PL-17-1647r
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
6 -QP -t4S
Inspection Number: INSP-284897 Permit Number: PL -6-17-1647
Scheduled Inspection Date: August 10, 2017
Inspector. Hernandez, Rafael
Owner. BECERRA, JACQUELINE
Job Address: 401 NE 94 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: AROUND THE CLOCK GAS SERVICE
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Gas
Phone Number
Parcel Number 1132060140480
Phone: 305-231-3632
Building Department Comments
NATURAL GAS CONNECTION TO NEW POOL HEATER
USING THE EXISTING GAS LINE
Infractio Passed Comments
INSPECTOR COMMENTS
False
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
August 09, 2017
For Inspections please call: (305)762-4949
Page 8 of 17
AROUNDTHE
Ark 40114 I 7
affill GAS SERVICE
Around The Clock Gas Service, Corp.
3.3117 NW 107 Ave unit 17
Hialeah Gardens, FL. 33018
Phone: 3o5-231-3632 ext 301
Fax: 305-231-43.8o
STATE LIC# LPG17356
CLASS# 803
DROP TEST CERTIFICATION DATE 8/10/2017
To: Whom It May Concern in the Village of Miami Shores Plumbing Department.
This is to certify thatArounJthe Clock Gas Service Corp. an authorized Advantage Dealer of
Teco Peoples Gas has performed a drop test at the following site and tested all the appliance
connections. The gas line has been checked to the standards of the 2014 Florida building
code, SECTION 406 (IFGS) INSPECTION, TESTING AND PURGING 406.1 GENERAL
and properly tested to meet the standards of NFPA 54.
The work was performed for:
Jacqueline Becerra
401 NE 94 Street
Miami Shores FL 33138
Test Pressure: 8.0
Lock up pressure: 7.2
Operating pressure: 7.0
Test time: 30 Minutes
If you should have any questions regarding this matter please do not hesitate to call us.
Amaury Gonzalez
CEO
Around The Clock Gas Service Corp.
.� sZTAN EDWIN L SILVER
�.Ke
�r P
_Notary Public • State of Florida
2 Commission 0 GG 054232
My Comm. Expires Jan 22. 2021
O'''' ' Bonded through National Notary Assn.
STATE OF FLORIDA COUNTY OF MIAMI DADE, SWORN TO &
SUBSCRIBED BEFORE ME THIS I Z DAY OF AI` / i 20 f'?
AMA URY GONZALEZ, PERSONALLY KNOWN TO ME
SIGNATURE OF NOTARY PUBLIC
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
•mit
Permit NO. PL -6-17-1667
Permit Type: Plumbing - Residential
Work Classification: Gas
Permit Status: APPROVED
Issue Date: 7/17/2017
Expiration: 01/13/2018
Parcel Number
Applicant
401 NE 94 Street
Miami Shores, FL 33138-
1132060140480
Block: Lot:
JACQUELINE BECERRA
Owner Information
Address
Phone
CeII
JACQUELINE BECERRA
401 NE 94 Street
MIAMI SHORES FL 33138-2845
(786)201-4321
Contractor(s) Phone
AROUND THE CLOCK GAS SERVICE 305-231-3632
CeII Phone
Valuation:
Total Sq Feet:
$ 725.00
0
Type of Work: NATURAL GAS CONNECTION TO NEW POOL
Type of Piping:
Additional Info: NATURAL GAS CONNECTION TO NEW POOL
Bond Return :
Classification: Residential
Scanning: 3
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
$9.00
$0.80
$165.10
Pay Date Pay Type
Invoice # PL -6-17-64389
07/17/2017 Check #: 41829 $ 115.10 $ 50.00
06/23/2017 Credit Card $ 50.00 $ 0.00
Amt Paid Amt Due
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 AFFIDAVIT: I certify that all the foregoing information is accurate and tht all work
construction and zoning. Futhermore, I authorize the above-named contractor to d • 1 work sta
Authorized Signature: Owner / Applicant / Contractor / gent
Building Department Copy
done in compliance with all applicable laws regulating
a/ze4„),,,,, July 17, 2017
Date
July 17, 2017 1
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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
`1 .
LUMBING MECHANICAL Ei PUBLIC WORKS
RECEIVED
JUN 22 NV
01-eCt?
FBC 201
Master Permit No. FPI? — 5q
Sub Permit No. ice' —1 - 1C0(AR-
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: `C o 1 1 l L( )--t"‹
€
City: Miami Shores County:
Folio/Parcel#: L\-3 O 6 — 0 1(- o$ k
Miami Dade
zip: / 3g
Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder)`: �� C �"'e \��^� Q i_ v� IVP•
Address: 4 0 1 N `� c -I `l S''K - -k
BFE: FFE:
Phone#: zup•'c)0 i-cr3c1 (!
City: Vl\A 1"``�'''`e s State: Zip:
Tenant/Lessee Name:
Email:
Phone#:
CONTRACTOR: Company Name: N -‘11-0V \^-e G.Ar 1 Phone#: 3 0.5"-
--4-3/`363j-
Address: `3 A -J Q. -Os-
City:
City: '‘ �- e A `k G �^- State: L Zip: 3 O
Qualifier Name: v `^y cG "� 1Z tE Z Phone#: � ' T' 3() 4 - 4--rg
State Certification or Registration #: G pU / 3 >U Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
City: State:
Address:
Value of Work for this Permit: $ i. 5 ' 0 0
Zip:
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair
Description of Work: IpJ P• t^' G ! $ C v'v� v. -Q
❑ Demolition
\,e�-�f,'
Specify col
Submittal Fee $
Scanning Fee $
Technology Fee $
thtWttl
A LI
,a ,, atrt?, atidNR ytel�N r
gr,p20's' rtnizaimmo3 r, •
tof color, thrurt . M .
�
rzz6 t,i,rA tarraivit novaURi DeDnoti •••„•`•
L;."
ee
co
Radon Fee $
Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
•
! r. .12 3 t!'M`Q� ti
SESPtO p0 * notz immo3 #;.
t<nc cq •ut, ?atio(1 tttr•103 yEct .-4
nz?A>iist.'tt+ tst:Ci!rht! r!pu:n^.' 3ahnaEt •,�;•
CCF $ ve"ei'e 'ra""10"'"
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ S • 13
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 abse j; of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
The foregoing instrum
day of ; ./\,4, 20 (7 , by
JF `./„`-(t f'4`'"'ho is personally known to
me or who has produced DL
as acknowledged before me this
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
Notary Public - State of Florida
Commission M GG 054232
et My Comm. Expires Jan 22, 2021
Bonded through National Notary Assn.
Z��-
****************************** * * *
APPROVED BY
(Revised02/24/2014)
Signature
CONTRAC OR
The foregoing instrument was acknowledged before me this
2 7 dad of , 20 (1 , by
(3✓ , who is personally known to
me or �(vho has produced c/ as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
r-
.J:z�
Y
% Notary PubIIc - State of Florida
• Commission N GG 054232
My Comm. Expires Jan 22, 2021
Bonged Woe. Notional Notary Assn.
************************************
Plans Examiner
*
***********
Zoning
Structural Review Clerk