PL-18-1778Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. PL-6-18-1778
Permit Type: Plumbing - Residential
Work Classification: Gas
Permit Status: APPROVED
Issue Date: 6/28/2018
Expiration: 12125/2018
Parcel Number
Applicant
1263 NE 101 Street
Miami Shores, FL
1132050250040
Block: Lot:
CLAUDIO RODRIGUEZ
Owner Information
Address
Phone
Cell
CLAUDIO RODRIGUEZ
1263 101 Street
MIAMI SHORES FL 33138-
i
1263 101 Street
MIAMI SHORES FL 33138-
Contractor(s)
UNIVERSAL PLUMBING CORP
Phone
(305)887-3131
Cell Phone
Valuation:
Total Sq Feet:
$ 1,250.00
0
Type of Work: RUN NEW GAS LINE FROM EXISTING METE
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential
Scanning: 2
Fees Due
Permit Fee
Total:
Amount
$150.00
$150.00
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-6-18-68083
06/28/2018 Check* 1519 $ 150.00 $ 0.00
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 a to and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-namedor to do the work stated.
June 28, 2018
Date
Authorized Signature: Owner / Applicant /
Building Department Copy
ontractef" / Agent
June 28, 2018 1
i C1s-1111
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
toi,ue.
Inspection Number: INSP-307488 Permit Number: PL-6-18-1778
Scheduled Inspection Date: July 09, 2018
Inspector: Hernandez, Rafael
Owner: RODRIGUEZ, CLAUDIO
Job Address: 1263 NE 101 Street
Miami Shores, FL
Project: <NONE>
Contractor: UNIVERSAL PLUMBING CORP
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Gas
Phone Number
Parcel Number 1132050250040
Phone: (305)887-3131
Building Department Comments
RUN NEW GAS LINE FROM EXISTING METER TO 3
APLIANCE
PERMIT REPLACED WITH PERMIT#PL17-2433
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.
July 06, 2018
For Inspections please call: (305)762-4949
Page 18 of 34
Last Minute Gas Contractors
PL
I
10330 S.W. 42Terr.
Miami, F1.33165
305-992-5292
Cert No :LPG-25930
Drop test Certification
Florida Building Code, Fuel Gas
SECTION 406 (IFGS) INSPECTION ,TESTING AND PURGING
406.1 General. Prior to acceptance and initial operation, all piping installations shall be
inspected and pressure tested to determine that the materials, design ,fabrication, and
installation practices comply with the requirements of this code.
Owner Information: Permit Number: PL151916
Name Universal Plumbing Inc
Address 1263 NE 101 ST city N.Maimi State FL
Type of Installation:
CO New
❑ Upgrade to Existing
Description of work: (Must include test details and include piping and appliances).
e_ I—i t err e. 'Zr ', t (
Lockup: 21_7 Water Column: 4" Test Duration: 30 Min Date tested: 06/1 1 /18
Contractor (Qualifier) Signature
Carlos Abreu
Print Name
State of Florida County Of ,erfe.
Sworn to and subscribed before me this day of
❑ Personally known
❑ Produced Identification- Type of 1• -ntification
06/ 11/1
Date
Signature of Notary Publi
20,g , by,?4
IZOe/9I/LO semen gif„
novel. 00 uolgryiliteq Avg Ge
ecap..) IZi,
a js+r
rppou 40 Mins o!IQnd NeloN
BUILDING
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
Master Permit No.
RECEIVED
JU 213 2018
BY: .h �.� ...
FBC20(b
PERMIT APPLICATION Sub Permit No. vo e
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION 'RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ICHANGE OF 0 CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 12- ? , J� v E
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):C, ? s:;" Rh, 01 r 1 q Lr42-z_ Phone#: 30 s _ 2 / L.. 2.2. 2. if
Address: \ Z & 3. / v Ir.. L ,O ( S
City: f '5 )1, Q (-12-S State: F ( Zip: 2> 1. g_
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Vi' yell SAS PC viir-e,<0,✓f/- 6e Phone#:
Address:
lYl G f 'sT— '`'
City: �7 • 1(C'4 11 State: /". Zip: .S'3D (5
Qualifier Name: , f.'G"'Te/ C 9 /--- c...ev Phone#:
State Certification or Registration #e'r,... /,, ar 42:/ Certificate of Competency #:
DESIGNER: Architect/Engineer: Ci;f TL i.,„<" l-e_____ Phone#:, I'�Yv -Si'E—�.S S S
Address: 1N 1 - 1' LiCity: rL .P?.�'� State: 1 Zip:
Value of Work for this Permit: $
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration0New ❑Repair/Replace ❑Demolition
Description of Work: G vt .� (.tom �� l I .% — �e. ` v,
AI— t�.C� 0_� 3 Z}7Q_t?. G�5 Q�
4 a r 14 1.-C- _ • _C- 4-1.5 ? e....,::;--t- I. c:2-.._ a ef)-e7 I-, a.. ( --ro
Specify color of color,.thru tiler :{�:° .%,,,,: ,�`
r- ,K
Submittal Fee $ \.' ' Permit Fee.
CCF $ CO/CC $
2-Y33 .
Scanning Fee $ ;°`� ''" Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $
Structural Reviews $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ I SC)' Cb
(Revised02/24/2014)
Bonding Company's Name (if applicable)
f
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City' t 1 , + 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 absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OW4 or AGENT
The foregoing instrument was acknowledged before me this
2 ' 4 day of � n ( i� , 20 by
C.1a 'r
, w o i I nown to r r: a:4-a G , who is personally known to
,,.; 1 „ter f1' t •
as me or who has produced
r as
' r ,
identification_,.and who did takeJ an oath.
NOTARY PUBLIC:
"
Signature
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
'Sig
Print.
Seal:
'•' Y COMMISSION # GG 044602
.-n•rz EXPIRES: November 2, 2020
FO ;; ;°P' Bonded Thr
u Notary public Underwriters
CONTRACTOR Y,
• The foregoing instrument was acknowledged before me this
•
Sign:
Print:\
Seal: '
a ,..
day of !w4? e , 20 �1 , by
**********************s********* y7,3 ****** *****************
vvzie .
' [ •-
Ylff Notary Public State of Florida'
Lourdes Marin Rivera
My Commission GG 124838
* *Aspirss81V48re921*********
..t
***********
APPROVED BY , /' Plans Examiner Zoning
Structural Review
Clerk
(Revised02/24/2014)