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MC-18-665 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-299330 Permit Number: MC-3-18-665 Scheduled Inspection Date: March 27, 2018 Permit Type:'Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: ZEICHNER,ADAM. Work.Classification: A/C Replacement Job Address:833 NE 99 Street Miami Shores, FL 33138- Phone Number Parcel-Number 1132060340120 Project: <NONE> Contractor: SOLAR BEAR SERVICES Phone: (305)863-1830 Building Department Comments EXACT A/C CHANGE OUT 4 TON Infractio Passed Comments INSPECTOR COMMENTS False TO REPLACE MC-2-16-346 03-{16-2018 O I.-Naranjo Z� l Project on hold. Pending BO authorization VVV Inspector Comments Passed HOME OWNER ADAM 305-343-5462 Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. March 26,2018 For Inspections please call: (305)762-4949 Page 24 of 42 F Permit No. NSC-3-18-665 Miami Shores Village it Permit Type:Mechanical-Residential 10050 N.E.2nd Avenue NE PvAm rWork Classification:AIC Replacement - Miami Shores,FL 33138-0000 Permit,Status:APPROVED Phone: (305)795-2204 SNR®1N 6 FtoR►oA i .. Issue©ate:3/23/201Expiration:p� Project Address Parcel Number Applicant 833 NE 99 Street 1132060340120 ADAM ZEICHNER Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell ADAM ZEICHNER 833 NE 99 ST MIAMI SHORES FL 33138-2566 Contractor(s) Phone Cell Phone ValuLSqFeet: $ 4,300.00 LAR BEAR SERVICES (305)863-1830 Totap Tons:4 Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Approved: In Review Review Mechanical Comments: Date Approved: : In Review Date Denied: Type of Work:EXACT A/C CHANGE OUT 4 TON Scanning:3 f Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.00 Invoice# MC-3-18-66791 DBPR Fee $0.00 03/23/2018 Check#:29600 $ 110.50 $50.00 DCA Fee $0.00 Education Surcharge $0.00 03/14/2018 Check#:29257 $50.00 $0.00 Permit Fee $157.50 Scanning Fee $3.00 Technology Fee $0.00 Total: $160.50 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 zoning VFiuth re,I authorize the above-named contractor to do the work stated. 1 Z&�� March 23, 2018 A orize S" :Owner / Applicant / Contractor / Agent Date r Building Department Copy March 23, 2018 1 t k 1 � - • Miami Shores Village W5 C"l--�x V D Building Department f MAR 1 018 V `�J 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 I , Tel: (30�:) 795-2204 Fax:(305)756-8972 P ` — \\N INSPECTION UNE PHONE NUMBER:(305)762-4949 - FBC •201? �" k BUILDING Master Pei;-�i`:-No. —3 18-16S PERMIT APPLICATION Sub Permit No. I '❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING 56ECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: `� � "► C l le} City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: •31010' Is the Building Historically Designated:Yes NO OccupancyType:jV1r)1 Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholtldeerr)-: m ^I(��Y`e8Q !�.1.�.14p Pg Phone#:W5'a)43-c_ 4b� Address:—Zn Nt qQ 1- E- 000(2 IT City: m7lbrn i .Ci(nar-e5 State: I— Zip: (3 2) �0 Tenant/Lessee Name: Phone#: NIY4 Email: N�o _ 3 i CONTRACTOR:Company Name: W L Y, )9) ac ,�_ arY i eEs Phone#: 805 ' O'� •)�� Address: ,Z O I ?) UW 5�-?A AYe— City, o L State:F L _ Zip: c23 122 btualifier Name: n(4t pe( e-0 BoI a ban(--F I . CQY-n Phone#: Qr-g�•) (�7� State Certification or Registration#: 0 19C I a 17113 U Certificate of Competency#:' DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: • ,,.�, E Value of Work for this Permit:$ 4464 ' H Co.3tio Square/Linear Fo ge of Work: ` Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition.. Description of Work: -T ---'t-o rtpla cc IVIG- Z- 1(0-34 h Specify color of color thru tile: J Submittal Fee$ c7jPermit Fee$� TT� CCF$ CO/CC$ �J Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology,Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ 4 (Revised02/24/2014) TOTAL FEE NOW DUE$ f Bonding Company's Name(if applicable) Bonding Company's Address City, State 'b 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." ' 4 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 t 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. ,t r Signature Signature +� O ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 13 day of M(-)!WH H ,20 19- by day of �-A(AIZP_ A 2018, by _�Acxryi —(—P_tC�yry who is"personally known to KlAtA(hG NAFTILL-6c,+,Kwho is personally known to me or who has produced VZ1_11)L as me or who has produced V—L_ 0 L as identification and who did take an oath. identification and who-"d`::ke an oath. NOTARY PUBLIC: NOTARY PUBLIC: r� Signt A- Sign: J,/—�. Pinaim t: .°:� �Pa a Bernard-Greene Print: r ommis i i�= Commission#FF142531 Seal: - "= Expires: Sept. 15 2018 Seal: _ : _ �r�,� Expires: Sept. 15, 2018 �'�o;rEFlcir:�� Bonded thru Aaron Notary '•';'�'i7F• `.�� Bonded•thru Aaron Notary APPROVED BY 1 Pi $miner Zoning t Structural Review Clerk { (Revised02/24/2014) } 1 , a SQ�ar Bear LENNOX ■Cooling ■ Heating■Air Quality 10125 NW 116 Way,Suite 10,Miami,FL 33178 Contract/Proposal Phone 305-863-1830 FAX 305-863-1885 w FL Reg.CAC 1817134 ww.SolarBearFLcom Ittshiilotion Address: Name: / 7yr ZC IC l�j7GI� Date: ,S" 6- rC -- Street: ?? N .� qq Sf Installation start date: .S- ld-4X- City, tCity,state lip: /Jr/b,0ry s/b,y —.?7/3Brand of Equipment: Phone: -?0,57-?0,57- Permit Fee(City/County):. -e?C ./ E-mail: ComfortConsukant: Equipment to be Installed: A/C or Heat Pump Air Handler 2-7 u/-/.o y Coil O Add/dona/accessories: Additional materials: Thermostat System 1 2 3 System 1 2 3 Disconnect box ❑ ❑ ❑ New return plenum ❑ ❑ ❑ UV Light High voltage wiring ❑ ❑ ❑ Insulate ductwork ❑ ❑ ❑ Zoning Low voltage wiring ❑ ❑ ❑ Old equipment removal 'R❑ ❑ HEPA Filter New outdoor pad Qi'❑ ❑ New supply ducts ❑ ❑ ❑ 5'Media Vibration pad t'❑ ❑ New return ducts ❑ ❑ ❑ Line set ❑❑ ❑ New re isters Dehumidifiers g• /grilles ❑ ❑ ❑ Refrigerant filter dryer �1❑ ❑ New condensate piping ❑ ❑ ❑ 10 her Recover refrigerant W❑ ❑ Condensate pump(sft.switch) 000 Additional services: Mastic seal plenums ;?❑ ❑ Drain pan with overflow switch❑ ❑ t New supply plenum ❑❑ ❑ 1'filter rack ❑ ❑ ❑ Duct Cleaning Mastic and seal supply/return 4 feet ❑ ❑ ❑ Annual Service Agreement FPL Completed ❑ ❑ ❑ P Load Calculation ❑ ❑ ❑ Scope of work: r mpressor /0 yrs• Lv yrs• Z�� /( s l0 yrs• — 3 s�lU GlfjcUtA or i yrs• in Z6� -L ExtendedWarranty yrs. Other yrs. Payment terms:! $ Sale Price $ •• ••• • • • • •• Credit Card Type • •• bi$oujtts,�Coupons $ $ • 0* • • 9 NameonCC • X00 • Credit Card# 4PN�Repatgs • $ Z 6, Exp.Date Total Investment $ Check# Total NET out of pocket expense after Notes: all rebates&discounts $ • ••• • • ••• • $ • • • • • • • • • • • • • • • • +All material is guaranteed to be as specified.All work to be completed in a professlbAl mann;r according 1b standAd practices.Any alteAtion or deviation from above specifications involving extra cost will be executed only upon written orders,and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner/owners to carry all necessary insurance.Our worker's are covered by Workman's Compensation Insurance. The above prices,s ecifications and conditions are satisfactory and are hereby accept@dAYeu am authoriteddo de thewook asspecifier.Payment will be made as outlined above. Any paymekt n9emah as specified shall be subject to 18%annual interest plus billing chi rges,:ourt co :d a:orneCfees.:rice sub:ect to change if not accepted within 15 days. thorized signature Customer signature - ate of aceptanc�e