PL-16-522 I
140�
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-253608 Permit Number: PL-2-16-522
Scheduled Inspection Date: May 24,2016 Permit Type: Plumbing - Residential
Inspector: Hernandez, Rafael Inspection Type: Final
Owner: GREENBERG, DAVID Work Classification: Gas
Job Address:534 NE 95 Street
Miami Shores, FL Phone Number (786)333-8567
Parcel Number 1132060140820
Project: <NONE>
Contractor: HERNANDEZ PLUMBING COMPANY Phone:305-267-2346
Building Department Comments
SUPPLY AND INSTALL A NEW NATURAL GAS TO Infractio Passed Comments
TANKLESS WATER HEATER, DRYER AND RANGE 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 23,2016 For Inspections please call: (305)762-4949 Page 19 of 42
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Miami Shores Village
10050 N.E.2nd Avenue NE
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Miami Shores,FL 33138-0000 ! ,`
Phone: (305)79522041,£
•, Expiration:0612912016
Project Address Parcel Number Applicant
534 NE 95 Street 1132060140820
Miami Shores, FL Block: Lot: 1031 FUNDING&REVERSE COR
Owner Information Address Phone Cell
1031 FUNDING&REVERSE CORP. 681 ENCINITAS Boulevard (786)333-8567
ENCINITAS CA 92024-
681 ENCINITAS Boulevard
ENCINITAS CA 92024-
Contractor(s) Phone Cell Phone Valuation: $ 950.00
46
HERNANDEZ PLUMBING COMPANY 305-267-23
Total Sq Feet: 0
Type of Work:SUPPLY AND INSTALL A NEW NATURAL GA Available Inspections:
Type of Piping: Inspection Type:
Additional Info: Final
Bond Retum: Press Test
Classification:Residential Scanning:3 Review Plumbing
Fees Due Amount "Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# PL-2-16.58824
$2.25 02/25/2016 Credit Card $50.00 $120.10
DCA Fee $2.25
Education Surcharge $0.20 03/02/2016 Credit Card $120.10 $0.00
Notary Fee $5.00
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $170.10
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-1 certify that all the foregoing inform io � cccurate and that all work will be done in compliance with all applicable laws regulating
construction and nin Fu a ore authorize theev�named contractor to do the work stated.
March 02,2016
ut ed g ture:Owke , / Aeomnt / Contractor / Agent Date
Building Dep rtment Copy
March 02,2016 1