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MC-09-1694Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 127114 Scheduled Inspection Date: October 29, 2009 Inspector: Perez, JanPierre Owner: WOOLFOLK, VANDRA Job Address: 1230 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: EDD HELMS ELECTRIC & A/C INC Permit Number: MC -10 -09 -1694 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132050250020 Phone: 305 -653 -2520 Building Department Comments Replace exisitng 4 ton a/c split system w \ v(Afl Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments October 28, 2009 For Inspections please call: (305)762 -4949 Page 18 of 36 Aloe /..//t--- 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 12'30 NL ) b— Owner's Name (Fee Simple Tit older) VO A) V ©o L F O L / hone # (Q 2& 6-S5 21 Owner's Address 11 101 sr- city pit, te p i 61-102ef state (4, icJA. Zip _33('3 V Tenant/Lessee Name Phone # ECEWED T 1 r 2e, +� Permit No. ki 4 -i D'061-101( aster Permit No. E -MAIL: Job Address (where the work is being done) City Miami Shores Village Nt /a 3 a /l,.2- s 74 7L County Miami -Dade Zip 35/ 3 g FOLIO /PARCEL# 11 -32or— 0i5'- ®t9 70 Is Building Historically Designated YES NO k Contractor's Company Name Ed J 9/e10/5146,71,40.,/,:.7 Contractor's Address . ( 7trJ ¢0 (tie 4 v e Phone #(-.T) 72 /8' 3/3 t/ 0 City In / .0 4 t krieeid? Qualifier Name Z/ r State State Certificate or Registration No. CAl e2 / y t/fk, %? E -MAIL: irthetG/Crs e y € 'cat! j e./h'ps 401-7-1 Architect/Engineer's Name (if applicable) Zip . 3/ 6 2- Phone # c. (pS3a S2,0 Certificate of Competency No. Value of Work For this Permit $ 7 w Phone # Square / Linear Footage Of Work: Type of Work: ❑Addition ['Alteration ['New p' Repair /Replace 111 Demolition di Describe Work: lee l� Le e ice' �C t'S i / iV,5 Lf % Q dU 1,41e 4i0 -OJ /i / /eu 4-1/.4.1.9 1,4 5/sienri ******* * * ** ** * * * * * * * * * * * * * * * * * * * * * * * ** *Fees ***** xacxxxxxxn* * * * �. Submittal F $ Permit Fee $ � w ( ) CCF $j. (p(� CO/CC 1// Notary $ Training /Education Fee $ (- Technology Fee $ ' Scanning . Dv Radon $ DP • R $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 2 13 Zoning $ everse 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 F. y7�:a e4 .� 4-- Application is hereby made to obtain a permit to do the work and instatlattons,as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work ware pdrlimed 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, '`V WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR. CONDITIONERS, ETC Zip 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 m t be posted at the job site for the first inspection which occurs seven (7) days a er the building permit is issued / the absence of such posted notice, the inspection will not be approved and reinspect' n fe ill be ch4yg'ed. Signature Owner or Agen The foregoing instrument was ackno edged before me this /`/ day off, fn%r1 , 2009, by t n1 /`ti Akio/ 4i& who is personally known to me or who has produced FbL- 101 114 7 471-31v As identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: xxxxxxxxxwww APPLICATION APPROVED BY: (Revised.02 /08/06) MARY E. HACKNEY MY COMMISSION # DO 817400 EXPIRES: October 1, 2012 Bonded ThrM Wary NNW Underwriters Signature The foregoing day of Contractor instrument was acknowledged before me this /4 2001 ,by / ertT71-6/pc7LS echGeL to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign Print: My Commission Expi 1 x******x****as wxww ik x** rave* 116101 /,I' ... x /0 "' • ii : i4 it RiR AI *. t' „�T. EXPIRES: October 1, 2012 p;� tio° Bonded Thru Notary Public Underwriters MARY E. HACKNEY Plans Examiner Engineer Zoning !//HllEdd Helms Sir Conditioning &electric 3)-3 OCTOBER12, 2009 Proposal #101209 C1 To: VANDRA WOOLFOLK 1230 NE 102 ST MIAMI SHORES 33138 PH 786 266 5521 Description of work to be performed: 1) Replace existing 4 ton split air conditioning 2) New float switch for safety 3) New wood returned air base insulate 4) C/u hurricane tie down 5) New service disconnect for a condenser unit 6) MODEL # 14AJM48A01= AIR HANDALER MODEL # NIIM4824JC 7) I3EATER10KW 8) If need a smoke detector will be 175.00 extra 9) SYSTEM IS TAX CREDIT OK UP TO 15? - 1.00 TOTAL WORK 5757.00 F,P,L REVA'1'E 780.00 TOTAL INVESMENT 4977.00 1 DEPOSIT C/C 2500.00 ON STAR UP 2477.00 Terms and conditions: 50% deposit. Balance is due upon start -up Only includes what is described and specified above Proposal is valid for 30 days from the date that was submitted Edd Helms Air Conditioning is not responsible for ceiling or wall repairs Edd Helms is not responsible for any existing code violations Any electrical upgrade will be at an extra charge City permit is included Alberto Quiros Comfort Specialist Cell: 305:218 -3134 aquiros(a,eddhelms.com 150 NE 5th Avenue • Miami, FL 33162 • Tel: (305) 653 -2530 • Toll Free: (800) 329 -2530 • Fax: (305) 653 -7933 • www.eddhelms.com Edd Helms Air Conditioning & Electric A Name You Can Trust Since 1975 TT TT AIR CONDITIONING REPLACEMENT DATA CONTRACTOR: edcl geir`'I S 4 Condere4,,j DATE: 70rb5 Sl'1'E ADDRESS: /26)0 f/ 0 Z s APT: LOT: 2 BLOCK: % g SUBDIVISION:BA V UNIT BEING REPLACED 12 1.9 DATA MANUFACTURER PKG. UNIT MODEL t4 tie •T Z !(oI� (0 COND. UNIT MODEL AHU /COIL MODEL KW HEAT AHU CU PKG AHU CU PKG AHU CU PKG PKG UNIT / / NOM TONS 1 M.C.A 2) M.O.P 3) VOLTS EER/SEER YES YES YES YES YES NO NO NO NO NO DUCTS THERMOSTAT SMOKE DETECTOR HEAT RECOVERY UNIT STAND LADDER REQUIRED FOR IN PECT ON 4) CHANGE DIS +I I. TIN % ' E SIGNATURE: NEW UNIT Vd-JC AHU ° U l 0 PKG AIM 1QCU PKG AHU CU PKG PKG UNIT 1b YES NO YES____, YES FLORIDA STATE CERTIFICATION/REGIS'I RATION N BROWARD CTY /CERTIF'1CATE OF COMPETENCY NO. APPROVED BY: DATE: NO b< NO K abuts 1) MINIMUM CIRCUIT AMPACITY I' SIZE 2) MAXIMUM OVERCURRENT PROTECTION (FUSE/BREAKER SIZE) 3) VOLTAGE OF CIRCUIT (208/240/480) 4) SIZE DISCONNECTING MEANS ,, a MARY E. HACKNEY SAY c�4, ,, �MMISSION # DD 997440 'f •a EXPIRES: ,cto� ri,2012 off' Bondedihm Notary Pub Undecwritats