PL-15-72 i-C
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-226451 Permit Number: PL-1-15-72
Scheduled Inspection Date: October 27, 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
PLUMBING FOR KITCHEN REMODEL 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.
October 27,2015 For Inspections please call: (305)7624949 Page 1 of 43
Miami Shores Village
10050 N.E.2nd Avenue NW
Miami Shores,FL 33138-0000
a
Phone: (305)795-2204 � i M.N W(tE�ERITIM x
sor�iv
" h Expiration: 09/08/2015
Project Address Parcel Number Applicant
93 NW 93 Street 1131010340240
MARC GREGORY STEAD
Miami Shores, FL 33150-2232 Block: Lot:
Owner Information Address Phone Cell
MARC GREGORY STEAD 93 NW 93 Street
MIAMI SHORES FL 33150-
93 NW 93 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone Valuation: $ 950.00
NATIONAL PLUMBING CONTRACTOR (786)388-1252 Total Sq Feet: 0
Type of Work:PLUMBING FOR KITCHEN REMODEL Available Inspections:
Type of Piping: Inspection Type:
Additional Info:
Top Out
Bond Return: Final
Classification:Residential Scanning: 1 Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# PL-1-15-54132
DBPR Fee $2.25 03/12/2015 Credit Card $ 109.10 $50.00
DCA Fee $2.25
Education Surcharge $0.20 01/13/2015 Credit Card $50.00 $0.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $159.10
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
authorities of Miami Shores Village. In
pertaining thereto and in strict conformity with the tans,drawings, statements or specifications submitted to the proper 9
p 9 tY p 9
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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. Futhermore,,I authorize the above-named contractor to do the work stated.
March 12, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 12,2015 1
Miami Shores Village
Building Department L'BY:
4, 315110050 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(Q)
BUILDING Master Permit No. �
PERMIT APPLICATION Sub Permit No. — —
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ORENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: q3 Alw 93 sl
City: Miami Shores County: Miami Dade Zip: 31L5_0
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): glOAC Phone#:
Address: 113 .N 1,u el 3 �
City: /14 c A-AA% !S t NQ rCj State: fZ Zip: 33 135-0
Tenant/Lessee Name: Phone#: ?ij CoY Zyg"—��fC7
Email:
n
CONTRACTOR:Company Name: �/V/i 1� d9�� ;/� ; �6` ��jr d6�, Phone#: 6,� y � °
r
Address: v3
City: Stater Zip: ' '
Qualifier Name: �mj Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
m�
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
i1
Description of Work:__ ICS-�(.tir,�) SAV
Specify color of color thru tile:
2�ts r
Submittal Fee$ I rb Permit Fee$ ' CFC $ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ G
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.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
k,� day of t.rJ°+� = 20 E by —7—day of ��'��r �-T— 20 )S by
who is personally known to �J6 t! Ci'Jh -,who i L sona v no to
4��_
me or who has prod uced "L- T-)(2J1 1�Cc- � "��as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
roseay;°�% MIGUEL E HERNANDEZ
NOTARY PUBL : NOTARY PUBLIC:
'`O * MY COMMISSION N FF 033114
EXPIRES:July 2,2017
--
ISM BonddT�ruBudgetNotaryServices
Sign: Sign:
-71
Print: Print:Nowly Public Slate at I-Iona's
Sindia Alvarez
Seal: Seal:
e,p.� My Commission FF 156750
Expires 09/03/2018
APPROVED BY 3 L�rIS Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)