MC-13-1088 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-211747 Permit Number: MC-5-13-1088
Inspection Date: May 05, 2014 Permit Type: Mechanical - Residential
Inspector: Perez,JanPierre
Inspection Type: Final
Owner: VILLAMIZAR, FELIPE Work Classification: Addition/Alteration
Job Address:547 NE 94 Street
Miami Shores, FL 33138- Phone Number (786)371-4869
Parcel Number 1132060140880
Project: <NONE>
Contractor: UNIVERSAL PLUMBING CORP Phone: (305)887-3131
Building Department Comments
NEW DUCTWORK AND VENT Infractio Passed Comments
INSPECTOR COMMENTS False
11/06/2013-VERIFY CONTRACTOR FOR MECHANICAL
PERMIT
Inspector Comments
Passed
Failed
Correction
y
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
May 02,2014 Page 1 of 1
Miami Shores Village
Building Department II AY 6 7 _
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 By: j
Tel: (305)795.2204 Fax:(305)756.8972 ----J
INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING Permit No. N C 13
PERMIT APPLICATION Master Permit No. p_C-13 — l(Dyl
FBC 20 P
Permit Type: MECHANICAL F-6
'! 2
OWNER:Name(Fee Simple Titleholder)*er):� L�I I 0 e �/� �1 a M/'2a r Phone#:78&`J 7/ - 48(oq
Address: J� N q S 1 r r/e&f
City: H(n rn I 'S h o r e s State: Pi. Zip: 3313
Tenant/Lessee Name: Phone#:
Email: T�'�� 2e — 0 110MIZ ,qy4hoe. Ian-)
JOB ADDRESS: S4 -7 A/C_ q'l S-fr t00-
City:
QCity: Miami Shores County: Miami Dade Zip:
Folio/Parcelk // " 3Z v& —0/1 - 61880
Is the Building Historically Designated:Yes NO Flood Zone:
CONTRACTOR:Company Name:_[/�/r(.��®l���e �'v�t�5 /d�Phone#:
Address: 4�?/ -3 S 5;7—
City: r , State: Zi
p:
Qualifier Name: F' r _ %'® Phone#: 4/ 5-
State
State Certification or Registration#: ®2 Certificate of Competency#:
Contact Phone#:J'05-4 Email Address:6:- r c,-L-1( tpx/" 57 i •e ®�
DESIGNER:Architect/Engineer:_�471ci t 6an Phonek
Value of Work for this Permit:$ ® Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Rep)ace ❑Demolition
Description of Work: TVA t)S TU V W16 r G LX
M GIS-'Zi( (yl o4D oew Ore Pits^d m p O rr,�S4-Cr bA f/ ra o f
vena pejnq m xeda' pe�, mAs-1-eKbothroom.
�x�xxxx,x��x��xx��+x�a�+xxo�nsx�x aF��� xx�xxm�x,xxxx�xa�,x���x�xx�xx��axw�����*�
Submittal Fee$ Permit Fee$. 1 CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$= aCT
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 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
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 ap roved and a reinspection fee will be charged.
s
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this I
day of ,20 by TeA t e- J (Cwf�'?`L Ir day of ,201,by 1 0� S e �00TT�
RYp•'•
who is person 1 known tom or who has roduced who is person 1 i Vii•;o me used
q P P )' Eb` pAItJ
,:
As identification and who did take an oath. J'nf Wcia r4'd9i�dm&to-0j4,. p an oath.
'''•;Fosc�oP•,: EXPIRES April 1;. ;+i
NOTARY PUBLIC: NJOT ) 1,IC: ptoridallotaryva�,,ce.cc+m
VIOLET'9 13OVIL.
Sign t . 622 Sign' + �t
Print: wax M 14,2015 Print: 5ras �
My Commission Expires: ' 3 i o ice.com y P
M Commission Expires:
APPROVED BY �' Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)