PL-15-1241 C ILI
26 Y3
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone.(305)785-2204 Fax:(305)7568872
Inspection Number. INSP-235320 Permit Number. PI--5-15-1241
Scheduled Inspection Date:February 04,2016 Permit Type: Plumbing-Residential
Inspector: Diaz,Osvaldo
Inspection Type: Final
Owner. SALTZBURG,DONALD Work Classificailon: AdditaoNAlteration
Job Address:84 NE 100 Street
Miami Shorn,FL Phone Number
Parcel Number 1132060131180
Project <NONE>
Contractor. Q'S CONSTRUCTION INC Phone:(786666
Building Departrnent Comments
tnfracNomems
REMODELING OF KITCHEN AND 2 BATHROOMS INSPECTOR COMMENTS False
nspector Comments
Passed
Failed
Correction
Needed
Re-Inspection
Fee
No MditfW treats can be adieduled until
reinspection fee is paid.
February 03,2016 For Inspections please calk(305)762.4848 Page 4 of 35
it
Miami Shores Village
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000
Phone: (305)795-2204
Ir Expiration: 11/2312015
Project Address Parcel Number Applicant
94 NE 100 Street 1132060131180
DONALD SALTZBURG
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
DONALD SALTZBURG 94 N.E.100 ST.
Contractor(s) Phone Cell Phone Valuation: $ 9,000.00
as CONSTRUCTION INC (786)229-5666 Total Sq Feet: 300
Type of Work:REMODELING OF KITCHEN AND 2 BATHROO 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 $5.40 Invoice# PL-6-15-55697
DBPR Fee $3.38 05/272015 Check#:101 $249.16 $0.00
DCA Fee $3.38
Education Surcharge $1.80
Permit Fee $225.00
Scanning Fee $3.00
Technology Fee $7.20
Total: $249.16
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 taws regulating
construction and zoning. F !!:�� e-named contractor to do the work stated.
4 / May 27,2015
Autho n re: er Applicant Contractor / Agent Date
Building Department Copy
May 27,2015 1
i - t
Miami Shores Village %MAY
BuildingDepartment 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
- (2
INSPECTION LINE PHONE NUMBER:(305)762-4949
FB/C 2010
BUILDING Master Permit No. R(:_Aq —'��
PERMIT APPLICATION Sub Permit No. 15'-- ,'2_-�j
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
QPLUMBING ECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9 0 Street
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-013-1190 Is the Building Historically Designated:Yes NO )(XX
Occupancy Type: Residential Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:NamjQ1imple Titleholder):Donald &Wendy Saltzburg Phone#: 3 2,� — 31 'Z-
Address:94eNE 100 Street
City. Miami Shores State: FL Zip. 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Q's Construction, Inc. Phone#: 786-229-5666
Address: 7005 N Waterway Drive, Suite 304
City: Miami -State: FL Zip: 33155
Qualifier Name: Alfred Quero Phone#:
State Certification or Registration#. CFL' 142*oki;Certificate of Competency#:
DESIGNER:Architect/Engineer:fwi =:C. ` Phone#: yds
Address: '19.1515 �'6� �� c 'X" City: '6M " State: Zip:
Value of Work for this Permit:$ n Square/Linear Footage of Work: . .
Type of Work: ❑ Addition Q Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: New plumbing for kitchen and bahi;qom oeN
Specify color of co or thru tile:
Submittal Fee$ Permit Fee$ —2Z5. ;->` CCF$S• 40 CO/CC$
Scanning Fee$ Radon Fee$_ • 3 Ir DBPR$ 3 i ty Notary$
Technology Fee$ • Training/Education Fee$ t' PRDouble Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ t
(Revised02/24/2014)
� t
a
Bonding Company's Name(if applicable) N/A
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable) N/A
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 ab ence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature J Signature
NER or AG19T *strunt
OR
The foregoing instrument was acknowledged before me this The foregowledged before me this
21st day of May 20 2015 by 21St day of y ,20 15 by
iQ who is personally known to Alfred Quero who is personally known to
me or who has produced 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:
01
Sign: > Sign:
Print: Arlene Torres Print: A e like an f► `ft°of Roft
Seal: Seal: %%.°;;:: COMMMM IFF 108184
- - - -
..►""'weN ARLEN E TMES
FWW
'••:,frya� ;. comadsSIN N FF 1 84
Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
t '
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
QUERO,ALFRED A
Q'S CONSTRUCTION INC
7005 N.WATERWAY DRIVE
SUITE 304
MIAMI FL 33155
Congratulationsl With this license you become one of the nearly ,wr ;> ,,, - -,-«-
one million Floridians licensed by the Department of Business and y
Professional Regulation. Our professionals and businesses range STATE OF FLORIDA
from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND
and they keep Florida's economy strong. PROFE681 ,.---AEGULATION
Every day we work to improve the way we do business in order to CFC1427045 ._08/28/2014
serve you better. For information about our services,please log onto "
www.myflorldallcense.com. There you can find more information CERTIFIED PLA,7 u ONRfQR
about our divisions and the regulations that impact you,subscribe QUERO,ALF
to department newsletters and learn more about the Department's Q'S CONSTRt/
initiatives. „
Our mission at the Department is:License Efficiently, Regulate Fairly. X t'
We constant) strive to serve you better so that you can serve your
customers. lank you for doing business in Florida, IS CERTIFIED under the'jirovisions of Ch.488 FS.
and congratulations on your new license! ExpW*n deft:AUG 3t.2ote L140828MM397
"DETACH HERE
RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
CFC1427045 '' ,''
The PLUMBING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31,2016
AM
a
ALFRED A v MO—
Q'S
CONSTRUCTION ING 7045 N.WATERWAY �SUITE 304 MIAMI FL X3155 .. , S". X
_
ISSUED: 0828/2014 DISPLAY AS REQUIRED BY 1 AIN nrA u
001238
Local Business Tax Receipt
Miami-Dade-County; State of Florida
1'NIS IS NOT BILL - 00 NOT PAY
5890455 LBT -)
BUSINESS NAME/LOCATION REClRPT NO. EXPIRES
Q5 CONSTRUCTION INC RENEWAL SEPTEMBER 30, 2015
7005 N WATERWAY DR 304 8144281 Must be displayed at Place of business
MIAMI FL 33155 Pursuant to County Code
Chapter 8A-Art.9&10
OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED
Q$CONSTRUCTION INC 196 PLUMBING CONTRACTOR BY TAX COLLECTOR
Worke(s) 1 CFC1427045 $82.50 10/06/2014
CREDRCARD-15--000815
Tbb Leval Business Tax Receipt aaht ooa6nas payment of the Local Business Tax.The Refit is sot a license,
penmi4 or a cerWsreq wbfthHolder comply with any e�or � � b
no RECM H&above mehe dispbyed an all commescial vehicles-Miead-Bwle Code Sec Ow-VIL
Formamalobnowtioa,"