MC-10-1211Inspection orksheet
Inspection Number: INSP - 147740
Scheduled Inspection Date: July 22, 2010
Inspector: Perez, JanPierre
Owner: SERDA, WILLIAM
Job Address: 463 NE 100 Street
Miami Shores, FL
Project: <NONE>
Contractor: RAPID AIR CONDITIONING INC
Building Department Comments
July 21, 2010
Miami ShoreSl7illage
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Phone Number
Permit Number: MC -7 -10 -1211
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
Parcel Number 1132060170520
Phone: (954)975 -0898
REPLACE 5 TON A/C HEAT PUMP. INSTALL SAME
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 5 of 17
1I 3C I o„lU
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: MECHANICAL
Address: i43 / ° E */b°'
s
City: M I m/ 54
JOB ADDRESS: ,/ b 3
City:
Address:
City:
Qualifier Name:
Miami Shores
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name:
Value of Work for this Permit: $
Type of Work: ❑Address s � j UAlteration
Description of Work: /�CP 5
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
OWNER: Name (Fee Simple Titleholder): / f l/ ��,� Phone#: lis �' 77
State: /—% Zip: V
Tenant/Lessee Name: Phone#:
Email:
County:
Folio/Parcel #:
State
SV , �
State Certification or Registration #: CA< �d / 4 7 2 3 Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: 6 I 5 9D Phone#:
Miami Dade
NO Flood Zone:
li tPhone#: 55
Square/Linear Footage of Work:
Cep
A G ye;
❑New
JUL TopECEIEWIgn
0 1 2010
HY: ....Y
Permit No. N 1 D r 2Z1
Master Permit No.
Zip: j i/I d
Zip: '7 �� . (/
Phone#: 5 5 f / r-- K
eplace LID o1i ' n
Submittal Fee $ �K-/ "� Permit Fee $ 1 3 CCF $ 4'2.. CO /CC $
Scanning Fee $ c Y at° Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ .40 Technology Fee $ *6,0
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ �� � • 52.
lk
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
Signaturidg- s C
Owner or Agent l
The for .o' +g instrument was ac` ledygye�d r �e,t(hiissQ� The fore
day o , 20 IQ by Y N ilita I ZNO 1A1L /, day of
who is perso + . ly known to me or who has producedT1 l »,...0 who is
identification and who did take an oath. I
NOTARY UBLIC:
Sign: all
Print:
My Commission Expires.
*** +****b*** *********
APPROVED BY
(Revised 07 /10/07)(Revise@ 06/10/2009XRevised 3115/09)
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Plans Examiner
Structural Review
Signature
Contractor
oin instrument w��knowl = befor
,20IV,by
rsonally knowi to me or who has produced
14entification and who did take an oath.
TARY PUBLIC:
*A,
Sign:
Print:
My Commission Expires:
, °n+mc
Zoning
Clerk