Mechanical permitsEXACT REPLACEMENT OF 3 1/2 TONS SPLIT SYSTEM
NC
API 1 8 2001
Passed
Inspector Comments
I
.
\/
i
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Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
,,<JOHN
Job Aadres., St, aet NE
Miami Shores Village, FL
Project: <NONE>
Contractor: C&R AIR CONDITIONING CO
Building Department Comments
Friday, April 13, 2007
Worksheet
s ores Village
ienue Miami Shores, FL
j -2204 Fax: (305)756 -8972
Block:
.ermit:Number: MC- 3- 07-438
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060132071
Lot:
Phone: 305- 685 -6394
Page 2 of 2
Issue Date: 318/2007 Expires: 09/04/2007
Owner's Name: FREDERICK JOHN WILLIS
Permit Type: Mechanical - Residential
Work Classification: Addition /Alteration
Job Address: 187 100 Street NE
Contractor(s)
Phone
C&R AIR CONDITIONING CO 305 - 685 -6394
Primary Contractor
Yes
Additional Information
Miami Shores Village, FL
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 laws regulating construction
and zoning. Futhermore, I authorize the above -named contractor to do the work
stated.
Fees Due Amount
CCF $2.40
Education Surcharge $0.80
Permit Fee - New Construction $152.00
Scanning Fee $3.00
Technology Fee $3.00
Total: $161.20
Applicant Copy
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: MC- 3- 07-438
Phone:
1132060132071
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 4,000.00
Required Inspections
Rough
Rough Duct
Ventilation
Smoke Test
Hood
Smoke Det Test
Final
Invoice Number
MC -3 -07 -27785
Total:
zg
Amt Due
$161.20
R
Amt Paid
22ND
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
For Inspections, Call (305) 795 -2204 exts 431 & 442. Requests must be received by 3 pm for following day inspections. Obtain Certificate of
Ocupancy /Completion Before Using the Building
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Mechanical
Owner's Name (Fee Simple Titleholder) c 222. 1 L_
Owner's Address in 1 V C 1 00
City State , .
Tenant /Lessee Name
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES
Architect /Engineer's Name (if applicable)
4030 a d
Value of Work For this Permit $
Type of Work: ['Addition ['Alteration
Describe Work:
Radon $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
l
ON N 6 (0o
County
NO
Contractor's Company Name • t0` A ( r C-0(n cj _ C 0_
Contractor's Address PO t p 6 ho `J O
City MIA ✓h : Site J J
State Certificate or Registration No. C 4tr O26 y / L(
E -MAIL:
DPBR $
Miami -Dade
Bond $ Code Enforcement $ Double Fee $
Permit No. I T)
Master Permit No.
Phone #
Zip 33i.3
Phone #
Phone #
Zip a - 3 l 6 sc
Qualifier Name f O D-Qr -tt- T C y J ( Phone # � O 6 8I6J 9
Certificate of Competency No. 0 y p g 62 • 3
Phone #
Square / Linear Footage Of Work:
Zip
3Q5 61,I
Re lace air /Re
p p
MAR 0 7 2001,
BY:
❑ Demolition
***** ** ** * * *,r ** ** * * *** ** * ** ** ** ** ** * * *,* ****** * *** **** ** * * **** * * * * ** * *** * * ***
Submittal Fee $ Permit Fee $ ✓ CCF $ n '40 CO /CC
Notary $ Training /Education Fee $ 0'M Technology Fee $ 5
Scanning $ 6'00
Structural Review. $ Total Fee Now Due $
Zoning $
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 not be approved and a reinspection fee will be charged.
Signature
Owner or Agent Co tractor
The foregoing instrument was acknowledged before me this 7 The foregoing instrument was acknowledged before me this 7
day of _, 200 by , day of Mar in , 20 07 , by
who i ersonally known to me or who has produced who i ersonally known to 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:
Sign:
Print:
(Revised 02 /08/06)
APPLICATION APPROVED
Cl r ysT
My Commission Expires:
4 R�4 b1E� t .� . U r i 7`I
"
:•- i.om
' mission :ii 00524602
4 • � Expires May 24, 2010
5
•;10- Bonded r,y, -iMi - Inwranee, Inc 800 - 395 -7019
Signature
Sign:
Jgnftz-
My Commission FX19res: JANET KRANZ
•
a•.���: Expires December 26, 2010
"'•'f,, ..�„� , Bonded Thu Troy Fein Insurance 800. 385.7019
Inca
Plans Examiner
Engineer
Zoning
ITEM
UNIT
FEE
ITEM
UNIT
FEE
ITEM
UNIT
FEE
BATH TUB
SWITCH OUTLETS
SPACE HEATERS
DISHWASHER
LIGHT OUTLETS
CENTRAL HEATING I = 7 -
I` k)
DISPOSAL
RECEPTACLES
A/C (WIND)
FLOOR DRAIN
SERVICE TEMPORARY
A/C (CENTRAL) 1 ' 3 % TO r
GREASE TRAP
SERVICE SIZE IN AMPS
DUCT WORK Alt{ tc. 0I .,
Cl,
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.
STRIP 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
PLUMBING
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:
ELECTRICAL
PERMIT #
MECHANICAL
PURPOSE OF THIS PROPOSAL
We propose to fumish and install a C&R system for your home located at:
187 NE 100 STREET, MIAMI SHORES, FLORIDA, 33138
The system is designed to provide cooling and warming conditioning for the following areas:
EXISTING 3'h TON CONDITIONED AREA
UNITS INCLUDED
C &R AIR CONDITIONING COMPANY
RUUD 3'h TON SPLIT SYSTEM 15.0 SEER
CONDENSING UNIT MODEL # - UAPC -042JAZ
AIR HANDLER MODEL # UHLA -HM48 VARIABLE SPEED
71/2 KW ELECTRIC HEAT
AIR DISTRIBUTION
Ductwork installed by us will be designed, fabricated and installed in accordance with
standards of the American Society of Heating. Refrigerating and Air - Conditioning Engineers
within limits of existing installation conditions.
WIRING
RECONNECT TO EXISTING; ANY UPGRADES REQUIRED BY CODE ARE NOT
INCLUDED.
PLUMBING
RECONNECT TO EXISTING; ANY UPGRADES REQUIRED BY CODE ARE NOT
INCLUDED.
MISCELLANEOUS
Page 1 of 3
RESPONSIBILITY
Page 2 of 3
C &R AIR CONDITIONING COMPANY
Responsibilities below shall be assumed by either us or you, as indicated:
R- Reconnect, E- Existing, N- None, Y- You, and U- Us.
Delivery U 1 Phase electrical service from
Uncrating, assembly, erection U street to electrical panel E
Ductwork R Wiring from panel to unit R
Duct Insulation E Control system wiring R
Grilles E Cutting and patching holes for
Plumbing R ducts, pipes, etc. N
Attic Insulation E Painting, redecorating Y
GENERAL
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 attomey'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 or
agreements, oral or written not herein contained.
This proposal shall become a contract when accepted by you and approved in writing by our duly
authorized corporate officer.
WARRANTY
PRICE
The Purchaser shall receive such warranties as are extended by the equipment and /or
material manufacturers. In addition C & R shall provide labor to adjust system and replace
defective parts for a period of 365 days from initial start up date.
CASH TERMS:
Total job
FPL Rebate
ITEMS NOT INCLUDED-
CUSTOMER ACCEPTANCE
This proposal is accepted by:
Print Name:
Date:
CONTRACT APPROVAL
This proposal is accepted by:
Date:
Page 3 of 3
C &R AIR CONDITIONING COMPANY
10 YEAR COMPRESSOR, 5 YEAR PARTS
$4360.00
- 330.00
Your Investment $4030.00
50% Deposit $2015.00
50% When ready to operate $2015.00
►C
? J
644
jC
Name and address of licensed contractor . (U!& :1" E,.M,Q_�,., ;��
Location and legal description of lot to be built on:
Lot Block Subdivision _. . ,
Street and Number where work is to be done \,6 N
New Building ry Remodeling Addition
To be constructed of Kind of foundation
Estimated Total cost of improvements $
Zone cubage required
boo
'Repairs
Amount of Permit $t.
Plan Cubage
Distance to next nearest building Size of Building Lot
Remarks (Signed)—
Permit No._ 1 $
Disapproved
(Signed)" W . �..
Building Inspector
Date
Date..
•
PLANNING BOARD
Chairman
Member ._.._
Member
Council Approved
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re-inspection fee of $1.00 will be charged
ma rials and /or workmanship.
1 - A. om r". Lo Q)'0 A.
Date Disapproved
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
DATE
Member
Member ..._..
Member
making corrections or changes to this application nfter approval has
when such re- inspection is made necessary by improper notice for
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR. BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
191 A , Date..._..! :..L".�.._.._._. ... _.__...... ._.......,
Owner's Name and Address ` J , E a-c € r44 ,_, N a1 „_,,,,,,, Street...._ \ 0 °___.,_
R egistered Architect 1n4Igr l;ngint;t:r . ,,., .,: , :• .. ...........t,.,.t,t...s.if„n
'r 1 e 82k OW S4 T...........Mt cY
State work to be done and purpose of building (by floors).Y�(?:1_V.laSA_
fa ct 4:AS "QQc7 a QekL. Qt? Q4
_.... for no other purpose.
No. of Sties T
_.. ;.
vering ii d
1
•
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to...{�c_T ■ Q\k) 54 Sc•
The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to perfo ed. der this
permit, as are licensed by Miami Shores Village. �/ igf,49C
STATE OF FLORIDA,
COUNTY OF DADE. ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
._.to me well known,
Date
been obtained from
inspection or faulty