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PL06-8989 ' ' 1 ' ' a- — — X Passed ( nspe - omments /k Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until ................ . ........................... �i�ii►ii�i:_ `iii'_2��iFiii Inspection Date: 07/28/2006 Inspector: Levrack, James Owner: VARONA, BELKIS Job Address: 517 91 Street NE Project: <NONE> Thursday, July 27, 2006 Miami Shores Village, FL 33138- Contractor: TECO PEOPLES GAS SYSTEM Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 UL a I SO Block: Permit Type: Plumbing a Residential Inspection Type: Final Work Classification t: Gas Phone Number Parcel Number 1132060141220 Lot: Phone: (305)957 -3857 Page 2 of 2 / gi/d. Passed P �• C omments Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until ..................... Inspection Date: 07/28/2006 Inspector: Levrack, James Owner: VARONA, BELKIS Job Address: 517 91 Street NE Project: <NONE> Contractor: TECO PEOPLES GAS SYSTEM Building Department Comments Thursday, July 27, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Plumbing - Residential Inspection Type: Press Test Work Classification: Gas Phone Number Parcel Number 1132060141220 Lot: Phone: (305)957 -3857 Page 1 of 2 Contractor's Address Qualifier $ Value of Work For this Permit Type of Work: ['Addition Describe Work: (Continued on opposite side) Total Fee Now Due $ i - e • Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel k E e i 756.8972 BUILDING Permit No. - PERMIT APPLICATION F3 'y Master Permit No. FBC 2001 \/ ,j3 ! (X- Permit Type (circle): Building Electrical Plumbing Mechanical Rooting Owner's Name (Fee Simple T..tleholder) _ ' . ��� �.�� '''� '; Phone # ' -� ,/ Owner's Address % l / "'v , t City A State .`. Zip )___. > _i (' Tenant/Lessee Name Phone # , 3 -' Job Address (where the work is being done) City Miami Shores Village County Miami -Dade is Building Historically Designated YES NO %! Contractor's Company Name , o City . '.. State f.— - Zip ) / State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # ❑Alteration • , • v Code Enforcement $ Structural Plan Review. $ Phone # Zip ❑ Repair/Replace ., . ❑ Demolition Square Footage Of Work: / ❑New *************************** FPPC **** * ** * * * * * * * ** ** * * * * ** ** * * * * ** Submittal Fee $ Permit Fee $ 1 / - CCF $ � 0. ICJ 0 COIF C Notary $ Training/Education Fee $ 0 . Technology Fee $ 4 -0 C) UO Scanning $ Radon $ Zoning Bond $ 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 constriction 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 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 `(;\/1.v1 NOTARY PUBLIC: i - \ Sign: Print: My Commission Expires: APPLICATION APPROVED BY: Chc 05/13/03 Owner or Agent The foregoing instrument was acknowledged before me this day of ,��� , 20';_ b who is personally_ktiown to me or who has produced 00,11'41;k„ Notary Public - State of Florida • _MY :tommissior. Expires Feb 2, 2010 Commission # DD 513850 Eicr ded By National Notary Assn. ** ****** *** * ** *** ** *********** * * **** ********* ** ** ** ** * ******** *** ** * ***** ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ************ * * * * * * * * * ** * * * * * * * * * * * * * *.* * * * * ** oa �• r Signature Contractor The foregoing instrument was acknowledged before me this - day of „ • , 20' v by 4Q S. F3 S 5t who is personally known to me or who has produced + ,— ,:c,..,r:„—q. —t — harl idtake.an4atij. LUIS MONTERO • y "r`• . Notary Public - State of Florida t � D T My Commission Expires Feb 2, 2010 ` i . A�64 g Commission # DD 513850 .� onded By National Nn'.aiy Assn. My Commission Expires: 1 NOTARY PUBLIC Sign: Print: Plans Examiner Engineer Zoning ATLAS: M 4 SCALE: NTS N CONSRUCTION NOTES: NEW 1/2" PLASTIC N, R/W E.O.P E.O.P S.R/W 1. ALL GAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES CAS STANDARDS. 2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE APPRORIATE GOVERNMENTAL AGENCY. 3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR CONDITION. UNLESS OTHERWISE SPECIFIED. • • •e• • • • ••e • • • • • • • • • e • • • • • • • • • • ••• • • • • • �� I/a6 • • • • • ••• e • s • ••• • • • • • • •• l��D cc.,� • • • • ••• • • • • • • • • �� ��, �., • • • • • • • • • TECO •• • • • •• e•• •• • • • • • • • • • PROPOSED RISER (517) NE' 91. STREET PEO PLE ./ AS NEW 1/2" PLASTIC GAS SERVICE RAWN BY: LM 517 NE 91 STREET. MIAMI SHORES BY: ALLEY B SE GAS MA r w 48 HOURS BEFORE DIGGING CALL SUNSHINE 1- 800 - 432 -4770 DATE: 4/1/06 SHEET: 1/1 JO: 13441 Issue Date: 4/11/2006 Owner's Name: BELKIS VARONA Permit Type: Plumbing - Residential Work Classification: Gas Job Address: 517 91 Street NE Contractor(s) TECO PEOPLES GAS SYSTEM Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Phone (305)957 -3857 Permit Expires: 04/07/2007 Primary Contractor Yes ommen NEW NATURAL GAS SERVICE FROM GAS MAIN LOCATED ON THE SOUTH R/W OF NE REAR ALLEY Type of Work: GAS LINE Additional Info: Classification: Residential Type of Piping: 1/2" PLASTIC Bond Return : 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 information is accurate and that all work will be done in compliance with all applicable Taws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL -4 -06 -898 one: 1132060141220 Lot: PB: Total Square Feet: Total Valuation: Required Inspections 0 $ 600.00 Press Test ROW Final Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $160.00 $3.00 $4.00 $167.80 Invoice Number PL -4 -06 -24429 Total: 13 PAIE c_ . Amt Due $167.80 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.