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MC-13-2027 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-198715 Permit Number: MC-9-13-2027 Scheduled Inspection Date: September 30,2013 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: LETICIA MONTEAGUDO, LAURA Work Classification: A/C Replacement onr'olr�_177 Job Address: 10150 NE 14 Avenue Miami Shores, FL 33138- Phone Number (305)758-6558 Parcel Number 1132050230070 Project: <NONE> Contractor: MIKE'S AC SERVICE INC Phone: (305)751-5814 Building Department Comments REPLACE 4 TON A/C SYSTEM AND 1OKW HEATER ONLY Infractio Passed Comments INSPECTOR COMMENTS False 3 ILI Inspector Comments Passed a Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 27,2013 For Inspections please call: (305)762-4949 Page 10 of 30 . WET) Miami Shores Village SEP 0 0 2093 Building Department t 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: WCEIANICAL OWNER:Name(Fee Simple Titleholder):_L-A U IZ A RD ) t 6-(,Phoe#:_ Y .�E e a�Z - 0.5- Address: /l?/.s-0 Al 5 f e4 4 VOL-'U Q C-f City:-a::Z f;4 o,4�f1'S14k;� /Z.e 9 Stater _zip: Tenantl ,e`We Name• Phone#: ` Email: JOB ADDRESS: (/ City: Miami Shores County: Nami Dade Zip: Folio/Parcel4k 0,5' Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR:Company Name: _Al!lea®S ,q c S R V. e- Phone#: I BIZ� Address: 6 E City: /7,7/;4/"1* "1• State: Qualifier Name: /i'd VofL /217 Phone#:Jar ZAILX48f4' State Certification'or Ptegistration# GAC'U 3�I /d Certificate of Competency#• Contact Phone#-3�S" �.5�!�$'� t 4 Email Address: DESIGN:Architecf7Engin Phone#• Value of Work for Perm$ Sgnare2inear Footage of Work: Type.of Work: OA s Alteratioiy 'ONew [ air/Replace UDernolition Desciptlon=of Work: C 0 A- _ C— _ 5 _.r4 �°� u Tyr ®.'c /� Subtaittal Fee$ P„ermit Fee$ v $ °� CO/CC$ Fee$ ee$ k- DBPR$ Bona$ Notary$ Tminiug/Educatiou Fee$_ at Technology Fee$ 5'74n Double Fee$ Strnetnral Review$ p 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 4 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,SIGN5, WELLS,POOLS,FURNACES,BOILERS,BEATERS,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 Il"ROVEMENTS 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 applicannt 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 inspecti n which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection wi of be roved and a reinspection fee will be charged. 0 Signature Signa �. i Owner or Agent Contractor The for going instrument was a pwlcd ed bef a The foregoing' strument was acknowledged before me this_._q1 day o T ,2o L\,1,by day of .2015.J by �l �- m who is known to me or who has produced ho is personally known to me or who has produced l s identification and who did take an oath. as identification anc� Ap take an oath. NOTA P Q • • NOTARYPUBIJC: , ,`�.``�'��\t Sign: State of Flo tiaa5 Si NO x ices Sep 0 �• - Print: Comma I- p lNotaa1 sn. Print: 'a My Commissi n Expires: =s o- rough Nations %�� O • sg....••• . 4, aea,�ti My Commission Expires: , ,e ©RID����r`° APPROVED BY a Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) r 7 a Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel.(305) 795 2204 (305) 756.8972 AIR CONDITIONING REPLACEMENT DATA Fax; PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications.Each unit change-out must be on its own data sheet.Multiple units on single sheets are not acceptable. Job Address(where the work Is being done): 101S o ill6 14 A V,2 City: Miami Shores Village County: Miami Dade Zip Code: -3 3 1 9 ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS ARI(AHRI)DATA SHEET REQUIRED Change Disconnecting means:YES ❑ NO 8-"/ARHI Sheet Attached:YES❑ NO[' Contract Attached:YES❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER A 1)4 QZf CA,u �4 fl,, AHU or PKG.UNIT MODEL# 6: 9 P/ -- COND.UNIT MODEL# 2A r7,Q 4-070.4 iol)o,qA KW HEAT l NOM TONS AHU CU PKG 1 M.C.A AHU CU,2 PKG AHU CU PKG 2 M.O.P AHU CU PKG AHU CU PKG 3 VOLTS AHU CU PKG PKG UNIT / / PKG UNIT I I EER/SEER YES NO REPLACING DUCTS VYES NO YES NO REPLACING THERMOSTAT YES NO NEW 4°CONCRETE SLAB YES NO NEW ROOF STAND YES NO NEW RETURN PLENUM BOX NO 1. Minimum Circuit Ampacity(Wire Size): 2. Maximum Overcurrent Protection(Fuse/Breaker Size): 40 3. Voltage of Circuit(208/2401480): ®P, q 0 4. Size Disconnecting Means: 11 6® /-q d1 Contractor's Company Name: /'YZ<�C� S 3 lZ V 16,e— Phone:,3 �5—/-511ev/cil State Certificate or Registration N.CAC-0-3-1&10/ Certificate of Competency N. Signatur F �— Date: '9 (QuaHfler'a signature only) 11,:71"qv 13 AMWS A C SERVICE INC Estimate P.O.BOX 414384 MIAMI BEACH,FL 33141 Date Estimate# Phone 305 751-5814 Fax 786 224-2569 9/812013 297 Customer Name Job Name Ms.Laura Rodriguez Ms.Laura Rodriguez 10150 NE 14th Avenue Miami Shores,FL 33138 Description Qty Cost Total We will finished installation of used 4 ton AMERICAN STANDARD air conditioning system with 10 kw heater,we will install the float switch,we will connect the existing thermostat,we will install the tie downs,we will connect the refrigerant lines in to existing,we will insulate the refrigerant lines,we will connect the electrical in to existing,we will evacuate the system, and we will start up the system. NO WARRANTY ON EQUIPMENT,90 D 'S AC SERVICE. LABOR,&MISCELLANEOUS TERIALS 1 1,250.00 1,250.00 INSTALLED AIR CONDITIO G SY CUSTOMER SUPPLIED U 0.00 0.00 EQUIPMENT) PERMIT FEE IS NOT INCL ED ON THIS ESTIMATE,IF NEEDS ADDITION WORKS IS NOT INCLUD ON THIS ESTIMATE. r WE THANK YOU FOR YOUR BUSINESS. Subtotal $1,250.00 Sales Tax (7.0%) so-w Total $1,250.00 Signature & Date: