PL-16-1801 (2) Inspection Worksheet V
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-262108 Permit Number: PL-6-16-1801
Inspection Date: July 06, 2016 Permit Type: Plumbing- Residential
Inspector: Hernandez, Rafael Inspection Type: Final
Owner: WATT,JOHN Work Classification: Now
Job Address:426 NE 102 Street
Miami Shores, FL 33138-2453 Phone Number 305-758-1959
Parcel Number 1132060170600
Project: <NONE>
Contractor: THE NEW MIAMI SHORES PLUMBING Phone:(305)751-2446
Building Department Comments
RUN NEW HOT AND COLD REPIPE AND WATER n ra o Passed Comments
SERVICE FROM METER TO PROPERTY. INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
i lvQ. 'IL - -180 ,l
Miami Shores Village P@iTt?%t j!�78u (n '"Itetdential
10050 N.E.2nd Avenue NE %
� `f?tk�.85Ce'tt#011:N$1N
Miami Shores,FL 33138-0000
h-gymy ° Phone: (305)795-2204 ' j
POM*Status:APPROVED
�i.ORID�
Ilisuen*0:11 Expiration: 1212812016
Project Address Parcel Number Applicant
426 NE 102 Street 1132060170600
Miami Shores, FL 33138-2453 Block: Lot: JOHN WATT
Owner Information Address Phone Cell
JOHN WATT 426 NE 102 Street 305-758-1959
MIAMI SHORES FL 33138
Contractor(s) Phone Cell Phone Valuation: $ 2,400.00
THE NEW MIAMI SHORES PLUMBING (305)751-2446 (786)553-5424
Total Sq Feet: 0
Type of Work:RUN NEW HOT AND COLD REPIPE AND WAT Available Inspections:
Type of Piping:
Inspection Type:
Additional Info: Top Out
Bond Return: Final
Classification:Residential Scanning:3 Water Main
Review Plumbing
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80
DBPR Fee Invoke# PL-6-16-60375
$3.38 07/01/2016 Check#:2618 $ 195.56 $50.00
DCA Fee $3.38
Education Surcharge $0.60 06/29/2016 Check*2614 $50.00 $0.00
Permit Fee $225.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $245.56
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliace with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the prope�,l
authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS 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. Futhermore,I authorize the above-nad tractor to do the work stated.
v July 01, 2016
Authorized Signature:Owner / Applicant / Con actor / Agent Date
Building Department Copy
July 01,2016 1
V\`O � Miami Shores Village
10 Building Department �' ��' '"'
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 BY:-,,
FBC 20(c� S;
BUILDING Master Permit No.� (�- f qc� I
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL
[PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 4 2AP NE 102- &+L_ _-e_+
City: Miami Shores County: Miami Dade Zip: 3 3136
Folio/Parcel#: 11 — 32_0(P 011— O l00 0 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): A h n Wa;+-+ Phone#: 005) -758— 195q
Address: 421P NE 102- S"•i-r-&,--f
city: Miami Yhor-e-s State: FL Zip: 33156
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: M I Q.Y1/1 tS bores FhAmbi IQ Phone#: U05) 151 - 2-+4Lo
Address: 900 NW 144RI-e-f-t
city: Mi it Mi -state: FL Zip: 331 loB
Qualifier Name: 1�eYlrll S MCL-�.`!-�H 11 n Phone#: L305) -751—
State Certification or Registration#: C_F-02 0192-05 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 21 400 .gR Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 1-n "W h04- q, CV I Of r-�i P-r. a WO-f-er cS-•e rVi Cie,
_Era m M-e_+-er 40 lora
Specify color of color thru tile:
Submittal Fee$ 9CS. GQ� Permit Fee$ .�� ' CCF$ • 93 CO/CC$
Scanning Fee$ - CA2) Radon Fee$ � DBPR$ Notary$ J"
Technology Fee$ F"� 0 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.
SignatureA Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
2.9+- ' day of rILYrf- .20 IL by 29++' day of U—LLn 2. 20 ILO by
To-ha W11.++ who is personally known to 13-e4itiiS MCULMh I In who is personally known to
me or who has produced 1=L—D L as me or who has produced- I'--L—Q L as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: 111u1 i{ a Sign:
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Print: VQ►�e, �s. rr � Print:
a J i J '• �pe,►�
Seal: �o ?o •: Seal: =p` 24.go"�'��r'
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APPROVED BY '1 i� �M Plans Examiner Zoning
Structural Review Clerk
(RevisedO2/24/2014)