MC-08-1245Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 08/11/2008
Inspector: Perez, JanPierre
Owner: AUSTER, ADAM
Job Address: 700 94 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: SERVICE EXPERTS LLC
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Qt... Phone Number
Block:
Parcel Number 1132060141730
Lot:
Phone: 305 -264 -2020
Building Department Comments
changeout 5 ton a/c system
0
Passed
Inspector Comments
cc
C 7...)
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A___
1—
//#
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Tuesday, August 5, 2008
Page 2 of 2
u� Miami Shores Village
115101
/6,0,,L, Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATIO
FBC 2004
Permit Type: Mechanical
Owner's Name (Fee Simple Titleholder) tam ALS: ° t..Phone # as�
Owner's Address / o o /.J E
City /4 al■4i Shore State_F(a.
RECEMED
Permit No. TIC., O
mg Master Permit No.
a -1z4s
Tenant/Lessee Name
E- MAIL:
3'3
Zip 33/ 3Y
Phone #
Job Address (where the work is being done) • oo i E. Y 5ieed-
City Miami Shores Village County Miami -Dade Zip / 3
FOLIO / PARCEL # /1 r• 32 O o 01 4'.• r`73o
Is Building Historically Designated YES NO
Contractor's Company Name. (/ f
Contractez Address
City
Qualifier Name
Ct/ Phone #
1544 co aiu-
p
goy . A to2
State 1-"t, Zip 33
Nis Q/j%d S M Phone # �Q� o� • o2 oAo
State Certificate or Registration No. (AC, (/ /3 �(p 2. Certificate of Competency No.
E -MAIL:
Architect/Engineer's Name (if a. pl ic Me)
(`yam
Value of Work For this Permit $
Type of Work: ['Addition
Describe Work:
Pjione #
Square / Linear Footage Of Work:
['Alteration ['New
Repair /Replace fl Demolition
caws 5 -11)4 A-(c
'1-ra,&t rxn.d. t i2 4 Trio 31)
loom
****** * ** * * * * * * * * ** * * * * * * * * * * * * * * * *' ** s' F* ****4 *aFek ****otdr**** ** ** *.** ******* *** * Itx&
Submittal Fee $
Notary $
Scanning $
Bond $
Permit Fee $
Training /Education Fee $
CCF $ CO /CC
Technology Fee $
Zoning $
Structural Review. $
i 2 liIiii`
•
MIAMI SHORES VILLAGE
Total Fee Now Due $
See Reverse sidle -*
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 fore oing instrument was acknowledged befo
day of 2003, by Ad 4
who is[sonally known to me o
A 334 • Qa ••(0
As identification an
NOTARY PUBLQ U
e me this
l `-12-
-isOFD
o has produ
Sign:
Print:
who did take an oath.
JESSICA RAMOS
., * MY COMMISSION # DD 415483
EXPIRES: May 13, 2009
9TFOF F�pP�� Bonded Thru Budget Notary Service
Signature
The fore
day of �
who i
Contractor
g instrument was cknowledged before me,this /
20 O, by a i j # c crew
y known to me
NOTARY PUBLIC:
Sign:
Print:
or who has produced
ication and who did take an oath.
4
Ait ;3
"TFOF FLO"
JESSICA RAMOS
MY COMMISSION # DD 415483
•: to.
Bonded Thru Budget Notary Services
My Commission Expires: My Commission Expires:
****, Y****, 4***** 8c****, 44ede9e, cx ie, Y*,:********x dc, Y*************x deic**** ,ti4e,t,c****,Ydc4e,Y****,t****x k*dc****xda,49c****x,tdc'&'*****
APPLICATION APPROVED BY:
(Revised.02 /08/06)
Plans Examiner
Engineer
Zoning
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
ITEM
UNIT
FEE
ITEM
UNIT
FEE
ITEM
UNIT
FEE
BATH TUB
SWITCH OUTLETS
SPACE HEATE
DISHWASHER
LIGHT OUTLETS
CENTRAL H ING /0
DISPOSAL
RECEPTACLES
A/C (WIND)
FLOOR DRAIN
SERVICE TEMPORARY
A/C (CENT L)
4
GREASE TRAP
SERVICE SIZE IN AMPS
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 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
•
NC 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 •
! u r. 16. TO U 8; 34AM
rn
eirbbe Air
n it Name
$30• FAX;
a
. Gt'
Qz aIIAg
C4.4AA, $
none
3
2
FIK/AIR 01
Ql
,_ t3
AN 3
3 Wok
PIN
snetaftsit
IN TA TION
MARA
13 VIM t Autew
~stint% Matt*
NOTICE OF COMMENCEMENT 1111111
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
y
PERMIT NO. TAX FOLIO Na `+• 3 ��
1 ' ° 1
(
11111 11111 11111 11111 11111 11111 1111
CFN
C N 2OO8RB O5'eC 85991
OR Bk 26439 F's 1090; (1Pa )
RECORDED 06/19i2008 12 :07:53
HARVEY RUVII4v CLERK OF COURT
MIAMI -DARE COUNTY t FLORIDA
LAST PAGE
t
RECEIVE !
Au 8 M
Ui
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby
property, and in accordan
is provided in this Notice of
1. Legal description of iJroperty
MI644 .4
gives notice that improvements will be made to certain real
with Chapter 713, Florida Statutes, the following information
Commencement.
and street/address: 17°0 &L 4, 'f
N .7e1" �
1
- 1tV,re-.$ L
2. Description of improvement:
-� A 570Y) 4(C- cS licSNYCH -
3. Owner(s) nvie and addr
) C1,�.-i 1
s : Acute) 74 L(Jki€_ F% c o iU E. 9� SdYe
♦
�RS/ t (,,,- 33 13f
Interest in property:
Name and address of fae
simple titleholder:
4. Contracto 's name and
axial,
address: tjiCQ ,. • pA-15 1602l A.A.0 gl
--44.,.. 331 Fly,
5. Surety: (Payment bond required by owner from contractor, i ► �I: �= ° �i t
l - DY CE82idE°f that @ta/s 6s ,.,�,;s c�Py of tha �t�
Name and address: .E 0ia.;
Amount of bond $
d i
✓ A D�
`
Tit
. r a
f C , and County Coins ^� "'n ue kx
of °-
'
G. Lender's name and address:
WITNESS ray OR
HARVEY ROB .- i
_.�.r
BY
7. Persons within the state
provided by Section 713.13(1)(a)7.,
Name and address:
of Florida designated by Owner upon whom notices or other •:t uments may be served as
Florida Statutes,
8. In addition to himself
in Section 713.13(1)(b),
Name and address:
Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
Florida Statutes.
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
differen':te is specifiep)
Signature of Owner
Print Owner's Name
Sworn to and sub
pda4r)
bed before me this
- 4 Prepared by 3 '"r-G vS
l day of , 2 . JCL, Pte'
A ress: 15a ( NA-) el Cba44
1 .=L 33!9
Notary Public • 1-1Z% JESSICARIMOS
�ttISSO DD 415483
Print Notary's a r , * EXPIRES: May 13, 2009
My commission expires:
123.01 -52 PAGE 4 10/04