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MC-17-695Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit NO. MC-3-17-695 Permit Type:.Mechanical- Residential Work Classification:. Pool Heater Permit Status: APPROVED I Issue Date:' 3/29/2017` Expiration: 09/25/2017 Parcel Number Applicant 170 NW 97 Street Miami Shores, FL 33150- 1131010250030 Block: Lot: Owner Information ROBERT ROSENWALD JR Address 170 NW 97 Street MIAMI FL 33150- 170 NW 97 Street MIAMI FL 33150- Contractor(s) MIAMI CUSTOM SWIMING POOL Phone 305-592-8066 Cell Phone ROBERT ROSENWALD JR Phone (305)790-8449 Tons: Additional Info: HEAT PUMP Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved:: In Review Type of Work: HEAT PUMP Fees Due CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $1.80 $2.00 $2.00 $0.60 $5.00 $112.00 $3.00 $2.40 $128.80 Pay Date Pay Type Invoice # MC-3-17-63316 03/29/2017 Check #: 4397 03/15/2017 Check #: 4388 Amt Paid Amt Due $ 78.80 $ 50.00 $ 50.00 $ 0.00 Cell Available Inspections: Inspection Type: Final Review Mechanical 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 fo' .II work done by either myself, my agent., servants, or employes I understand that separate permits are required for ELECTRICAL, PLUMBING, MEC CAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all th construction an z• i' . Futhermore, I a going information is accurate and that all work will be done in compliance with all applicable laws regulating rize the above -named contractor to do the work stated. March 29, 2017 A prize S gnature: Owner / Applicant / Contractor / Agent Date Building Department Copy March 29, 2017 1 ((c,-. 29 55 Inspection Worksheet Miami Shores Village; 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-278719 Permit Number: MC-3-17-695 Scheduled Inspection Date: August 23, 2017 Inspector: Perez, JanPierre Owner: ROSENWALD JR, ROBERT: Job Address: 170 NW 97 Street Miami Shores, FL 33150- Project: <NONE> Contractor: . MIAMI CUSTOM SWIMING POOL Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Pool Heater Phone Number (305)790-8449 Parcel Number 1131010250030 Phone: 305-592-8066 Building Department Comments HEAT PUMP Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed (j Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 22, 2017 For Inspections please call: (305)762-4949 Page 10 of 36 - X S�' BUILDING PERMIT APPLICATION Miami Shores Village ECE!VED Building p De artment MAR 15 2017 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 r✓� FBC 20 14- Master Permit No. QQc I4 - 29 5�S Sub Permit No. C 1 1 —^ 693 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 170 NW 97 ST City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ROBERT ROSEMWALD JR Address: 170 NW 97 ST Phone#: City: MIAMI SHORES Tenant/Lessee Name: Email: State: FL Zip: 33138 Phone#: CONTRACTOR: Company Name: MIAMI CUSTOM SWIMMING POOL Phone#: 305-592-8066 Address: 1065 BASS POINT ROAD City: MIAMI SPRINGS Qualifier Name: JOSE E QUINONES State: FL Zip: Phone#: 305-592-8066 State Certification or Registration #: CPC1458439 Certificate of Competency #: DESIGNER: Architect/Engineer: KENNETH R PFEIFFER P.J Phone#: Address: 8754 SW 206 LANE City: MIAMI State: FL Zip: 33189 Value of Work for this Permit: $5,200 Square/Linear Footage of Work: Type of Work: ❑ Addition ri Alteration ❑ New ❑ Repair/Replace El Demolition Description of Work: HEAT PUMP Specify color of color thru tile: 1r 1 (LI f j .. Submittal Fee $ �� Permit Fee $ CCF $ ( 'CO/CC $ Scanning Fee $ Radon Fee $ 2— DBPR $ Notary$ ` Technology Fee $ 2 - QC) Training/Education Fee $ COvb Double Fee $ • Bond $ TOTAL FEE NOW DUE$ -98 Structural Reviews $ (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 •d notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this Hdr1/ day of V1/4104.kk , 20 II , by •Vi5eOl,`,, `, who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sig L��jj�(k Print: %NEW � W d Seal: •P''••, SYEVEN N. ROTHSTEIN i°;.�Y t�=, Notary Publc • State of Florida Commission #F FC 990321 .dors My� Comm. Expires Aug 211, 2•0_20 p0 APPROVED BY e» as Signature The foregoing instrument was acknowledged before me this I'Sill day of MA CV , 20 (1 , by y`es who is personally known to me or who has produced ri \pc Y () (' `f v ST as identification and who did take an oath. NOTARYC: Sign: Print: Seal: ,o^" "kv, YANAD PRIETO &s MY COMMISSION # FF 214031 N EXPIRES: March 25, 2019 ;p „°Bonded Thru Notary Pubic Underwriters **************************************************************** " PI kb ns Examiner Zoning (Revised02/24/2014) Structural Review 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): City: Miami Shores Village County: Miami Dade Zip Code: 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: Contractor's Company Name: Phone: State Certificate or Registratio / 1 Certificate of Competency No. MCl/ Signature (Qualifier's signature) Date: (Revised02/24/2014)