PL-14-2588 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-223926 Permit Number: PL-11-14-2588
Scheduled Inspection Date: March 31,2015 Permit Type: Plumbing - Residential
Inspector: Diaz,Osvaldo Inspection Type: Final
Owner: STEAD, MARC GREGORY Work Classification: Addition/Alteration
Job Address:93 NW 93 Street
Miami Shores,FL 33150-2232 Phone Number
Parcel Number 1131010340240
Project: <NONE>
Contractor: NATIONAL PLUMBING CONTRACTORS CORP Phone: (786)388-1252
Building Department Comments
REPLACE 1 TOILET SET, 1 LAVATORY SET. 1 TUB SET. Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
March 30,2015 For Inspections please call:(305)762-4949
Page 4 of 27
Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 --- --
FBC 20 10
BUILDING Master Permit No.R&( L(-a's--�A
PERMIT APPLICATION Sub Permit No. p_—b H—Z S E?A
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
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:
OWNER: Name(Fee Simple Titleholder):_nA s-k C' SIn—\ Phone#: 6' 2e!,4 -2qAo
Address: C, L/ a4"
`, - . Q-Z— Zi . `i
City: )�; �. 3�`v.a `��� �'�. � State: p: 33 A 0
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name:4M41 dPhone#: -,7�
Address: 2& VuJ 63 A-91F
City: A641 , State: Zip:
Qualifier Name: NAa ej C4 r(_aPhone#: IF&
State Certification or Registration#: F� d�� � 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 ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: .0 gel J Z441gl®.�Z I -A)b 57e)
Specify color of color thru tile:
Submittal Fee$ � Permit Fee$ SS®' P`�° 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 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.
- o
Signature Signature �e
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of W\kMB91 20 by day of l�°`� ' 20 by
who is personally known to QAs✓el' �Al2•y" ,who is personally known to
me or who has produced :B--'b—RJ LU— s me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBL : NOTARY PUBLIC: *�°� '��`�O* MY COMMISSION ARTEAE�163396
mr oQ EXPIRES:May 26,2016
Sign: Sign:
Print: Print:
Notary Public State of Florida
Seal: ;` t'o&%
Sindia Alvarez Seal:
My Commission FF 156750
Expires 09/0312018
APPROVED BY 4:;21�
2. Ja Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)