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PL-07-1922 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Date: 10/11/2007 Permit Type: Plumbing - Residential Inspector: Levrock,James Inspection Type: Underground Rough Owner: VILLOLDO,J PATRICK Work Classification: Addition/Alteration Job Address: 1146 97 Street NE Miami Shores, IFIL 33138- Phone Number Parcel Number 1132050170160 Project: <NONE> Block: Lot: Contractor: JC PLUMBING SERVICES, INC Phone: 305-796-4663 Building Department Comments BATHROOM RENOVATION OCT 1 1 207 In o Comments Passed Failed El Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid Wednesday, October 10, 2007 Page 2 of 2 1 v WT I Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL 0 Phone: (305)795-2204 Fax: (305)756-8972 p" NO NO Inspection Date: 12/19/2007 Permit Type: Plumbing - Residential Inspector: Levrock,James Inspection Type: Final Owner: VILLOLDO,J PATRICK Work Classification: Addition/Alteration Job Address: 1146 97 Street NE Miami Shores, FL 33138 QL000- Phone Number Parcel Number 1132050170160 Project: <NONE> Block: Lot: Contractor. JC PLUMBING SERVICES, INC Phone: 305-796-4663 BuIlding Department Comments BATHROOM RENOVATION DEC 1 9 I r ments Passed cc Failed Correction Needed Re-Inspection Fee ($75) V No Additional Inspections can be scheduled until re-inspection fee is paid Tuesday,December 18,2007 Page 'of 6\4 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (306)756-8972 typo lqz Inspection Date: 10/11/2007 Permit Type: Plumbing - Residential Inspector: Levrock,James Inspection Type: Top Out Owner: VILLOLDO,J PATRICK Work Classification: Addition/Alteration Job Address: 1146 97 Street NE Miami Shores, FL 33138- Phone Number Parcel Number 1132050170160 Project: <NONE> Block: Lot: Contractor: JC PLUMBING SERVICES, INC Phone: 305-796-4663 Building Department Comments BATHROOM RENOVATION or /omments r Passed Failed Correction Needed Re-inspection Fee ($76) No Additional Inspections can be scheduled until re-Inspection fee is paid. Wednesday, October 10, 2007 Page 2 of 2 Receipt Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit Number: PL-9-07-1922 Owner Address: Invoice Number: PL-9-07-29823 1146 97 Street NE Applicant:J PATRICK VILLOLDO MIAMI SHORES, FL 33138• Company Name: Job Address: 1146 97 Street NE Miami Shores, FL 33138- Date Payment Type Check Number Amount Change Thursday,September 20, 2007 09/20/2007 Credit Card $178.85 $0.00 Total Payment: $178.85 Page 1 of 1 Permit NO. PL-9-07-1922 5Hoe€'�y Miami Shores Village M Permit Type:Plumbing-Residential ,,, „ 10050 N.E.2nd Avenue - ' Work Classification.Addition/Alteration Miami Shores,FL 33138-0000 Permit Status:APPROVED , Noe Phone: (305)795-2204 [ORIDp Issue Date:9118/2007 Expiration: 03/1612008 MENEEMENNOMENEEMENOMMEd Project Address Parcel Number Applicant 1146 NE 97 Street 1132050170160 Miami Shores, FL 33138- Block: Lot: J PATRICK VILLOLDO Owner Information _ Address _ _ _ __ .__ Phone Cell J PATRICK VILLOLDO 1146 NE 97 Street MIAMI SHORES FL 33138-2558 Contractor(s) Phone Cell Phone $ 2,000.00 JC PLUMBING SERVICES,INC 305-796-4663 Valuation: Total Sq Feet: 0 Type of Work:BATHROOM RENOVATION Available Inspections Type of Piping: Inspection ton T ype: Additional Info: Water Main Bond Return: Final Classification:Residential ey& Main Drain ® Re Pipe SEP 2 0 2007 Lavatory A Top Out C n� Underground Rough MIAMI 1 IA Water Service MI SHORES VILLAGE Heater Fees Due Amount Total Amt Paid Amt Due CCF $1.20 - - Education Surcharge $0.40 $0.00 $0.00 $ 0.00 Permit Fee-Addi6ons/Alterations $170.00 Scanning Fee $3.00 Payment Type: Technology Fee $4.25 Total: $178.85 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. i understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated September 18,2007 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy Tuesday,September 18,2007 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 BUILDING SU Permit No.PERMIT APPLICATI 1 Master Permit No.. FBC 2004 Permit Type: Plumbing /�,�� g Owner's Name(Fee Simpl Titlehdlde. fiG�� y Phone# Owner's Address i Z IE cc W City t 17 State_ � Zip �! L Tenant/Lessee Name Phone# E-MAIL: Job Address(where the work is being done) City Miami Shores Vill a County Miami-Dade Zip - FOLIO/PARCEL# Is Building Historically Designated YES O Contractor's Company NameRmbin(, Phone 5(5-$ Contrac is Address e, bl CityAfflA1!&2L+ State ft Zip Qualifier Name Phone# c5l State.Certific#te or Registration No. Certificate of,&mpetency o: E-MAIL' ` Architect/Engineer's Name(if applicable) Phone# Value of Work For this Permit$ //AM Square/Linear Footage Of Work: Type of Work: ❑Addition P]Alteration . []New 0 Repair/Repl&0e1 i. Demolition Describe Work-"'. 1r tdnYdrdr&skaYoYrroY4r9r4rYaS,tdraYdrdadnlrardra,r�rokdadrar�rat+irdeTedrF�ar+Yatdra�n4grorsesYYdeotQrQedeus4de4reYxdrdrdrksr4r4¢+exdeaY4oYinY4r4e4rarY d-O � Submittal Fee$ Permit Fee$ 1-76 CCF$ Notary$ Training/Education Fee$ L10 Techn10 'na s.Scanning$ ✓•cx7 Radon$ DPBR$ . 2 0 2007 ' Bond$ Code Enforcement$ Double Fee$ r ' " Structural Review.$ Total Fee No Sulu., See Reverse side CL 70 5� 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 7i'iisallationsas`i"ndicated. 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 perdlitlmust be secured for ELECTRICAL.WORK, PLUMBING,SIGNS, WELL VOOLS,PURNACES,,UOILERS,HEAT Sr_ end A elf' . Tl K �0 1' IQNERS ETC OWNER'S AFFIDAVIT: I certify that all the foregoing informatioris a�ur;te and thal:%i 16work`iari dq m mpl'a ce with all applicable laws regulating construgio®•and�eoning. a�• r 43 "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 (WFORE 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 taw brochure will be delivered to the'person whose property is sub, ct to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspectdon hi c seven (7) days after the buil&ng permit is issued In the absence of such posted notice, the inspection will apt r ' pection fee will be charged 11 Signature Signature Owner or Agent Contractor The foregoing i ment was acknowledged before me this� The foregoing ins t was acknowled before me this day of�20 ,by_CL //� day of 20 by l -T to who is personally knower who has produced who is rsonally known to me or who has produced As' Wtake e an oath. as id nti on �, NOTARYPUBLIC: r°A, ER DANIEL P.NO�,AR,%P I MYC0AgM1DOWpR ° , M4&V 2Sss10N#OfiF0 �nx EXPI �21.Sign: i/ v , l°°�lseeo�a3ea�, o �mNofty an Sign:�{;� :e My Commission Expires: 07 My Commission Expires: APPLICATION APPROVED BY: ? Plans Examiner Engineer Zoning (Revised 02/08106)