MC-15-923ry No°
FGORIDP
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO, MC -4-15-923
Permit Type: Mechanical - ResidentialPen11 ' Work Classification: New AIC System
Permit Status: APPROVED
Issue Date: 7/3112015 1 Expiration: 01/27/2016
Parcel Number Applicant
87 NE 92 Street 1132060130290
Miami Shores, FL 33138- Block: Lot:
PATRICK COWAN
Owner Information
PATRICK COWAN 87 NE 92 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
AIR SYSTEMS A/C LLC (786)208-3484
Tons: 3
Additional Info: 1 NEW UNIT 3 TON
Classification: Residential
Approved: In Review
Comments:
Date Denied:
Scanning: 1
Fees Due Amount
CCF 6.60
DBPR Fee 5.36
DCA Fee 5.36
Education Surcharge 2.20
Permit Fee 357.00
Scanning Fee 3.00
Technology Fee 8.80
Total: 388.32
Date Approved:: In Review
Type of Work:
Phone Cell
786)547-3255
Valuation: $ 10,200.00
Total Sq Feet: 1633
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC -4-15-55251
07/31/2015 Credit Card $ 388.32 $ 0.00
avauame Inspections:
Inspection Type:
Final
Rough Duct
rou
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: IAify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoninOFVthermore, I authorize the above-named contractor to do the work stated.
July 31, 2015
AuthorizedWgnature:Owner / Applicant / Contractor / Agent
Building Department Copy
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
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ l F $ lav CO/CC $
Scanning Fee $ - Radon Fee $ DBPR $ S Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ ' 3 '
Revised02/24/2014)
FBC 2001 n
BUILDING pGL J -9"z-c) Master Permit No.
PERMIT APPLICATION Sub Permit No. tnC- (5 --< -'
BUILDING ELECTRIC ROOFING REVISION EXTENSION RENEWAL
PLUMBING MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 22- 2City: City:Miami Shores County: Miami Dade Zip: 3g
folio/Parcel#: ( r) n 13 62q Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): C 9 Phone#: '7QrlO • 5q7 ' 32 b1—
Address: 91 LE 22-4
City: _ '.gml S00fL2<' State: ` C'f i da— Zip: R;/
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: r- i v
A
1 Phone#:
Address: /iL.gK as C%P —i—
City: CDP C -r LC('( State: L_ Zip:
Qualifier Name: UCL'? t P Phone#:
State Certificati Registration #:CiC. 03'sy Certificate of Competency #:
DESIGN : Archite i l IM / LJ PS Phone#: C
7Engineer:
5Address: -73 A `72 City: State: Zip:
Value of Work for this Permit: $ W 2 7 c Square/Linear Footage of Work:
Type of Work: Addition Alteration New Repair/Replace Demolition
Description of Work. 0 r )/x t -Ir
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ l F $ lav CO/CC $
Scanning Fee $ - Radon Fee $ DBPR $ S Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ ' 3 '
Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
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 ofcommencement 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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of 1 20 IS by
who is personally known to
me or who has produced h L "n 7—A, as
identification and who did take an oath.
NOTARY
P
Si A
J .
Seal: 4YA'
REBBCA M. PASTRANA
M1il' COMMISSION #EE872624
EXPIRES: Felauary07, 20I7
a
APPROVED BY
Revised02/24/2014)
Signature Aw —
ONTRACTOR
The foregoing instrument was acknowledged before me this
1 day of 4c(%\ 20 I7 by
RQLA yg2 942 who is personally known to
me or who has produced 1—;` as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: Q-e 00X
Seal: LREBECA PASTRANA
O,%4 IISSION # EE872624
iP,FS: February 07, 2017
IP Examiner Zoning
Structural Review Clerk
Inspection Number: INSP-268501
1S -9 2o
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 3
Scheduled Inspection Date: October 11, 2016
Inspector: Perez, JanPierre
Owner: COWAN, PATRICK
Job Address: 87 NE 92 Street
Miami Shores, FL 33138 -
Project: <NONE>
Permit Number: MC -4-15-923
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: New A/C System
Phone Number (786)547-3255
Parcel Number 1132060130290
Contractor: AIR SYSTEMS A/C LLC Phone: (786)208-3484
Dullulllu Uupol L1I1CI1L %'U111111C11LS
1 NEW UNIT 3 TON INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-268086. CREATED AS
REINSPECTION FOR INSP-232897. missing lock caps and cant return thru
laundry room
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 07, 2016 For Inspections please call: (305)762-4949 Page 8 of 10
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-268501 Permit Number:. MC -4-15-923
Scheduled Inspection Date: October 11, 2016
Inspector: Perez, JanPierre Permit Type: Mechanical -Residential
Inspection Type: Final
Owner: COWAN, PATRICK Work Classification: New A/C System
Job Address: 87 NE 92 Street
Miami Shores, FL 33138-
Phone Number (786)547-3255
Project: <NONE>
Parcel Number 1132060130290
Contractor: AIR SYSTEMS A/C LLC Phone: (786)208-3484
ounuing uepartment comments
1 NEW UNIT 3 TON Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-268086. CREATED AS
REINSPECTION FOR INSP-232897. missing lock caps and cant return thru
laundry room
Failed
Correction
Needed `
Re -Inspection '
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 07, 2016 For Inspections please call: (305)762-4949 Page 8 of 10