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MC-14-988Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-212449 Permit Number: MC -5-14-988 Scheduled Inspection Date: March 11, 2015 Inspector: Perez, JanPierre Owner: , Job Address: 578 NE 93 Street Miami Shores, FL 33138 - Project: <NONE> Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1132060141050 Contractor: NAVARRO PLUMBING & MECHANICAL CO Phone: (305)244-5832 dunaing uepanment comments EXHAUST FAN IN BATHROOM Infractio Passed comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. March 10, 2015 For Inspections please call: (305)762-4949 Page 1 of 29 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: MECHANICAL JOB ADDRESS: S"_� Q Nr, q 3 54— City: f �..,.. MAY_ 14 2014 FBC 20 Permit No.- Master Permit No. PG" t4' City: Miami Shores County- Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder): 9 Address: 2-0 D A) W C NO Flood Zone: X/ City: 1? 0 D6.4 'State: Zip: 16 G Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: 090V?% Phone#:aS Address: U P�� j ' 2�c Z_ City: State: Zip: ` Qualifier Name: �� - l DE N E y NAv A74 -o Phone#: Z mac'( State Certification or Registration #: �� F� ILI Certificate of Competency #: Contact Phone#: _ �'�-/ ' Z Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ ?200' ©0 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New > ',lRepair/Replace ❑Demolition Description of Work: � , a / T✓ 1 �'rXJJ�? Submittal Fee $ Permit Fee $ 1 t 0V CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond Notary $ Training/Education Fee $ Technology Fee $ _;rouble Fee $ Structural Review $ TOTAL FEE NOW DUE $ Q4 F � t Bonding Company's Name (if applicable) Bonding Company's -Address City State Zip 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 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 Il"ROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:' Notice to Applican s condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good f ith hat a copy of the notice of commencement and construction It n law brochure will be delivered to the person whose property is ub ct o attachment. Also, a certified copy of the recorded notic of commencement must be posted at the job site for the first inspe w ich occurs seven (7) days after the building permit is i d In the absence of such posted notice, the inspection will not e p oved and a reinspection fee will be charged. i Signature cam\ Signatures _.Ow�er or Agent _. _.._Contractor - The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 �, by rt„ �o Cp o•wl 1L day of 20 �by i/ttt � who is gWnally known to me or who has produced who is perst�!as wn to me or who has produced As identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Signf Print: My Co ueTFNILA TACORONTE MY COMMISSION # EE028006 EXPIRES September 21, 2014 APPROVED BY 5 1 k I,'PiAns Examiner Structural Review (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Print: My Co RPNILA TACORONTE MY COMMISSION # EE028006 �?,a��.� EXPIRES September 21, 2014 Zoning Clerk