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PL-14-2261 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-241307 Permit Number: PL-10-14-2261 Scheduled Inspection Date: August 25,2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: KURLANDSKI, GUY&SELIN Work Classification: Gas Job Address:9301 N BAYSHORE Drive Miami Shores, FL Phone Number Parcel Number 1132050270560 Project: <NONE> Contractor: LEYVA PLUMBING SERVICES INC. Phone: (772)871-5893 Building Department Comments GAS WATER HEATER AND RANGE INSTALLATION Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-241197. PROVIDE DROP TEST :2/ FOR FINAL PROVI E ACCESSIBLE SHUT OFF FOR STOVE Failed ,Z Correction ❑ r/f Needed . Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 24,2015 For Inspections please call: (305)762-4949 Page 18 of 33 rrrlt No. P -'f 0-'14-226'I Miami Shores Village - Permit Type Pi ng-Reside0f JO - , „ 10050 N.E.2nd Avenue N WOrltCloSstt<dx lnr7 - Miami Shores, FL 33138-0000 :, Phone: (305)795 2204 ' Peririt jus" D FLORIDA a ; 131t Expiration: 0113012016 Project Address Parcel Number Applicant 9301 N BAYSHORE Drive _ 1132050270560 �-��- I Miami Shores, FL Block: Lot: GUY&SELIN KURLANDSKI Owner Information Address Phone Cell GUY&SELIN KURLANDSKI 9301 N BAYSHORE Drive s MIAMI SHORES FL 33138- 15811 COLLINS Avenue SUNNY ISLES FL 33160- Contractor(s) Phone Cell Phone $ 3,000.00 Valuation: LEYVA PLUMBING SERVICES INC. (772)871-5893 (772)672-3673 Total Sq Feet: 0 i Type of Work:GAS WATER HEATER AND RANGE INSTALLA Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Return: Final Classification:Residential Scanning:3 Underground Review Plumbing Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# PL-10-14-53278 DBPR Fee $2.25 08/03/2015 Credit Card $ 168.30 $0.00 DCA Fee $2.25 Education Surcharge $0.60 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $168.30 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. 1 OWNERS AFFIDAVI t'ce ify hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin Fut r ore, I authoriz he above-named contractor to do the work stated. -- '' - August 03, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 03, 2015 1 .. y PRESTIGE GAS SERVICES CORP. 1511 SW 71 CT MIAMI FL 33144 PHONE: 305-300-0608 FAX: 305-356-4332 DATE AUGUST 17, 2015 TO: WHOM IT MAY CONCERN IN THE CITY OF MIAMI SHORES PLUMBING DEPARTMENT. THIS LETTER IS TO CERTIFY THAT PRESTIGE GAS SERVICES CORP HAS PERFORMED A DROP TEST AT THE FOLLOWING SITE AND TESTED ALL THE APPLIANCE CONNECTIONS. THE GAS L NE HAS BEEN CHECKED To THE STANDARDS OF THE 2010 FLORIDA BuEDING CODE AND PROPERLY TESTED TO MEET THE STANDARDS OF NFPA 54. THE WORK WAS PERFORMED FOR M2 DEVELOPMENT GROUP AT 9301 N BAY SHORE DR, MIAs SHoREs, FL 33138 TEST PRESSURE: 8.0 LocK up PRESSURE: 14.2 OPERATING PRESSURE: 14.0 TEST TDm 30 MINUTES STATE LICENSE No: LPG 32634 TYPE AND CLASS: 0803 IF YOU SHOULD HAVE ANY QUESTIONS REGARDING THE MATTER PLEASE DO NOT HESITATE To CALL us. SINCERELY, j =o'pA YESENIA A UILAR r [ MY COMMI 10 #FF051322 LAZARO �AZ 9E �EXP14ita`( ptember 4,2017 or v .; CEO 37i 392-0153 Florid allotaryService.com PRESTIGE GAS SERVICE CORP. 01� Miami Shores Village r�r� -cFED Buildin De artment ocr 2014 g p � g M 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2016 BUILDING Master Permit No. RC 14 - 689 PERMIT APPLICATION Sub Permit No. FW j-- 2?-L.=, ❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑■ PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9301 N BAYSHORE DR City: Miami Shores County: Miami Dade Zip:33138 1132050270560 X Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder):GUY KURLANDSKI Phone#:305.297.0803 Address:9301 N BAYSHORE DR City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: GUYKURLANDSKI@HOTMAIL.COM CONTRACTOR:Company Name: LEYVA PLUMBING SERVICES Phone#: 786.263.1941 Address: 1502 SW MERIDIAN AVE City: PORT ST LUCIE State: FL Zip: 34953 Qualifier Name: ABNER LEYVA Phone#: State Certification or Registration#: CFC 1425666 Certificate of competency#: DESIGNER:Architect/Engineer: MARK CAMPBELL Phone#: 305.528.3037 Address: 373 NE 92 ST City: MIAMI SHORE;State: FL Zip: 33138 Value of Work for this Permit:$ �, �a Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: GAS WATER HEATER AND RANGE INSTALLATION Specify color of color thru tile: Submittal Fee$ Permit Fee$ SU• ;2y CCF$ �')b CO/CC$ Scanning Fee$ Radon Fee$ c7-a�' DBPR$ oZ, 'aG Notary$ _ Technology Fee$ 2 �_Training/Education Fee$ U (40O Double Fee$ Structural Reviews$ ( Bond$ALJ TOTAL FEE NOW DUE$ (Revised02/24/2014) 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS, HEATERS,TANKS,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. � o Signature —JAa WNER or AGENT CONTRACTOR a o '- v ff��Feg ng instrument was acknowledged before me this The fore/g[oing inTument w a�nkno�wI dged before me this c N day of `-C- �P�� 20 by 7 day of Ci ! 20 ! -/ by awy Li �sS r t who is personally known to Lc–'/Y4 who is pn II known to m#or wh has produced as me or who has produced s Z � kdeptifica n and who did take an oath. identification and wh id t e an o ro, BLIC: NOTARY PUBLIC: E� Sign. 6Sign: * AI Min - a Print: Print: .e 1 iia-off; M Seal: Seal: / :GB LIG . .•�p OFFLORA `,''/11111111111\\\\\ ############################################################################################################ APPROVED BY �lcrL3'-/`Dr Plans Examiner Zoning I Structural Review Clerk (Revised02/24/2014) � S Pres bye RIGH Tankless Water Heaters ' l The new degree of comfort.- Rheem Prestige T" RTGH is a series of high efficiency condensing tankless gas water heaters designed for continuous hot water Efficiency High Altitude Compliant Plus... 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