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PL-19-1551/ 0( - r9- (-5- AROUNDTHE GAS SERVICE DROP TEST CERTIFICATION Around The Clock Gas Service, Corp. 3.33-17 NW 3.07 Ave unit 2.7 Hialeah Gardens, FL. 33018 Phone: 305-231-3632 ext 301 Fax:305-23i-4i8o STATE LIC# LPG17356 CLASS# 803 DATE 412412019 To: Whom It May Concern in the Miami Shores Village Plumbing Department. This is to certify that Around the Clock Gas Service Corp. has performed a drop test at the following site and tested all the appliances connections. The gas line has been checked to the standards of the 2017 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 E Irwin 114 NE 106 Street Miami Shores, FL 33138 Test Pressure: 8.0 Lock up pressure: 11.2 Operating pressure: 11.0 Test time: 10 Minutes Permit # PL-01-19-155 If you should have any questions regarding this matter please do not hesitate to call us. Sincerely, Amaury Gonzalez CEO Around The Clock Gas Service Corp. EDWIN L SILVER p1FRY Pv9'��i No Public State of Florida Commission # GG 054232 My Comm. Expires Jan 22, 2021 Bonded through National Notary Assn. STATE OF FLORIDA COUNTY OF MIAMI DADE, SWORN TO & SUBSCRIBED BEFORE ME TH/Sa Y DA Y OF*. F / %1 20j� AMAURYGONZALEZ, PERSONALLYKNOWN OME / —� SIGNATURE OF NOTARY PUBLIC Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date: 01/29/2019 Parcel Number 114 NE 106TH ST, Miami Shores, FL 33138 1121360050070 Contacts Permit NO.: PL-01-19-155 Permit Type: Plumbing - Residential Work Classification: Gas Permit Status: Approved Expiration: 07/29/2019 JACQUELINE IRWIN Owner 114 NE 106 ST, MIAMI SHORES, FL 33138 AROUND THE CLOCK GAS SERVICE Contractor AMAURY GONZALEZ 13117 NW 107 AVE 17, HIALEAH, FL 33018 Business: 3052313632 Inspection Description: PROPANE GAS TANK INSTALLATION AND GAS LINE Valuation: $ 2,000.00 Inspection Requests: 4949 TO A RANGE TotalSq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $117.10 Payments Date Paid Amt Paid Total Fees $117.10 Credit Card 01/29/2019 $67.10 Credit Card 01/22/2019 $50.00 Amount Due: $0.00 Building Department Copy 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 laws regulating construction and zoning. Futhermore, I autk oriq toe apovenamed contractor to do the work stated. Authorized Signature: Owner / Applicant / / Agent Date January 29, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BYJA 2 2 2 BY: , 1 Tel: (305) 795-2204 Fax: (305) 756-8972 �jTT INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 1 Master Permit No.,l—I� Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP r CONTRACTOR DRAWINGS JOB ADDRESS: kN b S • 11 /1 o•+1-f r itv• Miami Shnrac County- Miami Dade Zint 3 / J Folio/Parcel#: 1.I - ) 1 3 CO " Q 0 � — 0 0'4 <) Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): P t `� ' ^� C Phone#: �{ I �- �'� F—T-) Address: N \ t „` P -e City: �� t^ ` f iJ1y O J State: Zip: 13 Tenant/Lessee Name: Email: CONTRACTOR: Company Name: t"'\ (k O J �" -,\ A V ? C ``-3'L `` � A r Phone# Address: \—; I \ :)t' INS \y :Dt .A J 'J� 'tft' \ -- - City: W � t' `( •A, AN — 1` Qualifier Name: `i�,e'\A�► 1/ ��N..Z� (e �- Phone State Certification or Registration #: L P i 13 3� G Certificate of Competency #: DESIGNER: Architect/Engineer: one#: o 5— -,� 3 1-- 36'3 d- ip:-330/1 ?1(0 3(o.-i-3S3U City: State: Zip: Value of Work for this Permit: $ V () 13. 03 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration SaNew ❑ Repair/Replace Description of ork: F Q A S Specify color of o--ffcolor thru tile: Submittal Fee $ ' 0 Permit Fee $ `3 Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ ❑ Demolition CCF $ CO/CC $ DBPR $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 such posted notice, the inspection will not be approved and a reinspection fee will be charged. Sign OWNER or AGENT The foregdi"ng instrument was acknowledged before me this ( day of�20 by who is personally known to me or who has produced lL P as identification and who did take an oath. NOTARY PUBLIC: sQ (9 10�'59 -1 Signatu The foregoing instrument was acknowledged before me this day of 20 ( C by who is personallyknownto me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Sign: " Print: G • �avP"FEr%`ER Print: r� r,��.n EDW L IN'rER� _' * : •? a! Am id.ry Commission # GG 054232 .', ;° o aale ublic -State of Florida Seal: :No�c y p M Comm. Expires Jan 22, 2021 Seal: N' c, Commission # GG 054232 Bonded through National Notary Assn. ��FOF FlMy Comm. Expires Jan 22, 2021 ���� ���`�� Bonded through National Notary Assn. ************************************************************************************************************ APPROVED BY �%,�� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 1 U ""'FFICE OF THEPTOPERTY AmPF"RAIN"ER Summary Report Property Information Folio: 11-2136-005-0070 Property Address: 114 NE 106 ST Miami Shores, FL 33138-2037 Owner JACQUELINE E IRWIN TRS JACQUELINE E IRWIN REVOC TRUST Mailing Address 114 NE 106 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area 1,950 Sq.Ft Living Area 1,683 Sq.Ft Adjusted Area 1,667 Sq.Ft Lot Size _ 9,225 Sq.Ft Year Built 1939 Assessment Information Year 2018 2017 2016 Land Value $230,638 $230,638 $198,007 Building Value $104,021 $104,021 $116,023 XF Value $9,172 $9,191 $9,209 Market Value $343,831 $343,850 $323,239 Assessed Value $343,831 $343,850 $118,447 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $204,792 Homestead Exemption $25,000 Second Homestead Exemption $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES EXT NO 1 PB 41-51 LOT 7 BLK 201 LOT SIZE 75.000 X 123 OR 21188-2931 03 2003 4 Generated On : 1/22/2019 Taxable Value Information 2018 2017 2016 County Exemption Value $0 $0 $50,000 Taxable Value 1 $343,831 $343,850 $68,447 School Board Exemption Value $0 $0 $25,000 Taxable Value $343,831 $343,850 $93,447 City Exemption Value $0 $0 $50,000 Taxable Value $343,831 $343,850 $68,447 Regional Exemption Value $0 $0 $50,000 Taxable Value $343,831 $343,850 $68,447 Sales Information Previous OR Book - Price Qualification Description Sale Page 30295- 10/31/2016 $390,000 Qual by exam of deed 1482 21188- Sales which are disqualified as a result 03/01/2003 $0 2931 of examination of the deed 16976 10/01/1995 $110,000 Sales which are qualified 4443 15181 08/01/1991 $73,300 Sales which are qualified 1863 The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at hfp:/twww.miamidade.gov/info/disclaimer.asp Version: https:H\vww.miamidade.gov/propertysearch/ 1/22/2019 Longest Run: 34 Feet. Total Load: 60,000 BTU's. Tvpe of Gas: Propane Gas. Materials: Galvanized Pipe: New Outlet (S) 1 New Connection (S) 1 New Range. 60,000 BTU's. New 1/2" Outlet. New 1/2" Galvanized Pipe, strapped to the wall. 10, RECEIVED N . 2n2019 1! 10, Pipe, New 1/2" Galvanized Pipe, strapped to the wall. . . .... ...... ...... . ...... 10, .... . .. ..... ...... .. . ..... Florida Buildina Code - FUEL GAS 2017. Chart # 402.4 (28)01" W.C.) (Galvanized Pipe). PLUMBING PLANS Propane Tank (Cut Sheet). / In 1/2 - PSI to 11" W.C. Gas System. Approved , � Pate a��9 )MCI Disapproved Date . . . . % ...... .... 1'- 23 Gallon (100 pound) Propane Tank. Above Ground Tank. 3/4" Outlet. Two Stage Intergral Regulator. 112 - PSI to 11" W.C. Gas Svstem. 10' Minimum from any EDWIN L SILVER Around The Clock Gas Services Installation done in accordance th FBC 201 , 2: U* Commission # GG 05423z LPGO17356 NFPA 54 & 58 regulations 4wolls all, local `oP� My Comi(i2a�l�@9�n 22. 20 13117 N.W. 107th Ave Unit# 17 1/21/2019 12:24 %F4;,;;°e`'-` Bon dthro�ghNationxlNo�xryAss M Hialeah Gardens, Florida 33018 Amaury Gonzalez oL......../9AC\ O?A 4C40f / L...../4AG► 94d A44A rAh Arlrlrncc• 44 AI 4dAth Cfrpaf /lcnmP+ric1 Florida Buildina Code - FUEL GAS 2017. Chart # 402.4 (28) 0 1 " W.C.) (Galvanized Pipe). Propane Tank (Cut Sheet). 1/2 - PSI to 11" W.C. Gas System. 10' Front of House NE 106th Street N O R ....T . ... . ... ...... . ...... . . ... . . .... . .. ..... ...... .. . ..... . . .. .. . .. ...... 00 . . . . ..... . Goo . . . .. . . .. . . 1 - 23 Gallon (100 pound44aropane Tank. Above Ground Tank. 1/2" Outlet. Two Staqe lntergral Regulator. 1/2 - PSI to 11" W.C. Gas Svstem. 10' Minimum from any ntmum Around The Clock Gas Services Installation done in accordance rtlf F,BC 201 ,;_ * ,*� Notary Pubic - State of Florid; LPG017356 NFPA 54 & 58 regulations as weifas'all-local Commisly2jf_VA Q54232 13117 N.W. 107th Ave Unit # 17 1/21/2019 12:24 / / _. ; My Comm. expires Jan s FOB F ��° o .tonal Notary Ass Ass p Hialeah Gardens, Florida 33018 Amaury Gonzalez Steel 100, 200, 420 lb. Specifications ail 1 &0• [448mmj r 420 Ib. 16.0" [408mml 200 Ib. OSWPNOrr wd Sbe of 2000 L RIB. Cy lndw OWlep A: Multi -Wake W4') NPT 3 W Fldet Gauge 0"? NPT Description sod Sire of 420# LAG, Cylinder OpeWlrP A.. Safety relief Valve (1 ") NPT B.Flll Valve (3/4") NPT C: NPT Fiaat Gauge W) NPT W. Vapor Service Valve (3/4h NPT 1 or_ water Cvlinder Footring Dia. DOT/ASME CapacityCapacity Cylinder gallons lb. lb. cu. in. inches inches MM mm Model Ifters kg + 23.6 239.0..' ..; 7•I.Q '.' ; 6629 • 5.1100 14.5 DOT-4BW240 89.3~ 108.4 32.2 108.7 130 36t3. 474 • • • • 14iA .. 13ifV . 6.6 19.0 DOT 46W240 47.2 200 178.5 2As i . 660.7 .' . 21t.5 ; 168 ;03 99.1 100b ' 272.0 • 27P37 • 6.6 22.0 DOT-4BW240 420 375.1 453.E 123.4 454.E 188 . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . 0