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PL-15-2266 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL 20 Phone: (305)795-2204 Fax: (305)756.8972 Inspection Number;INSP-242902 Permit Number: PL-9-15-2266 Scheduled Inspection Date:April 21,2016 Permit Type: Plumbing - Residential Inspector. Hernandez,Rafael Inspection Type: Final Owner. CAMPBELL,MARK Work Classification: Addition/Alteration Job Address:373 NE 92 Street Miami Shores,FL Phone Number (305)754-2318 project: <NONE> Parcel Number 1132060136400 Contractor. MANNY'S PLUMBING SERVICE INC Phone:(305)219-5625 Building Department Comments NEW KITCHEN Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments 1 j Passed Failed El C Correction Needed Re-inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. a za t h Miami Shores Village 10050 N.E.2nd Avenue NE ••� Miami Shores,FL 33138-0000 4 `` Phone: (305)795-2204 Expiration: 04/0212016 Project Address Parcel Number Applicant 373 NE 92 Street 1132060136400 MARK CAMPBELL Miami Shores, FL Block: Lot: Owner Information Address Phone Cell MARK CAMPBELL 373 NE 92 Street (305)7542318 (305)528-3037 MIAMI SHORES FL 33138-3133 373 NE 92 Street MIAMI SHORES FL 33138-3133 Contractor(s) Phone Cell Phone Valuation: $ 1,200.00 MANNrS PLUMBING SERVICE INC (305)219-5625 ,�.._�_. .�..�.��..-� ...�__ .�......_... Total Sq Feet: 00 Type of Work:NEW KITCHEN Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Retum: Final Classification:Residential Scanning:3 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# PL-9-15-56958 DBPR Fee $2.25 10/05!2015 Credit Card $116.70 $50.00 DCA Fee $2.25 Educati%Surcharge $0.40 09/04/2015 Check#:3912 $50.00 $0.00 Permit NO $150.00 ScannimFee $9.00 Techn(fty Fee $1.60 Total: $166.70 1-1 r-a C-, 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 accep*p this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are requiresfor ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. a_. OWNS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating consthidtion and zoning. Futhermore,I authorize the above-named contractor to do the work stated. October 05,2015 :.� Authorized Signature:Owner / Applicant / 1 Agent Date Binding Department Copy Co 0 October 05,2015 1 Miami Shores Village ��v � » 't t Building Department ;EP 84 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 it FBC 20161 BUILDING Master Permit No.9L /� -- PERMIT APPLICATION sub Permit No. / ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP ` r c CONTRACTOR DRAWINGS JOB ADDRESS: 37 S ry t' _ l S� AL2 rt p City Miami Shores County: Miami Dade Zig): Folio/Parcel#: I �- ;","' 3 - (�*4 017 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone:_ BFE: FFE: OWNER: ame(Fee Simple Titleholder): 1M.(rf1/1¢� C*IVLP�k' L-,-- Phone#: 150 S silt ress: 313 1�A c12- ';—gt-i City: M (AOK I- S 1lyol a,4 State: - Zip: 31)L�46 mant/Lessee Name: Phone#: Email: 3o s- �z5-y333 CONTRACTOR:Company Name: Phone#: 21` -S�ZS Address: City: -State: C't. Zip: Z�30 Qualifier Name: Ay.1 u,k� `��,xspc��r+lD Phone#: State Certification or Registration#: C- C 1 Va rl04(o Certificate of Competency#: DESIGNER: rchite ngineer. M�lA�- P-c4edk PQ Phone#: 305 S-Lt- -)0'1'7 Address: �� Z-' S� City: M.-5 State: Zip:00 Value of Work for this Permit:$ 11-ft Square/Linear Footage of Work: Type of Work: ❑ Addition �9 Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: M t, K. Specify color of color thru tile: Submittal Fee$ Permit Fee$ KZ' CCF$ CO/CC$ anning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ T 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 Applic As a c dition to the i ante of a building permit with an estimated value exceeding$2500, the applicant must promise in od faith tha opy n ice of commencement and construction lien law brochure will be delivered to the person whose pr perty is subje a ch en Also,a certified copy of the recorded notice of commencement must be posted at the job site far th first inspectio h' o urs even ( ys after the building permit is issued. In the absence of such posted notice, insp ion will not b p ov an a re' a ill be charged. Signatur Signature -v fOWN'E'Jr AGENT CONTRA OR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Y_��da'y of �) ��--�{ 20 7 .by _day of �J 20 1 S ,by I 0 ►(� �Pu'b'is personally ally known to IkQM4who is personally known to me or who has produced as me or who has produced C4 as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign' < Print: _—':F��. U a - Print Seal: �� s?�l Seal: REBECA M.PASTRANA /Cl �`� �r MY COWSSION u sesn624 ��` pp�p EXPIRES:Fin Y 07,2017 APPROVED BY '� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) MIAMI-DADE COUNTY-STATE OF FLORIDA N/A October 05,2015 M EMFND LOCAL BUSINESS TAX RENEWAL 3359791' 1 2015 -2016 APPLICATION RECEIPT.3502151 STATE#CFC1428796 DBAISUSINESS NAME: BUS.COMMENCEMENT DATE:03/01/1995 MANNYS PLUMBING SERVICE INC SEC TYPE OF BUSINESS BUSINESS LOCATION: PLUM PLUMBING CONTRACTOR 1631 W 38 PL 1502A 1 HIALEAH,FL 33012 APPLICATION DETAILS OWNER/CORP. MANNYS PLUMBING SERVICE INC FEE AMOUNT PHONE# 305-597-0673 Receipt Fee 30.00 UMSA Fee 0.00 1631 W 38 PL#1502A Beacon Council Fee 15.00 HIALEAH,FL 33012 Bingo Permit Fee 0.00 Nightclub Permit Fee 0.00 Multi-Municipal Contractor Fee 0.00 Restricted Contractor Fee 0.00 Library Fee 0.00 Transfer Fee 0.00 NAIC3 CODE: 23822 Doing Business without a License Penalty 0.00 Late Penalty 0.00 Collection Cost 0.00 NSF Fee 0.00 Prior Years Due 0.00 Amount Recently Paid - 45.00 TOTAL AMOUINT DUE: 0.00 ................................................................................................................................................................................................................................................................................................................. If no longer In business,please notify us in writing. To pay online go to www miamidade.aov/taxcollector Review and correct the information shown on this application. To pay by mail,make check payable to: Miami-Dade County Tax Collector A 25%penalty will be assessed to anyone found operafing Business Tax without a paid local business tax,in addition to any other 200 NW 2nd Avenue penalty provided by law or ordinance(Sec 8A-176(2)). Miami FL 33128 To pay in person go to: A Certificate of Use and/or City Business Tax 200 NW 2nd Avenue Receipt may also be required. (305)270-4949,fax(305)372-6368 A service fee of not less than$25.00 up to a minimum of 5% will be charged for all returned checks. t RETAIN FOR YOUR RECORDS t MIAMI-DADE COUNTY-................1........ ............................. DETACH HERE AND RETURN THIS PORTION WITH YOUR PAYMENT + N/A October 05,2015 STATE OF FLORIDA LOCAL BUSINESS TAX RENEWAL RECEIPT.3502151 2015 -2016 APPLICATION STATE#CFC1428796 3359791 BUSINESS LOCATION: 1631 W 38 PL 1502A HIALEAH,FL 33012 BUS.COMMENCEMENT DATE:03/01/1995 SEC TYPE OF BUSINESS OWNERICORP. PLUM PLUMBING CONTRACTOR MANNYS PLUMBING SERVICE INC 1 APPLICATION IS HEREBY MADE FOR A LOCAL BUSINESS TAX RECEIPT OR PERMIT FOR THE BUSINESS PROFESSION OR OCCUPATION DESCRIBED HEREON.I HAVE BEEN INFORMED OF ALL ZONING RESTRICTIONS IMPOSED ON THIS RECEIPT. I SWEAR THAT THE INFORMATION IS TRUE AND CORRECT. MANNYS PLUMBING SERVICE INC MANUEL PERDOMO MGR 1631 W 38 PL#1502A SIGNATURE REQUIRED SEE INSTRUCTIONS ABOVE HIALEAH,FL 33012 Please pay only one amount.The amounts due after Sept 30th include penalties per FS 205.053. IfRecelved By Oct 31,2015 Nov 30,2015 Dec 31,2015 Jan 31,2016 Please Pay $0.00 $0.00 $0.00 $0.00 7000000000000000000000003502151201600000004500000000000002