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MC-07-975
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -48886 Permit Number: MC -5 -07 -975 Inspection Date: 06/13/2007 Inspector: Perez, JanPierre Owner: ANTONACCI, ALBERTO Job Address: 1075 99 Street NE Miami Shores Village, FL Project: <NONE> Contractor: TYCOON FLOW CONTROL Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number 1132050180030 Lot: Phone: (305)828 -6655 Building Department Comments REPLACE 4 TON CENTRAL NC JUN 1 4 2007 Passed Inspector Comments b (/ 0 , VIA, Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Monday, June 11, 2007 Page 2 of 2 UILDING ERMIT AP FBC 2004 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No., I `n5 LICATIONw CEIVED MAY 1 1 2007 ermit Type: Mechanical By. X21 illiwner's Name (Fee Sii ple Titleholder) kallkiadi b )L C td i wner's Address telr" t� Ir (tki h' NAM State Ft Master Permit No. Phone # 'enant/Lessee Name E -MAIL: 4ob Address (where the work is being done) City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 1( °� � ®(j( 1051 !s Building Historically Designated YES Zip `i Phone # NO Contractor's Com an Name -NC-WA flow G, , 7 ontractor's Address ity State Qualifier Name Fir-)t, 'D k„10,10( State Certificate or Registration No. C,)■ L i 3 106 AMAIL: rchitect/Engineer's Name (if applicable) Value of Work For this Phone # Zip Phone # ec Certificate of Competency No. —3L Phone # Permit $ a ril © - 1'ype of Work: ❑Addition ['Alteration bescribe Work: 2 e��=LAre, Square / Linear Footage O Work: ew f 71,43 ❑ Repar /Replace ❑ Demolition Submittal Fee $ lotary $ canning $ and $ ..x xxxxxxxakxdo xxe:xxxxxx Permit Fee $ Training /Education Fee $ Radon $ structural Review. $ ees *xx *x1xrxxxxxx* * xxx+Ex II *xxxxxxxxxx *x*xxxxxx* CCF $ CO /CC Technology Fee $ 4 DPBR $ Code Enforcement $ Double Fee $ Zoning $ Total Fee Now Die $ ZO1 rj See Reverse side -* Bonding Company's Name (if applicable) Mir 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 Owner or Agent The foregoing instrument was acknowledged before me this day of ,20_,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: * rxx* xxxxxxxxxx * *xxxxxxxxx *x *xxxxxxxxr xx *xxxxxxx *xxxxrxx xx********w rx** tr X***** *wwle******xxxxxrxd.*********** Signature Contractor The foregoing instrument was acknowledged before me this___ day of , 20 , by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02 /08/06) Plans Examiner Engineer Zoning Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 Job Address /i'75 /de 95 Tax Folio if' 3 2o5--- c2 / a- - (9O v Legal Description t 'i/ El Mi :9M/ Cbrec5 Historically Designated: Yes No N Owner/Lessee/Tenet 1420/j,4 ,g // Owner's Address A -'` Contracting Co. /1 VC » »/7 Qualifier ' #)°, , ; A State # f-. e- /x/3776 4 Municipal # Master Permit # r Phone c7_ Z Address a-5'o al, 71 S ...Ja it Phone ae-7,5"-- • 6 6 5. Competency # Ins. Co. If THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: �i■ 7777 6 Square Ft. Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AM) YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS 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. Furthermore, I authorize the above named contractor to do the work stated. A F� 5A Signa ture of owner and/or Condo Pr esi dent cot) D ° ate M E 0r 101C. ;Iia i. VeVa �t,6e557 co °11 A, 69. () fik f.Zik,41111iratiaZ .11 1,.?" Notary as to Owne'W or Con ;o Preiftio + Date Notary My Commission Expires Signature of Contractor or Qwner Builder FEES: PERMIT APPROVED: Zoning Mechanical RADON C.C.F NOTARY MLR:- T , OF FLORIDA 1117:1 WiS1111 • ` :: CnmmiS iott fi DD429983 to Contract= , -a nnrtiklerMAY 16, 2009 Date My Commission Expgghaed 11 tlantic Bonding Co., Ian Date NOTARY Building BOND TOTAL DUE Electrical Plumbing Structural Engineer III III' 111IIII11 L' = -:' Sears Home Improvement Products &. Services, Inc. El P.O. Box 522290 • ♦ Longwood, FL 32752 -2290 ®��b NO 03825 Forsyth Road,.: Winter Park, FL 32792 (800) 659,1179. `1/U �, Location:;. - 5. joy ❑ 100 Puente =Hills Mall 4 City of Industry, CA 91748 (800)659-1172 .. - ,r ❑ 6950 W. 130T" Street`; Middleburg - Heights, OH 44130 (800)- 659 -1149 "�' ' P" '"''' 1 91 Phone' . '" J/ -01-0'' 0- 740 Old Willets Path9 Hauppauge; NY 11788'(800).659 -1179 d Name. A.41 14 I . LA. , i, vc .:E . ,• Phone: Red:.) ? 2576, [. Address: JCJ ?S b" C- l.t1 57 City: AI di0 t 3740ii C I/We, the owners of the premises pescrj(bedlbelow, hereinafter referred to as "Purchaser" offertto cont Products & Services hereinafter Teferr�eel to as ``SHIPS „ to4i nish . deliver, and arrange for ,installatK improve the premises located at: (Street) FLUE VENT AND/OR CHIMNEY OR'CHI USE EXISTING VENT OR CHIMNEY ❑ REPLACE FLUE INSTALL NEW CHIMNEY LINER ❑: SIZE {City) PV A5 VENT PIPE FOR HI -E FURNACE HORZ VERTEF STION AIR ❑ EXISTING ❑ 44O61FY; PIPE INSTALLATION ❑ ,2 PIPE INSTALLATION ❑ SYSTEM 'RATING BTU'S COO'L'ING •41 7~ SEER HEATING. /TUE. EQUIPMENT MODEL #'S, FURNACE/AIR HANDLER # 41144 CONDENSER UNIT # c A=i1 u y PACKAGE UNIT # EVAPORATOR COIL# T-STAT EXISTING f NEW # PI6I74 COOLER # BOILER OTHER # ACCESS`OFIIIES; HUMIDIFIER EXISTIN AIR;CLEANER EIS DUCT ;CLEANING, Y EQUIPMENT SPECIFICATIONS; FURNACE/AIR HANDLER EXISTING ❑ EXISTING ❑ EXISTING ❑ EXISTING [ ] CONDENSER, UNIT EVAPORATOR COIL LINE SET NEW NEW ❑_ NEW 0 NEW ❑ DUCT SYSTEM: USE EXISTING' SYSTEM ADD TO EXISTING INSTALLING NEW SYSTEM ❑ SEE SPECIAL INSTRUCTIONS REGISTERS USE EXISTING] NEW ❑ RETURN AIR•❑ EXISTING MODIFY E SPECIAL INSTRUCTIONS: CONTRACT PRICE $ ST (IFAPPLICABLE) REMOVE OLD EQUIPMENT FROM SITE LEAVE ON SITE ❑ DRAIN LINE EXISTWG l21 NEW ❑: CONDENSATE PUMP> EXISTING SLAB EXISTING ❑ NEW ❑ OTHER 0174,0 EXISTING ❑ NEW • I SIZE ELECTRICAL CONNECTTO EXISTING PANE` INSTALL NEW DISCONNECT❑ INSTALL NEW ❑ AMP sERV10E'❑ s 01ON ❑ NEW ❑ ADDITIONAL WORK L f111 Ni CS I Vattlf. L6 -e 5p V v( .7 .00 .00 DOWN PAYMENT $ .00 3 BAL '19E DUE .00 70 ikd / .$ re p ' r t 110 C. '' 4/474 e e - "0-04 TO BE FINANCED ' CASH ON.:COMPLETION ❑ CONTRACTOR PHONE #, UCENSE #. ADDRESS THIS CONTRAC PRICE INCLUDES•, PRICE; _ _YR MASTER PROTECTION AGREEMENT ❑ _YR REPAIR PROTECTION: AGREEMENT CUSTOMER AGREES; SHIPS IS NOT RESPONSIBLE FOR. ANY EXISTING CODE VIOLATIONS OR PRE-EXISTING CONDInONS OF ANY DUCTWORK, PIPING, ELECTRICAL SUPPLIES OR EQUIPMENT NOT BEING REPLACED AT THIS TIME, IF ADDITIONAL WORK IS REQUIRED, rr WILLBE THE CUSTOMER'S RESPONSIBILITY. .ANY ADDmO RG S WiLL BE QUOTEOAND APPROVED, PRIOR TO THE START OF ADDITIONAL WORK'. AbBESTUS RBATGMENI- THIS 00 I A T ,..}ASSUMES`: NO ASBESTOS WILL BE; "'DISTURBED IN - THE PEREQ CE OFWORIC IF UI?ONl URTI ER INSPECTION BY CONTRACTOR OR OTHERS. ' 'ASI3El5Ta iiASTOBE D(SRIRBBDTOT?ERFOFINT difit(, CUSTOMER MUSTARRAns8AND . Pity Oca olettEMENTlF ASBESTOS F910:1'TO THE STAR rQR'CONTINUATIONOF WORK IF CUSTOMER FAILss TO ARRANGE FOR NECESSARY ASBESTOS ABATEMENT WITHIN THIRTY 'Y'-;. IPS MAY CANCEL THIS PROPOSAL UPON WRITTEN NOTICE TO CUSTOMER. .... CONTRACT PRICE METHOD OP PAYMENT: DSEARS CARD&" ❑SEARS'MASTERCARD° ❑ SEARS PREMIER C,) RD 0 SEARS HOME IMPROVEMENT'ACCOUNTsm (OR HIP) ❑ DISCOVER CARD:: '❑VISA ❑:MASTERCARD ❑CASH/CHECK ❑AMEX . ❑OTHER SEARS cards Issued by Seare National Bank THE WQRK WJLL STARTAPPAOXIMATELY .AND WILL CE:SUBSTANTIALLY COMPLETED BY A•PPROXINIATELY' . THESE - DATES' ARE SUBJEC1 TO CHAhIGE ATrTHE- TIME'THE' CONTRACT1S ACCtr I.tD BY SHIP$ OR AT ANY OTHER' TIME BY MUTUAL: WRrrrE ABP EMENT. 1*,IJNDERSTAND THAT.. THIS IS ONLY AN; ESTIMATE DATE AND I WILL BE PRIOR TO,THIs DATE "TO SCHEDULE THE ACTUAL INSTALLATION DATE. ACCOUNT # EXPIRATION DATE: - DELAYED BILLING bATE ./ MO. DAY YEAR APPROVAL CODE:. sSUBIfI ITTED BY (SALES REPREtSEN IVE) No. /50 1C.2 (ADDITIONAL PROVISIONS OF THIS PROPOSAL ARE STATED ON REVERSE SIDE.) "SATISFACTION GUARANTEED ".- (CUSTOMER'S SIGNATURE) ' (CUSTOMER'S,, SIGNATURE) .,,•a: (DATE'OFTHISTRANSACTION) I acknowledge receipt or merchandise and/or services In the total amount shown hereon andagreia that this cred)ipurchaee is ,003' )ectto the agteement with. the•credit'card Issuer Identified` hetean fallowing licenses' are field lty or on behalf of sears, Roebuck and Co .'AK Gen Cbntr. Exc Res #675 , A (FI17AC #'145708 AZ I30Ci)'1350g); CA (Gen`: Bldg Ccritr. 5455 HVAC 'Class C 20) ;CT (HVAC #308530); FL ;(HVAC _#CIMLC12495:10 ; GA' (Reg CR 1081334) ;E ; CClassifled .Spec. - C 42 . C 68LA);; KYr (Hf/AC. #M039 2); LA (Mech./Sped. Contr. #5526); MD (MHIC #32117; James Myzlck, HVAC #3942); NV (Plum & Heating #0005543 C -1); Rockland` County, NY Licensed Subcontractors; OR. (Gen Contr. #0001051.); TX (HVAC Lic = :Nos.,TACL60i 6247E,- U09563C ,:G1S005E,.0.02235C;.;0of,268C .Q09589C .O13523C). VA4CIa .A-- contr,#27O5D5700B), viN en. #SEARSR- 372NT)•'WV (Gen. Bldg. Spec, #WV0D852S). Some- services:and Jnstallation.perfomted by SE/PSassoc.(aes Other services and mstallatlot perfnrmerbvStile$ AJthonzedlicensed contrao(ors; additional SHIPS' license information available -upon I:egliest' NOTICE TO BUYER. -YOU; THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME-PRIOR TO MIDNIGHT OF THE THIRD BUSINESS, .DAY (FIFTH BUSINESS DAY IN ALASKA, FIFTEENTWBUSINESS DAY IN-NORTJ4 DAKOTA IF YOU AREAGE.65 OR•OLDERI AFTER THE DATE OF THIS TRANSACTION: SEE THAT-ATTACHED NOTICE OF CANCELLATIN:FM fOR AN ESLANATION OF THIS :RIGHT. INSTALLER COPY 11180 :Rev. 8106