MC-16-1085 9-,., G
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-271841 Permit Number: MC-4-16-1085
Scheduled Inspection Date: November 30,2016 Permit Type: Mechanical - Residential
Inspector: Perez,JanPierre
Inspection Type: Final
Owner: , Work Classification: A/C Replacement
Job Address:42 NE 96 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060130640
Project: <NONE>
Contractor: REINALDO HORDAY A/C INC Phone: (305)972-3131
Building Department Comments
REPLACE EXISTING AC SYSTEM. Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 29,2016 For Inspections please call: (305)762-4949 Page 22 of 40
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ries Miami Shores e
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10050 N.E.2nd Avenue NE
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Miami Shores,FL 33138-0000
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" 19129 Expiration: 11/05/2016
Project Address Parcel Number Applicant
42 NE 96 Street 1132060130640
Miami Shores, FL 33138- Block: Lot: LUNI USA LLC
Owner Information Address Phone Cell
LUNI USA LLC 235 LINCOLN Road
MIAMI BEACH FL 33139-
235 LINCOLN Road
MIAMI BEACH FL 33139-
Contractor(s) Phone Cell Phone Valuation: $ 3,398.00
REINALDO HORDAY A/C INC (305)972-3131
Total Sq Feet: 0
Tons:5 Available Inspections:
Additional Info:REPLACE EXISTING AC SYSTEM. Inspection Type:
Classification:Residential Final
Approved:In Review Review Mechanical
Comments: Date Approved::In Review
Date Denied: Type of Work:
Scanning:1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $2.40
DBPR Fee Invoice# MC-4-16-59500
$2.00 04/21/2016 Credit Card $50.00 $201.26
DCA Fee $2.00
Education Surcharge $0.80 05/09/2016 Credit Card $201.26 $0.00
Permit Fee $118.93
Scanning Fee $3.00
Technology Fee $3.20
Work without Permit Fee $118.93
Total: $251.26
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: rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zonin F the ore,I authorize the above-named contractor to do the work stated.
May 09,2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
May 09,2016 1
A
Miami Shores Village j �,i
AP 1 2016
Building Department 13Y:
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 L�
INSPECTION LINE PHONE NUMBER:(305)762-4949 s�Y T
FBC 20Q`-'�
BUILDING Master Permit No.RC-16-337
PERMIT APPLICATION Sub Permit No. MCI6'
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING M MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 42 NE 96 Street
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-013-0640 Is the Building Historically Designated:Yes NO X
Occupancy Type: R-3 Load: Construction Type: IIB Flood Zone: X BFE: N/A FFE:
OWNER:Name(Fee Simple Titleholder):LUNI USA, LLC Phone#:
Address:235 LINCOLN ROAD #310
City: MIAMI BEACH state: FL Zip: 33139
Tenant/Lessee Name: N/A Phone#:
Email:
CONTRACTOR:Company Name: Reinaldo Horday AC INC Phone#:
Address: 1632 SW 13th Street
City: Miami State: FL Zip: 33145
Qualifier Name: Reinaldo Horday Phone#: 305-972-3131
State Certification or Registration#: 17489 Certificate of Competency#:
DESIGNER:Architect/Engineer: ROBERT KIRCHGESSNER Phone#: 954-980-4430
Address:1835 E HALLANDALE BEACH City. HALLANDALE BEACH State: FL Zip: 33009
Value of Work for this Permit:$3398.00 Square/linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition
Description of Work: Replace existing AC system.
Specify color of color thru tile:
Submittal Fee$ D ` 51-6 Permit Fee$ CCF$ , Q CO/CC$
Scanning Fee$ 3 ` Radon Fee$ i (% DBPR$ 2 , 03 Notary$
Technology Fee$ J Training/Education Fee$ D • RD Double Fee$
Structural Reviews$ 0 Bond$
TOTAL FEE NOW DUE$ `2 01 ° 2
(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.
Signature v
� , �— Signature
OWNER or AGENT CONTRACTO
The foregoing Instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
�S day of 20 by day of 20 by
F ho is personally known to
who is personally known to
me or who has produced
as me or who has produced c— 0 L as
identification and w id take an oath identification and who did take an oath.
NOTARY P, BLIC: NOTARY PUBLIC:
Sign: R06Sign:
Print:
Ci-
Print:
Print EXPIRES March 18,2020
Seal• EXPIRES March 15,2020 Seal: Ia07 3OW6,053
40 39 A63 PlatldaMom nAOo.oan
/L�PIns Zoning
!3miner
APPROVED BY
Structural Review Clerk
(Revised02/24/2014)
OR�s Miami Shores Village
Building Department
Evil Un 10050 N.E.2nd Avenue
o Miami Shores,Florida 33138
Tel:(305)795.2204
Fax:(305)756.8972
AIR CONDITIONING REPLACEMENT DATA /+
PERMIT NUMBER: MC C 1 6 '33 -4-
This form must accompany ALL air conditioning replacement permit applications. Each unit change-out must
be on its own data sheet. Multiple units on s�icn,�gle sheets are not acceptable.
Job Address(where the work is being done): I Z '"� -6 L Q SL
City: Miami Shores Village County: Miami Dade Zip Code: 33 1
ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB
ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION
A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS
AHRI DATA SHEET REQUIRED
Change disconnecting means:YES❑ NO❑ ARHI Sheet Attached:YES ❑ NO❑ Contract Attached:YES ❑
UNIT BEING REPLACED DATA NEW UNIT
MANUFACTURER jap,fA,
AHU or PKG.UNIT MODEL#
COND.UNIT MODEL#,
KW HEAT
NOM TONS
AHU CU PKG 1)M.C.A AHU CU PKG
AHU CU PKG 2)M.O.P AHU CU PKG
AHU CU PKG 3)VOLTS AHU CU PKG
PKG UNIT / / PKG UNIT
EER/SEER
YES NO REPLACING DUCTS YES NO
YES NO REPLACING THERMOSTAT ft NO
YES NO NEW 4"CONCRETE SLAB E NO
YES NO NEW ROOF STAND YES NO
YES NO NEW RETURN PLENUM BOX YES NO
1. Minimum Circuit Ampacity(Wire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit(208/240/480): Z®g "Z99
4. Size Disconnecting Means:
Contractor's Company Name: ikAw k&&Doe '416 z� ' Phone:
State Certificate or Registration No.(?#& I;yf Rj Certificate of Competency No.
SignatureMe Date:
(Quaiiflers ignature)
(Revised02/24/2014)