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MC-10-704Inspection Number: INSP- 141452 Permit Number: MC -4 -10 -704 Scheduled Inspection Date: June 22, 2010 Inspector: Perez, JanPierre Owner: Job Address: 1700 NE 105 Street 319 Project: <NONE> Miami Shores, FL Contractor: C&R AIR CONDITIONING CO Building Department Comments June 21, 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 Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number CV Parcel Number 1122300500570 Phone: 305 -685 -6394 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 11 of 26 Project Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number 1700 NE 105 Street Number: 319 Miami Shores, FL 1122300500570 Block: Lot: MARGARET BRYANT (TR) Address Contractor(s) C&R AIR CONDITIONING CO Phone Cell Phone 305 - 685 -6394 (954)680 -4494 Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $3.00 $1.00 3167.13 33.00 34.00 $178.13 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Expiration: 11/01/2010 Phone Tons: 3.5 Additional Info: MECHANICAL Classification: Residential Approved: In Review Comments: Date Denied: Date Approved:: In Review Type of Work: CHANGE OUT Pay Date Pay Type Amt Paid Amt Due Invoice # MC -4-10 -37680 05/06/2010 Credit Card $ 178.13 $ 0.00 Applicant May 06, 2010 Date Cell 1700 NE 105 ST UNIT 319 MIAMI SHORES FL 33138 -2141 Valuation: Total Sq Feet: $ 4,775.00 0 Available Inspections: 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. May 06, 2010 1 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) Owner's Address 00 A➢ t 10,5 City Tenant/Lessee Name E -MAIL: State Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No.11) G 0-^104 Master Permit No. County Miami -Dade Zip tif@VMEY13 BY: "e- 4,:.. ) 7©0 IJ e 10j-s 1 019 )3J Is Building Historically Designated YES NO Contractor's Company Name C e ✓T t r C Oh (f . . Phone # 3 OS 60e\S ci 6 J 9 Contract is Address 60 73 Ai W 1 b o I t' n G City State � X e n Zip 0301 J Qualifier Name 6 � 0 - e r � A C t� t711 Phone # 00 S76 ics 60 9 if State Certificate or Registration No. C /'t C . 02 1 Certificate of Competency No. t 'It $o2. 3 E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit Type of Work: ['Addition ['Alteration Describe Work: Phone # Square / Linear Footage Of Work: ['New ❑/epair /Repl. ce ❑ Demolition ****** *****aYxdexxxxxx****www*xxxxxat w*fe* 4e*x xxaY xxxu*xxw***.***xxiexdcxxxx xxxxxx *xx Submittal Fee $ V Permit Fee $ Notary $ Training /Education Fee $ {' 'DO Technology Fee $ 4 0 0 Scanning $ b W Radon $ Bond $ Code Enforcement $ Structural Review. $ CCF $ coicc DPBR $ Zoning $ Double Fee $ Total Fee Now Due $ See Reverse side -a /1/4- 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 Sign: Print: f Owner or Agent nn^ The foregoing instrumentowas acknowledged before me this 9 3 The foregoing instrument was acknowledged before me this day of 4. ('9 , 20 ll 0 , by , day of A ! mo t --�-- , 2016 , b y who ersonal ly known to , e or who has produced who i ersonally known toy e or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: FIFA 49, obert J. Chryst :_. Commission # DD524602 • "fixpires4Aat24,4040w Banded Troy Fain • Ingram. Ux. 609386.7919 My Commission Expi xwtcw* *Iclex APPLICATION APPROVED BY: (Revised-02 /08/06) Signature NOTARY PUBLIC: Sign: Print: My Commissi *to XXK% %Y. X%X%XKX,C*lc ,eJANETKRANZ -*I Commission DD 621880 Bonded T uTroyFainYmreua N 7D19 Plans Examiner Engineer Zoning • ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT BATH TUB SWITCH OUTLETS SPACE HEATERS FEE DISHWASHER LIGHT OUTLETS CENTRAL HEATING DISPOSAL RECEPTACLES A/C (WIND) GRAIN SERVICE TEMPORARY A/C (CENTRAL) GREASE GREASE TRAP SERVICE SIZE IN AMPS • L DUCT WORK 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 1025 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25 -100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP ' VIOLATION VIOLATION A/C UNIT • NC WINDOW 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 " s I . 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 Case 0:08 -cv- 61367 -JIC Document 40 -3 Entered on FLSD Docket 03/16/2009 Page 10 of 50 Case No. 08-CV- 61367 - CORN- SEL7ZER Page 10 of IS 27. All documents reflecting, referring to, relating to or supporting your contention that the performance evaluation you received on September 1, 2005 was "discriminatory." 28. All documents reflecting, referring to or relating to any complaints made by you to Broward Health and/or Aramark with respect to the performance evaluation you received on September 1, 2005. 29. All documents reflecting, relating to or referring to any communications, including but not limited to complaints, made by you to Broward Health and/or Aramark regarding the alleged age and gender discrimination and/or retaliation complained of in your Complaint. 30. All documents reflecting, referring to, relating to or supporting the allegations contained in Paragraph 41 of your Complaint that ` Broward Health's actions ... constituted violations of the Age Discrimination in Employment Act ... and were done willfully with knowing and or reckless disregard of the ADEA's proscriptions." 31. All documents reflecting, referring to, relating to or supporting the allegations contained in Paragraph 50 of your Complaint that "Defendant's behavior towards plaintiff was based on her age and constituted age discrimination as proscribed by § 760.10(1), FLA. STAT. (2005)." 32. All documents reflecting, relating to, referring to or supporting the "emotional pain, suffering, inconvenience, mental anguish, [and] loss of enjoyment of life" you have purportedly sustained, as alleged in Paragraphs 46, 51 and 57 of your Complaint. 33. All "Significant honoza" you clairia to have been recognized With bile employed by Broward Health, as referred to in Paragraph 12.c. of your Complaint. Greenberg Traurtg, P.A. s Attorneys at Laws 401 East Las bias Boulevard Suite 2000 s Fort Lauderdale. FL 33301 • Tel 954.765.0500 s Fax 954765.1477 s www,gdaw.com CITY • NEW EQUIPMENT Rebate/s Your Investment Manufacturer condensing Unit Model # Air Handler Model # Package Unit Model # Heating KW Btuh S.E.E.R. Warranties TOTAL INVESTMENT FPL/DEALER REBATE YOUR INVESTMENT PERMIT FEE NOT INCLUDED JOB NOTES . ,211,4-zV C &R Air Conditioning Co. 6073 NW 167` Street Suite C-4 Miami Gardens, FL 33015 -4330 DADS: 305 -685 -6394 BROW ARD: 954- 680 -4494 WORK CELL 3 aS°• 43° 9 4 We hereby propose to: Furnish, install and service the equipment and materials listed below with the conditions and System #1 S L + 77,r.*"' me► System #2 S 1- 1 - 77S - . °6 / /SJ F P . 130v % - LT R/4 E G041 Iec4t f 3g, 000 t2 -S Ed Labor 1 Yr. Parts S Yr. Labor Yr. Parts Yr. Labor Yr. Pans Yr. Compressor a Yrs. Compressor Yrs. Compressor Yrs. ❑ Condensing Unit Stand ❑ Concrete Slab ❑ Other Air Handler Stand F4 Float Switch [Thermostat S PD ❑ Auxiliary Train Pan s 477S. $ '7S'. ° u a390 00 31'x. R �1 . ❑ Rcf. Line cover ❑ Ref. lines PURCHASER K - DATE x REPRESENTATIVE, VALID FOR 2 WEEKS DATE a!b ❑ UNDER CONSTRUCTION EKUSTING STRUCTURE specifications detailed below. System #3 S. ❑ Condensate Line ft. ❑ fire Dampers 50% DEPOSIT $ v c O. 50% DUE WHEN ) 4.e)6 READY TO OPERATE $ Package Unit Changeout d Existing Reconnection ❑ Reconnect to Existing System ❑ 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 sublect to review, Title to the system shall remain in us until all sums due us have been fully paid. In the event the purchaser rails 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 data until paid. All work is to be performed during our regular work hours unless otherwise specified. Thle contract contains all agreements. Neither party shall be bound by any representation, warranties nor agreements, oral no 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