Loading...
PL-16-1259 r2,e�/ — 9 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-258581 Permit Number: PL-5-16-1259 Scheduled Inspection Date:June 07,2016 Permit Type: Plumbing-Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: JIDY,ALFREDO Work Classification: Addition/Alteration Job Address:8745 NE 4 Avenue Road Miami Shores, FL Phone Number Parcel Number 1132060460880 Project <NONE> Contractor: ELPIDIO MOREJON INC Phone: (786)2954004 Building Department Comments CHANGE EXISTING SINK Infractlo Passed Comments INSPECTOR COMMENTS False TO REPLACE PERMIT#PL15-2405 Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid t 41, o PLS-16-1259 °R s , Miami Shores Village -Type Pittt7l lnw�=Ko 10050 N.E.2nd Avenue NE Work Pas,srtatfon: raticA 771,77 Miami Shores,FL 33138-0000 �.: Phone: (305)795 2204 tllPR }VED Expiration: 11/19/2016 Project Address Parcel Number Applicant 8745 NE 4 Avenue Road 1132060460880 Miami Shores, FL Block: Lot: ALFREDO JIDY Owner Information Address Phone Cell ALFREDO JIDY 1312 15 Terrace MIAMI BEACH FL 33139- 1312 15 Terrace MIAMI BEACH FL 33139- Contractor(s) Phone Cell Phone Valuation: $ 250.00 ELPIDIO MOREJON INC (786)295-4004 Total Sq Feet: 0 Type of Work:CHANGE EXISTING SINK Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Return: Final Classification:Residential Scanning:1 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid .Amt Due CCF $0.60 Invoice# PL-5-16-59725 DBPR Fee $2.00 05/23/2016 Credit Card $58.60 $50.00 DCA Fee $2.00 Education Surcharge $0.20 05/10/2016 Credit Card $50.00 $0.00 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating g. construction and zoninuthermore,I authorize the abov9lo&med contractor to do the work stated. ii �r/L—� May 23, 2016 Authorized Signature:Owner / Applicant / Contractor Date Building Department Copy May 23,2016 1 ,. Miami Shores Village RECET I 1 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 ('�j INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 N BUILDING Master Permit No. /-2C 6 -k?-G:318 PERMIT APPLICATION Sub Permit No. jt 6'1 2—gl ❑BUILDING ]iLECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION 9SRENEWAL PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP y, �1CONTRACTOR DRAWINGS JOB ADDRESS: qS � `/ City: Miami Shores County: Miami Dade Zia: Folio/Parcel#: 11-32 OC-6,466 is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: �Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Phone#: Address: /'• /2 1 C_— City: City: 0'�t-tq`41 State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: r- D -c Phone#:7 �s `f ,� Address: '? .3 /c,e' City: /V'- State: Zip?- ��- Qualifier Name: - / e.e \A 6 Phone#: State Certification or Registration# D S Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address City: State Zip: Value of Work for this Permit:$ � Square/LineaYRepair/Replace ta a of Work: Type of Work: El Addition El Alteration El New ❑ Demolition Description of Work: �— Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ 0 G 0 CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ - to Training/Education Fee$ b • %® Double Fee$ Structural Reviews$ P Bond$ TOTAL FEE NOW DUE$y �nll (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 or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 5— day of 20 AC ,by day of °'� 120 by ho is personally nown to �Z��aiD �lo�z o� who is personall r nown 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 a NOTARY PUBLIC: j;c, NOTARY PUBLIC: ��dQ °i10a +'n 1� - QQ• °� X10 19 �PG'�to 91 y0 Sign: L a6o �o0� '•,.�„ Sign: Print: Print: PU LIC Seal: Se 6 �`6�,o ddb _�•* o�c 0 2 APPROVED BY `� ` Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 1'11 -W, it Date: May 05, 2015 State of Florida. County of Miami Before me this day personally appeared Elpidio Morejon who,being duly sworn deposes and says: That he or she will be the only person working on the project located at 8745 SW 4 Ave Miami Shores, FL 33138 Sworn to(or affirmed)and subscribed before me this 05 day of May. 2016 by Elpidio Morejon. Personally Know Z OR produced identification Type of Identification Produce �c Print,Type or Stamp Name of Notary d••ry,P•4/ JULIAN A CARDONA =2°»a `e`c�'•: Notary Public-State of Florida "'! •= Commission#FF 191910 = My Comm. Expires Jan 21,2019 '"%���`• Bonded thro tign National Notary Assn.