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DEMO-11-1753Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 164794 Scheduled Inspection Date: October 03, 2011 Inspector: Perez, JanPierre Owner: , SHORES SQUARE INVESTMENTS Job Address: 9025 BISCAYNE Boulevard Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: RESULTS AIR CONDITIONING CO ) --,165 Permit Number: DEMO -9 -11 -1753 Permit Type: Demolition Inspection Type: Final Work Classification: Mechanical Phone Number Parcel Number 1132060110051 -25 Phone: 305 -886 -2534 Building Department Comments MECHANICAL DEMOLITION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments September 30, 2011 For Inspections please call: (305)762 -4949 Page 14 of 29 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 9025 BISCAYNE Boulevard Miami Shores, FL 33138 -0000 1132060110051 -25 Block: Lot: SHORES SQUARE INVESTMENT 1 Owner Information Address Phone CeII SHORES SQUARE INVESTMENTS 3850 BIRD Road MIAMI FL 33146- Contractor(s) Phone Cell Phone RESULTS AIR CONDITIONING CO 305 - 886 -2534 Valuation: Total Sq Feet: $ 4,000.00 0 1 Type of Demo: Mechanical Additional Info: Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Work without Permit Fee Amount $2.40 $2.00 $2.00 $0.80 $120.00 $3.00 $3.20 $120.00 Total: $253.40 Pay Date Pay Type Amt Paid Amt Due Invoice # DEMO -9 -11 -42109 09/27/2011 Check #: 1463 $ 253.40 $ 0.00 Available Inspections: Inspection Type: Final i In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit 1 assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, 1 authorize the above -named contractor to do the work stated. September 27, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date September 27, 2011 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 ;� Permit No. l _ �fJ Master Permit No. U — BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder):,5 s tl o p ir UJd L L L. Phone#: 3 SEP 2 3 2011 Address: r' 0 City: U'� ( State: Tenant/Lessee Name: Phone: 3/'Y8. 031/% 7 ?-031/ Zip: 14-S-- Email: JOB ADDRESS: 1 0 2 r 16 3 1. J S Ay Ale"-- b LU Th City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: its 32( —O g" J" MP Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: RCS tB 1 IM /4 ) It-, Address: —7 L15 I tJ' -7a 60 t- City: ft P("JI State: PO Zip: 3 314 Qualifier Name: NT/4-4y' 6 ° `I ' `r' Phone#: 30 5 7 79 y -3 State Certification or Registration #: 6 A 0- .6 5.74 53 Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: � ° - F' Phone? - ?63 Value of Work for this Permit: $ f t co D . o Square/Linear Footage of Work: Type of Work: °Address °Alteration ONew ORepair/Replace ®Demolition Description of Work: � ICArL. ^1 , 0 t h i T2 Q1Z . Submittal Fee $ Permit Fee $ \ 20 cc $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/ Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ g[010 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 $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 f� 'ct ti attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspe '. w, "h occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will no p'ed and a reinspection fee will be charged er or ent The foregoing instrument was acknowledged beforevAbiial,.. day of h — . 20 , by i NI 6 who is personally known to me or who has produced As identification and who di NOTARY PUBLIC: Sign. r,X,( 0"tesW1., Print :.& . �-Ci \fln ,"ue My Commission Expires: '"W-- Signature %K C`4/ ye Contractor The foregoing instrument was acknowledged before me this Z �. day of ��G•'i�J , 201L, by who is personally known to me or who has produced "se k'. as identification and who did take an oath. NOTARY PUBLIC: . Sign: Print: LZa s RICARDO E. BERMU NOTARY PUBUC i STATE OF FLORIDA 'a Comm# DD971116 sair pli airn: **** *** My Commission *********** ** ** * ** *s* **** * ****a**** ***,** ** *s******e**** *s* *gee *we ******* * ***e APPROVED BY \klans Examiner Structural Review (Revised 07/10/07)(Revised 06/10/2009XRevised 3/15/09) Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work Is being done): City: Miami Shores Village County: Miami Dade Z p Code: ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.MA MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208 /240/480): 4. Size Disconnecting Means: Contractor's Company Name: Phone: State Certificate or Registration N. Certificate of Competency N. Signature Date: