MC-10-2099Inspection Number: INSP- 165085
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972 1
Permit Number: MC -11 -10 -2099
Scheduled Inspection Date: October 12, 2011
Inspector: Perez, JanPierre
Owner: DURU, CLEMENT
Job Address: 139 NW 102 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: F & F CONSTRUCTION SERVICES INC
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1131010220080
Phone: 305 -525 -1427
Building Department Comments
INSTALLATION OF NEW A/C HANDLER AND
CONDENSING UNIT FOR ADDITION
T-6) Lb I )
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- 163131. CREATED AS
REINSPECTION FOR INSP- 153717. missing kitchen hood jpp not ready jpp
October 11, 2011
For Inspections please call: (305)762 -4949
Page 18 of 28
Miami Shores Village
Building Departmen j 7
10050 N.E.2nd Avenue, Miami Shores, Florida 33 '8 ft
Tel: (305) 795.2204 Fax: (305) 756.8972 �� le
INSPECTION'S PHONE NUMBER: (305) 762.4949
$ e a e
BUILDING Permit NoJ 1 o°�
PERMIT APPLICATION Master Permit No. 10 -- Z-
FBC 20
Permit Type: MECHANICAL
OWNER: Name (Fee Simple Titleholderr): `'�' t't� 1+/`-'' V`�% Phone #:3 04 r;--924.."1 mot' 2 7
Address: ,) q I- kW to -
City:„...., u wA • 45 ("At-4) s State: , Zip:3 3 k S t�
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: 13 1
City:
Folio/Parcel #:
Miami Shores
County:
Miami Dade
Zip: 3'" l s V
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: ..;24. b o In. Phone#: is T 422- - Si I?
Address: 5 et 0 4 490 (S d) / ' I t» `
City: �.GG•0' �'l L ea..L.. State: F \ Zip: 3-j
Qualifier Name: 5944= 1* Gt 'Alp 0 i^ t°. Phone #:
State Certification or Registration #: C. 12-X-01240 Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $
Type of Work: DAddress ❑Alteration
Square/Linear Footage of Work:
DNew ❑Repair/Replace
Description of Work: 1 T.• .<.. 2r u..1 (4( 4-C Ptr —p -
❑Demolition
********* ***** *************a***** *****Fees********************************************
Submittal Fee $ Permit Fee $ L 0 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $
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 subject to atta
for the first inspect z n which
inspection will not b pprove
Signature
Ihnzent. Also, a certified copy of the recorded notice of conzmenceznent must be posted at the job site
curs seven (7) days after the building permit is issues In the absence of such posted notice, the
nd a reinspection fee will be charged
Owner or Agent
The foregoing instrument was acknowledged before me this
day of 'Z. ? tIL6e201 O , by
who is
Signature
Contractor
The foregoing;nstrument was acknowledged before me this
, day of 0 d , 20 10, by
own to me or who has produced who is own to me or who has produced
as identification and who did take an oath.
As identification and who did take an oath.
NOTARY _UBLIC:
Sign: C./‘
Print:
My Commission Expires:
07.4 IAUiAFARLEY
* MY COMMISSION # DD 646761
EXPIRES: March 2011
as,
'No Foe� Bonded Thru Budget 16, Services
*** * *** ** * *** * ********..********** *** * **
APPROVED BY
Plans Examiner
Structural Review
(Revised 07 /1 0 /07)(Revised 06 /10/2009)(Revised 3/15/09)
NOTARY LIC:
Sign: • . AK
Print: •
My Commissi6
94OF F\-
MY COMMISSION # DD 64r 61
EXPIRES: March 16, 2011
Bonded Thor Budget Notary Services
Zoning
Clerk