PL-14-1053Fot
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Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-212895 Permit Number: PL -5-14-1053
Scheduled Inspection Date: November 24, 2014 Permit Type' Plumbing - Residential
Inspector: Diaz, Osvaldo
Owner: SEGAL, ILAN
Job Address: 500 NE 96 Street
Miami Shores, FL 33138
Project <NONE>
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number 1132060140700
Contractor: EMPIRE PLUMBING COMPANY Phone: (305)531-7017
comments
CONNECT K(S AND DIH WASHER REPLACE DRAIN FOR
BATH#4 INSTALL CWM AND LDY SINK REMODEL
BATH#2 ROUGH SET FIXTURES BATH#1 REPLACE TUB
AND INSTALL NEW LOW SINK FAUCET
INSPECTOR COMMENTS False
November 21, 2014 For Inspections please call: (305)762-4949 Page 6 of 44
Inspector Comments
Passed
Ef
Failed
ce�Z `t
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -Inspection fee is paid.
November 21, 2014 For Inspections please call: (305)762-4949 Page 6 of 44
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EMPIRE PLUMBING COMPANYCFC627516
GAS LINE PRESSURE TEST VERIFICATION FORM
- All newly installed or altered fuel gas supply lines are required to be tested in accordance with
the provisions of Section 406 of the 2007 Florida Gas Code. The test pressure shall be not less
than 1.5 times the proposed maximum working pressure, but not less than 3 psig, irrespective of
design pressure. When test pressure exceeds 125 psig, the test pressure shall not exceed a value that
produces a hoop stress in the piping, greater than 50 percent of the specified minimum yield strength
of the pipe. The test duration shall be not less than 10 minutes.
- Test shall be made after all piping installations have been completed.
Address: 500 NE 96 Street
Owner: Segal Residence
Testing Person:
Albert Elbaz//Guillermo Rodriguez
Testing Company: Empire Plumbing Company
Testing Company Address: 1754 Bay Road Miami Beach, FL 33139
Test Pressure:
DropTest: 7 ° WC
Duration Minutes:
Duration Minutes: 30 Min
Test Date:
Test Date: 10/27/2014
"My signature indicates that I am qualified to perform the required testing procedures and verify
that all fuel gas lines after the meter, have been tested in accordance with the requirements of the
2007 Florida Fuel Gas Code; and the testing requirements have been successfully completed;
and no perceptible drop in pressure was observed for the required specified time; and the lines
are free from leaks, to the best of my knowledge."
Albert Elbaz
Signature of Tester/Company Rep
�a Yajaira Soto
Oighature of Notary
10/27/2014
Date
10/27/2014
Date
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1754 BAY ROAD. • Wmi BEACH, FLORIDA 33139 • (305) 531-7017 • FAX: (305) 531-7513
DIRECT ALL E-MAIL: YSOTO -EMPIREPLUMBING.COM WEB SITE: www.EmPrRE-PLUMBING.COM