The URL can be used to link to this page

MC-08-1762Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756-8972 Inspection Date: 10/08/2008 Inspector: Perez, JanPierre Owner: KAREN LANGHAUSER, MICHEAL PALO( Job Address: 1291 96 Street NE Miami Shores, FL 33138 -2574 Project: <NONE> Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Repair Block: Contractor: COOL BREEZE AIR COND CORP Phone Number Parcel Number 1132060143760 Lot: Phone: 305 - 226 -2665 Building Department Comments replace exsisting 3 ton a/c system 20 00 *----)i) I. 0 4 V Passed Inspector Comments go Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Tuesday, October 7, 2008 Page 2of2 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 Owner's Name (Fee Simple Titleholder) jii, j ,c..„( 4t a Phone # °J — 2d' i 6336 SE 3 0 2088 Permit No. Master Permit No. Owner's Address l2 9 1 City Ml -elosi Sit e•ea' State PL Zip Tenant/Lessee Name Phone # _ 3 01-- E -MAIL: Job Address (where the work is being done) 0\_Nv•2. °- 3 3 C City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # (/ 3 Z ja b / y' 3 ? 6 O is Building Historically Designated YES NO Contractor's Company Name dc Phone # '3 — 'fit )_ c, (j_ Contractor's Address (J (L 0 4 L- f 3 (a,-0/ r rr City �l -4^ I' ._6/Mir State r`� X1 Zip, ,L?ig Qualifier Name F'-1, Cf 0 3tv i t Phone # State Certificate or Registration No. c A (' 37.J Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) l one # Value of Work For this Permit $ of '0 J f Square / Linear Footage Of Work: Type of Work: ❑Addition ['Alteration New Repair /Replace El Demolition Describe Work: a..? (4_,1/4,6 e f i`%r,.a / ./ ..............,..,.........,........... Submittal Fee $ Permit Fee $ Notary $ Scanning $ Radon $ Training /Education Fee $ *** °^a'"v'' ******** * ****�c**.*aYncaY�Ya�x�:�Y****e **.** 4 CCF $ CO /CC • Technology Fee $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ L3 PP 0 3 2002 MIAMI SHORES VILLAGE 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: 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 1 az Owner or Agent The foregoing instrument was acknowledged before me this2 day of, s T , 20p P, by /t 1(1 (, 14-1(,, who is personally known to me or who has produced r Acker • As identification and who did take an oath. NOTARY PUBLIC: Sign: 6_ �r- Print: (, S (c 1 rZ. l/n`'.. f (, f My Commission Expires: APPLICATION APPROVED BY: (Revised 02 /08/06) Signature Cer.e Contractor The foregoing instrument was acknowledged before me thise day of 4-1,2 T , 20 S9, by / '4-) , who is nally known to me or who has produced as identification and who did take an oath. WILLMD KEITH PHILLIPS III ``,'�`�tpii r'��P$ Comm# D00683334 L.......N........ �.t.�p,,�p1...p.p.N'1 �ra ,��}gx1�&1T AM xxxxc xxw .. " $txxxw�Yw-��C1 _�e0x1x1x 4c, � ,'xxwwxxw:2xwrxxxxxxwx'�jxxxxi� 4..? 6/14a011 �, �"pv iti4 Comm# DD0683334 1 Plaids Notary Assn., .... 1�,!//� 1' ` \i,D ag ; Expires 6/14/2011 Y v "LOP - Florida Mitaviviiitaitlenir NOTARY PUBLIC: Sign: Print: My Commission Expires: Engineer Zoning . ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON PLUMBING ELECTRICAL ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING /0 DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) .3 DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR MAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE (ROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMRMIERC I AL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUIP $ ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN 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 -