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MC-09-608Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 161945 Permit Number: MC -4 -09 -608 Scheduled Inspection Date: July 13, 2011 Inspector: Perez, JanPierre Owner: COOK, MARIANNE Job Address: 360 NE 105 Street Miami Shores, FL 33138- Project: <NONE> Contractor: AIR COOLING INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360130020 Building Department Comments NEW ONE SUPPLY OUR OUTLET AND NEW EXHAUST KITCHEN VENTILATION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 111364. July 12, 2011 For Inspections please call: (305)762 -4949 Page 24 of 26 BUILDING PERMIT APPLICATION FBC 2004 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ECEOVED 1 , 2009 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) Owner's Address 340 A 7 City mfiQ.,, / Sf bQES State Tenant /Lessee Name Permit No. ht-efi Cag Master Permit No. € 8 49.2 r artanne /05 57' 1= G Zip Phone# 305 757 -S1oY Phone # E -MAIL: Job Address (where the work is being done) LC" f p 5 s , City Miami Shores Village County +.Miami -Dade Zip FOLIO / PARCEL # //--.2/.36 -v i a-a 20 Je, J.-Pam -4/ 7 6 //i 7 Ls-ta 3,0-4 Is Building Historically Designated YES NO ✓-- Contractor's Company Name* /Z e6:20/ A) Phone # ( -cs,6/ 26 -'7' 271/ Contractor's Address ddress 7 r6 6 W .57 .3c � ,i -9----... / City /`7"� ,451 4t 4 State Zip .6)/ 8 Qualifier Name <.10.. e X �� a Phone # FePto') Z3;6 ,341'% State Certif ate or� Registration No.e, r" ,/cQ/55 27 Certificate of Competency No. E -MAIL: 6.fs �Z) C rt' 7u%io> /.rc =Ct9APi Archit /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ DU OO Square / Linear Footage Of Work: Type of Work: V,,Addition DAlteration EINew _� ❑ Repair /Replace ❑1 Demolition Describe Work: /yc,E% 40 /7E) 34/ 9 77 Geer G�TIe I` , CTr�� Y�►d� ✓ems /a 776,-/ / / fllai( t0 i ******* * * * * *** **** *** ** * * * * ** * * **** * ** Fees ** * * ** * * * * ** * ** * * * * * * * * * * * * * * * * ** * ** * * ** * * ** Submittal Fee $ 53 ' Permit Fee $ ' d ©4 0t7 CCF $ 0" CO /CC Training /Education Fee $ ()OD Technology Fee $ Radon $ I .SO DPBR $ I -SO Notary $ 22 �r� Scanning $3.00 Bond $ Code Enforcement $ Double Fee $ Total Fee Now Due $ 1D-1-(00 Zoning $ Structural Review. $ See Reverse side - 15 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mljtgaga Lender' Name (if applicable) Moltga Lenders -ddress 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: 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 dopy 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 f such posted notice, the inspecti on w of be approved and a reinspection fee will be charged. Signatur Owner or Agent The foregoing instrument was acknowledged beeffo7re fine this 1✓� dayof � `,20C /,by/�%i�ige c c)t who is personally known to me or who has produced \'( aft LA. ib. 1SSe • As identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: t -1:1_\ to APPLICATION APPROVED BY: (Revised 02 /08/06) DEA11NA L EVANS MY COMM SSSON # DDS09375__ EX IN RES: Jan. 22,2010 Signature Contractor The foregoing i strument was acknowledged before me this i3 day of i L , 2O', by JO , who is personally known to me or who has producedT -A,p t--iC0-8715 as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: DE`.ANNA L EVANS Y COMM!SS1ON +!t Dn509375 RES: Jan. 22,2010 My Commission Expires: AVASki D Plans Examiner Engineer Zoning