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MC05-129Inspection Number: INSP -15206 Inspection Date: 0402006 Inspector: Perez, JanPierre Owner: GOLDBERG, GEOFREY Job Address: 79 91 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Tuesday, April 18, 2006 LINDSTROM AIR CONDITIONING, INC Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone. 5)795 -2204 Fax: (305)756 -8972 CL Permit Number: MC -12 -05 -129 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)724 -6646 Parcel Number 1132060130130 Lot: Phone: 954/420 -5300 Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 1 Page 2 of 2 i nspection Number: INSP -4435 Inspection Date: 04/05/2006 Inspector: Perez, JanPierre Owner: GOLDBERG, GEOFREY Job Address: 79 91 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: LINDSTROM AIR CONDITIONING, INC Building Department Comments Tuesday, April 4, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone5)795 -2204 Fax: (305)756 -8972 Permit Number. MC -12 -05 -129 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)724 -6646 Parcel Number 1132060130130 Lot: Phone: 954/420 -5300 Page 2 of 2 Passed Inspector Comments 00 OA T ) 6 Failed I r ' Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number: INSP -4435 Inspection Date: 04/05/2006 Inspector: Perez, JanPierre Owner: GOLDBERG, GEOFREY Job Address: 79 91 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: LINDSTROM AIR CONDITIONING, INC Building Department Comments Tuesday, April 4, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone5)795 -2204 Fax: (305)756 -8972 Permit Number. MC -12 -05 -129 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)724 -6646 Parcel Number 1132060130130 Lot: Phone: 954/420 -5300 Page 2 of 2 Issue Date: 10/3/2005 Owner's Name: OPRE LLC Permit Type: Mechanical - Residential Work Classification: Addition /Alteration Job Address: 79 91 Street NE Comments: TRANE 3 TONE Additional Information Miami Shores Village, FL 33138- Building Department File Copy ts4 Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 09/12/2006 Contractor(s) Phone Primary Contractor LINDSTROM AIR CONDITIONING, Its 954/420 -5300 Yes Tons: 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. Permit Status: APPROVED Permit Number: MC -12 -05 -129 Phone: Parcel #: 1132060130130 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 8,000.00 Required Inspections Rough Rough Duct Ventilation Smoke Test Hood Smoke Det Test Final Fees Due Amount CCF $4.80 Education Surcharge $1.60 Permit Fee - Additions /Alterations $249.55 Scanning Fee $3.00 Technology Fee $6.30 Total: $265.25 Invoice Number Amt Due Amt Paid MC - 12 - 05 - 23299 $265.25 $265.25 Total: DEC 2 9 PAID $265.25 A, e HEiC Z63 N_ 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. A • BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name Job Address (where the work is being done) Qualifier Architect/Engineer's Name (if applicable) $ Value of Work For this Permit 1 , ` . OD Type of Work: Describe Work: Miami Shores Village ' Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbing #)wner's Name (Fee Simple Titleholder) Ct V ' Owner's Address lt 'vlE rtl 1 . City k ` '�iC� State F zip °� Phone # State Certificate or Registration No. Certificate of Competency No. Square Footage Of Work: it Permit No. t& tOr l l.9 Master Permit No. City Miami Shores Villa _e County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Lt>ik, a t\ butt IJL . Phone # riSt - ° Li( 17 Contractor's Address (16 C� l OAS 7)3 cit C)(X Q State 1 Zip `'?).301' )) `3( l7 Phone # ❑ ddition ❑Alteration []New [ / Repair/Replace ❑ Demolition Aral 1 y � ^lit 1 Sfi A r/ I X: 0,4 /i ct,nc, ar iatzt, r. rb Submittal Fee $ Permit Fee $ 1 6 CCF $ el • GO CO /CC Notary $ ' Training/Education Fee $ 1 LO Technology Fee $ . ..) Scanning $ Z. Radon $ Zoning Bond $ Code Enforcement $ Structural Pl Revi $ Total Fee Now Due 2be • Z S DE 2 9 PAID alD (Continued on opposite side) r� Bonding Company's Name (if applicable) Bonding Company's Address any 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, SIGN+, 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 not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _, by , day of , 20 by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********4 * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning chc 05/13/03 /. Bonding Company's Name (if applicable) Bay iing 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 jnh' sire for the first inspection which occurs seven (7) days after the building permit is issued In the ' ; . ence of such - posted notice, t inspection will not be approved and a reinspection fee will be charged Signature' Agent The foregoing ins t was acknowledg Signature this ..1" The forego day of /•}qt r 1 , 20 , by j. CCr.ey G.OI 10. � , day of who is personally known to me or who has produced who is per identification an ' who di . take an oath. NOT Sign: Prin My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. c.,0.57, 703 Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 10/14/03 .i,...limmetavar At an Dul^e Y P Commission #CD23 01) 7.6, 2001 Sign bond i inn, is Co.. lnc. Prin My Commission Expires: by own to me or who has produced as identification and who did tak 1 u oath. Plans Examiner Engineer Zoning D ' Ms . mce tt 62 ission #CD231 095 2007 Pcndod Thru • Inc. 1 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) II 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 HP STEAM BOILERS SHOWER MJTCRS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MJTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MJTCRS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MJTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MJTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MJTCRS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS 1 HEATER - REPLACE GENERATORS TRANSFORMERS , LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMfi1ING POOL OUTLETS COMdERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES 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 1 LAWN SPRINKLER SYSTEW. 1 GAS RANGE 1 1 METER SET (GAS) 1 GAS PIPING PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION (AN ^..t LICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAII THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) ELECTRICAL MECHANICAL NOTICE. OF COMMENC..EMENT 'ERMIT NO. TAX FOLIO NO. 1) — 3 a 0 (o - 01 3-.0130 ;TATE OF :OUNTY OF DADE: HE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with ;hapter 713, Florida Statutes, the following information is provided in this,Notice of Commencement. • . Legal description of property and street address: } ) � 'S o r es Se- -c- t' Descriptiorof improvement: V G. _19 N ° I ( IN( i cc,m ; F L. 9 ) 6 Iterest in property: lame and address of fee simple titleholder: . Contractor's name and address: L+ epY\ i -\ j On\ La U cal 11k° f S \2 o Ce,.ek C o c , r\u PL J , � O . Surety:(Payment bond required by owner from contractor, if any) ame and address: mount of bond $ Lender's name and address: Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided Section 713.13(1)(a)7!, Florida Statutes, ame and address: In addition to himself, Owner designates the following person(s) to receive a copy of the Llenor's Notice as provided in ection 713.13(1)(b), Florida Statutes. ame and address: Expiration date of this Notice of Commencement: (the expiration date Is 1 year from the date of recording unless a fferent date is specified) nature of owner rint Owners Name wom to and subscribed before me this otary Public c t rint Notary's Name c 2 ly Commission Expires: Duke Martinez Commission #DD231895 • Expires: Aug 26, 2007 Bonded Thru ST 1HER 0 g ay of te• n •e "L o V POUNTY CIF Y CERTIFY • a2 grr • r r Pi i of ftra 1 111111 III11IIII1111111 ( :FN 2 iO F+:O p 56afro6 e - + OR Bk 23767 Ps 3977; (fps) RECORDED 09/12/2005 13:4051 HARVEY RUVIN► CLERK OF COURT MIAMI -DADE COUNTY► FLORIDA LAST PAGE Prepared by: L i Nb�� %ti AIC Address: L`OI fth .4 3S' Coeogur MEI( Ft, 3) 3