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MC-10-1156Inspection Number: INSP - 146792 Scheduled Inspection Date: July 20, 2010 Inspector: Perez, JanPierre Owner: DUKES, KATIE Job Address: 166 NW 96 Street Miami Shores, FL Project: <NONE> Contractor: CSR AIR CONDITIONING CO Building Department Comments July 19, 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 Number: MC -6 -10 -1156 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1131010240190 Phone: 305 -685 -6394 EXACT REPALCEMENT OF 3 1/2 TON SPLIT SYSTEM Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 9 of 25 Owner's Name (Fee Simple Titleholder) Owner's Address BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL City Tenant/Lessee Name Email Job Address (where the work is being done) 16 v�1 9 6 ST City FOLIO / PARCEL # Miami Shores Village County Miami Shores Village Building Department / ©.E& AAAJ ��� ► State • Is Building Historically Designated YES NO Contractor's Company Name + R.. ‘ - Coin ct. co Contractor's Address 60 73 N LAJ 14 - 1 -- 9 City w State P Qualifier Name 6 Q J C (evi ST State Certificate or Registration No. C h C- 026 41 ( y Contact Phone E -mail Value of Work For this Permit $ Submittal Fee $ Permit Fee $ Notary $ Training/Education Fee $ t • LA._A Scanning $ 3. Radon $ DPBR $ Double Fee $ Structural Review. $ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. MC I O — I kl, Master Permit No. Violation date: Zip Miami -Dade JUN 2Z`L910 P S 1' ,20S' 79/7 JO 131 Phone # Zip Dee- Phone# 205 Zip 3 Jo 11 Flood Zone Phone# J O S 84 7 c Certificate of Competency No. 0 Li g 8 d a •3 Architect/Engineer's Name (if applicable) ,. Phone # Square / Linear Foot a Of Work: Type of Work: EAddition ❑Alteration ['New [ Repair/Re 'lace ❑ Demolition Describe Work: a exit 1 �' 1 �,Cv Of 3 , t, ***************************************F ************************************e******* 6 CCF $ (3'(UQ co/CCs Total Fee Now Due $ Technology Fee $ 4' Bond $ See Reyerse 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, BOIT ;FRS, HEATERS, TANKS and MR 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 attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection , .,'ch occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be pp j ved and 'Ireinspection fee will be charged. Signature Sign: Print: APPROVED BY 0 .� Agent The foreg g ins 'as acknowledged before me this '23 who • to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: al .A • "" RO : ' J. CHRYST ' cs, Commission # DD 9555419 eV' V Expires May 24, 2014 BondedTleu TroyFM Inuanm8UO38S7M8 Sign: - PA4irtz; Print: J ct y (t K Pa My Commi xp KRANZ Commission DD 621880 te = Expires December 26, 2010 * * * * * *> time * * * ****** * *** *t * * * *** **** I **** * * *** ** ** * ** * * *** **** * ** : *: ** `x�5��' * *M8 ' T ray Tt** ******** My Commission Exp Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) b ''D Plans Examiner The foregoing instrument was acknowledged before me this v`e7 day of CAvve. , 20 10, by who ersorially known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Zoning