PL-06-2929 ®� Miami Shores Village
as 10050 N.E. 2nd Avenue
.:a
Miami Shores, FL 33138 -0000
01 Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Permit Status: APPROVED
Issue Date: 12111/2006 Expires: 06/09/2007 Permit Number: PL -12 -06 -2929
Owner's Name: THEODORE DONAHUE one: j
Permit Type: Plumbing - Residential
Parcel M 1132050090360
Work Classification: Gas
Block: Lot:
Job Address: 1208 98 Street NE Section: PB:
Miami Shores Village, FL 33138 -
Contractor(s) Phone Primary Contractor Total Square Feet: 0
TECO PEOPLES GAS SYSTEM (305)957 -3857 Yes Total Valuation: $ 600.00
R uired Irispgctions
Additional Information Press Test
Type of Work: gas Type of Piping: ROW
Final
Additional Info: Bond Retum :
Classification: Residential
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
ail 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 Amount Invoice Number Amt Due Amt Paid
CCF $0.60 PL -12 -06 -26986 $167.80
Education Surcharge $0.20 Total:
Permit Fee - Additions /Alterations $160.00
Scanning Fee $3.00 DEC 1 8 PAID
Technology Fee $4.00 ' �j �J, /�
Total: $167.80 �,
Building D File CO NOTICE: In addition to the requirements of this permit, there may be
g p Cop 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.
Applicant Signature
Miami Shores Village DEC ®fir 2006
. Building Department �
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.22 Fax: (305) 756.8972
Z q
BUILDING Permit No.p
wl 1'j
PERMIT APPLICATION Master Permit No.
FBC 2004 V
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple 'Titleholder) Phone # 3 - 7 5�
- 7 2'
Owner's Address AJ&
City State t -- Zip M
Tenant/Lessee Name Phone #
Jab Address (where the work is being done) _ F1 W i
City Ego Shores Village County Miami -Dade Zip
FOLIO / PARCEL #!
Is Building Historically Designated YES NO
Contractor's Company Name _ Phone # 5 ?
Contractor's Address 7 U V PiKfEn 144 0— IV— �
City �� State -- -- Zip
ifier Name Z
Q� lb Phone # � � �.3 4 ea
State Certificate or Registration No. Certificate of Competency No. 16
Architect/Engineees Name (if applicable) Phone #
Db ',
Value of Work For this Permit $ Square / Linear Footage Of Work:
• f��a}e'6�A.1go'� �'I.'..i - . ���T�'�S�r1p �ti �.� r a
Type of WOrk: � �� �h7 '; Nv_ r ern '
3a 3 . ,t;�, re�w .irem n-� _ New aea � p
la ce , Y ��.' , a ' oiition
4 ` 4R'. 4Y 1 jrj Sq t
Describe Work.
Submittal Fee $ Permit Fee $ 160 CCF CO /CC
Notary $ Training/Educatiou Fee $ t Technology Fee $ —
Scanning $ —b- - - Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
See Reverse side -�
I
Bonding Company's Name (if applicable)
Bonding Company's Address
cit
ty 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 approved and a reinspection fee will be charged
Signahue Signature
Owner or Agent Co L Cror
The foregoing instrument was acknowledged before me this The foregoing instrument was .acknowledged before me this
day of t� , 20 by day of 20 by C.
who 0 l known to or who has produced w io is personally known to me or who has produced
As identification and who did take an oath: as identification and who did take an oath.
NOTARY PUBLIC: NOTARY UBLIC.
Sign: ��.a +" Lt1q NIONTER� �., LUIS Ib10NTERO
Sign: .; N P
Print: ? � Comm Expka Feb 2, 2610 Print: CWM"M Feb Z 26 10
My Commission Exp' '", ; ° p' Bonder By Naftat Kota Assn. My Co ° ; 9X Natiortai- Asst.,.
i
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APPLICATION APPROVED Y: G'�
Q � Plans Examiner
Engineer
i
Zoning
(Revised 02!08100
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RISER
CONSRUCTION NOTES:
1. ALL CAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES CA.S STANDARON.
8, TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE
APPRORIATS GOVERNMENTAL AGENCY.
48 HOURS BEFORE DIGGING
S. ALL DISTRUDED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR (:Alai. SUNSHINE 1--800 -432 -4770
CQNDITION. UNLESS OTHERWISS SPSCIPIND.
A TLA SA 4 7 '�' TE t� O 12106106
SCALE: PEOPLE A SHEET:
NTS NEW 314" PLASTIC CAS SERVICE
RAWN BY.• J0:
LM 1208 NE 98TH STREET. MIAMI SHORES f 94
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VIA I Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (306)795-2204 Fax: (305)766-8972
Inspection Date: 0611412007 Permit Type: Plumbing - Residential
Inspector: Levrock, James Inspection Type: Underground Rough
Owner: DOMINIQUE, MARIE Work Classification: Addition/Alteration
Job Address: 10546 3 Court NE
Miami Shores Village, FL 33138- Phone Number (305)757-1857
Parcel Number 1122310130260
Project: <NONE>
Block: Lot:
Contractor: RO-LE -BE CONSTRUCTION INC Phone: (786)263-8944
Building De artment Comments
PLUMBING WORK FOR ADDITION
Inspector Comments
Passed E]_
Failed El—
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-inspection fee is paid .
Wednesday, June 13, 2007 Page 2 of 2
® ary k Inspection Worksheet
.4 Miami Shores Village
.19. li . get.
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspectton Number: INSP� -34013 l can t t tuber: I� , -06-29
Inspection Date: 07/23/2007 Permit Type: Plumbing - Residential
Inspector: Levrock, James Inspection Type: Final
Owner: DONAHUE, THEODORE Work Classification: Gas
Job Address: 1208 98 Street NE
Miami Shores Village, FL 33138- Phone Number
Parcel Number 1132050090360
Project: <NONE>
Block: Lot:
Contractor: TECO PEOPLES GAS SYSTEM Phone: (305)957 -3857
Building Department Comments
GAS CONNECTION pUBLIC WORKS
�j 4l�
JUL 2
for Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Friday, July 20, 2007 Page 2 of 2
OR
Inspection Worksheet
Miami Shores Village
10060 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
...... ... ...
...........
................. ............. ...............
Inspection Date: 06/14/2007 Permit Type: Plumbing - Residential
Inspector: Levrock, James Inspection Type: Underground Rough
Owner: DOMINIQUE, MARIE Work Classification: Addition/Alteration
Job Address: 10545 3 Court NE
Miami Shores Village, FL 33138- Phone Number (305)767-1867
Parcel Number 1122310130250
Project: <NONE>
Block: Lot:
Contractor: RO-LE -BE CONSTRUCTION INC Phone: (786)263-8944
Building Department Comments
PLUMBING WORK FOR ADDITION
Inspector Comments
Passed El
Failed
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-inspection fee is paid .
Wednesday, June 13, 2007 Page 1 of 2