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PLC-16-807 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: ( 05)795.2204 Fax.(305)756-8872 Inspection Number. INSP-255571 Permit Number. PLC-3-16-807 Scheduled Inspection Date:April04,2016 Permit Type: Plumbing -Commercial Inspector.Hernandez,Rafael Inspection Type: Final Owner SHANDLOFF,NED Work Classification: Dminfield Job Address:211 HE 98 Street Miami Shores,FL 331384= Phone Number {j- Parcel Number 113206010-211 Project <NONE> Contractor. THE NEW MIAMI SHORES PLUMBING Phone:(305)751-2446 Building Department Comments cao ommeMs RUNNING WATER MAIN PVC FROM METER TO INSPECTOR COAAMeM False BUILDING Inspector Comments Passed Failed El Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled cudli re4nspecgon tee Is paid. C,,,,i..........aa......,.a,,,,....—116 Mna1704 AAAA Miami Shores 0 ores Village s - 10050 N.E.2nd Avenue NE !a Miami Shores,FL 33138-0000 Phone: (305)795-2204 3 gg,y r E t Expiration: /25/2016 Project Address Parcel Number Applicant 211 NE 98 Street 1132060134350-211 Miami Shores, FL 33138-0000 Block: Lot: SHAPAR REALTY CO Owner Information Address Phone Cell SHAPAR REALTY CO 9497 OLD PINE Road ()__ BOCA RATON FL 33428- Contractor(s) Phone Cell Phone Valuation: $ 1,900.00 THE NEW MIAMI SHORES PLUMBING (305)751-2446 (786)553-5424 Total Sq Feet: 0 Type of Work:RUNNING WATER MAIN PVC FROM METER T Available Inspections: Type of Piping: Inspection Type: Additional Info: Final Classification:Residential Rough Scanning:2 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# PLC-3-16-59162 DBPR Fee $2.00 03/29r2016 Check#:2535 $63.20 $50.00 DCA Fee $2.00 Education Surcharge $0.40 03/25/2016 Check#:2532 $50.00 $0.00 Permit Fee $100.00 Scanning Fee $6.00 Technology Fee $1.60 Total: $113.20 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 inform ion is ccurate nd t t all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-n med tractor do e o stated. 4d March 29,2016 Authorized Signature:Owner / Applicant / 196ritractor / Agent Date Building Department Copy March 29,2016 1 Miami Shores Village Building Department LIAR 2 s 201 P,Y: 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2014 BUILDING Master Permit No. —�� PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL [/]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 4.11 NF q>a City: Miami Shores County: Miami Dade Zip: 331315 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 14CA Shan 4.101=1- Phone#: Address: 211 NE 915 Str-e--e* City: Miami Sho r-tS State: 1=L Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: TI'tf, Neu) Miami ShyneS )01UMbiWPhone#: L-305.) -75I—2.44ko Address: 900 NW 144 S+r--emet City: Mi am i State: FL Zip: 331 L00 Qualifier Name: Dennis M N="h lin Phone#: State Certification or Registration M �'1�C 0)9 245 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ S q DO> 00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 12unni ng WQ,t-2/' main p VC rrD m r*-e, er +e buU 1 di nq . Specify color of color thru tile: Submittal Fee$ Permit Fee$ ®� ✓ 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) 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 approvad and a reinspection fee will be charged. ?11 Signature Signatu OWN or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 24th day of M a.rr h ,20 IL-J' ,by 244h day of March .20 ICS .by N,e.G( ShWICL 10IGr --,who is personally known to T•enir»S MGAUab1i Uho is personally known to me or who has produced f=L_—''D L. as me or who has produced I-L:—00L, as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: � 18 11 ��r' NOTARY PUBLIC: ```` A i Sin ..• O ? Si n• V SQ :*= Print• 0 — Print: — s ,•. . Seal: ��•.;' 'oma: Seal: �1/►1111111111 t1111111ti1 ############################################################################################################ APPROVED BY '� !� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Detail by Entity Name Page 1 of 2 DetailntlName Florida Profit Corporation SHAPAR REALTY CO. Filing Information Document Number 651158 FEI/EIN Number 22-2341174 Date Filed 11/0211979 State FL Status ACTIVE Last Event CANCEL ADM DISS/REV Event Date Filed 09/30/2009 Event Effective Date NONE Principal Address 9497 OLD PINE ROAD BOCA RATON, FL 33428 Changed: 01/09/2008 Mailing Address 9497 OLD PINE ROAD BOCA RATON, FL 33428 Changed: 01/09/2008 Registered Agent Name&Address SHANDLOFF, NED M 9497 OLD PINE RD. BOCA RATON, FL 33428 Name Changed: 06/17/1992 Address Changed: 01/24/2007 Officer/Director Detail Name&Address Title PD SHANDLOFF, NED M 9497 OLD PINE RD. BOCA RATON, FL 33428 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 3/25/2016