PL-06-1753!Return to:
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
'Bill To
LESLIE KLEIN
534 NE 94 ST
MIAMI SHORES, FL 33138 -2848
Date
02/11/2009
08/11/2006
11/06/2006
..............
Wednesday, February 11, 2009
Invoice
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Fee Name
Expired Permit Renewal Fee
Re- Inspection Fee 1st Occurence
Re- Inspection Fee 1st Occurence
Invoice Number: PL -8-06 -25871
Invoice Date: August 11, 2006
Permit Number: PL-6 -06 -1753
Bond Number:
Comments:
Fee Type
Calculated
Fixed
Fixed
Total Fees Due:
Payments
Date Pay Type Check Number Amount Paid Change
02/11/2009 Check 1115 $310.00 $0.00
Total Paid: $310.00
Total Due: $0.00
Fee Amount
$160.00
$75.00
$75.00
$310.00
ii, 6 li' °
1
Passed
51 Inspector Comments
G
---(' U 4 V
0 °- L. e.,
lit V - 3
6
1 _...
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 11/03/2006
Inspector: Levrack, James
Owner: KLEIN, LESLIE
Job Address: 534 94 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: TECO PEOPLES GAS SYSTEM
Building Department Comments
Thursday, November 2, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
NOV 00 BM
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Gas
Phone Number (305)876 -7514
Parcel Number 1132060140950
Lot:
Phone: (305)957 -3857
Page 1 of 2
Y I:''11
" 4 ' g
-9Y'
Passed
Inspector
Comments
Failed
Correction
Needed
Re- Inspection
Fee ti o 1., 1'
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 08/10/2006
Inspector: Levrack, James
Owner: KLEIN, LESLIE
Job Address: 534 94 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: TECO PEOPLES GAS SYSTEM
Building Department Comments
Wednesday, August 9, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: WISP-24359
Permit Number: PL -6-46 -1753
AUG i1REVD
Block:
Permit Type: Plumbing - Residential
Inspection Type: Trench
Work Classification: Gas
Phone Number (305)876 -7514
Parcel Number 1132060140950
Lot:
Phone: (305)957 -3857
Page 1 of 2
Inspection Number: INSP- 24359
Permit Number: "PL -5 -05 -1
Inspection Date: 08/10/2006
Inspector: Levrack, James
Owner: KLEIN, LESLIE
Job Address: 534 94 Street NE
Project: <NONE>
Miami Shores Village, FL 33138-
Contractor: TECO PEOPLES GAS SYSTEM
Building Department Comments
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: Trench
Work Classification: Gas
Phone Number (305)876 -7514
Parcel Number 1132060140950
Lot:
Phone: (305)957 -3857
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Wednesday, August 9, 2006
Page 2 of 2
)c7C,
,' (o pr '
BUILDING
PERMIT APPLICATION By
FBC 2004
Permit Type (circle): Buildin
Owner's Name (Fee Simple 'e(,
Titleh der) L``, L t ' J) Phone # (5W 9S& 9966
� �
Owner's Address I, j ,s-k1/4e0+
City
Tenant/Lessee Name
Job Address (where the work is being done) 5N 14_, a Nt &Re
If 01
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL # 1t
Is Building Historically Designated YES
Contractor's Company Name --r GL
Con or'ss i$
to
i 1` ' i$to
Qualifier Name (/S V
State Certificate or Registration No. ��JY l "tl
Architect/Engineer's Name (if applicable)
al e 'f Work For this Permit $
(WV, ;,.,n e ,
01-1 T ti s •' J �{ wt-si
cifVorle = E*dditton
cribe Work:
1 6r010
Submittal Fee $
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Permit Fee $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel- ,�. °z ., ;' � p 756.8972
- v II�IIIII
11 27 20)56
liC War LS
Electrical Plumbing Mechanical
Alteration
State
NO
V
❑New
Notary $ Training/Education Fee $
Scanning $ 3' CC- Radon $ DPBR $
Bond $ Code Enforcement $
Structural Review. $
Zip 1 y�
Double Fee $
Permit No.PL 1153
ster Permit No.
Phone #
Phone #
Zip
Phone #
Squa Fla
11S. E 0 Repair/Replace
Roofing
Zip
30s 910 -/783
c30S Q70
Certificate of Competency No. (�
Phone #
** **1C *** *;.** * * * * *, ter, *** * * * * ** *** * ** * * * * * ** ** ***
4c
CD. 2.O.
Demolition
CCF $ CD- C---� —� CO /CC
Technology Fee $ 4 -00
Zoning $
Total Fee Now Due $ 1 , C=.7 ' o
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 w not be apvroved and a reinspection fee will be charged
'
• ,4 / 1 -,�
VV.' Owner or Agent
The foregoing instrument was ac4towledged befo s me this QC
day of �i.V' 2
Sign:
My Commissi
o is nally known to me or
As is
NOTARY PUBLIC:
a? � % • Naiy Pub5C = State Ot Fl
_ ,1 Commission # DD 513850
Bonded By Navonat Notary assn.
(Revised 02/08106)
Expires:
entification and who did take an oath. as identification and who did take an oath.
• - - - --- - -
- - --
APPLICATION APPROVED BY:
Contra
The foregoing instrument was acknowledged before me
day of 20 eG, by J S
ho has produced who is personally kno to me or who has produced
NOTAR
PUBLIC:
LUIS MONTERO
Sign: did °' Notary Public , State of Florida
•
� . - ,rr—,
r . :. 2010
Print: ? .; ' 1 ' " 0 ? = Commission # DD 513850
My Commission Expir>
Bonded By National Notary Assn:
******************************* * * * * * * * ** * ** * **** * ** ** **** ***, err*, k***** * * * *** ** ** * * * *** ** * ** * ** * * * * * **
Engineer
Zoning
Issue Date: 6128/2006
Owner's Name: LESLIE KLEIN
Permit Type: Plumbing - Residential
Work Classification: Gas
Job Address: 534 94 Street NE
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: 12/25/2006
Contractor(s) Phone
TECO PEOPLES GAS SYSTEM (305)957 - 3857
Primary Contractor
Yes
Com ments:
RE TIE EXISTING CUT AND CUP FROM GAS MAIN LOCATED AT REAR OF
PROPERTY
Additional Information
Type of Work: GAS LINE
Additional Info:
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
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: PL -6 -06 -1753
Phone: (305)876 -7514
1132060140950
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 600.00
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 - 6 - 06 - 25381
Total:
'JUN 3 0 PAID
c..fr 44 49.03
Amt Due
$167.80
Amt 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 .
N
N, R/W
ALLEY
S. R/W
CONSRUCTION NOTES:
NE 94TH STREET
(534)
EXISTING
RISER.
EXISTING 3/4" BS
NEW 3/4" PL
14'
5' �{
1
12'
P
NEW RISER
I. ALL G.43 PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES GAS STANDARDS.
2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE
APPRORIATE GOVERNMENTAL AGENCY.
3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR
CONDITION. UNLESS OTHERWISE SPECIFIED.
ATLAS
M 4
SCALE:
NTS
DRAWN BY:
LM
E.O.P
E.O.P
OLD
RISER I W
TIE IN TO XISTING
SERVICE/ A ANDON OLD RISER,
BSE GAS MAIN
RE TIE CUT
AND CAP
RE TIE CUT AND CAP / RELOCATE RISER
534 NE 94TH STREET. MIAMI SHORES
48 HOURS BEFORE DIGGING
CALL SUNSHINE 1- 800 - 432 -4770
DATE:
6/21/06
SHEET:
1/1
JO: M 4
-