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PL-06-1085 00 ,, Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL :,'• �,:;�''-mss�r' Phone: (305)795-2204 Fax: (305)756-8972 .. .:.... ...N ... •': •:ii'riiiv::ii<•ii:i:•}iii:4:iiiii:viii:t•i:tiiiiiiiiiiiii}i:L4i:Lii:Lii iiii::i:::::::y::¢i::2?•i::::i::i:•:•:•ii::::::i::ii::i::i::i' •. i : . ~i:i IES eta rr r.. "` ?!w.: ::.::::::::::::::::::.:::::::.:::::::::::::::::::::::::::.::::::::::.:::::.::::::::::::::::::::::..:...........Per ►t. u n r4...P »» ...'.: ... Inspection Date: 09/26/2006 $P 2 8 2005 Permit Type: Plumbing - Residential Inspector: Levrack,James Inspection Type: Rough Owner: IRAHETA, MARIO AND TIFFANY Work Classification: Gas Job Address: 501 94 Street NE Miami Shores Village, FL 33138- Phone Number (305)754-3003 Parcel Number 1132060140850 Project: <NONE> Block: Lot: Contractor: TECO PEOPLES GAS SYSTEM Phone: (305)957-3857 Building De artment Comments I Insp c Comments Passed Failed Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled until re-inspection fee is paid . Monday, September 25, 2006 Page 1 of 2 Miami Shores Village • �� Building De rtment 10050 es,Florida 33138 q- �c( S. ss r��/�� • T441305)795.2204Ztg(3 756.8972 L, APR BUILDING �_� .AA , Permit No. PERMIT APPLICATION BY' Master Permit No. FBC2001 PU6 lc w® ,? K�� Permit Type(circle): Building Electrical Plumbing� Mechanical Roofing Owner's Name(Fee Simple Titleholder) [� N Sr ::1-R4 14 'Phone# -3 crj- 2 5 l 0 Z Owner's Address 0 C N City 4A&W\ <" a-gtn State T4 Zip J Y Tenant/Lessee Name Phone# Job Address(where the work is being done) c) �j -{ m City Miami Shores Village County Miami-Dade Zip Is Building Historically Designated YES O Contractor's Company Name 'tom CC ) ccsa5� Phone I# �� 70 - /7 Contractor's Address n S 7 W /X,e IV 4� City/k4wdi 8p< j State Zip Qualifier State Certificate or Registration No. Certificate of Competency No. l if Architect/Engineer's Name(if applicable) Phone# $VU VFA . Square Footage Of Work: Fr 1;_ "Isr, Ty of Work: ElAddition ] teration E]New Repair/Rleplace.: Demolition . R Submittal Fee$ Permit Fee$ ® CCF$ c bCD CO/CC. -30 Notary$ Training/Education Fee$ Technology Fee$ -1 e C Scanning$ Radon$ Zoning Bond$ Code Enforcement$ Structural Plan Review.$ Total Fee Now Due$ - (Continued on opposite side) d '�o' 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 Signature Signature er or gent Con for The foregoing instrument was acknowledged before me thio- The foregoing instrument was acknowledged before me this day of 2L L 120 OL_,by-V:FFA AU "e 4'1 day of AV a 1 20 i,by— 5.-3 6 o is personally known o me or who has produced who is personally kno me or who has produced As identification and who did take an oath. as identification and who did take an h. NOTARY LIC: NOTARY PUBLIC: LUIS MONTER0 00d J•�,p'pv'• Sign: MONTERO ;��" °`% Notary Public-State Feb ,.r"�v Pu", .State Sign: 81 Print: ,.o. <�,,, Notary Public Feb 2,2010 Print: Commission i OD My Comm sion Expir ;y •o:` COmmi39fon d OD 51 Awn. � Bonded Y National Notary My Commissio f+�r+*4**f�r,�s,x,r * ,��r ;f' 9 APPLICATION APPROVED BY: 1i Plans Examiner 1-11 V/V—r Engineer chc 05/13/03 Zoning Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL 33138-0000 Lryo�e Phone: (305)795-2204 Fax: (305)756-8972 4ty'eR`Yp>'► Permit Permit Status:APPROVED Issue Date:4/28/2006 Expires: 10/24/2006 Permit Number: PL-4-06-1085 Owner's Name: MARIO AND TIFFANY IRAHETA one: (305)754-3003 Permit Type: Plumbing-Residential Parcel#: 1132060140850 Work Classification: Gas Block: Lot: Job Address: 501 94 Street NE Section: PB: Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor Total Square Feet: 0 TECO PEOPLES GAS SYSTEM (305)957-3857 Yes Total Valuation: $ 600.00 Comments: Re uired Inspections NEW 3/4"PLASTIC GAS SERVICE FROM GAS MAIN LOCATED ON THE SOUTH Press Test RNV OF ALLEY IN REAR OF THE PROPERTY ROW Final Additional Information Type of Work:GAS LINE Type of Piping:PLASTIC 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 mt Paid CCF $0.60 PL-4-06-24657 $167.80 f Education Surcharge $0.20 Total: Permit Fee-Additions/Alterations $160.00 Scanning Fee $3.00 KAY o 2 PAID Technology Fee $4.00 Total: $167.80 �! 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. Applicant Signature .. .. N . . • • • 0 Goo � k 40 .00 . . . . . . . . . . .. . . ... . . . . 0*0 . . see d .. . . . .. ... .. 0. ... .. . . _ _N,R/W \ SWALE GRASS - ALLEY 0 2 BSE CAS MAIN SWALE GRASS S.R/W � I -NEW 3/4" PLASTIC tFPROPOSED RISER I i (501) I I NE 94TH STREET CONSRUCTION NOTES: f. ALL CAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES CAS STANDARDS. 2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE APPRORIATE GOVERNMENTAL 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. A TLA S: ® DA TE: M 4 4 18106 SCALE: PEOPLE AS SHEET: NTS NEW 3/4" PLASTIC tA BY: 501 NE 94 STREET. MIAMI SHORES J0' 13757