PL-07-77t
Inspection Date: 06/13/2007
Inspector: Levrock, James
Owner: MEHTA, SAILESH
Job Address: 10480 5 Avenue NE
Project: <NONE>
Contractor: TECO PEOPLES GAS SYSTEM
Building Deaartment Comments
Tuesday, June 12, 2007
Miami Shores Village, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Plumbing - Residential
Inspection Type: Gas pressure Test
Work Classification: Gas
Phone Number (305)491 -5729
Parcel Number 1122310150010
Lot:
Phone: (305)957 -3857
Page 2 of 2
JUN i42001
Passed
, ga
�!
e Com ents
sp =,•%on
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
t
Inspection Date: 06/13/2007
Inspector: Levrock, James
Owner: MEHTA, SAILESH
Job Address: 10480 5 Avenue NE
Project: <NONE>
Contractor: TECO PEOPLES GAS SYSTEM
Building Deaartment Comments
Tuesday, June 12, 2007
Miami Shores Village, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Plumbing - Residential
Inspection Type: Gas pressure Test
Work Classification: Gas
Phone Number (305)491 -5729
Parcel Number 1122310150010
Lot:
Phone: (305)957 -3857
Page 2 of 2
Date
Monday, January 22, 2007
01/22/2007 Check
Receipt
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Number: PL- 1 -07 -77
Invoice Number: PL -1 -07 -27242
Applicant: SAILESH MEHTA
Company Name:
Owner Address:
10480 NE 5 AVE
MIAMI SHORES, FL 33138
Job Address:
10480 5 Avenue NE
Miami Shores Village, FL 33138-
Payment Type Check Number
6379
Amount
$167.80
Change
$0.00
Total Payment: $167.80
Page 1 of 1
Issue Date: 1/18/2007
Owner's Name: SAILESH MEHTA
Permit Type: Plumbing - Residential
Work Classification: Gas
Job Address: 10480 5 Avenue NE
Additional Information
Miami Shores Village, FL 33138-
Contractor(s)
TECO PEOPLES GAS SYSTEM
Phone Primary Contractor
(305)957 -3857 Yes
Type of Work: PLUMBING
Additional Info: GAS
Classification: Residential
Type of Piping:
Bond Retum :
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 the above -named contractor to do the work
stated.
Fees Due
CCF
Education Surcharge
Permit Fee - New Construction
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$160.00
$3.00
$4.00
$167.80
Invoice Number
PL - 1 - 07 - 27242
Total:
Amt Due
$167.80
Ci,(03
JAN 2 2PAID
Amt Paid
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 07/17/2007
Parcel #:
Block:
Section:
Re • uired Ins
Permit Status: APPROVED
Permit Number: PL- 1 -07 -77
Phone: (305)491 -5729
1122310150010
Total Square Feet:
Total Valuation:
ec ions
Lot:
PB:
0
$ 1,000.00
Press Test
ROW
Final
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
•
BUILDING
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
County
FOLIO / PARCEL # 1 I ' 1 - d/ 5 00 / 0
Is Building Historically Designated YES
Contractor's Company Name ‘ TeC d
Contractor's Address /57 7 7' IA) -0 / t
City LL _ 00 - State 'FE--
Qualifier Name
State Certificate or Registration No.
Architect/Engineer's N
"A
P V010 ork For this 'eivi`
Type of Work: ❑Addition
Describe Work:
Submittal Fee $
able)
0
Permit Fee $
Notary $ Training/Education Fee $
Scanning $ '6 '00 Radon $
Bond $ Code Enforcement $
Structural Review. $
Miami Shores Village ImmEgwqr
Building Department SAN 1 7 2001
BY: __L�/'
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
01l►do 14-10 ' Permit No. 6 –
17
PERMIT APPLICATION ' � - Master Permit No.
FBC 2004
Permit Type (circle): Building Electrical Plumbing
Owner's Name (Fee Simple Titleholder) SA I l I �/� /I " ' V T4 Phone #
Owner's Address ) h 0 ive S ,e
City ( < CAP j State
['Alteration
DPBR $
ZipT�g?
Phone #
Miami -Dade Zip
Squa
❑New
Phone #
Mechanical Roofing
3 0 : ) — # 5 . 1 5 2"/
Zip 's Z
Phone# 9o,, 97()1783
Certificate of Competency No.
/ Linear Footage Of Work:
❑ Repair/Replace
❑ Demolition
* ** Fees**** * * * * * * * * * * * * * * * * * * * * * * * * * ** * * **
CCF$
Technology Fee $
Zoning
CO /CC
Double Fee $ 1 g�
Total Fee Now Due $ 1 . pV CK/''rA`t9
See Reverse side 34N 2 2PAID
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and 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 t '"�'" r if f\ Signature c )20-ti
Contractor
The foregoing instrument was acknowledged before me this/
day of �A 2002_, by 5141, .fu R , day of 200k, by ctc V rye
who is personally known tom: ho is personally known,t m or who has produced
NOTARY PUBLIC:
Sign:
Print 1-Ali
My Commission Expires:
Owner or Agent
The foregoing instrument was acknowledged before me thist
As idtp ;tiro!} and whol.tiltl
3 s * . - : = N o t a r y Public - S t a t e of F orida
3' • •
Itity Commission Expires Feb Z 2010
+ of Commission # DD 513850
' Bonded By National Notary Assn
•
or who has produced
Sign:
Print
x, * * *, * , * , , * * , * * ,r * * * , * * * * ** * * * * * * * * * * * * * * * * * * * *** * * * ** *
APPLICATION APPROVED BY:
(Revised 02/08106)
Ls
UIS MONTERO
� . Notary Public - State of Florida
Commhsian Expires Feb
' O `er b Z
''• Commission # OD 513850
�t�a
Bonded By National Notary Assn
as identificat'
NOTARY PUBLIC:
My Commission Expires:
•
0 7 Plans Examiner
Engineer
Zoning
• •��ii
• • •• •
•. • • •
• • •
• • •
• • ••
NE 1®A`
1
SONIC :01"
mteogget /9:06
MIAMI S
ELEMENTARY SCH
(1035i)
SCALE:
NTS
RAWN BY:
LM
NE 105TH STREET
N.P /1
30'
I. ALL GAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES CAS STANDARDS.
2, TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE
APpRORIATE GOVERNMENTAL AGENCY.
B. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO DE RESYORED TO PRIOR
CONDITION, UNLESS OTHERWISE SPECIFIED.
PEO „ AS
NEW 3/4" PLASTIC GAS SERVICE
10480 NE 5 AVENUE. MIAM SHORES
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48 HOURS BEFORE DIGGING
CALL SUNSHINE 1 -800- 432 -4770
DATE:
1/13/07
SHEET:
1/1
JO:
17479