MC-06-2850Inspection Date: 03/28/2007
Inspector: Perez, JanPierre
Owner: SIMAS, PAUL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Job Address: 363 98 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: AFFORDABLE AIR & HEAT
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number (786)259 -5258
Parcel Number 1132060135640
Lot:
Phone: 305 - 770 -4167
Building Department Comments
REPLACE 6 DUCT OUTLES EXACT LOCATION
i 0 2 2007
Passed
Inspector Comments
CALL MR SIMAS AT 305- 345 -1775
'fin i
V� J
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Wednesday, March 28, 2007
Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B . •
Tel: (305) 795.2204 Fax: (305) 756.8972 �� mmm mem
BUILDING
PERMIT APPLICATLONI)/k9 (1-5
FBC 2004
Permit Type (circle): Building
Permit N
Master Permit No.
Electrical Plumbing
Roofing
Owner's Name (Fee Simple Titleholder) 5 f % Phone # t /7 7
Owner's ASidreks
City (mii ea State -F Zip
Tenant/Lessee Name
Phone #
Job Address (where the work is being done)
/.5'
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES
NO
Contractor's Company Name 7 Faieil //NC /lit iE% r . Phone # 30r-11/o-6777
Contractorr's,Address ,)- 'S ,V/ He'll/ ,5%-e
City Him( State Zip 3317•
Qualifier Name J)/l ...el^��!'�' ez 1 Phone # ®VieQ %� �%
State Certificate or Registration No. Cam'/ / / Certificate of Competency No.
Architect/Engineer's Name (if applicable)
Phone #
Value of Work For this Permit $ 014190. 00
Square / Linear Footage Of Work:
Type of Work: ['Addition LJAlteration ['New
Describe Work:
ERepair/Replace ❑ Demolition
**** * * * ***** ** * * * * * * *** *art * **** ** * * * ***p ** *art * * *** * * * * *** * * * * ** ** * * * ** * * * * * * * * **
Permit Fee $ 156 ' CCF $ 1
Training/Education Fee $ V -ICJ Technology Fee $
Submittal Fee $
Notary $ /^r
Scanning $ (� l
CO /CC
Radon $
Bond $ Code Enforcement $
DPBR $
Zoning $
Double Fee $
Structural Review. $ Total Fee Now Due $ 10
See Reverse side --+
9-e
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgaa+i:endes Name if arable)
Mortga e'Lendees'Acklr is
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 t `
Owner or Agent
The foregoing instrument was acknowledged before me this The forego' instrument was acknowledged before me this
day of DV, 20 ''" y , day of 20 ey
who is personally known to me or who has produced
As identification and who did take an oath.
Signature
Contractor
NOTARY PUBLI
Print: `"
My Commission Expires:
who is personally known to me or who has produced
as identification and who did take an oath.
■
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APPLICATION APPROVED BY:
(Revised 02/08/06)
ans Examiner
Engineer
Zoning
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