MC-10-1301L4z
City ail itlati &IWO
Tenant/Lessee Name
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Mechanical
Owner's Name (Fee Simple Titleholder) di d. Appreitt Phone # SOS- '151-10 (oL+8
Owner's Address 149 Nye q3 ,S-ko
E -MAIL:
State FL
Job Address (where the work is being done) ILK 1 C3
City Miami Shores Villa a County Miami -Dade
FOLIO / PARCEL # I ( - 390(0 - 013 -3030
Is Building Historically Designated YES NO
Miami Shores Village Ig a M B d IE
Building Department 4
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 BY:
Contractor's Company Name ALL YEAR COOLING & HEATING Phone # 9`4'566-4644
Contractor's Address 6781 W. SUNRISE BLVD
City PLANTATION State FL zi 33313
Qualifier Name GRETA B. SMITH Phone # 954 - 5664644
State Certificate or Registration No. CACO5816 Certificate of Competency No. CMC511
E -MAIL:
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ (1 0O.00 Square / Linear Footage Of Work:
Type of Work: 0Addition ['Alteration ['New O Repair/Replace ❑ Demolition
Describe Work: REPLACE CENTRAL A/C WC/Ix-6a 5 -l 1 &' , ia4.)
C.4.1 at t c.t3U oo RHO # F■4ctJBoolm
***************************************p , es �x�x******** x��x�u�x�x ** **a�a*** ***** * * * **x��x** **�x� ***
Submittal Fee $ 1 - Permit Fee $ � ( " CCF $ "IL- co/cc
Notary $ l ra ining/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ l - 10
See Reverse side -+
Zip 33138
Phone #
Permit No. (1 IC ID— 13 01
Master Permit No.
Zip 33138
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 not be approved and a reinspection fee will be charged.
Signa e
Owner or Agent
The foregoing instrument was acknowledged before me this 14
day of Mane -e_ , 20 lt_ , by Mirka 00 61'0f [At
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: �;'�a.a_
Print: Imo
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
NOTARY PUBLIC-STATE OF FLORIDA
,i•'" Cheryl Morgan
S
Expires: JUNE 28, 2013
buNur iruutu aiuuv Lit, Bu SIDING CO., INC.
Signature
Contractor
The foregoing instrument was acknowledged before me this 14
day of jia _ , 20 10 , by 6rwta Sas .,
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
• it
� , '• ,o •` Expires: JUNE 28, 2013
BONDED TUC ATLANTIC BONDING CO.,INC.
My Commission E i' es:
NOTARY PUBLIC-STATE OF FLORIDA
Cheryl Morgan
II on Yi :::= 5
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7 r
Plans Examiner
Engineer
Zoning
Inspection Number: INSP- 148664 Permit Number: MC -7 -10 -1301
Scheduled Inspection Date: October 19, 2010
Inspector: Bruhn, Norman
Owner: GARRETT, MICHAEL
Job Address: 149 NE 93 Street
Project: <NONE>
Miami Shores, FL 33138-
Contractor: ALL YEAR COOLING AND HEATING
Building Department Comments
October 18, 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
Parcel Number 1132060133030
Phone: (954)566 -4644
REPLACE CENTRAL A/C 5 TON
92 Id ro
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
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