PL-13-2778Phone: (305)795-2204 Fax: (305)756-8972
I
Inspection Number INSP-210098 Permit Number PL -12-13-2778
Scheduled Inspection Date: May 20, 2014 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: JULIANA MIRANDA, PAUL ADAM Work Classification: Gas
Job Address: 500 NE 97 Street
Miami Shores, FL 33138 -
Project <NONE>
Contractor. GARCA GROUP LLC
Phone Number
Parcel Number 1132060171540
Itswiving uepartment comments
REPLACE AND EXTEND GAS CONNECTIONS Infracdo Passed comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-204358. CANCELLED VIA -
VOICE MESSAGE JESSY GONZALEZ 305-424-8642
Failed
Correction ❑ � mss
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled undl
re -inspection fee is paid.
r � •
�L l?__ [ 3 r Z?4U
GARCA GROUP, LLC.®
GAS PLUMEING
TFICHNOL®G1E-5
(-4A7-LV_Al_ GRAS SCILLA -MO"
P.O. BOX 651466, MIAMI, FLORIDA 33265
DIRECT305-303=4733 -FAX 305-402-38M - E-MAIL gasptech0aol.cotn
ADDRESS 50 b 01-f'"54. l",l(lYY1 r S)rn(e S rL 7A )38
PERMIT NUMBER�L X31
THIS SYSTEM HAS BEEN MANOMETER TESTED FOR 15 MINUTES.
START 9 INCHES W.C.
FINISH 8 INCHES W.C.
INSTALLER -\Z) _jr : J S
DATE O G
This installation will meet
all Florida Statutes 527.06
LP Division rule 48-1.01
The south Florida Bldg. code
NFPA 54, NFPA 58, and regulations
of The state Fire Marshall
QUALIFIER
Name '[ Uywe-t-' ywo NumbeZ 3 3r g
FLAWA M. fJW NM
r° 's Notary Pubiic - Slade o1 rAft
• �: My Comm. Exph a S, 01l
Commission # f Oi
• ar��oa T',roUah National No
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
c=Tr� - A
Gc% 10 1013 g .
a, Yo
---- i -T -------
FBC 20P
Permit No. k 6 3% 3� Z 2
Master Permit No. FL1 5 —2-7 Z
JOB ADDRESS: 5,00 jr 2 7 e4 Sir
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone: Oil®
OWNER: Name (Fee Simple Titleholder): PAUL A&O ') Phone#: (3Or-) 323 -170
Address: S iW All,_� v4 f T
City: R.W6/ State: 33 'Sef
Tenant/Lessee Name: Phone#:
Email: f
CONTRACTOR: Company Name: (:Q" t ►tet• -C, Phone#: 309 -124^ &47
Address: GI gzo sU 371M
City: "I .I State: FL Zip: 33.65
Qualifier Name: v 160 Phone#:c � X03 7A�3
State Certification or Registration #: L.AQQZV643 Certificate of Competency #: LQ%0Z3 3G• e
Contact Phone#: aD, 3p3�=4 ;'3 3 Email Address: � ,Lil!1481 A, - 56
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $_2-, Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace
of Work:
Submittal Fee $ Permit Fee $ 22�� CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
ODemolition
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 co mencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. n the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent a \\ Contractor
The foregoing instrument was acknowledged before me this
day of If -C , 201 by DAN .
who is personally known to me or who has produced O�L- I
As identification and who d' e an oath.
®� `gNelAfffk
NOTARY PUBLIC: >°`' 1, S 8/4,
Sign:
Print:
My Commission Expires:
A� 10612016
I➢v filial JA
commission #
1111111110
The foregoing instrument was acknowledged before me this
day of , 20 _; by
who is personally known to me or who has produced
as identification and who did take an oath.
APPROVED BY / k- /! iS Plans Examiner
Structural Review
(Revised3/I2/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
NOTARY PUBLIC:
Sign:
Print:
MY COMMISSION S EP4921=
EXPIRES: DOCmber 15,2014
v fl.NanevDl.mo�tA�e0.�
/2//S/2®/L(
Zoning
Clerk