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MC-12-1896 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-179759 Permit Number: MC-10-12-1896 Scheduled Inspection Date:June 24,2013 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: CHIARELLA,ANTONIO Work Classification: A/C Replacement Job Address:10666 NE 10 Place Miami Shores, FL Phone Number Parcel Number 1122320280890 Project: <NONE> Contractor: MG EXCELLENCE SERVICE CORPORATION Phone: (786)247-7067 Building Department Comments RE LOCATE DUCT SUPPLY 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. June 21,2013 For Inspections please call: (305)762-4949 Page 5 of 37 Miami Shores Village Building Department DEC 1 2017 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 y %. -- Tel: (305)795.2204 Fax:(305)756.8972 t INSPECTION'S PHONE NUMBER:(305)762.4949 BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC20LC) Permit Type: MECHANICAL a"deAadsj/& OWNER:Name(Fee Simple Titleholder):_'�roy10 el la Phone#: ` � q3 Address: / ®441,6 41 F /® 1-21- City: State: -111:4 Zip: 3� 1 Tenant/l essee Name: —�e F Phonek _ ,40 Email: JOB ADDRESS: 22 City: Miami Shores County: Miami Dade Zip: ;� /J Folio/Parcel#: //' 2, 232 - D 2 8 - 699 ?0 Is the Building Historically Designated:Yes NO DC Flood Zone: .1k, CONTRACTOR:Company Name: 6 e �° elk V If Ce,S Cr�hone Address: -190 � �✓' #: �i y: e Zip: 31a®6 p o City: ( State: Qualifier Name: f e Phonek State Certification or Registration#: �®&T Certificate of Competency#: Contact Phonek Email Address: DESIGNER:Architect/Engineer: Phonek Value of Work for this Permit:$ �rC ® Square/Linear Footage of Work: Type of Work: UAddress OAlteration I ONew ORepair/Replace ODemolition Description of Work: . ' A- e-VC4 IA e t� mix 1 .xtxxxxxxxFees**** xxxa 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$ so 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 Osted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of s ch posted notice, the inspection will not be approv e�and a reinspection fee will be charged. Signature �� "�' Signature Owner or Agent C actor The foregoing instrument was acknowledged before me this '2 The foregoing instru ent was cknowled ed before me this_ day of 20_,by C S s r,e (�l 49,67Z day of / 2 ,20_,by t� who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTA Y PU L . : I I NOT Y P 12 Iz Z :o#O l ua Notary P.Wir State of Florida Si "�i N PUN— Ay Sign gn: ` Commission EE045215 Maria Oliveira Print o°e Print: my Cam xphes 11/28/2014 My Commission Expires: l Z My Commis 2 r8 (�t,4 APPROVED BY Zs Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) 1 `'Q -C !'L tL ASS PAID Mr.MLAw,F7- pow t4o. MOT PAY RENEWAL TtH416 IS RECEIPT H0. 682448-7 B� jLWAT►aa STATED CAC1816957 M G EXCELLENCE SERVICES CHIRP 180 E 19 ST 33010 HIALEAH o EXCELLENCE SERVICES CORP WORKE/S SM� S m CRACTOR S EC pECNANI - jj a TAX Dom WT DO NOT Fo�wAC�u 401A'Vl�MW OF IM c aft m Dom V on s p► 8 EXCELLENCE SERVICES CORP w MIGUEL GARCIA WaA 180 E 19 LT33010 HIALEAH F titllt-ECTtNE - 09l25l2012 ' 30fl15002 �#� � ` 000045.00 SEE OTHER S®E °�'. Miami Shores Village i U'12'* �Mu ilding Department 8 Y:............. �'1'0050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 BUILDINi;7'�' Permit No. MD )Z- PERMIT APPLICATION Master Permit No. C FBC 2010 Permit Type: MECHANICAL OWNER:Name(Fee Simple Titleholder): Ckf4ft Ullordlk_ Ph 76S q53o Address: 10(t(F Co Nf, t 0 P I a ct- City: r4taeAs 'Rkorfs State: Tenant/Lessee Name: Phone#: Email: QeCk;ar-e. 6r, 11190LA+-tl • e- JOB ADDRESS: 10(0(0 & NE7 lo Place- City: Miami Shores County: iami Dade —zip:...... 3 3138 Folio/ParcelO: I I - 0 Is the Building Historically Designated:Yes Hood Zone: CONTRACTOR:Company Name Phone#:. Address: �O/ 4//Z /-3 2- City: State: Zip. Qualifier Name: Phone#: State Certification or Registration#: P_AbL1Q114_006Cer1ifi 9'iie� ompeten cov Contact Phone#: Email Address: DESIGNER:AritectXngineer: Phone#: Value of Work:for this Permit:$ r Footage,4 Work: Type of Work:: UAddre4s ❑Alteration UNeW URepair/Replace ElDemolition Description of Wo on L< V Submittal Fee$ Permit Fee$ Z' CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond Notary$ Tralning(Education Fee$ Technology Fee$ Double Fee$ Structural Review$ 1 .0 4, TOTAL FEE NOW DUE$ nj (b n'� 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. 11WARNING 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." I Notice to Applicant: As a condition to the issuance of 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 certifgd 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 absen such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature L'�'✓�-� v Signat e Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowed before me thisf� day of 0 ,20-L;by A day of ,20 L,by Z �Z who is personally known to me or wh has uced who is pergjj l to me or who has oduced As identificati n o did take an oath. as identification d h did take oath. NOTARY PUBLIC: NOTARY PUBLIC: NFU tags ot, +a to sLZS6 A0 OO►d1N zip., off; Ex�. -ES,177 Sign: Sign: aw Print: Print: My Commission Expires: Ifl 04-1 2 ^2 Ole( My Commission Expires: APPROVED BY ans Examiner Zoning Structural Review Clerk (Revised 07/10 107)(Revised 06/10/2009)(Revised 3/15/09) Oct. 3. 2012 9:4UAM Wo. 913tq, - IaAA=ENT MAW-DADE Cam:FLORIDA 'TAX COLLECTION OIVISIO! OEM 140 W.FIAGLER STREET AAIAI�I'DADE MIAMI,FLORIDA 33130 rol It LBT rte, tia3 �+ �c t -1 .0 AT -�� Fi1�i_;i ;s�M�i� .is�� ice a:.462 d' o;--f , , : n�Y� tpbi��f3r'%ti .,v t f ,6 i ACCOUNT B U S 1 N E S S CORP t 4S'lt ADD?R 3 91 t 1 SW 13P AVE �? 1p; �_�R A i A ; L t�3 '� ? CL�',,.Lt=; Fi� S R i». n "' i r CORP G f S a Q�tt�E i- STATE.- ;�i�1MI`s riwtp 2 AIR tiustiEslT_i A3�" h::� C4�w•� t4Yt�i1 AD7t:; 412 3:4 12..= AvE ?P: YL, YEGl-1 i] 00 0011.avu r Pry Sqw -h 4�1 i L s a a V~ -1--L1'�, 11f R PD LEGM- t,ECE i FT a DESG€'t PT 03a= }sue•?377--9 SREG MECi•iAt�,st.ru. Q E F4=-Mr- 1 IRE RCT Ei4TER=R� � ts�t AM*To F itfii3 �•'-TO�t0i tat NOT r�cHS�tR FM OTA`iE tSAgOM AM MOM� ' I+INANCE DERAHTM>`NT M -DAVE-COUIVri,FLORIDA TAX COLLECTION DIVISI • 140 W. IlAQLER STREE MIA MI•DADE MIAMI, FLORIDA 33130 6 DATE L"s:D3/t?�i3 TA 3 N3E 1,jQU?F r I tom.: 4 - a f.+; y•s 1-'� �•i».t S ia. CORP� 9:1 3W i3.1 y•p {1S C Oe ACJ i2 AIR CU ; i t l-G' e a - S jLZ fl d r� TR: 061 R0+6 ME � �SN`r��.• r�- � i STATUS= $ I��•� . U21ss! +$ i DESCRIP: F:1iTi C$i» Hvs!►�� i t3PEC EV jNjq$CAL CONTRACTOR i PG.NALTY 5 Lam- _ TRAtt4SFRl ,-rATE: Ct` CiS15-085 _ .- ._.._... PROIWEE3 wYT',r- t1P = it ;y /:h T T a ! =0 ♦ {}. AR3 2i}+L� v♦��: VE1=1. "'OT Y tea{- PAID 'f 2- Y p TR&v--gGF -• 0: DUE nSCALB PRr=!-Clf'. SCE i PTS *?4F. iG'S*ffAlff:7W UMMUM WW"�'i as�ti:.i t=•4-~E M W NECWLY GQN1'AW1 PEHTiNENT FACTS NSTH iSOLARDS 1 AW WrATS Ct ASS afM WMnM A00WW 5 I