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MC-10-10441090 NE 105 Street Miami Shores, FL 1122320280100 Block: Lot: AQUILINO & ARGENTINA RICAR i Project Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Address Parcel Number AQUILINO & ARGENTINA RICARDO 1090 NE 105 Street MIAMI SHORES FL 33138 -2106 (305)895 -2340 1 Contractor(s) Phone Cell Phone C&R AIR CONDITIONING CO 305 - 685 -6394 (954)680 -4494 Fees Due CCF Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $3.00 $1.00 $5.00 $148.75 $3.00 $4.00 $164.75 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Phone Tons: 3.5 Additional Info: MECHANICAL Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: EXACT REPLACEMENT PACKAGE U Pay Date Pay Type Invoice # MC -6 -10 -38140 06/09/2010 Credit Card 06/08/2010 Credit Card Amt Paid Amt Due $ 114.75 $ 50.00 $ 50.00 $ 0.00 Date Applicant Available Inspections: Cell Inspection Type: Final 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. June 09, 2010 June 09, 2010 1 Inspection Number: INSP - 145639 Scheduled Inspection Date: June 24, 2010 Inspector: Devaney, Michael Owner: RICARDO, AQUILINO & ARGENTINA Job Address: 1090 NE 105 Street Miami Shores, FL Project: <NONE> Contractor: C &R AIR CONDITIONING CO Building Department Comments EXACT REPLACEMETN OF 3.5 PACKAGE UNIT Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 23, 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 -1044 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)895 -2340 Parcel Number 1122320280100 Phone: 305 - 685 -6394 Page 4 of 18 Inspection Number: INSP - 145639 Scheduled Inspection Date: June 24, 2010 Inspector: Owner: RICARDO, AQUILINO & ARGENTINA Job Address: 1090 NE 105 Street Miami Shores, FL Project: <NONE> Contractor: C &R AIR CONDITIONING CO Building Department Comments June 23, 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 Ci Permit Number: MC -6 -10 -1044 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)895 -2340 Parcel Number 1122320280100 Phone: 305 - 685 -6394 EXACT REPLACEMETN OF 3.5 PACKAGE UNIT [9 Inspector Comments Passed ■Ak Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Page 4 of 18 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL 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 Permit No. hinr _ 1 C _ 1 09 Master Permit No. Owner's Name (Fee Simple Titleholder) ,A6-6- 0 Phone # (30 S 8 1 - ( 2,3 0 Owner's Address tow 1• ' (i 1 0 5 City ! f l / {91 L ° State Tenant/Lessee Name Email E Value of Work For this Permit ti 2 s ® - Type of Work: ■ Addition Describe Work: Alteration Zip 3 3/38' Phone # OVVERVZIM IN (UN '1' BY:.. Job Address (where the work is being done) /o! 0 Al .5 • / 05 City Miami Shores Village County Miami -Dade Zip 3 3/3 t FOLIO / PARCEL # / / '0 .2— O (g f- 0/00 Is Building Historically Designated YES NO Flood Zone Contractor's Company Name C t Q A 0 fi O ✓fG' Co . Phone # 30S Contractor's Address 60 70 IJ t 16 -7 3 t C Cit fill 1 c" VII I f State F Zip 330 ( S Qualifier Name e C v� r - Phone # 1 r� State Certificate or Registration No. C A4C ®9 6 4i / ty Certificate of Competency No. 0 C ' I & 0 oC, - 3 Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # Square / Linear Foot • e Of Work: ❑New _� Repair/Replace ❑ Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** es ***** * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * ** Submittal F;;$ 5 CO Permit Fee $ t / CCF $ O CO /CC $ Notary $ 4 D : 00 Training/Education Fee $ 1 00 Technology Fee $ 4 Scanning $ ''00 Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 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 yermit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature £�fj E�/iv �°f4! V - Owner or Agent The foregoing instrument was acknowledged before me this b day of3 f , 20(1), by A ! ml- fAcAfi who is personally known to me or who has produced rt.. l D As identificat`sok itnittid NOTARY PUBLIC• 0 ' ......... Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY tttr o Engineer (Revised 07 /10 /07)(Revised 06/10/2009) * ** * * * * ** * ** e an oath. Signature c ctor The foregoing instrument was acknowledged before me this g ay of \IUAt , 20 10 , by who iersonally knowno me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Q ' N1 Tr , 1r My Commissioif+ <^ Commission DD 621880 Expires December 26, 2010 Amp Banded Thu mmy Fain Insurance 80G 854016 ** *************************** * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ** ans Examiner Zoning Clerk checked O ITEM UNIT FEE ITEM UNIT FEE ITEM BATH TUB SWITCH OUTLETS SPACE HEATERS UNIT FEE DISHWASHER LIGHT OUTLETS CENTRAL HEATING 1 lc DISPOSAL RECEPTACLES A/C (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) l 1!i1 MIMI GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK gl"1 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 . 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: PLUMBING ELECTRICAL PERMIT # MECHANICAL WED -37916 1129 -3 b9a 09- 32053 Nickolas G. Petersen 1201 Eglin Parkway Shalimar, FL 32579 uU?6 - ±)0 018893 37916018911022 018893 18893 1 AT 0.357 33301 1 1 6344 -1 -19208 John McManus, Esq. 401 East Oas Olas Blvd #200 Fort Lauderdale, FL 33301 -2211 Electronic Bankruptcy Noticing Go Green! Sign up for electronic notices. FREE! Join the thousands of people who have already switched. Receive notices 24 X 7 and days faster than through US Mail. Try our new Email Link service. To find out how, visit: http:IIEBN.uscourts.gov Tu `fit- a/w�:, 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: PERMIT # MC 10 '' d - y ADDRESS: 0 9 0 N L i o a FOLIO NUMBER: I I " as 3 2 .0 2 g - 0 + FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: . EAST OF FL.CCCL: t0Tg � v A 00 . (rot-f. �y 6so (10(4;11 0 COST OF PROPOSED IMPROVEMENTS: 1 0 • (ATTACH COPY OF CONTRACT) 001 WAVOrii OM *ems 1I �/�11111U[If:;+'1 y_-AL - oF-m 5 R- JCS- CRE- (attachappra 1tAt -tt tgkj PfaL Pf∎a -trfi - DATE: 0/400 IFNATUR E PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 - T E OF -IMP-R 1 IMERCEIR JUN O$2010 ). ,oIlgso:,c tfiriery Zone: 100 SINGLE FAMILY SIDENCE I 1 RESIDENTIAL - NGLE FAMILY 2008 =NM= e Applied ME1=731 K X14.. of Size: 11 50 SQ FT ear Built I SHORES STATES PB 47-58 LOT • « 10BLK1 LOT SIZE 5.000 X 150 75R 05485 `fear: 2009 2008 r $ Applied Applied Tad%Authority: T ddress: Value: Value: Regional: $50,000/ $226,826 $50,000/ $226,550 County: $50,000/ 9226,826 $50,000/ $226,550 City: $50,000/ $226,826 $50,000/ $226,550 School Board: 925,000/ 9251,826 925,000/ 9251,550 , ono No.: 2009 2008 112232- 028 -0100 r $ $25 000 090 NE 105 ST ailing AQUILINO RICARDO &W ddress: GENTINA 1090 NE105-ST MWNLI �i FL (` r , x:-2106 -∎ ;t■ 2009 2008 =MUM MEE $25 000 $25 000 r TSiTl4R11111 ..;.. -�-'> 76 caM Miami -Dade My Home 1 My Home rnianida • e.yo Show Me: Property Information Search By: Select Item . M Text only Property Appraiser Tax Estimator fa Property Appraiser Tax Comparison Portabitity S.O.H. Calculator Summary Details: Pro perty Information: Assessment Information: Exemption Information: Taxable Value Information: Sale information: Date: t0/1975 ACTIVE TOOL E.LEc °r= Aerial Photography - 2009 Mfr Home 1 Property Information I Property Taxes 1 My Neighborhood !Property Appraiser Home 1 Using Our Site 1 Phone Directonr 1 Privacy 1 Disclaimer 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. 0 114ft MIAMI-DM Page 1 of 2 Legend Property Selected F Properly e d Street /• Highway Muni-Dade County Water W E http: / /gisims2 co miami- dade.fl.us/MyHome /propmap. asp ?app=propmap&cmd= FINDFOLI... 6/9/2010 2009 2008 .:n,= 7fi"1 "MI $25 000 $25 000 Miami -Dade My Home 1 My Home rnianida • e.yo Show Me: Property Information Search By: Select Item . M Text only Property Appraiser Tax Estimator fa Property Appraiser Tax Comparison Portabitity S.O.H. Calculator Summary Details: Pro perty Information: Assessment Information: Exemption Information: Taxable Value Information: Sale information: Date: t0/1975 ACTIVE TOOL E.LEc °r= Aerial Photography - 2009 Mfr Home 1 Property Information I Property Taxes 1 My Neighborhood !Property Appraiser Home 1 Using Our Site 1 Phone Directonr 1 Privacy 1 Disclaimer 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. 0 114ft MIAMI-DM Page 1 of 2 Legend Property Selected F Properly e d Street /• Highway Muni-Dade County Water W E http: / /gisims2 co miami- dade.fl.us/MyHome /propmap. asp ?app=propmap&cmd= FINDFOLI... 6/9/2010 CUSTOMER ADRY4 / itJ E I o.r C v o An4311 CELL 78.6 • 11• ! 1 4 7 We hereby propose to: Furnish, install and service the equipment and materials listed below with the conditions and specifications detailed below. System #3 $ NEW EQUIPMENT System #1 $ 1 4 a1 SO Rebate /s Your Investment Manufacturer Condensing Unit Model # R if Package Unit Model # Heating KW Btuh S.E.E.R. Warranties JOB NOTES ❑ P ckage Unit Changeout Reconnect to Existing System TOTAL INVESTMENT FPL/DEALER REBATE $ - YOUR INVESTMENT PERMIT FEE NOT INCLUDED C &R Air Conditioning Co. 6073 NW 167 Street Suite C-4 DADE: 305- 685 -6394 $ e. Girt P4io PA32N8oy/ cos 40 S0 d 13.T ❑ Condensing Unit Stand ❑ Air Handler Stand ❑ Float Switch ❑ Concrete Slab 'hermostat S ® PD ❑ Auxiliary Drain Pan 13 ^ P Miami Gardens, FL 33015 -4330 BRO W ARD: 954- 680 -4494 System #2 $ MISCELLANEOUS Labor Yr. Parts I () Yr. Labor Yr. Parts Yr. Compressor 1 Yrs. Compressor Yrs. ❑ Ref. Line cover ❑ Ref. lines DATE 6 - 8 /0 ❑ UNDER CONSTRUCTION EXISTING STRUCTURE Labor Yr. Parts Yr. Compressor Yrs. Condensate Line ft. ❑ Fire Dampers ❑ Other Existing Reconnection ❑ New Electric ❑ ❑ 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 nor agreements, oral nor written not herein contained. This proposal shall become a contract when accepted by you and approved in writing by our duly authorized corporate officer. We agree to furnish and install the above described labor and materials on the terms indicated below for System # $ ( ��1 �• �� " 50% DEPOSIT $ ca( I dlv • 00 00 TE 44 / 0 REPRESENTATIVE VALID OR 2 WEEKS 50% DUE WHEN READY TO OPERATE $ 2' //�� d4-•