MC-18-147Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Pe
m
Parcel Number
Issue Date:
2,
Permit NO.tlC-1 ;1:7
$-14
Permit Type: Mechanical - Residential
Work Classification: AdditionJAiteration
Permit Status: APPROVED
2018
Expiration: 07/21/2018
Applicant
442 NE 103 Street
Miami Shores, FL 33138-
1132060170740
Block: Lot:
MUHAMMAD KANJI
Owner Information
Address
Phone
Cell
MUHAMMAD KANJI
litESAMMRIPAMMIMSIN
442 NE 103 Street
MIAMI SHORES FL 33138-
(786)239-2693
442 NE 103 Street
MIAMI SHORES FL 33138-
Contractor(s)
PRIME TIME COOLING INC
Phone
(954)249-8856
CeII Phone
Valuation:
Total Sq Feet:
$ 7,000.00
0
Tons: 5
Additional Info: REPLACE AC EXISTING AND REPLACE EXI
Classification: Residential
Approved: In Review
Comments:
Date Denied:
Scanning: 3
Date Approved: : In Review
Type of Work:
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Amount
$4.20
$3.68
$2.45
$1.40
$245.00
$9.00
$5.60
Total: $271.33
Pay Date Pay Type
Invoice # MC -1-18-66173
01/18/2018 Credit Card
01/22/2018 Credit Card
Amt Paid Amt Due
$ 50.00 $ 221.33
$ 221.33 $ 0.00
Available Inspections:
Inspection Type:
Final
Rough Duct
Review Mechanical
Underground
•
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 a d that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named contra ,= off, e work stated.
January 22, 2018
Authorized Signature: Owner / Applicant / ontractor / Agent
Building Department Cop
Date
January 22, 2018 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ROOFING
❑ PLUMBING
JOB ADDRESS:
City: Miami Shores County:
Folio/Parcel#:
O<V1ECHANICAL ❑ PUBLIC WORKS
T�{
FBC 2011E)
Master Permit No. IQl -1Ln
n
Sub Permit No.
❑ REVISION
❑ CHANGE OF
CONTRACTOR
1-1q2- Nt E cA•
-
❑ EXTENSION ❑RENEWAL
❑ CANCELLATION
❑ SHOP
DRAWINGS
Miami Dade
Zip:
"331;5'
11— 329G- el -6-4-40 Is the Building Historically Designated: Yes NO _>
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee�Simple Titleholder): fY O f'MMMI 10-3.1_ Phone#: 305-- 35-61-3953
Li Address: - 42 - E (02714 S+
City: KikI KM SIAVILES
State: t-- Zip: 35/ 7:g
Tenant/Lessee Name: Phone#:
Email:
tru- N m vyvv e qtrfrel Or t L• Co mY1
CONTRACTOR: Company Name: P
� l +�n� �� �Cccil'f")The P64 J k4 "#1-' c;y5 _pis co
Address: 'f 33�) 45 L S
City: T) - _" c, ¢ /'C k State:
Qualifier Name: —TA Ci A 1 \(elf k j 'H AX� -0 Phone#: 1 o- .3 ?- ga-ZO
State Certification or Registration #: C M C lji SG 3S Ce Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
00
Value of Work for this Permit: $ `h �! uare/Linear Footage, of Work:
Type of Work: ❑ Addition Alteration New Repair/Replace n Demolition
Description of Work: it,.‹._ Ql4 C -e—
Zip: )5 33 a /
A L e?; 5).4
ge?ac_ e)(:0-vt,\.
Specify color of color thru tile:
Scanning Fee $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 2 2 '• 33
Permit Fee $ / 51,45 --?F$ CO/CC $
Radon Fee $ 2'. (1S DBPR $ 3 . Ct2E3 Notary $
(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
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instru ent was acknowledged before me this
by / 4- day of 20 A , by
Har\I Ja , /who is Jpersonally known to
as me or who has produced t [. / O as
identification and who did take an oath.
NOTARY PUBLIC:
17 day of ,20
PIuhgrnrnq Kan iwho is personally knownto
me or who has produced r
identification and who did take an oath.
NOTARY PUBLIC
Sign:
Print:
Seal:
r
C+
CABRERA YENISLEIDI
MY COMMISSION #GG019557
EXPIRES: AUG 09, 2020
Bonded through 1st State Insurance
************************************ *****
APPROVED BY
(Revised02/24/2014)
Sign:
Print:
Seal:
************************
Plans Examiner
Structural Review
CABRERA YENISLEIDI
MY COMMISSION #GG019557
EXPIRES: AUG 09, 2020
*BoataltrPotr 16t9tdtttflN9hEt*
Zoning
Clerk
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 acceptable.
Job Address (where the work is being done):
NQ )orr c* 2
Zip Code: 33 / 76
City: Miami Shores Village County: Miami Dade
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
IAI DATA SHEET REQUIRED
Change disconnecting means: YES ❑ NO ARHI Sheet Attached: YES
NO ❑ Contract Attached: YES
UNIT BEING REPLACED
DATANEW
UNIT
A\AU =Rah.
MANUFACTURER 14Adtek
VAhL W1
AHU or PKG. UNIT MODEL #
AA) ,= X11 `(oVA
Cl} = NOU1VW v61-
COND. UNIT MODEL#
e
(04 bti
KW HEAT 10
. it- o A .- , NA
*t
e. S O t
NOM TONS
/
W CU PKG
1) M.C.ANO
U PKG
AHU PKG
cJ
2) M.O.P
AHU PKG
AHU CU PKG
3) VOLTS
AHU CU PKG
PKG UNIT / /
PKG UNIT / /
kl
EER/SEER
1141
YES NO
REPLACING DUCTS
69 NO
YES NO
REPLACING THERMOSTAT
YES
YES NO
NEW 4"CONCRETE SLAB
YES
'YES NO
NEW ROOF STAND
YES N.
YES NO
NEW RETURN PLENUM BOX
YES NO
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size): 60
3. Voltage of Circuit (208 240 80):
4. Size Disconnecting Means: (00
�(lt�-(i MM._
r r Q q,
Contractor's Company Name: f �(F 1 j/ j t iy1Q Cco I Phone: q `-Y 1 ' [� 7
State Certificate or Registration N . Certificat�-�bf Competency No.
o p y
Signature Date:
(Qualifier's signature)
4A10
(Revised02/24/2014)
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Insp1 ction Number: INSP-295668
Permit Number: MC -1-18-147
Scheduled Inspection Date: January 23, 2018
Inspector: Perez, JanPierre
Owner: KANJI, MUHAMMAD
Job Address: 442 NE 103 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: PRIME TIME COOLING INC
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
{
Phone Number.
Parcel Number 1132060170740
Phone: (954)249-8856
Building Department Comments
REPLACE AC EXISTING AND REPLACE EXISTING DUCT
WORK
}
Infractio Passed Comments
INSPECTOR COMMENTS
False
3
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
January 22, 2018
For Inspections please call: (305)762-4949
Page 18 of 28