MC-08-958Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 06/04/2008
Inspector: Perez, JanPierre
Owner: MARCILLO, ALEXANDER
Job Address: 365 99 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: RAMA AIR CONDITIONING INC
•
•
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Block:
Phone Number
Parcel Number 1132060135520
Lot:
Building Department Comments
REPLACEMENT OF 4 TON A/C 10 KW
W Zi/ ) g
Passed
Inspector Comments
011 gyp%%
L1uJ.
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Tuesday, June 3, 2008
Page 1 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATIONRECEIIVE
FBC 2004 MAY 2 8 2008
Permit Type: Mechanical
Permit No. \(- OB " t5
Master Permit No.
Owner's Name (Fee Simple Titleholder)PAX. f' DM S, th G4 Phone (fc) s-7— i' f?'
Owner's Addresss,,,245 A_4(°---: 9 9 ,s°l—
Citw ,et _ State Zip
Tenant/Lessee Name Phone #
E- MAIL:
Job Address (where the work is being done) ,__S— ,4 99)_4;3---
City Miami Shores Vi11ag,e County Miami -Dade
FOLIO / PARCEL #
Zip ZP/Ar.
Is Building Historically Designated YES NO
Contractor's Company Name -;
Contractor's Address 7
Phone
?Or) 26,E //2/
City / /'9 / State Zip . 7/&
�t �r Zi
Qualifier Name �' z72' J `G� 'Zs r � Phon6.?6 262 '4
State Certificate or Registration No.(, 9 7/9Z Certificate of Competency No.
E -MAIL:
Architect/Engineer's Name (if applic btt1 7
Value of Work For this Permit AS '—
Phone #
Square / Linear Footage Of Work:
Type of Work: ['Addition ❑Alteration ['New 45 Repair /Replace ❑ Demolition
Describe Work: R P, �� Vl � &,.
xXXXx XY. xY. Y. xxxxxxxxxx xxx x* x x x** xx Y. xx Y.
Submittal Fee $ Permit Fee $
Notary $ Training /Education Fee $
Scanning $5.0 Radon $
Bond $ Code Enforcement $
Structural Review. $
x Y. xxxx XXY.XY. Y. XXY .xxxxxxxxxxxxxxxx *Yh'Xl:"Y.xX XxY.xxXx
t CCF $ 2- �lJ CO /CC
kTechnology Fee $
Zoning $
DPBR$
Double Fee $
Total Fee Now Due $ 15/ • 23
See Reverse side -+
Y-69
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.) 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,, reinspection fee will be charged.
O ' ner or'Agent
Signature
The foregoing instrument was acknowledged before me this 2k
day of n,20 C byifitet,e4iv1)E'k' C h►� 2e f LC who is personally known to me or who has produced
As identification and 'who ;did take an oath.
NOTARY PUBLIC:
Sign: Iv
Print:
My Commission Expires:
p,up
Lisbeth Bascoy
:r .Commission #DD441106
`; Expi
6ores: JUNE 15, 2009
44m°° WWW.AARONNOTARY.com
Contractor
The foregoing instrument was acknowledged before me thisee
day of Al , 206SC b
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Lisbeth Bascoy
::Commission #DD441106
Ittroiooi��°'a FWWW.AARONNOTARYOcom
My Commission Expires:
x Wf***WWWXXWXY.
APPLICATION APPROVED BY:
(Revised 02 /08/06)
•x WY.x x x xxx x xx WY.x,fW x xx xx • Y.
C� 9
:wwwww*x
xx•
Plans Examiner
Engineer
Zoning
310 NW 57 Ct
Miami, FL. 33126
Licensed & Insure.,
CACO 43192
Air Conditioning
Tel: (305) 262-1121
Fax: (305) 262-9472
www.ramaac.com
DATE a/2 7/ 1 9I/
JOB. No.
CUSTOMER
.4f--/- 4/119-41C/1 0
per 757 /c95;)J,°,-,B9434-
40() zs-7).-
STREET,76:5-•—• A) 6, , % ,i, 5,r,
JOB NAME
wp C604- R 117139)
JOB LOCATION
We, RAMA Air Conditioning, propose to furnish, install and service under warranty (stated on reverse side) heating and/or air
conditioning products and related equipment for you in accordance with the conditions and specifications set forth in this proposal.
SYST5M,EQUIPIJ rAPDTYPE OF MATERIAL USED: New Installation Replacement Digital 12
Thermostat
/ °Years Warranty on Compressor Flow Swq.,SJ Model #
S Years On Coils
Years Labor
— Years Parts
L
To
Super High Eff. Heat & Cool
0 Package Unit
UNIT:4/a0(is 12/./g7",
SUPPLIES:
Air HandleiN Condensin
..r.
Line Cover 0
SEER:
(Jo
Job Price 4; WO 00
Tax $
Rebate $ r-
JOB TOTAL $ 1‘ 6'71 C4-
REMARKS:
O KITCHEN
O DINING ROOM 0 RETURN
O BATHROOM
O FLORIDA ROOM 0 WATER PUMP
O LIVING ROOM
0 BEDROOM
0 ADDITION
0 FAMILY ROOM
• DEN
0
Local permits & Licenses
Equipment Foundation
Wiring from Building Panel ti Unit
Wiring Of Control System
New Electrical Service
Drain Line
Refrigerant Lines
Cutting Holes
Bathroom Exhaust
Others
Purchaser
Seller
NOTE:
INSTALLATION SCHEDULE
We will be ready to begin installation approximately by
Owner purchase Acceptance
Contract Expiration Date:
Date:
Seller Approval: Installation Date:
Salesperson
viri7)//tit byrc,
VI
WO. I
L.G. Printing (305) 828-3333