MC-07-1718Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 58680
Permit Number
MC-8-07-1718
Inspection Date: 10/17/2007
Inspector: Perez, JanPierre
Owner: MOORE, CLAUDIA
Job Address: 310 98 Street NE
Miami Shores, FL 33138 -2410
Project:
<NONE>
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Contractor: REA AIR CONDITIONING INC
Phone Number
Parcel Number 1132060135720
Lot:
Phone: 305 - 266 -6627
Building Department Comments
REPLACE 3 TOM PACKAGE UNIT
ttz 777
Passed
Inspector Comments
MI
up-
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Tuesday, October 16, 2007
Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 7 5.2204 Fax: (305) 756.8972
08. BUILDING f7ro�-
PERMIT APPLICATION
FBC 2004
Permit Type: Mechanical
Owner's Name (Fee Simple Titleholder)
Owner's Address .3/
City Pik :rvt 51� a ' -- State
Tenant/Lessee Name
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Village
lui
I.J. r- -Pi
AUG 1 4 2007 L
BY: .l✓C et.:.;
Permit No. MO C71-111
Master Permit No.
Lrrp v D its Phone # 7S S
9 5
Zip 3,.31 3 0
Phone #
3/D fT 5T
FOLIO / PARCEL #
County Miami -Dade Zip
Is Building Historically Designated YES
e 4., 4/
Contractor's Company Name.
NO
Contractor's Address -72 .5 %
r
City /
Qualifier Name
(-° .ail
-2 5T
State `" e
Phone# 31's. -2h6- 66.7
State Certificate or Registration No.
E -MAIL:
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
'fl °4lt08 qF_ ®e°IIDP
Type oteiles, ""
Describe Work:
Zip
33 >dZ
Phone # 3'v 5 a.). 3 J7-5
Certificate of Competency No.
14000
°$ El Alteration
Z
Phone #
Square / Linear Footage Of Work:
LJNew
a Repair /Replace El Demolition
-� 7
*** **** ******** ***************** ** ** **** **
Submittal Fee $ Permit Fee $ 1 *F sLe
Notary $ Training /Education Fee $ 0 •40
Scanning $ Radon $ DPBR $
k** * * * * * * * ** * * * * * * * * * * * * * * * * **,c **
CCF $ 1.20 CO /CC
Technology Fee $
Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ il4' *10
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 Obis-JCL-
Owner or Agent
The forgoing instrument was acknowledged before me this 13
day of , 20f1, by \ Vlck•o ��� ,
who is
me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: CZ)
Print:
O° Comm# DD0619138
Expires 12/3/2010
My Commission Expire!: 0*
Florida Nolan/Assn, Inc
I�n1Nh npauuu
wxxwww, w xxxw xx x************* *dexxx,Y,'eae9ex,YSetxieia� w**
APPLICATION APPROVED BY:
(Revised•02/08 /06)
Signature
Contractor
The fore oing instrument was acknowledged before me this t'
day of r ., -:_ , 20 1, by � U�6rc (V C
who i5 sonally know to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
�
My Commission E es 1213/2010 S
� ` ��,�:
wxxwxx9cxw,exxwxxxwticxxwx x �� � xxx t � xxx
nu�unnuenamam c �`� �'��'� •
Comm# DD0619136
Plans Examiner
Engineer
Zoning
7351 N.W. 7th STREET, "R" • MIAMI, FL 33126 • PHONE (305) 266-6627 • FAX (305) 261-6451
ADDRESS
)1 0
CITY
k,e")
PHONE (H) —7 5 5- -•7
TATE ZIP
DATE 0-7
JOB NAME
ENGINEER
PHONE (0)
111 UNDER CONSTRUCTION (PERMIT NO.)
Li EXISTING STRUCTURE
ITEMS CHECKED APPLY:
Package Unit tons
Condenser tons
Li Air Handler tons
Heating k.w.
C] Thermostat
0 Concrete Slab
0 Metal Stand
LI
0 Ref. lines
Li Condensate line
0 For Condensing Unit
D rev. cycle S 0 s. cool Model # / 4 AdAtc5.—
0 rev. cycle CI s. cool Model #.1—CA403 tP
0 vert. 0 horiz. Model #
Cooling 0 Btuh
ft.
0 Permit
Li Ref. line cover
111 For Air Handler
S.E.E.R.
0 Fire Dampers
DUCT SYSTEM
ELECTRIC SYSTEM
0 Package Unit Changeout
0 Reconnect to existing system
0
CI Existing Reconnection
D New Electric
0
Ell Manufacturers year warranty on compressor
Li year warranty on any defective parts and labor for replacement parts installed by R.E.A. A/C Inc.
0
We agree to furnish and install the above described labor and materials on the terms indicated below for the ,1,0
TOTAL CONTRACT PRICE OF
% upon signing contract $
if I % on completion $
PURCHASER Ccat kLi ( 61 tOULe---DATE R.E.A. REPRESENTATIVE
JOB NOTES: