DEMO-14-204 y oft
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-219872 Permit Number: DEMO-2-14-205
Scheduled Inspection Date: September 24,2014 Permit Type: Demolition
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: MIAMI PROPERTY SOLUTIONS LLC, Work Classification: Plumbing
MIAMI DCAOCoTv CAI I Mr%mC 1 1 /`
Job Address:38 NW 108 Street
Miami Shores, FL 33168-
Phone Number (305)807-4045
Parcel Number 1121360110120
Project: <NONE>
Contractor: COLBERT INC Phone: (786)344-6463
Building Department Comments
DEMO FOR INTERIOR OF HOUSE Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-206589. NO ANSWER AT
RESIDENCE
&e_
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 23,2014 For Inspections please call: (305)762-4949 Page 13 of 26
,• Miami Shores Village
FES ® 2014
Building Department
90050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax: (305)756.8972
INSPECTION'S PHONE NUMBER: (305)762.4949
FBC 20
BUILDING Permit No.03yy C 1 —,20. `
PERMIT APPLICATION Master Permit No I
Permit Type: PLUMBING
J
JOB ADDRESS: W) ` STvLex-A
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11.2r5W -O _®i2v M%'0tA'00' Ak6VV1T
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): 1M' e� B�w Phone#: L3af ,?o: '-qo y r
Address: ito of 3ftOvY
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: L 44OX ►1i1 Phone#:
Address: �f'tfS ty ty _q'W pt4ya
'/
City: _V N 40.' (�Vv✓ r% State: ' Zip:
Qualifier Name: ckczff Phone#:
State Certification or Registration#: C C L Certificate of Competency#:
Contact Phone#: ;q t C2 Email Address: ��I r��✓1�� �%�� h e-
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ d Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work:
Pl�ti� VV""V 1/'Vat
Submittal Fee$ Permit Fee NP®dd,® CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ 0-0
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 YOM 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 qbbse ce of such poste otice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner qp4gent ontractor
The foregoing instrument was acknowledged before me this The foregoing instrunie fff was acknowledged before me this
day of ,20_,by day of ,20_,by ,
who is personally known to �. EE who is personally known to me or who has produced
As i
O's 1,,.. ai who Pdi�a a T l as io �lh(EM dial
MY COMMISSION#EE088809 t*,im
MY COMMSION#EE088809
NOTARY PUBLIC: EXPIRES May 01,2015 NOTARY P
(aor)3se otss Fh)rw ,ySe�.c0,,, EXPIRES May 01,2015
3 FWdallotary$8rvke.Com
Sign: Sign:
Print: Print:
4 It -_ I
My Commission Expires: My Commission Expires:
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)