PL-15-594 (2) Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-230548 Permit Number: PL-3-15-594
Scheduled Inspection Date: July 01, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: MARINO, STEPHEN Work Classification: Addition/Alteration
Job Address: 1066 NE 94 Street
Miami Shores, FL 33138- Phone Number 305-812-0629
Parcel Number 1132050120120
Project: <NONE>
Contractor: JT MECHANICAL SERVICES LLC Phone: (954)367-3463
Building Department Comments
BATHROOM AND KITCHEN RENOVATION Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed J
Failed
Correction ` /S
Needed 4?
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
June 30, 2015 For Inspections please call: (305)762-4949 Page 10 of 40
Miami Shores Village �-
� ° I MAR 18 201
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 20D®
BUILDING Master Permit iva,��'z S��•�
PERMIT APPLICATIONMaster
Permit No.,2 Z j f •� '
❑BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL
RfLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: _ r Cp AI'L oft 5/-
City: Miami Shores County Miami Dade Zin
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):_ 7 /le e X �� /0 6rl.^®,f/LPhone#:
Address: Az z
City: nn e` 5 -x-5 State: _ �- Zip:
Tenant/Lessee Name: Phone#:
Email: —y�
CONTRACTOR:Company Name: I Phone#: q.
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Address: L SU1
City � Stat
Qualifier Name: I Phone# q — 31 f'1 —34u
State Certification or Registration#: 2 t Certificate of competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: city: State
Zip:
Value of Work for this Permit:!$ Square/Linear Footage of Work: 0/7"0 i4Z6
Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 11 a fh /a i„ g �, �F_�_ _� r7
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ �Z�- ,mss CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ _ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE
(se�sedoz{za/aoia)
�o
'`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 s n o such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
WNERorAGENT C NT
i
The foregoing ins ent was acknowledged before me this The foregoing instrument was acknowledged before me this
—1 Gday of_ .l C .20 I ,by10A day of 20 1� ,by
@ r1 1-Y10 who is personally known to 1 ho is personally known to
me or who has produced r%1 rs- 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:
Sign: yy r Sign:
Prin : ✓'es-5tc-o Print: 1
Seal: 1��r _ JESSICA MARIA yARr Seal: Yo<�f°�iy Notary Public State of Florida
MY COMMIS ON#EE 848717 �. Nancy Milan
7 PF,1,,4°fid BondedtThIN ES:March 2,2017 %C wort Expires 0/14ion E 843210
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APPROVED BY 4-16 i'S Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)