DEMO-15-1431 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-236560 Permit Number: DEMO-6-15-1431
Scheduled Inspection Date: August 27, 2015 Permit Type: Demolition
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: , Work Classification: Plumbing
Job Address: 10151 NE 14 Avenue
Miami Shores, FL 33138-2674 Phone Number (786)433-1406
Parcel Number 1132050230130
Project: <NONE>
Contractor: PIPEMASTERS PLUMBING SERVICES INC Phone: (305)681-7574
Building Department Comments
CAP WATER AFTER REMOVE FIXTURES AND FAUCETS Infractio Passed Comments
REMOVE TUB AND WATER CLOSETS INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction 5
Needed ❑ �2�-r
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 26, 2015 For Inspections please call: (305)762-4949 Page 11 of 44
Permit�u . C 11
-6-16-1431
�6oas i�� Miami Shores Village =` T,} ."D4'ti7
10050 N.E.2nd Avenue NE I
t
Work ��1�,>mbil�g
• � Miami Shores,FL 33138-0000
Permit Status:APPROVED
Phone: (305)795-2204
F�oxtDA
Expiration: 01/13/2016
Issue nate: 1171,20,15
Project Address Parcel Number Applicant
....................... _....,.__......., _, _.._...,,,,.._ .._....,. ---.._ _..,,,,..._ _.. .,,..,.�.,...
10151 NE 14 Avenue 1132050230130
CARBONELL NO 3307 LLC
Miami Shores, FL 33138-2674 Block: Lot:
Owner Information Address Phone Cell
m — e-- .----- w, n., �__„ . W,.o
CARBONELL NO 3307 LLC 2750 NW 79 Avenue (786)433-1406
MIAMI FL 33122-
2750 NW 79 Avenue
MIAMI FL 33122-
Contractor(s) Phone Cell Phone $ 500.00
PIPEMASTERS PLUMBING SERVICES (305)681-7574 (305)975-5531 1 Valuation:
Total Sq Feet: 00
Type of Demo:Plumbing Available Inspections:
Additional Info:CAP WATER AFTER REMOVE FIXTURES AND Inspection Type:
Classification:Residential
Final
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# DEMO-6-15-55936
DBPR Fee $2.00
DCA Fee $2.00 06/11/2015 Credit Card $50.00 $64.60
Education Surcharge $0.20 07/17/2015 Credit Card $64.60 $0.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $114.60
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,WINDOW DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing informati 4 accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above- ntracto to do the work stated.
h I I,. July 17, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
July 17, 2015 1
Miami Shores Village CV
TVFD
Building Department JUN. i t 2015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 BY:
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20'U
BUILDING Master Permit NoL�f04-1.5—/ /
(�
PERMIT APPLICATION Sub Permit No/ a2QI A7
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
QPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
I
�( `` //�� CONTRACTOR DRAWINGS
JOB ADDRESS: b I J i Q 1 q T A V�__
City: Miami Shores County: Miami Dade zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: /Construction Type: Flood Zone: BFE: �iFFE:
Y'33-OWNER:Name(Fee Simple Titleholder): C� ����f� �3�"� `�� Phone#: '�06 33' IY00
Address: .Z 1V A441 11 #V
City: State: Az Zip: 3317 2-
Tenant/Lessee
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Pipemasters Plumbing Services, Inc. Phone#: 305.975.5531
Address: 755 NW 131 Street
City: North Miami State: Florida Zip: 33168
Qualifier Name: Cesar Garcia Phone#: 305.975.5531
State Certification or Registration#: CFC1426307 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
�F
o C'
Value of Work for this Permit:$ &t Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ;K Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$ �) _Permit Fee$ �n CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ C 4 6C)
(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.
� t
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 1/07L 20 15 by 21st day of May 20 15 by
AzC/ d--ECl l who is personally known to Cesar Garcia who i personally known t
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 PUBLIC:
r7cp!'
Sign: Sign: r
Print: 1 Print: Sybil Cepe a
t=o" : ZAND A �o��..,;'g�.� SYBILCEPEDA
Seal: t. MY COMMISSION#FF024877 Seal: MY COMMISSION#EE 127271
P` EXPIRES June 6,2017 EXPIRES:October 14,2015
(407 399.0153 FI.M.Notaryservice.com �rFOFP1�P` Bided Thu Budget Notary Sembs
************************************************************************************************************
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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Miami=Date ,C0untyf - Qta b Fla
THdS:JB,,NOTA BILL OT PAY
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,Bust rglsS.ho '10E&0 CATION,. t'ERMIPTWO. �� EXPIRES
PIPEMASTERS P UMBING SERVI(ES INC RIENIEWALSEPTE, BER 30, 2015
755: .13 T ST,. ro"707
at be displayed at}dace of business
RT#'(MIAMI FL 33168 pursuant to County Code''.
Chapter 6A:_Art.9&10
C V11M1iEA SEC.TY/PEtOF BUSINESS. pAVMENT`RECEIVEb
- G SERVICES INC 196 SPECIALLY PLUMBING Cf7NTRACTORBY rax coil LEcroit
u }S CFC1426,307 $45.00 09/12/2014
ECHECK-14-142,9 $
^ks Local B siressTax'ieceipt oniytimfirms payment of the Local Business Tax.The Receipt is not a license
to a vertificationof the bold*,` governmental
rt mentaTrevulatory Iaws�n�requirements which apply to the business.
The RECEIPT 46.above must he iispiayed on'allcommercial vehicles-Miami-Dade Code Sec 8a-276.
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