PL-07-2002REPLACE 40 GALLON NATURAL GAS WATER
WITH STAND
HEATER
°
C3 ® *1
Passed
Ins U�-�.•r'
omments
HEATER
I r
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 10/05/2007
Inspector. Levrock, James
Owner:
Job Address: 433 91 Street NE
Project: <NONE>
Contractor: VEGA & SON PLUMBING INC
Building Department Comments
Thursday, October 4, 2007
Miami Shores Village, FL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
30
Phone Number
Permit Type: Plumbing - Residential
Inspection Type: Heater
Work Classification: Gas
Parcel Number 1132060140120
Lot:
Phone: (305)598 -8880
Page 2 of 2
Miami Shores Village
/17
Building Department
0 0 - 1 c ) - 0 7 1 : 1 2 : ;. % l
BUILDING 0���� Permit No. OCT',. 2C J2
PERMIT APPLICATION' SGtl Master Permit No.
FBC 2004
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
1a
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder) lik0.rI q M V; e (7,st Phone # ( 0 9 . Z L , .. 5 1 5
Owner's Address C-10 4Ae rr:l( l-7f,tt, r• N S 1 G Me / 130o heir; 1 l hi h c.ii 1)r. 1 3 r151 Floor
City Po tin.; Alto in State Al f Zip 0 $ 5 3 9
Tenant/Lessee Name Y i it Phone #
E -MAIL: 1 e tk_}►0.1/7ra,n a All cwt
Job Address (where the work is being done) 4 / ST..itel
City Miami Shores Village County Miami -bade Zip . 3 3 / 3$
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name V& 6-11 k 501V PL. UM 1511Z- # 30S — 5 cig e g S 9
Contractor's Address / 0 C I )- 5 g 0 ,4 ' j/ OA ft '
City P2 IVE C R e S 7' State L Zip 3 3 13 6 -- 3 7¢5
Qualifier Name a/ 1 cthAIgL 1). 11 / V � Phone# 305— i'- 9 6 / 9
State Certificate or Registration No. / 0 6 ®D 1
� 3 (�j � �7 Certificate of Competen No . 2. f52..
E- MAIL: SST ro2.3"e:40 r sae L a e.h f:t
Architect/Engineer's Name (if applicable)
Phone #
Value of Work For this Permit Z 1
$ 1 3 �4 Square / Linear Footage Of Work:
Type of Work: ['Addition ❑Alteration ON i ' Re .ii /Replace ❑ Demolition
R E PL / C. 0 G A:_ ( �'
Describe Work: GALL ;� / l G�/� f}� rr- ‹ p/A- _ EA
Ilk k' / 77+ 9 TAND
* * **,* *** * ** ***** ** * * * * * *,* ** * ** * * * * F * ** *** * ** *,* ** * ******** ** * *****
Submittal Fee $ Permit Fee $ 15 CCF $ i . 1' CO /CC
Notary $ . Training /Education Fee $ t 40 Technology Fee $ 5 :15
Scanning $ S - Radon $ DPBR $
Bond $ Code Enforcement $ Double .Fee $
Structural Review. $ Total Fee Now ie $
See Reverse side -+
MIAMI SHORES VILLAGE
(It., KC. -5N
Bonding
City
ding Company's Name (if applicable)
's Address
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
$ City
Sign: / / iGl/''✓ ° f'Q' ,
Print:
My Commission - Expires:
(Revised 02/08/06)
State
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 alj work will be done in compliance with all
applicable 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 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 inspecti w h occurs seven (7),lliys after the building permit is issued In the absence of such posted notice, the
inspection will n, .e app . ed and reinspecti,bn fee will be charged
Owner or Agent
The foregoing instrument was acknowledged before me this Z I'( The forego
day of Scot. , 20o?; by A4.941( (A , day of
who is personally known to me or who has produced who is perso
As identification and who did take an oath.
NOTARY PUBLIC:
Contractor
nt was acknowledged before me this 7
c,20G '2by
Ily known to me or who has produced, f LJ
as identification and who did take an oath.
LIC:
pi •^I 7,, EXPIR s Oct N # Db 605830
October 22 2010
BARBARA A. CORRADO
NOTARY PUBLIC OF NEW JERSEY
My Commission Expires Apr l 17.2012
******** ****xot-xnkatr ****nY***** '**** ***** * ***********9rxux,Y
APPLICATION APPROVED B '�
Sign:
Print:
My Commissio n E
wxx xx***
Plans Examiner
Engineer
Zoning
Project Address
433 NE 91 Street
Miami Shores Village, FL
Owner Information
MARIAM E KIRCHER TR
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Contractor(s)
VEGA & SON PLUMBING INC
Phone CeII Phone
(305)598 -8880
Type of Work: GAS WATER HEATER
Type of Piping:
Additional Info:
Bond Retum :
Classification: Residential
S�282007
MIAMI SHORES VILLA
Fees Due
CCF
Education Surcharge
Permit Fee - Additions /Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$0.40
$150.00
$3.00
$3.75
$158.35
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
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Address
Permit
Issue Date: 9/27/2007
Permit NO. PL-9-07-2002
Permit Type: Plumbing - Residential
Work Classification: Gas
Permit Status: APPROVED
Expiration: 03/25/2008
Parcel Number
1132060140120
Block: Lot
433 NE 91 ST
MIAMI SHORES FL 33138 -3150
Phone
Valuation:
Total Sq Feet:
Applicant
MARIAM E KIRCHER TR
Available Inspections:
Inspection Type:
ROW
Final
Press Test
September 27, 2007
Date
Cell
$ 1,321.84
0
Thursday, September 27, 2007 1
Date
Friday, September 28, 2007
09/28/2007 Credit Card
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 -9 -07 -2002
Invoice Number: PL -9 -07 -29910
Applicant:
Company Name: MARIAM E KIRCHER TR
Owner Address:
433 NE 91 ST
MIAMI SHORES, FL 33138
Job Address:
433 91 Street NE
Miami Shores Village, FL
Payment Type Check Number
Amount
$158.35
Change
$0.00
Total Payment: $158.35
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