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275 NE 94 St (6)Permit No Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed ) (Signed). Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address MK. ' —ii :w , 4 C Ai 44 No. .______-- 7 N- t' Street_ (r 57 . Registered Architect and /or Engineer .------.---- _---------- _-- .___ _- -w ._._ Sr Employing Plumber's Name N i t ) � S _ _iC T�'Q � • Street__ �' — q _ . Location and Legal Description Lot______— ___ _----_--_ _____ Block Subdivision Street and Number where work is to be performed —No 3 C ! 71' f - ' Street-__=6. 71 " ST State work to be performed and purpose of building (By Floors) ___-.___ _._____________._. New Building Remodeling_ _ Addition._._ Repairs No. of Stories. Capacity Gals Size Septic Tank Type of Tank_ Feet of Drain Tile 3 a 6 e.ee4 &l4ist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. ________ _____Size of Soakage Pit My Commission Expires Notary Public, State of Florida Plu ing Ins ector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup, ent, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and . says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made' necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SIN" N SINKS LAUNDRY Twits U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N6 TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST — CHECK Permit No Amount of Permit $ MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed ) (Signed). Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address MK. ' —ii :w , 4 C Ai 44 No. .______-- 7 N- t' Street_ (r 57 . Registered Architect and /or Engineer .------.---- _---------- _-- .___ _- -w ._._ Sr Employing Plumber's Name N i t ) � S _ _iC T�'Q � • Street__ �' — q _ . Location and Legal Description Lot______— ___ _----_--_ _____ Block Subdivision Street and Number where work is to be performed —No 3 C ! 71' f - ' Street-__=6. 71 " ST State work to be performed and purpose of building (By Floors) ___-.___ _._____________._. New Building Remodeling_ _ Addition._._ Repairs No. of Stories. Capacity Gals Size Septic Tank Type of Tank_ Feet of Drain Tile 3 a 6 e.ee4 &l4ist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. ________ _____Size of Soakage Pit My Commission Expires Notary Public, State of Florida Plu ing Ins ector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Sup, ent, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, } COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and . says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by hire stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made' necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ❑ ELECTRICAL PERMIT N? 11393 PLUMBING Imo' ROOFING �� ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builde Legal Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE 1 195 / BL This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applicatidn herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plJI s, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. / f f • Signed • '. f e. C - eI BY I INSP ECTOR In consideration of the issuance to me of this permit I agree t6 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 re onsibility for all work done' y either, igyself, my agent, sgsuant or euaplogee. Subdi- vision �.' • Value of Project $ Contractor's License No Amt. of Permit s/U • aoti // Permit No /' Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - -Pc t- No. Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot o'/ Street and Number where work is to be performed —No 7 - 1\1 • F • 7 7 State work to be performed and purpose of building (By Floors) New Building CONTR. LIST CHECK CONTR. LIST CHECK CLOSETS SEPTIC TANK Amount of Permit $ -. BATH TUBS SEWER CONN. STATE OF FLORIDA, 1 COUNTY OF DADE. SHOWERS ss. DRAIN FIELD MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No Street Block Subdivision Addition LAVA- TORIES g SOAKAGE PIT SINKS GREASE TRAP SLOP SINKS SOLAR HEATER LAUNDRY TUBS DEEP WELL URINALS SPR K L-R. SYSTEM (Signed) Size Septic Tank -" Type of Tank Feet of Drain Tile - - _Dist. Feet of Tank or Drain Field from Well _. Nature of Water Supply: City —Well Size of Soakage Pit. Repairs CATCH BASIN SWIM•G POOL Street Date _.__ ./ FLOOR DRINKING DRAIN FOUNT' NS Capacity Gals. My Commission Expires Notary Public, State of Florida ‘fs Street - No. of Stories (Signed) Master Plumber. TOTAL FIXTURES Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he u 'erstands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 0 ) 0 5 -6)1 7 Job Address 21 S / 1 fr Tax Folio Address 11 ?)0O(a ni 3 38 Legal Description Historically Designated: Yes No Owner/Lessee / Tenant F 8121 L vu..) C.►�� F 2 Master Permit # Owner's Address 07 r J ,o • E 9(-I Phone O3 r )5(.1 - 0 Contractin Co. &'Uth c(C&I,o Address 304 /U. L&) (?6T` Qualifier 5& f e nc 7 SS# ( Phone 3o5 X53 State # C.0 Ou 1;9 t 3 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Permit Type (circle one): BUILDING ELECTRICAL irMBIN)MECHANICAL ROOFING PAVING FENCE SIGN K WORK DESCRIPTION � P 1 i) C� , UJ A V1 �.A F I EG1 , Square Ft Estimated Cost (value) /69. 99 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo P Notary as to • er an ondo President Date . as to Contractor or 'r Build My Commission Expir: . y Commission Expire FEES: PERMITX RADON APPROVED: Zoning Mechanical Plumbing Building C.C.F. 60 NOTARY a te ate / >A–) ate POWER of ATTORNEY NOTARY Noti OWNER'S AFFIDAVIT Per Florida Statute 713.13 I Neu oe b T `certify that I am the owner of the propery described as address: Z9 3 la7= p Lot Block SubDiv City 9 g� a I authorize E °�' P as my agent to obtain a building permit for the following work � - c� Id Yk�° Y - 4e' Contractor Name E - S'I OF a h �Ot \Q , I rt- Contractor Signature Qualifier Signature County p, Zip 33B 3 By signature below Owner hereby authorizes the Notary named below to approve and Notarize my signature on this Affidavit and permit application. OWNE di/ Q� �}'+�� g it ontractor o Owner $2500.00 in labor and matena Folio # t be filed if the job valuation excee ' s Notice of Commencement must be posted to the job. Date fQ9-(9g — PAGE TWO — Warning To Owner: YOU MUST RECORD A NOTICE OF COMMENCEMEJ\ FOR ANY WORK OVER $2500; YOUR FAILURE TO DO SO MAY RESULT IN YOU PAYING TWICE FOR . IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND Tc OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORi RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, or on the attached addendum (if applicable) . = certify that no work or installation haz. eked prior to issuance of a permit and that all work will be performed to meet the sta of all laws, regulations and ordinances construction rsgulatin9 is this jurisdiction. understand that separate Permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. Disapproved (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date Street and Number where work is to be done State work to b�ee a nd purpose g o - f building (by floors) 2-Z Owner's Name and Address Registered Architect and /or ngincer Name and address of licensed contractor ✓ f� w G — � °� C. Location and legal description of lot to be built on Lot 2 2 l ' ' ` 3 Block z. r Subdivision . 3 cJ ` _sass and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundati Roof Co Estimated Total cost of improvements $ ° Amount of Permit $. Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot _ - . ..... _ Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the 'Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wore to be performed u der permit, as are licensed by Miami Shores Village. - Remarks (Signed) L . /C-./ STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the saute, and that all facts therein by him stated are true. Permit No.._ _6 9 Date /_ 2- - 7 -_ Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building 'nspcctor / My Commission Expires to me well known, PLANIsi r C BOARD DATE Chairman Member Member Member Member sass.. _-- ----- - -_.__ .-- •_- -. - -.. Member sass_ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper rto2tce for inspection of faulty materials and /or workmanship. Issue Date: 3/16/2006 Owner's Name: THEODORE NEUWEILER Permit Type: Plumbing - Residential Work Classification: Gas Job Address: 275 94 Street NE Comments: NATURAL GAS LINE TO ADD RANGE TO EXISTIN Additional Information Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 03/15/2007 Contractor(s) Phone Primary Contractor CONSUMER GAS PLUMBING CORP 305 - 608 -5400 Yes Type of Work: GAS Additional Info: Classification: Residential Type of Piping: Bond Return : 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 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL -3 -06 -662 Phone: (305)754 -0200 1132060133830 Lot: PB: Total Square Feet: 0 Total Valuation: $ 440.00 Required Inspections Press Test ROW Final Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $160.00 $3.00 $4.00 $167.80 Invoice Number PL Total: MAR 2 0 PAID � k 21 '2 Amt Due Amt Paid $167.80 L �� 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. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 L N,A. 4.1 p Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING 3 111 1 • Permit No.P ; - 0.162 PERMIT APPLICATION Master Permit No. FBC 2004 'S Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) rte.- /J e u we L . R Phone a £> 5 q- 0 a 00 Owner's Address - e). s l•-) C auk, S� City. So (Le5. State WL.. • Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 2:9 S 1J ck. City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO gE7 ) 3Z L, Cq Contractor's Company Name C Ov. S i w' L— Ls ftS Phone #C 7 5 Contractor's Address 1 s 10 S ?L City 42%-re State L. Zip 33 1 % S r Qualifier Name gov1Z#,A,o Cg•'J Z Phone # State Certificate or Registration No - R 3 S O Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 1 o Type of Work: ['Addition Describe Work: 04 - 70 f - L . - 1 ; ; 4 . s� sTcNr■n, Square / Linear Footage Of Work: Alteration ['New ❑ Repair/Replace ❑ Demolition To ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ees ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ J i C CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 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 d'" Zip Owner or Agent The foregoing instrument was acknowledged before me this t 3 day of t , 20 0 (o, by )\\e u w e ' l e who is personally known to me or who has produced NOTARY PUBLIC: APPLICATION APPROVED BY: (Revised 02/08/06) As identification and who did take an oath. 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 thpvbsence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Contractor The foregoing instrument was acknowledged before me this 13 day of \ A tcc\ , 20 0Q by 6 D►'t-LA \ , who is personally known to me or who has produced as identific )ltion and who did t an oath. NOTARY PUBLIC: M" COMMISSION c c . EXPIRES - .4,Mirl : . 13 2IE Sign: � Bortord TPen Netter Nttlir : r. Sign: Print: C•4 5 \ b5W L Print: C.. 4,N o S F IA' '. My Commission Expires: My Commission Expires: CARLOS- PE= MV COMMISSION f CZ EXPIRES. AoRn, 11. XV Bem:4 Thn 'enter "bh14 tea#: 44 '" ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** * * ** *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning • • • • Name: TED NEUWEILER 275 NE 94 ST MIAMI SHORES Phone 1:305 754 -0200 Phone 2: 305 754 -0100 • • .. • • • . • • ...• • •. • • ...• • • • • • ...• • • • •. • ... • CUOI S T O�JG'OG3� OQ�OOC�O: • .... • • • ...• • • • • .•.. • • • • • • • • • .. • • • • .... • • • . • .•• Folio: Total Gas Load:100 000BTUH Total Developed Length: 90' NATURAL GAS METER RANGE 40 000 BTUH sov 3/4" 3/4" NEW PIPE FOR RANGE J 18' 1" NEW PIPE UNDERGROUND 18" DEEP CONECTED TO THE EXISTING PIPE CONSUMER GAS IPILUMIIfIING CCOR O 4510 SW 154PL MIAMI FL 33185 305 608 -5400 1 0' / SOV 3/4^ 10' 3/4" EXISTING PIPE FOR WATER HEATER / 60' 1" EXISTING PIPE UNDERGROUND COQ„ PAMY OCJ(OG3MiOOOJ: TABLE402[2] EXISTING 40 GALLONS WATER HEATER J Cc OEM E .b of crnl V - ea k (a3 u V 177 !�1 :\ o ,Y • ` ' 'G • E I .t tn •„ 7 hJ Oa • i ° =S 3 X10 �' Wird v,9 - iQ I • rnli ., �s M C6 ..f.. ST '9 t..' tau u SZ "g1 a 9•►t t ,t • OS . 9 • . • r. • • • to • • • • • • . - • • • �.- •..% • •.• • paY� -a� ••.• • • • • .•• • • • • • • • • • • • • • • • • . . • • • • .• •. 0 •. • • • • • • • • A A • • r t • • .• • • C.2/ N. 1 1 1-7 BUILDING Permit No. -- — �� • PERMIT APPLICATION la aster Permit No. FBC 2001 BY Permit Type (circle): Building Electri Owner's Name (Fee Simple Titleholder) @tj '' •-0 Phone # � ‘\ % Q � Owner's Address v L ST City Tenant/Lessee Name `DkLe State d - Zip Job Address (where the work is being done) �� � a. 01 City Miami Shores Village County Miami -D,pde Zip r1CA ge7) Phone # \ • Is Building Historically Designated YES a Contractor's Company Name C h r„ . \r‘ e (C■a6 Contractor's Address 4 `_; \ 0 5 LJ i S ( City ` ' N■\ State Qualifier `b h \ Architect/Engineer's Name (if applicable) 220 -') $ Value of Work For this Permit Type of Work: ❑Addition ❑Alteration New ❑ Repair/Replace ❑ Demolition Describe Work: -QQ1 s iC L Th * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ Total Fee Now Due $ - �� (Continued on opposite side) Miami Shores Village po,)3uilding Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 / - • NO fl * ** *F Code Enforcement $ Structural Plan Review. $ Plumbing DM chanical Roofing Phone # Square Footage Of Work: * * * * ** * * * * * * * * * * * * * * * ** C F $' CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ C " Radon $ Zoning Bond $ 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 absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. The fore day of who is pers Chc 12/15/03 Signature Signature Owner or Agent ing instrument was acknowledged before me this , 20dp, by t( 1\ V■ti e 1 \-e A , ally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: C--pck•--\ 7e. 1L[; My Commission Expires: t.\— ************************* APPLICATION APPROVED BY: ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** The fore day of EXPIRES 4- 13 24 2 C _ ng instrument was acknowledged before me this R-' , 20 (Pby ' Ofl C-'2 N2 , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBL Sign: - Print: C *s i Pt; R My Commission E * CQA9MISS t)N ' vim', .... "• EXPIRES ( �9 �� 77ut y 4 l 3, 20(151 to of Competency No. (Certificate of Competency Holder) State Certificate or Registration No. 1 3t Certifi * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * ** GEp Zoning Tans Examiner Engineer AI AM& • r*RI moray j ammia ri.lesommummi ' arnmiorellitadMIIIIIIIIISSIMIlli Oak • - - - - - - 4r4. ■ArAwaraw - ■■•Arr:4•4•4 1 7.4k.ir./...ew o rsn . - - j75 • 41• • • • • • • • • • • Name: TED NEUWEILER 275 NE 94 ST MIAMI SHORES Phone 1:305 754 -0200 Phone 2: 305 754 -0100 NATURAL GAS METER a ©LE W ORIFO©G3IMMk1: RANGE 40 000 BTUH Folio: Total Gas Load:80 000BTUH Total Developed Length: 42' 22' 3/4" TRACPIPE UNDER THE HOUSE sovaia° 3/4" NEW PIPE FOR RANGE 10' CONSUMER GAS PLUMffNG (CORI?o 4510 SW 154PL MIAMI FL 33185 305 608 -5400 Sov 3/a" EXISTING 40 GALLONS WATER HEATER 10' 3/4" EXISTING PIPE FOR WATER HEATER ... • • • • • .... • • • .. • ... • • .... • .... • • • • • • • • .... • .. • • • .. .. .... • • • TABLE4024 [17] • • • • • • • • • • .... • • • • .... • • .. • .. .. • • • Issue Date: 3/16/2006 Owner's Name: THEODORE NEUWEILER Permit Type: Plumbing - Residential Work Classification: Gas Job Address: 275 94 Street NE Miami Shores Village, FL 33138- Expires: 03/15/2007 Contractor(s) Phone Primary Contractor CONSUMER GAS PLUMBING CORF 305 - 608 -5400 Yes Comments: NATURAL GAS LINE TO ADD RANGE TO EXISTIG GAS SYSTEM REVISION 4/24/2006 Additional Information Type of Work: GAS Additional Info: Classification: Residential Type of Piping: Bond Return : 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 Education Surcharge Permit Fee - Additions /Alterations Revision Fee Scanning Fee Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $160.00 $35.00 $3.00 $3.00 $4.00 $205.80 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 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL -3 -06 -662 Phone: (305)754 -0200 1132060133830 Lot: PB: Total Square Feet: 0 Total Valuation: $ 440.00 Required Inspections Press Test ROW Final Invoice Number PL -3 -06 -24150 PL -4 -06 -24597 Total_ 28PAID � 3Q 5 -3 Amt Due $167.80 $38.00 Amt Paid $ $167.80 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. // -31/r/O S 4 (--- Passed Ins . ector nts v Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 05/18/2006 Inspector: Levrack, James Owner: NEUWEILER, THEODORE Job Address: 275 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: CONSUMER GAS PLUMBING CORP. Building Department Comments Wednesday, May 17, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 'Inspection Number: INSP -12219 mAY 1 g EMTD Permit Number: PL -3 -06 -662 Block: Permit Type: Plumbing - Residential Inspection Type: Press Test Work Classification: Gas Phone Number (305)754 -0200 Parcel Number 1132060133830 Lot: Phone: 305 - 608 -5400 Page 2 of 2 ,/ 7 Passed Inspector Comments (1 ' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until inspection Number: INSP -12221 Permit Number: PL -3 -06 -662 Inspection Date: 07/19/2006 Inspector: Levrack, James Owner: NEUWEILER, THEODORE Job Address: 275 94 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: CONSUMER GAS PLUMBING CORP. Building Department Comments Tuesday, July 18, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 a 21 EE Block: Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Gas Phone Number (305)754 -0200 Parcel Number 1132060133830 Lot: Phone: 305 - 608 -5400 Page 2 of 2