PL-15-2457 Inspection Worksheet
Miami Shores Village z/' t� z(Z�-7
10050 N.E.2nd Avenue Miami Shores,Fl. C.
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-244276 Permit Number: PL-9-15-2457
Inspection Date:April 27,2016 Permit Type: Plumbing- Residential
Inspector: Hernandez, Rafael
Inspection Type: Final
Owner: , Work Classification: Addition/Alteration
Job Address:1460 NE 101 Street
Miami Shores,FL Phone Number (305)898-7882
Parcel Number 1132050240050
Project: <NONE>
Contractor: FIAT PLUMBING&GENERAL CONTRACTORS INC Phone: (305)446-6366
BuIlding Department Comments
PLUMBING FOR REMODEL Initmractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
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- Miami Shores Village
SEP l5 2015
Building Department
p_y a 0
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20
BUILDING Master Permit No. fZc- 2 54 -
PERMIT
" •PERMIT APPLICATION Sub Permit No.p
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ��"� VP_� I
City: Miami Shor County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleho 164
Address: p
City: ( 671d1.i�F�-G�� State Zip:
Tenant/Lessee Name: Phone#:
Email• / -C-'pw
CONTRACTOR:Company Name: E " �`�'9 Phone#: 14>G' 446.6:;�(�
Address: Z�1�'-1 ��� '7alta q\L
City. *A 1 A M 1 State: L Zip: 3 ?,
Qualifier Name: AC-` A. -!P T 0A Phone#: '
State Certification or Registration#: Cpcol�qQ -1 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 2 Square/Linear Footage of Work:
Type of Work: ❑ Addition Alteration ❑ New r,�] Repair/Replace ❑ Demolition
Description of Work:
V&�.4 1 l
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 3 2-5- CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ L5,9 :aG
(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 ap ro
C ved and a reinspection fee will be charged.
Signature Signature .�-----
OWNER or AGENT CONTRACTOR
omt�ax
The foregoin instrument was acknowledged before me this The foregoing instrument was acknowledged before
-t—me this
23 day of 120 [ by W' •'day of `57 20 l_1 ,by
L ,►1dQ �2fi�Clpd. ? who is personally known to who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PU IC:
Sign: Sign
Print: "'I tC✓l t 4K-A, Print:
Notary Public State of Florida
Seal
Seal: Jessica C Nasib
> gscr Notary Pubic Suds d Florida �* My Commission FF 140138
;p Michael Robert J88ir ar wo Upires 07/09/2018
My CommWsion EE 831947
Erpiros 08/03!2016
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)