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PL-07-42Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: December 31, 2008 Inspector: Levrock, James Owner: GARDNER, ROBERT Job Address: 465 NE 96 Street Miami Shores Village, FL Project: <NONE> Contractor: TECO PEOPLES GAS SYSTEM Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060170120 Phone: (305)957 -3857 Building Department Comments 0 E.- C Passed Inspector Com - is cc Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Tuesday, December 30, 2008 Page 1 of 1 Miami Shores Village FimEEV'M JAN 1 Y 2007 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Pub tic PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Electrical DOcS Permit No. P 4 -21g 1g Master Permit No. Plumbing Owner's Name (Fee Simple Titleholder) --� co �� R„ " Phone # 3 a 5 '7 Z 17 (� r Mechanical Roofing Owners Address City kir AI l State zip / C 2- Tenant/Lessee Name Phone # Job Address (where the work is being done City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name -el r, Contractor's Address Ci r. 1 Qualifier Name Phone # -7e) C 7 Zip 1� Phone# g..-7 17- State Certificate or Registration No ._ Certificate of Competency No. • Architect/Engineer's Name (if applicable) Value of Work For this Permit Typ' Des Phone # Square / L e q, c`Of:Work: %(,, a u1;x . ONew ''lace O Demolition **** ***** ** ** *** *** * * ** *** *** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** Submittal Fee $ Permit Fee $ /6 V CCF $ k ` 20 CO /CC Notary $ Training/Education Fee $ • 4C3 Technology Fee $ 4'. Scanning $ 3-- Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $10.60 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 day of 20 , by t it ► who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC ,•" "YP w LUIS MONTERO 4 44'41 "" Notary Public = State 01 Fiore 4 "' • =My Commission Expires Feb 2, 2010 Commission # DD 513850 Bonded By National Notary Assn. Sign: Print My Commission Tres: Co ctor The foregoing instrument was acknowledged before me this 't' day of 2Q7 , by V e Cell — who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission E 9 ********** *t*** *,r,k*** **** *,r*** * ** * ** ** aye ** • * ** ** * *** ** ** * *** * *** * *** *sir *** APPLICATION APPROVED BY: (Revised 02/08/06) /2 d 7 Plans Examiner Engineer Zoning NEW RISER X SET A BOLLARD AORE.CARACEJ 1 CONSRUCTION NOTES: N, R/W •••• •• 5' SIDEWALK •••• ••• • •• • • • • • • • •••41• TIE IN TO MAIN EXTENSI�)l!. • • • :01°41: C �i • •••• ••■b • ••• On • • • NE 96 STREET • • • • • ��;� • • • • • •••• • • • • • •• • ••• • • • •• •• 1. ALL GAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES GAS STANDARDS. 2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE APPRORIATE GOVERNMENTAL AGENCY, 3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO RE RESTORED TO PRIOR CONDITION, UNLESS OTHERWISE SPECIFIED. S.R/W 48 HOURS BEFORE DIGGING CALL SUNSHINE 1 -800- 432 -4770 A TLA S M 14 SCALE: NTS DATE: 12/04/06 DRAWN BY: LM NEW 3/4" PLASTIC GAS SERVICE 445 NE 96 STREET. MIAMI SHORES SHEET: 1/1 JO: 311 4;1 4 -fit w74 :'s 7 • _ . °-\\��6� NOTES CONSTRUCTION 1. LOCATE AND PROTECT ALL UTILITIES IN AREA OF CONSTRUCTION. SUNSHINE # 1 -800- 432 -4770 2. RESTORE ALL AREAS TO PRIOR CONDITIONS 3. ALL CONSTRUCTION TO FOLLOW JURISDICTIONAL GOVERNMENT AND TPG STANDARDS. PER COFTL 4. NO FM 5. NO WM, AIR PROFILES. 6. NO DRAINAGE. NO APPLICATIONS SUBMITTED FOR: 6. DEWATERING ( ABOVE W TABLE). 7. TRAFFIC STRIPS OR LOOPS. LEGEND R/W RIGHT OF WAY P/L PROPERTY LINE T/T TAPPING TEE EFV EXCESS FLOW VALVE ••SVC SERVIc „ LINE %• STE(l„,I;tASTIC• C0AT •PE POLY•ETHVLEN: •••• • • • • •• • • • • • MAX • • •••• • IS • •• •• • • • • • • • • ••• • •• • GAS MAIN • SOD RESTORATION DETAIL SCALE NOT TO SCALE 15 12 9 6 ME 5TH STREET z [311_ OCK 53 CONTINUED AT STATION 00+ 033 SHEET 2 OF 2 r ALLEY WAY ce PROP 2° PE BORE 16° WATER MAIN CROSS SECTION SCALE NOT TO SCALE 18° MINIMUM 11.-_OCK 53 NE 95TH STREEr 27' I! 5' PROPOSED 2' PLASTIC GAS MAI O IMMO =M Oc K 5`` it ALLEY WAY 5' 7' [ 3 BORE UNDER STREET PROPOSED 2" PLASTIC GAS MAI 11E IN TO EXIS11NG 6" PLASTIC GAS MAIN :LOCK 52 z L OCK54 R.MCMEWM ig JAN 1:1 2007 B Y: eCfi - NE 95TH STREET EXISTING 6' PLASTIC GAS MAIN o LOCK 005 • • • • • •• • • •••• • • •••• • .- •• •• •••••• • • • • • • • • • • •• • + 02 •••• • • •••• • • • • • • • • • • • • (So• -1.i 01 • • •••• • • •••• .••• • • • •• 00 + 00 • • •• •• •• ••• • • • •• ••• • • ••- -••• • • PEOPLES GAS k;',•(..") • 5 NE NTH STREET I SHORES, FL PROPOSED P.E. G: S LINES & 3/4 PE GAS SERVICE NOTES CONSTRUCTION 1. LOCATE AND PROTECT ALL UTILITIES IN AREA OF CONSTRUCTION. SUNSHINE # 1- 800 - 432 -4770 2. RESTORE ALL AREAS TO PRIOR CONDITIONS 3. ALL CONSTRUCTION TO FOLLOW JURISDICTIONAL GOVERNMENT AND TPG STANDARDS. PER COFTL 4. NO FM 5. NO WM, AIR PROFILES. 6. NO DRAINAGE. NO APPLICATIONS SUBMITTED FOR: 6. DEWATERING ( ABOVE W TABLE). 7. TRAFFIC STRIPS OR LOOPS. LEGEND R/W RIGHT OF WAY P/L PROPERTY LINE T/T TAPPING TEE EFV EXCESS FLOW VALVE SVC SER��C�� LINE •• A $P STE LASTI C0 T •„'E POLYETHELENE •.•• • 3> vu••• • • SOD RESTORATION DETAIL SCALE NOT TO SCALE NE 5TH AVE NE 95TH STREET 15 Z II 00 + 03 00 + 02 .I 00 +01 00 +00 BLOCK 86 ALLEY WAY PA TA - -- - -N P%L LOT 17/18 BLOCK 86 ; Qy 91— CROSS SECTION SCALE NOT TO SCALE if/ ROPOSED M / DRIVE WAY/TURNAROUND / LOT 16 / BLOCK 86 ao + 04 — - - — - - — :I n.� w ROPOSED /4" PLAS11C GAS SERVICE 5 NE 96TH STREET LOT 19/20 BLOCK 86 DRIVE WAY/TURNAROUND 00 + 03 •••• • • • • •••• • • • •• • • • • • • •••• • • • • •••• • • • BORE UNDER STI • • • • B 6' 7' rSIDE WALK LOCK 99.• • • • • • •• • SANITARY SEWER I PROPOSED 2" PLASTIC GAS MAIN BORE UNDER STREET N J t • • •••• ••• • • • •• rGRASS DIVIDER 3 NE 95TH STREET ■► S SNP • - -- --- --- - -�- -- ---- BLOCK 53 FROM STATION 00+ 03 SHEET 1 OF 2 r-- BLOCK 5 PROPOSED 2" PLASTIC GAS MAIN _ L •• •• • •• • •• •• •• •• •• • • • • • • • • • ••• • ••• • • PEOPLES GA8 TECO / PEOPLES GAS - N. MIAMI OPERATIONS 445 NE 96TH STREET MIAMI SHORES, FL PROPOSED 2° P.E. GAS LINES & 314" PE GAS SERVICE CBH 1 SCALE: 1" = 50' I DATE: 10/10/06 I SHEET 2 of 2 •• • •• ••• • • • ••• • ••• •