PLC-13-1324Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)7564972
Inspection Number: INSP-204466 Permit Number: PLC -6-13-1324
Scheduled Inspection Date: March 18, 2014
Inspector: Diaz, Osvaldo
Owner:
Job Address: 9501 NE.2 Avenue
Miami Shores, FL 33138 -
Project <NONE>
Contractor: VALUE PLUMBING SERVICES INC
Permit Type: Plumbing - Commercial
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (305)756-3711
Parcel Number 1132060133920
Phone: (954)445-7107
Building Department Comments
PORTABLE WATER SYSTEMS & DRAIN LINE
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed
C�.
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP-204368. cancelled by contractor
MANY ITEMS PENDING OUTSIDE REMOVE OLD METER
BRING PROPERTY TO GRADE
EXTEND CLEANOUTS
/-/N Q(s
March 17, 2014
For Inspections please call: (305)762-4949
Page 11 of 35
BUILDING
PERMIT APPLICATION Master Permit No. / 3— 7 7 9
r4'
Permit Type: PLUMBING
JOB ADDRESS: q:5-0 / C ' S '' "6- z 4' V e
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
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
PE JUN 1 : 20i3
BY:
FBC 20
Permit No. VIQ J 3 J 324
OWNER: Name (Fee Simple Titleholder): There, SG. Caeca/n/5 e Phone#:
Address: ZO I IV f E qt S S,s
City: Mrs n1; Sheet State: FL Zip: — 3 3 / 3 $.
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: ia"43.L inn rt�Q SSZ�i�� Z& Phone#: 1, \ .�\ % •
Address: "AL (s; \ ^��-•c��p� ct, Q\v k_ •
City: `"C'OL t,,�.'r, State: �"L- Zip: 3-30 ')-
Qualifier Name:L. Y 'Vs J Phone#:
State Certification or Registration #: Certificate of Competency #: eld b C..1 S..
Contact Phone#: Email Address: Vb..V.1►2iU.1rr.1c>>»q1Ssvvi �% � t1.v1
DESIGNER: Architect/Engineer: 1 Phone#:
ot ,t,
Value of Work for this Perini: $1,� sjy SC) • Square/Linear Footage of Work:
Type of Work: ❑Address',` ' CT Alteration p ❑T ❑Repair/Replace
Description of Work: a ��G,3'i.=\\Q,1^ 0 }r ` `)a CL�\Q \)-3cak-r S� S
❑Demolition
S vv—
cYV `��1 r `�..^ f f i r
. owl. `••.°
4
***************************************Fees******************************************** l
Submittal`Fee $ Permit Fee $ 1.90 CCF $ CO/CC $
Scanning'Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 0 °
;Bondiig 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 ELECTRICAL 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 inspecti• rs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection . • . • .prove an a d d •inspection fee will be charged.
Tse fore o
day of
h
F0 er or Agent
umgntt was ac l howled
Sign:
Print:
My Commission Expires:
ed befo me his VL
Signatu
The foregoing instrument was acknowledged before me this z9>
of _Ape ,'l ,20)3,by Kt's•`24gAS ,
�--
me or who has produced who is personally known to me or who has produced
as identification and who did take an oath.
As identification and who did take an oath.
NOTARY PUBLIC:
.,0%S Btlf',
APPROVED BY
_Z ••
My Co 4gn : / 0:
• y>t •• Oma:
i /c' 00000
STATEe
Plans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)