PLC-10-1427Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL cc 1 0 414423
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 149863 Permit Number: PLC -8 -10 -1427
Scheduled Inspection Date: November 08, 2012 Permit Type: Plumbing - Commercial
Inspection Type: Final
Owner: PROPERTIES LLC, SHORE SQUARE Work Classification: Addition /Alteration
Job Address: 9031 -9069 BISCAYNE Boulevard 9059
Miami Shores, FL 33138 -0000
Inspector: Hernandez, Rafael
Project: <NONE>
Contractor: V&V PLUMBING INC
Phone Number (305)779 -8040
Parcel Number 1132060110051
Phone: (786)281 -9960
Building Department Comments
INTERIOR RENOVATION 9061 B
08/31/2012 - PENDING LIC AND INS.
09/05/2012 -LIC AND INS RECEIVED.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
November 08, 2012
For Inspections please call: (305)762 -4949
Page 1 of 19
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
FBC 20
Permit No. 'Z C — — 10— /42
Master Permit No. e (- - l0 - /¢2.6
Permit Type: PLUMBING
JOB ADDRESS: C OC - lj RLvz
City: Miami Shores County: Miami Dade Zip: 3 3 / 38
Folio/Parcel #: / 13z O6 or I GCS/- 3
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): 5I-lotc 61.),5,-,9-e- ?gore � es 2L c_ Phone#:
Address: /61 #‘16- / Z f 5 d
City: l4n-h( N1 State: - Zip: 33/4
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Y RL,vv. k"),, r c
Address: • • L _. _ 4- Pk
Phone#: r V.P— c4 -el c Q
City: k iCA 1 tf4.1,1 State: P \ zip: 33o l 3
Qualifier Name: V 1 C . iq G t,.7 IN Fhone#: r/ 6j - d 8-1 - cf el (t 0
State Certification or Registration #: C (_,C_ 14 en 4 S 0 Certificate of Competency #:
Contact Phone#: Email Address: \( rv. / p'\ G 0 r ('nI , t • C C7 M
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑Address PiAlteration ONew ORepair//Replace Demolition
Description of Work: Alas VN
= 3 /I2cc i1 , c'
(''iwc w, iw� %z
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ �`t"
BondingCompany,'s Name (if applicable) A,-)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) t\-% 4.
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 inspection which - rs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not b J a' > ed and a reinspection fee will be charged.
Signature Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 4th
day of AtjjV , 2012 , by \11)(7) T V\ J-2hCA
who isrrsonally mown to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Contractor
The foregoing instrument was acknowledged before me this l0'
day of 02v , 20 t2- , by Vi c . afcrq ,
who is personally known to me or who has produced
as identification and who did take an oath.
JESSICA GARCIA
Notary Public, State of Florida
Commission
ion Expires Mar. 21, 2015
NOTARY P
Sign:
Print:
Ir;.
4V
C-1
My C,
My Commission Expires: vcl^ Zr r ?.o tS
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * *: ********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * ** * **
APPROVED BY 7-- Plans Examiner Zoning
Structural Review
(Revised3 /1212012)(Revised 07 /l0/07)(Revised 06/10/2009)(Revised 3/15/09)
Clerk
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHANGE OF CONTRACTOR 1 ARCHITECT
Permit N.PLC1 C
Owner's Name (Fee Simple Title Holder): )here 1La(crePrL rhr5FLe'1'hone #: ,5!).5-7s133- cri55
Owner's Address: C o9 (.49 N E
City: N 1•1 ) State :
Job Address (Of where work is being done): 906/-0 .s/A/6" ,
City: Miami Shores State: Florida
Contractor's Company Name: VL'U' P20h8;,,,c,
Address: $60 fi 2 7
City: / - ? 7 / / . State: Fey Zip Code: 330/3
Qualifier's Name : Vic/Pa R. C3Afrzcq. Lic. Number: C.Fc. /47 >)i -Z:
Zip Code: 33) La I
Zip Code:
Phone #: " 9 - a ' 6 — 0 8 ) - 7 o
Architect/ Engineer of Record Name: kir a-s Anw -r hz/ Phone #:
Address:
City: State: Zip Code:
Describe Work: rJ x (cim -Jc,
I hereby certify that the work has been abandoned and /or the contractorlarchitect is
unable or unwilli . • • mplete the contract. I hold the Building Official and the
mi Shores harmless for all legal involvement.
Signature
r Agent
The foregoing in t was aknowledged before me
this2Pday of 1\41 4 ,2012-,by loro m .1.'2hc*_
Who is personallyknown to me or who has produced
Notary Publ
Sign:
Seal:
as indentification.
' tF Notary Public State of Flonda
. Jacqueline Ortiz
AT My Commission EE 189537
0,0" Expires 04/15/2016
Signature
or Architect
The foregoing instrument was aknowledged before me
this 30 day of of, -1- , 201Zby V;cAerr ,aici G
who is prsonaliy known to me or who has produced
as indentification.
Notary Public:
Sign:
Seal:
JESSICA GARCIA
Notary Publics, State of Rorida
Commission *MEW
My Comintern Entree Mfr. 21, 2015
SHORE SQUARE PROPERTIES, LLC
696 ne 125th STREET NORTH MIAMI, FL, 33161
P: 305 - 893 -9955 F: 305 - 899 -9060
8/30/12
Blue Bar Plumbing, Inc
7661 NW 68 Street Bay 10
Miami FI. 33166
Permit # PLC- 8- 10 -14 -27
We wish to cancel these permit for the work has not been done we have lease the space to a
new tenant who 'is going to submitted new drawings. Also we have a new contractor and they
will be obtaining their own permits so wish to close these permits since no work has been
completed.
Yoram Izhak.
President Shore Square Properties, Llc.
U.S. Postal ServiceTM
CERTIFIED MAIL. RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
For delivery Information visit our website at www.usps.coms
$0.00
Postage
Certified Fee
Return Receipt Fee
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
08
Postmark
Here
Total Postage & Fees
Sent To
08/31/2012
Street, Apt. No.;
or PO Box No.
City, State, ZIP +4
PS Form 3800, August 2006
See Reverse for Instructions
•
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
FBC 20
Permit Type: PLUMBING
IRS-
fUUG i 2010 Hi
Permit No.
Master Permit No.
Owner's Name Fee Simple Titleholder) `�
( p ) �Jt 10 rt. Slim E' Inv e4 1MVA5i'hone # \I1CJ ' I N''010d4U
Owner's Address -"69)!5() l rd �t A < OI
Cityrniavn, State
Tenant/Lessee Name \j'QCC .
Email jf'1.ven 5 Y' c 3(•ou pc CdI'�'1
Job Address (where the work is being done) -1® l P
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL # 1 3t).O(p °"O 4 ` ~• (� (j E (
Is Building Historically Designated YES NO V
Zip ...J� 1t °�(�
Phone # - 1-t��OC4
scq yat✓ BtAto
Zip
Flood Zone N jA
Contractor's Company Name ` `' e ,AA-StLi Phone # o q 8 6 02
Contractor's Address `) S ft) A) L 0 sri--
City State / L Zip 31 6
Qualifier Name Fit/ aj o f c i +��c C Phone # 3 D
State Certificate or Registration No. C 1 C 0 S 6 ( 26 Certificate of Competency No.
Contact Phone 3 D g% 02:1-4
E -mail
Architect/Engineer's Name (if applicable) aDs..g (a yyln 5 Phone # Q5L T. -Salo
c01�i�E 4A. 1k
V iitfRf +WealttFor this' Vefinit b" . g VO 4 o 0
T 'eo
D
Square / Linear Footage Of Work:
yrskdilition` v�"[]1lteration New
m.oQ. Q, jrrri O(12
❑ Repair/Replace
r, 4,;.
riwa
le tee
j� -* n�:sTlci? vM
********** * * * * * * * * * * * * * * * * * * * * * ** * * * * * *Fe *tie * * **?k *�esr
Submittal Fee $
epfaiD
Permit Fee $
/z
Notary $ Training /Education Fee $
A.
4/ gam.
WDernolition
• tei
* * * * * * * * * * **
CCF $
Scanning $ Radon $ DPBR $
Double Fee $ Violation date:
Structural Review. $
CO /CC $
Technology Fee $
Bond $
Total Fee Now Due $
See Reverse side --*
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 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 t : t a c #y of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is sub to achment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection hi, +ccur seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not a reinspection fee will be charged.
Signature
er or Agent
The foregoing instrument was acknowledged before me this ,..)5( ,..)5( day of �-tt� - 20 AU, by —TO rnQ S C4tor2ri L 0,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign EcL
Print: • • -
My Commission Expires:
ALENE EDMONDS
Notary Public - State of
My Comm. Expires Aug 29.2014
,,��{,�
_441' Commission EE 8916
'',,,, J� R•�'i Bonded Through National Notary Assn.
****** * * * * * * * * * * * * * * * * * * * * * * * * * * * ▪ * ▪ * ** * ** ********************************** * * * * * ** * * * * * ** * *** * ** * * ** * * ** **
Signa
Contractor
The foregoing instrument was acknowledged before me this
day of ■ , 20 1,1), by 1--V430 La l'id! &c l q
who iersonally kn
NOTARY
Sign:
Print: , Ckh1Q,
My Commission Expires: €'aq 49
: y r � ' � } • My Comm. Expires Aug 29.2014
� ' Commission # EE 8916
Bonded Through National Notary Assn.
APPROVED BY
Plans Examiner
(Revised 07 /10 /07)(Revised 06/10/2009)
Engineer
Zoning
Clerk checked