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PL-09-795 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-113900 Permit Number: PL-5-09-795 Scheduled Inspection Date: December 18, 2009 Permit Type: Plumbing - Residential Inspector: Levrock,James Y 9 Inspection Type: Final p yp nal Owner: , Work Classification: Addition/Alteration Job Address: 1077 NE 96 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060143680 Project: <NONE> Contractor: PRONTO PLUMBING INC Phone: (305)978-7755 Building Department Comments PLUMBING WORK FOR KITCHEN& BATHROOM REMODEL. 1 SHOWER 1 TOILET 1 LAVATORY 2 KITCHEN SINKS 1 DISHWASHER I specto C nments Passed EAS Al_ . . Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 17,2009 For Inspections please call: (305)762-4949 Page 3 of 11 i w 3 Miami Shores Village "y j?,�tt,T)�A ( ) , 10050 N.E.2nd Avenue Miami Shores,FL 33138-0000 II "TM Gla Sfr 1dC t?rtlAttelation Phone: (305)795-2204 r Pel tafzrs:APPt Wgb Expiration: 112312009 Project Address Parcel Number Applicant 1077 96 Street 1132060143680 AURORA LOAN SERV LLC Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell AURORA LOAN SERV LLC 2617 COLLEGE PARK SCOTTSBLUFF NE 69361- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 PRONTO PLUMBING INC 305-892-2255 Total Sq Feet: 0 Type of Work:PLUMBING Available Inspections: Type of Piping:BATHROOM&KITCHEN REMODEL Inspection Type: Additional Info: Bond Return: Top Out Re Pipe Classification:Residential Main Drain Underground Rough Heater Water Service Final Water Main Lavatory Fees Due Amount Invoice# Total Amt Paid Amt Due CCF $1.20 PL-5-09-34787 $224.85 $174.85 + Education Surcharge $0.40 so Notary Fee $5.00 PL-5-09-34787 $224.85 $224.85 $ 0.00 Permit Fee-Additions/Alterations $210.00 Scanning Fee $3.00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $5.25 Total: $224.85 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated. June 01,2009 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy June 01,2009 1 TML� Miami Shores Village MR � Building Department MAY 11 2009 10050 N.E.2nd Avenue, Miami Shores, Florida 33 138 BYo o=�-------- Tel: (305) 795.2204 Fax: (305)756.8972 BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 200j Permit Type: Plumbing / Owner's Name(Fee Simple Titleholder) Phone# ��(J /Z 2_5 Owner's Address1z)72 AX= Cit- Aoj; ��State C>t0A-_ - Zip Tenant/Lessee Name Phone# E-MAIL: Job Address(where the work is being done) /07 7l -4— %�v ' City Miami Shores Village County Miami-Dade Zip FOLIO/PARCEL# Is Building Historically Designated YES NO Contractor's Company Name ft..3 Contractor's Addres) /2 !ss � 9X—Phone. A 6 l City Ni Sta Zip3�t�/ Qualifier Name Phone# 3® !r—97 t — 7 7! State Certificate or Registration No. D :556 7 < Certificate of Competency No. E-MAIL: Architect/Engineer's Name(if applicable) Phone# / Value of Work For this Permit$ /1&0 Square/Linear Footage Of Work: Type of Work: ❑Addition ]Alteration ❑New Repair/Replace ❑ Demolition Describe Work: l L� C014 / -7 t&& nnrxx�x,��xxxxYxxY��x SubmittalCFee$ C Permit Fee$ � CCF$ (.,Q — CO/CC Notary$ J'.�V Training/Education Fee AU Technology Fee$. ��-66 Scanning$ ' Radon$ DPBR$ Zoning$ Bond$ Code Enforcement$ Double Fee$ Structural Review.$ Total Fee Now Due$_ � • O S See Reverse side—> 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 beperformedto ,meet-the=standards of all laws regulating construction in this jurisdiction_-1 widerstand-mat a separate-Permit most be secured for ELECTRICAL WORK,PLUTv MG, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: t 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Signature Owner or nt Contractor The foregoing instrument wa cnowledged before me this C)(® The forego' g instrument was ackno edged befa a his ' I. day of t"(A 20 0%by be fo(Se LR?R�Ah965 e day o 20/ J►, � t� �Y who is personally'known to me or who has produced flIalWP �r� who i personalty k own to me or who has produced -�- 117 -77- As identification and who did take an oath. IM-4) 4• identification and who did take an oath. - F NOTARY PUBLIC:LIC: OTARY PUBLIC: Sign: •-►•� Sign: Print: TARE jm'), Q2 - Print: My Commission Expires:� 61 FER;NuAND,uE�IOMY Commission Expires: gs' f g' xie ak Berdezxzx�Yxx$x$ex zie txx,kxeY is Yu4c •Bex' ' Y• IIJt'I'�iJ6�•,VYfRxxxYxx�9rw xxae deud¢xux'ur.�uxxxaexY aY 4e w�xxY de&icx +�aF * * ES:July 5,2011 X xrY ,r m Budgetltlotery SMY46 ��•,ro„��oe f OF APPLICATION APPROVED BY: •'• I-Mxaminer ' Engineer Zoning (Revised 02/08/06)