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MC-07-1890Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 10/24/2007 Inspector: Perez, JanPierre Owner: ESSINGTON, MICHAEL & DOROTHY Job Address: 55 100 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: C&R AIR CONDITIONING CO Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060131420 Lot: Phone: 305 - 685 -6394 Building Department Comments EXACT REPLACEMENT OF 5 TON A/H c5 tg Passed FA Inspector Comments D Z Failed Correction Needed . Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Tuesday, October 23, 2007 Page 2 of 2 Miami Shores Village �S"��`- Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATIO FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) Owner's Address N E l ooSr • CEEVX Permit No. ik,'1 — ( i 1) 0o, Master Permit No. BY :- City4tllam( SiOrej State F)• Phone # ©J • / J - 1 - 1 - ° 7 19 Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) City Miami Shores Village Zip J3 t3 Phone # IS- MET- too sr FOLIO / PARCEL # County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name v 4 A : t Co t/1 (1 • vo • Phone # -2 o.r' C e V b cy L( Contractor's 1� r's Address 0 boy 6 0( o% 0 A t City ! CA net State F1 , Zip 3.2 1 Qualifier Name R ®b-er`- z- C. Li P , T Phone # State Certificate or Registration No. C Ac ©16 9. 1 4 Certificate of Competency No. 0 4 CS & LI ° 3 E -MAIL: Architect/Engineer's Name (if applicable) Phone #, �mm Value of Work For this Permit $ 6aS . Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ONew "Re air /Re lace t TV-N.-% it H p � p Demolition Describe Work: **** * * * * * * * * * * * *xx * *xxxxx *xxx * * * *ww *** FQQsx*S,^! r,***** x*** * * * ** *xxxxx *xxxx * * * * * * * ** * * *x** Submittal Fee $ Permit Fee $ fC�� \ //� \y I, �� Notary $ Training /Education Fee $ 0 (0. Scanning $a•a.9 Radon $ DPBR $ C C F $ el) CO /CC Technology Fee $ 2.0 Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now See Reverse side -+ MIAMI SHORES VILL eK905 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. l 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 Agen The foregoing instrument was acknowledged before me this day of 1 ,2007, by who • ersonally knows o me or who has produced As identification and who did take an oath. 7 NOTARY PUBLIC: Sign: Print: My Commission Expires: *****of* ********* * *x** ** APPLICATION APPROVED BY: (Revised 02 /08/06) Robert ,, E edi .1. ' , Expires May 24, 2010 Bonded Trull Fenn • mom), Inc a003aa•7O1B Signature ntractor The foregoing instrument was acknowledged before me this 2001, by me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: - CI 11 � 1\ r et My Commission Exp ** ** ***** ************ , E-1/7 J�A,N.,ErT KRANZ Expires December 26, 2010 Bonded TIUU Troy Fain Insurance 8*0-38 5-7018 Plans Examiner Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ELECTRICAL PERMIT # MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS _ CENTRAL HEATING (; 10 K W DISPOSAL RECEPTACLES NC (WIND) FLOOR DRAIN SERVICE TEMPORARY NC (CENTRAL) 11y GREASE TRAP _ 'SERVICE SIZE IN AMPS DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP • UNDERGROUND TANKS CLOTHES WASHER OVEN ABOVE GROUND TANKS SHOWER WATER HEATER U.F. PRESSURE VESSELS SINK. POT/3 COMP. MOTORS 0-1 HP STEAM BOILERS SINK, RESIDENCE. MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3-5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5-8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8-10 HP ELEVATORS/ESCALATORS WATER CLOSET MOTORS OVER 10-25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25-100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION NC UNIT - NC WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. • STRIP HEATER HEATER - REPLACE GENERATORS TRANSFORMERS • LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE SPECIAL PURPOSE SEWER CONNECTIONS OUTLETS COMMERCIAL UTIUTY -SEWER SIGN TUBES UTILITY-WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES _ FAINFIELD, 4" TILE/RES. ANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU. FT. VIOLATION CATCH BASIN REINSPECTION DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET • SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE s METER SET (GAS) . GAS PIPING _ _ CU AIR CONDITIONING COMPANY tAtjTY Tee Pti IthaSer shiel receive such wai ant es as are extraided by the equipment endior material mangers. In adtWon C & R shy provide *bar to add system mid replace darective parts for a pm** of 385 days from ink stmt up date. 5 YEAR PARTS NEW AIR HANDLER ONLY figirdi CASH Teta job 52625.00 00% Deposit $131L00 When Needy to operate $1310.00 TEM) NOT IPER* PEES. t, tltiRDm SaatMliniallEtiM This proper is accepted by: Ptb<t Name: Date: T AL This propose' is accepkal by: Date: