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PL-06-191 R � ,�. Inspection Worksheet RM Miami Shores Village L 10050 N.E.2nd Avenue Miami Shores, FL Riu�► Pho • (305)795-2204 Fax: (305)756-8972 a � > t si .......... ....... Inspection Date: 04/28/2006 Permit Type: Plumbing - Residential Inspector: Levrack,James Inspection Type: Final Owner: ACCORNERO, INES AND GLADYS Work Classification: Gas Job Address: 960 99 Street NE Miami Shores Village, FL 33138-2304 Phone Number (305)751-3368 Project: <NONE> Parcel Number 1132060143370 Block: Lot: Contractor: SUNGAS CORP. OF FLORIDA Phone: (305)635-8682 Building Department Comments G � Inspect r Co m is Passed s Failed Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid. Thursday,April 27,2006 Page 2 of 2 Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-0972 4fts0 ''� Permit Permit Status: APPROVED Issue Date: 3/1/2006 Expires: 01/24/2007 Permit Number: PL-1-06-191 Owner's Name: INES AND GLADYS ACCORNERO Phone:--Q05)751-3368 Permit Type: Plumbing -Residential Parcel#: 1132060143370 Work Classification: Gas Block: Lot: Job Address: 960 99 Street NE Section: PB: Miami Shores Village, FL 33138-2304 Contractor(s) Phone Primary Contractor Total Square Feet: 0 SUNGAS CORP. OF FLORIDA (305)635-8682 Yes Total Valuation: $ 2,000.00 Comments: Re uired Ins ections SET UP 2-120 GAL L.P TANKS AND RUN 35'OF POLY PIPE TO GENERATOR Press Test ROW Final Additional Information Type of Work:L.P.TANK Type of Piping: Additional Info: Bond Retum: Classification:Residential 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 Invoice Number Amt Due Amt Paid CCF $1.20 PL-3-06-23970 $189.10 Education Surcharge $0.40 Total: Permit Fee-Additions/Alterations $180.00 Scanning Fee $3.00 Technology Fee $4.50 Total: $189.10 Building Department File Copy 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. REG -001 07@306 .1,652 MUNI ri"141-17, (11AKE Applicant Signature a Miami Sho"res Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(3 5)795. 204 Fax• D 972 rR9 E0 BUILDING �� Permit No. � `G PERMIT APPLICATION Ma ter Permit No. FBC 2001 Permit Type(circle): Building Electrical Plumbing Mechanical Roofing Owner's Name(Fee Simple Titleholder) &Coa-AA910 Phone# 3C-S 9`Z/ -3 Owner's Address !?h 0 ff� CiV'A:�:State Zip 309 Tenant/Lessee Name Phone# '30�V-- OX Z--3.36e Job Address(where the work is being done) �&Q ��f7 City Miami Shores Village County Miami-Dade Zip 9,3139 Is Building Historically Designated YES NO w-"- Contractor's Contractor's Company Name SdVA,)%aS 5;�XtJ/G cz Phone# ®vim`'�3 V Contractor's Address 1�2 95-0 4/tJ Q V City ® State�� Zip '�F�� / ®� ��` Qualifier ,V V 1814,0 i,0,WYJ IVY A A Sungas Car ®�, Barry Blanchard Jordan 2950 N.W.Architect/Engineer's Name(if applicable) Phone ", 24 Street J#, 142 `e142 A $Value of Work For this Permit 2—®®® Square Footage Of Work: Type of Work: ❑Addition Alteration ❑Negw� ❑�Z' r/Replace ❑ Demolition D ribeWork: S� fP ®?—/o�C) t2�6° �'� ."4 Kx Submittal Fee$ Permit Fee$—/;z CCF$ I d Z.O Notary$ Training/Education Fee -40 Technology Fee$ 4 Scanning$3-00 Radon$ Bond$ Code Enforcement$ Structural Plan Review.$ Total Fee Now Due$ � ' 10 1 (Continued on opposite side) � Y 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 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. 14� Signature Signature iin:. Owner or Agent C tractor The foregoing instrument was acknowledged before me this The foregoing in ent w acknowledged before me this day of ,20_,by day o�� ,200,/o who is personally known to me or who has produced is personally mowne� has produced As identification and who did take an oath. - ca ion and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC• ;°: �i''; ivrva�L so�� o Commission#DD0113453 Sign: Sign: /: Expires 4/30/2003 r qy, sanded 1hrough Print: Print: 3 ) da Notary Assn.,Ina My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. APPLICATION APPROVED B Plans Examiner / Engineer Zoning Chc 10/14/03 C