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MC-08-550Inspection Date: 06/09/2008 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: RUDNICK, SPENCER Job Address: 60 102 Street NE Miami Shores Village, FL Project: <NONE> Contractor: ROLANDOS A/C INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060131461 Lot: Phone: (954)485 -2000 Building Department Comments CHANGE A/C UNIT !0 4 7/ / 41 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Friday, June 6, 2008 Page 2of2 4 1 111 (g W 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 C 8 2308 B Y: �'� Permit No. NQ ac-S50 Master Permit No. Owner's Name (Fee Simple Titleholder) . U Sl l N�. "t�cl0 ���� Phone # Owner's Address Q M L 1O S f City 4U t4 S Y.O(S State R. Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Zip 33k g Phone # (o N .Es 1O &s-f Is Building Historically Designated YES NO Contractor's Company Name Rab,,,©s At -R CO,,dch�il „, Phone # 9sq-13S- 6 (6, 0 Contractor's Address a 4o c. S ry pl e peal gvott `� ,�-7 City fb m Pc <j ;!'� :7 State R, Zip U t 3 Qualifier Name O. d ;� a y Phone # 4- 410 0 L State Certificate or Registration No. E -MAIL: ro ImAdos ae Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Certificate of Competency No. ,ba`00 Phone # Square / Linear Footage Of Work: Type of Work: Addition ['Alteration ['New Repair /Replace ❑ Demolition 1 J '• 91a ei0S+Tkri ( Q PiC coniii-kkmifoct w DeescribeWor k Ty tig© w s. E , R 5 ) 7 k/I l ***************************************F es******************************************** Permit Fee $ 9 CCF $ 3 CO /CC Training /Education Fee $ 1,90 Technology Fee $ 5' Submittal Fee $ Notary $ Scanning $ 3 CO Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Zoning $ Structural Review. $ Total Fee Now Due $ 2,285•V4 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. 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. 1 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 a ` ' construction ien roc ' e wi ,_, ive o i , person whose property is subject to attachment. Also, a certified copy of th' recorded nohc° 'mmencement must be posted at the job site for the first inspection which occurs seven (7) days after the build rmit wed ab Y such posted notice, the inspection will not be approved and a reinspection fee will be charge' Signature Owner or Agent The foregoing instrument was acknowledged before me this Zr day of 20 q , byC" z:02./ ?%,ceiri who is personallknown to me or who has produced identification and who did take an oath. Print: SC, My Commission Expires: Contractor The foregoing instrument was ackno ..' -. before me day of i nor, by who is personally known to me or who has produced as identification and who did take an NOTARY PUBLIC: Sign: Print: My Commission Expires: * * **** * * * * * * * * * * * * ** *Ink** Ae,al.k*t+cut,t+tiit*it****** *** **** **** ************* Y******* e**** aY*oY***************************************** aY* ***'****4exxa'c+tx+YicaY*aY*' ww*xww*w t� 4) APPLICATION APPROVED BY: !I r I/0 Plans Examiner Engineer Zoning (Revised 02 /08/06) Miami Shores Village Building Department /0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Permit No. Master Permit No. Owner's Name (Fee Simple Titleholder) i U ST' C I c c u DA, 1 t c,�. Phone # Owner's Address 6 C, 4/.61; G Q a S" City/4'(j C t State Zip '33 Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) ( ) /(J •La `� c City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name ©Li 4:10S HtYL Cot-30 (i1oet-h;) Phone # 0.9_0 q 3 S - b ILO Contractor's Address aL( `j�'O (ti • s 6A-t P LLB S uiiZ City PO 1.1 Qp.,N30 9,0.Att State ( Zip --)j'') © r 3 Qualifier Name Phone # CQ -, ) s 0 Li ,S 1. State Certificate or Registration No. C A- C. a .1- -(4 u 3 Certificate of Competency No. E- MAIL: 1^b 10..N c .e+Sc e.. e 1 i1r L ' COW^ Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ `J .k) Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration ['New IR' t�epair/Replace 0 Demolition Describe Work: ¢ f GA..0-ef 'Tp #.3 4 ii Co 0 a706,+,'tu 5 L (mss A eFr, C-(°(-) (e C:• >2 57-04,-) SyS Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side --> APR -9 -2008 05:04P FROM:ROLANDOS AIR CO 9549356161 Mar 15 08 12 :23p Carl Rudnick MAR -14- 87 :12P Mtn: RQf 0S RIR CO 9549356161 Propo�M1 Rolando's Air Conditioning & Refrigeration, Inc. �0 NW � s+ . � 2. 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