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MC-10-1325Inspection Number: INSP - 148927 Scheduled Inspection Date: July 27, 2010 Inspector: Perez, JanPierre &;, ` '� 5 3 I Owner: IGLESIAS, BEATRICE & JOSE Job Address: 1384 NE 104 Street Miami Shores, FL 33138- Project: <NONE> Contractor: TRUE COOL AIR CONDITIONING INC Building Department Comments July 26, 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 1 Permit Number: MC -7 -10 -1325 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1122320320260 Phone: 305 - 232 -7575 5 TON AC CHANGEOUT EXACT WITH 10 KW HEAT ,c,c) i Failed 1 Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments f 1 tr Iv I ,.L. f - Page 8 of 25 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL Owner's Name (Fee Simple Titleholder) 64, 4 4Retom Phone # 4476 a 4fr3. 4') (r3 Owner's Address 3'1r N € CO rSYr City mA,V1 S State 7-/ Tenant/Lessee Name Email Job Address (where the work is being done) City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name Mot. Col /d /01-e6 Contractor's Address it a - S - iluDy City C Co & State (' ( rtivk CAC � b + STA C C. Contact Phone ®�� 7 S ? / ( E -mail Qualifier Name T-e.. 1r ry State Certificate or Registration No. Architect/Engineer's Name (if applica le) , '? , ..64'b Value of Work For this Permit $ Type of Work: ['Addition Describe Work: $ "7'U n.) ( t 6 *-' 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 ['Alteration , 47c Submittal Fee $-° Permit Fee $ Notary $ Scanning $ 5. Radon $ Double Fee $ 1 S et r.e Sr Training/Education Fee $ 1 Al / Violation date: ktce Master Permit No. Zip 3 3r3e Phone # Phone # Certificate of Competency No. roe CC2X c, Phone # JUL 1 9 2010 BY: Permit No. I / 1cI V - 13 S Zip 3 3r 3e Flood Zone Zip 3 5 1 Phone # 3 c ? 5 A +7 3 t 9 Square / Linear Footage Of Work: ['New L Repair/Replace ❑ Demolition h.as ® e4 4- - o Y t1 * ** A * * *** * ****** * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ 4.2 J CO /CC $ Technology Fee $ 4 D . (0.0 DPBR $ Bond $ Total Fee Now Due $ 16.5 •� p S 4 ee 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 of be approved and tion fee will be charged. Signature Owner or Agent The fors going instrument was acknowledged before me this I day of \- l , 200, by evAl e [c Corte-16 , who is personally known to me or who has produced 0— ( l� As identification and who did take an oath. NOTARY PUBLI : 11 o , Sign: _ ,`` h Sign: Print: G am' 3 Print: T r a 4 O :— ** ***** * * * * * * * * * * * * * * * * .... . . j ire:. ** . ************************* * * * * * * * * * * * * * * * * * * *41* * *** * *A* A * * * ** = 0 My Commission Expires APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) Signature 6 `V► Contractor The foregoing instrument was acknowledged before me this � day of t�11' \ , 20\a, by ( lurk, who is personally known to me or who has produced l4- I as identification and who did take an oath. NOTARY PUBLIC: _ e_______ A My Commission Expires: \\ \,-\ .,.Y 11 1 /' / r // 111111 i /1/4lt111111110 / Z 9 / f 1 Plans Examiner Zoning Engineer Clerk checked I CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self - performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) PROPERTY OWNER: S 5 I e e q Eaguir-v 6- frei°6L_ PERMIT # I ' 1C1 ( ADDRESS: FOLIO NUMBER: / ! — 012 - 3:2 -O32 - 0 FLO ZONE: BASE FLOOD ELEVATION: COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): 7 63 VALUE OF PRINCIPAL STRUCTURE (attach a OWNERS SIGNATURE: PLAN REVIEWER: 11 -12 -08 13" /e tot ( r FREEBOARD: EAST OF FL.CCCL: - 763, raisal): Z °1 . v CI 0, PLAN REVIEWER SIGNATURE: DATE: JUL 1 9 2010 DATE: 7 —1 q Primary Zone: 1100 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/2 Floors: 2 Living Units: 1 Adj Sq Footage: 2,747 Lot Size: 8,850 SO FT Year Built: 1956 $50,000/ 32 52 42 RIVER BAY PARK ADDN PB 40 -72 Legal LOT 5 BLK 4 LOT SIZE Description: 75.000 X 118 OR 15921- 3279 0593 1 OR 15921- $116,573 3279 0593 00 Year: 2009 2008 1384 NE 104 ST Applied Applied Taxing Authority: Exemption/ Exemption/ 1384 NE 104 ST MIAMI Taxable Taxable -- '? r= Value: Value: Regional: $50,000/ $50,000/ $116,739 $116,573 County: $50,000/ $50,000/ $116,739 $116,573 City: $50,000/ $50,000/ $116,739 $116,573 School Board: 825,000/ $25,000/ $141,739 $141,573 Folio No.: 112 -p$2 -02QOp Property: 1384 NE 104 ST Mailing JOSE A IGLESIAS &W Address: BEATRICE E e, 13,41 1384 NE 104 ST MIAMI $383,953 SHORES FL -- '? r= 33138 -2662 ear: 2009 2008 Land Value: $154,864 237 699 Buildin. Value: $229,089 e, 13,41 arket Value: $383,953 4 -- '? r= $166 739 Mi .mi -Dade My Home Mi t Show Me: ....._....._. __ ............. _.__.._. ............... Property Information Search By: . ............................._ - Select Item Text only Property Appraiser Tax Estimator N Property Appraiser Tax Comparison Portability S.O.H. Calculator My Home niiarnif/3Cherq! v Summary Details: Pro perty Information: Assessment Information: Exemption Information: Taxable Value Information: Sale Information: k.,i„ r.,.,. kM[MIO ACTIVE TOOK: SELECT i Aerial Photography - 2009 MAIM. I Property Informatlon I Property Taxes I My Neighborhood I Property Appraiser RUMS I Using Our Site I Phone Directory I Privacy I Plsclelmer 0 112ft If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. Page 1 of 2 Legend Property Boundary Selected Property Street W E Highway Miami -Dade County Water http: / /gisims2.miamidade .gov/MyHome /propmap.asp 7/19/2010 2009 2008 H.0 ad* $25 000 $25,000 it !u -� - -. I YES YES Mi .mi -Dade My Home Mi t Show Me: ....._....._. __ ............. _.__.._. ............... Property Information Search By: . ............................._ - Select Item Text only Property Appraiser Tax Estimator N Property Appraiser Tax Comparison Portability S.O.H. Calculator My Home niiarnif/3Cherq! v Summary Details: Pro perty Information: Assessment Information: Exemption Information: Taxable Value Information: Sale Information: k.,i„ r.,.,. kM[MIO ACTIVE TOOK: SELECT i Aerial Photography - 2009 MAIM. I Property Informatlon I Property Taxes I My Neighborhood I Property Appraiser RUMS I Using Our Site I Phone Directory I Privacy I Plsclelmer 0 112ft If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. Page 1 of 2 Legend Property Boundary Selected Property Street W E Highway Miami -Dade County Water http: / /gisims2.miamidade .gov/MyHome /propmap.asp 7/19/2010