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MC-10-1226EXACT REPLACEMENT OF 5 TONS SPLIT SYSTEM 1- \ ( c , -) ' Passed Inspector Comments Failed Correction Needed Re- Inspection I Fee No Additional Inspections can be scheduled re- inspection fee is paid. I until Inspection Date: December 14, 2010 Inspector: Bruhn, Norman Owner: COY, J FRANK MC Job Address: 85 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: C&R AIR CONDITIONING CO Building Department Comments December 14, 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 nspection Number: INSP - 147904 Permit Number: MC -7 -10 -1226 I Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060130580 Phone: 305 -685 -6394 Page 1 of 1 BUILDING Permit No. PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL Owner's Name leh Fee Simple Titleholder) (/ *� 7. 1 ( p _ ) 1 ut/vuC' /�i(� Phone # eJ 7J Owner's Address , c N e / L/ S City / . 4 • , State . Zip '3 3 10 8' Tenant/Lessee Name Email Job Address (where the work is being done) ASS Ne 9 LOT City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name C 1 A c r e �1 c' , Ca Contractor's Address 0 3 ! v ( - k i 1c ' T C- City /" i , a vn 1 State Qualifier Name Architect /Engineer's Name Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Ro3 ert T C ; T State Certificate or Registration No. CAC 0 G y l'r Contact Phone E -mail Submittal Fee $ Permit Fee $ 5U Value of Work For this Perini Type of Work: il Addition ❑Alteration Describe Work: ** * * * * * ** * * * * * * * * * * * * * * * * * *:r * * ** *3 * * *E * *xi, Master Permit No. Phone # Phone # Notary $ Training /Education Fee $ 2.0 Scanning $ b ( fl e Radon $ DPBR $ Double Fee $ Violation date: Zip J©S 6U43 Zip '3 3 ©/ Phone# 0656SC Certificate of Competency No. b H & $ 6 Phone # Square / Linear Foota Of Work: [New .. L' Repair/Replace ArrIS **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ Total Fee Now Due $ Technology Fee $ Q Bond $ §ZalEnVZIN JUL 0 6 2010 M C -1/ Flood Zone ❑ Demolition CO /C C $ See Reverse side - 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 ne be approved and a reinspection fee will be charged. Signatur ontractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of '. , 20 10 , by , day of J ' , 20 10 , by &4Z Owner or Agent who ' perso . . y known o me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commissio * * * * * * * * * * * * * * * * * * * * ** APPROVED BY •' l "" -, ROBERT J. CHRYST is Commission # DD 955419 'a: Expires May 24, 2014 ir.:tz � Bonded Thru Troy Fain Insurance 800- 385 -7019 (Revised 07 /10 /07)(Revised 06/10/2009) b t ans Examiner Engineer who i sersonally know to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: (` Sign: Print: My Commission n�rt krc 1i qs: JANET KRANZ '1 Commission DD 621880 . ,V Expires December 26, 2010 - ° o °;,,,,, Bonded Thru Troy Fain Insurance 8 * * * * * ** ************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Clerk checked CU$7OMI R ahe ADpRE$$ a 1.(11Mvi C A CELL ❑ EXISTING STRUCTURE We hereby propose to: Furnish, install and service the equipment and materials listed below with the conditions and specifications detailed below. 0 0 System # I $ System #2 $ q 1 2 „O. System #3 $ NEW EQUIPMENT Rebate /s - Your investment Manufacturer C 0 1' Condensing Unit Model # J Pe ° C z M nth Air Handler Model # �, � = j� V •2(') DN d 1 K Package Unit Model # r - `} 10 Heating Kw [ 0 Btuh S.E.E.R. Warranties Labor Yr. Parts 10 Yr. Labor Yr. Parts Yr. Labor Yr. Parts Yr. ❑ Condensing Unit Stand IA Air Handler Stand F oat Switch ❑ Ref. Line cover ❑ Condensate Line 'Concrete Slab Thermostat S D PI DD Auxiliary Drain Pan ❑ Ref. lines ft. ❑ Fire Dampers ❑ Other DUCT SYSTEM ELECTRIC SYSTEM ❑ Package Unit Changeout 19 Reconnect to Existing System A qualified air conditioning expert will start and test the system and explain its operation. This proposal is good for a two week period from date of proposal and at that time is subject to review. Title to the system shall remain in us until all sums due us have been fully paid. In the event the purchaser fails to comply with any of the requirements of this contract and such default results in litigation, the Purchaser agrees to pay reasonable attorney's fees and all court costs and expenses incident to such litigation. Delinquent payments shall bear 1.5% per month interest from due date until paid. All work is to be performed during our regular work hours unless otherwise specified. This contract contains all agreements. Neither party shall be bound by any representation, warranties nor agreements, oral nor written not herein contained. This proposal shall become a contract when accepted by you and approved in writing by our duly authorized corporate officer. We agree to furnish and install the above described labor and materials on the terms indicated below for System # TOTAL INVESTMENT S ' L 0 ° 'b r °C PPL /DEALER REBATE YOUR INVESTMENT S PERMIT FEE NOT INCLUDED PURCHASER JOB NOTES O f Existing Reconnection ❑ New Electric 1'4: X 1 r RAG — 4 — I xL+O ❑ v C &R Air Conditioning Co. 6073 NW 167 Street Suite C -4 Miami Gardens, FL 33015 -4330 DADE. 305- 685 -6394 BRO W ARD: 954- 680 -4494 n 000 I7, ° i Imo." W• • Compressor L L Yrs. PHONE C� �( HOME — / ! U 1 WORK DATE A PL rc.ffe- l VALID FOR 2 WEEKS 1611- ( 000 Compressor Yrs. Compressor Yrs. O a REPRESENTATIVE 50% DEPOSIT 50% DUE WHEN READY TO OPERATE DATE JJ,, JA..t't) A.3-- t f . b.L3s raw t 1g "UNDER CONSTRUCTION ° c1 ASS, s