PL-16-1711 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL P C 1 (0-k o a 3
Phone:(305)795-2204 Fax: (305)756.8972
Inspection Number: INSP-261335 Permit Number: PL-6-16-1711
Scheduled Inspection Date:August 15,2016 Permit Type: Plumbing - Residential
Inspector: Hernandez,Rafael Inspection Type: Final
Owner: , Work Classification: Addition/Alteration
Job Address:165 NW 92 Street
Miami Shores,FL 33150- Phone Number (432)3494620
Parcel Number 1131010331000
Project <NONE>
Contractor. BERGERON PLUMBING INC Phone: (561)445-2115
Building Department Comments
TO BRING EXISTING PLUMBING UP TO CODE Infractio Paseed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction D
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
reinspection fee is paid.
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5562 Aspen Ridge Circle
Delray Beach, FL. 33484
Tel: 1-561-445-2115
To Whom It May Concern,
All water lines were video taped and snaked as per code of Miami Shores. No
obstructions were found.All water lines are clear.
That he or she will be the only person located on this project located in:
N`A,en 1 s t+o e-C-s i-�—
Sworn to (or/affirmed) and s b =ribedbefore me this day of
2016, by titi�° aWb EV, �i���i
a�
;•
Personally know:
... • ```\�� mom
OR introduced Identification:
Type of identification Produced: