MC-07-1290Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
inspection Number: NSP- 57279
Permit Number:
-07 -1 290
Inspection Date: 07/31/2007
Inspector: Grande, Claudio
Owner: RUFEN = • &VID
Job Address
Permit Type: Mechanical - Residential.
Inspection Type: Final
Work Classification: Addition /Alteration
Project: <NONE>
1105
9
I
Block:
Contractor: REEVE AIR CONDITIONING CONTRACTOR
Phone Number
Parcel Number 1132050080030
Lot:
Phone: (954)764 -4481
Building Department Comments
EXACT CHANGE OUT 4 TONS SPLIT AIR CONDITIONS
SYSTEM WW 10 KW HEAT
/
U ®7 2007
Inspector Comments
BACK DOOR FOR GARAGE OPEN
Passed
1
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Tuesday, July 31, 2007
Page 2 of 2
1
Miami Shores Village imomnivn
Building Department JUN 2.° 2007 U
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY'.
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING O2 J 211 1 Permit No. 01
PERMIT APPLICATION AVICIYCD Master Permit No.
FBC 2004
Permit Type: Mechanical
Owner's Name (Fee Simple Titleholder) 2/9WO C el//'C/v� Phone 00 5) 75'-77O'-(
Owner's Address 031.-/A/6-- /0/ SZ 57-46-,_61-7
City �� �f/ S �S State F63/2,/ 019
Zip / 3 Er—a60
Tenant/Lessee Name AV/ Phone #
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade
FOLIO /PARCEL#
/ON ?G / //6- /i9/ S/R ?==i Q,
Zip 3 3` Go /
Is Building Historically Designated YES NO (/
Contractor's Company Name Q& Ex/ C 2' /VC
Contractor's Address 9 SO1 S 13(4k i20/ -/J
City }��CL,9 sl/n19 6. State Zip 3 500
00
Qualifier Name 3 /2J7 ^/t/ 5* RC ::"2. 7 Phone #
State Certificate or Registration No. Certificate of Competency No.
E -MAIL:
Architect/Engineer's Name (if applica le) /Y i Phone #
4I9
Phone #05q)
Value of Work For this Permit Square / Linear Footage Of Work:
Type of Work: ❑Addition ❑Altercation ❑New ❑ Repair /Replace ❑ Demolition
Describe Work: ,C i CM4//6--E G 74,* 5'604I
Ay /2 emo/L/ 477y,1, s,ys 7,73-/n / ' % tti 1-716-:/97—
***** *w xxxx******tcxxxxx ke6"" *
*x****x** *** ****
Fee $ Permit Fee $ 1,
Submittal Fe \
*** xx xxxx rx'x*x x* x**x do x*x**** x*
CCF $ CO /CC
Notary $ Training /Education Fee $ 1 40 Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
is
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ $ L b 0
See Reverse side -+
Bonding Company's Name (if applicable) WA
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) ANA.
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
The forego shument was acknowledged before me this 1' The foregoing instrument was acknowledged before me this (9
day of 7-1.NE , 20 0 7, by :' 1 _ E `_ day of 5-i Je , 20 07, by ,
who is personally known to me or who has produced who is personally known to me or who has produced
/2- /5&- 437 -52 - 66S-0As identifi.,,f, d who oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Sign:
Print:
My Commission Expir
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
APPLICATION APPROVED BY:
Chc 10/14/03
Plans Examiner
Engineer
Zoning
American Home Shield
Autho Department ( contractors only ) 800- 251 -1608
Customer Service Department ( homeowners / contractors ) 800 - 776 -4663
Vendor # 175282 Vendor: REEVE AIR CONDITIONING, INC
Phone Number: 305) 758 -4731 Fax: (954) 962 -9600
tes: AUTHORIZED nsta .u-nt provi
Labor and Materials: $ 1450.00
uthorization Code: BAB01450
** 13
by, AHS .
Dispatch Type: Original Service Fee due: $55.00
Urgency: Normal Service Fee Paid: $ .00
Net to Collect: $55.00
Dispatch ID: 56994053
Dispatch Date: 06/13/2007 05:31
Item 29963 Air Conditioning ( Central- Electric )
Not Cooling
No Air Flow
Location Ground
How Many 2
Customer: JANN & DAVID RUFENER Buyer
(305) 759 -7104 - Home
(305) 898 -8001 - Cellular
Property Address:
1234 N.E. 101 st Street
Miami, FL 33138 -2609
Dispatch Contract (s) :
JANN RUFENER
Contract: 32386665
Listing Date : 03/25/1993
Effective Date : 04/13/2007
(305) 759 -7104
Form Code FLR305
Expires 04/13/1998
Expires : 04/13/2008