NONE> IUM Tail,Mt7; M Parcel Number 1132060060070 Contractor: CHAPMAN SEPTIC SERVICE, INC. Phone: (305)815-9901 Building Department Comments INSTALL 1050 GAL TANK AND 667 DRAINFIELD Infractio Passed Comments INSPECTOR COMMENTS False 'Inspector Comments Passed HR E OND FOR SIDE ALK AND GRASS IS INCLUDED IN MASTER PERMIT Failed 5f`C Ci d�' L_ v Correction ❑ Needed Re -Inspection ❑ Fee 14.1 S No Additional Inspections can be scheduled until re -inspection fee is paid. April 13, 2015 For Inspections please call: (305)762-4949 Page 12 of 26 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number Applicant 925 NE 92 Street 1132060060070 FRANK & KELARA MAINADE Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell FRANK & KELARA MAINADE 925 NE 92 Street MIAMI SHORES FL 33138- 925 NE 92 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone CHAPMAN SEPTIC SERVICE, INC. (305)815-9901 Type of Work: INSTALL 1050 GAL TANK AND 667 DRAIN Type of Piping: Additional Info: Bond Return: Classification: Residential Scanning: 3 Fees Due Amount CCF $1.80 DBPR Fee $2.25 DCA Fee $2.25 Education Surcharge $0.60 Permit Fee $300.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $318.30 Valuation: $ 2,450.00 Total Sq Feet: 667 Pay Date Pay Type Amt Paid Amt Due I Invoice # PL -4-15-55083 04/09/2015 Check #: 18804 04/06/2015 Check #: 18799 $ 268.30 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: HRS Approval Final Review Plumbing In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WIN DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify th all the forego' g information i accurate and that all work will be done in compliance with all applicable laws regulating construction anA carina Futlie re) I authorizd t e above-named ntractor to do the work stated. April 09, 2015 Authorized Signature: Building Department Copy April 09, 2015 1 Miami Shores Village FE Building Department 10050N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 LIBY:A�--- INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 l BUILDING Master Permit No. — -�� PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP A� CONTRACTOR DRAWINGS JOB ADDRESS: J / Ir' Folio/Parcel#:_ Its Sad h ®6 ® 6 -dog I) Is the Building Historically Designated: Yes NO _ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 1 r & 4rA((n �Q Phone#: Address: qo? 5 AIC qa a City: h k I "w� �� 1�P S State: Tenant/Lessee Name: Phone#: Email: City: ! State: Zip:.5jo? �( Qualifier Name: a Phone# 6 ^3 5 ka "/ q®1 State Certification or Registration #: 4%®7 Certificate of Competency #: 3 i ®s f 7 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage f Work: 6D Type of Work: ❑ Addition ❑ Alteration El New ,,/� Repair/Replace ❑ Demolition ,/� Description of Work: 5� V� � /'7 9 1''Sr Specify color of color thru tile: Submittal Fee $ 5TJ ° 100 Permit Fee $ "-V CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ :2,n — I E4 —1011 TOTAL FEE NOW DUE $ (Revised02/24/2014) 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 reinspection fee will be charged. Signat r Signature h/94k� OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this A0 day of (44 20 1 by / V^17k E�%�� who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Print: SeaG��y30,?�.0: . l: = �°� °'��'� ? y #FF 087868 ! p .� til iCC,A yE4°ate APPROVED BY �•�� Plans Examiner The foregoing instrument was acknowledged before me this day of c 20by f� who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Structural Review (Revised02/24/2014) Zoning Clerk DIdISI" -Op_ - ® Environmental H ealth �1 Florida Health Miami-Dade County OSTDS/Well Division 40 11805 SW 26th Street • Mjawi FL 33175 O` " Inspector(� z+ess vl r� Add5, 1;� s7 I OSTDS # It comments: Signature J