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MC-08-1357Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 10/08/2008 Inspector: Perez, JanPierre Owner: KELLEY, CHRISTOPHER Job Address: 1237 99 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: ADVANCED AIR CONDITIONING INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132050090090 Lot: Building Department Comments Tuesday, October 7, 2008 Page 2 of 2 * Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Tuesday, October 7, 2008 Page 2 of 2 �IZa�uB ArreNr Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit. No. Master Permit No. Permit Type:. Mechanical Owner's Name (Fee Simple Titleholder) j( j,g (1 /, ll Phone # Zab -151 -132-5 Owner's Address j City Wanii DIreS Tenant/Lessee Name State r L_ AJ/751 Zip t3S— o40- Phone # E -MAIL: 6VY\t -411 �j Lt OuL`k -En `Job Address (where the work is being done) 1.2_72-ii L .E CiCt ir City Miami Shores Village County Miami -Dade Zip 3 3l$ra -(2$.-._ FOLIO / PARCEL # I t 3eXt0 ®o 9 009 0 Is Building Historically Designated YES NO Contractor's Company Name /9,l, (h VC 6a 4h //1/CPhone # Contractor's Address / /to) Al t41 /3 404'0 / City r/Wigua/ State f Z.. Zip ..,3/ j 7 Qualifier Name T MJ Cif /. 'CtadL () Phone # 7 e b — 3C - 42010 State Certificate or Registration No. C4 C 0 5' y6 ! 7 Certificate of Competency No. E -MAIL: 7ONArC /29/ 9 d Al d4" ( 7 Architect /Engineer's Name (if applicable) ii/7/ Phone # .10S- C fS— & 417 Value of Work For this Permit $ 71,,fg° aL) Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration a ° °^• Describe Work: CJ/JQG(% 6 — 0 4' i S,L/ 7 Repair/Replace ❑ Demolition jq C s /rri5-1 * * *xxxxxxx *xxxxx * * * *xr, xxxx Submittal Fee $ Permit Fee $ Notary $ 500 Training /Education Fee $ Scanning $ & 00 Radon $ Bond $ * ** ** * * * *xxxxxxxxxxxxx xx*xx * * * *x *** * *xxxxxxr. Code Enforcement $ DPBR $ CCF $ iL� CO /CC Technology Fee $ Q .43 Zoning $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side —� C)--Y Bonding Company's Name (if applicable) Bonding Company's Address City 1 MIA 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Owner or Age 't The foregoing instrument was acknowledged before me this .2 3 day of �, 2008 by 1 ris �..� ' who is personally known to me or who has produced fers©aint'�� k✓i®,? As identification and who did take an oath. NOTARY PUBLIC: Sign: f�z + w N111•11 1M11/11111 ""'1tls Print: ROBERTA K=BIN = Gomm D00516209 My Commission Expires: Expires 8N8t2O10 Signature y7/ Contractor The fore • ing instrument waass�ackno l - dged b - ore me this day of ... ,20Ob who is m ersona I y known to me or who has produced Ortentification and who did take an oath. OTARY PUBLIC: xxr, ******************** . *ftftbmtiopmestome ' Misammasumassumeasstrumnsessens; APPLICATION APPROVED BY: (Revised 02 /08/06) Sign: • .N 'yt'cp' Print: h5> o �,Q�'ya Qb��. os' My Commission Expires: 5S��4,,,,,,1/4 xxxtr. {c �c ekxxar ac iex�kxic is *$a3�C de******** of Plans Examiner Engineer Zoning ADVANCED AIR CONDITIONING, INC. 14601 N.W. 13th Road MIAMI, FLORIDA 33167 Cert. #CAC054697 CO(786)367-6220 TO: MR AND MRS. CHRISTOPHER KELLEY 1237 N E 99 STREET MIAMI SHORES FL 33138 pr?opoE] 29 JUL 2 3 2308 BY: PHONE 305 - 757 -7325 DATE 4/15/2008 JOB NAME / LOCATION CHANGE OUT OF A/C SPLIT SYSTEM JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: REMOVE EXISTING 3.5 TON CARRIER A/C SPLIT SYSTEM, AND REPLACE WITH A NEW 4 TON 17.8 SEER LENNOX SPLIT SYSTEM. PRICE INCLUDES ALL EQUIPMENT, LABOR, NEW REFRIGERANT LINES W/ 3/4" INSULATION, NEW DIGITAL THERMOSTAT, AUXILIARY CONDENSATE PAN W /FLOAT SWITCH, AIR HANDLER STAND, DISPOSABLE AIR SPONGE FILTERS(ONE YEAR SUPPLY), PERMIT FEES, TAXES, AND START UP. A ONE YEAR UNCONDITIONAL WARRANTY WILL BE PROVIDED, WITH AN EXTENDED 9 YEAR WARRANTY ON PARTS ONLY. twLc< 6 n We Propose hereby to furnish material and labor — complete in accordance with the above specifications, for the sum of: Seven Thousand Three Hundred Fifty and 00/100 Dollars dollars($ 7,350.00 ). Payment to be made as follows: ti DEPOSIT OF $3, 675.00lb 3,r All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado, and other necessary insurance. Our workers are fully covered by Worker's Compensation insurance. Acceptance of Proposal —The above prices, specifications and con- ditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Authorized Signature UPON START UP $3,675.00 Note: is proposal may be withdrawn by us if not accepted within 30 days. Signature