PL-15-2674 (2) I 1
A
I Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-246120 Permit Number: PL-10-15-2674
Scheduled Inspection Date: November 17, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo Inspection Type: Final
Owner: MANNAPPERUMA, NITZA Work Classification: Gas
Job Address: 10530 NE 2 Place
Miami Shores, FL 33138-
Phone Number
Parcel Number 1122310130530
Project: <NONE>
Contractor: BIONIC PLUMBING CORP. Phone: 305-498-9100
Building Department Comments
GAS VENT Infractio Passed Comments
INSPECTOR COMMENTS False
nspector Comments
Passed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 16,2015 For Inspections please call: ($05)762-4949 Page 13 of 38
Miami Shores Village
or i 2 0 '2.015
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax: (305)756.8972 �-
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20 4 _
BUILDING Permit No.—i—,>
PERMIT APPLICATION Master Permit No. ���C2
Permit Type: PLUMBING
JOB ADDRESS: VK /4 S �??/_ '�/3 ,�f
City: Miami Shores County: Miami Dade Zip: J� I��
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): /t�! Phone#:
Address: L.�
p: 3�
City: /7')(Jg!'�, �2 O/��S State: 3
Zi
Tenant/Lessee Name: Phonek
Email:
CONTRACTOR:Company Name: //d i''j l 1�p1't�C'J//7�' Phone#: 30S'��78'- C1 r O V
Address: D ou
City: /"I jq / State: Zip:
Qualifier Name: Phone#:c:FOS-'gi F=!?/0!�
State Certification or Regis rations#: /Qi��lO6 7�� Certificate of Competency#:CL7 00,00/o?4y6
Contact Phone#:3�4q _ Email AddressCrOk 11A�M
DESIGNER: Architect/Engineer: + Phone#:
Value of Work for this Permit:$ d O Square/LinearF�'oo``tage of Work:
Type of Work: ❑Address ❑Alteration ❑New yrnepair/Replace ❑Demolition
Description of Work: �,� e ate_ dr- 44_2'
Submittal Fee$7,-0' Permit Fee$ / � CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
��
Notary$� ' Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ �o 6
Bonding Company's Name(if applicable)
4
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if app
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 no e pproved and a reinspection fee will be charged.
Signature Signature
_Zqo!!rf�
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this v—?e) The foregoing instrument as acknowledged before me thislia
day of� 200,by ' �4 a 40-IC day of Oq��20 i�,by
who is personally known to me or who has produced who is personally known to me or who has produced FL..
As identification and who did take an oath. LkCC N _ as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print:
Print:
M CommissIn .
yHoary , My Commission xpt�e�
6" _% Notary Public state of Florida
My comm.Expires Nov S.2otS z t Sindia Alvarez
Commltaion aF EE 144693 �'T My Commission FF 156750
or Fvo Expires 0910312018
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)