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PL-07-940
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 INSP -48491 Inspection Number: Inspection Date: 08/13/2007 Inspector: Levrock, James Owner: ARDEN, DENIS Job Address: 375 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Block: Contractor: TECO PEOPLES GAS SYSTEM Permit Number: PL -5 -07 -940 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Gas Phone Number (305)648 -0032 Parcel Number 1132060136120 Lot: Phone: (305)957 -3857 Building Department Comment NEW 3/4" PLASTIC GAS SERVICE FROM GAS MAIN LOCATED IN ALLEY AT REAR OF PROPERTY B 1 F1 Passed ns Vrminents Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Monday, August 13, 2007 Page 2 of 2 Miami Shores Village 051allak Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. 4D PERMIT APPLICATIO$' 0 8 116 Master Permit No FBC 2004 MAY 20Q BY: .. Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) Pe A/AN 11- K,v _ e' _ Phone # Owner's Address Si r ive 9't( $ fi 44 NAL S1A4 a j City /4 • Srn"0!12? State F-- Zip Tenant /Lessee Name E -MAIL: Job Address (where the work is being done) Phone # City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # 1 1.4 3246._ ©f 3 0f 2 c Is Building Historically Designated YES NO Contractor's Company Name r i v cti' Phone # Contractor's Address l 7 7 1' L'. D (1W City " V , (1/1. f-g.Qice-f State FL Zip f 0z_. Qualifier Name Phone # q 7cs .-f743 State Certificate or Registration No. Certificate of Competency No. eA' .- f �J E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ r 4)0 4o Phone # Square / Linear Footage Of Work: Type of Work: ['Addition ❑Alteration ❑New Describe Work: AJQ,u) 3 /(, f�V d (^ \ ...r ��. .� . r ✓ LI , ❑ Repair /Replace 4 ❑ Demolition ******** ** * * * *** * * * * * ** * **** * ** * * * * ** ** Fees************** * * * ** * * * *** * * * * * * * * * * *,* * * ** * ** Submittal Fee $ Permit Fee $ 16-O Notary $ Training /Education Fee $ O' --C.J Scanning $ ?BOO Radon $ DPBR $ CCF $ 0-C90 CO /CC Technology Fee $ 4 Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 1 0' 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 will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this 'Sp day of tlVL_. , 20U7, by Lkl/w - ITFCI '/�i who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC • Sign: Print: My Commission Expires: ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** APPLICATION APPROVED BY: (Revised 02/08/06) Signature C ntractor The foregoing instrument was acknowledged before me this 3 day of, e(Z t( , 20421, by —EQ who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: rn► ♦ - I I — 111.— — — • Sign: Print: ti LUIS MONTES° Nobly Mt • Me of Amide Commiplon Eeptnes Feb 2. 2Q10 Common • DD 513050 ,,, Pi‘ Bonded BY Nrponrl Afro rir rr � My Commission Expires: Plans Examiner Engineer Zoning ."k • • • • • • • • • • • • • • * • • • • • • • • • . • • • • IV • • • • • • • • • • • • '11 • • • lob MAY 0 8 2007 • • • • • - • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • . • • • • • • • • • • • . ''' • • • • • • • • • • • • • • • • • • • • • • • • OOOOO . • • • • • • • • • • • • • • • • • • • • • • • 20' .R/PV AT,R/w 2" BSE GAS MAIN 1 Net0 564)1 /22 ALLEY NE 10TH AVENUE .77 NE 94TH STREET • COIVSRUcriF NOTRS: ALL OAS VIPS:LINZ OONSTRHOTTON o rolzow TWOO P8OPLIIS OAS STANDARDS. TRAFFIC CONTROL sitar= n MAINTAINIFD AND COORDINATSD WITH TH8 APPRORIATX OOVINNMENTAL dczOor, 3, AIX DISTRUM ASPHAPT/OON4WITIVSOD AR2AS TQ 58 .45STORSD TO PRIOR Forairrom, Mass ortfawrsN SPAWNED. -1* % A T I •ArtAss • M4 . scALRi Nrs ' DRAWN BY: LM TECO 48 HOURS 8EFORE DIGGING' CAM, SUNSHINE 1-800—.432-4770 1Polt:=>IF2L—IE NEW 3/4" PLASTIC GAS SERVICE 375 NE 94TH STREET. MIAMI SHORES DATE: 4/30/07 SHEET: 18568 • • • • • • • '4 • • • • • • • • • • -"Nie • • • * • • • • 2 s- er'eczorsz-"c• - .1011,4a 521' 94'w 0141-0157 VC 4 m-owo -4 /1.0.$ 537- 21-511 44- /4 444 /6 a • 4c 7 4o8 13-4. 1;1"i. 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