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PLC-15-991Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-233392 Permit Number: PLC -4-15-991 Scheduled Inspection Date: May 06, 2015 Permit Type: Plumbing - Commercial Inspector: Diaz, Osvaldo Inspection Type: Final Owner: VILLAGE, MIAMI SHORES Work Classification: Addition/Alteration Job Address: 10000 BISCAYNE Boulevard Miami Shores, FL Project: <NONE> Phone Number Parcel Number 1132050200010 Contractor: LASSETER PLUMBING CO INC Phone: (305)525-5075 :suiiaing uepanment comments REPLACE FIXTURES Infractio Passed Comments INSPE ` OR COMMENTS False APP C May 05, 2015 For Inspections please call: (305)762-4949 Page 26 of 60 1-11 Inspector Comments Passed E�r ASK FOR ADMINISTRATIVE OFFICE Failed Correction Needed ❑ Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. May 05, 2015 For Inspections please call: (305)762-4949 Page 26 of 60 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Applicant 10000 BISCAYNE Boulevard 1132050200010 MIAMI SHORES VILLAGE Miami Shores, FL Block: Lot: Owner Information Address Phone Cell MIAMI SHORES VILLAGE Contractor(s) Phone Cell Phone LASSETER PLUMBING CO INC (305)525-5075 (305)893-7180 Type of Work: Type of Piping: Additional Info: Classification: Residential Scanning: 3 Fees Due Amount CCF $0.60 DBPR Fee $2.25 DCA Fee $2.25 Education Surcharge $0.20 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $165.10 Valuation: $ 473.00 Total Sq Feet: 00 Pay Date Pay Type Amt Paid Amt Due I Invoice # PLC -4-15-55328 05/05/2015 Credit Card $ 165.10 $ 0.00 Available Inspections: Inspection Type: Top Out Re Pipe Main Drain Heater Water Service Final Water Main Lavatory Review Plumbing Underground 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, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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 a�d zo in . Futhermore, I authorize the above-named contractor to do the work stated. May 05, 2015 Authorized Ml; nature: Owner / Applicant / Contractor / Agent Building Department Copy May 05, 2015 1 Miami Shores Village F`T __ Building Department APR 242815 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY: INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No., ----z-- i -S — [ 13 PERMIT APPLICATION Sub Permit No.l,S�_R 52V ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION E] RENEWAL PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR JOB ADDRESS: DRAWINGS U City: Miami Shores County: Miami Dade Zip: —�s Folio/Parcel#: 1 '� - f - 0 (4 -_z, % Is the Building Historically Designated: Yes NO Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder) Construction Type: Flood Zone: BFE: FFE: Address: W_ P c City: v " S State: );A, Tenant/Lessee Name: Email: J;p t4 ya RA Laig tr Q CONTRACTOR: Company Name: C.A.s • 79:S, U(M1a C'dtV Gni Phone#: zoo 15 S//b � %V �'�? Address: � Ac� pp��'� `` Rt" i�Y't, A 2 City: J�Iq�IM, { I"�(It/�, (, Scutate: ��t-►EJ � l�Zip: 3 Qualifier Name: ZZAA r� A LAAS/n� 1S a -r R Phone#: a 96-867 "%f8l State Certification or Registration #: �� F L42Qc� Certificate of Competency #: DESIGNER: Architect/Engineer: — Phone#:`-� Address: yy _ City: State: Zip: Value of Work for this Permit: $ 1 Square/Linear Footage of Work:10 d� Type of Work: ElAddition ❑ Alteration ❑ New Repair/Replace ❑Demolition Description of Work: RAcv,: < <10 Specify coliir of °�,d?or'thru the: Y , Submittal Fee Permit Fed $; Scanning Fee $ 1 1.Radon Fee $ �X Technology Fee $ Training/Education Fee $ Structural Reviews (Revised02/24/2014) CCF $ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ I G5, o Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) 0 --�� 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. r Signature OWNER or AGENT The foregoing instrument was acknowledged before me this L day of ��/ ` 20 / , by �� 4 , who is personally known to me or who has produced TIDL. as Signatur CONTRACTOR The foregoing instrument was acknowledged before me this C� day of 1 I c 20 _� , by LAW who is personally known to me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: 11-11 NOTARY PUBLIC: as 72 Si= Sign:_0 d Print: v Pg,. Notary u a Print: �o Joanna Seal: < My Commission FF OB2753 Seal: J9. OF �o� expires 01/12/2018 .-A ::'°,�•, TERESA NUNEZ-APONTE i? • • Si Notary PubUc -State of Florida My Comm. Expires Jan 26, 2018 * ** ************** * *****************************>k******** **W11640011DW0"'9 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) NOTE: ALL SHEETS MUST BE REVIEWED MIAMI-DADE COUNTY BUILDING DEPARTMENfi ' Herbert S. Saffiir Permitting and Inspection Cent l/1� 11805 SW 26th Street (Coral Way), -.Miami, Florida 33175-2474 - 100 APPLICATION FOR MUNICIPAL PERMIT APPLICANTS�� THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE AND/OR DEPARTMENT OF ENVIRONMENTAL RESOURCES MANAGEMENT PROVIDE MUNICIPAL PROCESS NUMBER HERE C Job Address 12J �a Contractor No. 11 7LZ w � � l B Last four (4) digits of Qualifier No. i8Folio �� — �� 0 °—i Name Contractor Lot Block '� 5:Qualifier Name �, Subdivision PBpg .� o U. V U. Address Metes and. bounds City State Zip [ ] New Construction on [ l Demolish [ ] Shell Only un t use o props <fla- !ll� C'n c Vacant Land [ Alteration Interior [ ]Addition Attached W [ ] Alteration Exterior [ ] ition Detached cription of Work W o [ ] Relocation of Structure [ ] RedRoof [ ]Foundation Only [ ] Enclosure Sq. Ft Units Floors — [Repair ] Repair Due to Fre Value of Wor LD * [ ] Chg. Contractor owner - -L W Category H [ ] Re -Issue w Address � �� [ ] MELE a city l`l' �y State Zip � [ ] MLPG H [ ] Re -stamp � Phone MME�] C [ ] Revision 0 Last four (4) digits of FIRE [ ] Not Applicable for Owner's Social Security No. 6 � Fire H Name v Name b o � Addressc Address �`� I �� CL city0 m State Zi City( �'Ir.lt� State Z► LU Phone �� --� b Phone v r$651am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible at the rate of $190 for the first hour and per each addition hour In addition to the review fees Minimum charge one-hour. H 1t Request: Date: E 2nd Request: Date: LU rL W 3'd Request: Date: I am requesting Optional Plan Review (OPR) to be scheduled as soon as possible at the rate of $75 for each discipline. Additional review fees may apply. • o o 1a1 Request: Date: 09 2"d Request: Date: c3'd Request: Data. y-.W==U01M-MuddedhcmkAmH-d- *C BUILDING PERMIT CATEGORIES CATEGORY DESCRIPTION t11jI:q-llI:le' 01 GENERAL BUILDING—COMMERCIAL 02 SUB—GENERAL BUILDING—RESIDENTIAL 08 CANVAS AWNING 10 COMMUNICATION TOWER 15 DEMOLITION 29 METAL AWNING & STORM SHUTTER 48 SCREEN ENCLOSURES 55 SWIMMING POOL 56 TENNIS COURTS (SURFACE PAVING) 86 TRAILER TIE DOWN 88 WALK-IN COOLER 91 MARINAS 92 LOW SLOPE APPLICATIONS (GRAVEL, SMOOTH MODIFIED, SINGLE PLY) 95 SHINGLES (ASPHALT, FIBERGLASS) 96 SHINGLES (METAL ROOFS)WOOD SHINGLES & SHAKE) 97 STAGE 2 VAPOR RECOVERY SYSTEM 99 SOIL IMPROVEMENT 0100 BULK STORAGE PROPANE TANK 0101 REMOVABLE STORM PANELS 0107 TILE ROOF 0110 WATER MAIN 0111 SITE PLAN 0112 INDOOR EVENT/EXHIBIT ELECTRICAL 04 FIRE ALARM SPECIALTY 16 SPECIALTY WIRING 38 GENERATORS LPGX 01 LIQUEFIED PETROLEUM GAS 02 MISCELLANEOUS 04 LIQUEFIED PETROL. GAS/STATE MECHANICAL 09 ABOVEIBELOW GROUND TANKS / PUMPS & POLLUTANT STORAGE SYSTEM 38 COMMERCIAL HOODS 43 FIRE CHEMICAL 46 SPRAY BOOTHS 48 SMOKE CONTROL 52 RESIDENTIAL ELEVATOR FIRE 32 FIRE SPRINKLER PERMIT TYPE MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD MBLD -MELS MELE MELE MLPG MLPG MLPG MMEC MMEC MMEC MMEC MMEC MMEC FIRE