PL-15-2023 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)788-2204 Fax:(305)7N64872
Inspection Number. INSP-241159 PerrnitNumber PL-8-15-2023
irirrr�i r��.��
Scheduled Inspection Date: November 23,2015 Permit Type: Plumbing ,Residential
Inspector: Dlaz,Osvaldo
Inspection Type: Final
Owner. JONES,WILLIAM Work Classification:Addltion/Alteration
Job Address:378 NE 84 Street
Miami Shores,FL 33138- Phone Number
Project <NONE> Parcel Number 1132060136130
Contractor. MANNrS PLUMBING SERVICE INC Phone:(305)21945625
Building Department Comments
PLUMBING AS PER PLANS TO INCLUDE 1 NEW SINK infractio Passed Comments
NEW TOILET AND 2 RELOCATED SINKS INSPECTOR COMMENTS False
Inspector Comments
Passed El
Failed
Correction D
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-Inspection fee is paid
November 20,2015 For inspections please calk(305)7624848 Page 6 of 41
Miami Shores Village '
10050 N.E.2nd Avenue NE
� S
Miami Shores,FL 33138-0000 E
Phone: (305)795-2204
Expkation: 02/08/2016
Project Address Parcel Number Applicant
379 NE 94 Street 1132060136130
WILLIAM JONES
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
WILLIAM JONES 379 NE 94 Street
MIAMI SHORES FL 33138-2842
Contractor(s) Phone Cell Phone Valuation: $4,500.00
MANNY'S PLUMBING SERVICE INC (305)219-5625 Total Sq Feet: 0
Type of Work:PLUMBING AS PER PLANS TO INCLUDE 1 Available Inspections:
Type of Piping: Inspection Type:
Additional Info: Top Out
Bond Retum: Final
Classification:Residential Scanning:1 Review Plumbing
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.00 Invoice# PL-8-15-56678
DBPR Fee $2'36 08/122015 Credit Card $190.72 $50.00
DCA Fee $2.36
Education Surcharge $1.00 08/112015 Credit Card $50.00 $0.00
Permit Fee $225.00
Scanning Fee $3.00
Technology Fee $4.00
Total: $240.72
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 AFFID IT: 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 nin . Futhermore,I authorize the above-named contractor to do the work stated.
August 12,2015
Autho ed Signature:Owner / Applicant / Contractor / Agent D-ale
Building Department Copy
August 12,2015 1
Miami Shores Village
Building Department I� AUG 1 1 2015
10050J�
TeL(3 5)795-2204 F xi(05)756-8972.2nd Avenue,MiamShores,Florida33138 L_Fy
INSPECTION LINE PHONE NUMBER:(30S)762-4949 LL
FBC 20 (°1 S
BUILDING Master Permit No. Re-(2
PERMIT APPLICATION Sub Permit No-& k ��
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL
�UMBING [] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 370, 1-e '1 z �/
City: Miami Shores ` County: Miami Dade DTI �O
Folio/Parcel#:'j'� � �� • 6/� Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: ^Jy BFE: FFE:
OWNER:Name(Fee Simple Titleholder):_ Phone#:?bF-0n-zg( 6
Address: 322
S
City:_ �N dwy State: Zip:
Tenant/Lessee Name: Phone#:
Email: 11
CONTRACTOR:Company Name: �'� �� v�bJ N (�)tSl%11Q&Phone#: --SOS-`3ZS—1A333
Address: \�11 \ W S 8a ?L 1 n>" l q z A
City: 1N% >�\�e,1. State: 'Fl.. Zip: 33 O NZ
Qualifier Name: IPt u Q`e.-U Q l%00 Kk b Phone#: Qz-o r'
State Certification or Registration M Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 5Z)o t Square/Linear Footage of Work:
it
Type of Work: 9 Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: A'-L WAJSkO l 4-b 2Y- jk> FKP— eL4(-S-J� CL
Cl) t!ftw 101 �-a� Gam(-Esq sc�r��
Specify color of
color tthru tile:
Submittal Fee$ v V" Permit Fee$ 225-'^'r CCF$ a00 CO/CC$
Scanning Fee$ Oy Radon Fee$ Q 1 DBPR$ 36 Notary$
0 0. o�
Technology Fee$ 4• Training/Education Fee$ Double Fee$
Structural Reviews$ 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 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
OWNE AG CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instru ent was acknowledged before me this
day of ` 20 I A .by day of U 20 1S ,by
Gvl -L/ fh+^ .TB/I'tS,who is r_ Wally known +nu�e.� eCc�awlo who is personally known to
me or who has produced as me or who has produced bl—"l" gn �'VR_ as
identification and who did take an oath. Identification and who did take an oath.
NO RY PUBLIC: NOTARY PUBLIC:
Sign:
Print. ! Print: AAAAA
Seal: ' DORIS NEM Seal: ZVEXPIRES:
A M.PASTRANA
MY COMMISSION i EE193297 MISSION 8 EE872624
EXPIRES:July 02,2016 Fe)aumy 07,2017
tw
************************************************************************************************************
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)