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DEMO-13-2481 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-202349 Permit Number: DEMO-11-13-2481 Scheduled Inspection Date: November 20, 2013 Permit Type: Demolition Inspector: Perez,JanPierre Inspection Type: Final Owner: LLERENA, MARK Work Classification: Mechanical Job Address:1550 NE 103 Street Miami Shores, FL 33138- Phone Number (786)981-1301 Parcel Number 1132050310110 Project: <NONE> Contractor: AIR ZONE MECHANICAL INC Phone: (305)556-7667 Building Department Comments REMOVAL OF DUCTWORK AND EXISTING UNIT infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 19,2013 For Inspections please call: (305)762-4949 Page 23 of 40 Miami Shores Village r :� �1L' I Building Department NOV 1-3p 2013 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 o m o o m o m°° INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 to BUILDING Permit No. DQn)r3—Q 13�r Master Permit No. PERNIIT APPLICATION ��,AK) Permit Type: MECHANICAL JOB ADDRESS: I SGD City: Miami Shores County: Miami Dade Zip: Folio/Pazcel#: +l r s —05\r goo h the Building Historically Designated:Yes NO Flood Zone: OWNER.Name(Fee Simple Titleholder): YftdK Address: t SSD N E 1 �� SA n 1 city:_ � State: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Wj—r —26nQ— ty)kt " Phone#: Address: l t& W City. n l State: nn •• ��.. Zip: S3 Qualifier Name: �A ddL1 Phone#• 0S_5_S A` State Certification or •on#: i k 't�� Certificate of Competency#: yy Contact Phone#: ?�'S S(P--4 U X44 Email Address: G�kr �- 1'l l'1 DESIGNER:Architect/Engineer. Phone#: Value of-Work for this Permit:$ Square/Linear Footage of Work: Type of Work: DAddress OAlteration ONew ORepair/Replace emolition Description of Wwlu- it r F Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ 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 State zip p 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 that all the foregoing information is accurate and that all work will be done in compliance with all cerhfY g g mP applicable laws regulating construction and zoning. "WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EMPROVEMENTS 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 char i Signature Signature Owner or Agent (in Contractor The foreg ing instrument was acknowl ged befo��e^this The foregoing instrument was acknowledged before me this day of 0 r,by L-►�d�?VA day of O& f,201;by is ersonally known t or who has produced who is ppo—nafily—kno;4to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: ROMOUEZ Print: Print: Commi d8 /D1" My Commission Expires: M, J��„ DAMAYI VEGA y nr: : MY COMMISSION#EE 0660W EXPIRES:April 1,2015 Bonded Th,Notary Public Underwriters APPROVED BY 44xaminer Zoning Structural Review Clerk Revised 3/12/2012)(Revised 07/10/07)(RMsed 06/10/2009)(Revised 3/15/09) Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 / G a`�� °�° Tel:(305)795.2204 Fax:(305)756.8972 d INSPECTION'S PHONE NUMBER:(305)762.4949 BUILDING Permit No.`p&�13—'2-`1.�r PERMIT APPLICATION Master Permit No._�� FBC 20 Permit Type:MECHAMCAL OWNER:Name(Fee Simple Titleholder): 6a Phone#: Address: &A City: State• zip: Tea"We Name: Phone#: E1nai1: JOB ADDRESS: tl� D '. ✓. tog City: Miami Shores County: Miami Dade 71 . Folio/ParceW. Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR:Company Name: Phone#:305 a.-0PI!4ci Address: 1 ski q City: INA t Smote• F L zip:��f Qualifier Name:. I E-( L.-L/2-r-(l fZl?13 Phone#: 305 Sc-;k-S --asq 66 Sfate C 6 rtliii ion or Regittration#: C-A ( h-1 l Q-3— Cer ificca�te of'Competency#: Contact Phone#:, �� Email Address: I t<F—C fA l AE-1r Cwt ="C> C otx- DESIGNMi`Aichitecf/Engineer: Phone#: Value of Work for this Permit:$ W. :r tv Square/iinear Footage of Work: Type of Work: 0Address ONew ORepair/Replace demolition -Dem aiption,of Work: $ h Submittal Fee$ Permit Fee$ V -CCF$ CO/CC$ Scanning Pee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Donne Fee$ Structural Review$ TOTAL FEE NOW DUE$ �� l 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 WOPA 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 OWNERc; YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT ;MAC 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be,delivered to the person whose property is subject to attachment. Also, a certified copy of the re notice of commence ment must be posted at tine jolt site for the first inspection which occurs seven (7) days after the build` g is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be char V, Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20_,by day of 20_,by who is personally known to me or who has produced who is personally known to me or who has prodticed,_, n As identification and who did take an oath. PZA fM`i as identification and who did take an oath. NO T A Y PUBLIC: NOTARY PUBLIC: 4> Sign: Si Print: .�'''p�.,, DAMA Print: +; :.- MYCOMMISSION#EE 066066 ""° My Commission Exp" ST.,, a` EXPIRES:A 11,2015 M Commi �4�•P DARMYI VEQA P4 Y }>nY COMMISSION#EE 066066 y:$;qf g,�•' Bond Thru Notary Public Underwriters - = ., EXPIRES:April 1,2015 Bonded Thru Notary Public Underwriters * *** ****+k** */***�* APPROVED BY " l ans Examiner Zoning Structural Review Clerk (Revised 07/10/07XReAnd 06110009XRevised 3/15/09) 11/06/2013 01:53 3052640444 GRACE GUIJT PAGE 02/03 CITY OF •MIAMI GARDENS BT : . v 2013 BUSINgSS TAX RECEIPT 2014 EXPIRES S•optembgr 30,2094 + MUST AE DISAt11YED AT PLACE OF BLiSIN-SS LICENSE ' HEM- DESCRIPTION/RESTRICTIONS Business AlarneAL=hbn 0.029980 ST @01504 0850 CONTRACTORS-SPECIALTY AIR ZONE'NECHANiCAL•INC. 96600 NW 54TH AVE ..• Qfy: 1 UNIT 3. MIAMI GARDENS, FL 33074 Ownerxarp. Name •A1R W"E•MECNAMCAL[NC. AtR ZOt1E MECHANICAL INC. '1'66U#3:NIN'64TH AVE,UNIT 3 Trr�[a an business tic on 11fllAI1N{•GARDENS..FI:33014' y.lt a%s not puma t#+®paj to ufo�te•: any wdstin9 regulatory orwning laws,of the City or.MUM D*le; County.Prior does it exempt the payee t[am•airy other to or pent taettulred by law.This is not a c;ertifltrWon of•tAe payae's'q City aP illUprrri 6ardens Erttoroen ent Department 1575 NW le7th ST..Building 6 Sine 200,AI•8wW Gardens Ft.33769'