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MC-07-1305Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: LISP -5=3 Perm Num C. -07 -13© Inspection Date: 08/06/2007 Inspector: Perez, JanPierre Owner: ROTUNDO, MICHAEL Job Address: 920 100 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SERVICE EXPERTS LLC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number 1132060340210 Lot: Phone: 305 - 264 -2020 Building Department Comments Changeout 2 1/2 tons condenser only lennox # ac 13 -048 Alp e Or / Passed Inspector Comments my Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Wednesday, August 1, 2007 Page 1 of 2 OMIrigsM JUL 1 Y ,iii. BY : - -- 'Ticket ,t -- Ti'rCYGfte 1521 NW 89 Ct. Miami, FL 33172 (305) 599-1530 Fax (305) 599 -1535 I DATE' ' ir;1 I h I I I "' 1` -? I-'? 11 'Reason for Cali t f. `;, r. Technician: - Tech #:. Cali Type: Dept: .. ' % Dispatched: Arrival : k: Completed: '= Held: LIC# CACI813462. Ask about our 100% Satisfaction Guarantee! www.serviceexperts.com Actin # Next TTune Up Date And Time Type: Yr. Mfg.: Type: Yr. Mfg. : Brand: Brand: Model: Model: .. Serial #: Serial #: Water Heater: Brand Model: Serial #: „<7 � Customer: Address: City: r i H. Phone: lecommendations • Please Pay Technician at Time of Service Paid By ❑ Cash ❑ Check # ❑ Visa ❑ MC ❑ Discover ❑ Name on Card' ° -` (.4' ` r/ 1 .rirµf'r 11;3.;1 Card/Accourit Number Auth. Codel 1 co UNIT TYPE High/Low Pressure / Filter Type Superheat Filter Size t. Subcooling Cond Volts REFRIGERANT Cond Amps Type . Blwr Amps — Ozs Added RA Temp SA Temp Recovered WB Temp OD Temp Customer Advised of Leak Fiame Signal L Yes Lt No System Measurements HOME HEALTH' m REPORT CARD Indoor RH Crawl /Bsmt RH Ext. Static Pressure Ritration System Duct Work Leakage U Supply ❑ Return ❑ None Duct Work Int.0 Clean❑ Dirty Duct Work Ext.❑ Good ❑ Poor Droce::re AAotartnn r',asnra C.O. Detector U Yes U No Diagnostic Charge Other _ Energy /Material Charge Subtotal C. u u 3 U 1 I I 1 Exp Date / Credit ,' P ;; Plan I ' 1 / l c e : i 7r•. :... • 534812.' Service Experts Dealer :Number: Signature WANT TO. t A Y LASS? PLUS Maintenance Agreement customers s ref; a 'discount t'.6 air semi %grE'e'rnen L Pt L)S Savings On This Invoice: the PLUS Psocirafhi has bppn oxl)laiuecl to sac & I decline to participate: Work Authorization r; .. „,,....,::.,. •......, , , ..:,.,.. �F•, Work Completion (Initial) Thank You a Miami Shores Village 0,066;_: Building Department Gm+AQ. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. ('1 1'L5 Master Permit No. BUILDING PERMIT APPLICATIO FBC 2004 Permit Type: Mechanical lkdkui r Owner's Name (Fee Simple Titleholder) �� ���� Phone # / Owner's Address "IZ0 IJE 100 Sr City kiVUI Tenant/Lessee Name State Ft Zip v5 1.58 -'3941 Phone # E -MAIL: Job Address (where the work is being done) it1/1 (G City Miami Shores Village County Miami-Dade Zip FOLIO / PARCEL # (')2..06 ` Or) 4 (O Is Building Historically Designated YES NO Contractor's Company Name J(l�1I LtC- 1-)0015 1521 W0..3 tSCI Contractor's Address ' City Cl Qualifier Name Phone # 305 — 26 —ZOZO State a e State Certificate or Registration No. E -MAIL: Zip Phone # 1 1, °' Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ / Linear Footage Of Work: Type of Work: n❑�Addition ❑Alteration _'New [Repair /Replace Demolition Describe Work: L tAkS, 5T 2 Y �oulS C1011(6 SC,Y ©u1y L 1'fo)C AC- I' 'iiri46 • siraY ****xxxxaY****x9c*ac****zx tuxx****x *xxxz Fees 'x$xx***&a4ac4c*****eYxxxxx xx **********xaYxxxxx *x�t Submittal Fee $ Permit Fee $ l 06 CCF $ ZictLi CO /CC Notary $ Scanning $ 5C Training /Education Fee $ Radon $ Bond $ Code Enforcement $ DPBR $ Technology Fee $ s 4 Zoning $ Double Fee $ Structural Review. $ Total Fee Now Due $ 4i54 See Reverse side -5 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage LenderIs Name if a p icable) Mortgage l r t 4 Add ess� `y 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 nt The for .oing instrument was acknowledged before me tthis t 2 day of �' , 20 ®-1 by in *ChM.' � . who is rsonally known to p�e of w o has produced bL 4r`ts i �nt'IficaWon and who did take an oath. NO ` ARY ' UBLIC: Sign: P My Commission Expires: ,lay rue, • • JESSICA RAMOS MY COMMISSION # DD 415483 * EXPIRES: May 09 Bonded Titre Budget Notary Services APPLICATION APPROVED BY: (Revised 02/08/06) Contractor The forego g instrument was acknowledged before mee ibiss ,',� (2y of CJ v�' who is rsonally known t' e or who has produced as identification and who did take an oath. NOT LIC: 20 by •J/.��AM I CC Sign: Prin My Commission Expires: ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CA RAMOS MISSION # DO 415483 EXPIRES: May 13, 2� '9 t Iota Services OFF Plans Examiner Engineer Zoning