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MC-08-1123Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 09/03/2008 Inspector: Perez, JanPierre Owner: MILLER, GREGORY & KELLY Job Address: 278 97 Street NE Miami Shores Village, FL Project: <NONE> Contractor: MARNO A/C SERVICES Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration BI Phone Number 954/817 -3349 Parcel Number 1132060133990 Lot: Phone: (305)885 -2195 Building Department Comments REPLACE ONCE CENTRAL A/C. 10 KW 3/2 TONS o 0' ,rte q/3 Passed Inspector Comments CC n Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Tuesday, September 2, 2008 Page 1 of 2 Miami Shores Village 11©IR vp BU 1 JINN i 8 2006 lding Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY - - - -- Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Owner's Name (Fee Sim s e Titleholder Owner' Address City State Permit No. „/ ) JU+ 1 143 Master Permit No. Phone # Gv ' '70 !-1 I" Zip 1 31 Tenant/Lessee Name Phone # E- MAIL: Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # County Miami -Dade Is Building Historically Designated YES NO X v W l'one # ?S .011613 Company Name 1 "J Contr tor's ddress900j City �, ✓(Z State 0001/L—> IC* Zip 3 -513 Qualifier Name Zip Phone # State Certificate or Registration Noe/AC041450 Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Pjiione # Value of Work For this Permit $ (pi Z5 G Square / Linear Footage Of Work: Type of Work: Descri "2 • ddI ion ■ _- Iteration ❑Ne ❑ Rep 'raa /Replace L ,,.' ,,� e W. rk: ;�� _ Li u� A l jS' AIW I r gym"„ ❑ Demolition * * * * * * *. kit* * ** * * * * ** * * ** * * ** ** *** * * * ** **Fe Submittal Fee $ Permit Fee $ Notary $ Training /Education Fee $ Scanning ` Radon $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ s *************************************** TippCCF $ 4.9-0 CO /CC Technology Fee $ 5- Zoning $ DPBR See Reverse sid 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 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 fast inspection which occurs seven (7) days after the building permit is issue In the absence of such posted notice, the inspection will fit, t be oved and a reinspection fee will be charged. er rent The f1 oink i + i� en t was ac owledged before me this day /� 20 by k°\ +/ tO , who is personally known to me or who has produced who i personally kno ' s me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Signature Contractor The foregoing instrument was acknowledged bef re me this 1 day of3 AlL ,2006,by In % , . My Commission Exp as identification and who did take an oath. NOTARY F ..1,, C• - ds- — m AA E. FE"NANDE, • • ry Public State O • • l �� :NhJr M1 Ni c , L,12 • p4 . NOtary Tar ,11111/ 'Mr My Commission Expires: �.* .a . �aa_._a••. .t.tom .. ...,.. YY1 Y � r ,, ,,�,�,�,�,�, ,., ��cx,,....,,_,_ �', c�: k�#±7 C ':ei2"§F5ti's:sc'xx�xxxxa:xxsYxx xx r. x�ca"r. r. 4cx9siz��k�xudsx xxdcxz4:xrx� -- APPLICATION APPROVED BY: (Revised-02 /08/06) Plans Examiner Engineer Zoning