MECHANICALInspection Number: I NSP -22234
Permit Number. MC- 7-06 -1872
Inspection Date: 08/28/2006
Inspector: Perez, JanPierre
Owner: SULLIVAN, PAM
Job Address: 390 93 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Building Department Comments
Wednesday, August 23, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
SEP 0 6
Contractor: RESIDENTIAL AIR CONDITIONING CORP
Block:
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060136310
Lot:
Phone: 305 -652 -6040
Page 2 of 2
Passed
Inspector Comments
'1((C)
1"
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: I NSP -22234
Permit Number. MC- 7-06 -1872
Inspection Date: 08/28/2006
Inspector: Perez, JanPierre
Owner: SULLIVAN, PAM
Job Address: 390 93 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Building Department Comments
Wednesday, August 23, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
SEP 0 6
Contractor: RESIDENTIAL AIR CONDITIONING CORP
Block:
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060136310
Lot:
Phone: 305 -652 -6040
Page 2 of 2
Issue Date: 7/17/2006
Owner's Name: PAM SULLIVAN
Permit Type: Mechanical - Residential
Work Classification: New
Job Address: 390 93 Street NE
Contractor(s) Phone Primary Contractor
RESIDENTIAL AIR CONDITIONING ( 305 - 652 -6040 Yes
Comments:
REPLACE 3 1/2 TON SYSTEM A/C
Additional Information
Miami Shores Village, FL 33138-
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 01/13/2007
Tons: 3 1/2 TON
Classification: Residential
Additional Info:
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
and zoning. Futhermore, I authorize the above -named contractor to do the work
stated.
Building Department File Copy
Applicant Signature
Parcel #:
Block:
Section:
Re • uired Ins • ections
Rough
Rough Duct
Ventilation
Smoke Test
Hood
Smoke Det Test
Final
Permit Status: APPROVED
Permit Number: MC - - - 1872
Phone:
1132060136310
Lot:
PB:
Total Square Feet:
Total Valuation: $ 4,200.00
0
Fees Due
CCF
Education Surcharge
Permit Fee - Additions /Alterations
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$0.80
$147.00
$3.00
$3.50
$156.70
Invoice Number
MC - 7 - 06 - 25603
Total:
Amt Due
$156.70
o c.5 -0 ( °
Amt Paid
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
CAO C0-t i -ic Miami Shores e
Villa
-A Village
Department
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Plumbing
Owner's Name (Fee Simple Titleholder) P 'rrvLe_/ I k LL 1 t/ Phone #
Owner's Address 3
City/')/t,G6� 9/29/ State
Tenant/Les ee Name
Phone #
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Contractor's Company Name kr tadirt6 - _ e
Con ctor's Address
Qualifier
9i0 h, . q.3 — 114,
Architect/Engineer's Name (if applicable) ^
$ Value of Work For this Permi 02 0 "�' c'o
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Submittal Fee $ Permit Fee $ \, 1co
Notary $ Training/Education Fee $
Scanning $ Radon $ Zoning
Zip
Type of Work: ddition ❑Alteration `/ ['New /.(
Describe Work: { i 7� Sf C7 ✓ter► -��
Permit No. ` 6 1 y 72 Master Permit No.
33/3?
Phone #
Il Repair/Replace
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Structural Plan Review. $
Ip@MIETM
,:
BY:
Roofing
3os 'lft - /ro f
County Miami-Dade Zip
NO
Phone # ?D s - (es -6 c o
City , )tliU4/9 State — Zip
State Certificate or Registration No. 4 `3i Z a y Certificate of Competency No.
Square Footage Of Work:
❑ Demolition
CCF $ CO /CC
Technology Fee $
Bond $
.//o
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 pennit 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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 WITII 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 commence wOmfhJe posted at the job site
for the first inspection wl?f M . ,t944,1jt (7) days after the building permit is issued. In t er 3 ` TIMESO Rdb . osted notice, the
inspection will not a � g tj�c.. -I a,le3Ptie e fee will be charged w °�w� u� °�,°
Q ° P ^SL,•lll �•(o° ', P �.a ° 9� Q
c O o ° 2 011 PePuo °� ° o diS ., o �1y1 P o, u� ° m
°c g'.- I!,.f ta. cy °m .—,
Signature M. ° Signa a
:4. o o °a o U o �.
Omer or Agent a :L.-.
a ' tractor a o°
't pcfP The foregoing dent *asu '_oil bepre me this The foregoing instr un� , �.u;�sd�pd beftlre me this
; , ° ° °N �.. V • ° ° � °000°0' °0° °°
day Of 21 alb° ° , °° v°° da of ,, : //1s� w ���•�
¢ n / who is perso no ,,1 t� ��oQ�+14 � t �ias�produced
rp
Asdett . - In . . • . : 1 an o
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
My Commission Expires:
eanoath.
NOTARY PUBLIC:
Sign:
Print:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *********** *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: 11 Plans Examiner
Engineer
Zoning
Chc 05/13/03
ITEM
BATH TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) A s/ ,
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK --
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION —
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LAUNDRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0— 1 if
STEAM BOILERS
SHOWER
MOTORS QVER 1— 3 HP
HOT WATER BOILERS
SINK, POT /3 COMP.
MOTORS OVER 3— 5 If
MECHANICAL VENTILATION
SINK, RESIDENCE
MOTORS OVER 5— 8 HP
TRANSPORTING ASSEMBLIES
SINK, SLOP
MOTORS OVER 8— 10 F
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10— 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
VIOLATION
INDIRECT WASTES -
A/C WINDOW
REINSPECTION
WATER SUPPLY TO:
AIR CONDITIONERS
•
A/C UNIT
STRIP HEATER
FIRE SPRINKLER
GENERATORS TRANSFORMERS
L,14
'HEATER —NEW INST.
GENERATORS TRANSFORMERS
• jQ IS
HEATER — REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER —WELL
SPECIAL PURPOSE
r J
'
,
SWIMMING POOL
OUTLETS COMMERCIAL
t".,
.,
I
II'
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY —SEWER
SIGN TIME CLOCK
UTILITY —WATER
F I XTI.RES
SEPTIC TANK
ANTENNA '
RELAY
TELEVISION OUTLETS
DRAINFIELD, 4' TILE/RES.
VIOLATION
PUMP & ABANDON SEPTIC TANK
REINSPECTION
SOAKAGE PIT CU. FT.
CATCH BASIN
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER.SET (GAS)
GAS PIPING
'ADDENDUM TO BUILDING PERMIT APPLICATION
(AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL