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MC-10-96 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 EORIw x a NP Expiration: 7/ 1 Project Address Parcel Number Applicant 1273 95 Street 1132060144010 J NEAL WALKER Miami Shores, FL Block: Lot: Owner Information Phone Cell J NEAL WALKER 1273 NE 95 ST (305)758 -2026 MIAMI SHORES FL 33138 -2549 Contractor(s) Phone Cell Phone $ 5,5 65.00 C &R AIR CONDITIONING CO 305- 685 -6394 (954)680A494 Valuation: Total Sq Feet: 0 Tons: 4 For Inspections please call: Additional Info: A/C REPLACEMENT (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 $3.60 MC -1 -10 -36859 $ 207.38 $ 157.38 44 Education Surcharge $1.20 E Permit Fee - Additions/Alterations $194.78 MC -1 -10 -36859 $ 207.38 $ 207.38 $ 0,00 Scanning Fee $3.00 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $4,80 Total: $207.38 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 taws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. January 26, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Cop January 26, 2010 1 Miami Shores pllage '' i � L o � Bu ilding Department 2 0 010 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305)!756.8972 BUILDING Permit No. ff)c Q _9 PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titlehold / j Phone # ! 0 A 6 Owner's Address '10., :2 N E 9 T City J�' State zip-a3 0 Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) - 7 6_ 9T City Miami Shorts Village County Miami -Dade Zip FOLIO / PARCEL # oe Is Building Historically Designated YES NO Contractor's Company Name C + ( z l J t' r wind , C o. Phone°# Contractor's Address -100:70 NUJ 16 _7 4,r C City 8 Q State �l . Zip Qualifier Name ®b�� .i, Phone State Certificate or Registration No. C A � � � L f 1 Certificate of Competency No. � y 0' 8C),2 E -MAIL: L Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ • Square I Linear Footage Of Work: Type of Work: LjAddition ❑Alteration ❑New Repair /Replace ❑ Demolition Describe Work: KVAAor� Li 14+ l2 0 � , i V Notary $ Tr!aining /Education Fee $ Technology Fee $ '°1' Scanning Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side —> <� Y/ 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. Si g nature X�"" Signature Owner or Agent C ntractor The foregoing instrument was acknowledged before me this ® The foregoing instrument was acknowledged before me this 0 day olersonally r� , 20 1I b, by , day of e�Av�e4�e� , 20 9 , by who known me or who has produced who ' personally known o 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: i Sign: Sign: Si g Print: Print: C Kr Z • 1 ..� ,N It1 My Commission Exp Comrrbssion # DD524602 My COM P Xw4amm do xx x xx x x x r p� SM14edT Fab - Immme,I= .8437019 8aded719UTaryFe6i6a8600,9867018 APPLICATION APPROVED BY: h® 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 "EA FEE BATH TUB SWITCH OUTLETS DISHWASHER LIGHT OUTLETS DISPOSAL RECEPTACLES FLOOR GRAIN SERVICE TEMPORARY __ A/CE(CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS ORK 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 A/C UNIT A/C WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. ISTRIP 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 Events Listing with Children Report Search Description: Adding Initials (Events) = '1451' and Adding Date (Events) = 09/2109 Matter ID /Client Sort Initials Event Date Notes Matter Description 118127.0101001 Energy King, Inc. 1834, BYA, 4039, 815/2009 Trafalgar Capital's Amended and Energy King & Buckeye Ventures v AYT Supplemented Responses to Request Nos 3, 5, 6, 15, 27, 28, 38, 39, 40 and 41 of Energy King, Hultman, Mintz and ARS' 1st Request for production served (by mail, electronic means or otherwise under FRCP 5(b)(2)(C), (D), (E) or fl) [ per Trafalgar Capital's Amd/Supp Rsps to Req Nos 3, 5, 6, 15, 27, 28, 38, 39, 40 and 41 of Energy King, Hultman, Mintz and ARS' 1st R/P sdd 8/5/09 ] 9/8/2009 UD to file all discovery motions relating to the service of the response to the request for production of documents [ per Trafalgar Capital's Amd/Supp Rsps to Req Nos 3, 5, 6, 15, 27, 28, 38, 39, 40 and 41 of Energy King, Hultman, Mintz and ARS' 1st R/P sVd 8/5109 ] 118127.0101001 Energy King, Inc. 1834, BYA, 4039, 9/8/2009 UD to file all discovery motions relating to Energy King & Buckeye Ventures v AYT the service of the response to the request for production of documents [ per Trafalgar Capital's Amd/Supp Rsps to Req Nos 3, 5, 6, 15, 27, 28, 38, 39, 40 and 41 of Energy King, Hultman, Mintz and ARS' 1st RIP sv+d 8/5/09 ] 092263.010100.11 Mellon Private LSM, 5367 7/31/2009 Former Husband's Request for admission to Alfred Ginez v. Lilian Brunet ika to Former Wife served (by mail) [ per Former Husband's R/A mailed 7/31/09 to Former Wife ] 9/4/2009 UD for the party to whom the request for admission is directed to serve a written answer or objection addressed to the matter (except that a defendant shall not be required to serve answers or objections before the expiration of forty-five (45) days after service of the process and initial pleading upon the defendant) [ per Former Husband's R/A mailed 7/31/09 to Former Wife ] 092263.010100.1 1 Mellon Private 9/412009 UD for the party to whom the request for Alfred Ginez v Lilian Brunet fica admission is directed to serve a written answer or objection addressed to the matter (except that a defendant shall not be required to serve answers or objections beibre the expiration of forty -five (45) days after service of the process and initial pleading upon the defendant) [ per Former 9/3/2009 8:43 AM Page: 22 Inspection Worksheet C V Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 133900 Permit Number: MC- 1 -10 -96 Scheduled Inspection Date: February 11, 2010 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: WALKER, J NEAL Work Classification: A/C Replacement Job Address: 1273 NE 95 Street Miami Shores, FL Phone Number (305)758 -2026 Parcel Number 113206014401 Project: <NONE> Contractor: C&R AIR CONDITIONING CO Phone: 305 - 685 -6394 Building Department Comments Inspector Comments Passed Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 10, 2010 For Inspections please call: (305)762 -4949 Page 12 of 29