PL-15-110e Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FIL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-226672 Permit Number: PL -1-15-110
Scheduled Inspection Date: February 10, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo Inspection Type: Final
Owner: SANCHEZ, ISRAEL Work Classification: Repair
" Job Address: 375 GRAND CONCOURSE
Miami Shores, FL
Project: <NONE>
Phone Number
Parcel Number
1132060135940
Contractor: THE NEW MIAMI SHORES PLUMBING Phone: (305)751-2446
6unaing uepartment comments
REPLACE 40 GALLON WATER HEATER IN GARAGE Infractio Passed Comments
INSPECTOR COMMENTS False
February 09, 2015 For Inspections please call: (305)762-4949 Page 13 of 38
Inspector Comments
Passed ,
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
February 09, 2015 For Inspections please call: (305)762-4949 Page 13 of 38
Miami Shores Village
Building Department JAN 2 0 2015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 E -
Tel: (305) 795-2204 fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC:201
BUILDING Master Permit No. PU S
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION F-1 RENEWAL
12,P/LUMBING ❑ MECHANICAL E] PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION [:]SHOP,
CONTRACTOR DRAWINGS
JOB ADDRESS: 375 Grand Concourse
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#. Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Israel I. Sanchez Phone#: 786-253-6004
Address: 375 Grand Concourse
City: Miami Shores State: FILzip: 33138
Tenant/Lessee Name: Phone#:
Email. iisanchez@hotmaii.com
CONTRACTOR: Company Name�^ ' VQL(/ Cam d ���(IA�t i,0��rp Phone#: 309' 7V_ Q_ >'7` 6
: rl�
Address: q00 A1W 11y"
City: Allialmtil I
j -State: L Zip: 33I& q
Qualifier Name: nnip Ln wAi& Phone#: 30i__ >YL/O
State Certification or Registration#: c .F ®� % 2®� Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
�oG
Value of Work for this Permit: $ 2 75 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alte ''] New 2 Repair/Replace ❑ Demolition
Description of Work: W Ac i PcT
g -.iy F ni°� t N 3i�liri4Q�' flli4lf?.:w; s ,�
Specify c br rf0%44
Uk
Submittal Fe ` CCF COJCC°$
Scanning Fee $ Radon Fee $ DBPR $ Notary
Technology fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ r 1r�
TOTAL FEE NOW DUE $ 6 -6c)
(Revised02/24/2014)
Bonding Company's Name (if applicable) _
Bonding Company's Address
City State
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 abs ►ce of such posted notice, the
inspection will not be approved and a reinspection fee will be charged. 7- 1
Signatu
The foregoing instrument was
13th day of January
Israel 1. Sanchez
meo
NOTARY PUBLIC:
nowledged before me this
, 20 15 by
who is personally known to
Print: ...w lVMM ONTANA
Seal: my
POW - 8"M of FlcxrO
• my 00". in*" M 21.2016
comm 10 0 0E 210196
„• •� eoneee lhro* Now Nfty Mm.
APPROVED BY (--:D/'20—/5 Plans Examiner
Signatu
Theforqgoing instrument was acknowledged before me this
1fo! day of JJa.20 15 by
A -)MI lS Md QT/W1, ho is personally known to
me or who has produced as
Structural Review
(Revised02/24/2014)
Zoning
Clerk