PL-14-987n
1;
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-229015 Permit Number: PL -5-14-987
Scheduled Inspection Date: March 05, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Owner: ,
Job Address: 578 NE 93 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: NAVARRO PLUMBING & MECHANICAL CO
comments
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number 1132060141050
Phone: (305)2445832
INTERIOR REMODEL IN BATHROOM INSTALLATION OF I
TOILETS AND VANITY INSPECTOR COMMENTS False
Inspector Comments
Passed 1 CREATED AS REINSPECTION FOR INSP-212446. not ready
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
March 04, 2015 For Inspections please call: (305)762-4949 Page 22 of 38
Miami Shores Village SAY 14Y
4. Building Department
BYd-
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949 _
FBC 20 -
BUILDING Permit No. 114
PERMIT APPLICATION Master Permit No. rul ` `T —
Permit Type: PLUMBING
JOB ADDRESS: S: -D 1J 0 3 57 -/-
City: Miami Shores
County:
Miami Dade
Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO
Flood Zone:
OWNER: Name (Fee Simple Titleholder)•
;t&57� �0/b
LekPt�hone#:r-)0T)
Address: D
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City: Do {- 1
State: rff,
Zip: 42Q_-
Tenant/Lessee Name:
Phone#:
Email:
MXL �,.
0E.0
CONTRACTOR: Company Name:
Address: '? 6 2
City: - e Stat
Qualifier Name:
a
_Phone#:
State Certification or Registration #: C Ak(�, 1 25 6-0 46 Certificate of Competency #:
Contact Phone#: Ca ' q `1 S�0 2 e Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ Z 1-0 - 6 8 Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New YRepair/Replace ❑Demolition
Description of Work:
e '0
Submittal Fee $�Permit Fee $ d r Y CCF $ CO/CC $
Scanning Fee $
Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable} e
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: A a`tbcha
ndition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in
good faith that a notice of commencement and construction lien law brochure will be delivered to the person whose property is
subject to attachmIso, certified copy of the recorded notice of commencement must be ted at the job site for the first inspection which
occurs seven 7
()he building permit is issued. In the absence of such posted 'ce, the inspection will not be approved and a
reinspection fee wed.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledge before a this The foregoing instrument was acknowledged before ffine this
day of , 20 � by 104 0''r �'" �� day of 120 tJJ by N d ee .c ries
who is personally known to me or who has produced who is personally known to me or who has pr uced
• As identification and who did take an oath 12> as identification and who did take an oath.
NOTARY PUBLIC: _ NOTARY PUBLIC:
Print: t -`'1'E uY U Y 1 `j t"
My Commission r" .1 YENILA TAOORONTE
MY COMMISSION # EE028W8
EXPIRES September 21, 2014
fdfF71 oec nwe..
APPROVED BY S'!-5'/!;( Plans Examiner
Structural Review
Sign:
Print: a
:
My Co 's i�. YENI LA TACORONTE
MY COMMISSION # EE028008
EXPIRES September 21, 2014
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�61YFC0.1:OI11
Zoning
Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) e, e % a
Clerk