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PL-15-1485/ Inspection Worksheet T-L 15- 13 3 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-237001 Permit Number: PL-6-15-1485 Scheduled Inspection Date: October 01, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: HART,JORDANA Work Classification: Addition/Alteration Job Address:485 NE 92 Street Miami Shores, FL 33138-3154 Phone Number 305 577-9977 Parcel Number 1132060140280 Project: <NONE> Contractor: ABOVE ALL PLUMBING CONTRACTORS INC Phone: (786)290-0800 Building Department Comments CAP SHOWER AND SINK. WATER PIPE AND DRAIN Infractio Passed Comments INSPECTOR COMMENTS False nspector Comments Passed Failed l , Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 30, 2015 For Inspections please call: (305)762-4949 Page 9 of 32 Miami Shores Village \ 41- 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 y > 1E# Phone: (305)795-2204 `�` � ` � i. „� FtoxtoA i'A Expiration: 12/1912015 Project Address Parcel Number Applicant 485 NE 92 Street 1132060140280 Miami Shores, FL 33138-3154 Block: Lot: Jordana Hart Owner Information Address Phone Cell 485 NE 92 Street Jordana Hart 305 577-9977 Miami shores FL 33138 Contractor(s) Phone Cell Phone Valuation: $ 800.00 ABOVE ALL PLUMBING CONTRACTO (786)290-0800 Total Sq Feet: 0 Type of Work:CAP SHOWER AND SINK.WATER PIPE AND 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-6-15-56000 DBPR Fee $2.00 06/17/2015 Credit Card $50.00 $58.60 DCA Fee $2.00 Education Surcharge $0.20 06/22/2015 Check#: 1295 $58.60 $0.00 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $am 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 and zoning. Futh e I authorize the above-named contractor to do the work stated. June 22, 2015 Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy June 22,2015 1 Miami Shores Villaget�T Building Department JUN 17 X015 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 B�. INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2di U BUILDING Master Permit No. /1 f/ -/�S PERMIT APPLICATION Sub Permit No.T,__�c;i -I �}- ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: �" G �74 City: Miami Shores County: Miami Dade zip: .32136 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: /`/ Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): -JJ C" 'cz Q,' `zlx- Phone#: 60%F--7 'i:�l 3 6 Address: City: State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: e. OJ Phone#: ;�E_z?90 -D Address: z6--r-1 `Sw /22 C City: / ` State: Zip: 3 1/7 S Qualifier Name: Qd d' Ql a O E Phone#: State Certification or Regi ration#: <::f 0; G Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ ',;D Square/Linear Footage of Work: Type of Work:, ,❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace [Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ 03 Permit Fee$ ��' � CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Edutation Fee$ Double Fee$ Structural Reviews$ T ;, Bond$ 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 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 excedding$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 OW R or AGENT CONTRAaO The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this /zLday of �1.� ' Ir 20��by �C�.3 day of J 20 �� , by 9 ra., ho is personally known t +�-� �1 ho is personally known me or who has produced as m or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign. Sign: Print: Print: MY C Seal: _. MY COMMISSION#FF084828 Seal: a.. A 21,2018 EXPIRES JAnuary p. ry o..... Service.com +' efsd r EXPIRES Jan 21.2018 (407)39e0153 F►oridaN tary (407)398-0153 FloridallotaryService.com APPROVED BY 75 Plans Examiner Zoning Structural Review Clerk I iT I'i o � I'Y,1)ol o' l I I ,I T' .-�-: -� �.."� - I, .:� j,i ��t 4 _"r—Y•L. I�� t�n6,,. __ ., t j �y _` �� y% c ovlDwx r ..__ D .,'�. :-:.... �-!..`I I'.. ...x.,,I I ( T7f r N ' �I 11^ '� }., �. Q' •I K \• T 4h s A, • � I +! �,. ,p,. .• I -- t IJ .Wtii4P B _ r a J- 1 DLIVING 200MEDrAI L..On GwRY �• I