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PL-14-2336Inspection Worksheet ` Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-222173 Permit Number. PL -10-14-2336 Scheduled Inspection Date: April 07, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: MARVIN R LIST 81 MARIA T MANERBA, Work Classification: Gas 68ADInU C 1 ICT S MACIA T B®AM=00A Job Address: 9929 NE 4 Avenue Road Miami Shores, FL 33138- Phone Number (305)858-0204 Project: <NONE> Parcel Number 1132060171280 Contractor: EH WHITSON PLUMBING Phone: 954-929-3599 tsuuamg ueparitment comments INSTALL TANK LESS WATER HEATER AND GAS LINE Infra`UoPassed Comments FOR RANGE AND DRYER INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ElNeeded Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. April O8, 2095 For Inspections please call: (305)7624949 Page 6 of 63 r -% f E.H. WHITSON PLUMBING 421 SOUTH 21 AVENUE HOLLYWOOD, FL 33020 (954) - 929 —3599 DROP TEST: CUSTOMER: /VA- & ADDRESS: PERMIT # (IF APPLICABLE); DROP TESTED BY': PATE: HELD (yEg) (NO) INCHES OF WATER COLUMN: Pc�_ MINUTES: 2 6 PLEASE INQUIRE ABOUT AIR CONDMONINO & ELECTRIC SERVICES a► 954 923 6505 Miami Shores Village Building Department artment OCT 2� 2014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B, Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 )0 BUILDING Master Permit No. _ dY 9, PERMIT APPLICATION Sub Permit NO.2Z & — 2- ❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL n(PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: cjq,3 q lVe L4 1t Ve. - City: Miami Shores County: Miami Dade Zig): 33139 Folio/Parol#: �� s i5 Is the Building Historically Designated: Yes NO Occupancy Type: l7 I Load: �_ Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): � Phone#: Address: Al ef- y jq vg Rd City: /�n � 0 -r -Y) t S%, ®„V- P- c State: Zip: 3 3 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: zc�tL• U'If5t Address: `7 `J . o� i iiy-e City: 90 0LU-00d Zip: Qualifier Name: Tok V) Phone#q5tqg / State Certification or Registration #: C �� "'ii a 50S �L Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ -o ®C)ci Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ "Altera�1�-�tiLon' ❑ New F-1 Repair/Replace ❑ Demolition Description of Work- i(1 S !� 4 L&4n t' S � l��-�� %&P"- T Specify color of color thru Submittal Fee $ Permit Fee $ /56" 77 CCF $ CO/CC $ Scanning Fee $ q'60 Radon Fee $ , �d_t-, DBPR $. Notary $ Technology Fee $ 1 L6 Q� Training/Educ adon Fee $ - � Double Fee $ Structural Reviews $ Bond $ G) TOTAL FEE NOW DUE $ (RevisedO2/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip City Siete 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 $2500, the applicant must promise In good faith that a copy of the notice of commencement and construction lien law brochure will be delivered toperson whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement m po dgPftZ1Job site for the first inspection which occurs seven (7) days after the building permit is issu he abse su PCnotice he Inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT The foregoing instrument was acknowledged before me this _ day of I . �I� .20 , by LA NW wh rsonall to me or who has produced as Identification and who did take an Print: Seal: m gNFFPAA O� •....o;rC y. ION e �p �oper 5, 2p� 9 The foregoing Instrun;= ged before a this day of 20 by ho is personally known to me or who has produced identification and who did take an NOTARY Print: Seal: APPROVED BY /® ,7-2 1-4 Plans Examiner Structural Review (Rev1sed02/24/20M4) as v ooeSS Zp �oi�.re ;� •� oa7 * '• AFF a�� ._� " o Zoning Clerk BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2015 ODA: E H WHITStON PLUMBING Recelpt#-.102-X266 Business Name: PLUMBING/AWN SMKL/CONTRACTOR Business Type: (PLUMBING CONTRACTOR) Owner Name:joijN s L=Prcp, Suslnew Opened:01/07/2005 Business Locadon:421 S 21 AVE State/County/Cert/Reg:CFC1425789 HOLLYWOOD Exemption Code: BUS111e88 Phone: 954-929-3599 Roane Seats 9mployes: Machines Profeestonsis 11 Number of ". hires: Tax Amount Transfer Fes N$F Fee 54.00 0.00 0.00 Penalty Prior Yeare Collection Cost Total Paid 0.00 0.00 0.00 59 00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax to levied for the privilege of doing business within Broward County and is non -regulatory In nature. You must meet all County and/or Municipality planning MEN VALIDATED and zoning requirements. This Business Tex Raceipt must be transferred when the business is sold, business name has changed of you have moved the business location. This receipt does not indicate that the business is legal or that It Is In Compliance with State or local laws and regulations. Malting Address: $ LIi? 421 s z1 AV�tvr Radish #1CP-13-0o013065 421 HOLLYWOOD, FL 33020 Paid 08/21/2014 54, Q0 2014 .2015 L�1`1/^►1�/A r%M 1 0%^ A e 191 1!%10111-C%L% 'eA V cv:TO VT0Z1ZZ1g00 RICK SCOTT, GOVERNOR KEN LAMON, SECRETARY ~ r STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD I CFC1425789 The PLUMSING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 LIPKA, JOHN S E H WHITSON PLUMBING 429 SOUTH 21STAVE HOLLYWOOD FL 13020 ISSUED- 0WIM014 DISPLAY AS REQUIRED BY LAW E /z -aoxa SEO 0 L1405100002201 Inca ZV=TO VTOZ-ZZ'400 r i E.H. WAITSON PLUMBING OCA' -2 2 2014 421 S011'1*11 21 AVENUE I 110&.1NYA100D, FLORIDA 33020 (954) 929 -3599 St:uj-t1.Y WE PJANS J 0 r CUSTOMER NAME. - NSA � ®IAF �i®li I�W'>•ii11 iii�ellA J ZIP ('01)1:: 1'i1ONE #: :ALL N ORK TO t ONNIPLY WITH CODE#:.r ESTIMATED JOB COST: DESC'Itli''1IO OU WORK: allot c,� 1- %� 1 -i 1-,> m r E.H. Whitson Plumbing i *! 421 South Hollywood,FL 33020 a, Cwtomer Name: Cry's Stake, Zip: % —____ Phone * : - I All Work to Comply With N.F.P.A. Code:- Estimated Job Cost: - is -0 it •, • ` PLEM. PLAM Approved Date •--°� Disapproved Y "00-0* 14r *f-6 4-0111.1 LN -50'"g,6i y xw o •` 0:2o a