MC-09-953Otartk
A v51)1l
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
RECEIVED
JUN 0 2009
�-•-
Permit No. f'1Co -W53
Master Permit No.
Permit Type: Mechanical
Owner's Name (Fee Simple Titleholder) /64,4E-5 (1k€417) Phone # X 2. 2- 77 U
Owner's Address 12,qc1 ALA,.
t
CityG41 // ?/1
Zip
Tenant/Lessee Name
E -MAIL:
Phone #
Job Address (where the work is being done) f2
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address
City
Qualifier Name
Ai -W.50
er,- C.7 /A►R - Phone # Yer /71
c7 7°
State°_ Zip 3 ?jam)
r� Phone #_ v
e -' .- 7 c! 174) Certificate of Competency No.
�Cc,
State Certificate
E -MAIL:
gistration No
Architect/Engineer's Name (if applicable Phone #
Value of Work For this Permit ��
Type of Work: ❑Ad_ition
Describe Work:
C .50!Z
Square / Linear Footage Of Work:
❑Alterati ❑New
Al m a,
Pao HEM P 'kave- 2 awn
s,
Rep it /Replace Demolition
Submi /al Fee $ Permit Fee $
****** ******** Y****oeoY************ Yxstx** pe **,,:x*'
Notary $ - I Training /Education' Fee $
Scanning $ Radon $
ac
Bond $ Code Enforcement $
Structural Review. $
R$
aY,Yxxxxxxxxs6xx * ***dcxxxxaezd : xxxx
CCF $ iv1 CO /CC
Technology Fete $ 2.51? .
ZUning $
Double Fee $
XX
Total Fee Now Due
See Reverse side -+
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Bond ing'0►1 5y14 tii ('f; pljcable)
sd.
Bonding Company's Address a
r" 0 a �a,v ii
City : State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
0
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 ;i! 41 y A/ _ %« . _, - ' /y gnature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 43 The foregoing instrument was acknowledged before me this
day of 5cor, , 2009 , by 42, Lt a.✓d ,day of ,t901--b , 2009 by PrGiAlsAi
who is personally known to me or who has produced
as identification and who did take an oath.
Y PUBLIC:
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: r
Print: . ilt(te,k —, '
v-0-4-11
My Commission Expires: NOTARY PUBLIC= STATEOFFLORIDA
ric,txd:xx,'e *xxx,:xxxrxxx,x,Sxx
Commission ' :_`;'S5086
% s Expires: 0 l E 13, 2011
BONDED THRU ATLANTIC BONDING CO., INC.
APPLICATION APPROVED BY:
(Revised-02/08 /06)
NOT
Sign:'
Print:
My Commisstc:* g�s1S(Si.NF •p.�F i �!
xxx,4,4 aY 4c :Y,Y,4xxx,kxxxx,Y xt�.xx ��x��- l�.,,��x�xxxxxxxxxa
11� 77 • �
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2% #DD759266 , *I's Examiner
4` •• UblicUn.' h ineer ST :1 l!,II 4 0 �`� g
Zoning
Aiutri1/42A- rot_u_ ceiL. V-14
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gaw°77 Skrre-i FZL- 33-436— 33/ 3i, a);:aL
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NMCICEMET
JUN 3 0 2009 U
BY: IlL'"
INSPECTION RECORD
Miathi Shores Village
10050 N.E. 2nd Avenue
1 I Miami Shores, FL 33138-0000
/1 Phone: (305)795-2204 Fax: (305)756-8972
72Flaritj,,,/
INSPECTION REQUESTS: (305)762-494S
REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE FOLLOWING BUSINESS DAY.
POST ON SITE
44 •
Mechanical - Residential
Parcel #1132060143840
^ ¢ • -.,} • • • •
Owner's Name: BRIAN BLACK Owner's Phone: (678986-2O32
Job Address: 121111121rulig Total Square Feet 0
Miami Shores, EL.
Bond Number: Total Job Valuation: $ 2,100.00
WORK IS ALLOWED MONDAY THROUGH SATURDAY,
7:30AM - 600PM. 10 WORK IS ALLOWEDONSUMAY
Contractor(s) Phone Primary Contractor OR HOLIDAYS.
ALFRESCO AIR INC (305)541-3827 Yes
BUILDING INSPECTIONS ARE DONE MONDAY
THROUGH THURSDAY. ROOFING DiSPECTMNS ARE
DONE MONDAY THROUGH FRIDAY. P) BUILDING
INSPECTIONS DONE ON FRIDAY.
NO11336Si,
30 31111 IV alt
NO 30 ISRhAl Still
NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE, IT IS
THE PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER
THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMIIENCEMENT.
INSPECTION RECORD•
STRUCTURAL
I ` P ° ON
DATE
INSP
Foundation
Stemwall
Slab
Columns (1st Lift)
Columns (2nd Lift)
Tie Beam
Truss/Rafters
Roof Sheathing
Bucks
Windows/Doors
Interior Framing
Insulation
Ceiling Grid
Drywall
Firewall
Wire Lath
Pool Steel
Pool Deck
Final Pool
Final Fence
Screen Enclosure
Driveway
Driveway Base
Tin Cap
Roof in Progress
Mop in Progress
Final Roof
Shutters Attachment
Final Shutters
Rails and Guardrails
ADA corn 4 lance
+ CUMENTS
Soil Bearing Cart
Soil Treatment Cert
Floor Elevation Survey
Reinf Unit Mas Cert
Insulation Certificate
Spot Survey
Final Survey
Truss Certification
STRUCTURAL COMMENTS
INSP ° 1O DATE INSP
Zoning Final
ZONING COMMENTS
Temporary Pole
30 Day Temporary
Pool Bonding
DATE
Pool Deck Bonding
Pool Wet Niche
Underground
Footer Ground
Slab
Wall Rough
Ceiling Rough
Rough
Telephone Rough
Telephone Final
TV Rough
TV Final
Cable Rough
Cable Final
Intercom Rough
Intercom Final
Alarm Rough
Alarm Final
Fire Alarm Rough
Fire Alarm Final
Service Work With
ELECTRICAL COMMENTS
INSPEG"TION DATE INSP
Rough
Water Service
2nd Rough
Top Out
Fire Sprinklers
Septic Tank
Sewer Hook -up
Roof Drains
LP Tank
Well
Lawn Sprinklers
Main Drain
Pool Piping
Backfiow Preventor
Interceptor
Catch Basins
Condensate Drains
MECHANICAL
Underground Pipe
Rough
Ventilation Rough
Hood Rough
Pressure Test
Final Hood
Final Ventilation
Final Pool Heater
Final Vacuum
MECHANICAL COMMENTS
Hurricane Preparations and Precautions
60-48 Hours Before Landfall or Closest Point. of A nuraarh (CPA)
awed 'all : deliveries of building materials to aR, job sites except formaterials to
secure_ building site .from: damage,,....
4&24,Hours Before Landfall or WPM:
1. BuildingDepartment stops activities related. tolield €nspections eat those. .
related to concrete pouring.of columns, tie beams, decks, floors and similar
structural items.
2. Ce me allconst ruction activity, notify sub*contractors to assist in securingthe
building site,„then notify the subs not to rear, until the. threat of the storm
has passed.
3.. Secure the job site, starting with jobs located in the Most populated areas and
closest to the water, first..
4 , Clean up all the construction- debris and place in sa , aremortrasit
dumpstera and make arrangements with ` tom: to have them picked ?upr
5. Band or tie all-taose plywood, lumber and roof tilet on mow. ..
6. Secure any loose materials as much as possible.
7. Push over the portable toilets and place concrete lick or sand bags ice.,
24 Hours before Landfall_ or•Point of Closest. Aup.road(
• Complete securing home and prepare, icy and property far storm,
event.
STORM WARNINGS :
• Tronicai`storm watck Tropical storm conditionsare: :in:
watch area within 36 hours.
• Tropical storm warning; ° Tropical Tropicalstorm conditions are expected in
the: - warning area within-24 hours.
• Hurricane watclulturricane conditions: are- possible in** Watt!, : area
•.
within 36 hours. Your hurrieanepreparations shy be well
underway.
• Hurricane warnii ; Hurricane conditions, are expected in the- warning
area within .24 . hours: AB preparations sham& be complete.
AL FRESCO AIR INC.
AIR CONDITIONING DESIGN, INSTALLATION S SERVICE
LICENSED &
INSURED
LIC# 1813490
RECEIVED
JUN 0 ' 2009
1442 N.W. 2nd Street
Miami, FL 33125
(305) 541.3929
RESIDENTIAL & COMMERCIAL.
CONTRACT & AGREEMENT
STATE MECHANICAL CONTRACTOR
CUSTOMER V Q HOME PHON 46'�^ PHONE
!
ADDRESS ` 2 � Li q € i 1 I Si CITY WPM %fie 5STATE L ZIP
LOT BLK ____ SUB SECTION FOLIO#
0 CENTRAL NC SYSTEM `❑ ATTIC- INSTALATION ❑ HEAT RECOVERY SYSTEM ❑ REPAIR - ELECTRICALS
❑ REPLACEMENT WORK TO BE PREFORMED ❑ NEW INSTALLATION
AIR CONDITIONING SYSTEM
Al Fresco Air Inc. shall Install a tons. Make Model
S.E.E.R. , according to the following specifications, terms and conditions on the premises above described.
Heat Refrigerant Lines
Outside Condensor Condesate Drain
Inside Air Handler Supplies & 1 Return
WARRRANTY YEARS ON COMPRESSOR
- 1 - YEAR PARTS & LABOR
COMMENTS'
PRICING GOOD TIL
We Propose hereby to furnish material and labor - complete in accordance with above specificatiggs, i9hjim of:
dollars: ($ 1 I
Payment to be made follows:
k k
Alt material -a guarantees' to be as specified. All work to be completed in a workmanlike manner
according to standard practice. Any alteration or deviation from above seeol(kaeons involving xtra
coats wig be executed .:,nly upon written orders, and wig becomme an extra charge over and eve the
estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to
cany fire. Tornado and other necessary insurance. Our workers are fully covered by Workmen's
Compensation Insurance.
: cceptazwe of Proposal" -The above prime. specifications and conditions are
WI ;; be ac and are hereby accepted Y are atifhon do the work as specified. Payment
win tw made as outlined stove IppygJlpt
Date of Acceptance:
Authorized
Signature ��_
Note: T
withdrawn by
Signatur
I maybe iii
peed within clays
Signature