PL-14-2636�Willa]
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Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-231442 Permit Number. PL -12-14-2636 -
Scheduled Inspection Date: April 07, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Owner: MARVIN R LIST & MARIA T MANERBA,
MADVIKI D 1 ICT AL MAD A T MAMCDDA
Job Address: 9929 NE 4 Avenue Road
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: J C PLUMBING SERVICES INC
umidma ueaartment comments
ADD 1 NEW POWDER ROOM REPLACE 3 TOILETS
REPLACE 1 BIDET 1 NEW WHIRLPOOL TUB 3 NEW
SHOWERS 3 VANITIES 1 NEW KITCHEN SINK D/W
REFRIGERATOR AND WASHER
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (305)858-0204
Parcel Number 1132060171280
INSPECTOR COMMENTS False
Phone: 305-796-4663
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-224438. P2720.1 PROVIDE
ACCESS PANEL FOR JACUZZI PUMP
PROVIDE ESCUTCHEON AROUND PIPES IN CABINET
Failed 614
Correction ❑ �'�,,/�
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid
April 06, 2015 For Inspections please call: (305)762-4949
Page 33 of 63
B
PE
-2-\ Miami Shores Village
L . M Building Department
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (303) 762.4949
FBC2010
BUIL
Permit No.P L I Ll -'096 3 6
PERM
APPLICATION Master Permit No. VC, - b —14 o 1��,
�"''�
®�c � �' Lo IY
Permit Type: PLUMBING
JOB ADDRESS: 'I C\ �� �C Z= T' � -Q -- 0— C>
City: Miami Shores County: Miami Dade Zip:
Folio/Parcelt
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): ��,^ t � �a e,� \ UT, Phone#:
Address: �t�t2� � ' ' 4 �
City: State: r" � t w�`` �°^ �'�- !—ZIP: Z�\�� "
Tenant/Lessee Name: Phone#:
CONTRACTOR: Company Name: JC PLUMBING SERVICES, INC. Phone#: 305-970-1612
Address: 1800 S. OCEAN DR. # 1407
city: HALLANDALE BEACH state: FL zip: 33009
Qualifier Name: JUANCARLOS LEON phone#.: 786-251-8027
State Certification or Registration #: CFC -1426227 Certificate of Competency #:
contact Phone#: 786-251-8027 Email Address: INFO@JCPLUMBINGSERV.COM
DESIGNER: ArchitectlEngineer:
Value of Work for this Permit: $ �, SCS �v square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work:
Submittal Fee
Scanning Fee $
cN �31�b"
Permit Fee $ Z2 CCF $ CO/CC $
Radon Fee $
DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $- C . I 0
Bonding Company's Name (if applicable)
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. 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 properly 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 absence such posted notice, the
inspection will e approved and a reinspection fee will be charged.
J
Signature Signature
Owner or Agent "Qntractor
The foregoing instrument was acknowledged before me this/ A
day of , 20 9 , by ���' ���
who is personally known to me or who has produced DJ�J Lk-�,
As identification and who did take an oath.
NOTARYLI(
Sign:
Print:
My Commission Expi
APPROVED BY
Stanley Moore
My Commission EE 831981
Expires 09128/2018
The foregoing instrument was acknowledgedbefore me this
G Lem . 20 , by o
day of � Jag'neavf°ir' � � ,
who isEersonally known to me or who has produced
Plans Examiner
Structural Review
(Revised3/1212012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
MARIA
My Commission Ex ' EXPIRES: MAR 14, 2017
" Bonded 11=0 let State Insurance
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
DBA: Rewlpt x3.192 -2501j 17
Business Name' JC PLUMBING SERVICES, INC Business Type,PLLUMI PLUMBING/ SPRNBL/CONTRACTOR
Owner Name: JUAN CARLOS LEON Business Opened:07/31/2012
Business Location: 1900 S OCEAN DR #2002 StaWC01nty1CerNRe9:CFC1426227
HALLANDALE Exemption Code:
Business Phone: 305-970-1612
Rooms seats Employees Machines Professionals
2
Tax Amount Transfer Fee NSF Fee PonaQy Prior Years I Collodion Cost I T01W Paid
27.00 0.00 0.00 0.00 0.00 0.00 27.00
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is
nal -regulatory in nature. You must meet all County and/or Municipality planning
WHEN VALIDATED and zoning requirements_ This Business Tax Receipt must be transfarred when
the business is sold, business name has changed or 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.
Mailing Address:
JC PLUMBING SERVICES, INC Receipt 830B-13-00002670
1900 S OCEAN DR #2002 Paid 08/19/2014 27.00
HALLANDALE BEACH, FL
33009
2014 -2015
POLIM
Immmunym