MC-10-1394Inspection Number: INSP - 149641
Scheduled Inspection Date: September 09, 2010
Inspector: Perez, JanPierre
Owner: MCINTIRE, CAROLEE
Job Address: 867 NE 91 Terrace
Miami Shores, FL 33138-
Project: <NONE>
Contractor: Al 24 HOUR SERVICE INC
Building Department Comments
September 08, 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
Phone Number
Permit Number: MC -8 -10 -1394
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
Parcel Number 1132060050280
Phone: (305)235 -5855
REPALCE EXSITING 3 TON AIR HANDLER AND
CONDENSING UNIT W 10 KW HEAT
1
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 11 of 31
gi(o(o-
Miami Shores Village 17 �
Building Department
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: MECHANICAL
City: IN,u> Sk)1 re
Tenant/Lessee Name: tJ
Description of Work:
01114—.A1/ �o k
State: i- L
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BY :..
Permit No. ' f 1 C t° 1 S C I L 1
Master Permit No.
OWNER: Name (Fee Simple Titleholder): Cyr fps N. • N tDATi U Phone #: 305 16 $:RW 4
Address: E 4 T•Q r
Zip: 33138
Phone #:
Email:
JOB ADDRESS: $(p.-] OE co Thr
City: Miami Shores County: Miami Dade Zip: 33 14 g
Folio/Parcel #: I`- i.?O& - 005' Q /
Is the Building Historically Designated: Yes NO V Flood Zone:
CONTRACTOR: Company Name: A i Q4 r'o LI Z Saint( rAC. Phone #: 3 VS 4 i5$SS
Address: I gggS S W . � 141 S4-
City: 4 ma Sj -ea. a State: RL Zip:33030
Qualifier Name: .3oSLp h a iR. l al-ei11Ci AL to _ Phone #: 305 -a..1S SBSS'
State Certification or Registration #: C AC, OS &./q3 Certificate of Competency #:
Contact Phone #: iO5- a 3' — 51 SS Email Address: ai a q hvvt.e Se.ow tit 8W y 4.14 Do. (lam
DESIGNER: Architect/Engineer: 0 1 T't Phone #:
Value of Work for this Permit: $ 544 Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration New ❑Repair/Replace DDemolition
id tu N. x s+(ng 315n o
n Gw h ArAt l ,e, Anad CD Dt1.40) Si
UU
**** x*** ********** * ***** *** *** ** ** x* : = s * * * ** x****** *************** * ***** **x ***
Submittal Fee $ 50 0 -bD Permit Fee $ �/ CF $ CO /CC $
Scanning Fee $ r � Radon Fee $ DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ 1 sa - o _ 1
fro
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: 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 posted notice, the
inspection will no e approved and a reinspection fee will be charged
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
G
day of 20 t"
p1 rho is personally known to me or who h
- /13 °' 4 h5fPais identification and who did take an oath.
NOTARY P LIC:
Sign:
Print:
My Commissio
* * * * * * * * * * **
APPLICATION APPROVED BY:
(Revised 02/08/06)
/1//19-
/1//4-
e DIANNA LL SWORDS
°e MY COMMISSION # DI27 7474
♦ * ** *7` tF �4 *
,,, t ° April 29, 2012
(407) 398 -0153 FtoridallolaryService.com
* * * * * * * * * * * * * * * * * * * * * **
atur = /���AM
n .tor
The foregoi g instrument was acknowledged before me this
day of
who i
NOTARY '_ LIC:
20 /0, c. lee #
me or who has produced
as identification and who did take an oath.
ires®IANNA L SWORDS
EXPIRES April 29, 2012
153 FloridallotarySeMce.00m
tr
Plans Examiner
Engineer
Zoning