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MC-07-1098Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 12/12/2007 Inspector: Perez, JanPierre Owner: MUNIZ, ANGEL Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Job Address: 760 96 Street NE Miami Shores Village, FL Project: <NONE> Block: Contractor: AFFORDABLE AIR & HEAT & ELECTRIC CONTRACTOR Phone Number Parcel Number 1132060142080 Lot: Phone: 305 - 770 -4167 Building Department Comments REPLACEMENT OF 3.5 NC W/ 8 KW HEAT 10 1 8 21? / 1,1 i 2-1 2 Passed Inspector Comments CC Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Tuesday, December 11, 2007 Page 1 of 2 Miami Shores Village /�1- - Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION RECEIVED MAY ' NO7 FBC 2004 Permit Type: Mechanical By :_ Permit No.l 1 Master Permit No. Owner's Name (Fee Simple Titleholder) D( VI& ax y( NM Phone # 605) 75%— 0 Owner's Address ® Lj E 4 sr City iv' YlakU State a. Zip -13 t36' Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) 'CL es City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name ev C)ce% A er Z Heal- Phone # 305.- 740.- ( Poi Contractor's Address 5l 5 fiE ( 0 J t City 14.1 t State C( Zip '"6 1 i Qualifier Name ADA faratCB.tit Phone # O 5 ° q NV Certificate or Registration No. LAC-047111 Certificate of Competency No. E -MAIL: Architect /Engineer's Name (if applica Value of Work For this Permit $ Phone # Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New Describe Work: ger%}k(a 3b 5 II 4lC Rep it /Replace ❑ mo Delition fviH4r, xx eFxx 9exxxxx ***ww***x &xxxxxxakxx**wwxxxxx Fees* www ***ww4c*xdcxxnY*x**d:9cw**wx****xxxrxxxxxxoex Submittal Fee $ Permit Fee $ 151 1C'D CCF $ )J5r3 CO /CC Notary$ Training /Education Fee $ Technology Fee $ 394 Scanning $ .CO Radon $ DPBR $ Zoning $ Bond $ Code Enforcement$ Double Fee $ Structural Review. $ Total Fee Now Due $ 10O (0<(4 See Reverse side -* Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Bender'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. 4w Signature Owner or Agent The foregoing instrument was acknowledged before me this P-q day of / / / 20 0'by who is personally' known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commissi * * * * * * * * * ** Signature Contractor The foregoing instrument was acknowledged before me this day of mail , 20o by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commissio r Gtl''°ir n 1iLartate of Florida ********** * * * ****** * ***t*** * *** * ** ** * * *** a aMy Commission Expires May 25, 2 a; Commission # DD 433552 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 # ECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING SKP1 % DISPOSAL RECEPTACLES NC (WIND) FLOOR DRAIN SERVICE TEMPORARY NC (CENTRAL) 5.54efl 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 A/C 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 05/29/2667 12 :17 3E56548152 AFFORDABLE Home improvement Agreement: HVAC Installation The Installation Professional named below will furnish, install and service the equipment listed below at the price, terms and conditions as outlined on this form - lnetellation P b r volts fit:. • Propo 2 -_ /e 7 InatatlatIon Professlona1 AP, T ty. State, Yl Home Depot Information; Prospect Customer information; AP Address city. tatate,zip THO Installer# Equipreent Information: (attach additional list of equipment if necessary) ! 1 Con(d /emend -er eat Pump #1 • Modal # •• •Q Con#enser/Heat PuaC+mp#2 Modal # IO Fumace/Air Handler #1 Model B O Fumaae /Air Handler #2 . Model # C,] Extended Warranty Modet a TA D Resistance Heater Model # Check all that apply: 0 New Amp 0 Remove existing equ 'Prioes quoted will be VALID for a pe proposal date of this contract, NOTICE TO OWNER: DO NOT S BLANK. • YOU ARE ENTITLED TO A COPY OF THIS CON. /• THE TIME YOU SIGN, ?tea•. f 5. 1° �� � F 77- � ", E er Mollei : <a,..t; MAY 2 9 2007 ig. 0 Other Model fit::`... ..;i•: ", -- - - S.a apIean work a'rr1?}.to eotllPFlar's'1al1$E;lecti'cin 0 Ctrmptete•eyBnyatartup ,Fy :e. Thai krtvettrient. $. Payment Schedule; You agree Your payments (as applicable) to Your designated ecaount(s) due on the dat •t +ldTt. »r: 19i3 'Tow. and. u sera paying. other thee,bilehedKor morsey order, may be automatically charged or debited Payment to be made upon Job completion and final inspection as required as follows: ❑ Personal Check or Money Order ❑Via ❑ Mastercard ❑ Discover ❑ American Express ID Home Depot Home Improvement Loan dome Depot Charge *Any finance charges will be determined by your separate cardholder or loan agreement. Home Depot is NOT a party. Please see this Agreement's General Terms and C:nndittnns for more details as to other charges that may apply. ' Home pat or etailation Professional Use Only Authorized Licensed HVAC - 2�= �� Installation Professional's Signature Date "/ " // ��` �j p Account Number, ( 03 3 (a / ,.7.47 ! 41 5- 7 Date of expiration; Account Number: Date of expiration: , s ter ,/�,� y ''"� 'Q/ '� Name as it appears on account: //1J'1 .1 �- degfr) / -.2- Account approval/AUthortzation *Oa q O 3.f /404.3 /\L7 1 Government issued ID # (last 4 digits): /� 56 2- - eao z%-5 5z / State: .�, Date of expiration: �5)"�k'� -.ze Cafd Holder's Signature Permlt/Inspectlon Information: Permit Required? �ga ❑ NO LL�r� Permit Number Qlty /County Issuing Parrott ,9Chae.sao Impaction Date /nrn. , For further Information In the event of problems oath The Home Depot Comfort Center, 1- 800 - HOMEDEPOT or (Installation Proteeelonat•a Pnonee Notice of Cancellation form received: .,•_,_,......,_ ,__ Initial • Termination clause reviewed: .— - Initial • Qgfigitione: °You "P'Your' means the customer ldentltied above. "installation" means the Installation services specified in this Agreement. "Installation Professional' or "Professional" means an Independent contractor authorized by Home Depot (licensed and insured as required by Home Depot and applicable law) and the contractor's employees, agents and suboontractors. "Agreement " means this Speclel Services/Hame Improvement Agreement between You end Home Depot U.S.A-, Inc. (interchangeably referred to as "Home Depot" or , "EXPO Design Center'), which includes this page, the General Terms and Conditions following this page, the State Supplement, the invoice or Specificatione and any other documents expressly made a part of this Agreement. Please see this Agreement's General Terms and Conditions for additional definitions, Acoeptange and Authorization: By signing below, You authorize Home Depot to (a) arrange for Installation Professional to perform Installation and/or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement You understand this Agreement constitutes the entire understanding between You and Home Depot and may only be amended by is Change Order signed by Home Depot (or by Installation Professionai or its authorized representative an Home Depot's behalf) and You. This Agreement expressly supersedes all prior written or verbal agreements or representations made by Home Depot, Installation Prefesatonai, Yoe;, or anyone else. Except as set forth in this Agreement, You agree there are no oral or written representations or Inducements, express or implied, in any way conditioning this Agreement, and You expressly disclaim their existence. Do not sign If blank or incomplete. (Installation Professional's/permitting information may need to be provided to You later.) By signing, You acknowledge that You have read, understand, and accept this Agreement in its entirety. You further acknowledge receiving a complete copy. Keep It to protect Your legal rights. • • ••. • • • • ••• •• •• • • • .• •• • • ■ • • • • • • • • • • • • • •.•• 1 .• • • ••• • ••• • ••• • • • • • • • • • • • • • • • • • • • • • I''? 1 Ji 2001 .... .. •• • •Lii BY: Z NI 611 Illi \.\.,9 NIS yy ,s yy 1 - 11 i ,, . ,- •E ,- PERG .1T' #• Miami Shores Village APPRO' i D ' BY DATE ZONING DEPT ■_' 1 BLDG D I PT IWAIIIMER 1 SUBJECT 0 COMPLIANCE WITH ALL FEDERAL • I �T ' \ ,TE AND OUNTY RULES AND R CATIONS ' k_i fit Skr\ • . . t 11/4 \ .,.- '''Ql l"Z 4 SZ) 1, . • . .4■7 & • \tI • • •••• ••• • • • •• • • ••• • • • •• • ••• • • • ••• •••• •• • • • • • • • • • "• •mil.. •`• • •• •• • • • • • •• •• •••• •• • • • • • •••• •• • • • • •••• • • • • • •• • ••• • • 1 (00 t r !v sr-