PL-05-318700 NE 93
6
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"
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e• , rCo
ments
Passed
,1
/)
=�
q 3 )
,
..
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Date: 12/05/2005
Inspector: Levrack, James
Owner: RODRIGUEZ, MARIA
Job Address: 700 93 Street
Miami Shores Village, FL
Project: <NONE>
Contractor: SUBURBAN PROPANE
Building Department Comments
Monday, December 5, 2005
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
hone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Imported Permit
Inspection Type: Gas pressure Test
Work Classification: <NONE>
Phone Number 305/525 -1427
Parcel Number 1132060141480
Lot:
Phone: 305 - 891 -8393
Page 2 of 2
700 NE 93 CT
I
pe
for
omments
Passed
,
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Nu
Inspection Date: 12/05/2005
Inspector: Levrack, James
Owner. RODRIGUEZ, MARIA
Job Address: 700 93 Street
Miami Shores Village, FL
Project: <NONE>
Contractor: SUBURBAN PROPANE
Building Department Comments
Monday, December 5, 2005
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Pine: (305)795 -2204 Fax: (305)756 -8972
Block:
05
Permit Type: Imported Permit
Inspection Type: Gas pressure Test
Work Classification: <NONE>
Phone Number 305/525 -1427
Parcel Number 1132060141480
Lot:
Phone: 305 - 891 -8393
Page 1 of 2
Miami Shores Village
10050 WE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11 /1/2005
Applicant: GLADYS LORETO
Owner: CRESPO
JOB ADDRESS: 700 NE
Contractor SUBURBAN PROPANE
Local Phone: 305 - 891 -8393
Parcel # 1132060141480
Signed: (Contractor or Builder)
Plumbing Permit
Permit Number: PL2005 -318
CRESPO
GLADYS LORETO
93 ST
Contractor's Address: 1491 NE 130 STREET
Legal Description: MIAMI SHORES SEC 3 PB 10 - 37 LOT 6 & 7
Permit Status: APPROVED Permit Expiration: 4/29/2006 Construction Value: $650.00
Work: INSTALL 2 100 GALLON LP TANK & RUN LINE TO BBQ & 15 KW
BY:
Page 1 of 1
BLK 63 LOT SIZE 100.000 X
Fees:
FEE2005 -13959
FEE2005 -13960
FEE2005 -13961
FEE2005 -13962
FEE2005 -13963
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$160.00
$0.60
$0.20
$4.00
$6.00
$170.80
Total Fees: $170.80
Total Receipts: $0.00
epoA C e -
NOV 1 PAID
Signed: (INSPECTOR)
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 responisibility for all work
done by either myself, my agent, servants or employes.
t
BUILDING
PERMIT APPLICATIO
FBC 2001
Contractor's Address j4 c/ A1'6 1; Q 1-/m J-
$ Value of Work For this Permit
Total Fee Now Due $ 1 10 . 60
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
RELEIVIED
O CT:4 265
Permit Type (circle): Building ; Plumbing Mechanical Roofing
a�1y Cre act
Owner's Name (Fee Simple Titleholder) /i4Pih IU /54 " f jie2- Phone # :30 75g 2Y2
Owner's Address 7bt) At L-7, . q3` `f
City / She.y-es State F! [
Tenant/Lessee Name dy //' Phone # /t i
Job Address (where the work is being done) 9bt) E
City Miami Shores Villa a County Miami -Dade Zip 3.3 /
Is Building Historically Designated YES NO X
Contractor's Company Name sC t ilt/ *'V 9 °I"r—
City /V - ,»/' / State )L Zip 33/ G f'
Qualifier
State Certificate or Registration No. 1_1600 1 l 41 Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Type of Work: DAddition t � l DAlteration ❑New ❑ Repair/Replace fir- Demolition
Describe Work: Jh Cc/ too ki . LP 'I -MN, (.,►E
ti.
15 (.(t l)
Submittal Fee $ Permit Fee $ 1 P 0 CCF $ a 60 CO/CC
Notary $ Training/Education Fee $ O • o7 0 Technology Fee $ 4. 00
Scanning $ 6 . Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Permit No. 1 - 3 V
Master Permit No.
• Zip
Phone # 666-2 ®i t
Square Footage Of Work:
,
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
/V/A-
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
Owner or Agent
The foregoing instrument was acknowledged before me this A9
day of 62 c)- ,20Gfby
o is person y known t me or who has produced
An 'A • • soul =4r id take an oath.
NOTARY P
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
chc 05/13/03
Contractor
The foregoing R trument was acknowledged before me this g(
day ofa ONA , 2005, by
who is personally known to m or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
n nnerdnez
Print: (.. i4 e rre .r , DD222906
% po Expires June 16, 2007
My Commission Expires:
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
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Qualifier
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•
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Suburban Propane
1491 N. E. 130th Street
N. Mimi, FL 33161
305 - 891. 8393
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