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MC-08-1191lxw:a3: - 1753 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection 'Date: 07/30/2008 Inspector: Perez, JanPierre Owner: Job Address: BTESH, JOSE 1180 100 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: C &R AIR CONDITIONING CO Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Block: Phone Number Parcel Number 1132050190390 Lot: Phone: 305 - 685 -6394 Building Department Comments EXACT REPLACEMENT OF 4 TON SPLIT SYSTEM • co r q/V -7 / 3/1 _ Passed Iryf�, Inspector Comments It6 \/ # 1 IF t 1 A ) Al 9 r v I k Vb ..:.. Failed I Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid until Tuesday, July 29, 2008 Page 2 of 2 ihka Apr': -ys-Ack- Miami Shores Village Building Department 1005,0N.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) Owner's Address I 1 gO iJ E l City State Tenant/Lessee Name E- MAIL: Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # if Liz, 1.01wiT JUN 3 0 2008 BY: N---' Permit No.l v `Cj ©T 119) Master Permit No. Phone # H8' NE to ol= County Miami -Dade Zip 33 Is Building Historically Designated YES NO Contractor's Company Name. C R At r CQvc. Co, Contractor's Address 6 0 7 Z N W 16/sr c- LI City t State V. Qualifier Name ROI0Pr � CAnt7 f � State Certificate or Registration No. CA (02. 6 (-114 Phone # 1r)J 1, O 6 2 / q Zip 2'301T- Phone # 5-6 r 4.74 9 y E -MA[L: Architect/Engineer's Name (if applicable) Certificate of Competency No. 6 t-( ottg 02 •3 4 �'' Value of Work For this Permit 4,4 9 V ,00 flier Type of Work: ❑Addition ❑Alteration Describe Work: Phone # Square / Linear Footage Of Work: ['New [Repair /Replace ❑ Demolition eft Li try, Aftt`it.' *,*** * ** * *,* **** * * ** ** *** * * *** ****** .17* Submittal Fee $ Permit Fee $ Notary $ Training /Education Fee $ Scanning $ Radon $ DPBR $ ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * *x** Bond $ Code Enforcement $ Structural Review. $ CCF $ CO /CC Technology Fee $ Zoning $ Double Fee $ 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. l 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 . b roved and a reinspection fee will be charged. Signature ner or Agent The foreg ing instrument was acknowledged before me this gl day of a In e , 20®8, by who i personally know o me or who has produced who i personally known o me or who has produced Signature Contractor The foregoing instrument was acknowledged before me this_2j day of Ttot VI C. , 20 c by As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: as identification and who did take an oath. NOTARY PUBLI'C: ANET KRANZ PA, i on DD 621880 1 Sign: Print: My Commission Expires: *************** * * * * * ** * *xxxxx * * *xxxxx * * * * * * * ** xxx- * * * **** ************** * * * ** * * * * * * ** * * * * * * * * * * * * * * * * ** 2 #St APPLICATION APPROVED BY: (Revised•02 /08/06) 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 (. t0K, (Al DISPOSAL RECEPTACLES A/C (WIND) FLOOR DRAIN SERVICE TEMPORARY NC (CENTRAL) 1 `® VI NH GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK t CO v% 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 A/C UNIT • A/C 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 UTILITY -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 METER SET (GAS) GAS PIPING NVST° +DDREsS80 NE 10041- C &R Air Conditioning Co. 6013 NW 167 Stmt Suite C-4 Miami Gardens. FL 33015 -4330 DADE: 305-685-6394 BROWARD: 954- 680 -4494 _ NE /AP. A..- >; 3cm . 76 .-PRO68iS 272-7 . oft WORK Amp_ 3312e, ALL ❑ UNDER CONSTRUCTION ® EXISTINO STRUCTURE We hereby propose to: FUrnisktuistall end service the equipment and materials listed below with the Conditions and specifications detailed below. System #1 S 'Iy ' ' 3150 -°e LL H11 - pre 10 Ltt 1,: 1 -o0 O NEW EQUIPMENT RebateJs Your Investment Manufactures Condensing Unit Model # Air idler Model if Peekage4niklitedel4 Heating KW Btnb S.EE.R. Wairaoties System 02 S_ . System f!3 S Labor ! Yr. Parts Yr. Labor Yr. Paris Yr. Labor Yr. Puss Yr. Compressor Yrs. Compressor Yrs. Compressor Yrs. liondsinsing Unit Stand ❑ Air Handler Stand di Concrete Slab Cc/hem astat S D ❑ other j Float Switch 4ilirey Drain Pan ❑ Ref Line cover 0 Condensate Line ❑ Ref. lines R. 0 Fire Dampers [] ackage Unit Changeont C4 Existing Reconnection Retained to Existing System ❑ New Electric ❑ 0 A qualified air conditioning expert will start and teat title system and explain its operation. This proposal Is good fa a two weak period from date of proposal and at that time Is subject to review. Title to the system shall remain in us until ail sums due us have been fully paid. In the event the purchaser fails to comply with any of the requirements of this contract and such *faun issues in litigation, the Purchaser agrees to pay reaemwbte attorneys teen and all court cods and expenses incident to such Itgatilon. Delinquent payments shall bear 1.596 per month interest from due date until paid. All work is to be performed during our regular work hours unless otherwise eprdfed. This contract contains all agreements. Neither party stag be bound by any repreeentatbn, warranties nor agreements, oral nor written not herein contained. 11* pmpoaal shall become a contract when accepted by you and approved in willing by our duly authorized corporate officer. We agree to furnish and install the above described labor and materials on the terms indicated below for System # I °• TOTAL, INVESTMENT FPI/DEALER REBATE YOUR INVESTMENT PERMIT FEE NOT PURCHASER JOB NOTES soy. DEPOSIT s 191S-- - s ` TIS. ab DUE WHEN READY TO OPERATE DATE Oh . REPRESENTATIVE YAL4 _R MKS'