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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 i APPLICATION APPROVED Y: G'� Q � Plans Examiner Engineer i Zoning (Revised 02!08100 • i . ... . ... . . . N . ... 3 I I i ... .. .. ... ... .. . . . .. 0 00. . .... . . . 000 . ..... . . I i �1 • .. " �. : L ' .. .. - - - - ^I N .. PAVED SWALE ° NE 98TH STREET \ cs, w 2" SP GAS MAIN PAVED S I rC I "'"' � �!� � I ►a 4 4 C~ I A E 1208) I I � I :. .I.. ' .. NEW 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 . 7 0 4 " z A 6:00 ^=,%poor ....... .. ............ Ao' Ad An* .00 • •••0 AOW • - - vat 67 . 7 0 4 " z A 6:00 ^=,%poor ....... .. ............ Ao' 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