PL-14-2530 -?-(
ILI- 2-06
Inspection Worksheet
(Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: IINSP-223500 Permit Number: PL-11-14-2530
Scheduled Inspection Date: May 06, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: Work Classification: Addition/Alteration
Job Address:33 NE 93 Street
Miami Shores, FL 33138- Phone Number
Project: <NONE> Parcel Number 1132060130380
Contractor: BENETTI SERVICES, INC. Phone: (954)907-3103
Building Department Comments
REPLACE BATHROOM FIXTURES AT SAME LOCATION 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.
May 04,2015 For Inspections please call: (305)762-4949
Page 4 of 40
Miami Shores Village oy,
Building Department Dov ' 201
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fag:(305)756.8972 ��
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20
BUILDING Permit No.RL
PERMIT APPLICATION Master Permit No. e-_ 114— ZO 81:3
Permit Type: PLUMBING
JOB ADDRESS: 33 NE 93 Street
City: Miami Shores County: Miami Dade 4p: 33138
Folio/Parcel#: 11-3206-013-0380
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address: '33 53L 01 � 0(0 St J4 I ®I
City: &QA,� t' State:"FI®f,6 C' Zip: 3 J I
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Benetti Services, Inc Phone#_ 30
Address: 21300 San Simeon Way ----- 1
City: Miami state: Florida zip: 33179
Qualifier Name: Aleksej Bereznoj Phone#:
State Certification or Registration#: CFC1426988 Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit:$ Square/Linear Footage of Work: J
Type of Work: ❑Address *Alteration r, ❑New ❑Repair/Replace ❑Demolition
C
Description of Work: MOCAU )OC (AOM F xt*eA @-SLS-
Submittal Fee$ e `�® _
Permit Fee CCF$ e CO/CC$
Scanning Fee$ Radon Fee$ a'� DBPR$ fi Bond$
Notary$ Training/Education Fee$ Technology Fee$ �
Double Fee$ 0 Structural Review$ ��
TOTAL FEE NOW DUE
Bonding Company's Name(if applicable) d
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
COMIVIENCEMENT 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 COMAMNCEMENT."
Nod to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promis 'n good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose pr erty is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first 'nspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection wi of be approved and a reinspection fee will be charged. o�
Signature Signature
or Agent Contractor
The foregoing instru ent was acknowledged before me this 3 The foregoing instrument was acknowledged before me this
i
day of ,4r- 1 20 14 by U r L 5C, ie i-- day of i ,20 ,by 9 ,
who is py knosaca to ers
me or who has produced who is ponally known to me or who has p oduced
erson l
As idem' as identification and who did take an oath.
NOTARY PUBLIC: LINDA KIRKSEY
8a�
°'�` Commission#FF 4796 NOTARY PUBLIC:
a ;? My commission Expires
April 03, 2017
Sign Sign-
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Print: �L,,a r� �A se Print,.: MY COMMISSION#EE OD3459
c o er 14
My Commission Expires: 14/J✓ Com
1) 3 j ��7 My mission Expires: p y ��}°t Bonded Thru Budget Notary Services
APPROVED BY ��'®�7`� Plans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
RICK SCOTT;GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTIOR INDUSTRY LICENSING BOARD X .
l
The
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ISSUED: 05/1812014 DISPLAY AS REQUIRED BY LAW SEQ# L1405180001227
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