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MC-05-13Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 176568 Permit Number: MC2005 -13 Scheduled Inspection Date: August 01, 2012 Inspector: Perez, JanPierre Owner: OWNER, Owner Job Address: 85 NE 110 Street Miami Shores, FL 33161- Project: <NONE> Contractor: ALFRESCO AIR INC Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1121360040240 Phone: (305)541 -3827 Building Department Comments 2 1/2 TONS EXAT CHANGE OUT AND DUCTWORK s-L4 Z 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- 176397. CREATED AS REINSPECTION FOR INSP- 176315. NO ACCESS CONDENSING UNIT CLOTH, NEEDS TO BE TRIMMED AROUND. NOT AS PER MANUFACTURES SPECS. NC IS NOT RUNNING. 7/30/12 July 31, 2012 For Inspections please call: (305)762 -4949 Page 23 of 30 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 U DING PERMIT APPLICATION Permit Type: MECHANICAL t JOB ADDRESS: 65 ■ E 110 5 -Wm* �, FBC 20. Permit No. toi ms ", Master Permit No. City: Miami Shores County: Folio/Parcel #: t 1 • al ° 3 t, Ot - 0 Z.40 Is the Building Historically Designated: Yes Miami Dade Zip: 331to NO / Flood Zone: OWNER: Name (Fee Simple Titleholder): 1"'Q1\fl i e Mat. Address: riOCa if.ertA4, &j C, M.3ty$ al 41 btu City: 140rich oLNN4 L/1 t1Q9t, State: r �- Tenant/Lessee Name: ••! Email: ! t S 1, t ol 1.,4 ci C. s KCci i k"`4 . !rNet ; " CONTRACTOR: Company Name: Al fresco • C . Phone#: 146140e1A5401 ES Address: 15'64 °Myra GC /t L B l �_ - 1 a i- City: �ItY1a � /°� 4,4444-- Phone #: Phone #: 3 Q5 *As t koLt Otto Phone #: Zip: ,33 1.1 l ts 0 /P/ 2'1 State: F Zip: 331 q5 Qualifier Name: State Certification or Registration #: Contact Phone is t a't ?z/e/7 %7r 'a Email Address: DESIGNER: Architec:/Engineer: Phone #: Certificate of Competency #: '0f ' d 'l i ili D\ , POD Value of Work for this Permit: 41' Square/Linear Footage of Work: Type of Work: ❑Address DAlteration ONew ®Repair/Replace UDemolition Description of Work: f * * **** **: x*x:: x: u** ****** ***:u*:x** **:x *x:*** Fees * * * **** r***** *: x*********+x ****** ****:x*** *: *** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. � r f� Signature A101 iropi Owner or Agent Contractor The forego *_' . strumenttwas acknowledged be f The foregoing instrument was acknowledged before me this day of t- , 20 a, by �� 4. day of (4 , 20(:2, by L.„<71- •. AY 40147 who is personally known to me or who has produced who i . ersonally known : me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Signature NOTARY PUBLIC: ore me this Sign: Sign: Print: h,JE( C3-0"4-4`.a.,-----7. Print: �� S1r i /1 P.1.1. (mot °v My Commission Expires: 10, 4 \`� ` My Commission Expires: — — QZ O. 00000000000000 OttisetAEL ,k,k,k Iask,knk,k,k,B,k,ia,k,k ,k,k f�C,k,k�k,k,k,k8ss� 1�,k,�,sk,kak,k , & t,k k�k ,k L,„�tk , `g , k ,k,k,k�k,k,R,B,k=kA�sk$�,Iaa�.e 0 **** ****** �r •O r _ • Or APPROVED BY rit, - •'VI J � � S g Plans xamm • _ * .. Zoning • ! "�yy ���/ /fit Q+pp}�r� ° ®`` Structural Review �`°'�s l% s184 % "*.I Clerk o� I /STAlip \' Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) j4fo 3513 alaiTos MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Date 16405 Type Insp'n Frvia Permit No. AC Z(05 I 3 Name kiklIVIKVO 300.iTt_ Address %5 WO ST Company NfleS{ 0 MY Phone # 365 1415 (ounicy) Inspection Date 'St 11(05 Approved Correction Ike-Insp'n Pee :ritItSt (CIA roltipir T6 SCQ 4 CokA i DiviOttOLU .1117/05 fr 11 U1 fl t loos li , 5 A-- ,CCE-,-5- I .41fill H H • f; H - Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami ores, Florida 33138 Tel: (305) 795.220 305 756.8972 BUILDING r*, fe- PERMIT APPLICATION �N b� Master Permit No. may"` Permit Type (circle): Building Electrical Plumbing lY>e � cha n� i a q Roofing Owner's Name (Fee Simple Titleholder)' /990 6�2,,hone #F 3 5 a 7 S Permit No. 1`"`� — °2 FBC 2001 Owner's ddress AOF, / / JP 5 City 7/302/ S - State . . Tenant/Lessee Name Zip Phone # Job Address (where the work is being done) ,ffrS //P 5 l City Miami Shores Village Is Building Historically Designated YES NO 7�-- County Miami -Dade Zip Contractor's Company Named f `9 Ateo, ) 0'/ t.. Phone # % 2 Contractor's Address / t� City /9 /7912/if State Zip a / 2 Qualifier ��� lJ,��`Z� d9 /l�i 17/4 -' State Certificate or Registration No. Ce19IC 149/36;/9e.) Certificate of Competency No. Architect/Engineer's Name (if ap • licable) ,. $ Value of Work For this Permit Type of Work: ['Addition Describe Work: Z Phone # n/ a Square Footage Of Work: Cd it DAlteration New Re p p air/Re lace Demolition l A --� % tl A. v Submittal Fee $ 00 Permit Fee $ ;t I CCF $ c . 4`0 coicc Notary $ Training/Education Fee $ � � v Technology Fee. $ * * * * * * * * * * * * * * * * * * * * * * * * * * ** Scanning $ Radon $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Zoning Structural Plan Review. $ 4-7,7 Bond $ 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 Ziji 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 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 er or Agent The foregoing instrument was acknowledge ' efore me this day of 2005, by Contractor The foregoing instrument was acknowledged before me this day of 20 -P 5, by who is personally known to me or who has produced who is personally known to me or who has produced NOT Sign Print: As identification and who did take an oath. NOTARY PUB Sign: i Print: My Commission Expires: ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: ,/i Cho 05/13/03 as ide :;r MY COMMISSION # DD 385851 i EXPIRES: January 12, 2009 ,ki, •+`P Baked 'aim Notary Public Un derwriters o A 1/ /- My Commission Expires: *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED,,THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEWORARY A/C (CENTRAL) 2 ° 4.72' DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK ,�� ems• _ FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COM'. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEbP0RARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES -' A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMIMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS :SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER F I XT!..RES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING _ t Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Printed: 2/2/2005 Applicant: MAY Owner: MATSUMOTO JOB ADDRESS: 85 Contractor ALFRESCO AIR INC Local Phone: Parcel # 1121360040240 NE 110 Mechanical Permit Permit Number: MC2005 -13 MATSUMOTO MAY ST Contractor's Address: 1442 NW 2 STREET Page 1 of 1 Legal Description: COLLEGE HEIGHTS PB 42 -8 LOT 25 BLK 1 LOT SIZE 75.000 X 121 Fees: Description Amount FEE2005 -1372 Building Fee $91.87 FEE2005 -1373 CCF $2.40 FEE2005 -1374 Training and Education Fee $0.80 FEE2005 -1375 Technology Fee $2.30 FEE2005 -1376 Submittal Fee $50.00) Total Fees: $47.37 Total Fees: $47.37 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 7/24/2005 Construction Value: $3,625.00 Work: 21/2 TONS EXAT CHANGE OUT AND DUCTWORK Signed: (INSPECTOR) 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 I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: