PL-06-319Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 05/10/2006
Inspector: Levrack, James
Owner: WALKER, J NEAL
Job Address: 1273 95 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Block:
Contractor: TECO PEOPLES GAS SYSTEM
Permit Type: Plumbing - Residential
Inspection Type: ROW
Work Classification: Gas
Phone Number (305)758 -2026
Parcel Number 1132060144010
Lot:
Phone: (305)957 -3857
Building Department Comments
Tuesday, May 9, 2006
Page 2 of 2
Passed
Inspector
, mments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Tuesday, May 9, 2006
Page 2 of 2
Miami Shores Village
w / 4 [ 2 R 1 C - 0(a i l-� .
I (1 ��� Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305)795.2204 Fax: (305) 756.8972
ReCEINED
FS 0 7 2000
BUILDING Permit No. `:_
PERMIT APPLICATION Master Permit No.
FBC 2001 Pull NC. 14,10e k-S--
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
pp
Owner's Name (Fee Simple Titleholder) Y �V t� WI G u fr"L Phone # '3' 7 -2° 26
Owner's Address , Q 27
��° 3 /Uf ��
City � .2 AUk State ---
Tenant/Lessee Name
Zip
Phone #
Job Address (where the work is being done) ID 73 A-
City Miami Shores Villa ' e
Is Building Historically Designated YES •
Contractor's Company Name
County Miami-Dade Zip
V
CA Phone # 2C) 1733
Contractor's Address 7 7 ti."' 3 /
City A /An/ to • > State
Qualifier c�- e S U . / ' cyis�
State Certificate or Registration No. Certificate of Competency No.
Zip 3/ -z_____
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Type of Work:
Describe Work:
/%(o
k2o
Phone #
❑Addition ❑Alteration ❑New
Square Footage Of Work:
❑ Repair/Replace
❑ Demolition
6 L1h e`' 1-
Submittal Fee $
* * * * * * * * * * * * * * * * **
Permit Fee $
Notary $ Training/Education Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $
260
CCF $ (0 • CO /CC.
CD • 2—C) Technology Fee $ (io
Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite 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
0 er or Agent L
The foregoing instrument was acknowledged before me thisZ-
Ad
day of
20a,,by > °
Signature
3c7),)-f3
The foregoing instrument was acknowledged before me this
" ay of - T,riv, 20a4,by Sot' U ,
who is personally known to me or
as produced -wiro is personally known me or who has produced
NOT
Sign:
Print:
My Commission Expires:
LUIS • 8 and
lotary P;,'b c - State of Florida
1wv 'mien Espies Jen 27, 2008
.mmis=aian S D9084905
o did take an oath.
as identification and who did take an oath.
NOTARY PUBLIC
Sign:
Print:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
chc 05/13/03
LUIS MONTERO
Notary - State of Florida
********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Zoning
N.
t
NE 12TH AVENUE
R/W
E.O.P
TIE IN TO
GAS MAIN
ALLEY 2" CS GAS MAIN.
NEW 3/499 PLASTIC
CONSRUCTION NOTES:
PROPOSED RISER
S.R /W
(12 73)
NE 95 STREET
1. ALL CAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES CAS STANDARDS.
2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE
APPRORIATE GOVERNMENTAL AGENCY.
3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR
CONDITION, UNLESS OTHERWISE SPECIFIED.
,Z,D6-31 �l
48 HOURS BEFORE DIGGING
CALL SUNSHINE 1- 800 - 432 -4770
SCALE:
NTS
DATE
2/•2/0 6
DRAWN BY:
LM
NEW 3/4" PLASTIC
1273 NE 95 STREET. MIAMI SHORES,
SHEET:
1/1
L' 12606