PL-14-1830 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-235392 Permit Number: PL-8-14-1830
Scheduled Inspection Date: June 02, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz,Osvaldo Inspection Type: Final
Owner: MICHELLE, DANILO DI Work Classification: Addition/Alteration
Job Address:9145 NE 4 Avenue
Miami Shores, FL 33138 Phone Number
Parcel Number 1132060140080
Project: <NONE>
Contractor: MC INVESTMENT GROUP INC Phone: (786)294-1987
Building Department Comments
ELECTRICAL WORK FOR KITCHEN AND 3 BATHROOM Infractio Passed Comments
RENOVATION INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-234110. MAKE SHUT OFF
E21ACCESSIBLE
REMOVE S-TRAP AT LAVS
CHECK WATER SUPPLY TOILET MASTER
Failed ❑ SHOWER ENCLOSURES NEEDED
Correction �C<
Needed
0
�A
Re-Inspection �` c
Fee
No Additional Inspections can be scheduled until
reinspection fee is paid.
June 01,2015 For Inspections please call: (305)762-4949 Page 21 of 38
iami Shores Village
10 Ilding Department W NO
050 N.E.2nd Avenue,Miami Shores,Florida 33138
e:: Tel:(305)795-2204 Fax:(305)756-8972 BY:
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2016
BUILDING Master Permit No. I 'A - k 2 2(a
PERMIT APPLICATION Sub Permit No.l?L1 y-V@30
❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
OfLUMBING F-] MECHANICAL ❑PUBLIC WORKS F-1CHANGE OF ❑ CANCELLATION [:] SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: G I A S 0-:, d`k 497i-
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type:p Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): a)A c1,\r� 4�alc� � Phone#:
Address:
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email: 1
CONTRACTOR:Company Name: A C Phone#: -"Zu A-01 ("i")(�
Address: V'2
City: State: Zip: � �—
. Qualifier Name: �`1\i Lwti1CAgz,1R Vk Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 't r)�toucc_r =V�x 3��I;:�aSS
C _ �N \SSSwAf
�E�\P+G a�C� �\ '\o,N•�,Vic. SY\ L1J-cS7- k�MQS'G --'-®cL
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ • C-) Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ an
(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.
Signature Signature
OWNER r AGENT ONTRACTOR
The foregoing inst ument was acknowledged before me this The foregoing instrument was acknowledged before me this
2S day of 20 I S by °.L daY of C1W1=.n� 20 t S by
who is personally known to Cep .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 PUBLIC:
Sign: Sign:
MAN50 Print: 1t EE192058
Print: eXp1MS Apra 23.2016
Seal: ti 8 Apd 23,2018 Seal: N •�^
'•• s3
•• •� ymrygombeoan+ •1407►
,40n 53
APPROVED BY
Z.Lam( Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village �7'F77-,fj -
Building Department JAS! 27 2015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 BZ':
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 10
BUILDING Master Permit
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
�CUMB ❑ MECHANICAL ❑PUBLIC WORKS CHANGE 0 ❑ CANCELLATION ❑ SHOP
� `� CONTRACTOR DRAWINGS
JOB ADDRESS: l"'1 6V� 4W�
City: Miami Shores 11 County: Miami Dade Zip: ? 30
Folio/Parcel#:��1-- ,a!-t b_ 4-(A) - Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: 4qFF)E:� "�
OWNER:Name(Fee Simple Titleholder): "'Do M ® Df OkP-PA19,14L Phone#: I U% I+
Address: qi 46 W_ 1 lue
City: awl �✓ State: Zip: _3_�5130
Tenant/Lessee Name: Phone#: / ® 7
Email: dd add , c Dm (c; - 02 6 O I
CONTRACTOR:Company Name: Mo, -aye6+ 3 CIOUID. nr •Phone#:I& - 402166.1
Address: l�� t �� LLQ-3 -
City: �t�"j, State: o Zip:
�1-
Qualifier Name: Phone#:
State Certification or Registration#: 1 2, YJ Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ (60W.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration E] New ElRepair/Replace ❑o Demolition ] �®
Description of Work: LQ) V)�(��Y1,17T YV1 , L
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ '`� CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ 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.
Signaturej�& Signature
OWNER or AGENT SNTACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of / U 20 11fp by �I, f�day f 020 tt , by
who is personally known to P who is personally known to
me or who has produced as me or who has produced as
identificatio d who g1d,Apke a h. identifica4 and who didetaki(?,an a h.
° _, t ra fl�a�el Iba ®Ilin
"°•e�QYpOBG� a�el Ibargollin .y®�;
NOTARY P LIC; ?r 'COMMISSION#FF000737 NOTARY P BLIC: ?: �'�COMMISSIONFF000737
I '• `= .. ��'¢EXPIRES:MAR.25 2017
i ,�.... •,EXPIRES:MAR.25,2017 � ., �•.• ,
I ��°" „ `•• WMW.AARONI�OTARY.com °jor WwAARONNOTARY.com
Sign: Sign:
Print: Print:
6
Seal: Seal:
APPROVED BY r;;:)/ 7—15 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
♦5NO1tFS Gi
<< Miami shores Village
KENN Building Department
L�I� oy� 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHANGE OF CONTRACTOR / ARCHITECT
Permit N.'3C 1
Owner's Name (Fee Simnle Title H IdE): Phone#: 305-0i 8co- mac
Owner'sAddress: r
City: State : , Zip Cocle:_33iaO
fob Address (Of where work is being done): U� 41t
City: Miami Shores StateFlorida Zip Code:
Contractor's Company Name: f 1:90C- ,Phone 4305D-1 b
Address:
City: M10% State: r Zip Code:
Qualifier's Name: Lic. Number: CFE
Architect/ Engineer of Record Name: a Phone Aos-) (D(P -4g .19 1
Address:
City: I( State: Zip Code: '��d'i
Describe Work
hereby certify that the work has been abandoned and/or the contractor/architect
is unable or unwilling to complete the contract. I hold the Building Official and the
Miami Shores harmless of all legal involvem t.
Signature �F Signature
Owner or Agent Contractor or Architect
The foregoing instrument was aknowledged before me The foreg .ng instrument was aknowledged before me
this-2�e day of o t ,20 by this jo day of �o, ,20 by fro LSjQ2Lrce)
Who is personally known to me or who has produced who is personally known to me or who has produced
as indentification. as indentification.
Notary Public: Notary Public:
Sign: Z ISign
Seal: - YP JAVIER ORTIZ Seal:
�p •``�: ,�'""°"r�;;. JAVIER ORTIZ
MY COMMISSION#EE132253 "' ;' MY COMMISSION#EE132253
EXPIRES September 21,2015 EXPIRES September 21,2015
(a07)aea o1s3 %ridaMaaryserviw,com
407)398-0163 FlorldalloferyServioe.cam
Miami Shores Village �F -
Building Department ��� ti ��'�
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 _ = -"
INSPECTION LINE PHONE NUMBER:(30S)762-4949
FBC 2010
BUILDING Master Permit No. R-C—)-�—)
PERMIT APPLICATION Sub Permit No. FL I L� —L
F-IBUILDING ❑ ELECTRIC F-1 ROOFING REVISION [-] EXTENSION RENEWAL
[PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 4AU L\,
City: Miami Shores County: Miami Dade Zia:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Fpplood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): �,A:.` �cr l�1 s-W%;7 Phone#: c>112>f® RdgC)
Address: k'.�L sm. 01
City: LLk:wa, State: l Zip: '3'S)3 U
Tenant/Lessee Name: Phone#:
Email: CC//
CONTRACTOR:Company Name: �cJCL7r /U ��� � Phone#: p' 0i
Address: 3 9Z A-j W 12-!
city: L State: / zip: 3j
Qualifier Name: AW 0,C40,w J Phone#:
State Certification or Registration M.COLK W211C t 52 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 1 tiLxalz�l , ®C'�) Square/Linear Footage of Work: L4-10
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: +� 'tom i t]� � � - "z LOANy��.p-�
Specify color of color thru tile:
Submittal Fee$ ' (5:3 Permit Fee$ jff3160, CCF$0 •GC) CO/CC$ 0-5
Scanning Fee$ Radon Fee$ 7:7-1 DBPR$ 4 Notary$
Technology Fee$ �` Training/Education Fee$ 2-0
Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 9
(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.
A—L
Signature Signature
rov
NER or AGEN CONTRACTOR
The foregoing instrument was acknowlerpg-edbefore me this a foregoing instrument was acknowledged befolre me this
�l day of A6kL4 ,20 IV ,by day of � 20 by
, 16 d/ hm-4 ,who is personally known to It'` U 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 PUBLIC:
Sign: Sign:
Print: 9 Print: Y
Notar
•+ ;. Y Public-State of Florida
Seal: '": '"c MY COMMISGION#EE132253 Seal: 9�F r pao,;My Comm.Expires Feb f F rich ;
EXPIRES September 21,2015 '°„9;,;,,3�` Commission#EE 65911
X153
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)