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MC-08-1882Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 11/24/2008 Inspector: Perez, JanPierre Owner: STOKESBERRY, DOUGLAS & PATRICIA Job Address: 702 95 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: C&R AIR CONDITIONING CO Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Vi.....,,,ghone Number (305)756 -1006 Parcel Number 1132060141930 Block: Lot: Phone: 305 - 685 -6394 Building Department Comments REPLACE 5 TON NH & COND 404 6200 1, k, I VA, l Passed Inspector Comments 04), nr /4iP-/ /4 - '— �:, ' �.''.� t• •;) Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Thursday, November 20, 2008 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATIO FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) D Owner's Address 702 A tl�sJ E City State Qv Tenant/Lessee Name L5� �. Permit No. - Master Permit No. Zip Phone # 3 ©t• 7.T1- 79/1 E -MAIL: Job Address (where the work is being done) 76 Id E 9 Phone # - - -- City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Zip n� i 3 g Is Building Historically Designated YES NO .� Contractor's Company Name C-+. Air• (.c v% c . CO. Contractor's Address 60-7.2 /Jo" 16/4'T C^ LI City State Zip T3. © I X— Qualifier Name i C$ ! @r. ,S . I rye 1 Phone # 310 -6gS6a 9 4 State Certificate or Registration No. C. Ac.. 0 26 414 Certificate of Competency No. 0 4'8' 02 .� E -MAIL: Architect/Engineer's Name (if applicable) �� Phone # �V Value of Work For this Permit $ Phone # os-6 A6r.6'3 9t-1 Type of Work: Describe Work: Square / Linear Footage Of Work: Addition ['Alteration ❑New •ac ittN A 1 ÷ [r Repair /Replace ❑ Demolition xxxxxxxxxxxxxxxxxxxxxx xxrxxxxzxxxxx xxxx Fe xxxxxxxxxxxxxxxrxxxx Submittal Fee $ Permit Fee $ Q OD CCF $ CO /CC Notary $ Training /Education Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ xxx****xxxxxxxxxxxx DPBR $ Technology Fee $ Zoning $ Total Fee Now Due $ See Reverse side -> 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: 1 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 an 'n ec 'on fee will be charged. Signature a _ k Signature �' � Owner or Agent W A rf ntractor The foregoing instrument was acknowledged before me this 4 The foregoing instrument was acknowledged before me this gq day of 0 Cl- , 20 ®', by , day of 0C+ , 200a, by who i personally known o me or who has produced who • personally known o me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Q 11 Print: Q0 be f 1 1 My Commission Expires: ***** ******* ********** o.ert J. Chiyst Commission # DD524602 ,`►° 'cos May,2.4:, 91EA Sign: -1- Print: JO�VI�1 h` f2 '''PN' , JANET -KRANZ ::. Commission DD 621880 :'�- :'es�fJessna�erl6; E61�x�Y „�y°,.'' Bonded m,u Troy Fake Insurance 890.386.7019 My Commission E Bonded Troy Fain -Insurance, Ins. 800 - 385.7019 APPLICATION APPROVED BY: (Revised 02 /08/06) o:*vc xxxx xx 1012-1/0 Plans Examiner Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ELECTRICAL PERMIT REVS_ `v OCT 2 4 2008 MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING 12 ( 0 IS kA) DISPOSAL RECEPTACLES NC (WIND) *ACC UGC FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) I a. 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 NC 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 C &R Air Conditioning Co. 6073 NW 167th Street Suite C-4 Miami Gardens, FL 33015 -4330 DADE: 305- 685 -6394 BROWARD: 954- 680 -4494 STOMER TY- rt,avieplA v�PHONE HOME z®FC' � �: ' 1 006 WORK J ' 7 9 -7-C1- DATE �y ❑ UNDER CONSTRUCTION CELL • / 19\s— EXISTING STRUCTURE hereby propose to: Furnish, install and service the iW EQUIPMENT System #1 $ Rebate /s Your Investment tnufacturer ndensing Unit Model # r Handler Model # ckage Unit Model # sating KW uh E.E.R. arranties ] Condensing Unit Stand ] Concrete Slab ] Other uipm t and materials listed below with the conditions and specifications detailed below. ilECIENEDS c„-icit Or\ i,,it\p20(18 Qi. ocJ UARLO6OTEZ uetiM 26 Ti i i� et k- 4 � o S8 000 Labor Yr. Parts Yr. Labor Yr. Parts 0 Yr. Labor Yr. Parts Yr. Compressor Yrs. Compressor Yrs. ❑ Air Handler Stand ® Thermostat S D D ❑ Auxiliary Drain Pan Compressor ( 0 Yrs. MISCELLANEOUS ] P ckage Unit Changeout ' Reconnect to Existing System ] ❑ Ref. Line cover [Ref. line ❑ Condensate Line ❑ Fire Dampers Existing Reconnection ❑ New Electric 0 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 iat time is subject to review. Title to the system shall remain in us until all sums due us have been fully paid. In the event the purchaser fails to comply with any 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 cident to such litigation. Delinquent payments shall bear 1.5% per month interest from due date until paid. All work is to be performed during our regular work ours unless otherwise specified. This contract contains all agreements. Neither party shall be bound by any representation, warranties nor agreements, oral nor ritten not herein contained. This proposal shall become a contract when accepted by you and approved in writing by our duly authorized corporate officer. ie agree to furnish and install the above described labor and materials on the terms indicated below for System # $2406. TOTAL INVESTMENT FPL/DEALER REBATE YOUR INVESTMENT PERMIT T INCLUD URCHAS ' D7( c 0..44 r clevit a 50% DEPOSIT c { fir Q J 50% DUE WHEN a READY TO OPERATE �o yoo 4I E4 - (-; tt. PCOceSSt,ayttsr Rt).;cB DATE /4.7 2""li ej REPRESENTATIVE VALID FO l 2 WEEKS OB NOTES $ 319 V