PL-15-870 .t
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-232438 Permit Number: PL-4-15-870
Scheduled Inspection Date:June 01,2016 Permit Type: Plumbing- Residential
Inspector: Hernandez, Rafael Inspection Type: Final
Owner: OLASO, M CLAUDIA Work Classification: Addition/Alteration
Job Address:55 NE 99 Street
Miami Shores,FL
Phone Number
Project: <NONE> Parcel Number 1132060131290
Contractor: MANNY'S PLUMBING SERVICE INC Phone: (305)219-5625
Building Department Comments
RELOCATE KITCHEN AND LAUNDRY AND ADD NEW Infractio Passed Comments
BATH. INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
May 31,2016 For Inspections please call:(305)762-4949 Page 1 of 45
Miami Shores Village �
511
10050 N.E.2nd Avenue NE y "`
Miami Shores,FL 33138-0000 . "Y;
Phone: (305)795-2204 £rf f .. . .. �x ... ,.
a
Expiration: 02/24/2016
Project Address Parcel Number Applicant
55 NE 99 Street 1132060131290
M CLAUDIA OLASO
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
M CLAUDIA OLASO 55 NE 99 ST
MIAMI SHORES FL 33138-2338
Contractor(s) Phone Cell Phone Valuation: $3,300.00
MANNrS PLUMBING SERVICE INC (305)219-5625 Total Sq Feet: 300
Type of Work:RELOCATE KITCHEN AND LAUNDRY AND AD 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-4-15.55192
DBPR Fee $3.38 04/142015 Credit Card $50.00 $191.16
DCA Fee $3.38
Education Surcharge $0.80 08/282015 Credit Card $ 191.16 $0.00
Permit Fee $225.00
Scanning Fee $3.00
Technology Fee $3.20
Total: $241.16
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoni . Futhermore,I authorize the above-named contractor to do the work stated.
August 28,2016
Autho ignaturs:Owner / Applicant / Contractor ! Agent Date
Building Department Copy
August 28,2015 1
Miami Shores Village
Building Department RECEIV-EDAPR 14 15
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 BY:
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 200
BUILDING Master Permit No. _ �— G9
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: S5 ISE 9q
City Miami Shores County: Miami Dade Zip: . 3138
Folio/Parcel#: it S" 611290 Is the Building Historically Designated:Yes NO OLO—
Occupancy Type: Load: Construction Type: Flood Zone: /I-JO BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Phone#: 7�%`zoo' 05-1
Address: 55 (IE Ctq
City: ' r State: r:da. Zip: 3313$
Tenant/Lessee Name: Phone#:
Email: t
CONTRACTOR:Company Name: k°I,W t4 X11 S ��U��P��C 5eyZyt« Phone#:
Address: W -% Q L- " 7,Ag A
City:_ '�okt-_ .� State: 1. Zip: 33 6 2
Qualifier Name: �A P1 a"L �p.�"i-� '^'�d Phone#: 30S' Z-L°i —S6Z ,
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ A� I Square/Linear Footage of Work: � 46
Type of Work: Addition ❑ Alteration El New [-I Repair/Replace [:1 Demolition
Description of ork: U-10Lhm.>o-109
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ s CCP$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 9 1
(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 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 _� USignature
OWNER or AGENT CONTRACT
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 1 20_15— ,by ►g day of It � L 20 16 5 •by
� ** who Is personally known to WS I ,who is personally known to
me or who has produced JL-'4 G✓1_0i\C as me or who has produced 4y1 as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PU
Sig Sign:
Print: Print: .
REBECA M.PASTRANA
Seal: Mx COMMISSION#EES72624 Seal: p` 'REBECA M.PASTRANA
° os e EVIM:F�ua�y 07,2017 My COMMISSION 6 ERS72624
op EXPIRES:Fly 07,2017
APPROVED BY Pians Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)