PL-16-1386 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL 110.x. 385
Phone: (305)795-2204 Fax: (305)7564972
Inspection Number: INSP-259308 Permit Number: PL-5-16-1386 ---
Inspection Date: November 08,2016 Permit Type: Plumbing - Residential
Inspector: Hernandez, Rafael Inspection Type: Final
Owner: FARID, MEHRDAD MAC Work Classification: Addition/Alteration
Job Address:726 NE 92 Street I I L
Miami Shores,FL Phone Number
Parcel Number 1132060440490
Project: <NONE>
Contractor: QUINTERO GENERAL CONSTRUCTION Phone: (786)487-5738
Building Department Comments
as ommenbs
REMOVE BATHTUB AND INSTALL NEW SHOWER. INSPECTOR COMMENTS False
REPAIR AND REPLACE DAMAGED PIPES
Inspector Comments
Passed
Failed El
y
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
reinspection fee is paid.
9K �� Miami Shores Village PQ1Tft1 T ,
10050 N.E.2nd Avenue NEw" �ft> ��tl@rt+Ei
Miami Shores,FL 33138-0000
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F ° Phone: (305)795-2204 '
� � 61920 Expiration: ) 06/2016
Project Address Parcel Number Applicant
726 NE 92 Street Number: 11L 1132060440490
Miami Shores, FL Block: Lot: MEHRDAD MAC FARID
Owner Information Address Phone Cell
MEHRDAD MAC FARID 726 NE 92 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 850.00
QUINTERO GENERAL CONSTRUCTIO (786)487-5738
.....___.. w..,_..,. _ Total Sq Feet: 0
Type of Work:REMOVE BATHTUB AND INSTALL NEW SHOW Available Inspections:
Type of Piping:
Inspection Type:
Additional Info: Top Out
Bond Return: Final
Classification:Residential Scanning:1 Review Plumbing
Underground Ej=
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# PL-5-16-59860
$2.25 06/09/2016 Credit Card $ 114.10 $50.00
DCA Fee $2.25
Education Surcharge $0.20 05/19/2016 Credit Card $50.00 $0.00
Notary Fee $5.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $164.10
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-named c-ontowtor to do the work stated.
June 09,2016
Authorized Signature:Owner / Applicant /?contractor / Agent Date
Building Department Copy
June 09,2016 1
Miami Shores Village
g AY 1 2016
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 J
INSPECTION LINE PHONE NUMBER:(305)762-4949T14
FBC 201kq1-1-�
BUILDING Master Permit No. —po6^ �3S
�
PERMIT APPLICATION Sub Permit No. (G 13s)G
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
AM
CONTRACTOR DRAWINGS
-7JOB ADDRESS: / Z 4 N� C1�k ki L
City: Miami Shores County: Miami Dade Zip: 3
Folio/Parcel#: 32-0 (0^ 6 yy— 8'A ot 0 Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 1 M,F-4"A t �'��fl Phone#:9 q" 2A0"'-17
138
T
Address: 415 A&)+:,
City: M 1$A, State: l-- zip: 3 313
Tenant/Lessee Name: ��� Phone#:
Email:
CONTRACTOR:Company Name: GI S G s��u va Gy Phone#: 44 1�7 S�-3
Address: ?tf-o
City: Statz Zip: 33 0
Qualifier Name: IJ e— n v 11 Phone#: 3& SCJ}1i3Y
State Certification or Registration#: T3 Certificate of Competency#: p� q
DESIGNER:Architect/Engineer:.ost Nk) htL Qt J aw n Al! Phone#: �(D 5b
Address: V-0, J6a� \(p 2 `*
13 City: TW10 t State: kL Zip: 33 331%
Value of Work for this Permit:$ 0'a Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration / ❑ New d� D/ Repair/Replace ❑ Demolition
Description of Work:. L ��! /dS � /i+►��A� n�P,�J � ✓
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 376i CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ G _
(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-issvbject-toattachment.-Nsa,vrertifredcopyaf-the recardedwatice-ofoammencemvnt-mvst-b`ePUs—WWai`fheJdb-r1te -
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
day of MA4 v 20_p1�,by _a day of OIARX44 20 � by
who is personally known to "?}�NP=X-) !W1 N o is personally known to
me or who has produced q!5L, me or who has produced U q)--as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:_
Print:�� � 2 !� o Print:
Seal: p�
�0at Npy p�gc SUM Fl�de Seal: :�•Py', Notary Public State of Florida
Oscar M Zaragoza ;4 Sindia Alvarnz
My Co0111 isslon FF 939287 Qa My Commission FF 156750
s Expfte812/08/2019 �QaoP Expires 09/03/2018
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)