PL-06-1883 (2)Inspection Date: 04/25/2008
Inspector: Levrock, James
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756-8972
Owner: DAVIS, JEFFREY AND YASMIN
Job Address: 9275 BAYSHORE Drive N
Miami Shores Village, FL 33138 -2304
Project: <NONE>
Block:
Contractor: TECO PEOPLES GAS SYSTEM
Pas -ism
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Gas
Phone Number (305)577 -3777
ieI Number 1132050270570
Lot:
Phone: (305)957 -3857
Building Department Comments
RUN NEW 2" PLASTIC GAS
EXISTING GAS 9275 N. BAYSHORE
TERR TO 9275 N BAYSHORE
PUBLIC WORKS
MAIN EXTENSION FROM
DR AND NE 91 ST
DR
," er
Passed
I
,1
)0 T for Comments
�•
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Thursday, April 24, 2008
Page 1 of 2
01.9
, Miami Shores Village 2E J
Building Department Pc--1
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Permit No . - I (:J3
Master Permit No.
Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) �-1 12>A � V I Phone # AD ) _j.. " 3-1 -% 1
�
Owner's Address I cl a ® C-52I2- A 14.-..9 y
City NA l 141\41 State MI Zip &3 Vi- C
Tenant/Lessee Name Phone #
Job Address (where the work is being done) ` 12 1 Y
City Miami Shores Village County Miami -Dade Zip 331 3
Is Building Historically Designated YES NO
Contractor's Company Name 440 rWE 0 Lt) t-1 Phone #
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable M I C f-14E.L Cv ne #(3( -® -.S2.911 (305) X43 - S9
SZ
$ Value of Work For this Permit Square Footage Of Work:
Type of Work: Addition OAlteration ❑New ❑ R air/Re lace
ep p ❑Demolition
Describe Work:
A ®.L> I T r ® 1- J -to , ,r4 ',l t, 12E.'NO\J ,4m I ®7-,,j ®P (-X. l ST I I'1 Ep
12 SJ��I\.ICe
�. !? Con, A ** * * *** ** *, *** * * * * **** ** ** Fees * * * * * * * * * * ** * * ** ** * * * *** * ** * **
Submittal Fee $2- O -0 ®_ _ Permit Fee $ CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $ SO • 00 +5:0, -f $ (,, fto . / }ca, ob
Total Fee Now Due $
(Continued on opposite side)