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MC-07-662
Inspection Date: 05/30/2007 Inspector: Perez, JanPierre Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: THOMAS, LOUIS DE Job Address: 1235 100 Street NE Miami Shores, FL 33138 -2603 Project: <NONE> Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Repair Block: Contractor: AFFORDABLE AIR & HEAT & ELECTRIC CONTRACTOR Phone Number (305)796 -4922 Parcel Number 1132050080040 Lot: Phone: 305 - 770 -4167 Building Department Comments REPLACE 4 TON A/C WITH 10 KW HEAT JUN 05200 Passed Inspector Comments <f--.(, S \ PI) \\ 1 ini Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Wednesday, May 23, 2007 Page 2 of 2 •• •• • • ••• • • •••• • • •••• • • • • . 101'1 err/ • • • • • •• ••• •••• •• •• • • • • ••'••• • • • I 0) 0 c0 W t U) E «s OD i cc LL Q a w C3 0 a w C m STATE AND COUNTY RULES AND REGULATIONS al'F';ok'DA '6 /e ELI r -� //e,Qr •5 NC 190a s; ni A' tirZ 5;1-c RAM 7 OPT ©/65,1045 / 3 5 W7 /005-r IA 00 Miami Shores Village 04�_._. Building Department "Is) 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 Owner's Name (Fee Simple Titleholder) j.4uI 110 1915 Owner's Address t2.-) NE t b Permit No. It Ile (4L aster Permit No. City NAM 1Ct5 Tenant/Lessee Name E -MAIL: Phone # (3) 7q 6 -via a State FL Zip 3) ►1g Phone # Job Address (where the work is being done) cthave, City FOLIO / PARCEL # Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO V Contractor's Company Name Affil dal* kV /Her Xic, Contractor's Address 51 JJ Ito 51 City ROMA State Qualifier Name latoitim � ier ame State Certificate or egistration No. C4C 043111 E -MAIL: Phone # C3) 1-to— O171 Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: Describe Work: Zip Phone # Certificate of Competency No. /I ['Addition ['Alteration Pireplita r 4/6 Phone # Square / Linear Footage Of Work: Hui Repair /Replace ❑ Demolition Q4 ***** * * * * *xx *xxxxxxx *x * * * ** * * * * * * * ** ** Z Submittal Fee $ Permit Fee $ Notary $ Training /Education Fee $ Scanning $ /?:)'W Radon $ DPBR $ Bond $ Code Enforcement $ Structural Review. $ CCF $ 1-(3 p, CO/CC Technology Fee $ ✓'U�! Zoning $ Double Fee $ Total Fee Now Due $ 106.25 See Reverse side -* Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortga rler'sneg(; plicable) estpr ry Mortgag '' cr's,Address City State Zip Application is hereby made to obtain a permit to do the worlii Lions as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all works cvin e 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 Agent The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ******, Y, hxxxxx**** t, Yie*,t9eot*****,Y***+k****,Yx,. xx APPLICATION APPROVED BY: (Revised 02 /08/06) Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 by who is personally known to me or who has produced as identification and who did take an oath. * * ** * * * *; NOTARY PUBLIC: Sign: Print:- My ommission Expires: **x,tr. xx' ****************** *********** Plans Examiner Engineer Zoning 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. 6 Permit Type (circle): Building Electrical Plumbi Roofing Owner's Name (Fee Simple Titleholder) " Q S --�� / 67 0.. Phone # 3 ® 7 C Owner's Address / 3 3° /V f O® 7 J State Tenant/Lessee Name Zip / 3 e Phone # Job Address (where the work is being done) / ®',3 s 'j°�"" / ii,C S. City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name Contractor's Address City Name NO /Phone # 90 Zip Phone # q4o 0-777 State Certificate or Registration No. A-4-/ /% Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ .0c, Square / Linear Footage Of Work: Type of Work: []Addition DAlteration LiNew epair/Replace ❑ Demolition Describe Work: 111-on 0411C. 000 iteWhee- Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $.-'' Structural Review. $ Zoning $ Total Fee Now Due $ See Reverse side --+ 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. 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 $25 00, 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 appro e d rre nspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this `'''-- day of /t 0 02by t0016 ®/ who is personally known to me or who has produced AS identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission E * * * * * * * * * * * * ** Notary Public - State of Florida • `My Commission Expires May 25, 2009, dk?` G`i��iii;sfidY>4�652* P� "hi" �" Bonded By National Notary Assn. APPLICATION APPROVED BY: (Revised 02108106) Contractor The foregoing instrument was acknowJ ed before me this day of /4 " 20 Ogny is9 who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: P0=r, a° ° jres May 15, 2009 - ©,wa �1 Co si 'DD 433552 Plans Examiner Engineer Zoning