MC-08-593Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 04/21/2008
Inspector: Perez, JanPierre
Owner: OBREGON, MICHAEL
Job Address: 441 101 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor: BLUE BREEZE AIR CONDITIONING
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: New
Block:
Phone Number
Parcel Number 1132060170660
Lot:
Phone: 305 -865 -1220
Building Department Comments
CHANGE OUT EXISTING 3.5 TON NC UNIT
®� 1 4
Passed ®'
Inspector Comments
cc
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Friday, April 18, 2008
Page 2 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 APPLICATION
FBC 2004
Permit Type: Mechanical f
Owner's Name (Fee �Simple Titleholder) ()()C7 ',( are,C71 c Phone # l "T?
Owner's Address 4 d /e/ )�
City /111 'lill l � �U' c `5 State
Permit No. HLO 8- 52
aster Permit No.
Tenant/Lessee Name
�f j r `,�
E -MAIL: f v� "K ClA F V ( /° ikto
Job Address (where the (work is being clone)
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # ..i-32.06:7 -®N° -o4.40
Is Building Historically, Designated YES NO
Contractor's,Com an l lame j ' 3
p Y t �� l� E�'c� (d Phone# � 3 (., 5 ° / (7- C,,C.;
Contractor) Address 5.5 / 't L' 4/ s' c
City t i a 1 State J.
Zip
Phone #
Zip 3 :3 1 6 c.;'
Qualifier Name IA 4.--F\ Apo Phone # SO 5 ® 6t 5_
State Certificate or Registration No. ,, o ®JL SZPSCertificate of Competency No.
E- MAIL: IN Y® .,.,s_ Z�vh ai Cc�Nt
Architect /Engineer's Name (if applicable) oc-73 a 1 Phone #
Value of Wollk For this
Permit $
Type of Work: ['Addition
Describe Work:
t4, —';
Square / Linear Footage Of Work:
['Alteration ❑New Repair /Replace ❑ Demolition
xx &xxxxx
Submittal Fern $
Notary $ 7'—"
Scanning $
Bond $
xxxxxxxxxxxxxxxxxxxxxxx xxxxXx*F xxxrxxxxrx*xxx *xxxxxxxxxxr. xxxxxxxxxxxxxxxr,
Permit Fee $
Training /Education Fee $
Radon $
Code Enforcement $
Structural Review. $
DPBR $
CCF $ 4.0-0 CO /CC
Technology Fee $ l.ld •44
Zoning $
Double Fee $
Total Fee Now Due $
See Reverse side -�
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
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: 1 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 able ce of such posted notice, the
inspection will not be approved and a reinspection fee will be charged. i
Zip
Owner or Agent
The foregoing instrument was acknoged before me this
day of ,20E'S,by j t�'het L OIL cic 6
who is personally known to me ho has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign. -LLB c
Lic° f w l ,
Print:
My Commission Expires:
xr. xxxrx
it P Notary Public State of Florida
������yyyyyy •:° Jacqueline Coleman V
xxx xY'**j*,rX X %]C'iA �CK AI55 }�}/1 2YX
a a Expires 0710812009
04)
Signature
ontractor
The foregoing instrument was acknowledged before me
da y of f� p �VI / , 20 L y . 4 t c�-L be1�`°
'"II
who is pew y known to a or who has produced —"
as identification and who did take an oath.
APPLICATION APPROVED BY:
(Revised 02 /08/06)
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
rxr. xxxxxxxx*
Notary Public State of Florida
Jacqueline Coleman
* x *My ammission 013448652
=?'ei Reo Expires 07/0812009
Plans Examiner
Engineer
Zoning
March 12, 2008
Michael R. Obregon
441 NE 101" Street
Miami Shores, FL 33138
Re: HVAC SYSTEM DELUXE
We are glad to submit our quote for the HVAC system for the mentioned project and
propose to furnish all equipment, labor and material as described in our scope of work.
SCOPE OF WORK
• FURNISH AND INSTALL 3.5 TONS AC SPLIT SYSTEM DELUXE PACKAGE
• 10 YEARS COMPRESSOR WARRANTY
• 10 YEARS PARTS WARRANTY
• 5 YEARS INSTALLATION WARRANTY
• RUBBER PADS ON CONDENSER (Sound Package)
• METAL STAND W /FILTER RACK FOR THE AIR HANDLER
• VARIABLE. SPEED AIR HANDLER
• HURRICANE TIED DOWN (Design to hold up to 175MP/
• SIGHT GLASS (Refrigerant level /moisture control)
• OVER FLOW SHUT-OFF SWITCH
• NEW SET OF REFRIGERATION LINES INSULATED
• NEW DIGITAL THERMOSTAT
• ALL SECURING OF EQUIPMENT TO SUPPORT
• START UP AND SYSTEM OPERATION CHECK-UP
• ALL LABOR, MATERIALS AND SUPERVISION
• ONE YEAR COMFORT CLUB"MEMBERCHIP
• AC CHANGE OUT PERMITS
Hi efficiency w/ Variable Speed Air Handler - 25% Cooling Savings
Sub -Total investment: $ 7,357. -
PPL Rebate: $ 475. -
AC Investment: $ 6,382.- $1.74 per day
Customer Initials:714' "ley.
655 NW 118th Street / Miami, FL 33168
Phone: (305) 865 -1220 / Fax: (305) 865 -7779