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PL-16-108Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 � c is -3o46 Inspection Number: INSP-250930 Permit Number: PL -1-16-108 Scheduled Inspection Date: November 10, 2016 Inspector: Hernandez, Rafael Owner: GUERRA, JUAN AND BERTA Job Address: 518 NE 94 Street Miami Shores, FL Project <NONE> Contractor: MANNY'S PLUMBING SERVICE INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number (305)757-3111 Parcel Number 1132060140960 Phone: (305)219-5625 Building Department Comments REDO 2 BATHROOMS AND KITCHEN Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. PL -1-16-108 Permit Type: Plumbing - Residential Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 2/3/2016 Expiration: 08/01/2016 Parcel Number Applicant 518 NE 94 Street Miami Shores, FL 1132060140960 Block: Lot: JUAN AND BERTA GUERRA Owner Information JUAN AND BERTA GUERRA Address 1045 10 ST #907 MIAMI BEACH FL 33139-5362 Contractor(s) Phone MANNY'S PLUMBING SERVICE INC (305)219-5625 Cell Phone Phone (305)757-3111 Cell Valuation: Total Sq Feet: $ 1,800.00 0 Type of Work: REDO 2 BATHROOMS AND KITCHEN Type of Piping: Additional Info: Bond Return : Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $1.20 $3.38 $3.38 $0.40 $5.00 $225.00 $3.00 $1.60 $242.96 Pay Date Pay Type Amt Paid Amt Due Invoice # PL -1-16-58336 02/03/2016 Credit Card $ 242.96 $ 0.00 Available Inspections: Inspection Type: Top Out Final Review Plumbing Underground 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 construction and zoning. Futhermore, I authorize the mation is accurate and that all work will be done in compliance with all applicable laws regulating named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy February 03, 2016 Date February 03, 2016 1 BUILDING PERMIT APPLICATION Miami Shores Village 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 JAN 1 3 2015 FBC 20 l`1. TVL` Master Permit No. CAS _ 3090 Sub Permit No. 'RA - BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP G, CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores �1 County: Folio/Parcel#: t1 -32)-01L4- n ci i tJ Miami Dade Zip: :=2; Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: ) BFE: OWNER: Name (Fee Simple Titleholder): -Tann -3 € tr-fre Address: S 153 N q i ST NO X FFE: Phone#: 7�$(d .- 5Z10' c 1-1? City: HI0.,rn 1 � Vin(( 6,s State: FL Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: /11/1` Z /' `��/�� Phone#: S4 2 f Address: / G 3 I s tv 3 P'2-- City: L City: // State: Qualifier Name: tYq$A PL/ / /P/t at Zip: 3 3a/2 - Phone#: 3 -iv— 2-1 9 1—c 2J State Certification or Registration #: C -t' G I '% Z��7 %e.- Certificate of Competency #: DESIGNER: t/Engineer: iMf""' L ik--- crivivi PI E L� Phone#: 4'7 `751'- 3 jg Address: City: State: Zip: Value of Work for this Permit: $ 1 5 coca' Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration n New ❑ Repair/Replace ❑ Demolition Description of Work: (L( 0 0 "Twp 6 /A'11,4Q-00 "1-5 M✓) (e L 7,141174-^ ``>Specify color pfcolorthrutile, p Submittal Fee $.-„;; ;,;i� r:a, -Permit+Fee.$,` 24 Y CF $ \ •ZC p O/CC $ 1,7 Scanning Fee $ 3 • CO Radon Fee $ DJBPR $ 3” 3e Notary $ • Cfr) Technology Fee $ 1 . ) Training/Education Fee $ 6 • 1 Double Fee $ 0 Structural Reviews $ O (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE $ a`•l G 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 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. Signatur AGENT The foregoing instrum- was acknowledged before me this GB day ors; et - , 20 (S , by SAO ILINV Gki who is personally known to me or who has produced "ll--tR- (..X.MNS, as identification and who did take an oath. NOTARY PU : Sign: Print: C( Nit:AA Seal: A Notary Punlic State of Florida Sindia Alvarez My Commission FF 156750 Expires 09/03/2018 Signature CONTRACTOR The foregoing instrument was acknowledged before me this I3 day of JantaaN , 20 Ile , by Marithe Per -dory -10 , who is personally known to me or who has produced 'DL On -PA -e-. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: • Seal: StMf4 4 ************************t*.*.*,***********************************- APPROVED BY (Revised02/24/2014) —/374 • vx4SCiut7.— Fv% Suyapa T. Vasquez Commission 1 FF942611 Expires December 9, 2019 Plans Examiner Zoning Structural Review Clerk