MC-08-2133t
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: January 26, 2009
Inspector: Perez, JanPierre
Owner: FRANZOSA, JOHN
Job Address: 520 NE 102 Street NE
Miami Shores, FL
Project: <NONE>
Contractor: C&R AIR CONDITIONING CO
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: New
eLowas_
Phone Number
Parcel Number 1132060171060
Phone: 305 - 685 -6394
Building Department Comments
January 23, 2009
Page 1 of 1
\ 1 Z 6 19
Passed
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 101965. CANCELLED BY
JESSICA 1/14/09 MLDV
I �7
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
January 23, 2009
Page 1 of 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT AIPLICATION
FBC 2004
Permit Type: Mechanical
Owner's Name (Fee Simple Titleholder)
Owner's Address
City ✓�1� ,;�_.� ...._ �
Ni ALA, [iIL
-X
Tenant/Lessee Name
E -MAIL:
CEC 16 2298
BY: (^'
Permit No. Ica a l�
Master Permit No.
Phone # 30S• I .s--6 • 9'-i g
State Zip J' 13 O
Phone #
Job Address (where the work is being done) Sa® N E 10a. T
City Miami Shores Village
FOLIO / PARCEL #
County Miami -Dade
Zip
Is Building Historically
Designated YES
Contractor's Company Name G
NO
to COfr4.CO
Contractor's Address 6 ® ?j Null (6 7J T G
City
State
Phone # .3OS'6kr 4,Q 9 i
Qualifier Name ' c b-er` - J C Ifyp I
State Certificate or Registration No. G A L Oa 6 (.1 j y
E -MAIL:
Architect/Engineer's Ni me (if applicable)
Value of Work For thi
Type of Work:
Describe Work:
Permit $
Certificate
zip 3iO�S
Phone # (1'S6 3 9 LI
of Competency No. A fit /
Oc- g 80,).°3
91 ['Alteration
Phone #
Square / Linear Footage Of Work:
❑New
Sepair /Replace ❑ Demolition
l4-1
DEC 1 'PAC
Submittal Fee $
Notary $
Scanning $
Bond $
xxxxxxxxxxx xxxxxxxxxxxacxxxxxxxF
CO
Permit Fee $
x xx xxxx ..x * xx xxx x xx x* W xxx C* xxxx x xxxxx xxx
Training /Education Fee $
Structural Review. $
Radon $ DPBR
Double Fee $
Code Enforcement $
CCF $ CO /CC
Technology Fee $
Zoning $
Tote EeeNow:D.ue.$;
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. 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: l 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose properly is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature �
Owner or Age's
The foregoing instrument was acknowledged before me this 1 The foregoing instrument was acknowledged before me this i
Signature
rer
Con ractor
day of _,20OR,by , day of
who i
who personally know to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
• 1111
'.
ig4r, Robert J. Chi-yet
`' :f Commission # DD524602
.4 X511 t o 4, LV 1 V x
CO. Boded Troy Fain - Insurance, Inc. 800- 385-7019
My Commission Expires:
xxxxxxx>Y**w*9e:F>tide,c****
,20 OW, by
o me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign: % 1
Print: JcihiT Kra lel
,,'',,, E
My Corn .: ' KRANZ
o. Commission DD 621880
I!npl ®� 2 ,txxxx ****,c,Yx
xxx xx xx,t,Yxx,'cx$x 'K� ��,
.+' 'r`° 000.318.7019
'�4�,!%`�' gentledThruTroyFainuugurar�
L °1 1 /0
APPLICATION APPROVED BY:
(Rev ised•02 /08/06)
Plans Examiner
Engineer
Zoning
ADDENDUM TO BUILDING PERMIT APPLICATION
APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B.
TAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MECHANICAL
I
I TUB
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
:T
LIGHT OUTLETS
CENTRAL HEATING 1= °7 )-- t kJ
tYIASHER
RECEPTACLES
A/C (WINO)
WAL
SERVICE TEMPORARY
A/C (CENTRAL) f = 3)'
MIND FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK 1,7^
DRAIN
SERVICE REPAIR/METER CHANGE
�•
REFRIGERATION
.SE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
RCEPTCR
RANGE TOP
UNDERGROUND TANKS
VTORY
OVEN
ABOVE GROUND TANKS
CRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
TEES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
ER
MOTORS OVER 1- 3 FP
HOT WATER BOILERS
K, POT /3 COMP.
MOTORS OVER 3- 5 If
MECHANICAL VENTILATION
K, RESIDENCE
MOTORS OVER 5- 8 HP
TRANSPORTING ASSEMBLIES
K, SLOP
M•OTCRS OVER 8- 10 HP
ELEVATORS/ESCALATORS
PCRARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
MAL
MOTORS OVER 25-100 HP
COOLING TOWERS
ER CLOSET
MOTORS OVER 100 HP
VIOLATION
!IRECT-WASTES
A/C WINDOW
REINSPECTION
ER SLPPLY TO:
AIR CONDITIONERS
VC UNIT
STRIP HEATER
'IRE SPRINKLER
GENERATORS TRANSFORMERS
!EATER -NEW INST.
GENERATORS TRANSFORMERS
:EATER - REPLACE
GENERATORS TRANSFORMERS
.AWN SPRINKLER -WELL
_
SPECIAL PURPOSE
iWIM,IING POOL
OUTLETS CONERCIAL
•
EATER SERVICE
SIGN TUBES
fER CONNECTIONS
SIGN TRANSFORMERS
LITY -SEWER
SIGN TIME CLOCK
L ITY -WATER
F IXTI..RES
'TIC TANK
ANTENNA
.AY
TELEVISION OUTLETS
kINFIELO, 4- TILE/RES.
VIOLATION
•P & ABANDON SEPTIC TANK
REINSPECTION
OWE PIT CU. FT.
"CH BAS I N
UHARGE WELL
GESTIC WELL
:A CRA I N
.
lF INLET 1
_AR WATER HEATER '•
iE STANDPIPE
X PIPING
•
IN SPRINKLER SYSTEM
s
3 RANGE
TER SET (GAS)
3 PIPING
C &R Air Conditioning Co.
6073 NW 167th Street Suite C-4 Miami Gardens, FL 33015 -4330
• 305- 685 -6394 BROWARD: 954- 680 -4494
C(ST ' -: -E ' \ ✓VIER i \
. , �� a.�
P- HONE
HOME d ®� y ail
b fi o ° p
Al5 RES ® ' .
Q
WORK
❑UNDER CONSTRUCTION
c TY , 1 ,. ZIP
CELL
EXISTING STRUCTURE
We hereby propose to: Furnish, install and service the equipment and materials listed below with the conditions and specifications detailed below.
LI o c
NEW EQUIPMENT System #1 $ S9 System #2 $ System #3 $
Rebate /s - g4 7S-°° - -
Your Investment L1 ,
Manufacturer uuci
Condensing Unit Model # uikeL0 42, 7SA2
Air Handler Model # V 14 L L H M i4 t2 1T A
,...,,,... e_ -Lilo
Heating KW 1
Btuh LI 3 P:;?
S.E.E.R. I - 0
Warranties Labor i Yr. Parts Yr. Labor Yr. Parts Yr. Labor Yr. Parts Yr.
Compressor i Yrs. Compressor Yrs. Compressor - Yrs.
-- --
❑ Condensing Unit Stand ❑ Air Handler Stand
MISCELLANEOUS —
Ix Float Switch ❑ Ref. Line cover
Auxiliary Drain Pan ❑ Ref. lines ft.
❑ Condensate Line
❑ Fire Dampers
g Concrete Slab Thermostat S D 04
❑ Other
DUCT SYSTEM
ELECTRIC SYSTEM
❑ Package Unit Changeout
X
Existing Reconnection
ecopnect to Existing stem ❑ New Electric
si
A qualified air conditioning expert will start and test the system and explain its operation. This proposal is good for a two week period from date of proposal and at
that time is subject to review. Title to the system shall remain in us until all 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 default results in litigation, the Purchaser agrees to pay reasonable attomey's fees and all court costs and expenses
incident to such litigation. Delinquent payments shall bear 1.5% per month interest from due date until paid. All work is to be performed during our regular work
hours unless otherwise specified. This contract contains all agreements. Neither party shall be bound by any representation, warranties nor agreements, oral nor
written not herein contained. This proposal shall become a contract when accepted by you and approved in writing 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 #
TOTAL INVESTMENT $ a
50% DEPOSIT $ -1) -7 4 (-
Li FPIJDEALER REBATE $ - ,erg '
YOUR INVESTMENT $ @ iO c�
PERMIT FEE NOT IN QED
JOB NOTES
50% DUE WHEN Li
READY TO OPERATE $
DATE 12 h I 0 REPRESENTATIVE
VALID FOR 2 WEEKS