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PL-15-721 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)795.2204 Fax:(3OM75"972 Inspection Number: INSP-231303 Permit Number: PL-3-15-721 Scheduled Inspection Date: November 23,2015 Permit Type: Plumbing - Residential Inspector. Dlaz,Osvaldo Inspection Type: Final Owner WALLACE,JOHN Work Classification: Addition/Alteration Job Address:818 NE 106 Street Miami Shores,FL 33138-2046 Phone Number Parcel Number 1122310140211 Project <NONE> Contractor. MANNY'S PLUMBING SERVICE INC Phone:(305)219-5625 Building Department Comments PLUMBING FOR 2 SINKS 1 TOILET 1 SHOWER HOSE Infractlo Passed Comments BIBS AS PER PLANS INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re-Inspection Fee No Additional InspeWone can be scheduled untl re-Inspection fee Is paid November 20,2015 For Inspections pies"calk (305)762.4949 Page 1 of 411 srNW.°Fft—o` Miami Shores Village PeriltY 7yeilt ' Y Ridental 10050 N.E.2nd Avenue NE AAd ( ftl Miami Shores,FL 33138-0000 7 Phone: (305)795-2204 x AI IRV A7 r � Expiration: 09130/2015 Project Address Parcel Number Applicant 518 NE 106 Street 1122310140211 Miami Shores, FL 33138-2046 Block: Lot: JOHN WALLACE Owner Information Address Phone Cell JOHN WALLACE 518 NE 106 Street MIAMI SHORES FL 33138-2046 Contractor(s) Phone Cell Phone Valuation: $ 4,900.00 MANNY'S PLUMBING SERVICE INC (305)219-5625 Total Sq Feet: 650 Type of Work:PLUMBING FOR 2 SINKS 1 TOILET 1 SHO Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Retum: Final Classification:Residential Scanning: 1 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 Invoice# PL-3-15-54991 DBPR Fee $3.38 03/30/2015 Credit Card $50.00 $192.76 DCA Fee $3.38 Education Surcharge $1.00 04/03/2015 Credit Card $ 192.76 $0.00 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $4.00 Total: $242.76 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 cert' at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fut ore,I authorize the above-named contractor to do the work stated. A April 03,2015 Authorized Sign re:Owner / Applicant / Contractor / Agent Date Building Department Copy April 03,2015 1 Miami Shores Village9 Building Department MAR 30 2 15 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FB C 20 00 BUILDING Master Permit No._PCIIL4"'p�Q:70 ' PERMIT APPLICATION Sub Permit No. ITZ_I S—---?Iz 1 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION F-1 RENEWAL *PLUMBING F-1MECHANICAL [:]PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION E-1SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County Miami Dade Zio• Folio/Parcel#: •��( • ��' CV ( Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: 0 BFE: FFE: OWNER:Name(Fee Simple Titleholder): CC Phone#;ZO3 ":��L Address: 'b OGSr" City: �� S 2Af S State: Zip: Tenant/Lessee Name: /v Phone#: Email: CONTRACTOR:Company Name: QNtu�`��Lv1M�o h'� �enVa%C� Phone#: �� Address: x(031 U� ��! Pl. �+i�► lSb — A City: State: Zip: 3� �Z Qualifier Name: 1.11yl-)'z� ��L Opy::10 Phone#• 672 r State Certification or Registration#: C T-C \�AZ%n \IZ, Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ ,d?C6 Square/Linear Footage of Work:. 0 Type of Work: Addition ❑ Alteration - ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: �)- klqmc QIEQS Specify color of color thru tile: Submittal Fee$DU Permit Fee$ 2-ZX "r CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ - (Revised02/24/2014) f 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 I CONTRACTO The foregoing instrument A -was acknowledged before me this Theforegoinginstrument was acknowledged before me this (moo day of\V�/�Q(C�/� ,20 15 ,by r- day of �� ,20 V5 .by �f1Yl �CI\`ClO-P- •p' , ,who ispersonally {�►'rsonally known to aowl �-ef�YY1b ,who is personally known to me or who has produce?, W i's'-7 7.4-W as me or who has produced bu*on-y�.' as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: IQs Print: Q0. Seal: °`"L�REBECA M.PASTRANA Seal: REBECA M.PASTRANA MMISSION#EES72624 � MY COMMISSION#EE872624 ES:February 07,2017 ExPIM:Febmmy 07,2017 � APPROVED BY Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014)