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PL-15-723 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231322 Permit Number: PL-3-15-723 Scheduled Inspection Date: July 30, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: MENDEZ, BENIGNO Work Classification: Addition/Alteration Job Address:551 NE 105 Street Miami Shores, FL 33138-2044 Phone Number Parcel Number 1122310140280 Project: <NONE> Contractor: BOB'S PLUMBING CO INC Phone: 305-229-9932 Building Department Comments REROUTING DRAIN LINES TO SEPTIC Infractio Passed Comments INSPECTOR COMMENTS False TO REPLACE PERMIT# PL14-406 nspector Comments PassedE� / Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 29, 2015 For Inspections please call: (305)762-4949 Page 8 of 40 i,� Miami Shores Village > rft ?�g' 1t'""i, IJrttlI? 10050 N.E.2nd Avenue NE � �lfllCt'&i'FStfGrd Addition/Aleratl©n Miami Shores, FL 33138-0000 Phone: (305)795-2204 ..` �'tonrvA 4t45/�1 Expiration: 10112/2015 Project Address Parcel Number Applicant 551 NE 105 Street 1122310140280 gENIGNO MENDEZ Miami Shores, FL 33138-2044 Block: Lot: Owner Information Address Phone Cell BENIGNO MENDEZ 551 NE 105 Street � � �� �� MIAMI SHORES FL 33138-2044 551 NE 105 Street MIAMI SHORES FL 33138-2044 Contractor(s) Phone Cell Phone I I Valuation: $ 3,500.00 BOB'S PLUMBING CO INC 305-229-9932 (305)796-4225 Total Sq Feet: 0 Type of Work:REROUTING DRAIN LINES TO SEPTIC Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Return : Final Classification:Residential Scanning: 1 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# PL-3-15-54996 DBPR Fee $2.25 04/15/2015 Credit Card $ 163.90 $0.00 DCA Fee $2.25 Education Surcharge $0.80 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $163.90 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 AFFIDAV : 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 zon r g. Futhermore,I authorize the above-named contractor to do the work stated. - April 15, 2015 AutIn ' ' nature:Owner / Applicant / Contractor / Agent Date Building D partment Copy April 15, 2015 1 — Miami Shores Village Building Department MAR X31 2015 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 ' Tel:(305)795-2204 Fax:(305)756-8972 - INSPECTION LINE PHONE NUMBER:(305)762-4949 F B C 201 BUILDING Master Permit N � ' f� PERMIT APPLICATION Sub Permit No. T?L-I S—_�Z� ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL OPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP rCONTRACTOR DRAWINGS JOB ADDRESS: 5 ` L (D t_k S City: Miami Shores County: Miami Dade Zip: l Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: ``Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): Cfe Yl 1 C}/')o M er1j -2-- Phone#: Address: JJI t� 'Io5t( _ 5� City: State: V C-- Zip: 3's Tenant/Lessee Name: Phone#: Email: !� i`' )I r /� CONTRACTOR:Company Name: f�.. J-)S rt' t L)Yy)b MA CIO r Sw Phone#: Address: 4'o-) 5 -�)(A 2�ria iA y) ' 2... City: r Q vy) t State: FC_ Zip: Qualifier Name: a�V) ll E Phone#: ' )--ig('_ .q ZZ j State Certification or Registration#: C- 5� Z 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 ❑rr New E� Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: r Submittal Fee$ Permit Fee$ U 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 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 on 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. Signature✓ - Signature r OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The fore�ing instru ent was acknowledged before me this 3 r 3 T day of T ��`ry `��� 20 )5 by dayof20 is by an+rino &2 hC(e-7-- who is personally known to %-:51 lof�-f5-E-J—, ho is personally know me or who has produced t�L--WPOU-o77•it✓-;3- tS-1> as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: �.. L Sign: 1-1.AO- /� Print: Print: ( � �.-✓ar)��n � �Gt v • r Carmen Lugo ,'` v F . — rnnrr- sem... Seal: ;1e�`rP�e% SeaE :' COMMISSION#EE 117945 `aCCh'h91SS!ON#EE 117945rypIRES:NOV.25,2015 'EXPIRES: NOV.25,2015 %' ••`�c y",AARONNOTARY.com �'.'6'F11`- 1MVW.AARONNOTARYco11 APPROVED BY -J1�� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) _ Miami Shores Village I� Building Department Mai �( 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 0 5 2014 Tel: (305)795.2204 Fax: (305)756.8972 V I 1 INSPECTION'S PHONE NUMBER: (305)762.4949 FBC 20 k O BUILDING Permit No. P(, `�--`-1 ob PERMIT APPLICATION Master Permit No. Permit Type: PLUMBING JOB ADDRESS: 5 5\ N e- • ( 05 tfA S• Iee,� City: Miami Shores County: Miami Dade Zip: :55 l J Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder) 1 `�'/lC��Z Phone#: . 5 Address: E �- City: State: zip: J 3l 3 Tenant/Lessee Name: Phone#: Email: 1K n i -�5oo-�,pf the.b(t1 e -nom CONTRACTOR: Company Name: f3��S T 1l)'✓���y�� �. &iA C Phone#: Address: 40 City: State: F(-- Zip: -�5 r Qualifier Name: VA �- C SE?' Phone#: Z- State Certification orRegistration#: L° Z Certificate of Competency#: Contact Phone#: =�%�l '-T12 Email Address: b Db S5aIy ivx 5 to co\1 O (�Oc).t pwA DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 3 w Square/Linear F_oota of Work: Type of Work: ❑Address ❑Alteration ❑New ;Zpair/Replace ❑Demolition Description of Work: � ��3 gib' �- *� Lj . , Submittal Fee$ Sv'"oo Permit Fee$ /56• CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$_�� 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 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 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. Signature Signature Owner Agent Contractor The foregoing instrument was knowledged before me this 5t) The f7 ng ' ent was acknowledged before me this 5Ck day of t-,-k ,20 kL�,bM C,--aL"g day of V­� -cel ,20t Lk_,by .,c "n L who is personally known to me or who has produced-1)L, who 's personally known to or who has produced M�5-32 07-4 (oj -OAs identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign:g g Print: c lvr�e ` " Carmen Luo Print: C rior/1')P_., �a COMMISSION#EE117945 ` P — Carmen Lugo My Commission Expires::, EXPIRES: NOV 25,2015 My Commission EWL COMMISSION#EE 117945 www.AARoNNOTARY.com 9' "ftp EXPIRES: NOV.25,2015 WWW.AARONNOTARY.com APPROVED BY L' `� Plans Examiner Zoning Structural Review Clerk (Revised3/12/2012)(Revised 07/10/07XRevised 06/10/2009XRevised 3/15/09) Miami Shores Village S5.�°RFs Building Department memo J_ � 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 �LORiDp' Fax: (305) 756.8972 MARCH 5, 2014 Permit No: PL14-406 PLUMBING – OSVALDO DIAZ PROVIDE HEALTH DEPT. APPROVAL AND SKETCH OF LOCATION L 4—,P'— Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, replace them with new revised sheets and place behind the most current page. Imiamishores % IYAC 9s Building Department aeeo �_ neee� `0050 N.E.2nd Avenue a Miami Shores, Florida 33138 v� el: (305) 795.2204 �® to r=a.>:: (305) 756.8972 late: 3- S- I Kermit No: fL- LUMbinar�tii ue O F� (vim . ������t� . � �, 4 J) Y1PRI L,.svaldo "Ozzie" Diaz Chief Plumbing Inspector "•an review is not complete, when all items above are corrected, we will do a complete i m.i review. f ar�y sheets are voided, remove them from the pians and replace with new revised shEets and include one set of voided sheets in the re-submittal drawings.