PL-06-1091Issue Date: 4/2812006
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Owner's Name: GEORGE AND KAREN GODFREY
Permit Type: Plumbing - Residential
Work Classification: Gas
Job Address: 1481 102 Street NE
Miami Shores Village, FL 33138-
10/14/2006
Contractor(s) Phone Primary Contractor
LASSETER PLUMBING CO INC 305 - 893 -7180 Yes
Comments:
CONNET NEW EMERGENCY GENERATOR TO NATURAL GAS LINE
Additional Information
Type of Work: GAS FOR GENERATOR Type of Piping:
Additional Info: Bond Return:
Classification: Residential
to me of this permit, I agree to
coverea nereunaer in compliance with all ordinances and regulations pertaining
thereto and in strict conformity with the plans, drawings, statements or specifications
submitted to the proper authorities of Miami Shores Village. In accepting this permit
assume responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work
stated.
Fees Due
Amount
CCF
$0.60
Education Surcharge
$0.20
Permit Fee - Additions /Alterations
$160.00
Scanning Fee
$3.00
Technology Fee
$4.00
Total:
$167.80
Building Department File Copy
Applicant _
Permit Status: APPROVED
Permit Number: PL -4-06 -1091
Parcel #: 1132050240130
Block: Lot.
Section: PB:
Total Square Feet 0
Total Valuation: $ 350.00
Press Test
ROW
Final
Invoice Number Amt Due Amt Paid
PL -4-06 -24651 $167.80
Total:
CPS
faro 2 pplo
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
Miami Shores Village
- � Building Department
10050 RE.2nd Avenue, Miami Shores, Florida 33138
Tel: ( �9h A' V 56.8972
O l �
BUILDING 2 2006 Permit No. i C
PERM IT APPLICATION BY-- Master Pe rmi t No. fl s
Z/ �P
FBC 2001
Permit Type (circle): Building Electric lPlumbing) Mechanical Roofing
Owner's Name (Fee Simple Titleholder) 640k(47 L}Aa�y Phone #
" .Owner's Address t / ��TZ 2� C &)L) l,zel t
City%2 "2 La/ YZLL , c�1 State
Tenant/Lessee Name
Zip ?-
Phone #
Job Address (where the work is being done) /T J
i
City Miami Shores Village County Miami -Dade Zip _3 /
Is Building Historically Designated YES NO
Contractor's Company Phone #
Contractor's Address /Gi"
Zip
3
City . �'9:C> "/i1v{, State .y�� Zi /
Qualifier 4l v1.
State Certificate or Registration No.
e -.1--c L V/li' 76 Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit Square Footage Of Work: _
Type of Work: ❑ /' ,Addition ❑AlterationTew ❑ Repair/Replace
Describe Work: ! �-? 2L'�'1x �'.�.'12��� �? me-u;x >a -.-,I € 4Z
El Demolition
Submittal Fee $ Permit Fee � CCF $ CO /CC
Notary $ _ Training/Education Fee $ Technology Fee $ C
Scanning &-> ` Radon $ Zonin2 Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $' C` }
(Continued on opposite side) 2 PAID
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
Zip
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 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 e , 20 Al by
•
who is personally known to me or who has produced who ispersonally knownA 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 E —
MY P CHRISTINA PORRAS
EXPIRES: May 30, 2009
pF.. Bonded Thru Notary Public underwriters
APPLICATION APPROVED BY:�2 xf 4 57 a Plans Examiner
Engineer
Zoning
Chc 05/13/03
ADDENDUM TO BUILDING PERMIT APPLICATIO14
(APT APPLICATION FOR BUILDIt'(; PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEr
OBTAINED, THE OVn4ER'S NOTARYZE:D SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING ELECTRICAL MECHANICAL
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGtTT OUTLETS
CEITIRAI. HEATING
DISHWA.%U
DISPO;AL
DRINKING FOUNTAIN
RECEPTACLES
SERVICE 1E6f'ORARY
SERVICE SIZE INN'S
A/C (WItU)
A/C (CENTRAL)
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CIWIGE
REFRIGERATION
GREASE TRAP
INTERCEPTOR
APPLIANCE OUTLETS
RANGE TOP
PROCESS AIU PRESS PIPING
UIUERGRUJO TANKS
_-
LAVATORY
OVEN
ABOVE GROUtU TAMPS
LAUtd)ERY TRAY
WATER BEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 IP
STEAM BOILERS
STIOWER
MOTORS OVER 1- 3 IP
HOT WATER BOILERS
SINK, POT /3 C06P.
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION
SINK, RESIDENCE
SINK, SLOP
_
MOTORS OVER 5- 8 Ir
MOTORS OVER 8- 10 IP
TRAIWORTIM ASSEWLIES
ELEVATORS/ESCALATORS
_
TEMPORARY WATER CLOSET
URINAL
MOTORS OVER 10- 25 HP
MOTORS OVER 25-100 HP
FIRE SPRINKLER SYSTEMS
COOLING TOWM
WATER CLOSET
RUIRECT WASTES
MOTORS OVER 100 I
A/C WINOOW
VIOLATIONl
REINSPECTION
WATER SIJITLY TO:
AIR COIUITIONERS
A/C UNIT
FIRE SPRINKLER
HEATER -NEW INST.
HEATER- REPLACE
LAWN SPRINKLER -WELL
STRIP HEATER
I GENERATORS TRANSFORMERS
GENERATORS TRANSFORMERS
GENERATORS TRANSFO jERS
SPECIAL PURPOSE
SWII+fdING POOL
OUTLETS COAMIAL
- -"
WATER SERVICE
SIGN TUBES
SEWER CO KCT I ONS
UTILITY -SEWER
SIGN TRANSFORMERS
SIGN TIME CLOCK
t
UTILITY -WATER
FIXTURES
SEPTIC TANK
ANTEIRIA
RELAY
DfWINFIELD, 4- TILE/RES.
TELEVISION OUTLETS
VIOLATION
`
{
EW S ABANDON SEPTIC TANK
RE INNPECT 1014
SOAKAGE PIT ' CU. FT.
CATCH BASIN
0ISDLMM WELL
V&STIC WELL
ViEA. MIN
DOF INLET
t
MAR WATER HEATER
IRE STANDPIPE
B
I
'OOL PIPING
.AWN SPRINKLER SYSTEM
AS RANGE
ZTER _SET GAS)
PIrN
04/2112006 08:22 9547398586 HD'I EXEC PAGE Ea r
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GODFREY RESIDENCE
1481 NE lag ST.
Inspection Date: 06108/2006 Permit Type: Plumbing - Residential
Inspector: Levrack, James Inspection Type: Press Test
Owner: GODFREY, GEORGE AND KAREN Work Classification: Gas
Job Address: 1481 102 Street NIE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor: _ _JASSETER PLUMBING CO INC
Buildina Zegartment Comments
Phone Number (305)586 -5092
Parcel Number 1132050240130
Block: Lot:
305 -893 -7180
Wednesday, June 7, 2006 Page 2 of 2
Insp r o ents
Passed
EY/
i
Failed E
orrection
Ne ed
--
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Wednesday, June 7, 2006 Page 2 of 2
J
Inspection Date: 06/21/2006 Permit Type: Plumbing - Residential
Inspector: Levrack, James Inspection Type: Final
Owner: GODFREY, GEORGE AND KAREN Work Classification: Gas
Job Address: 1481 102 Street NE
Miami Shores Village, FL 33138- Phone Number (305)586 -5092
Parcel Number 1132050240130
Project: <NONE>
Block: Lot:
Contractor: LASSETER PLUMBING CO INC Phone: 305 -893 -7180
Building Denartment Cnmmpntc
Tuesday, June 20, 2006 Page 1 of 2
s�
nspe to . nts
Passed Ei
Failed
E:I-
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid .
Tuesday, June 20, 2006 Page 1 of 2
Permit Receipt
Permit Number: PL -4 -06 -1091
Invoice Number: PL -4 -06 -24651
Applicant: GEORGE AND KAREN GODFREY
Company Name:
Date Payment Type CheckNum Amount
05/02/2006 Cash $167.80
Total Payment: $167.80
Tuesday, May 2, 2006 Page 1 of 1
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