PL-15-3149 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-249743 PermitNumber: PL-12-15-3149
Scheduled Inspection Date: December 23,2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: TADDEO, FRANK Work Classification: Drainfeld
Job Address:341 NE 92 Street
Miami Shores, FL 33138- Phone Number (305)758-7493
Parcel Number 1132060136380
Project: <NONE>
Contractor: A AARON SUPER ROOTER Phone: 305-944-8886
Building Department Comments
REPLACE DRAIN FIELD EXPIRED PERMIT RENEWAL PL Infractio Passed comments
05-108 INSPECTOR COMMENTS False
Inspector Comments
Passed HRS ON FILE
Failed
LW173L
5
Correction
Needed spt'� 6 k
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
December 22,2015 For Inspections please call: (305)762-4949 Page 40 of 59
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'!Dani/NO ,PL-12..15-3'149
Miami Shores Village PemTrf lye Pl>lrrt ing esidatatfial
g� 10050 N.E.2nd Avenue NE
"'"� Miami Shores,FL 33138-0000
�e7/�Cle tE��lQi7 Rrai0eld
Pe nt 5th:APPROVED
Phone: (305)795-2204 i
�oR
Expiration: 06/19/2016
Ise . ' p
Project Address Parcel Number Applicant
341 NE 92 Street 1132060136380
Miami Shores, FL 33138- Block: Lot: FRANK TADDEO
Owner Information Address Phone Cell
FRANK TADDEO 341 NE 92 Street (305)758-7493
MIAMI SHORES FL 33138-3133
Contractor(s) Phone Cell Phone Valuation: $ 2,300.00
A AARON SUPER ROOTER 305-944-8886
_. Total Sq Feet: 00
Type of Work: Available Inspections:
Type of Piping: Inspection Type:
Additional Info: HRS Approval
Bond Return: Final
Classification:Residential Scanning:3 Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80
DBPR Fee Invoice# PL-12-15-58120
$2'25 12/22/2015 Check#: 1064 $ 168.30 $0.00
DCA Fee $2.25
Education Surcharge $0.60
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $168.30
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 zon' Futhermore,I u hori the above-named contractor to do the work stated.
December 22, 2015
Author* d Si ture:Owner / Applicant / Contractor / Agent ate
Building Department Copy
December 22,2015 1
Miami Shores Village CRT RE)
DEC 21.2015
Building Department
BY:
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION,LINE PHONE NUMBER:(305)762-4949
FOC 20
BUILDING Master Perm' itNV ._R/_/
PERMIT APPLICATION (PL--SOS--1®8 Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION •RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
1H
JOB ADDRESS: 3NJ 1 -1(�2- ST
City: Miami Shores County: Miami Dade Zip: � d
Folio/Parcel#: 'tj _ 32jpG -013-(o 8 ® Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): I fav K -ra ct oe O Phone#: `3 1 S P' - 75
Address: Z �4 e 1�2, 'S-T ,�
City: �4 Gi w�i � State: p . Zip: 3-3(56
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: c / B ''BAl Jam- Phone#: t ����
Address: 2a- S-,-z 'S C-P
City: Wpey-\a&-* State: 1 [, zip:_A130 Z__5
Qualifier Name: 7 "�� l J Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work: ?)0
Type of Work: ❑ Addition ❑ Alteration ❑ New ,,Repair/Replace ❑ Demolition
Description of Work: '� p
C)acee D�P Ciel
Specify color of color thru tile:
Submittal Fee$ (A Permit Fee$ S4y` '' CCF$ n CO/CC$
Scanning Fee$ •CPN Radon Fee$�+ DBPR$ Notary$
Technology Fee$ rl. Q Training/Education Fee$ 0 • Double Fee$
Structural Reviews$ 171 Bond$
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 ceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law br chure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of comm ce ent must be posted at the job site
for the first inspection which occ en (7) days after the building permit is issued. In he bsence of such posted notice, the
inspection will not be approve nd a r ' ectio fee will be charged.
f
Signature Signature
064or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
� _day
yooff �'��✓ 201 e
_,by "( day of 20 iS by
i ► Q�1� T� vho is personally known to 2 ('v"� ,who is personally known to
me or who has produced T7L'-A- —as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: C Sign:
Print: Print:
Seal: ���..ftTERES J,SMOmoN Seal: * MY COMMISSION#FF 016f
COMMISSION#FF
0161EXPIRES:November 8,2019
* t EXPIRES:November 8,2019 mlxrt��Or BQwTineudommySeni
o�
APPROVED BY l f !� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)