MC-11-685Inspection Number: INSP- 158530 Permit Number: MC -4 -11 -685
Scheduled Inspection Date: May 02, 2011
Inspector: Perez, JanPierre
Owner: #1 LLC, 2260 HOLDINGS
Job Address: 18 NW 106 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: CENTRAL AIR PLUS CORP
Building Department Comments
REMOVE & INSTALL BACK SAME EXISTING UNIT
(RECONNECTION ONLY) DUE TO DRYWALL REPAIR IN
A/C CLOSET
T 5// 7
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
April 29, 2011
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
C �
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number
Parcel Number 1121360050180
Phone: (786)295 -3861
Page 13 of 27
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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
Master Permit No.
Owner's Name (Fee Simple Titleholder) 2. 24, 0 via) yub 5 f Phone #
Owner's Address
Email
u
cb.
City D l State F 1- Zip Zj 3 0
Tenant/Lessee Name Phone # - 5Z�
Lei L i6 - _ 9r0, e C:..
Job Address (where the work is being done) /8 Mit- `06 3T
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # /54-/x)67.206-)
Is Building Historically Designated YES NO
Contractor's Address
Contact Phone
Architect /Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: ❑Addition
Describe Work:
Submittal Fee $ Permit Fee $
Notary $
,0
/ate 4
❑Alteration
V F,u of
cY S er ✓i (J
Scanning $ Radon $
Double Fee $
Structural Review. $
Training /Education Fee $
Violation date:
DPBR $
Phone #
Permit No.
Zip 63 .9e' /2.
Phone #
Square / Linear Footage Of Work:
Total Fee Now Due $
306 -5 25 i 51
3/ - 0
Flood Zone
APR 182011
BY: ........... ••.......
Contractor's Company Name G 11. ,} R / . /ifo. ' Phone
47 6 ' 7 1-' , 44,4( p vC / -
City ff(A- State FZ,
Qualifier Name ,e / /(Jft1 � c ?
State Certificate or Registration No. Certificate of Competency
E -mail
❑New ( epai gieeee ❑ Demolition
q Ala Ge sf G /4-(( 4.iet 411(or
A /C- (1...C)Jr - -: T - /2t i2 1 t1t
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ CO /CC $
Technology Fee $
Bond $
See Reverse side
21)
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.
Signature
Owner or Agent
The foregoing instrument was acknowledged .. fore me this / 3'
day of /UK ( , 20 /(, by
who is personally known to me or who ha produced
As identifica ., and who did take an oath.
NOTARY PUBLIC: PUBLIC-STATE 0 /DA � ' I'0
At • Y,r„ -#'0; missio ,� x 952614
itil
'? L. 06, 2014
Sign:
Print:
My Commission Expires:
APPROVED BY
**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Revised 07 /10 /07)(Revised 06/10/2009)
** ** * * * **
Engineer
Contractor
The foregoing instrument was acknowledged before me this
day of '/�d ,20 ,by 47,/ tc.- - ,
who is personally known to me or who has produced . ce 4 ) t-
as identificat'.n2nd who did take an oath.
NOTARY PUBL
Sign:
Print:
My Commission Expires:/
ARY FURL Zr ATE OF FLORIDA
.14a I C
*************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
miner Zoning
Clerk checked