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PL-05-1163 (2) Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Pho (305)795-2204 Fax:(305)756-8972 ti Inspection Date: 05/10/2006 Permit Type: Plumbing - Residential Inspector: Levrack,James Inspection Type: Underground Rough Owner: PACHECO,CHRISTINE Work Classification: Addition/Alteration Job Address: 10418 2 Avenue NE Miami Shores Village, FL 33138- Phone Number (305)491-5584 Parcel Number 1121360130640 Project: <NONE> Block: Lot: Contractor. NELMAR PLUMBING INC Phone: (305)2614942 Building Department Comments In pec r o ents Passed Eq/ Failed El Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid. Tuesday, May 9,2006 Page 2 of 2 Miami ShoregrVilla e g a Building Department RE COVE® _ 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 DEC 0 $ 2005 Tel:(305)795.2204 Fag:(305)756.8972 BUILDING Permit No. —> PERMIT APPLICATION Master Permit No. FBC 2001 Permit Type(circle): Building Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder) d Y�lo � —Phone# (.aD57� Owner's Address ki -E CityjA,t A V!81 State -- zip 13 Tenand,essee Name Phone# Job Address(where the work is being done) q Alk �'( City Warm Shores Village County Miami-Dade Zip Ir Is Building Historically Designated YES NO r '/LCoContractor's Company Name A �-' L M 69 Phone# ?j G J_- 7 / 9'/2- Contractor's ntractor's Address_! S .�/ 7 C &„E City State lip 3,. / 5-T Qualifier State Certificate or Registration NoQ J 3 10 & Certificate of Competency No. 0e000 b Archltecd gineer's Name(if applicable) Phone# $Value of Work For this Permit °1" / Square Footage Of Work: - Type ofWork: Addition ❑Alteration: []New ❑ R epair epl"_' ❑Demolition Describe Work: Submittal Fee$ Permit Fee$ Z- CCF$ 1.Z.C) CO/CC. Notary$ Training/Education Fees t). 40 Technology Fee$ •�., scannings 3. 0 0• Radon$ Zoning Bond$ Code Enforcement$ Structural Plan Review.$ Tota!Fee Now Dae$ t0 (Continued on opposite side) 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 ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 certfled 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 su h posted notice, the inspection will t be aper ed and a reins ection fee will be charged e - - Signature , UL Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 7 day ofixy, by day of LZ. 20 or,by who is y kno me or who has produced wyo�rsonally known to me or who has produced As identification and who.did take an oath. as identification and who did take an oath. NOTARY PUB Ufflu � NOTARY C: �/ Sign: XL Sign: L�1� Print: � Iwlr.., Ar:11'TI�R11 o!Hatt My Commission Expires: 1 4W?A2007 &F Commission#DD194890 1 n uu. tlOI1C7@O Off/ /�xtl"L d 6.S.NoPubac APPLICATION APPROVED BY: ��aj 'QMy 8taha ctFlorida Tans Examiner 8onded8Vt dNNat9auWy90 Zoning Che 05/13813 . Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL 33138-0000 Phone: (305)785-2204 Fax: (305)756-8872 Permit Permit Status:APPROVED Issue Date: 1/31/2006 Expires: 12/08/2006 Permit Number: PL-12-05-1163 Owner's Name: CHRISTINE PACHECO one: (305)491-5584 Permit Type: Plumbing-Residential Parcel M 1121360130640 Work Classification: Addition/Alteration Block: Lot: Job Address: 10418 2 Avenue NE Section: PB: Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor Total Square Feet: 0 NELMAR PLUMBING INC (305)261-3942 Yes Total Valuation: $ 2,000.00 Comments: Reaulred In ion PLUMBING WORK FOR NEW ADDITION Underground Rough Water Main Top Out Main Drain Additional Information Lavatory Water Service Type of Work:PLUMBING Type of Piping: Re Pipe Additional Info: Bond Retum: Heater Classification:Residential Final 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 laws regulating construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated. Fees Due Amount Invoice Number Amt Due Amt Paid CCF $1.20 PL-1406-23665 $168.60 Education Surcharge $0.40 Total: Permit Fee-Additions/Alterations $160.00 !® Scanning Fee $3.00 9 1 PA3 PA Technology Fee $4.00 Total: $168.60 Building Department File Copy NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES. Applicant Signature RES L,r Inspection Worksheet Miami Shores Village « ° oye 10050 N.E.2nd Avenue Miami Shores,FL x oRisiP Phone: (305)795-2204 Fax: (305)756-8972 ras ion Nom Permit Number PL-42-06-1163 Inspection Date: 11/14/2006 Permit Type: Plumbing - Residential Inspector: Levrack,James IC40OG Inspection Type: Final Owner: PACHECO,CHRISTINE Work Classification: Addition/Alteration Job Address: 10418 2 Avenue NE Miami Shores Village,FL 33138- ®V 2 2 Phone Number (305)491-5584 Parcel Number 1121360130640 Project: <NONE> Block: Lot: Contractor: NELMAR PLUMBING INC Phone: (305)261-3942 f, Building Department Comments ttttments Passed Failed Correction Needed ; Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid. Monday,November 13,2006 Page 2 of 2