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MC-18-691 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 F Inspection Number: INSP-299514 Permit Number: MC-3-18-691 Scheduled Inspection Date: March 29, 2018 Permit Type: Mechanical ,- Commercial Inspector: Perez,JanPierre Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: A/C Replacement Job Address: 11300 NE 2 Avenue Kelley House Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360000050-12 Project: BARRY UNIVERSITY Contractor: DEBONAIR MECHANICAL, INC Phone: 305-826-2240 Building Department Comments REPLACE SPLIT A/C SYSTEM Infractio Passed Comments INSPECTOR COMMENTS False V� t Inspector Comments Passed E Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re=inspection fee is paid. March'28,2018 For Inspections please call: (305)762-4949 Page 17 of 30 Permit No. NIC-3-18-69'1 r �st+Ot s y� Miami Shores VillageP t Permit Type:Mechanical-Commercial 10050 N.E.2nd Avenue NE er,' ' ' Work Classification:A/C Replacement Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 �NTpd M 9 on issue Expiration: 09/22/2018 Issue date:3126:2018 Project Address Parcel Number Applicant 11300 NE 2 Avenue Number: Kelley House 1121360000050-12 BARRY UNIVERSITY INC Miami Shores, FL 33138-0000 Block: Lot: Owner Information Address Phone Cell BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 11300 NE 2 Avenue 1 MIAMI SHORES FL 33161-6628 Contractor(s) Phone Cell Phone Valuation: $ 3,919.00 DEBONAIR MECHANICAL, INC 305-826-2240 Total Sq Feet: 0 , Tons: Available Inspections: Additional Info:REPLACE SPLIT A/C SYSTEM Inspection Type: Classification:Commercial • Final Approved:In Review Review Mechanical Comments: Date Approved: : In Review r Date Denied: Type of Work: REPLACE SPLIT A/C SYSTEM Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# -MC-3-18-66819 DBPR Fee $2.00 DCA Fee $2.00 03/15/2018 Credit Card $50.00 $86.97 Education Surcharge $0.80 03/26/2018 Credit Card $86.97 $0.00 Permit Fee $117.57 Scanning Fee $9.00 Technology Fee $3.20 Total: $136.97 I 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 certo that.all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction aning. F ermore,I authorize the above-named contractor to do the work stated. March 26, 2018 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy March 26, 2018 1 cr - Miami Shores Village RECEIVEF Building Department MAR 1'5 NAB (�\ 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 v Tel:(305)795-2204 Fax:(305)756-8972 (✓ \ INSPECTION LINE PHONE NUMBER:(305)762-4949 F F C 0v___A v BUILDING Master Permit No. I PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL I ❑PLUMBING Q MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2 Ave (Kelly#136) City: Miami Shores County: Miami Dade Zip: 33161 Folio/Parcel#: 11-2136-00-005 Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder):Barry University Phone#:(305) 318-6886 11300 NE 2 Ave Address: ' City: State:Miami Shores Zip: FL 33161 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Debon Air Mechanical Phone#: (305) 826-2240 Address: 13972 NW 60 Ave City: Miami Lakes state: FL Zip: 33014 qualifier Name: Charles Aleshire. Phone#: (305) 826-2240 State Certification or Registration#: CMC051447 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$3,919.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work:-Replace split A/C system Specify color of color thru tile: f Submittal Fee$ Permit Fee$ 5qCCF$ CO/CC$ J Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ a Structural Reviews$ Bond$ y TOTAL FEE NOW DUE$ 1 (Revised02/24/2014) Bonding Company's Name(if applicable) r Bonding Company's Address ( City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address i City State Zip r< 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 R. TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." i 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. , i Signature ,-Signature s OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this Th foregoing instru ent was acknowledged before me this day of MA w q 120 it X by day of 20 by SUSAN 45"AL f uk'jnQ who is personally known to I 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:—<`,q" S' Print: 04 Print: J int lea Notary Public State of Florida Seal: MEIVIN JOSE CHAVARRiA Jeffry J Yao * * MY COMMISSION OG 030032 My Commission FF 168481 w„ EXPIRES:September 13,2020 pp Expires 11/12/2018 '� "'001o° BmdsdThuBudpetNotary SaMoas ** ****** ***** ********************************************************* t t APPROVED BY l s Examiner Zoning } Structural Review Clerk (Revised02/24/2014) ,yH°R�s y Miami Shores Village Building Department onto 10050 N.E.2nd Avenue Miami Shores, Florida 33138 ORIDp' 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): 11300 NE 2 Ave (Brown Suite 39/40) City: Miami Shores Village County: Miami Dade zip Code: 33161 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 ❑■ { I UNIT BEING REPLACED DATA NEW UNIT NA MANUFACTURER Ruud/First Company NA AHU or PKG. UNIT MODEL# 24Hx5-240 NA COND. UNIT MODEL# RA1418AJlNA NA KW HEAT 3 NA NOM TONS 1.5 AHU- CU PKG 1) M.C.ACU20/AHU 20 AHU CU PKG AHU CU PKG 2)M.O.PCU 20/AHU 20 AHU CU PKG AHU CU PKG 3)VOLTS 240 AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS NO YES NO NO YES NO REPLACING THERMOSTATNO YES NO NO YES NO NEW 4"CONCRETE SLAB Existing YES NO Existing - YES NO NEW ROOF STAND NA YES NO NO YES NO NEW RETURN PLENUM BOXNO YES NO NO 1. Minimum Circuit Ampacity(Wire Size): 10 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 20 3. Voltage of Circuit(208/240/480): 240 4. Size Disconnecting Means: NA Contractor's Company Name- Debon Air MechanicalPhone: 305-826-2240 State Certificate or R gis ation CIS C-0,5 Cl Certificate of Competency No. k ' fSignature Date: (Qualifier's signature) � d (Revised02/24/2014) i a Google Maps Page 1 of 1 UN i`f Maps a. � 4 .t k _ III l.r. r, rtii}I x Imagery 9)2018 Google,Map data©2018 Google 20 ft a https://www.google.com/maps/@25.8787935,-80.1947541,81m/data=!3m1!le3 3/12/2018