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RC-14-1181 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Q_L�� Inspection Number: INSP-235687 Permit Number: RC-6-14-1181 Scheduled Inspection Date: June 01, 2015 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Owner: GRIESBACH,JACOB Work Classification: Alteration Job Address: 125 NW 100 Street Miami Shores, FL 33150- Phone Number (305)444-6563 Parcel Number 1131010220320 Project: <NONE> Contractor: AMENGUAL ELECTRIC INC Building Department Comments REMODELING KITCHEN AND BATHROOM INSTALL NEW Infractio Passed Comments TILE IN THE KITCHEN INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-229553. CREATED AS REINSPECTION FOR INSP-228855. CREATED AS REINSPECTION FOR INSP-228804. No access Failed ❑ THE STAMP IS ON THE GLASS 954-338-8994 JUAN Qualifier to talk to B.O. Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. May 29, 2015 For Inspections please call: (305)762-4949 Page 22 of 27 4 � � x sem^ -.,1' # �+«r�� ;� * !�� ,� �� .s � �, - ,r �a r � �f�� m" • 3 x +�,�'.✓ s t �. "` '� n }' _. s� `�'K i4;1�t�� ^.x s� Rwy,��,�;�� i s ,�a*n i, '� �14 � r+��y�� ov, ✓ _ r.L..r_ct,�� kit r .�... �^ � �. � a '� s #u '#$k* � A< � # k ,GS" 4 rvr'rak, �� Y�'fi � hr� �#f"r�,crr„x✓�fk"x{.r�.'4�� y, },� +* �*"�� x.� ;,s.� k�—.2?^�+fey ,lis+.,� ,�v °2 qaa �� `bsa�r aD�w --►� �_ Miami Shores Village 0 �2-C7I1� g pmenBuildin De artt .,o, JAN 2 r�� 5 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. � PERMIT APPLICATION Sub Permit No. rUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP C CONTRACTOR DRAWINGS JOB ADDRESS: 12_5 Nov l o Q e� City: Miami Shores 7 County: Miami Dade Zip: ��S0 Folio/Parcel#: 1131 01/�2_003 C_© Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type/: Flood Zone: BFE: (J �FFF(,E:: V OWNER: Name(Fee Simple Titleholder): P�CJ x.=710 C%�43AC'ly Phone#: Address:AA ! 2_S JU U 00 ST City: �Y� 1�1"V1i S P(_)/Le State: >r_1 Zip: Tenant/Lessee Name: Phone#: Email: n l /Lti 16 r7 /N i J CONTRACTOR:Company Name: Nt/x UP// Cl 1 C � Phone#: !oe - Address: r� s1 City: /Iq/`/ State:_F1 Zip: Qualifier Name: RIh� E e/1L/ 04 L Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Re—NEw &2 M� Specify color of color thru tile: Submittal Fee$ Permit Fee$ /`( l �V CCF$ ( CO/CC Scanning Fee$ 2:)• (5:� Radon Fee$ 2' DBPR$ Notary$ Technology Fee$ (/--` O`' Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ , I I TOTAL FEE NOW DUE$ 'ty� `I'2 (Revised02/24/2014) Bonding Company's Name(if applicable) ` Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address j 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issue in the absence f s pos ed notice, the inspection will not be approved and a reinspection fee will be charged. I i / t �L � ✓�. Signature vC7 " i Si ature /�! ^�� OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instruwas acknowledged before me this F day of T\\w" MmIA 20 I'J , by L, day of 20 r , by tXD �Iho is personally known to A� `� who is personally known to me or who has produced as me or who has produc as identification and who did take an oath. identification and o did at . NOTARY PUBLIC: ; NOTARY PUBLIC: Sign: Sign: Print: /�7 .. � Print: 1-7 ak MY t;( i 9ti11S$iC�N#FF1190 5 Seal: ___ Seal: a°.' rg A05� `n EXP"71--S May 4, 2018 P y C0'l EXPIRES-S,-:! q sonced I n u r ********* j APPROVED BY ,�" 1' Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Ir' .0 GOVERNOR KEN LA N,SECRETARY STATE OF FLORIDA u DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD The GENERAL hIT TOR , Named below IS CERTIFIED Under the provisions of Ghr 489 FS. Expiration date: AUG 31, 2=6 AMENGUAL, BERNARD AMENGUAL ELECTRIG I 3851 NW 12TH' R - «� MIAMI FL 331-2b� `�'` ISSUED: 07/2412014 OILAAS � By, EA F T a "R P h$ x� M w