PL-15-60 LC
i s®
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-226387 Permit Number: PL-1-15-60
Scheduled Inspection Date: May 20, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: NARDECCHIA, VALERIA Work Classification: Gas
Job Address:1226 NE 93 Street
Miami Shores, FL 33138- Phone Number (305)494-6888
Project: <NONE> Parcel Number 1132050270170
Contractor: RJ QUALITY PLUMBING CORP Phone: (954)919-8382
Building Department Comments
GAS Infractio Passed Comments
INSPECTOR COMMENTS False
5- Z.d
Inspector Comments
Passed O
Failed
Correction
Needed ❑
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
May 19,2015 For Inspections please call: (305)762-4949
Page 6 of 40
KARCH ENERGY CONTRACTORS, INC.
14451 NE 2"d Court
North Miami, FL 33161
(305) 895-5285 PH. & FX.
Rayvel Jacas 04-29-15
RJ QUALITY PLUMBING CORP
8416 NW 103 # 105
HIALEAH GARDENS FL 33016
Ref- MAIN GAS LINE DROP TEST
Valeria Nardecchia
1226 NE 93 Street
Miami Shores, FL 33138
Rayvel,
Today we performed a drop test on the main gas line feeding the above location.
The main house line and branches was put on a 10" WC (water column)pressure test for 15
minutes. During this time the pressure in the system held at the full 10" WC.
Please take this letter as our official notification and report of the gas pressure line drop test
services this 29,d day of April in the year 2015.
If you have any questions, please feel free in contacting me.
Sincerely,
John Karch
Miami Shores Village
Building Department JAN 18 2014
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 BY
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2010
BUILDING Master Permit No.yic H •l5o9
PERMIT APPLICATION Sub Permit No.P L- iS— bO
❑BUILDING F� ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1226-1 26-1 '&4� 17�
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): *k N Der_C 'ti 7A Phone#:
Address: M/Z- 17d
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: A-VOI/ -r7 C Phone#:
Address: eft?? 411VI-43 0"/65-
City: State: Zip: "F101(o
Qualifier Name: Phone#:
State Certification or Registration#: M6A9 ?I 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, ❑�rAlteration El New
M Repair/Replace El Demolition
Description of Work: �'*4z'A I �� �✓ -
Specify color of color thru tile: ,
Submittal Fee$ di Permit Fee$ /S�� / CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ i
(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.
Signature r Signature
I
OWNER or AGENT CO TRACTOR
The\foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
EAS day of ^a� � 20 \5 by /3 day of,,, 20 �,5� ,by
'�Ct_H iA ,who is personally known to ,QAuiro/ _IV_ who is personally known to
me or who has produced � � as me or who has produced—J2210 72o79�/y d as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUB NOTARY PUBLIC:
Sign: Si
Print: LEY MW SIN98111- Print: 11 04 mat
°`� ®°ta
Nory Public,State Florida Seal: of Flo
Seal: €s Seal: #0 a�of� Notary Public State of Florida
CommissiontiEE15E972 a � Joanna M Feliciano
64
My comm.expires Dec.13,2015 1. my Commission FF 082753
a) Epires 0111212018
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)