PL-06-1676Issue Date: 6/22/2006
Owner's Name: AIMONE PASQUALIN
Permit Type: Plumbing - Residential
Work Classification: Gas
Job Address: 253 94 Street NE
Contractor(s) Phone
TECO PEOPLES GAS SYSTEM (305)957 -3857
Primary Contractor
Yes
Comments:
NEW 3/4" PLASTUC GAS SERVICE FROM GAS MIAN LOCATED ON THE SOUTH
R/W OF NE 94 ST TO # 253
Additional Information
Miami Shores Village, FL 33138
Type of Work
Additional_Info
Classification
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
Permit Fee - Additions /Alterations
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$160.00
$3.00
$4.00
$167.60
Invoice Number
PL -6 -06 -25307
Total:
Amt Due
$167.60
'JUN 2 7 PAID
10°12.
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: 12/19/2006
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: PL -6-06 -1676
Phone:
1132060133820
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 600.00
Required Inspections
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 Permit No.
PERMIT APPLICATION Master Permit No.
FBC 2004
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee �� r eTitleholder) S v S`( -wS® aV Phone #
Owner's Address ,� q,, e if
City I V ° .S €f� XJ State Zip J 5 1 3 8
Tenant/Lessee Name
Job Address (where the work is being done) a 3 e
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL # [ )-- 3 1-0 b & 1.3 - 2 b
Is Building Historically Designat ed YES
Contractor's Company Name
Contractor's Address .5
CityAf,
Qualifier Name
Architect/Engineer's Name (if applicable)
'Tec cpiS
0 l
` State
Ve C
State Certificate or Registration No. Uk t`
Phone #
Phone #
,CEIVED
JUN 9, 1 2006
By. Ntl(ra K
os - 164
Zip
Phone # � G S 77
Zip `33 l L_
Phone # 3 of 9 ?b c78 3
Certificate of Competency No.
' ermit$
9#$r Gc3L4 1
rr
f ® A'ddition
-gt
� Allteration
A
- as 3
/ Ljtie� 'oo fa e'
il f Work.
u rw TAE �r i� u.�:r,
r, uses Repair/Re `lace
Valu
Type
Desc
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Submittal Fee $ Permit Fee $
* ** *Fees *,-, r,****,,*****,,,,*, * * * * * ******,r,r**,r****
%f.
Squa
DNew
Notary $ Training/Education Fee $ C) 24E) .
Scanning $` 0 v Radon $ DPBR $
Demolition
CCF $ CD- CO /CC
Technology Fee $ 4 O
Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ 1 CC' 0
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 properly 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 approve nd a reinspection fee will be charged
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this J The foregoing instrument was acknowledged before me this `7
day of AtiQ , 20 0 b , by s LiecoQs ta°1 , day of 20 0 6, by 1.s2 S C<S eG/\
Signature
wis personally known to me r who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print
me or who has produced
APPLICATION APPROVED BY
(Revised 02/08/06)
My Commission E pires:
******** * ** ** ** * * * * * ** * * ***** * * ** * *** **
Signature
NO (�Ali PUB . •
Sign:
Print
My Commission Expires:
** ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
,Ar ' i , i
0, . -
LUIS MONTERO
Notiuy Public : State of Flaida
Ivry Commission Expo Feb 2, 2010
de ' Plans Examiner
/
Engineer
Zoning
Owner's Name (Fee Simple Titleholder)
Miami Shores Village
Public Works Department
Public Works
Permit Application
FBC 2004
Penal Type Putrac W WATER
I Luw bv\
Owner's Address L'5 Z 41 sT
cit liiluwa
10050 N.E. 2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
.rob Address (where the work is being done) itopite
City Miami Shores Village County
Is Building Historkay Designated: YES
Contractor's Company Name To GGtS
Phan*:
NO
Permit No.
sorts F'l zip 33138'
TenantfLessee Name Phone it
Muni Dade Zip
95 - Tlo —1l g3
Contractor's Address l J ' \./J • ' (x� e1 H �� (0
City �1G,Uut,\ State
Architect/Engineeis Name (if applicable)
$ Value of WO* For this Permit
Sul Fee S
Notary $
Scanning $
Code Enforcement S
Total Fee Now Due S
(Continued on opposite side)
Gda. v
,v IA
d,......„1.1.d,... Fees
Permit Fee $
TrahlkigiEducation Fee S
Phone d:
Lineal Footage Of Work:
Type of Worm ❑ Adder 0 New ❑ RepairfReplace 0 Demolition
4 4S1 c' 'a S t dv ' S Mot Describe Work W i �IIIIIIINtTi . 11L/M11 «i/416 .111:5
COICC
Technology Fee S
Radon $ Zoning Bond S
Structural Plan Review S
Bonding Company's Name Of applicable)
Bonding Company's Address N/A
City State
Mortgage Lender's Name (if applicable) WA
Mortgage Lender's Address
City State ziP
Application is hereby made to obtain a permit to do the work and installations as indicated. l certify that no work or installation has
commenced prior to the issuance of a permit and that all work wli be performed to meet the standards of all laws regulating construction in
this jurisdiction. I understand that a separate pernti 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 will all applicab
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 this issuance of a Public Works permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice ofcommercement and suction lien law brochure NO be delivered to The person whose
property is subject to attachment Also, a certi ed copy of the recorded notice of commencement must be posted at the job sae for the first
inspection which occurs seven (7) days after tie butiding permit is issued In the absence of such posted notice, the inspection will not be
approved and a reinspeclion fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 , by day of , 20 , by
who is personally known to me or who has produced Who is personally know to me or has produced
as identification and who did take an oath. as iderbTicalon and who did take an oath.
NOTARY PUBUC:
Sign: Sign:
Print Print
My Commission Expires:
APPUCATION APPROVED BY:
11/17/2005
NOTARY PUBLIC:
My Commission Expires:
frerofoti Eel revAl Public Works Director or
his designee.
Ai 106
N
PROPOSED
RISER
I
W
�
L
K
(253)
q
W
N,R/W
(4,041
'
a
SIDEWALK
SWALE GRASS
zo
E.O.P
o
M
c•ot
Q "
�
M
0
N
E.O.P
I
I
NE 94TH STREET
o
6" PLASTIC GAS MAIN
SWALE GRASS
; '"
RECD ED
JUN 2 1 2006
SIDEWALK 1 �
S. RAW
CONSRUCTION NOTES:
1. ALL GAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES GAS STANDARDS.
• •
2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND CO•A71l1•A9'�D :II TO • • • • ••
•
APPRORJATE GOVERNMENTAL AGENCY. • • • • •
• • . • • • • • 48 HOURS BEFORE DIGGING
3. ALL DISTRUST ASPHALT /CONCRETE /SOD AREAS q � ' 44REA •'O P.I!OR • • • • • CALL SUNSHINE 1- 800 - 432 -4770
CONDITION, UNLESS OTHERWISE SPECIFIED.
ATLAS
M4
--
• • • ' _
• • ••. • •
..• •.• •..
• • PEOPLE AS
DATE:
6/17/06
SHEET:
1/1
SCALE:
NTS
NEW 3/4" P71ASSTIC� G•.g$ ••• SERVICE
•
. NE 94111 • ,i'P1 E••7 SHORES, FL
...
J0: 14701
DRAWN BY:
LM