PW-17-2166Project Address
9701 BISCAYNE Boulevard
Miami Shores, FL 33138 -
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. RW -8-17-2166
Permit Type: Public Works
Work Classification: Public Works
Permit Status: APPROVED
Issue Date: 8/29/2017
Expiration: 11/27/2017
Parcel Number
1132060143320
Block: Lot:
Applicant
JOSE GUILLERMO CASTRO
Owner Information
JOSE GUILLERMO CASTRO
Address
9701 BISCAYNE Boulevard
MIAMI SHORES FL 33138-2540
9701 BISCAYNE Boulevard
MIAMI SHORES FL 33138-
Phone
Cell
Contractor(s)
TECO PEOPLES GAS SYSTEM
Phone CeII Phone
(305)957-3857 (305)970-1783
Valuation:
Total Sq Feet:
$ 1,000.00
0
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.00
$0.00
$0.00
$0.20
$100.00
$3.00
$0.80
$104.00
Pay Date Pay Type
Invoice # PW -8-17-65002
08/28/2017 Check #: 1592
08/29/2017 Credit Card
Amt Paid Amt Due
$ 50.00 $ 54.00
$ 54.00 $ 0.00
Available Inspections:
Inspection Type:
Excavation
Review Public Works
Final Public Works
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 infor
construction and zoning. Futhermore, I authorize the aboveln�
tioq issaaccu)1ate and that all work will be done in
Authorized Signature: Owner / Applicant
Building Department Copy
tr for to do the work stated.
/ Agent
compliance with all applicable laws regulating
August 29, 2017
Date
August 29, 2017 1
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC
❑PLUMBING n MECHANICAL
JOB ADDRESS: 97
Vliarni 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
Master Permit No.
Sub Permit No.
RECEIVED
AUG 2 8 2017,
FBC 20143
TLsfl-214ce
❑ ROOFING ❑ REVISION ❑ EXTENSION El RENEWAL
nPUBLIC WORKS El CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
3LSC/-I—N.v c' CL ‘11.
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO X
Occupancy Type:
Load: Construction Type:
OWNER: Name (Fee Simple Titleholder):
Address:
RIGHT OF WAY
Flood Zone: BFE:
Phone#:
FFE:
City: State:
Zip:
Tenant/Lessee Name:
Email:
Phone#:
CONTRACTOR: Company Name: TECO PEOPLES GAS
Address: 5101 NW 21 AVE. STE. 460
Phone#: 954-453-0806
City: FT. LAUDERDALE State: FL 33309
Zip:
Qualifier Name: JESUS VEGA 954-453-0806
Phone#:
State Certification or Registration #: E1608 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address:
Value of Work for this Permit: $ 1000
City: State:
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration❑ New El Repair/Replace
Description of Work: PERMIT RE -NEW FOR A GAS SERVICE LINE
Zip:
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ 50.03 Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Radon Fee $
Training/Education Fee $
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $4 T', 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. 1 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 C
l i
OWNER or AGENT
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 . by 2-3 day of
, who is personally known to w
me or who has produced as me or who has produced
identification and who did take an oath. identification , ri I who did take an oath.
NOTARY PUBLIC: NOTARY • UBLIC: ;
Sign:
Print:
Seal:
as
Print:
Seal:
APPROVED BY Plans Examiner
(Revised02/24(2014)
HUBERT NUNEZ
MY COMMISSION # GG 104234
EXPIRES: September 11, 2021
Bonded Thru Notary Public Underwriters
** **********
Zoning
Structural Review Clerk
Arlenis Silvera
From: Arlenis Silvera
Sent: Monday, May 01, 2017 10:50 AM
To: 'alfinch@tecoenergy.com'
Subject: PW16-3425
Attachments: Permit.pdf
Good Day,
Please be advise that Permit#: PW16-3425 does not have a final inspection. Please advise when you are ready
for inspections.
Best Regards,
Arlenis Silvera
Permit Clerk Supervisor
Miami Shores Village
10050 NE 2 AVE
Miami Shores, FI 33138
305-795-2204
www.miamishoresvillage.com
1
wlvw.mvarion.com
NE 10 AVE
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'AMERICAN TRAFFIC SAFETY
SERVICES ASSOCIATION
Still 111$11 11111 tiIt1
Tills is to affirm ling
Tom Faman
line satisfied the requirements
to he designated as a
CERTIFIED TRAFFIC CONTROL SUPERVISOR
rest t. 2182
but Date. 08/21/2013
Expiration Dor 08,1922017 Camfi®tionBoard
Legend
Cone
-BORE PIT.
-- -PROP 2' DIRECTIONAL
GAS MAIN BORE
.7 -FLAGMAN
as m
NOTE -CONTRACTOR TO MAINTAIN
ALLEY ACCESS AS NEEDED
Date: 5-16-2016 Author: TCM FARNAN Project: 9701 BISCAYNE BLVD
ATSSA #: 2162
Comments:
ALL EQUIFMENT TO BE FU -.CED AND COMPLY WITH FOOT DESIGN STANDARDS
INDEX 620 SERIES 602 606 ANC MUTCJ PLM -08= SUBMITTED TO GOVERNING
AGENCY =JR A'PRCo.AL.FLAN NOT -C SCALE.
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Approved
Disapproved
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SOD RESTORATION DETAIL
NOTES
CONSTRUCTION
1. LOCATE AND PROTECT AU. UTILITIES IN AREA OF
CONSTRUCTION. SUNSHINE # 1-800-432-4770
2. RESTORE ALL AREAS TO PRIOR CONDITIONS
3. ALL CONSTRUCTION TO FOLLOW JURISDICTIONAL
GOVERNMENT AND TPG STANDARDS.
\b -1614 D
JUN 0'S 2016
J (_)l
DESIGNED BY: A. ROCHE
• • • • PRAWN 4Y: A. ROCHE
• • • •
• • • •
Stet:: 1" = 40.
'••• • •
PEOPLES GAS
TECO -PEOPLES GAS
15779 W. DIXIE HIGHWAY
N. MIAMI BEACH, FL.
PROPOSED 2" PE MAIN AND 3/4" SERV.
N.E. 10TH AVE., NORTH OF N.E. 96th ST.
TO SERVE 9701 BISCAYNE BLVD.
MIAMI SHORES, FL.
SHEET
NO.
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