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PLUMBING• Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL �OA Phone: 05)795 -2204 Fax: (305)756 -8972 !Inspection Number: INSP -7588 Permit Number: PL -1-06 -191 Inspection Date: 04/21/2006 Inspector: Levrack, James Owner: ACCORNERO, INES AND GLADYS Job Address: 960 99 Street NE Miami Shores Village, FL 33138 -2304 Project: <NONE> Contractor: SUNGAS CORP. OF FLORIDA Building Department Comments Thursday, April 20, 2006 Block: rL ; Permit Type: Plumbing - Residential Inspection Type: Press Test Work Classification: Gas Phone Number (305)751 -3368 Parcel Number 1132060143370 Lot: Phone: (305)635 -8682 Page 2 of 2 4 .R Passed I rC-, •its � j� e( 6 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until • Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL �OA Phone: 05)795 -2204 Fax: (305)756 -8972 !Inspection Number: INSP -7588 Permit Number: PL -1-06 -191 Inspection Date: 04/21/2006 Inspector: Levrack, James Owner: ACCORNERO, INES AND GLADYS Job Address: 960 99 Street NE Miami Shores Village, FL 33138 -2304 Project: <NONE> Contractor: SUNGAS CORP. OF FLORIDA Building Department Comments Thursday, April 20, 2006 Block: rL ; Permit Type: Plumbing - Residential Inspection Type: Press Test Work Classification: Gas Phone Number (305)751 -3368 Parcel Number 1132060143370 Lot: Phone: (305)635 -8682 Page 2 of 2 DL \1 Permit No ° Amount of Permit $ State work to be performed and purpose of building (By Floors) _._..__....._ New Building Remodeling__ _ _..__ Addition.. Size Septic Tank_._50® --- - - - - - - --Type of Tack__ af ` e STATE OF FLORIDA, f as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Date. A 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 regulatiea ] of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at building during progress of work. Owner's Name and Addressi / 4 ,1 ° 45 No /°? StreetAl. .���......._. e" .degistered Architect and /or Engineer ��pp p ?mploying Plumber's Name i°� t11Gl.. A JGI N0, �� v BUeet..�„ ..,..... Location and Legal Description Lot_ BlorI' SubdivWon - -_ -- - _- •� - - -� .— Street and Number where work is to be performed —No .i D ��r Street.. �� 45 Capacity Gals..._..... Feet of Drain Tile.__ 00)0 - _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. _._.____..____. __ ._____ _...Size of Soakage Pit (signed)_ s3y My Commission Expires Notary Public, State of Florida Repairs No. of Stories Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a :nployer of labor under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent : uP .lement, and has con - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed ly him in P`e wcrk performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publt : notice 11 no'icer as ar required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed .. : this wriait, as ar licensed by Miami Shores Village. Matta Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persona[ i :ppearea 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 ;`acts therein by him stated are true. NOTE: A re- inspection fee of ;1.00 will be made when such re- inspection is made•neoeswry by improper notice for inspection, or f.uity materials and /or workmanship. CLOSETS BATH TUB[ SHOWER[ LAVA• Tomtit. SINK, SLOP SINK [ LAUNDRY Tue• URINAL[ CATCH BASIN FLOOR DRAIN DRINK NO FOUNT'NB TOTAL FIXTURES CONTR. LI OT _— CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR II DEEP WELL SPRKLR. SYSTEM SWIM'O POOL CONTR. LIST — CHICK DL \1 Permit No ° Amount of Permit $ State work to be performed and purpose of building (By Floors) _._..__....._ New Building Remodeling__ _ _..__ Addition.. Size Septic Tank_._50® --- - - - - - - --Type of Tack__ af ` e STATE OF FLORIDA, f as. COUNTY OF DADE. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Date. A 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 regulatiea ] of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plane and specifications must be kept at building during progress of work. Owner's Name and Addressi / 4 ,1 ° 45 No /°? StreetAl. .���......._. e" .degistered Architect and /or Engineer ��pp p ?mploying Plumber's Name i°� t11Gl.. A JGI N0, �� v BUeet..�„ ..,..... Location and Legal Description Lot_ BlorI' SubdivWon - -_ -- - _- •� - - -� .— Street and Number where work is to be performed —No .i D ��r Street.. �� 45 Capacity Gals..._..... Feet of Drain Tile.__ 00)0 - _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well. _._.____..____. __ ._____ _...Size of Soakage Pit (signed)_ s3y My Commission Expires Notary Public, State of Florida Repairs No. of Stories Plumbing Inspector The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an a :nployer of labor under the Florida Worlanen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent : uP .lement, and has con - plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed ly him in P`e wcrk performed under this permit; and will post or cause to be posted' for inspection on the site of the work such publt : notice 11 no'icer as ar required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed .. : this wriait, as ar licensed by Miami Shores Village. Matta Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, persona[ i :ppearea 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 ;`acts therein by him stated are true. NOTE: A re- inspection fee of ;1.00 will be made when such re- inspection is made•neoeswry by improper notice for inspection, or f.uity materials and /or workmanship. Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 wor w �_ Owner's Name and Address ::: stered and/oraniineT s NIVTIO \N.\ 1-. 1 111 r Q)2: Na Q 1r , • "c1.'.. Location and Legal Description Lot. Blot& Su ���y�1a1_on Street and Number where work is to be performed —No M Street.. \....t _. 7 1 State work to be performe8 and purpose of building (By Floors) New Building Remodeling___ .._ - -__ Addition.. Repairs. No of Stories. Size Septic Tanti Feet of Drain Tile Nature of Water Supply: City —WeIL Type of Tank____—_ t)ht. Feet of Tank or Drain Field from Well Size of Soakage Pit. ( Signed) Plumbing Inspector. 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 5988, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractor 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, o n fo perf , under thb permit, as are licensed by Miami Shores Village. Amount of Permit $ (signed) Master Plumber. • STATE OF FLORIDA, ( u. 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 be did dgn the ante, and that all facts therein by him stated are true. My Commission Expires Notary Public), State of Florida NOTE: A re- inspection fee of $1.00 will be anode whet seek Be lmspaod= is mar aaonsery by improper notice for inspection, or faulty materials and /or worlomansbp. GLOf[Tf BATH TUBS aNOW[Ilf LAVA• T SINKS SLOP SIMKS LAUNDRY URINAL. •Tuff CATCH SATIN FLOOR DRAIN DRINKING FOUNT'NS 4y TOTAL F IKTURIf CONTR. LIST `\ V{� y ' 1 f OORIES ✓✓ CHICK ] � a[WER C ome. " • LIST COPECK 1 ' CONK. DRAIN FIELD aOAKAOE PIT ORCAU TRAP SOLAR HL ATER DI F WILL SPRKLR. aYETEM SWIM'G POOL � y� W n N Alt l:��n� �Oh l IC� ` -- N j \try — ii�! Permit No MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT 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 wor w �_ Owner's Name and Address ::: stered and/oraniineT s NIVTIO \N.\ 1-. 1 111 r Q)2: Na Q 1r , • "c1.'.. Location and Legal Description Lot. Blot& Su ���y�1a1_on Street and Number where work is to be performed —No M Street.. \....t _. 7 1 State work to be performe8 and purpose of building (By Floors) New Building Remodeling___ .._ - -__ Addition.. Repairs. No of Stories. Size Septic Tanti Feet of Drain Tile Nature of Water Supply: City —WeIL Type of Tank____—_ t)ht. Feet of Tank or Drain Field from Well Size of Soakage Pit. ( Signed) Plumbing Inspector. 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 5988, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractor 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, o n fo perf , under thb permit, as are licensed by Miami Shores Village. Amount of Permit $ (signed) Master Plumber. • STATE OF FLORIDA, ( u. 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 be did dgn the ante, and that all facts therein by him stated are true. My Commission Expires Notary Public), State of Florida NOTE: A re- inspection fee of $1.00 will be anode whet seek Be lmspaod= is mar aaonsery by improper notice for inspection, or faulty materials and /or worlomansbp.