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MECHANICAL1001 NE 96 STREET COOL BREEZE 305/278 -6426 Passed Inspector Comments f • Q Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number: I NS P -2155 Clow Inspection Date: 12/12/2005 Inspector: Perez, Jan Pierre Owner: None, None Job Address: 1001 96 ST Project: <NONE> Miami Shores Village, FL Contractor: COOL BREEZE AIR COND CORP Building Department Comments Monday, December 12, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho e: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: MC2005 -108 Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1132060143740 Lot: Phone: 305 - 226 -2665 Page 2 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/27/2005 Applicant: FRANCISCO Owner: MALDONADO JOB ADDRESS: 1001 NE 96 Mechanical Permit Permit Number: MC2005 -108 MALDONADO FRANCISCO ST Contractor COOL BREEZE AIR COND CORP Contractor's Address: 13120 SW 130 TERR Local Phone: 305 - 226 -2665 Parcel # 1132060143740 Page 1 of 1 Legal Description: 5-6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOT 17 & 18 BLK 82 LOT SIZE Fees: Description Amount FEE2005 -10214 Building Fee $553.00 FEE2005 -10215 CCF $9.60 FEE2005 -10216 Training and Education Fee $3.20 FEE2005 -10217 Technology Fee $13.85 FEE2005 -10218 Scanning Fee $3.00 Total Fees: $582.65 Total Fees: $582.65 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 1/18/2006 Construction Value: $15,800.00 Work: CHANGE OUT 4 TON A/C SYSTEM AND Signed: (INSPECTOR) JUL, 2 8 PAID C- DL 4 4 lu 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: p BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building � Electric Owner's Name (Fee Simple Titleholder) f1 4QC\ Owner's Address 100 \ we_ °ta, ST . City 1 S''\\ S1 \0W State FA— Tenant/Lessee Name Phone # Job Address (where the work is being done) \001 NE cVo Si . i City Miami Shores Village County Miami -Dade Zip 33 \3V Is Building Historically Designated YES NO Contractor's Company Name Cook... V' E PAC COM . Contractor's Address \3\ S ) TF City \\11AM1 Qualifier c\2A1AtL. 0. CnAwk_1= ( Total Fee Now Due $ J or. (Continued on opposite side) 2 , �5 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 o X000 ACS State aster Permit No. lumbing 90 Phone# (3o+c >`Iko0 Zip 33 \3?> Phone # Permit No. NCOS_ 1 Zip 331 ( ?_2(- Z a,(is Roofing State Certificate or Registration No. ACo2A32- Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit \5 i (60 V .00 Square Footage Of Work: Type of Work: ❑Addition NAlteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: CiO 6) A t \\ � c S`(S TE�'1 AI- O ( z Tt)k( SYSTEv 7 * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ ? L ®V CCF $ C ? • ( CO /CC — Notary $ Training/Education Fee $ 3 • ZCD Technology Fee $ 1 3 • 85 Scanning $ 3 .00 Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 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: 1 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 wi not be appr ved and a reinspection fee will be charged. Sign Owner or Agent The forego g instrument was acknowledged before me this day of ■)a."-, , 20 oC , by F' i\NC \Sw , who is personally known to me or who has produced r L_ As identification and who did take an oath. NOTA Y PUBLIC: Sign: Print: 1(a0 -(17 )F My Commission Expires: * * * * * * * * * * * * * * * * * * * ** *************************************** * * * * * * * * * * * * * * * * ** * * * * * * * * * * * ** *` * ** * *? ** # '* * * * * * * * * * * * * * * * * * ** 7 APPLICATION APPROVED BY: Chc 05/13/03 f•tHNANDU UtitSU MY COMMISSION # DD 173702 s** EXPIRES: December22, 2006 Befidider 1'40:4 g P b%Ik1eA#1NM* * 22. Signature * * * * * * * * * * * * * * * * * * * * * * ** t Plans Examiner Engineer Zoning Contractor The foregoing instrument was acknowledged 'efore me this z Z day of , 20 LK , by iCliL 0 (M.LA ( t :1 who isjersonally knowi90 me or who has produced as identification and who did take an oath. NOTARY PUBLI Sign: Print: ft. / u4 My Commission FERNANDO OBESO • ?A MY COMMISSION # DD 173702 !s M1 eg ors** ** ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS ` UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING \ S 'e,-\► p DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 6 - 79 14 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 If STEAM BOILERS SHOWER MUTCRS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 If 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 HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING 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 LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (AK ALrPLICATIODf FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. $BTAINED,.THE OWNER' S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL • • NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. \ 3 -2-0 c Ot STATh bF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: 1\()� -si)0h Pas\ 1`1o■..1 l_ (t.E5 p W C� \op\ F S 2. Description of improvement: c4 ( ' A \C 5'STFr A•kJ° L\) 2TDI.4 3. Owner(s) name and address: POOCISco k J 000 2- PO N, CIO DSI r lJ(= IOU 1 AI r '(, Sr I`1 (f, r11( 51 -oftf5 , [ L 5 3■35 Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: CooL Cou. Biw sk,3 I3o > L ' a-u F- 331 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. xpiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unle$s a di ` -rent ��cifie�d) natur Si wner Pint Owner's Name FraiJCIScc, 1I LO-D v Sworn to and subscribed before me this 7-1- day of SUir Notary Public Print Notary's 123.01-52 PAGE 4 8/02 My commission expires: FERNANDO OBESO ` Bonded Pau Notary Public Underwriteis MY COMMISSIO E TA1 E OF FLOr iffi, CCI NTY 1)1\17 i11-1 .rl'` / h, ? „`i hARVtA 20 Oc• 111111111111111111111111111111111111111111111 C F N 2OO yR 76 367 OR Bl; 23599 Pa 0001; (1P9 RECORDED 07/22/2005 09:.4 9:53 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY' FLORIDA LAST PAGE Prepared by Coo(, Address: \3 \W sw I� rQ32 . �laHl , (t 331 c.c.