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PL-15-651 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-242380 Permit Number: PL-3-15-651 Scheduled Inspection Date: September 01, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: BREEN,JAMES & MAR Work Classification: Addition/Alteration Job Address: 1481 NE 104 Street Miami Shores, FL 33138-2663 Phone Number (786)617-3500 Parcel Number 1122320320090 Project: <NONE> Contractor: MG PLUMBING &SPRINKLER SERVICE Phone: (305)525-9236 Building Department Comments KITCHEN WORK Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-230852. no one home Failed (*, / y✓ Correction Needed ❑ Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 31,2015 For Inspections please call: (305)762-4949 Page 29 of 37 Permit" � �� Asx°"Es o, Miami Shores Village \ Pe�TJt T p PlurAln��Ft�tu"'WW 10050 N.E.2nd Avenue NE INat ja,* farcatforf:�� j�llterati, . .....� Miami Shores,FL 33138-0000 �#lm..... ,'rte _ °I€', ..... fcrsat� Phone: (305)795-2204 :. Expiration: 0912712015 �» 414" Project Address Parcel Number Applicant 1481 NE 104 Street 1122320320090 JAMES&MAR BREEN Miami Shores, FL 33138-2663 Block: Lot: Owner Information Address Phone Cell JAMES&MAR BREEN 1481 NE 104 Street (786)617-3500 MIAMI SHORES FL 33138- 1481 NE 104 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone MG PLUMBING&SPRINKLER SERVI( (305)525-9236 LValuation: $ 800.00 Sq Feet: 0 Type of Work:KITCHEN WORK 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 $0.60 Invoice# PL-3-15-54903 DBPR Fee $2.00 03/31/2015 Credit Card $58.60 $50.00 DCA Fee $2.00 Education Surcharge $0.20 03/23/2015 Credit Card $50.00 $0.00 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 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,WINDOWS, DOORS,ROOFING and SWIMMING POOL work. OWNERS 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 ` d onin _ PWhermore,I authorize the above-named contractor to do the work stated. March 31, 2015 A horized / Applicant / Contractor / Agent Date Building Department Copy March 31, 2015 1 Miami Shores Village _ Building Department MAR 15 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(O BUILDING Master Permit No. 5` PERMIT APPLICATION Sub Permit No. -Pk - ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL OPLUMBING ❑ MECHANICAL [:]PUBLICWORKS [] CHANGE OF [:] CANCELLATION ❑ SHOP [/ / (/ CONTRACTOR DRAWINGS A JOB ADDRESS: I.`! I `'`) 67 C 0 `"t S-f City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: (� Flood Zone: BFE: FFE: 7 OWNER:Name(Fee Simple Titleholder): �/GL N1�� !J f�"C �� Phone#: ( 74'6 17 'S 25) Address: _ l 17 �L /a rf Sf City: r '/`'u* S�Lfi�eS State: Zip: 3 Tenant/Lessee Name: Phone#: 7 Z6 02 J 35'2�b Email: CONTRACTOR:Company Name: MG PLUMBING & SPRINKLER SERVICES Phone#: 3055259236 Address: 1265 NW 203 STREET City: MIAMI State: FL Zip: 33169 Qualifier Name: JAMES W NYCUM Phone#: 9546135613 State Certification or Registration#: CFC 056920 Certificate of Competency#: DESIGNER:Architect/Engineer: NA Phone#: Address: '?�, City: State: Zip: Value of Work for this Permit:$ woo Square/Linear Footage of Work: Type of Work: ❑ Addition El Alteration � ❑ New �Repair/Replace El Demolition Description of Work: 1 l �Ij 10 l ut-k/1� Specify color of color color`tthru tile: Submittal Fee$-t:)0W Permit Fee$ A-y CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ C( TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name(if applicable) NA Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) NA 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. Signature Signatur OWNER or AGENT CONTRACT The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 03 day of 20 by 18 day of MARCH 20 15 by � L w o is personally no9XI f`\ �ameS NyCU171 ,who is personally known to me or who has produced as me or who has produced as identification an ho did take an oath. identification and who did take an oath. NOTARY PUBLIC. NOTARY PUBLIC: Sign: Sig Print: Pri t: a Seal; L*oy NotaryPublicStateofFlodda Seal.Sindia Alvarez o , „ >- [942290 My Commission FF 158750 Expires 09/03/2018 ********************************************* * *********************************************************** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 03/23/2015 15: 32 3056512429 PAGE 01/01 R C ':SC rio:R KENIAW nTARY ^,. A.. .wow..•- <, .-',.y�,^,,,, .,.. .:......:.....:, _ 4 ....P.. ..al ..., r..1.>3144kwA. .. ..�.. 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