PL-07-271Issue Date: 2/16/2007 Expires: 08/15/2007
Owner's Name: MICHAEL AND ALICIA MANGHAM
Permit Type: Plumbing - Residential
Work Classification: Gas
Job Address: 1065 94 Street NE
Additional Information
Miami Shores Village, FL
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Contractor(s)
Phone
TECO PEOPLES GAS SYSTEM (305)957 -3857
Primary Contractor
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.
Building Department File Copy
Applicant Signature
Re uired Ins • ections
Press Test
ROW
Final
Permit Status: APPROVED
Permit Number: PL -2 -07 -271
Phone:
Parcel #: 1132050120100
Block: Lot:
Section: PB:
Total Square Feet: 0
Total Valuation: $ 1,000.00
Fees Due Amount
CCF $0.60
Education Surcharge $0.20
Permit Fee - Additions /Alterations $160.00
Scanning Fee $3.00
Technology Fee $4.00
Total: $167.80
Invoice Number
PL - 2 - 07 - 27550
Total:
ei wel
Amt Due
$167.80
Amt Paid
FEB 2 8 PAID
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.
NEW NATURAL SEMIRE (3/4" PLASTIC) FROM GAS
MAIN LOCATION IN THE REAR EASEMENT OF #1065
NE 94 sT
JUG, 1 4 200
Passed
�y r mments
9 spection
1,
j2 (IP
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
• •
Inspection Date: 06/13/2007
Inspector: Levrock, James
Owner: MANGHAM, MICHAEL AND ALICIA
Job Address: 1065 94 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: TECO PEOPLES GAS SYSTEM
Building Department Comments
Tuesday, June 12, 2007
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
Parcel Number 1132050120100
Lot:
Phone: (305)957 -3857
Page 2 of 2
Mi mi Shores Village
g
Bu, lding Department
10050 E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
oal,t6(0-
u,t)is
Master Permit No.
B.) II(
W o
x f
Permit Type (circle): Building electrical Plumbing Mechanical
BUILDING
PERMIT APPLICATION
FBC 2004
Owner's Name (Fee Simple Titleholder) 1 160 / A4 Phone #
Owner's Address 1 � IOC s
City
Tenant/Lessee Name
Contractor's Address
Describe Work:
Submittal Fee $
Notary $
Scanning $
Bond $
Structural Review. $
•
Job Address (where the work is being done) ( 02 N e I I St
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL # "32- 6 r (f 12 l o b
Is Building Historically Designated YES
r r A y
ail ,A t .
A ' "I4
Contractor's Company Name — C°ec,o
Type of Work: DAddition
Cit ✓ A 6 Ae t)
able)
State
�I
Qualifier Name Lo S
State Certificate or Registration No. tin. '' / ' 1
J te c nW eer 's � 4am_ e J r i i ': i p
evy-, ad*fZ9'fR4.; ryrJ y' ��7 i
�.
E 47aluc'of Work Fitlit this Permit $
❑Alteration
* * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $
Training/Education Fee $
Radon $
Code Enforceme t $
DNew
t A .
Sqt a,re,/ Linear Footage Of Work:
/ID
Phone #
Phone #
FEB NEC=
gi 1 5 2001
BY. m__CMN
Permit No. Vt117
Zip - 3 n>e?
Zip
State Zip ✓ i1 6' 1--
Phone # 0,7 77 O /`72r3
Certificate of Competency No. / 4 OF
❑ Repair/Replac
Roofing
❑ Demolition
Fees *************** ** * * * * * * * * / ** * * * * * * * * * ** * * * * * **
CCF $ • (610 CO /CC
Technology Fee $V
DPBR $ Zoning $
Double Fee $
Total Fee Now Due $ 1 (,7 • no
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
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 approv < and a reinspection fee will be charged
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 9
day oft 12,P ,20( ,by
who is personally known to me or who has produced
enfflattin and whttl
,. -
� = Notary Public • State of Florida
• �, ; oiy Commission Expires Feb 2, 2010
Commission # DD 513850
Bonded By National Notary Assn.
rn
NOTARY PUBLIC:
Sign:
Print:
(Revised 02108/06)
Asi
My Commission Expires:
APPLICATION APPROVED BY:
Signature
***** * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * *,r * * * * ** * **
CoiMactor
The foregoing instrument was acknowledged before me this 3
day o i< 2001 , by a
who is personally known
as id
NOTARY PUBL
Sign:
1,A5 N" 6 iv leA
�3
My Commission Expires:
A_ a ALJLds,Jlt.A - —
,,,,,1 LUIS rauNTERO
ntND
• My Commission Expires Feb 2, 2010
�` Commission # DD 513850
',,,°' '''' Bonded By National Notary Assn.
***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
k 61
Plans Examiner
"A I Engineer
Zoning
Public Works
Permit Application
FBC 2004
J
Miami Shores Village
Public Works Department
PermR Type: Public Works WATER
Owner's Neme (Fee Sim* ) k I t Vt a Phone
Cwnare Address t 0 Np a » s
city 1
Tenant/Lessee Name Phone tt;
.lob Address (where the work is being done)
City Miami Shores VWape
Is Bidding Historically Designatet
YES
Canto/Ws Company Name
Architect/Englnee?s Name (if applicable)
$ Value of Work Fortis Permit
Type of Work
Describe Work
Total Fee Now Due $
(Continued on opposite side)
o Ate►
10050 N.E. 2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax. (305) 756.8972
Cormty
..,... ,..,- Foes
Miami Dade
Permit No.
Phoned:
cxF$
Monet
Pv i3 (Lc_ \Ai 0
EAtt.tion 0 New ❑ RepaidReplace
Sudan Fee $ Permit Fee $
Notary $ Tin Fee $ Tecimology Fee $
Scanning $ Radon $ Zoning Bond $
Code Erdorcement $ arachnid Plan Review S
ziP 31
Lineal Footage Or work
0 Demolition
IMIWIIIIMA11111111111107111111111111111111111 �
II1r ��►v s -'Ia � t►
JAMITIMAK 1 'J11MIK ifi!r a .2
Bonding Company's Name Of applicable)
Bondin Company's Address
CIO State ztP
Mortgage Lenders Name Of applicable)
Mortgage Lender's Address
c
Application is hereby made to obtain a permit to do the walk 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 permd 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 wrll be done in compliance with all applicable
bras 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 b Applicant: As a condition to this issuance of a Public Works permit with an estimated velue exceeding $2500, the applicant must
promise in good lauth that a copy of the notice of commencement and oonstruc Lion lien law broils a will be delivered to the person whose
property is subjec t to attachment Also, a certified copy of the recorded nice of commencement must be posted at the job sbe for the frst
inspection which occurs seven (7) days after the burbling permit is issued In the absence of such posted notice, the inspection will not be
approved and a reinspection fee ►iviil be charged
The foregoing instrument was acknowledged before me this 43
day
is personally know] rife or who has produced
as identification and who did take an oath.
LUIS MONTERO
Notary Public - State of Florid*
# DO 31
NO TARY �UBUC:
Sign: ` �.
Print:
My Commission Expires:
11/17/2005
- A"
APPLICATION APPROVED BY:
L
Signature
of , 20 1 22 by
Sign:
Print
N/A
N/A
AA° \if \iv
Contractor
The foregoing instrument was admowledged before me this
is pers onally known to me has produced
as identification and who did take an oath.
10TARY PUBUC: _ All AM, AIM, — — —
nY'Pa
t s
Commission Feb 2, WW
1 �� . �c .'i' : .1
'� , Bonded By National Notary Assn.
My COMM sson
Public Works Director or
his designee.
tax
'nt'wtq' :. y
444
e
• • • ..t • • •
• ••• •
M •
E NE 1
N
1. ALL GAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES GAS STANDARDS.
2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE
APPRORIATE GOVERNMENTAL AGENCY.
8. ALL DISTRUBSD ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR
CONDITION, UNLESS OTHERWISE SPECIFIED.
ATLAS
M 2
SCALE:
NTS
DRAWN BY:
LM
N, R/W
UTILITY EASEMENT
S.R/W
CONSRUCTION NOTES:
N/'TEa CALL OUST , -I %E' A /EA
F TI iE P RTY
GATES %)
ALICIA 0 754
0
N, R/W
�' BSE (SAS' MAI1V
R/W
AS
PROPOSED
3/4" PL
NEW•RIS ,R
• • •
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FUTURE ••••
WATER 1744Tit
( 1 0.6a)•
NEW 3/4" PLASTIC GAS SERVICE
1065 NE 94TH STREET. MIAMI SHORES FL
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N 94T, S y / EET
48 HOURS BEFORE DIGGING
CALL SUNSHINE 1- 800 - 432 -4770
DATE:
2/2/07
SHEET:
1/1
JO:
17594
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