PL-16-166Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
c 14 - 564
Inspection Number: INSP-272938 Permit Number: PL -1-16-166
Scheduled Inspection Date: December 13, 2016 Permit Type: Plumbing - Residential
Inspection Type: Final
Owner: FREHLING, ROBERT AND NANCY Work Classification: Gas
Inspector: Hernandez, Rafael
Job Address: 1285 NE 95 Street
Miami Shores, FL
Project: <NONE>
Contractor: MITO PLUMBING CORP
Phone Number
Parcel Number 1132060144020
Phone: (786)553-5003
Building Department Comments
ROUGH IN ONE BARBECUE, ONE RANGE, 2 TANKLES
HEATERS, ONE GENERATOR AND ONE POOL HEATER
MAKE CONNECTIONS TO ABOVE EQUIPMENT (GAS)
Infractio Passed Comments
INSPECTOR COMMENTS
False
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid
MITO PLUMBING CORP.
7879 NW 173 STREET, HIALEAH, FL. 33015
786-553-5003 OFFICE, 305-817-9577 Fax
CFC1427812
December 12, 2016
Miami Shores Building Department
10050 NE 2nd Ave
Miami Shores, FL 33138
Re: Gas Permit# PL -16-166, Address: 1285 NE 95th Street, Miami Shores, Florida
To Whom It May Concern:
This letter shall serve to inform you that on December 10, 2016, Mito Plumbing
performed a drop test on the gas work performed at the above referenced project and the gas test held
properly. Pipe tested at fourteen inch water column for thirty-five minutes as per 406.5, 406.4, and
406.42 of the Florida Building Gas Code.
Dianelys Gonzalez
Mito Plumbing Corp.
S
tiM,� Miami Shores Village
,p Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
►A P UMBING ❑ MECHANICAL El PUBLIC WORKS
40.ii Sr
JOB ADDRESS: /2-07NE 4S
REC Pty
JAN 21 2015
BY:
FBC 20T
Master Permit No. /ZC. 3SY— S''
Sub Permit No.i . io — 16,6
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores
County:
Miami Dade Zip: 33/313
Folio/Parcel#: if "3206 —0 lei - el020
Occupancy Type:
Is the Building Historically Designated: Yes
Load: Construction Type: Flood Zone:
NO
BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 00664-1- -L A-4-zy 01-4A-6, Phone#: z" 3`i(i
Address: 12 q. ,J cis r
City: n/A, 7i SA>fteS
State: i -l.
Zip: 33t a$
Tenant/Lessee Name: Phone#:
Email: 120"50-4,- e}x**>rii ri+ • &8'r")
I/ 0 111 6,
CONTRACTOR: Comn Name:
.
Address:
City:
Qualifier Name:
State:
liffrnellAre
/
C %i� 7�i ZGertificate of Competency #:
Phone#:Z ,'69-3'5-400
Zip: _ 33'o/
Phone#:
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address: a A
Value of Work for this - it:
Type of Work: 7
Description Work: rau y4 /Pt BLL(
in 4 /Ge a
City:
-3
Phone#:
Square/Linear Footage of Work:
❑ Repair/Replace
6'
State:
Zip:
Specify color of color thru tile:
0
Submittal Fee $ '03
Scanning Fee $D
3 •, `
Technology Fee $O ' L-1,0
Structural Reviews $
Permit Fee $
Radon Fee $ Q • a S DBPR $ a• d✓ Notary $
Training/Education Fee $ v • 60 Double Fee $
Bond $
CCF $ \ 'so
CO/CC $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ fl 2_ . `r
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. 1 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 • tice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
J7
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of -S` , 20 , by
c6-- , who i •erson. • •wn to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: Ga t05
as
Seal:
5611.
i��E Oi r��Ps
''�ginnn�A,
APPROVED BY
(Revised02/24/2014)
CARLOS SANABRIA
Commission # FF 37673
My Commission Expires
July 18, 2017
*****
***
Signature
CONT ` ACTO
The foregoing instrument was acknowledged before a this
= day of JY� 'v , 20 ` , by
, who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBL
Sign:
Print:
Seal:
**************
Plans Examiner
Structural Review
c,"4.05
**************
,"4os
CARLOS SANABRIA
Commission # FF 37673
My Commission Expires
July 18, 2017
*au s**•••• ************
Zoning
Clerk