PL-19-1664Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
r-, ;='?LrtM k�
Issue Date: 07/25/2019
Parcel Number
905 NE 92ND ST, Miami Shores, FL 33138 1132060050010
Contacts
Permit No.: PL-07-19-1664
Permit Type: Plumbing - Resident fal
Work Classification. Gas
Permitstatus: Approved
Expiration: 01/21/2020
GARRETT SCHAEFER Owner AROUND THE CLOCK GAS SERVICE Contractor
905 NE 92 ST, MIAMI SHORES, FL 33138 AMAURY GONZALEZ
Mobile: 9178421768 13117 NW 107 AVE 17, HIALEAH, FL 33018
Business: 3052313632
Description: NATURAL GAS LINES AND GAS CONNECTIONS TO Valuation: $ 2,400.00 Inspection Requests:
POOL HEATER, BBQAND SIDE BUNNER. 30062-4949
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee
$50.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$117.90
Payments
Date Paid Amt Paid
Total Fees
$117.90
Credit Card
07/19/2019 $50.00
Credit Card
07/25/2019 $67.90
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 authorize theapovg named contractor to do the work stated.
Authorized Signature: Owner
/ Applicant / Contractor / Agent
Date
July 25, 2019 Page 2 of 2
�101 c �EI
Miami Shores Village JUL 1 20,19
g
�.� Building Department BY:
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
BUILDING Master Permit N.YL or1-jq" bCj4
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC 0 ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL [-]PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
„ CONTRACTOR DRAWINGS
� L
JOB ADDRESS: D / " �'--� �r+r Qe`f-
3l
Folio/Parcel#:_ kk-� ) Q - U 0 S — 0O \ O Is the Building Historically Designated: Yes NO
Occupancy Type: Load: r Construction Type: ( Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): v A r"J C �� �e Phone#:
Address: d < 'tom' l a- S ^,e'e T
City: V-" pf S t>rie s State: Zip: 3 3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: `01c4 `OU V^ v C- `o C
��
Address: \t N W (� _b A we `4-
City: �r iP e- i} �k & ,A'^ t State: (,, Zip: -3-j/o (F
Qualifier Name: � Y%-A<" V-y (��" 1,9*- �Phone#: -7 g �' -3 b �' � � 3 IdState Certification or Registration #: L P v 3 J (/ O Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
v ,or f Phone#: 3
Address: City: State: Zip:
Value of Work for this Permit: $ O 0 - Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration PrNew ElRepair/Replace ❑ Demolition
Description of W rk: �P--/oA 4 ( Ca 3 I hP s 4 ►,, 6 f�J/ Cd n�-e Gf t O � S�
�C) PO61 i4c� /" / Q 4,c s,- t b Jvx e A- .
Specify color of color thru tile:
Submittal Fee $ vA)4�U kCl Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ 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. /
Signature9 Signature
ER or AGENT CO
The foregoing instrument was acknowledged before me this
k- day of v � - 20 k q by
A t2 •e 1 who is personally known to
me or who has produced FL & ,0<7 % as
identification and who did take an oialh
NOTARY PUBLIC: S 160 -40 -6
Sign:
Print:
The foregoing instrument was acknowledged before me this
t day of 20 l by
c�vJ t1 who is personally known to
me or who has produced ins v •^o-s
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: ,,R�p„ EDWIN L SILVER Seal: EDWIN L SILVER
?z`� G;�� : Notary Public - State of Florida tipH�P�a,
Commission # GG 054232 .`�«`�= Notary Public -State of Florida
« • ' Commission # GG 054232
My Comm. Expires Jan 22, 2021
Bonded through National Notary Assn.
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Lonaest Run: 44 Feet.
Total Load: 484,000 BTU's.
Tvpe of Gas: Natural Gas.
Materials: Galvanized Pioe:
Poly Plastic Pine Chart:
New Outlet (S) 3
New Connection (S) 3
Florida Buildina Code - FUEL GAS 2017.
Chart # 402.4 (5) (2 PSI) (Galvanized Pipe).
Chart # 402.4 (22) (2 PSI) (Poly Plastic Pipe).
I 1 v
V_'u-19
zl m9
W.
400,000 BTU's.
New 3/4" Outlet.
New 3/4" Shut Off Valve.
Sediment trap.
24,000 BTU's.
New 1/2" Outlet.
New 1/2" Shut Off Valve.
60,000 BTU's.
New 1/2" Outlet.
New 1/2" Shut Off Valve.
New 3/4" IPS Polv Plastic Pipe.
2.3/4" IPS Polv Plastic Risers,
New Outlet 3/4". • " ' •
2-PSI Gas System. • • ; ; •
•• ••• •• • • • ••
.. ... •• ... • .
.. . ... . . . ..
.. .. .. .. . ..
`4
New 1/2" Galvanized Pie 0 Foot).
S
BY
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FU[1JECT 10 C(;P,I�I.If'tICE W; FH AL7FEUER,�,
qTn -L ANv l r 1. N f tUL_S A^,D RA 1IONS
EDWIN L SILVER
Around The Clock Gas Servises • ••• Installation done in accordance ith FBC 201�`= v'.`
LPG017356 NFPA 54 & 58 regulations as II a I local'. ` °o _ Commission 41A 22. 2021
• : : �: : : . : r � :� My Coma. >�
13117 N.W. 107th Ave Unit # ��, ;• •; •,• •;, ;• •; 7/18/2019 13:19 Bonded through National Notary Assn.
Hialeah Gardens, Florida 33018 Amaury Gonzale
Florida Buildina Code - FUEL GAS 2017.
Chart # 402.4 (5) (2 PSI) (Galvanized Pipe).
Chart # 402.4 (22) (2 PSI) (Poly Plastic Pipe).
2-PSI Gas System.
24,000 BTU's.
New 1/2" Outlet.
New 1/2" Shut Off Valve.
60,000 BTU's.
New 1/2" Outlet.
New 1/2" Shut Off Valve.
New im- trs rosy clastic ripe.
1 - 3/4" IPS Poly Plastic Riser,
400,000 BTU's.
New 3/4" Outlet.
New 3/4" Shut Off Valve.
Sediment trap.
2 - 3/4" IPS Poly Plastic Risers,
New meter ror t:qulpme
New Outlet 3/4".
.. ... . . . • • • •
•. • • . Front of House
.. . . . . ..
.. ..: .. . . .
N
25' O
R
T
H
13'
:•: :. •
:•: :. •
.••
NE 92nd Street
...„.. EDWIN L SIL
Around The Clock Gas Servioes •
• • • •••
• .
Installation done in accordance
F 20 �°`� Notary Public • State o orla
LPG017356 :
: :•: :
: :
NFPA 54 & 58 regul
I local : Commis�g1/4232
13117 N.W. 107th Ave Unit # •• ••
•• ••
7/18/2019 13:19
N� o: my Comm. Expires Jan 22, 20
Hialeah Gardens, Florida 33018• •
• • • • •
• •
Amaury Gonzalez
' %,F Bonded rough National Notary Assr
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