PL-10-715SHAY ERAZO
9250 NE 10 CT
MIAMI SHORES FL 33138 -2926
(305)756 -5470
Contractor(s)
SUBURBAN PROPANE
Phone
305 - 891 - 8393
Cell Phone
Type of Work: INSTALL TANK GAS LINE WATER HEATER
Type of Piping: GAS
Additional Info: PLUMBING
Bond Retum :
Classification: Residential
Fees Due
CCF
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Submittal Fee
Submittal Reversal Fee
Technology Fee
Total:
Amount
$1.20
$0.40
$150.00
$3.00
$50.00
($50.00)
$1.60
$156.20
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
May 07, 2010
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
ROV
Expiration: 1110//2010
Parcel Number
Pay Date Pay Type
Invoice # PL -4-10 -37693
05/06/2010 Cash
04/27/2010 Credit Card
Amt Paid Amt Due
$ 106.20 $ 50.00
$ 50.00 $ 0.00
Applicant
Valuation:
Total Sq Feet:
$ 1,600.00
0
Available Inspections:
Inspection Type:
Final
Press Test
ROW
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
May 07, 2010
Date
1
51 lb %,„4., Miami Shores Village RZONEVZ
Building Department AO APR 2 7 201ft
10050 N.E.2hd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 BY:..
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder),� / Z
Owner's Address r' � /i�% / ' 4
<71 City/77,,v.' 5 ,v'j State /%V Zip
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done) 5' Zrd /t1tf 49 Td. C f
City Miami Shores Village County Miami -Dade Zip 3 3/3 p
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name Seti4 --0 ,.- /ego. r..0 Phone # I Ci
Contractor's Address /Cl `j'/ /f-//= /307-7 s7
City /U. ,/yJrG State `7 Zip '3/6''/
Qualifier Name ;se,//4/.y G, / ./,- «.... Phone # ' 5 - g1 / -$.`J
State Certificate or .egistration No. 0 l Certificate of Competency No. //'‘00//
E- MAIL :$ ; 4. /e/'f-I-o c, : 4 iVA*44, _CO'i
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ / ‘40®
e, 0
Type of Work: ❑Addition DAlteration E ew
Describe Work: rw /l 79 a
********xxxxxxxxx acsa****x 4e xxx***********F e4 &xxxxxxxx Yxxx*xxxxa:xxxxxx xx*xxxx
Zs
Submittal Fee $ .00 Permit Fee $ f� CCF $ - . CO /CC
Notary $ T ra i ng /Education Fee $ 0 '40 Technology Fee $
Scanning $ l iD
Radon $ DPBR $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
Phone # Q� 75'5^ 5
Repair /Replace ❑ Demolition
kit
00000000 4.11.41410¢..
Permit No. 41....1 0---1 US
Master Permit No.
Square / Linear Footage Of Work:
Zoning $
tacp940
See Reverse side -->
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 prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating 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: 1 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, 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
NOTARY
Sign:
Print:
IMMOINJEU»0 Fiona
L 0\ ,�4
��iv te
11111
APPLICATION APPROVED BY:
(Revised 02/08/06)
a -
Signature
wner or Agent
The foregoing instrument was acknowledged before me this !4. The foregoing
day of ! - - by k l � lre 2 2 -DD , day of
me or who has produced o is p rs
eonally_kne tr
As identification and who did take an oath.
Contractor
instrument was acknowledged before me t
f 1k , 20 pby Sit I
o me or who has produced
as identification and who did
NOTARY
Sign:
Print.
My Commission Expires: M
&xx xnYeY*****eY****xx &&xa4******* ate* aYxxx* * ** ****deeYxdre4a:*** ********e ***
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AN i
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AisinofiPubIle - State of Florida
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Plans Examiner
Engineer
Zoning
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Qualifier
Job Address
q Longest Run
Total BTU's
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SUBJECT CO COMPLiANCE NTH ALL FEDERAL
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Suburban Propane
1491 N. E. 130th Street
N. Miami, FL 33161
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Suburban Propane
1491 N. E. 130th Street
N. Miami, FL 3316
305 -
4 "4,26 -0 Ne
08- 05 -'10 06 :16 FROM- T -049 P004/006 F -580
Inspection Number: INSP- 149672
Scheduled Inspection Date: August 04, 2010
Inspector: Hernandez, Rafael
Owner: ERAZO, SHAY
Job Address: 9250 NE 10 Court
Miami Shores, FL
Project <NONE>
Contractor: SUBURBAN PROPANE
Building Department Comments
INSTALL TANK GAS LINE AND WATER HEATER
A ......... A of 4,1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -5972
Passed
d
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee Is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP - 141701. no access 1:45
For Inspections please call; (305)762 -4949
Permit Number: PL -4 -10 -715
Permit Type: Plumbing - Residenfial
Inspection Type: Final
Work Classification: Gas
Phone Number (305)7565470
Parcel Number 1132050150250
Phone: 305 -891 -8393
Ponce 111 of 9
08-05-'10 06:16 FROM-
SUBURBAN PROPANE 1491 NE 130 ST
NO MIAMI, FL 305-891-8393
. DROP TEST
ct'b wc ( D .
DATE .
SIGNATURE
•
T-049 P005/006 F-580