MC-08-1806Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 10/20/2008
Inspector: Perez, JanPierre
Owner: REMONVIL, PHILOMENE
Job Address: 142 94 Street
Miami Shores Village, FL
Project: <NONE>
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: New
Block:
Contractor: RAINBOW AIR CONDITIONING INC
Phone Number
Parcel Number 1131010330770
Lot:
Phone: 305 - 216-4594
Building Department Comments
CHANGE OUT ONE 3 TONS NC SYSTEM WITH 8KW
HEATER AND REPAIR OUCT WORK
BOO
7/7d LJV
Passed
Inspector Comments
cc
LE
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Monday, October 20, 2008
Page 2 of 2
Ad% 114
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Mechanical
OCT 0 9 2008
8Y -- - ----
Permit No.K1O I
Master Permit No.
Owner's Name Fee Simple Titleholder
( p Titleholder) 4,1 2, P / z k /[ F /Y7 e Phone # 30s-,-7 s° y% , a. S-4=7 .
Owner's Address
/�, / £/L y7 Lip 9 v J
City% ' Sh0 - 1_ State ' Zip 3 3 / 1` 0
Tenant/Lessee Name
E- MAIL:
Phone #
Job Address (where the work is being done) . / V > h
City Miami Shores Village County Miami -Dade Zip 3i S—P
FOLIO / PARCEL # / /°' 3 140./— o 3 29 e 7 7 Z
Is Building Historically Designated YES NO it--,''�
Contractor's Company Name Pp fiv ! al‘-- ir2phone # 3 0 S 6) (I- d 3
Contractor's Address / S t/ 7 6 1'1 ?7 C Z/ 8
City / 0 fril / 4st /2 State f-' Z_ Zip 3 3 a 1 -
Qualifier Name + <0 Phone # 3, OS / 6 Cr i' c/
State Certificate or Registration No. C.-za e, 0 -e``ificate of Competency No.
E -MAIL:
Architect/Engineer's Name (if applicable) PPione #
Value of Work For this Permit $ ,5%a ® 0 — Square / Linear Footage Of Work:
Type of Work: Addition ['Alteration [New Repair/Replace ❑ Demolition
Describe Work: ge d nn D e- 3_
c
id. aaTei cP 4e / `!ter i v ac
cx., 0 rLk,
****** ic******' ee4** ****ae******x*a°nY*x***F ********wK& ac* xxxxxx xscw* :* *.* * ***** * ***** ***.**.
Submittal Fee $ yer
Permit Fee $ nnL �-�CCF $ 3.66 CO /CC
Notary $ Training /Education Fee '$. t1ll.' Technology Fee $ 4.m
Scanning $ 3.bb Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ - Double Fee $
Structural Review. $
Total Fee Now Due $
/93.55
See Reverse side -a
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. l 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 taws 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
inspectio be approv, d a reinspection fee will be charged
Signature
Signature
01
Owner or Agent Or Contractor
The foregoing instrument was acknowledged before me this _ The foregoing instrument was acknowledged before me this ?
day of 0671 , 20en, by CA., t! i 1 /1eoto 4 012 day of 0 G / , 204 of, by is /p/ / /SO a i'/
who is personally known to me or who has produced who is personally known to me or who has produced
.C. D. e As identification and who did take an oath. r° ..0 1 as identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
Sign:
Prin
My
u.i c
e . a ® Tore Cate
scion DD72o426 S Thf i n DD720426
=' /30/2011 ? the Expires 09/30/2011
* * * * * *xxxxx * * * *x - ..' °; & * * * * ** * ** * * * * * * *xxxWWWWWWWK is t.x', *k_ ** ** * * *ik*********aY.n**** ** ** ***
Sign:
P
r
APPLICATION APPROVED BY:
(Rev ised•02/08 /06)
15/
Plans Examiner
Engineer
Zoning
RAINBOW ItIR LBN®Iry'IBNIN i INE
Alt Coiidit onih & Reitkeiation
15476 N.W. 77th CT # 434
Miami Lakes, Fla. 33016
Office: (305) 674 -0333
Cell: (305) 216 -4594
2856
CAC 035486
• Residential
• Commercial
�._ .._ • Industrial
I��iINBB� Inc. � � ����
Air Conditioning I� f
NAME
DESCRIPTION
e r-