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MC-09-2048 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FIL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 131462 Permit Number: MC -12 -09 -2048 Scheduled Inspection Date: May 13, 2010 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: GAVIRIA, OMAR Work Classification: A/C Replacement Job Address: 136 NE 91 Street Miami Shores, FL Phone Number (305)756 -7459 Parcel Number 113101019004 Project: <NONE> Contractor: C&R AIR CONDITIONING CO Phone: 305 -685 -6394 Building Department Comments EXACT REPLACEMENT OF 3 TON SPLIT SYSTEM /0 Inspector Comments Passed, Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 12, 2010 For Inspections please call: (305)762 -4949 Page 5 of 25 ° tZ Miami Shores Village PBm ; Iechanlcal RiitfeRtt ` 10050 N.E. 2nd Avenue WWot; d 0";� Miami Shores, FL 3313 &0000 Phone: (305)795 -2204 b �!Sa 'f lv Expiration: 06119 /2010 Project Address Parcel Number Applicant 136 91 Street 1131010190040 Miami Shores, FL Block: Lot: OMAR GAVIRIA Owner Information Address Phone Cell OMAR GAVIRIA 136 NE 91 ST (305)756 -7459 MIAMI FL 33138 -2810 Contractor(s) Phone Cell Phone Valuation: $ 4,500.00 C &R AIR CONDITIONING CO 305 -685 -6394 (954)680 -4494 Total Sq Feet: 0 Tons: 3 For Inspections please call: Additional Info: A/C REPLACEMENT SPLIT SYSTEM (305)762 -4949 Classification: Residential Available Inspections: Approved: In Review Inspection Type: Comments: Date Approved:: In Review Final Date Denied: Type of Work: MECHANICAL Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $3.00 MC -12 -09 -36635 $ 218.38 $ 218.38 $ 0.00 Education Surcharge $1.00 Permit Fee - Additions/Alterations $207.38 Scanning Fee $3.00 Technology Fee $4.00 Total: $218.38 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. December 21, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy December 21, 2009 1 Miami Shores Village Building Department DEC 14 2009 10050 N E.2nd Avenue, Miami Shores, Florida 33138 Te : (3 05) 795.2204 Fax: (3 05) 756.8972 BY. -- BUILDING Permit No. -- �("�� �" '�/ �`-t.J"i PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type Mechanical % G Owner's Name (Fee Simple Titleholder) WIL Phone # c� Z i 9 4 6 6 T Owner's Address _ 13 6 N E C l 1 41- City ., iam 1 �► ®�C� State I Zip 131 e Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) . I T City Miami Shores Viii a County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO I Contractor's Company Name C+ Q t r vi C o. Phone # j0f 6 0 Contractor's Address (6 0 - 7 3 M E 3- r c, L 9 City i g MI Ste F . Zip 036 S_ Qualifier Name � � � . C k e , l Phone # s L19 4 State Certificate or Registration No. L• �} � , ® ' l� Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square /Linear Footage Of Work: Type of Work: ❑Addition ❑Alterat on ❑New Repair /Replace ❑ Demolition I I T Describe Work: i k�� ' �x s ��x�� x� xnYYYeexdeatxxx & &Yiax4 &aexxeYie4txsese Submittal Fee $ Permit Fee $ CCF $ COlCC Notary $ Training /Education F $ 1 Technology Fee $ 4• Scanning $ Radon $ DPBR�$ Zoning $ Bond $ Code Enforcement !$ Double Fee $ Structural Review. $ Total Fee Now Due $ ��, ' 3 See Reverse side I ' 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 fai that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is b� ct to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspe Pion which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will no e .. proved and a reinspection fee will be charged Signature Signature Owner or Agent Co ractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of Bee. °t420 by day of ®eC@ Cd , 206A, by who i ersona y known o me or who has produced who i ersonally known o me or who has produced As identificati n ^ ^ as identification and who did take an oath. NOTARY PUBLIC: ° Robert I Chryst NOTARY P " . Commission # DD524S02 JANETMW w L , Expires May 24, 2040 *' �Q . m DD R1 X . eoo, Sign: Sign: ° Print: C r Print: dl ct V) d Kra Z My Commission Expires: My Commission Expires: xe4 tizxtie tiexaYxtietie>ti tiexxtietir at,4 tie ati tiextietieaYetti: aYxxxxxtir tie a4xticxxxticxxoYx' 'tie tie tietie'titix tieaY tir deaea@xxxie'Y� uzY�e xxxx &xx4e vYx�e +4 dcxxYxxaFxxeYsY irxaY Y atxd: APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised- 02/08/06) 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: PERMIT # PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING rx DISPOSAL RECEPTACLES �S - FLOOR DRAIN A/C (WIND) SERVICE TEMPORARY A/C (CENTRAL) :,'��,� 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 URINAL TRANSPORTING ASSEMBLIES 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 A/C UNIT A/C 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 ITELEVISION 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 United States Attorney's Office, Torre Chardon, 350 Chardon St., Suite 1201, San Juan, PR 00918; Daniel I Vaccaro, Esq., Michael Best & Friedrich LLP, 100 E. Wisconsin Avenue, Suite 3300, Milwaukee, WI 53202. In Fort Lauderdale, Florida, this 9th day of October, 2008. Respectfully submitted, GREENBERG TRAURIG, P.A. Attorneys for the Appellants 401 E. Las Olas Blvd., Suite 2000 Fort Lauderdale, FL 33301 Telephone: (954) 765 -0500 Facsimile: (954) 765 -1477 Ina M. rlingeri- mcenty USCA Bar No. 32609 E -mail: berlingerii @gtlaw.com Greenberg Traurig, P.A. Attorneys at Law 401 East Las Olas Boulevard Suite 20001 Fort Lauderdale, FL 33301 1 Tel 954.765.0500 1 Fax 954.765.1477 www.gtlaw.com