PL-15-2241 (2) 22S9
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-242743 Permit Number: PL-9-15-2241
Scheduled Inspection Date: December 09,2015 Permit Type: Plumbing - Residential
Inspector Diaz,Osvaldo Inspection Type: Final
Owner. , Work Classification: Addition/Alteration
Job Address:501 NE 96 Street
Miami Shores,FL 33138-2735 Phone Number (305)333-7700
Parcel Number 1132060171550
Project <NONE>
Contractor: REGOSA ENGINEERING SERVICES INC Phone: (786)262-2964
Building Department Comments
INSTALLATION OF 3 SHOWERS TOILET VANITY Infractio Passed Comments
BATHROOM TILES AND KITCHEN SINK INSPECTOR COMMENTS False
Inspector Comments
Passed 121
/
Failed
Correction ❑ l
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
December 08,2015 For Inspections please call: (305)762-4949
Page 9 of 24
Miami Shores Village SEP 02 2015
Building Department BY: 1
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 20)q
BUILDING Master Permit N04f/6--2ZE�! .
PERMIT APPLICATION Sub Permit Noyy//-� --
BUILDING ❑ ELECTRIC ❑ ROOFING [:] REVISION ❑ EXTENSION [—]RENEWAL
PLUMBING FI MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: -,01 )ff �� -�7'
City: Miami Shores County: Miami Dade ZiD:
Folio/Parcel#: U5 206 011/' ® Is the Building Historically Designated:Yes NO��--
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address: Sj?/ t IET ?6 S,-r- Eej! /I H/61e 2/ L L G
City: 9f14 M!— 5//'9 2,5� State: Zip:
Tenant/Lessee Name: Phone#:
Email: �',,�
CONTRACTOR:Company Name: 4F6-551f �'!/�'� i 1W.c Phone#:
Address:
City: 4QI4141 state: �� Zip: �� 9-
Qualifier Name: G►a SrAY o Voot--Z -z- Phone#: tJ6-22-
State Certification or Registration#:- ��/�'� -7 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work: 9166 !9r
Type of Work: ❑ Addition ❑ Alteration ® New Repair/Replace ❑ Demolition
Description of Work: re o hV, 3 Ste,
15#"Vooe9
Specify color of color thru tile:
T ,
Submittal Fee$ Permit Fee$ - s CCF$ s CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Re%ised02/24/2014)
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 approved and a reinspection fee will be charged.
Signature Signature
Oor AGENT 4twas
A
The foregoing instrument was acknowledged before me this The foregoing instruck owledged before me this
day of 20 l C ,by �day of 4 20 IS ,by
G who is personally known to %W k who i ersona y mown t
me or who has produced as ffie r who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Flo — Sign:
Joanna M Felicaei
Print: mission FF 082753 Print: t �'��•
' otp Expires 011 ��' ;: LUZ EMN GIRALDO
Seal: Seal: •'= MY CO
� MMiSSiON#FF203458
EXPIRES Match 22.2018
•4C7,3".0•53
C�dallota•�vtce car
APPROVED BY Z P/� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)