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MC-07-2066Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 04/23/2008 Inspector: Perez, JanPierre Owner: PERWIN, SCOTT Job Address: 800 95 Street NE Project: Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Miami Shores Village, FL <NONE> Block: Contractor: SERVICE EXPERTS LLC Phone Number (305)757 -4082 Parcel Number 1132060410010 Lot: Phone: 305 -264 -2020 Building Department Comments EXACT CHANGEOUT OF 1 1/2 TON CONDENSER ONLY. LENNOX *A/C 13-036 LOCATED ON ROOF % 44 L a Passed Inspector Comments CC L,QQ% Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Tuesday, April 22, 2008 Page 1 of 2 Miami Shores Village uilding Department 1005.0 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 BUILDING 10/111016-= PERMIT APPLICATION 6 FBC 2004 OCT Illt 0 5 2001 BY: k.i-- Permit No. Melailak Master Permit No. Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) c�— E J L,I vui ne #305 ' 7 7. 4o2Z. Owner's Address BOO !.A)6. S City State --/-L Zip 33 (a?' Tenant/Lessee Name Phone # E -MAIL: {{��,,,, �gg Job Address (where the work is being done) eJUO Ne ' 615 4 r— - City Miami Shores Village County Miami -Dade FOLIO / PARCEL # J ( 32ot , . 04 ( 0010 Is Building Historically Designated YES NO Ike- 46PertS Phone # 365' 264 -2 *2 /52.1 PAO gi Cth/L- City �jjYLi. State FL. Zip 3 it 7 Qualifier Name �-PiIV N s S �e V l.�' T/ Phone # 3Q 5 • u4. 2.0 2,6 State Certificate or Registration No. CAC.,,. / t ' 134 2ertificate of Competency No. E -MAIL: Contractor's Company Name Contrack. s Address Zip 33\ Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 3, b '7 1 Pjione # Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration ❑New Describe Work: b xauf C t 69 Lf L,nru G Repair /Replace El Demolition 1 %2 /DA � � suer 01\11 . 0.1 o 7)q 1-4 cGti' ******* * * * * * * * * * * * * * * * * * * * * * ** * * * * * * ** *Fees * * * ** * * * * * * * * * * * * ** * * * * ** Submittal Fee $ Permit Fee $ t tri Notary $ Scanning$ '00 Training /Education Fee $ V ° 0 Radon $ { DPBR $ Bond $ Code Enforcement $ CCF $ * * * * ** * *wxxxxx* ** CO /CC Technology Fee $ 2 -(09 Zoning $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -3 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 Signature Owner or Agent The fore; s ing instrument ‘,..yr acknowledged before me this �', he foreg day of ,tl, t _y ..—LTI� ?et-00i ay of who is person .' lyy knnowgtf me or who •*'"" i *% ►L' l6 6b • 1 b t5 . ;! ' ✓• rs "identification an w o did take an oath. NOT PUBLIC: OLL,4)`-'1:31/47-7,-- _ Contractor instrume was ackno ed befo i me is� ` NS 1S +a w is personally nown to me o ho has produced entification and who did take an oath. Sign: ,eteM " Print: My Commission Expires: JESSICA RAMOS MY COMMISSION I DD 415483 " 1n EXPIRES: May 13, 2009 'TF�F F�pf�� Bonded Thru Budget Notary Services NOTARY Sign: Print: My Commission Expires: JESSICA RAMOS MY COMMISSION I DO 415483 p ; . ,, • 13, 2009 otary Services ************x***x*xx******xxx*****•****' x**x****x*x**** xxxxx****xx********x*x**xxx* *ww APPLICATION APPROVED BY: (Revised•02 /08/06) Plans Examiner Engineer Zoning ❑'Low-voltage control wiring O New all copper insulated electric circuit(s) with disconnect box(s)and weatherproof conduit and connectors at condens- ing unit:.: . ❑ Install new Amp. electric service and panel ❑ Electrical disconnect ❑ A.H.U.' ❑ Cond. b2:^ ■vS • ■II •WII • vv \• • ••• Y• ry •M•i • r vv • 1's `!. ProDosaI/Aa ree'ment �__ CAC 1813462 Customer Name y d)?eezgu 0.g"' 60'2 - -IP7S9 Date • �'-2/ Street S'O-0 A..). 6":, 9 . S Street City, State, Zip ,kiti.sibwAbs, ; City, State, Zip Phone 6. `ar 7 9 44%4'2 ` Phone We.hereby propose: To furnish, install and service under warranty (stated below) Service Experts products or related equip- ment for your home in accordance with, the conditions and specifications set forth in this proposal. Ng' .EQUIPMENT i Air Conditioning - Size 377h) t./37.Ia)e Model Seer -17 UM Handler - Size KW Model ❑ Package Unit - Size Model KW ❑ Hot Water Recovery Unit ❑ High Efficiency Media Filter ❑ Attic Insulation ❑ U.V. Air.. Cleanser (Baling) Seer ❑ U.V. Destroyer ❑ Dynamic Air Filter DUCTWORK/AIR DISTRIBUTION ❑ New Supply.Grilie(s)'and associated ductwork ❑ Duct sanitizing and refreshing ❑ New Return Grille(s) andassociated ductwork ❑ Complete supply air trunk system with all required branch and return ductwork ❑ New duct(s) without cans or grilles :a P`IPft Opt -sized refrigerant fines with annaflex insuiatign Architectural exterior refngeant line;encl ire,,. Condensate drain ❑Clean atdsting condensate drain. INSTALLATI{N 16All work done in accordance with existing codes{ All required permits ° I Removal of existing equipment from premises ❑ Vibration isolating shock absorbers Ni Pre-cast concrete slab ❑ New Air Handler plenums ❑ Balance air'distnbution system for uniform temperature. U Leak proof mastic seal application ,Refrigerant filter dryer °° ❑ Emergencyydrain pan and float switch ❑ Brass refrigerant connectors ❑ Other UV OH ❑ Complete clean up including vacuuming and use of drop . cloths for the protection of home furnishings NICIAll work performed in a neat and professional manner by Class' i Certified Technicians 0 Rustproof Other ELECTRICAL /CONTROLS ❑Mercury/magnetic five function cooling thermostat UV . ❑H ❑ Programmable thermostat ❑ Hard. start kit ❑ De humidistat Digital thermostat 'ATime Delay ❑ Comfort Control •Surge suppressor ❑ Honeywell Round GUARANTEES PARTS ❑ Air handler Lidne yr U five yr Cond. U one yr Nrig five yr ❑ Pkg. unit ❑ one yr ❑ five yr \f Compressor U one yr ❑ five yr a ten yr ❑ ten yr ❑ ten yr Pther/G5 ❑ VISA ❑ MC. U AMEX : :Expiration Date: ❑ other Credit Card #: Approval Date _ v�-7/O 2 Company ❑ one yr 'Cone yr ❑ one yr. LABOR ❑ five yr fie yr a five yr ❑ ten yr ❑i ten yr U ten yr TOTAL INVESTMENT $ S...P v` 'c DOWN PAYMENT �'. S ? ! BALANCE ON COMPLETION I Sid . Approval Date y • PLEASE PRESS HARD WHEN WRITING White - Customer copy • Yellow - Accounting Dept. Copy • Pink - 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 HEATERS �-_ DISHWASHER LIGHT OUTLETS CENTRAL HEATING DISPOSAL RECEPTACLES NC (WIND) 41 FLOOR DRAIN SERVICE TEMPORARY NC (CENTRAL) /� .1, GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK i`�°- 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