PL-13-98Permit Number: PL- 1 -13 -98 J
•
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number. INSP - 184339
Inspection Date: February 06, 2013
Inspector: Hernandez, Rafael
Owner: ANDREOPOULOS, FOTIOS
Job Address: 118 NW 101 Street
Miami Shores, FL
Project: <NONE>
Contractor: THE NEW MIAMI SHORES PLUMBING
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)301 -7828
Parcel Number 1131010220200
Phone: (305)751 -2446
Buildins>I Department Comments
replace sewer pipe under the house
Infractto Passed Comments
INSPECTOR COMMENTS False
Passed
Inspector Comments
/
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
February 06, 2013
For Inspections please call: (305)762 -4949
Page 1 of 1
I 1.45
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
JAN 16 2013
FBC201 1
Permit No.
Master Permit No. t 3 -'
Permit Type: PLUMBING
JOB ADDRESS: 1 1 g /v W L U C 9
City: Miami Shores County: Miami Dade
Folio/Parcel #:
Is the Building Historically Designated: Yes
zip: 331.5-0
NO C/ Flood Zone:
%�'
Email: {undreo 00103 edu
OWNER: Name (Fee Simple Titleholder): p Of A Y1 a f Qom. 1 03` Phone#: 30s- - 3 - �'Z '
Address: ,�, At 1 '8 lam),‘..c.../(-5" t ®k A 1E`-` -A—
City: U_ ` Lag ► State: Ste- zip: 33 t S'
Tenant/Le ee Na�e: Phone#:
Email: - -r�I(IU reo C3u �OS edu
P
CONTRACTOR: Company Name: at CL N e S Wi. n 61:41 Phone#: � 0S) j - 4V
Address: goo Nov IVY Si--
City: 'LI LfA4 •t.(, {{state: 't' �- Zip: 3l (p
Qualifier Name: /9n1 S ( la (J 'f1 6-11 Phone#:
State Certification or Registration #: (FC VI g-05- Certificate of Competency #:
S p bWm' L1∎1 aof - ��-Y►
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ /1/0 Square/Linear Footage of Work:
Type of Work: °Address °Alteration ONew ,kRepair/Replace
Description of Work: I/
4oR
°Demolition
lCt Ce 5 cam- 41- Rvs.e
Submittal Fee $ <4.D- C-.).- Permit Fee $ /60 . CCF $ CO /CC $
psa l r>r
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Training/Education Fee $ Technology Fee $
Notary $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ ✓ ." � �
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 FT.F,CTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 ,r
Owner or Agent
The foregoing instrument was acknowledged be ore me this / The foregoing instrument was acknowledged before me this
day of J9lA (i r, 20 0, by "Ti rig fJt't & eaf OUIo. , day of 20L, by NVn/1!s
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY P LIC:
Si
Print:
My ommis
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY Pi3LIC:
Si
iu
407)398 -0153 Flormallou Servico,00
*************************
KENNETH 13 KOTALII(
MY COMMISSION # EEQ80038
EXPIRES May 02, 2015
APPROVED BY
My Commission
KOTALIK
• - MY COMMISSION # EE089935
4)'Al(• EXPIRES May 02, 2015
(407) 398 -0153 Fbrtdallo Servieo.com
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Plans Examiner
Structural Review
(Revised3 /12/2012)(Revised 07 /10 /07)(Revised 06/10 /2009)(Revised 3/15/09)
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Clerk