PL-07-2518Inspection Date: 01/22/2008
Inspector: Levrock, James
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Owner: SCHNEIDER, PHILLIP
Job Address: 989 95 Street NE
Miami Shores Village, FL
Project: <NONE>
Block:
Contractor: TECO PEOPLES GAS SYSTEM
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Gas
Phone Number
Parcel Number 1132060143140
Lot:
Phone: (305)957 -3857
Building Department Commen
NEW NATURAL GAS SERVICE FROM GAS MAIN
LOCATED IN THE REAR OF PROPERTY# 989 NE 95 ST
Passed
7 • • mments
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Friday, January 18, 2008
Page 2of2
Auk DA rfirti, NIEOMEVI
Li, Nkhl-oo DEC 2 0 2007
Miami. Shores Village
Public Works Department
10050 N.E. 2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Public Works
Permit Application
FBC 2004
Permit Type: Public Works WATER r�� II j� � �'nl iUt�t�1-
Owners Name (Fee Simppl�epTitleholder) 1fJ I .J G
Owners Address U Q N e
City
Tenant/Lessee Name —'
BY: b
1
Perin* No.
gAniUir
Phone s:C3 6 S) /-11‘..7 7/3!
3
State T �°
Job Address (where the work is being dime) t) .
c75 '
Phone e:
zip 33/f,
Ciy Miami Shores Village County Miami Dade
Is Building Historically Designated: YES NO
Contractors Company Name 1 P c G –5 Pion it: / 70 /7 Q 3
Zip � 3Y
Contractors Address J5-777 iv 19‘x/E--
city v- AI" fe cGJ State -- Lp J 3� / w✓ Z
Ardrftect/Engkieera Name (if appiit able)
$ Value of Work For this Penrdt
Submittal Feet;
Din
Phone #:
tarpei Cir Work J f
PUB( l c WDS
❑Repair/Replace 0 Demolifton
i ■1ds4 %'.'►l�lC +�' EJI!i)fL��o21SiE,ZII��[
Ne�'Ss�
Fees
Ferndt Fee $ /00 �"" -��— of $
Notary ". I�� TraintnglEducation Fee $ O.0,0.
Scanning $ 3.00
Code Enforcement $
Total Fee Now Due $
(Continued on opposite site)
[0(0'30
Radon $
Structural Plan Review $
Q'I2O
Technology Fee $
CO=
Zonhtg Hand
DEC 2 8 2007
MIAMI 33b
SHORES VILLAGE
Bonding Company's Name (if applicable)
Bonding Ccrinpany's Address
City State
N/A
Mortgage Lender's Name (if applicable)
Mortgage Lenders Address
City State
N/A
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, WENS, 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 b this issuance of a Pubfrc Works permit witih'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 b attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site forthe first
inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspadfan wtil not be
approved a reinspecton fee will be charged.
Signature
Owner or Agent
The foregoing Instrument was acknowledged before me this
day of L
Signature
c)9-4v)
((���'1`. II ( / The foregoing Instrument was acknowledged before me this -3
2051, by a fry riL v Ched h' _ day . C , 2Q21_, by $ 0 l�
NOTARY • BUC
Sign:
Print:
or who has produced \ Who is personally know to
as identification and who did take an oath.
%se>
My Commission Ehi
.tea _ �®
P •o, LUIS MONTERO
` l cr Notary Public - State of Florida
Commission Expires Feb 2, 2010
4 Commission # DD 513850
Bonded By National Notary Assn.
n
APPLICATION APPROVED BY:
11/17/2005
or has produced
as identification and who did take an oath.
Sign:
Print
Y PUBLIC:
LUIS MONTERO
Notary Public - State of Florida
My Commission
ayP,,, LUISkIQM 513850
p
• MVly Commission
Commission # DD 513850
,,,,,,••` Bonded By National Notary Assn.
as Works Director or
his designee.
9tAth ar i♦ Fo
OD a. ADer
20' ALLEY
R/W
E.O.P
N, R /W;
F,_0 ' 9
SP GAS MAIN .;
:NEW 3'4" PL .
N
D
S
C
A
.P
L E
CONSRUCTION NOTES:
S..R /W ..
LP TANK
NEW
RISER
(989)
NE 95TH STREET'
1. ALL GAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES GAS STANDARDS.
2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE
APPROR /ATE GOVERNMENTAL AGENCY.
3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR
CONDITION, UNLESS OTHERWISE SPECIFIED.
01
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CALL SU SHIT
^J�!D CD,irsrTY' RULES AND REGULATIONS
ATLAS
M 13
SCALE:
NTS
T/ C
F' EC) L_ AS..
DADE:
12/7/0 7
NEW 3/4" PLASTIC GAS SERVICE
DRALM WN BY. 989 NE 95TH STREET. MIAMI SHORES, F
SHEET ::.
1/1.
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