PL-16-1235Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
c 16-3040
Inspection Number: INSP-258425
Permit Number: PL -5-16-1235
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: Gas
Phone Number (305)757-3111
Parcel Number 1132060140960
Phone: (305)219-5625
Building Department Comments
GAS WORK AS PER PLANS
Infractio Passed Comments
INSPECTOR COMMENTS False
Passed 7*..._
Inspector Comments
0 A
.
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled
re -inspection fee is paid.
until
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. PL -5-16-1235
Permit Type: Plumbing - Residential
Work Classification: Gas
Permit Status: APPROVED
Issue Date: 5/9/2016
Expiration: 11/05/2016
Parcel Number
Applicant
518 NE 94 Street
Miami Shores, FL
1132060140960
Block: Lot:
JUAN AND BERTA GUERRA
Owner Information
Address
Phone
Cell
JUAN AND BERTA GUERRA
1045 10 ST #907
MIAMI BEACH FL 33139-5362
(305)757-3111
Contractor(s)
Phone
Cell Phone
MANNY'S PLUMBING SERVICE INC (305)219-5625
Valuation:
Total Sq Feet:
$ 800.00
0
Type of Work: GAS WORK AS PER PLANS
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.25
$2.25
$0.20
$150.00
$3.00
$0.80
$159.10
Pay Date Pay Type
Invoice # PL -5-16-59700
05/09/2016 Credit Card
Amt Paid Amt Due
$ 159.10 $ 0.00
Available Inspections:
Inspection Type:
Final
Press Test
Review Plumbing
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 AFFID. T: 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 in Futhermore, I authorize the above-named contractor to do the work stated.
May 09, 2016
Auth • zed Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
May 09, 2016 1
GO \
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
BY•
MAY 092010
FBC lay
Master Permit No. gC-• (5 • 30L10
Sub Permit No. ?I—A(0 12 55
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
E3 LUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: (& "I t4 J
City: Miami Shores County: Miami Dade Zip: ,_j g
Folio/Parcel#: 11-32-010-011-1-061 (DO Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 3uoon J al.& YQ Phone#: 1$ 1p• S8(o • TN?
Address: 51S NE. ay 5-F reek
City: (N‘ooml State:.PL zip: 33 )3$
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: 11, uYy‘S \' LI •-.Li .'S GQ\LV i Ce. Phone#: 'IOC-- (2iU- .7>3
Address: V.;";` W 3S 'L %A -s -I VS-- -2-- t
City: \\\ M --4Z AA\ State: \-- Zip: 0)/
Qualifier Name: A-10 Q'421... ?16-o Phone#: 601-2\5" SC, ZS
State Certification or Registration #: C- F C \'2 231 S ( Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ bO , .------ Square/Linear Footage of Work: 1115 i(Air&!�'%Z
Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition
Description of Work:
(. JJ�- 1 G7 2 P-- -7"-rS
Specify color of col • tliru tile: . - . r
Submittal Fee ) Permit Fee $ /S -O CCF $ 0 ' 66 CO/CC $
Scanning Fee $ 3 • Radon Fee $ a. PJ DBPR $ a " °Gj Notary $
Technology Fee $ G- 9D Training/Education Fee $ 0 " —C) Double Fee $
Structural Reviews $ Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ 1 S iD
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.
Signature
Signature
The foregoing instrumentas acknowledged before me this The foregoing instrument was acknowledged before me this
q day of May , 20 I (o , by (o day of MAy , 20 Ito , by
JUorl Cal.lGlrrri , who is personally known to
me or who h6produced D L 04 l?. as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: JuUaryl I. Vascp,167
Seal: 7140‘' Suyapa T. Vasquez
•a
Alt
APPROVED BY
( Revise d02/24/2014)
Commission # FF942611
Expires: December 9, 2019 p� +h���,,,,, ^' }a
PAcinut?ex-do -dn
o no , who is personally known to
me or w as produce DL. or+ -\t as
identification and who did take an oath.
NOTARY PUBLIC:
Seal:
, Suyapa T. Vasquez
=* �� Commission # FF942611
��_ '�zz Expires: December 9, 2019
Plans Examiner
Zoning
Structural Review Clerk