PL-07-1376Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Date: 07/27/2007
Inspector: Levrock, James
Owner: MANGHAM, ALICIA
•
Job Address: 1065 94 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: SUNSHINE GAS SERVICE, INC.
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Block:
Phone Number
Parcel Number 1132050120100
Lot:
Phone: 954-389-1289
Building Department Comments
INSTALLATION OF A NEW WATER HEATER GAS LINE
40 GALLONS
juL 3 0 2?
i
, - c ' Comments
Passed
4
Failed
Correction
Needed
Re-Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re-inspection fee is paid
Thursday, July 26, 2007
Page 1 of 2
Miami Shores Village �,! MCgB�7�`�
Building Department �l JUL 0 2 2001
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.224 Fax: (305) 756.8972
d
B Y:
BUILDING �109 � —/57(40
Permit No.
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type: Plumbing
Owner's Name (Fee Simple Titleholder) `Gi5► ¢ /' //j �4,i/,gygr/4 Phone #
Owner's Address
City ///"Am l.
/06 r �t/ E- � y
3o r_
2s-Y- no/
State
f` •
Zip 3.3/36
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done) /0 Cr A/-6.-. ,� �¢ •
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address 5T? 7 / $ 14) 2, 44
Phone # Q,fV_ U(- 733r
City k) Pig+ -k State Zip ?3vZ 3
Qualifier Name 642 to s )24 6/6---e 0 Phone #
State Certificate or Registration No. Certificate of Competency No.
E -MAIL:
Architect /Engineer's Name (if applicable) Phone #
cw
Value of Work For this Permit $ t' /S-0 • Square / Linear Footage Of Work:
Type of Work: ['Addition ['Alteration ['New ❑ Repair /Replace ❑ Demolition
Describe Work: Q4 / :'®ik/ Nv.v,vc- y,yu q r{D 44 / /a i;s✓at lcrg
N%A fir // A ira/
***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees**********x xx* xxxxxxx * * **** * **** ** * * * * * ** * **
Submittal Fee $
Permit Fee $
17,
Notary $ Training /Education Fee $ • i
Scanning $_-00 Radon $
Bond $ Code Enforcement $
DPBR $
CC F $1 -2 CO /CC
Technology Fee $ 4.2,0
Zoning $
Double Fee $
Structural Review. $ Total Fee Now Due $ 11� . ..
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose properly is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the ,first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
� Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 , by day of , 20 _, by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Sign:
Print: Print:
My Commission Expires: My Commission Expires:
** ** * * * ** **** ** * * * * ** * * * ** *** * * ** *fix * ** ** * ***************************** * * ** * * ** * * * * ** *** * * ** * * * * ** ****
APPLICATION APPROVED BY:
(Revised 02/08/06)
- Plans Examiner
Engineer
Zoning
1-0-r /- LOA i40 Duo 6915
TontNL QL01 ; //'
F, . G T e) e • q (a) S c.1', e$ k e. L O IN's era_ i
PERMIT #: L -13-10, .
Miami hores Village
APPROVED BY
ONING DEPT
BLDG DEPT
OBJECT TO COM
STATE AND COUNTY R
DATE
H ALL FEDERAL
LES AND REGULATIONS
Valve. vat &
Sotto64:-4 140 00o "ru
r
e 1(oAAer fry
%O& S N �". 9`C. 5T:
SCALE: A' . S
DATE: (0„.../1,- 07
rre
*‘'5' "P6®Gi, MARLENE LILI COLLADO
z� Q MY COMMISSIOM # D10544876
90Ff�� EXPIRES: Apr. 25.20I0
(407) 398 -0153 Florida Notary Service.com
•
• •
• •
APPROVED fl%. • • • • •
A. 410
• • • ••
It:g313 Gb
. • • s •-
• • • ••
DRAWN BY
REVISED
Sunshine GEIS G• • . •
•
5885 SW 21 •
West 554.1881 7' -
• •
•
••
••
• •
••
•
•
•
• •
•
•••
• •
••
••
• •
•
DRAWING NUMBER
••• • • • • ••• • •
• • • • • • • r i Df/
• •• •• • • • •• ••
••• • • • ••• • •
er•
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Zip
Mortgage Lender's one (ifapplicable)
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 bas
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 juriscfiction. 1 tmderstand that a separate permit must be secured for FT P.CTRICAL WORK, PLUMBING, SKINS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC-- .
OWNER'S AFFIDAVIT: I certify that all the foregoing inframation is acanate 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: A s a comfit-Jan to the issuance of a building permit with an estimated value errAvding $2500, the applicant must
prorzis::., go-oz.-Val:a that a copy of the notice o f commencement and construction lien law &whine will be delivered to the person
:•7F t'.1 1737,:tehoreat .415o, a certified copy cf the recorded notice if comnre-ncenrem must- k ported at the job she
for 1h Pal inspection. whieh occurz S..'SIT.Y1 (7) drys af,ter the building Es issued r the (.4newe of such pasted notice, the
1477p.,:)11.? •P'tql3Cpt7.f.'-.,E7.e 1.4,4! Ne,"..."1:(.4WA,F..!
Signature
The foregoing instrument was aclatowl be
to 0,
day of L 7,4 bY
who is
, known to me z who has produced 2>
,4)(
,t-f! 6- et / t 0-947445 identification and who did take an oath.
NOT Y
C:
Sign:
Print
Signature
The for orn instrument was acimowl
20 fr2 by
11,
day of
who is
known to me or who has produced
as identification and who did take an oath.
ENE LILT COLLADO
EXPIRES; Apr. 25,2010
(Certificate of Competeney Holder)
State Certificate or Registration No. of Competency No.
****************************************** *4114t
APPLICATION APPROVED BY:
chc 10114103
****************************************
17
s Examiner
&gm' eer
Zoning
•
•
•
•
•
i )
soffloing 40101eF*LUC PIPE
InietPtassue
03 psi or 1ess
03 Judi WC
0:60
riaaind
10
14
0.493
1/s
0.622
34
010;14
MEUSE
1.049
1.380
1'/a
1.610
2
2067
2.469
3068
Vlasisuin ;,,..,.. 1a041TtiaiFestatees ltaar
32
132
278
90
1011
125
150
115
200
10
M
8
8
6
22
21
WEI
14
63
56
50
46
43
40
3$
34
28
26
130
105
520
72
59
55
3511
245
215
195
180
170
160
150
130
120
110
I00
1,050
730
590
500
440
40
320
.275
250
225
210
I
3.050
760
670
610
560
500
490
410
301
350
331
1,450
:1,270
1,150
. 930
710
650
° 610
2.700
2.300
2.000
1,890
1,700
1,00
1.400
1,221
1,130
1,050
980
4,700
4,100
3,250
3,0101
2.800
2,600
2,540
2100
2,010
1,850
1,M0
17,5110
12.000
9,700
8,300
7,400
SOO
5,400
3,100
4$00
4,100
3,500
For SI: 1 'Ina = 25.4,1 foal =304$ aim, 1 aliaiftxa par haw =0.0283 am3A+.1 pound par swamfad' =COOS ki ,-I o 02488kPa.
-fABLE)
SOIEDULE 40 iETN11C PIPE
03 ed or lei
0s inch WC
Oposidalbstay
100 12 27
121 11 24
156 10 22
175
9 20 37 77 145 300
200 8 19 35 72 135 MO 430 .
FwSE 1 kick = 25Amm,1 fora =304.8aasa,1 cable fool per hour =011283ta3841 Pound Per WARS) =6 kPa.1 -inn a6 ==0.24Si .
A