Loading...
PL-14-1532 • b / Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 14— G3 I Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-249979 Permit Number: PL-7-14-1532 Scheduled Inspection Date: April 28,2016 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: FABLE, ELISE Work Classification: Addition/Alteration Job Address:941 NE 91 Terrace Miami Shores, FL 33138-3219 Phone Number Parcel Number 1132060030050 Project: <NONE> Contractor: LONCUS PLUMBING CONTRACTORS INC Phone: (305)218-1004 Building Department Comments NEW 2 BATHROOM, LEGALIZATION 1 BATH AND Infractio Passed comments KITCHEN. INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-216044. fix p-traps at kitchen and lavatory drains Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid April 27,2016 For Inspections please call: (305)762-4949 Page 8 of 47 �i ! L 7`1 Wks �s►°Rs ar, Miami Shores Village 10050 N.E.2nd Avenue NE �� + ##C311 { Qtl-q Miami Shores,FL 33138-0000Per '� PR "'r W Phone: (305)795-2204 Expiration: 01/03/2016 Project Address Parcel Number Applicant 941 NE 91 Terrace 1132060030050 MONTANA 13 HOLDINGS III LLC Miami Shores, FL 33138-3219 Block: Lot: Owner Information Address Phone Cell MONTANA 13 HOLDINGS III LLC 970 SOUTH SHORE Drive MIAMI BEACH FL 33141- 970 SOUTH SHORE Drive MIAMI BEACH FL 33141- Contractor(s) Phone Cell Phone Valuation: $ 1,800.00 LONCUS PLUMBING CONTRACTORS (305)218-1004 ------- Total Sq Feet: 0 Type of Work:NEW 2 BATHROOM,LEGALIZATION 1 BATH Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Return: Final Classification:Residential Scanning:3 Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# PL-7-14-52301 DBPR Fee $4.50 07/07/2015 Check#: 1051 $615.20 $0.00 DCA Fee $4.50 Education Surcharge $0.40 Permit Fee $300.00 Scanning Fee $3.00 Technology Fee $1.60 Work without Permit Fee $300.00 Total: $615.20 In consideration of the issuance to me of this permit, I agree to pert r the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,stat ment or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done b eith r rr elf, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WIND ,DO RS ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing jinfoatios accur a and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the acon to to do the work stated. ` July 07, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy July 07,2015 1 Miami Shores Village �' � Building Department :BY: UL 10 2014 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 2016 BUILDING Master Permit No. - i ,-] ` PERMIT APPLICATION Sub Permit No.�� —( 2- ❑BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: q`/1 AIC 5'/ City: Miami Shores County Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type:r� �� �� Flood Zane: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 1, 3r �flV:L- Phone# t q:+,9 > Address: I IV12 cy City: v I c ��(� _ mate: Tenant/Lessee Name p�e#.- Email• CONTRACTOR:Company Name: o�����f �'�•''� r� Phone#:(.TOS)o22/F/DO Address: City: 14! X-iii! State: ��® .cold Zjp. 33/ ySO. Qualifier Name: � � b Phone#: (00s)-i f8 loov. State Certification or Registration#: off- f'A.)'fO <o. Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value o r hJe"' ft, &00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: �r/E�.v � ��-/�i.rim� • oL.���/�z�>f 7',-, / �'��, Specify color of color thru We: 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$ 0 (Revisedoz/za/2014) Bonding Company's Name(if applicable) Bonding Company's Address city State Tip 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,o'certified copy of the recorded notice of commencement must be posted at-the Job site for the flrst inspection which o ev (7) days after the building permit is issued. in the Bence of such posted notice, the inspection will not be app d and a re' ection fee will be charged. 10 Si Signature OWNERo NT CO TRACTOR The foregoing instru ent was acknowledged before a this The foregoing instrument was acknowledged before me this day of 20 1L by 1_day of �� J 20 d `}� ,by (� �Fgbwho*rsonally nown to fluLgAzg who is6ersonally known�o 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 Print cif}��s9 h Seal: ��` 4� YANELLE ALM pe►pu., Notary Public State of Florida Seal: Za(da Tamayo MY COMMISSION#FF0637?8 v bAy Commission EE 157381 EXPIRES October 16.2017 �p Expires 01/05/2018 „� .. e s e -400=1533" Floddallotar So Ice.com ast'a s�e�xsaaa�soes+�psaS. +xixsaa.+xwaa+�sx�xss�axaaasax ae J-Zz APPROVED BY 7'S_ � � Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)