PL-05-292Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/27/2005
Applicant: MARIA
Owner: CONTRERAS
JOB ADDRESS: 1200 NE 97
Contractor TECO PEOPLES GAS SYSTEM Contractor's Address: 1218 NE 101 ST
Local Phone: 305/970 -1783
Parcel # 1132050090620
Fees:
FEE2005 -12876
FEE2005 -12877
FEE2005 -12878
FEE2005 -12879
FEE2005 -12880
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$130.00
$0.60
$0.20
$3.25
$3.00
$137.05
Total Fees: $137.05
Total Receipts: $0.00
Signed:
Legal Description: EARLETON SHORES PB 43 -80 W12.50FT OF LOT 20 & ALL OF LOT 21
Permit Status: APPROVED Permit Expiration: 3/25/2006 Construction Value: $600.00
Work: NEW NATURAL GAS SERVICE LINE FROM GAS MAIN
(INSPECTOR)
Signed: (Contractor or Builder)
Plumbing Permit
Permit Number: PL2005 -292
CONTRERAS
MARIA
ST
BY:
Page 1 of 1
fi r") no .
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.
Tenant/Lessee Name
BUILDING
PERMIT APPLICAT
FBC 2001
Permit Type (circle): Building Electrical Plum
Owner's Name (Fee Simple Titleholder) . < Hie* 64 I4 CL)11' Y4SPhone # ( 77 % ' 0 860
Owner's Address ( 2-60 /i /�,1, M ( F " j
Cit 2!/i/ t c Si'v2 '5 State (" ( , V" Zip
Job Address (where the work is being done) 2b0 gY7S't ,. (q 7 Sr 1
City Miami Shores Vi11ae County Miami -Dade /
Is Building Historically Desigfated . YES NO
Contractor's Company Name 1Q CC Phone # 3 305 17C 17 a 3
Contractor's Address ,� / 1 5 1 IA/ < 17 i 'j(J H L' 7
Cit IV +� 1 / 76-4c1 State P Zip -3 /6 L
Qualifier S td 6-
State Certificate or Registration No. Certificate of Competency No. t IC 6 3
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Miami Shores Village
g
Building Department
ir00 / 0 d, Avouue,N4iaini Shores, Florida 33138
Tel: (305) 795.22b4 Fl a: (305) 756.8972
Type of Work: DAddition DAlteration
Describe Work: Ne 4i mk-ce,Alt —
,lam 2QQ17t®z) v ', /e e, or 4/ /2_44,e
['New
* * * * * * * * * * * * * * * * * * * * **** F. „y * ** * *** * ** * * * * * * * * * * ** * * * * * **
Permit Fee $ � C CCF $ 0 • (=CD CO /CC.
Submittal Fee $
Total Fee Now Due $ -
(Continued on opposite side)
15777 Re, fuc(C /114,
fV Mb444 ( &alai FL ?3162
Permit No. L 2-9
Master Permit No.
mg Mechanical Roofing
Phone #
Phone #
Zip 3,c7
Square Footage Of Work:
❑ Repair/Replace
/
❑ Demolition
Notary $ ---- Training/Education Fee $ • ZC) Technology Fee $ .3 • Z�
Scanning $ • CC Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
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 Al±'1F 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 certied 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 0
Contractor
The foregoing ill ent was acknowledged before me this
day of 20C c Ni/t CA-312or day of - 20 vJ , by - Z S i''S Vo -
'
who is personally known tom r who has produced who personally known to i e or who has produced
As identification and who did take an oath.
Owner or Agen
The foregoing instrument was acknowledged before me this 3
NOTARY PUBL
Sign: t7
Print:
My Commission Expires:
APPLICATION APPROVED BY:
chc 45/13/03
**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
LUIS MONT ERO
- State of FIa1
My Commissbn E *es Jan 27,
D D084
Bonded By National Notary fan
as identification and who did take an oath.
ommission Expire
* * * * * * * * * * * * * * * * * * * * * * * * * * * **
a te• °?, ' -47
w a r LUIS MONTERO
r —,► ry Florida
I-. � `� MY Crxnmiss!an Excites Jan 27, 2008
1"' z omm ss on 4905
f r,t - , `'
Bonded By National Notary Assn.
*- *,r * * *
* * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
NE
CONSRUCTION NOTES:
ATLAS:
M 1
SCALE:
NTS
DRAWN BY:
LM
TIE IN
TO GAS MAIN
75' 1R /W
ti
63'
NEW 1/2" PE
r• 30'
1. ALL GAS 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.
TE C
PEOPLE
Li
NEW 1/2" PLASTIC GAS SERVICE.
1200 NE 97TH STREET, MIAMI SHORES
NE 97TH STREET
ALLEY
AS
PROPOSED
RISER
(1200)
48 HOURS BEFORE DIGGING
CALL SUNSHINE 1- 800 - 432 -4770
DATE:
9/23/05
SHEET:
1/1
JO:
11180