PL-14-1325 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-224951 Permit Number: PL-6-14-1325
Scheduled Inspection Date: December 18, 2014 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: , Work Classification: Addition/Alteration
Job Address:29 NW 110 Street
Miami Shores, FL 33168-4318 Phone Number (310)622-3079
Parcel Number 1121360030620
Project: <NONE>
Contractor: G&L PLUMBING SERVICE Phone: 305-551-5090
Building Department Comments
SHOWER TOILET AND SINK FOR NEW MASTER BATH Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-224771. revise plan for w/h
4�
Failed
Correction
Needed
f �
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
December 17,2014 For Inspections please call: (305)762-4949 Page 18 of 29
Miami Shores Village "Recop— cc u
Building Department
g p
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
M9
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION UNE PHONE NUMBER:(30S)762-4949
FBC 2016
BUILDING Master Permit No. n-- q-
( ( e) j
PERMIT APPLICATION Sub Permit No-"
❑BUILDING ❑ELECTRIC ROOFING REVISION
❑ � ❑EXTENSION ❑RENEWAL ,
i
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: C
City: Miami Shores County: Miami Dade 7in-
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: C�Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): phone#:
_
Address:_ C,�`�^Q\ VA (—(_L, &-VD
City: � �`-`(r ��(1�5 State CA Zip: ( �f
Tenant/Lessee Name: Phone#•
Email: BB r
C
CONTRACTOR:Company Name: C Oinn�/l , P 40/2 h N G, Phone#: I? �d
Address: _ ( �Q �-) F-w 444
City: Q'�e f v'u- - State:
Zip: 3(&�,
Qualifier Name:
Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State Zip:
Value of Work for this Permit:$ Square/Unear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: CS tlkj'�J -� 2� W t/LeZ4-EA-T
Specify color of color thru We:
Submittal Fee$ Permit Fee$ �1 CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(RevisWO2/24/2014)
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 exceedi 2500 applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochur will deli ered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commenc en t st b posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In a en of uch posted notice, the
inspection will not be approved and a reinspection fee will be charged.
X21Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrume t was acknowledged before me this
1 day of ec P1�l g Lgc 20�, by l zC'� day of "'.1, 20 /¢ ,by
SoL1zF—/c �JER&is personally known to '7 who is gersQas-tHy known to
me or who has produced as me or who has produ d as
identification and who did take an oath. identification and o i ake an oath.
NOTARY C. NOTARY PUBLIC:
A GUEMERO .L �caRs>�mo:M:MA
Sign:
1767 FXPIRES Jr.
Mwh 06.2018Print: !,¢ ' EXPIRES:March 7
f 398-0153
Seal: Seal:
APPROVED BY _/a_/,7
Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
' Miami Shores Village
Building Department Povut
v,-z oo,-
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 3[o
Tel: (305)795.2204 Fax: (305)756.8972 :•'-3
INSPECTION'S PHONE NUMBER: (305)762.4949 JUN 2 0
FBC 20 ID BY:
BUILDING Permit No.9L
PERMIT APPLICATION Master Permit No._9 Cj4 L 1
Permit Type: PLUMBING
JOB ADDRESS: 2 'i LU"t1 /10
City: Miami Shores County: Miami Dade Zip: :T-7/
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder):JCe4j5— LL C Phone#: j"/O cc C GU
Address: C 6- 73L AffZ Z3 S_ 2
City: yez--z L y State: C14 Zip: 5,0 2 J Z
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: .55 fl 6 Ot Phone#: 305'— N 5-6
Address: Lz'1 )�/a (�
City: _n7119 M i State: �G Zip: 3
Qualifier Name: r-� !a.y /+if f V i r— R14 Phone#:
State Certification or Registration#: t Pc 0 6 Z S5 Certificate of Competency#:
Contact Phone#: 305-- 3/-. — T`7 nq Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit:$_ f Square/Linear Footage of Work:
Type of Work: ❑Address O.A,jtetat bsn 4t ❑New ❑Repair/Replace ❑Demolition
Description of Work:'
Submittal Fee$ Permit Fee CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
l
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 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 / cf�U Signature
Owner or Agent �wasacknowledged
The foregoing instrument was acknowledged before me this ZS The fore to before me this
day of. ,20 L4 ,by r day )`N A- 20 ,by r_
'J
who is personally known to me or who haspro who is personally known to me or who h o uc
DRWOU `lCewl SC As identification and h ath. as identific 'on and o 'd take n oath.
NOTARY PUBLI ' NOTARY PUB
�o
o
00.
ji�03
J.
Sign. ° y �^ � Sign: ERRERO
9
Print: l f �6 �0
My Commission Expires: fio.i K2,01Y y ,
m
,a0
APPROVED BY s / Plans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CEI ITIFICATE HOLDER.THIS
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PRODUCER
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ROYAL CARIBBEAN INS.AGENCY ---- --- -
1772 W FLAGLER S REET
NONROY
a.eXN 305-642-454 1 PAX
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PLUMBING CONTRACTOR.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY ABOVE E CRIBEO POUCI S BE CANCELLED BEFORE
THE E TION D TE E BOF, NOTICE WILL BE DELIVERED IN
MIAMI SHOR S VILLAGE A DANCE WIT I IC PROVISIONS.
10050 N.E.2�D AVENUE
MIAMI SHORES.FLORIDA 33138 AVrW R ENTA
L�-
1 AC CORPO ION. All rights reserved.
ACORD 26120101061 The ACORD name and t000 are rea stored marks o 0