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PL-15-1474 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-236927 Permit Number: PL-6-15-1474 Scheduled Inspection Date: July 23, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: GODINEZ, FELIPE AND OLGA Work Classification: Repair Job Address:221 NE 104 Street Miami Shores, FL Phone Number (305)751-1771 Parcel Number 1121360130560 Project: <NONE> Contractor: AMERICAN DRAIN CLEANERS & PLUMBING INC Phone: (786)290-3530 Building Department Comments REPLACE ALL CAST IRON PIPE UNDER THE HOUSE Infractio Passed Comments INSPECTOR COMMENTS False CRAW SPACE AND CONNECT TO SEPTIC TANK. Inspector Comments Passed E(�( C)(, Failed 4 Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 22,2015 For Inspections please call: (305)762-4949 Page 7 of 39 � NO. S Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 °ryes Phone: (305)795-2204 F�onvwD Expiration: 01/05/2016 Project Address Parcel Number Applicant 221 NE 104 Street 1121360130560 FELIPE AND OLGA GODINEZ Miami Shores, FL Block: Lot: Owner Information Address Phone Cell FELIPE AND OLGA GODINEZ 221 NE 104 ST (305)751-1771 MIAMI SHORES FL 33138-2015 Contractor(s) Phone Cell Phone Valuation: $ 9,934.95 AMERICAN DRAIN CLEANERS&PLUI (786)290-3530 Total Sq Feet: 0 Type of Work:REPLACE ALL CAST IRON PIPE UNDER TH Available Inspections: Type of Piping: Inspection Type: Additional Info: Final Bond Return: Review Plumbing Classification:Residential Scanning: 1 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Contractors Bond $500.00 Invoice# PL-6-15-55986 CCF $6.00 07/09/2015 Credit Card $827.44 $50.00 DBPR Fee $5.22 DCA Fee $5.22 06/16/2015 Credit Card $50.00 $0.00 Education Surcharge $2.00 Bond#:2784 Permit Fee $348.00 Scanning Fee $3.00 Technology Fee $8.00 Total: $877.44 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing infor i is curate d t t all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the abo a-named n ractor o July 09, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy July 09,2015 1 Miami Shores Village Building Department JUN 16 2015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 ' " Cl_X- INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 ►K y BUILDING Master Permit NoTZ_i S I PERMIT APPLICATION sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL QPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 221 Ne 104 st City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2136-013-0560 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Olga GOdines Phone#:305-751-1771 Address:221 Ne 1004 st City: Miami Shore state: FII Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Americ$an Drain Cleaners & Plumbing,lnc Phone#: 786-290-3530 Address: 2630 w 60 st City: Hialeah state: Fl Zip: 33016 Qualifier Name: Roberto YaneS Phone#: 786-290-3530 State Certification or Registration#: CFC 1428514 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: ElAddition r_1Alteration ElNew rN Repair/Replace ❑ Demolition Description of Work: Relace all cast iron pipe under the house craw space and connect to sep't'ic tank.Pump out septic tank. Specify color of color thru tile: �{ Submittal Fee$ � _Permit Fee$ 3 y v r-f CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ j 'Co TOTAL FEE NOW DUE$ 3Z� (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 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. f � 1 Si natureX (UluSi naturL-� OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of_J17 e 20 /5 by 45 day of JV h 2 20�J by 6-O c CS who is personally known to RoAdk4d 7 P-5 who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLI J o Sig Sign -4 Print: �i QJ Seal ;-o� "e�;=; ALICIA DIAZ Seal: : MyA COMMISSION#FFOW218 :o`w'6'< ALIC.IA DIAZ :: !;.' EXPIRES May 15,2017 s• MY COMMISSION#FF009218 ***** ...+PSP****r�l�ddeM*a�i�►wM�et>�*** *********************** � ****a`E�XP9�ES'�Fdy�`f9;'lisb'Ft*** ************ ern,. G (407)398-0153 FloridallotaryServioe.conl APPROVED BY �� > Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 2. FBC 107.2 & Miami-Dade Chapter 8-10 permits. Construction documents shall be of sufficient clarity to indicate the dimensions, location, nature and extent of work proposed and show in detail that it conform to the provisions of this code. 11. FBC 107.1 Plumbing Diagram with size of all lines and location of all fixtures and the number of fixtures units of the fixture groups they serve. . . ... . . . ... .. .. . . . .. .. . . . . . . . . . . . . . ... . . . . ... ... . .. . ... . . . . . . .. . . .. . . . . . . . . . . ,� . . . . . . . �xisZ►N� ��T Zvo� a►� jUL 0 201 y J LVI off vrp' { I b t41�1�Z I � ) �A��e.�1, L �3 a