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PL-15-694 0 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231149 Permit Number: PL-3-15-694 Scheduled Inspection Date:January 20,2016 Permit Type: Plumbing - Residential Inspector. Diaz,Osvaldo Inspection Type: Final Owner. DIGERONIMO III,ERNEST Work Classification: Addition/Alteration Job Address:66 NW 107 Street Miami Shores,FL 33138- Phone Number (786)200-3494 Parcel Number 1121360070060 Project <NONE> Contractor: MANNY'S PLUMBING SERVICE INC Phone: (305)219-5625 Building Department Comments REMOVE AND REPLACE KITCHEN PLUMBING ITEMS AS infractio Passed Comments PER PLANS INSPECTOR COMMENTS False Inspector Comments Passed A �/ Failed Correction ❑ � Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid January 19,2016 For Inspections please call: (305)762-4949 Page 4 of 56 Miami Shores Village 10050 N.E.2nd Avenue NW Miami Shores,FL 33138-0000 " Phone: (305)795-2204 5 Expiration: 1112512015 Project Address Parcel Number Applicant 66 NW 107 Street 1121360070060 ERNEST DIGERONIMO III Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell ERNEST DIGERONIMO 111 66 NW 107 Street (786)200-3494 MIAMI SHORES FL 33168- 66 NW 107 Street MIAMI SHORES FL 33168- Contractor(s) Phone Cell Phone Valuation: $ 3,200.00 MANNrS PLUMBING SERVICE INC (305)219-5625 Total Sq Feet: 0 Type of Work:REMOVE AND REPLACE KITCHEN PLUMBING Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Return: Final Classification:Residential Scanning:1 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# PL-3-16-54961 DBPR Fee $2.25 =27/2015 Credit Card $50.00 $113.90 DCA Fee $2.25 Education Surcharge $0.80 05/29=15 Credit Card $113.90 $0.00 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $163.90 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 A : I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction an ing. Futhermore,I authorize the above-named contractor to do the work stated. May 29,2016 Atq*ed Signature:Omer / Applicant / Contractor / Agent Date Building Department Copy May 29,2015 1 Miami Shores Village I V MD — Building Department 7BY: 7 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 FBC 201(D BUILDING Master Permit No. 1 e- PERMIT APPLICATION Sub Permit No. L- ��" Gqq ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL FA PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: kola tr,\Uu 16—+ ',S C,y4 City Miami Shores County: Miami Dade Zip: Folio/Parcel#: < 116b 06_�r OC AGO Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): rr-r1—_'V Phone#: Address: ��6g MU I U- ,�- ��2 '— City: U�.��0,01% State: L Zip: �'�I39 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: J�Rb%-s!tj \ l-v w�i atm QJ@lLyd c'Q Phone#: 3� �ZS' "A333 Address: \63A W 38 '�L- 4%.y 1:961- A City: 3�\+'�� State: Zip: Qualifier Name: R tJ Qe�ti W W1.0 Phone#: -SOT— -&,ck' S�W State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 710485 Square/Linear Footage of Work: Type of Work: sm Addition ❑ Alteration F-1New ❑]Repair/Replace ❑ Demolition Description of Work: �M�J6 't'°r1pt� ��PG-l�n1S 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$ ( Cj TOTAL FEE NOW DUE$1 1 l (Revised02/24/2014) � P q 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 approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACT& The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ►AAQfek1 .20 195 ,by _day of r-Aa(-Qk1 ,20 1!5 .by Frnrn� �[1Q�0�1 .who is personally known to Y`n(i od -iR�cAaroo .who is personally known to me or who has produced.J",� C3'R-V-i\e— as me or who has produced tL�NL--* OY-A-Vike as identification and who did take an oath. identification and who did take an oath. NOTA NOTZPU .Sign. Sign Print: Print: Seal: nv Seal: REBcoCA K REBECA M.PASTRANA My MY COMMISSION @ ERS72624 ` FJQgM:'F&rirery07, 01 aP EXPIM:Uxumy 07,2017 4+R&Wtib*k&k+R+k*kw99#69 #WBkhW*t8i*kw#wARaw+rwkk&+kRYw!*94#s*wwwk#kkP+bw+R*k***Fw+k8dk8+r APPROVED BY "/•S Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)