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PL-06-1883Issue Date: 7/17/2006 Expires: 01/13/2007 Owner's Name: JEFFREY AND YASMIN DAVIS Permit Type: Plumbing - Residential Work Classification: Gas Job Address: 9275 BAYSHORE Drive N Additional Information Miami Shores Village, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Contractor(s) Phone TECO PEOPLES GAS SYSTEM (305)957 -3857 Primary Contractor Yes Comments: RUN NEW 2" PLASTIC GAS MAIN EXTENSION FROM EXISTING GAS9275 N. BAYSHORE DR AND NE 91 ST TERR TO 9275 N BAYSHORE DR PUBLIC WORKS Type of Work: GAS Additional Info: PUBLIC WORKS Classification: Residential Type of Piping: Bond Retum : 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. Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PL -7-06 -1883 Phone: (305)577 -3777 1132050270570 Lot: PB: Total Square Feet: 0 Total Valuation: $ 2,000.00 Required Inspections Press Test ROW Final Fees Due CCF Education Surcharge Permit Fee - New Construction Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $160.00 $9.00 $4.00 $174.60 Invoice Number PL - 7 - 06 - 25587 Total: Amt Due $174.60 K2 Mu 1 PAM Amt Paid 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 . CAO - TuP wt ( fr at i BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): V i I' Building Owner's Name (F - Simple Title ' o der) s� c Owner's Address I / City Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name Con or's Address 1 ` City N. UM i Qualifier Name Architect/Engineer's Name (if applicable) Type Desc Submittal Fee $ 10050 N.E.2nd A Tel: (305) S(. State Certificate or Registration No._�n Value of Work For this Permit $ i(000 O D letaramm, unaware t t f Vor�li , cv a4 be Work ?il:R j{ Additi£� V 1. rileo km fi't!i.' y41e1Ni. ;fv. A ration ew �J +� l R au'/R ° ! ,x � 1 IL fib -n1'x a Demolition Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Review. $ Miami Shores Village Building Department Pu Ct c C)6 Electrical Plumbing Mechanical Roofing County NO 0 4 ® Lt Square / Linear. Footage Of Work: DPBR $ Permit No. 9' OG' C j Master Permit No. Phone# 3 5 / 9-37 9 Zip Phone # Miami -Dade Zip Phone # 551 Phone# ! "q p"1 Certificate of Competency No. Zip Phone # CCF $ Double Fee $ 33138 CO /CC Technology Fee $ Zoning $ Total Fee Now Due $ Permit Number: PL -7 -06 -1883 Invoice Number: PL -7 -06 -25587 Applicant: JEFFREY AND YASMIN DAVIS Company Name: Owner Address: 9275 N. BAYSHORE DRIV MIAMI SHORES, FL 33138 Job Address: 9275 BAYSHORE Drive N Miami Shores Village, FL Date Monday, August 21, 2006 08/21/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Payment Type Check Number 5025 Amount $174.60 Change $0.00 Total Payment: $174.60 Page 1 of 1 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 Owner or Agent The foregoing instrument was acknowledged before me this7 day of %A. , 20 QC by eft, 9 \ V , w personally know_ . 2 . 119me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) The foregoing instrument was acknowledged before me this day of . » 200 G , by P � S l�s Je who is personally known to , i e or who has produced as identification and who did take an oath. My Commission E ,vs„„74.m.mi atr..-& --. * *iY.;k7„„ *„k tf * * * *,r,t *..... \ .. t* �r** 4 ,t* *,t *,t*** * * ** ** * * *** * * ** **** *fir ** *fir 0 $,,j) 7 ° ®.' Plans Examiner Engineer Zoning NE 93RD ST ATLAS: M 2 SCALE: NTS DRAWN BY: LM CONSRUCTION NOTES: N. P/L 93' NEW 3/4" PL S.P/L 1. ALL GAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES CAS STANDARDS. 2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE APPRORIATE GOVERNMENTAL AGENCY. 3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR CONDITION, UNLESS OTHERWISE SPECIFIED. • • • • • • • • • • • • • • • . • • • • .. • ••• • •• • • ••• • rcx" • s • • • • • .. .. • • • • • ... • • • ••• DOOR 37' PROPOSED RISER 48 HOURS BEFORE DIGGING CALL SUNSHINE 1- 800 - 432 -4770 AS NEW SERVICE (PART OF MAIN EXTENSION) 9275 N BAYSHORE DRIVE. MIAMI SHORES, FL DATE: 5/6/06 SHEET: 1/1 JO: NE 93RD ST ATLAS: M 2 SCALE: NTS 1� DRAWN BY: LM 1 CONSRUCTION NOTES: N. P/L NEW 3/4" PL S.P/L 1. ALL GAS PIPELINE CONSTRUCTION TO FOLLOW TECO PEOPLES CAS STANDARDS. 2. TRAFFIC CONTROL SHOULD BE MAINTAINED AND COORDINATED WITH THE APPRORIATE GOVERNMENTAL AGENCY. 3. ALL DISTRUBED ASPHALT /CONCRETE /SOD AREAS TO BE RESTORED TO PRIOR CONDITION, UNLESS OTHERWISE SPECIFIED. • • ... • • • .. • • • • • • • • • • • • • • • • • • • • • • . .. • 0.0 .. • .. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • .. • • • .. ... .. • • • • • • • • • .. • • • • • 000 .. 93' DOOR 37' PROPOSED RISER 48 HOURS BEFORE DIGGING CALL SUNSHINE 1- 800 - 432 -4770 TECO DATE: 5/6/06 PEOPLE AS SHEET: NEW SERVICE (PART OF MAIN EXTENSION) 1/1 9275 N BA YSHORE DRIVE. MIAMI SHORES, FL JO: • • ••• • • • •.. .. .. • • • .. .. • • • • • • • • • • • • • • • • • • • • • ... • • • • .. • • • •0. • 00 •• • • • • • • • • • • • • • • •0. • • • • • • • • • • •0• .• •0 • • • • • • • • • • • • • • 00• • • • 0011 • • • 00 .• • • • •• .• • • • • • • • • • • • • • 60. • • • • • • • • • • • 1 •- 0 W. R/W 6 " WM E. R/W W cc W F— En W Z W. R/W 6" WM t E. R/W 6' 6' vi E.O.P. E.O.P. C.) N W S 10'_ 6' N. BAYSHORE DRIVE 6' � ROP. 2" PLASTIC GAS MAIN (4.5 #) ,O.P. J • ••• • 00• . .• • • • •. • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • 0 • • • • • •0• • • • • 24" rRENEH -DR. 24" FRENCH DR. 4c 24" FRENCH DR. N. BAYSHORE DRIVE 00• • • • - • - 6• • • • •• 000 .. • • • • • • • • 0• • • • • • •0• 00 TIE -IN TO EXIST. 2" GAS MIAN (CS) START CONST. 24" FRENCI I DR. ROP. 2" PLASTIC GAS MAIN (4.5 #) ROP. 2" PL G.M. E.O.P. N. BAYSHORE DRIVE 800 RESTORATION OETAR E.O.P. E.0.P. 000 • • • • 000 • •. t •0. • • 6410 • • • 00 • • • • .. ▪ • . • 41 • • • • • • • • • 4141 . at • • ••• • 4141 • • • • • • • • 000 • • 6 •• 000 •. • • • .• • • • ▪ • • • • •• 000 • • • • • .. ND CONST. 2 R W W Z • 24" FRENCH DR. W F- 0 Z (V O") NOTES CONSTRUCTION 1. LOCATE AND PROTECT ALL UTILITIES IN AR TEA OF CONSTRUCTION. SUNSHINE # 1- 800 - 432 -4770 2. RESTORE ALL AREAS TO PRIOR CONDITIONS 3. ALL CONSTRUCTION TO FOLLOW JURISDICTIONAL GOVERNMENT AND TGP STANDARDS. 6 WM 24" FRENCH DR. 6"WM E. R/W ce W. R/W 1— W -4 Q.-4 0 I - 0 ROP. 2" PLASTIC GAS MAIN (4.5 #) 1— E.O.P. 0 i E. R/W z VIM son OW =Ma"= SOS w gas PROPOSED 2 PLASTIC C.M. ON N. BAYSHORE ORIYE FROM NE 91ST TER TO NE 93RD ST INSTALL APPROX. 800 LF. (DIRECTIONAL BORE) re, �f�C�FE�C�7M BY: LOT: SHEET: 1 OF 1 SCALE: 1 "-30' DUN BY: 9MM DATE: 8 -9 -06 .. \9275 N BAYSHORE DRSMsmw6 -15 -06 6/26/2006 10:59:24 AM 42f $O 40 ' •0• C ©n,