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MC-09-1867Inspection Date: October 08, 2010 Inspector: Perez, JanPierre Owner: CHURCH, ST ROSE OF LIMA CATHOLIC Job Address: 415 NE 105 Street Miami Shores, FL Project: <NONE> Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: ASSOCIATED BUILDING & AIR PRODUCTS Building Department Comments October 08, 2010 For Inspections please call: (305)762 -4949 nspection Number: INSP- 152161 Permit Number: MC -11 -09 -1867 I Permit Type: Mechanical - Commercial Inspection Type: Final Work Classification: A/C Replacement O si t isswomisme Phone Number (305)758 -0539 Parcel Number 1122310430010 Phone: (954)217 -1080 46 3 ton ahu giftshop and unit 47 ton ahu 2nd fl convent Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 129127. TIE DOWN GIFTSHOP UNIT & SEAL UNIT ON 2ND FLOOR JPP Page 1 of 1 inject :ontractor: 08 - 03 - 10 15:06 From - ASSOCIATED AIR 9543849880 ling 03'10 01: Passed Failed Correction Needed <NONE> lending Department Comments Re- Inspection Fee nspectinn Number. INSP-129127 Inspection Date: February 09, 2010 inspector. Perez, JanPierre )caner CHURCH, ST ROSE OF LIMA CATHOLIC fob Address: 415 NE 105 Street -� Miami Shores FL ASSOCIATED BUILDING 8 a IR PRODUCTS whim Inspector Comments TIE DOWN G1FTSHOP UNIT & SEAL UNIT ON 2ND FLOOR JPP Aic 40 3 ton ahu glftshop and unit 47 ton ahu 2nd 11 convent 0 No Adds renal Inspections can be scheduled until re-inspn fee is paid Inspection Worksheet Miami Shores Village 10057 N.E. 2nd Avenue Miami Shores, F1.. Phone: (305)785 -2204 Fax: (305)750 -8972 Frio 1neotew4lwwv wlw +wA ea.II 1.1A.M715/3 IAJA T - 673 P.08 /10 F -866 Permit Number: MC -11.09 -1867 Permit Type: Mechanical - Commercial Inspection Type: Final Work Classification; A/C Replacement Phone Number (305j7684)539 Parcel Number 1122314430010 Phone: (964)217.10 410 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 Owners Name (Fee Simple Titleholder) sr iDL4 p F L, K.,,a el. CA Owner's Address ¥ /d 4/F ! O r 5 T City /A 1't I 5 p Rz B State /4 Tenant/Lessee Name Email Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name /135 D C • &D. SERB / e Phone it ?- 31/8 49 e 77 Z Contractor's Address .2'// N. 1 , 4d .62 y City D(/ $ / 0 XU State /L . Zip 3 3 3 Z Co Qualifier Name 3e' L W c • b L,000 (Aid Phone # 71, RI' S 7 7 S.-co State Certificate or Registration No. e R c o /3,1'3 l Certificate of Competency No. Contact Phone ?Sygd 77-5Y:› E -mail / Architect/Engineer's Name (if applicable) Walue of Work For this Permit $ 53 73'• ©v 4 AA c /Q s's r Notary $ J Training/Education Fee $' ` Scanning $ • O Radon $ DPBR $ Permit NOkk - n oq b&7 aster Permit No. Zip Phone # Phone # Square / Linear Footage Of Work: Moo TypeXf Work: OAddition ['Alteration DNew ® Repair/Replace ❑ Demolition escribe Work: thy/ 7 T - R. h!�P, G i ,= r S _ y0 ) `y7s'T.0 A./,%(,/. aovb Ac. C'.oave'N 1 ( d i 7 ) L °1- Submittal Fee $50 • (O Permit Fee $ 1 l/ toD CCF $3 0 CO /CC $ Technology Fee $ N • 5 Bond $ Double Fee $ Violation date: ( Structural Review. $ Total Fee Now Due $ f ST/- - 0 `' r See Reverse side -+ Bonding Company's Name (if applicable) 419 - Bonding Company's Address A" A • City State Zip AZ4. 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 - perinit:mustbesecured 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 whi ,. en (7) days after the building permit is issued. In the absence of such posted notice, the inspecj'on will not b and a reinspe n fee be charged. V _ /1 Si afore /�/ Signature - -..4-...- / VO , , er or Agent Contractor The foregoing instrument was acknowledged ' efor me this /0 The foregoing i nstrument was acknowledged ( d before me this 9 day of , 200 , by c; aV'Y1f t , I ( 4-e_ da of N 0V e , 20 , by 3 i /1 £4 e. IN ka'ced . who known to me o, has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY ' UBLIC: NOTARY PUBLIC: Si Print: - D My Commission Expir * * * * * * * * * * * * * * * * * ** APPROVED BY Engineer (Revised 07 /10 /07)(Revised 06/10/2009) • K1 PU P e i Dell Marie Springer Commission i 4 Expires August 25, 20 0 o F4 Bondod Troy Fain - Inure Sign: Print: My Co * * * * * * * * * * * * * * * * ** 4 Plans Examiner x iiDA FAY GORDON �.. ' COMMISSION # DD 524514 , EXPIRES: April 5, 2010 R �p�', Bonder Thru Not ary PuI6c Underwriters ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Clerk checked 11 -10 -09 09:47 From - ASSOCIATED AIR +8643488386 T -689 P.02/02 F-507 November 10, 2009 Page 2 of 2 33- 3 Ton Package Unit 34- 3 Ton Package Unit 35- 5 Ton Cond. Unit 36 -10 Ton Cond. Unit -- Permit Applied For 37- 5 Ton Cond. Unit -- Permit Applied For 38- 3 Ton Cond. Unit 39- 5 Ton Cond. Unit 40- 4 Ton Cond. Unit 41 4 Ton Cond. Unit 42 -10 Ton Package Unit — Permit # MC -3-09 -391 43- 75 Ton Cond. Unit 44- 75 Ton A.H.U. 45- 3 Ton Cond. Unit 46- 3 Ton A.H.0 Gift Shop — Permit Applied For elle b f 47 - Ton A.H.0 2' Floor Convent — Permit Applied For /tit 0 iai