PL-14-2479I
il
l
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-223238 Permit Number: PL -11-14-2479
Scheduled Inspection Date: November 25, 2014 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: , Work Classification: Addition/Alteration
Job Address: 1090 NE 92 Street
Miami Shores, FL
Project: <NONE>
Contractor: WM PLUMBING SEPTIC TANK 81 GREASE TRAP
oUNIUMV 1JUIMIL111G11L VL7111111C11L*
Phone Number (305)987-0644
Parcel Number 1132050270410
Phone: (305)407-1970
REPLACING KITCHEN FAUCET FRIDGE AND Infractio Passed Comments
DISHWASHER I
INSPECTOR COMMENTS False
Inspector Comments
Passed Ed�
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
November 24, 2014
For Inspections please call: (305)762-4949
Page 20 of 42
M id l 111 JI lUl CJ V I I Id6C yp
Building Department NOV 12 2014
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20%
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC [] ROOFING
Master Permit No.l� / �®.3
17
Sub Permit No. p/ /V—'7
❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOBADDRESS:
City: Miami Shores County: Miami Dade Zip: 3/3�
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple
z e -C
City: /'7 a. -s. ' 1 �' ®�'` s State: Zip: 53
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
Address: /,?�1 J --
City; State:
Qualifier Name:
21ZO,
State Certification or Registration #: G c ,,W77,0,9" Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Zip: 33r L
,:��• s' �S9s 061 �
Address: City: State:
Value of Work for this Permit: $ 8 % ® Square/Linear Footage of Work:
Zip:
Type of Work: ❑
Addition ❑ Alteration
❑ New
® Repair/Replace ❑ Demolition
Description of Work:
_ /
Specify color of color thru tile:
Submittal Fee $ _ Permit Fee $ ,�? 2-S. CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Notary $
Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE S
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: 1 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 attachipent Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection whic occIfs seven (7) days after the building permit is issued. In the absence of such posted notice, the
Inspection will not be apprdqA0 a leipspection fee will be charged.
OWNER or
The foregoing instrument was acknowledged before me this
day of X%� 20 by
� Aa/i/LG% who is personally known to
me or who has produced � as
Identification and who did take an oath.
I
Signature------
OWNER
ignatu _._
CONTRACTOR
The foregoing instrument was acknowledged before me this
°2 day of A�oaxl w 20 /14 by
CA rlt' mal A who is personally known to
me or who has produced,44 as
,,-
NOTARY PUBLIC: NOTARY PUBLIC:
Sign ign• //
nt• Print: 1 1, cam! L
40 pu® Notary ruulll
Seal: f Joanna M Feliciano Seal:
My Commission FF 082753 DAU80NPACHECO,,iR
C& € apirc�e 0111^12®18
''�- n '' � W COWSSION � FF 100
EXPIRES: August 18, 2018
�,�'��` ea»aed 7Mu nt�y wbec uredem��s
APPROVED BY Plans Examiner Zoning
Structural Review Clerk