PL-14-1183 (2) Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-227613 Permit Number: PL-6-14-1183
Inspection Date: February 19, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo Inspection Type: Final
Owner: GRIESBACH, JACOB Work Classification: Addition/Alteration
Job Address: 125 NW 100 Street
Miami Shores, FL 33150- Phone Number (305)444-6563
Parcel Number 1131010220320
Project: <NONE>
Contractor: AA MASTERS MECHANICAL AIR MOVING AND ENGINEERIN Phone: (305)559-7004
Building Department Comments
BATH AND KITCHEN RENOVATION Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed E2/ CREATED AS REINSPECTION FOR INSP-227354. CREATED AS
REINSPECTION FOR INSP-213748. P-TRAPS AT KITICHEN ARE BACK
PITCHED
ACCORDION P-TRAP NOT APPROVED IN HALL BATH
Failed ❑ PROVIDE ESCUTCHEONS AT ALL PIPES IN CABINETS
trap installed incorrectly
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
February 18, 2015 Page 1 of 1
Miami Shores Village RECEIVE
Building Department JUN 06ZU14
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 13Y.
Tel: (305)795-2204 Fax:(305)756-8972 `
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2010
BUILDING Master Permit No.&l7
PERMIT APPLICATION Sub Permit No.p� /— /�'?>
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: / Z S /V (U Z 0
City: Miami Shores County: Miami Dade Zip: J a
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: F�FEE:
OWNER: Name(Fee Simple Titleholder): ( �0 G�l Phone#:
Address: yr
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City: �// :A4 / State: Zip: :3 3
Tenant/Lessee Name: Phone#:
Email:
!� 44(9���� �hq
/4 Sys i&' s
CONTRACTOR:Company Name: A /"y t sT� Al L �ldL Phone#: ?,r 76J> P s 0
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Address: /�_s fi S'�✓ �O,f ��� �� i
City: i. j% State: Zip: S 3 1�6
Qualifier Name: �fU, Phone#: ?::r4 76�r
State Certification or Registration#:CSC p9 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ �_ i!� 0 Square/Linear Footage of Work:
Type of Work: 0 Addition 0Afteration �L El New ❑ Repair/Replace ❑ Demolition
Description of Work: / tj ac/J-i'&4o
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ Z ZS. K-r CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Ik 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: 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) days after the building permit is issued. in the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
i
Signature Signature
OWNER or AGENT CONTRTORUS
X -
The foregoing instrument was acknowledged before this The foregoi instrument was a nowledged before me this
day of OSI n- 20 � , by a O day of , 20 f� by
who is personally known to who is person known to
me or who has produced as me or who has produced as
identification and who did t e an oath. identification and who d take an oath
NOTARY PUBLIC: NOTARY PUBLIC: & 4�
IRA•'���°•
f•4 �
I 'a AU '' OMMISSION#F41W45
Sign: `�' "= C Sign: May 4, 20 its
3? '
'•?a:a
Print: E XPt ES May 4, 201 g Print: (407)398-0 .c
FloridallotaryServiceom
n a otaryServicexom
Seal: Seal:
APPROVED BY CG>��`�> Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)