PL-06-1677Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Permit Status: APPROVED
Issue Date: 6/22/2006 Expires: 12/19/2006 Permit Number: PL -6-06 -1677
Owner's Name: GLENWOOD AND JEANNE EKLUND hone: (305)758 -909§
Permit Type: Plumbing - Residential
Work Classification: Gas
Job Address: 1460 102 Street NE
Miami Shores Village, FL 33138-
Contractor(s) Phone Primary Contractor
TECO PEOPLES GAS SYSTEM (305)957 -3857 Yes
Comments:
NEW NATURAL GAS SERVICE FROM GAS MAIN LOCATED ON THE SOUTH R/W
OF NE 102 ST
Additional Information
Type of Work Type of Piping
Additional—Info Bond_Retum_
Classification
In consideration of the issuance to me of this permit, I agree to perform the work
covered hereunder 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
I 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 Signature
Parcel #: 1132050240250
Block: Lot:
Section: PB:
Total Square Feet:
E
Total Valuation: $ 600.00
Press Test
ROW
Final
Invoice Number Amt Due Amt Paid
PL -6 -06 -25308 $167.80
Total:
IJUN 2 7 PAID
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.
It
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Nov 0 6 2006
Job Address: 1460102 Street NE
Miami Shores Village, FL 33138- Phone Number (305)75&9095
Parcel Number 1132050240250
Project: <NONE>
Block: Lot:
Contractor: TECO PEOPLES GAS SYSTEM Phone: (305)957 -3857
Building Department Cemmentc
Thursday, November 2, 2006 Page 2 of 2
Inspector Comments
Passed
Failed E:1_9
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Thursday, November 2, 2006 Page 2 of 2
BUILDING
PERMIT A
%'BC 2001
Permit Type (cir
Owner's Name (Fee
Owner's Address
City S
Tenant/Lessee Name
Job Address (where the
City Miami S
Is Building Historically
Contractor's Company
Contractor's Address _
City.
Qualifier
I
I,
Miami Shores Village4
]Building Department
JUN 21 zoos
100$0 X .2nd Avenue, Miatni Shores, Florida 33138 I is A�
Tel: (305) 795.2204 Faa : (30S) 756.8972
Permit No. pL 06 —1 6
CATION Master Permit No.
Building Electrical
Title�tolder & N
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State l — -~
is being done) ,
), q 60 N -e
abing Mechanical Roofmg
UPh a 305 75 170 ?�
Zip
Phone #
s
res Village County Miami Dade Zip
lesignated IYES NO
I i
erne Q Phone # 3
a
State1i-- Zip % 7i
S—� \1(26A:A&
I
State Certificate or Regis 'on No. � � (� Certificate of Competency
Architect/Enginoees Name (if applicable). Phone E' Phone #
dhwI
l 6 quareAW"i'd W-i
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s y<
,! .'
toy's e�pewkAd 'on Alteration [dam ! epa eplace
�eRA�ct:^ �t M �
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.
Submittal Fee $
Notary $
Scanning $_
Code Enforcement $�
Total Fee Now Due $
{Continued on opposite ;
1111 OAF
�G C'
Demolition,
Permit Fee $_ CCF $ " �J� CO /CC.
'raining/Education Fee $ CD - Technology Fee $ ��
_ Radon $ ,Zonin Bond $
Structural Plan Review. $
le)
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 c&6ctor
The foregoing instrument was acknowledged before me this l�
day of `� 2WZ6, by` y4P -N42 rz IV n)
is personally known to
NOTARY
Sign:
Print:
My Commission Expires:
has produced
Notary► Pubf c - SM of Florida
f COmmLg M EXON ft $ 20
The foregoing instrument was acknowledged before me this
day of . 2WK , by Je S 1,'
Cho personally known to mm who has produced
as identification ap4jwbp id IiAt o
NOTARY P ,�.�, $,,, LUIS Moto RQ
NO" Pubk . Statb of FW&
Sign: ' • CommMW DO* Feb 2.2016
Print: r'•:o a�°: o n 9 100 513M
Bonded H Nitfonai No Assn.
My Commission Expires:
APPLICATION APPROVED BY:
PIans Examiner
Engineer
chc 05/13/03 '
Zoning
1
Miami Shores Village
Public Works Department
10050 N.E. 2nd Avenue, Miami Shores, Florida 33138
Tel: (305 ) 7952204 Fax: (305) 756.8972
Public Works P km
Permit Application
FBC 2W4
PemW T"w Padmft WATER
Owner s Name (Fee / �)) �9 &rU Phate NI*
Owner's
Cft 1� NIA ate_ Fl
Tetnad/LesseeNeme /v A Phone#
�, 33 X38
.bh Address (whm #0 work is burrs date) c as C yt
City Miami Shores VE298 Cotmty Mom a -OP
Is b9ft Mft*:* „RtEd No X
comer s Compaty Nerve
Carbatdofs Address AtS
Cft
Phones: °005 J qjo 1
suft R MP 33161.
mss:
Lind FOOMW Or Work:
❑ ROP9&fflePWw 13 Dmaww
Gera 1 nrl hm 5i� f/ w
S1 Fee $ P Fea $ CCF S
on" $ _ — T Fee $ TeehnoWW► Fee
Seatuting S ___.
Code Emit S
Toil Fee Now ate $
(Continued on opposite awe)
Rattan $ Band S
Stns Plan Retrma►S
Bonding Company's Name (if applicable)
Bonding ComWWS Address
WA
CRY a state 751)
Mortgage Lender's Name Cd applicable) WA
Mortgage Lenders Address
city State zip
Application is hereby made to obtain a pemtfi to do the work and installations as indicated. l caadiry 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. l understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, FOOLS,
FURNACES, BOILERS, BEATERS, TANKS and AIR CONDITIONERS, ETC ....
OWINEWS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
kras regulating cornsWcdion 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 Apphcent: As a condition to this immince of a PubW Works permit with an estimated value exc $2500 the appfcant rmust
pronise in good fafib OW a copy of the notice of cxm mencenwd and construction ken law irnx*we wX be defnAered to the person whose
property is subject to altecmtnent Also, a certMect copy of the recorded neew ofcommencement nud be posted at ftjob sift for the Srsf
Inspection which errs seven (7) days after the iwrldfng permit is issued M the absence of such posted notice, the inspection wifl not be
approved and a tWnspection flee wfp be charged
Signature
Owner or Agent
Signature
Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was admowledged before me this
day of 20_, by day of .20-_, by
who is personally known to me or who has produced Who is personalty know to me or has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print
My Commission Expires:
11117/20(}5
Sign:
Print:
as klentilication and who did take an oath
NOTARY PUBLIC.
My Commission Expires:
*,OA^
6ric46 _
Public Works Director or
his designee.
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SWALE CRASS
NE 102ND STREET -�,
CV
SWALE CRASS
- - -S-.R-1- 7 - - - - -
NEW 3/4" PL
I44
(1460)
- NEW
RISER
CONSRUCTION NOTES:
f. ALL GAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES GAS STANDARDS.
2. TRAFFIC CONTROL SHOULD DE MAINTAINED AND COORDINATED WITH THE
APPRORIATE GOVERNdlENTAl AGENCY 48 HOURS BEFORE DIGGING
3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR CALL SUNSHINE 1- 800 - 432 -4770
CONDITION, UNLESS OTHERWISE SPECIFIED.
ATLASm DAT M 1 1
M 1 1 �E
SCALE: PEOPLE AS SHEET:
NTS NEW 3/4" PLASTIC 1
RLM BY: 1460 NE 102ND STREE. M SHORES, FL �o: 1461.1
LM