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DEMO-15-953Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-233091 Permit Number: DEM® -4-15-953 Scheduled Inspection Date: May 19, 2015 Permit Type: Demolition Inspector: Diaz, Osvaldo Owner: GODOY GONZALEZ, ILEANA Job Address: 166 NW 100 Terrace Miami Shores, FL 33150 - Project: <NONE> Inspection Type: Final Work Classification: Plumbing Phone Number (786)390-9503 Parcel Number 1131010230280 Contractor: EDWARD ROJAS PLUMBING CORP Phone: (305)944-6788 Comments PLUMBING INSPECTOR COMMENTS 7galse®v 1�M SYI ct 1� 18, 2015 For Inspections please call: (305)762-4949 Page 15 of 29 Inspector Comments Passed Ed Failed O Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. 18, 2015 For Inspections please call: (305)762-4949 Page 15 of 29 Miami Shores Village 10050 N.E. 2nd Avenue NW "" Miami Shores, FL 33138-0000 Phone: (305)795-2204 Expiration: 11/07/2015 Project Address Parcel Number Applicant 166 NW 100 Terrace 1131010230280 ILEANA GODOY GONZALEZ Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell ILEANA GODOY GONZALEZ 166 NW 100 Terrace (786)390-9503 MIAMI SHORES FL 33150- 166 NW 100 Terrace MIAMI SHORES FL 33150 - Contractors) Phone Cell Phone EDWARD ROJAS PLUMBING CORP (305)944-6788 of Demo: Plumbing onal Info: kation: Residential iinq: 3 Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $114.60 Valuation: $ 200.00 Total Sq Feet: 00 Pay Date Pay Type Amt Paid Amt Due Invoice # DEMO -4-15-55289 05/11/2015 Credit Card $ 64.60 $ 50.00 04/22/2015 Credit Card $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, VVINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing/nfg(mation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the boye-named contractor to do the work stated. May 11, 2015 Authorized Signature: Owner / Building Department Copy May 11, 2015 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING APR 2 2 2RIS FBC 20► D Master Permit No.DkA`10 Sub Permit No. D 22?OZ S ❑ REVISION ❑ EXTENSION ❑ RENEWAL -PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP y CONTRACTOR DRAWINGS JOB ADDRESS: 1 `4 N LO 106 TzTvau- City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: OWNER: Name(Fee Simple'' `Titleholder Address: I U'o r) 11 1 10C City: U-11 U.1 Tit Tenant/Lessee Name: Email horif-S Construction Type: Flood Zone: _ G) -.o -no G-Dn-,7QI&,-L BFE: FFE: hone#: b 3 /® ,50, State: i Zip:�1 Phone#: / Oav CONTRACTOR: Company Name: �� I S L Phone#: �/ y s8 Address: 990 A/j- /// s 7 - City: City: /S44ydZr`P4rl1 State: Zip: l �� Qualifier Name: Z;(YW�/9'(/ Phone#: State Certification or Registration #: e'F`Z� O'%% '1i? / Certificate of Competency #: DESIGNER: Architect/Engineer: hone#: Address: City: State: Zip: Value of Work for this Permit: $ c2o o Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New/ ❑ Repair/Replace /[� Demolition Description of Work: ��/l% ` �� • l2 / ��/� �`o r i l fC r'C//�i/j �'� A< Specify color of color thru tile: Submittal Fee $�SQ- &H Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews (Revised02/24/2014) DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ C., e- ' 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 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 to the person whose property 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 er the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinsp ction fee w 1 be charged. A _ or The foregoing instrument was acknowledged 'before me this day of 20 I, by is_personally known to me or who has produced identification and who did take an oath. NOTAR PUBLIC: Sign: Print: -- ' MY CAA�u{IS910N 8 EE X507/ Seal: ; EXPIRES :July 4, 2015 os:ei„ IWWad T6m iVoiMpd k U Mww t m The foregoing instrument w s acknowledged before me this dayoof 't ��✓ �d� 20 by ho is personally -known to as me or who has produced identification and who did taktagoat �g X pp •,,, abo coRligmBn NOTARY PUBLIC: .=C0tnmisd0a#FF061V1 . Expires: Oct 09, 2017 �niu�a�� WWQr ONNOTARY.Cam Sign: Print: Seal: as APPROVED BY `�� Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014)