MC-14-1637 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 C— I
Inspection Number: INSP-216783 Permit Number: MC-7-14-1637
Scheduled Inspection Date: November 17, 2014 Permit Type: Mechanical - Residential
Inspector: Perez,JanPierre
Inspection Type: Final
Owner: MIAMI PROPERTY SOLUTIONS LLC, Work Classification: Repair
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Job Address: 38 NW 108 Street
Miami Shores, FL 33168- Phone Number (305)807-4045
Parcel Number 1121360110120
Project: <NONE>
Contractor: MASTER MECHANICAL HVAC CORP Phone: (305)394-6218
Building Department Comments
AS PER PLAN INSTALL NEW AC UNIT + DUCT WORK infractio Passed Comments
FOR MASTER BEDROOM, BATH AND LAUNDRY. INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed /I_
Correction ❑ �
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 14,2014 For Inspections please call: (305)762-4949 Page 5 of 31
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Miami Shores Village ��Iv�D
Building Department 3UL 9 29%
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 $Y.
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2oca
BUILDING Master Permit NOBU 149zs
PERMIT APPLICATION Sub Permit No.90 I q- 1633
❑BUILDING r1ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING MECHANICAL (PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
ee�NTRACTOR DRAWINGS
JOB ADDRESS: l/
City: Mia/mi Shores County: Miami Dade Zip:
Folio/Parcel#: ;213 - b - 01°20 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE:AlFFFE:�7 00///l(!
OWNER:Name(Fee Simple Titleholder): I lleCVQ� ��''���D 4 S Phone#: �L 0.�/ � S`
Address: C0 /V x- ( / I ?
City: ` State: Zip: ✓
Tenant/Lessee Name: Phone#:
Email: `'� ��
CONTRACTOR:Company Name: Lll� deu'424r, 14u� Phone#: 30-<--3f V '-4 �.f L9
Address: 4k-z_/ /0 3 3 ILb t9t/tr
City: /La-ZA e/ State: EL Zip: I �.
Qualifier Name: /L�/19G7G �b��� J U� Phone#:3 0-5-_
State Certification or Registration#: 64C / PJ/b S-3�- , Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 47/l0 G' G. Square/Linear Foota of Work:
Type of Work: ❑ Addition ❑ Iteration ED Repair/Replace ❑ Demolition
Description of Work: te S/if_ `
D14 �'a0/zt 5�8&
L6i1
Specify colorcohcoilo(rrtthru tile:
Submittal Fee$� '\J�-� Permit Fee$ ffiI �; CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revlsed02/24/2014) H
c 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 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 reinspe ' n fee will be charged.
Signature r Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this The foregoing ins ment was acknowledged beforer7this
day o �v1V 201 ,by Cday of ✓ 20 by
G✓,� /�. ( who is personally known to /CtiC /X� B Z—,who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: /dpi�✓ h a/� Sign: Z la
Print: "R)'00(-120 cam( Print: 1,CA r :T—!T
Seal: •�'��"'�°'• Seal: ;_; �`'�'•:
RICARDOIRIARTE
3: �_ RICARDOIRIARTE
.i MY COMMISSION#FF088736
�'...
MY COMMISSION#FF088736
, ',o ••�?a�<F.•. EXPIRES February 2,2018
EXPIRES February 2,2018 (407)398.0153 FloridallotaryServicexom
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APPROVED BY , ' lans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village
Building Department
�... ... 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel:(305)795.2204
Fax:(305)756.8972
AIR CONDITIONING REPLACEMENT DATA
PERMIT NUMBER: MC
This form must accompany ALL air conditioning replacement permit applications. Each unit change-out must
be on its own data sheet. Multiple units on single sheets are not-accc�eptable.
Job Address(where the work is being done):3(3 NG t l (1
City: Miami Shores Village County: Miami Dade Zip Code:3�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
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 YES NO
YES NO NEW 4"CONCRETE SLAB YES 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):
4. Size Disconnecting Means:
Contractors Company Name- cfC4 )C'" Phone:
State Certificate or Regi ati N S_3 Certificate of Competency No _
Signature Date: C,/// C/
(Revised02/24/2014)
a
MASTER MECHANICAL HVAC CORP. Proposal
4521 NW 33 Ave.
Miami, Florida 33142
(786)838-3591 Date Invoice#
7/28/14 252
Bill to:
38 NW 108 St.
Miami Shores,Fl.
Miami Property Solutions
Description Amount
Replace an A/C system in the same location
Add new air ducts to the new Master Bedroom
Add new air ducts in the bathroom
It's been pleasure working with you! Total l w, oo
RICARDOIRIARTE RICARDOIRIARTE
MY COMM!S F088 " MY COMMISSION#FF088736
e r / ','lfld?:' EXPIRES February 2,2018
(407)398 0153 Florida ary5 SWiJ'� , c )I (ao7)s9s o153 FloridallotaryService.com
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