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PL-14-1263 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 2:P_ �q— 39q- Inspection Number: INSP-229011 Permit Number: PL-6-14-1263 Inspection Date: February 26,2015 Permit Type: Plumbing - Residential Inspector: Diaz,Osvaldo Inspection Type: Final Owner: PALMISANO,INGRID&ERIC Work Classification: Addition/Alteration Job Address:1035 NE 96 Street Miami Shores, FL Phone Number Parcel Number 1132060143730 Project: <NONE> Contractor: LONCUS PLUMBING CONTRACTORS INC Phone: (305)218-1004 Building Department Comments BATH AND KITCHEN PIPING FRO NEW HOME Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-228471. CREATED AS REINSPECTION FOR INSP-214249. NOT READY FOR INSPECTION Failed El C�< Correction Needed ❑ �� ` Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid For Inspections please call: (305)762-4949 February 25,2015 Page 1 of 1 ' Miami Shores Village CEIVED Building Department JUN 16 2014 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel: (305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20/0 BUILDING Permit No. ,PZ / / -. 1,26 3 PERMIT APPLICATION Master Permit No.. JL/- 3�/ Permit Type: pwMuf foci JOB ADDRESS: 10 3S N�— 9 6 ST City: Miami Shores County: Miami Dade Zip: 3-3 1 3 Foho/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: n 0 OWNER:Name(Fee Simple Titleholder): Et'z- &Jmvszono Phone#: 3oS-9- i$-d1 t 3 Address: 10 SS City: P 4 l'yyy n N Shover State: 313 Tenant/Lessee Name: )9!� Phone#: Email: t2cd P6 no o (-,' /Q 0 0Y-, CONTRACTOR: Company e: /1W- &&AZA-2,40!:� Phone#:(?/ Address: ( 5 F - City: State: Zip: Qualifier Name: - E7t 7� Phone#: S� l State Certification or Registration#: C l k69� o 6 0 Certificate of Competency#: Contact Phone#: 30 1//# Email Address: DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ ®®O Square/Linear Footage of Work: Type of Work: OAddition UAlteration 4New ORepair/Replace ODemolition Description of Work: ZAA74J t4A(j) i 1 N 16 P X 94 T#- 4o-4�0 k1 j4C P1 P1 At j E OSZ AIEW #PM E — FOC- rag& PLlij4A B/e✓6 Color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$_ -W. 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 ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNA TERS,TANKS and 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement ust be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the abs e of such posted notice, the inspection will not be approved and a reinspection fee will be charged. A Signature j�4111� QSignature caner or Agent ontractor The foregoing instrument was acknowledged before me this—L�- The foregoing instrument w acknowledged before me this day of fE04120L/ by IA6? J-> P#LAJ1 SANG , day of 20 ,by M B e Q.(0 GL4 who is gpwa net � who has produced who is llyknomen tojpe or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sip: Print: 03 F�Q,' Ot Print: CZ7 A44.1;g My Commission Exp' '0 No+ary Put' stats of RlOrfda My Co i irMtery Public stab of Plows . Robert Murphy My Commission EE 201086 • Robert Murphy p¢t Expires 08/2212018 My Commission EE 201086 p Expires 08/2212018 tr4iotnkintntr&aYY4rArsk3e4rzteTcYdranYskkYsksYak$nY�r3i3r4iFr*3nkY9r44rY9nhkk4eirY3r9e9iaYsYirfr*9e4nY9eskaYst9ilr&&YAr3e inYaY4nYie APPROVED BY �'C '!cF Plans Examiner Zoning Structural Review Clerk (Revised 5/2/2012XRevised 3/12/2012))(Revised 06/10/2009XRevised 3/15/09XRevised 7/10/2007)