PL-18-1765Miami Shores Village
10050 N.E. 2nd Avenue N
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. PL-6-18-1765
Permit Type: Plumbing - Residential
Work Classification: Gas
Permit Status: APPROVED
Issue Date: 8/2/2018
Expiration: 01/29/2019
Parcel Number
Applicant
9100 N BAYSHORE Drive
Miami Shores, FL 33138-
1132050010560
Block: Lot:
ROBERT HUNDERVADT
Owner Information
Address
Phone
Cell
ROBERT HUNDERVADT
9100 N BAYSHORE Drive
MIAMI SHORES FL 33138-3408
(305)759-1765
Contractor(s) Phone
ADVANCED GAS & GENERATORS CC (305)471-9010
CeII Phone
Valuation:
Total Sq Feet:
$ 1,450.00
0
Type of Work: INSTALLATION OF GAS PIPING FOR STAN
Type of Piping:
Additional Info: INSTALLATION OF GAS PIPING FOR STAN
Bond Return :
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.25
$2.00
$0.40
$150.00
$9.00
$1.60
$166.45
Pay Date Pay Type
Invoice # PL-6-18-68067
06/27/2018 Credit Card
08/02/2018 Check #: 7645
Amt Paid Amt Due
$ 50.00 $ 116.45
$ 116.45 $ 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 accurate an• that all work wi I be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -named contractor to • the work stated.
August 02, 2018
Authorized Signature: Owner / Applicant / Contractor / A
Date
Building Department Copy
August 02, 2018 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
El BUILDING ❑ ELECTRIC ❑ ROOFING
E{PLUMBING ❑ MECHANICAL ['PUBLIC WORKS
JOB ADDRESS: / /00 /1.) ¢p i2E cJ�i1
City: Miami Shores County:
Folio/Parcel#: i/ - 3 L 0S - 00 / 0T40
Occupancy Type:
Load: Construction Type:
RECEIVED
JUN27Kid
CO h
FBC 20
Master Permit No. [8 - I S(Qs
Sub Permit No. P i i g
❑ REVISION ❑ EXTENSION El RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Miami Dade Zip: 33133 -- 3 yob
Is the Building Historically Designated: Yes NO
Flood Zone:
OWNER: Name (Fee Simple Titleholder): d A4./ i),e ilif DT
BFE: FFE:
Phone#: -o9J^- 7 cs
Address: q/0 0 /(J ,>'ji�}c' Sgo2E
City: tliAeli Sti#9'Zfl State: n- Zip: 3 3 - 3yorr
Tenant/Lessee Name: Phone#:
Email: y C
CONTRACTOR: Company Name: JDa /G&/ aaf q �'='' r axPt c/yr
Address: tr7 t/ ')
City: KAHi State: /7_04'.OA Zip: 33'J4--
Qualifier Name: tL Q Le"- Wir ►) r Phone#:
State Certification or Registration #: t r 099 / 77 7 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City:
Value of Work for this Permit: $ ,�/i/`/S� • o a Square/Linear Footage of Work:
Type of Work: ❑ Addition E Alteration ❑ New
CD Repair/Replace 0 Demolition
Description of Work: Z' -C7$4 �i 01,7 of 60.E by/�'e/4" Fvi J V4/P > aL.r/Gc +^,
•
Phone#: )o r" '4 /- *0/ 0
State: Zip:
Specify color of color thrlir tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $ • C� OBPR $ 2 - s Notary $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $ CO/CC $
Z
Double Fee $
Bond $
TOTAL FEE NOW DUE $ (I '= • `-1-
(Revised02/24/2014)
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 absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature 20�.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
i 7 day of .t/dii, 20 / by
iletel -4-diDk yaw-, T who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Prt?i t:
Seal:
fit'"" ANAI.8ENCOMO
:►s MY COMMISSION # FF 909652
- EXPIRES: August 31, 2019
c• Bonded Thru Notary Public Underwriters
Signature L.}/1
CONTRACTOR (f
The fore oing instrument was acknowledged before me this
day of l/(JIJe , 20 %r . by
6d&fell 6444.4buMt who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBL
Sign:
Prin
Seal:
o4r•
uc y ANAL DErJGOMO
: _ •MY COMMISSION # FF 909662
4% * EXPIRES: August 31 2019
'tlii i ,o4. Bonded Thru Notary Public Underwriters •
as
***************►*�********************************************************************************************
APPROVED BY II ftoIt'( Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
a bS
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Tel: 305-795-2204 Fax: 305-756-8972
Inspection Number: INSP-000810-2018
Permit Number: PL-6-18-1765
Scheduled Inspection Date: October 22, 2018
Inspector: Massanet, Maykel
Owner: ROBERT HUNDERVADT
Address: 9100 N BAYSHORE DR
Project:
Miami Shores, FL 33138
<NONE>
Contractor: ADVANCED GAS & GENERATORS CONTRACTORS
WALTER WAHLENBERG
Permit Type: Plumbing - Residential
Inspection Type: Plumbing Final:
Work Classification: Gas
Phone Number: 3057591765
Parcel Number: 1132050010560
Phone Number: 3054719010
Building Department Comments
INSTALLATION OF GAS PIPING FOR STAND BY GENERATOR
Checklist Item
General Comments
Passed
False
Comments
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 19, 2018 For Inspections please call: 305-762-4949
Page 27 of 41
'Total Power
& Gas Contractors
GENERAC' I PONER
TOTAL POWER & GAS CONTRACTOR. INC.
DBA of ADVANCED GAS & GENERATOR CONTRACTORS LLC
***
DROP TEST ***
LICENSE # LPG-29177
J4� 19t,J Disc O al
WNER s}/, /
9/DV /i, 4ru11Fz�-"'[j\�J
�2/✓e
ADDRESS
f2., o 6-/F17tV-
PERMIT NUMBER
/�'%1Add/ 7L 3/3ii
THIS SYSTEM HAS BEEN MANOMETER TESTED FOR 15 MINUTES
START INCHES W.C.
FINISH INCHES W.C.
Type Of Installation: NEW Upgrade to existing
SCOPE OF WORK: �j✓5rAz frriOF 6A5 "'V!At6 7za'j
/I A 7dg4 i_ 64.5 M 7'ez • —0 Alai 6.491&lZid livz
System Pressure From Meter Branch Pressure
4/./eiT atieJe5
Print Name
State Of Florida
County of Dade
MIAMI-DADE
Sworn t9.&subscribed before me this /1' day of 404/ 0,6454 ,2018, by:
Produced ID & Type
,r.,4,7 44a2Gv
Signature
''' ANAL FJENCOMO
MY COMMISSION I FF 909662
EXPIRES: August 31, 2019
; ,„,,,, Bonded Tim: Notary Public Underwriters
Florida Building Code, Fuel Gas — Section 406 Inspection, Testing & Purging
406.1 General — Prior to acceptance& initial operation, all piping installations shall be inspected
& pressure tested to determine that the materials, design, fabrication, and installation practices
comply with the requirements of this code.