MC-10-742Inspection Number: INSP- 141923 Permit Number: MC -4 -10 -742
Scheduled Inspection Date: May 11, 2010
Inspector: Perez, JanPierre
Owner: GONZALEZ, ROBERT
Job Address: 9120 NE 8 Avenue 4G
Project: <NONE>
Miami Shores, FL
Contractor: AFFORDABLE AIR & HEAT & ELECTRIC CONTRACTOR
Building Department Comments
May 10, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number
0
Parcel Number 1132060440330
Phone: 305 - 770 -4167
( /U)lb
Passed
sto,
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 18 of 30
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Parcel Number
9120 NE 8 Avenue Number: 4G
Miami Shores, FL
1132060440330
Block: Lot:
ROBERT GONZALEZ
Contractor(s) Phone
AFFORDABLE AIR & HEAT & ELECTR 305 - 770 -4167
Cell Phone
Fees Due
CCF
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$0.80
$140.00
$3.Oo
$3.20
$149.40
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Tons: 2
Additional Info: AC REPLACEMENT
Classification: Residential
Approved: In Review
Comments:
Date Denied:
Date Approved: : In Review
Type of Work: MECHANICAL
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC-4-10 -37724
04/30/2010 Check #: 8837 $ 149.40 $ 0.00
Expiration: 10 /27/2010
Applicant
VARMIVC
ROBERT GONZALEZ
9120 NE 8 AVE UNIT 4G
MIAMI SHORES FL 33138 -3247
Valuation:
Total Sq Feet:
$ 3,600.00
0
Available Inspections:
Inspection Type:
Final
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.
April 30, 2010
Date
April 30, 2010 1
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Mechanical
Owner's Name (Fee Simple Titleholder) gOberer
Cl OrY7-4 Phone #
Owner's Address GI l7_0 ^ c
City ne).5horte6 State
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done) C412-0 1.16 S 44-6 46
City Miami Shores Village County Miami -Dade Zip .
FOLIO / PARCEL # /1 IC:rff:›®44/
NO
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City
Qualifier Name
State Certificate or Registration No.
E -MAIL:
Value of Work For this Permit $
Submittal Fee $ '° Permit Fee $
Notary $
Scanning $ Radon $
Structural Review. $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
GIs- ► 1q
( State
CP o4.gl1
Architect/Engineer's Name (if applicable) Phone #
49
',
Type of Work: ❑Addition ❑Alteration
escribe Work:
Loca, -ham
Training /Education Fee $
DPBR $
Permit No. C t C.) -19Z
Master Permit No.
Zip
Phone #
Zip
Phone #
Certificate of Competency No.
Square / Linear Footage Of Work:
New ',Repair /Replace ❑ Demolition
w*** xxxxx * * ** * * * * ** * * * * * * * *xxxxxx
CCF$
Bond $ Code Enforcement $ Double Fee $
Technology Fee $
Zoning $
Total Fee Now Due $
1 3012gW3
A P le '/,
BY:
*Aloof
, v)gt-to o 7 - r )
C /CC
See Reverse ide -*
6 ti 3A
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: 1 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 ' issued In the absence of such posted notice, the
inspection will not be approved and a einspection fee will be char
Signature
wn or Agent
The foregoing instrument was acknowledged before me this' 8
� 201®, by® 2—''
who is personally known to me or who has produced
As identification and who did take an oath.
day of
NOTARY PUBLIC:
Sign:
Print:
£Z8P68 as # uolsslwwo3 ; b *
iemempinrsseildx3 wino 6yy
a lx 0 ldl OW VS3H3H w i
My Commis
rzxxxz4ex
APPLICATION APPROVED BY:
(Revised 02 /08/06)
Signature
Contractor
The foregoing instrument was acknowledged before me this'
day of ' 2 , 20 io, by $YL /n-Q- ,
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My C
J SCxxx xxxxxxx xxx WWWWY. xxxxx
c;31,-„,„44.Q
ITIMITIFIerrpowbvc■ °".
,�nup
n,ftfsslwwo0 :+°'°b� ` °
l Q nr s�ildx3•wwo3 bW - ;;;
0A1V1NOW VS3H3H1 , 'e; ' '''''''
Plans Examiner
Engineer
Zoning
ITEM
UNIT
FEE
ITEM
UNIT
FEE
ITEM
UNIT
FEE
BATH TUB
SWITCH OUTLETS
SPACE HEATERS
DISHWASHER
LIGHT OUTLETS
/
CENTRAL HEATING 53J
DISPOSAL
RECEPTACLES
NC (WIND)
FLOOR DRAIN
SERVICE TEMPORARY
1
A/C (CENTRAL) 2 "y
GREASE TRAP
SERVICE SIZE IN AMPS
DUCT WORK
INTERCEPTOR
SERVICE REPAIR/METER CHANGE
REFRIGERATION
LAVATORY
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
LAUNDRY TRAY
RANGE TOP
UNDERGROUND TANKS
CLOTHES WASHER
OVEN
ABOVE GROUND TANKS
SHOWER
WATER HEATER
U.F. PRESSURE VESSELS
SINK. POT /3 COMP.
MOTORS 0 -1 HP
STEAM BOILERS
SINK, RESIDENCE.
MOTORS OVER 1 -3 HP
HOT WATER BOILERS
SINK, SLOP.
MOTORS OVER 3 -5 HP
MECHANICAL VENTILATION
TEMPORARY WATER CLOSET
MOTORS OVER 5 -8 HP
TRANSPORTING ASSEMBLIES
URINAL
MOTORS OVER 8 -10 HP
ELEVATORS /ESCALATORS
WATER CLOSET
MOTORS OVER 10 -25 HP
FIRE SPRINKLER SYSTEMS
INDIRECT WASTES
MOTORS OVER 25 -100 HP
COOLING TOWERS
WATER SUPPLY TO:
MOTORS OVER 100 HP
VIOLATION
AIC UNIT
NC WINDOW
REINSPECTION
FIRE SPRINKLER
AIR CONDITIONERS
HEATER -NEW INST.
STRIP HEATER
HEATER- REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
GENERATORS TRANSFORMERS
SWIMMING POOL
GENERATORS TRANSFORMERS
WATER SERVICE
SPECIAL PURPOSE.
SEWER CONNECTIONS
OUTLETS COMMERCIAL
UTILITY -SEWER
SIGN TUBES
UTILITY -WATER
SIGN TRANSFORMERS
SEPTIC TANK
SIGN TIME CLOCK
RELAY
FIXTURES
FAINFIELD, 4" TILE/RES.
ANTENNA
PUMP & ABANDON SEPTIC TANK
TELEVISION OUTLETS
SOAKAGE PIT CU. FT.
VIOLATION
-
CATCH BASIN
REINSPECTION
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 BEEN OBTAINED, THE
OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.
PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR:
PLUMBING
ELECTRICAL
PERMIT #
CAC048111
Air Conditioning & Electrical Contractors
Aff or d able Air & Inc.
WHERE QUALITY IS AFFORDABLE
515 N.E. 190th Street • Miami, FL 33179
ade (305) 940 -0777 Broward (954) 987 -9943
HO
Figr
.
:arrAMIFALIMPr
JOB DESCRIPTION :
CONDENSER t PACKAGE MODEL
EQUIPMENT SCHEDULE
AIR HANDLER MODEL
WORK it
OTHER it:
STREET
CITY:
On EST. ANNUAL Ea
OPERATING COST
MINIM
TONS
DESCRIPTION OF SERVICES PERFORMED
AIR DISTRIBUTION:
Ductwork will be designed, fabricated and installed in accordance with
accepted engineering practices and in compliance with all bbl codes
in force on above date.
DUCTWORK: / ?77 -� ® / ;" .�
System of flexlfiber andlor ductwork wit
outlets and returns. Subject to modification according to structural
or other requirements.
LABOR WARRANTY:
AFFORDABLE AIR & HEAT, INC. WILL PROVIDE: YES
INSTALLATION OF EQUIPMENT
REFRIGERATION LINES ( ) OR FLUSH
GRILLES ( ) RETURNS ( )
PERMIT FEE(S) & PLANS, IF REQUIRED
DRAIN PIPING ( ) OR FLUSH ( j
AIR HANDLER SUPPORTS
CONDENSATION PUMP
EMERGENCY FLOAT SWITCH
HURRICANE TIE -DOWNS
CONCRETE SLAB
Service will be provided free by=us for a period of
year(s) from date of installation during regular working days & h ours.
MANUFACTURER WARRANTY:
Parts Warranty (Yrs.) A B
Compressor Warranty (Yrs.) _ A B
EXTENDED WARRANTY:
Provided through for year(s).
Title`to the above merchandise remains with Affordable Air and Heat, Inc.
(seller) until paid for in full. In case of default in any terms of this contract, the
salter shall have the right to take immediate possession of said merchandise
:end full amount of -the purchase price then unpaid shall become immediately
due and payable at the seller'soption without notice or demand. All monies paid
r s II remairnwith the seller as liquidated damages. In the event the services of
a attorney.are required dto enforce the interest of the seller, the purchaser shall
required pay all reasonable attorney's fees together with interest and all
sts thereto. No warranty service shall be performed on accounts with an
outstanding balance. Labor warranty excludes, existing ductwork, existing
electrical systems, and 'raintenancerelated repairs.
the event the purchaser refuses to allow seller to commence work after
the contract has been executed, purchasershall be responsible to the seller for
4% of thetotal price as liquidated and agreed damages. Seller shall not be
responsible for any existing building or electrical code violations.
All` guaranteed -to .be asspecified. All work to be completed in a
workmanlike manner'; according to standard practices. Any alteration or
deviation from the contract specifications involving e . ; costs ' I be executed
upon w orders and will be subject to charges ov - • as is estimate.
ere
EXISTING .:_ YES
. � : CARPENTRY — CI
■fa'"` .', BALM CE AIR F1.O101 - r
] ❑ ; ' ; ❑ REMOVAL `OF JOB SITE DEBRIS ---8
❑ - --❑ ELECTRICAL-WIRING (POWER CONTROL) ❑
Fl CONNECTTO EXISTING SERVICE/PANELS ❑
-`' INCREASE, ELECTRICAL SERVICE AMPS ❑
OTHER
__OTHER-
❑ EJ —Er OTHER
EC0001140
NO EXISTING
❑ -_
❑ ❑
❑ ❑
❑
❑ ❑
❑ ❑
❑ ❑
COST
REBATES /CREDITS
TOTAL COST
FINANCING AVAILABLE
Payment to be made as follows: deposit, balance upon start -up.
Authorized Company Signature d b Date
This, proposal subject to acceptan - within days and is void there after at the option of the seller.
a
THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE HE CCEPTED, YOU ORIZED TO THE WORK
Option Chosen Signature
PECIFIEDD PAYMENT Will BE MADE AS 0 ABOVE,
Date l )4 10
04/30/2010 08 :24
SEE OTHER SIDE
3056548152
•T• • , ;: 2• „'n_,6:
DO NOT FORWARD
AFFORDAaLE AIR & HEAT INC
515 NE 190 ST
MIAMI FL 33179
11111 111 A IL 1lF11r /r il ly /r l it I Ma►rillin
AFFORDABLE
PAGE 01