MC-13-2233 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-200358 Permit Number: MC-10-13-2233
Scheduled Inspection Date: October 23,2013 Permit Type: Mechanical - Residential
Inspector: Perez,JanPierre
Inspection Type: Final
Owner: MERA, RODRIGO &ADRIANA Work Classification: A/C Replacement
Job Address:225 NE 96 Street
Miami Shores, FL 33138-2715 Phone Number
Parcel Number 1132060134091
Project: <NONE>
Contractor: HARPERS AIR, INC. Phone: 305-266-1040
Building Department Comments
RENEW OF OLD A/C PERMIT REPLACING 4 TON UNIT Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed EZ
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 22,2013 For Inspections please call: (305)762-4949 Page 10 of 22
Miami Shores Village
RC
g OCT 02 2013
Building� ding Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972 pv
INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING Permit No. ME —ZOO 3 °I
PERMIT APPLICATION Master Permit No. 36
FBC ZO
Permit Type: MECHANICAL
OWNER:Name(Fee Simple Titleholder): t 0 o- Phone#•306—2 I�5,5CI 19
Address: r?of 5 J*,A.
city: M k CLM*1 state: 'Fl Zip: 33113 8
TenantyUgsee Name ;
� Phone#:
i
Email:
JOB ADDRESS: 2 2 • Fcr• '
City:. Miami Shores Coun ty. Miami
,Dade Zip:
Folio/Parcel#. "C(O" D 1
Is the Building Historically Designated:Yes NO Flood Zone:
CONTRACTOR:Company Name: QV 19 P -S Y ( r1 e Phone#:
Address: 1031 G_� (�9
city: col m i Sta te:--�t zip: 3 I
Qualifier Name: ` e rreA l �AoL�' r_ Phone#: 3oS'Q(Ole -t()LID
State Cethfieat on orRegistration#:�C O p 3 Lt 9_: Certificate ofCos*tency#
Contact Phone#: 30-S�U(a- t O`i Q Email Address: QC44 Le ', f� CS 61 r C y(Y-)
DESIGNER."Ar`chiteettEngineer. j?hone#•
Value of Work for this Permit: Square/Linear Footage of Work:
Type of Work: []Address UAlteration UNew ORepair/Replace UDemolition
Description-of Work: 2 rl
4
P
Submittal Fee$ Permit Fee$ M.ICCF$ CO/CC$
Scannln Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ '
1 _7
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 tip
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 COM[MENCEMENT:'
Notice to Applicant: As a condition to lite 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 Urochure 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 a a reinspection fee will be charged.
Signa / Signatur
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this �— The foregoing instrument was acl nowledged before me this 02
day of a � �by Z a t 5® tk-I 2 rfl– day of Ch� 202,by MI'mff G t g?. --
who i sonall kno , e or who has produced ! L-'— who is p ovally kno ' to me or who has produuced �. _
As identification and who did take an oath. as identification and who did take an oath.
°0e°net►ge
NOTARY PUBLIC: ®yda pct®rer® NOTARY PUBLIC; ; �F�,
R ,q®COMMISSION#EE088142 0$81
�C °�°`q EX WA4,APR 26,2015 APR.2! ” I5
i'w`�� ° 0`' w1Nw AARONNorrlRYcom `'��� ��
Sign • _ / / Sign RO WN01
Print: !°,'t/1� V t�c eX" Print:
My Commission Expires: My Commission Expires:
-Vans a*+� +s�*�*���sa�+sa++s�e��xa�e�s��+�a��a�������*��r�r**�'�e+��'*��x�a*ase�a*a�
APPROVED BY Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/1=009)(Revised 3/15109)
i k
,
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel.(305) 795 2204
j Fax.(305) 756.8972
AIR CONDITIONING REPLACEMENT DATA
PERMIT NUMBER: MC
ii
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):_ Al,
City: Miami Shores Village County: Miami Dade 37
iy g ty ZIP Cede: 3
ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB
N
ALL UNITS MUST T C OMPLY 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❑ ARHI Sheet Attached.YES NO Contract Attached:YES
9 g ❑ ❑ ❑
UNIT BEING REPLACED DATA NEW UNIT
MANUFACTURER
AHU or PKG.UNIT MODEL#
COND.UNIT MODEL#
KW HEAT
NOM TONS
AHU CU PKG 1 M.C.A AHU CU PKG
AHU CU PKG 2 M.O.P AHU CU PKG
AHU CU PKG 3 VOLTS AHU CU PKG
PKG UNIT J I PKG UNIT I 1
EER/SEER
YES NO REPLACING DUCTS YES NO
YES NO REPLACING THERMOSTAT YES NO
YES NO NEW 4°CONCRETE SLAB YES NO
YES NO NEW ROOF STAND YES NO
YES NO NEW RETURN PLENUM BOX YES NO
1. Minimum Circuit Ampacity(Wire Size):
2. Maximum Overcurrent Protection(Fuse/Breaker Size):
3. Voltage of Circuit(208/2401480):
4. Size Disconnecting Means:
Contractor's Company Name: Phone:
State Certificate or Registration N. Certificate of Competency N.
Signature Date:
(4ualff es signature only)
PERMIT APPLICATION FOR NIIANII SHORES VI
10050 N.E.2nd Avenue•Miami Shores,Florida 33138•Phone:305-795-2204-M
_ ,y
Date '7'7/� Job Address /� �Y����° Tax Folio 1"
r
Legal Description j J Historically Designated: Yes No
�Owner/Lessee/Tenet t 4,8 lam, 5. Master Permit# 46 100
Owner's Address iPa 5 A)8 IF Phone 3'05 259-571
Contracting Co. Address 10 3 1 :5 co 1P9 A-0 Z
Qualifier �� 1'`tCl r Avh , SS# Phone
State# Municipal# Competency# Ins.Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION.RE-INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): BUILDING 1ELECTRICAL PLUMBING MECHANICAL ROOFING
9
WORK DESCRIPTION: C (� p� U i� 4 —rm l.rl -
Square Ft. Estimated Cost(value) d-4D
WARNING TO OWNER:YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY(IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above,and on the attached addendum(if applicable).I certify that
all work will be performed to meet the standards of all laws regulating construction in this jurisdiction.I understand that separate permits are required
for all disciplines.
OWNERS 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 ring.Furthermore,I authorize the above named contractor to do the work stated.
Signature of owne d/or Condo President Date Signature of Contr ctor or Owner Builder Date
A L,2�� el 1�� �-,6 9 �, � V", P pk&. 5-1a 9JO
Notary a�i ye ner C n t Date Notary as Contractor or Owner Builder Date
My Co ° ion#00 86852 My Commis ores Ellyn P Monto
Expires Sep. 1,2003 a ' + 'sCommfasion CC 86$529
Al Expires Sep. 1,200`3
.w•�e> Bond®d Thrums,°ofF��oe dp
'a.® ,ea°° Atlantic Bonding Co.,Inc. -"avune° ° AtlantiB Bonding Co.,Inc.
s/
FEES:PERMIT ! f RADON C.C.F NOTARY BOND
APPROVED: TOTAL DUE k
Zoning / Building Electrical
Mechanical 7 �' "� d�+' Plumbing Structural Engineer
Miami Shores Village Mechanical Permit s,,, �M
10050 NE 2nd Avenue
Phone: 305-795-2204
Permit Number: ME20.03-92 ,��►��
'�toiRtlJ�'
Printed:6/2/2003 Page 1 of 1
Applicant: BETTY RICHARDSON
Owner: RICHARDSON BEM
JOB ADDRESS: 225 NE 96 ST
Contractor HARPERS AIR, INC. Contractor's Address: 1031 SW 69 AVE
Local Phone: 305-266-1040
Parcel# 1132060134091 Legal Description: MIAMI SHORES SEC 1'AMD PB 10-70 LOT 15 &W1/2 OF LOT 16 BLK 30 LOT SIZE
D
Total Fees:
C i , Total Receipts: $0.00
Permit Status: APPROVED Permit Fxn;r-,#'-
Sec.urrt enhanced dqcu.�ent See, htck ar de affei
.1
Work: CHANGE OUT 4 TO .
378
HARPER'S AIR, INC. s-94
8280 S.W.185TH TER. -��b3 83-10371680
MIAMI,FL 33157
J� DATE
PAY i " ,'� � 4 1
ORDER OF
�.,
COLLARS; 8,
O COMMERCIRI BRNK OF FLORIDR
Main office
Signed: jrBoswtb.w¢st57thAvwucNlamiFlwida$'144.`
In consideration of the issuance to me ® FOR
conformity with the plans,drawings,sta •0 6 6 0 L 0 3 7 ?�: 11'8 7 0 0 2 3 6 0 L 011'
done by either myself,my agent,servar v 0 0 13 7 811 il■
0
Signed:
��� (Contractor or Builder) BY:
:STAINED, T.L1:E OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING ELECTRICAL MECHANICAL
Ely UNIT FEE ITEM UNIT FEE ITEM UNIT FEE
TH TUB SWITCH OUTLETS SPACE hTATERS
C0 LIGHT OUTLETS
CfHtAAI tiEEATIHG
S.lIASriER RECEPTACLES A/C (WINO)
MAL SERVICE T8fMRY A/C (CENTRAL)
MING FOUNTAIN SERVICE SIZE IN AMPS OXT CORK
.10 R DRAIN SERVICE REPAIR/MM CNM— REFRIGERATION
:.EASE TRAP APPLIANCE OUTI.EI'S PROCESS ATO PRESS PIPING
iERCEPTOR RANGE TCP UNDERGROUIO TANKS
NATORY OVEN ABOVE GROLRO TANKS
�L"ORY TRAY WATER BEATER U.F. PRESSLRE VESSELS
.OTHES WASHER MOTORS 0- 1 EP STEAM BOILERS
QWER MOTORS OVER 1- 3 FP HOT WATER BOILERS
NK, POT/3 COMP. MOTCRS OVER 3. 5 NP NEOt1ANICAL VENTILATION
I" . RESIDENCE MOTORS OVER 5- 8 }P TRANMTING ASSEWL1ES
N%, SLOP WTCRS OVER 8- 10 W ELEVATORS/ESCALATORS
.,FORARY WATER CLOSET MOTCRS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS
FINAL MOTORS OVER 25-100 FP COOLING TOWERS
;TER CLOSET MOTORS OVER 100 EP VIOLATION
l; DIRECT WASTES A/C WINWW REINSPECTION
;TER SLPPLY TO: AIR 00hDITIONERS
A/C UNIT STRIP HEATER
FIRE SPRINKLER GENERATORS TRANSFORMERS
`EATER-M INST. GENERATORS TRANSFORMERS
F:EATERAEPUa GENERATORS TRANSFORMERS
LAIR( SPRINKLER-WELL SPECIAL P A"ME
SWIWING POOL CURETS COMMERCIAL
MATER SERVICE SIGN TLBES
ircR COt1NECTton SIGN TRANSFORM
•ILITY-SEWER SIGN TIME CLOCX
A L ITY-WATER FIXTURES
=TIC TANK ANTENNA '
AY TELEV I S l ON OURETS
AINFIELA. 4' TILE/RES. VIOLATION
F b ABANDON SEPTIC TANK REINSPECTION
'XAGE PIT W. FT.
lui BASIN
MURGE WELL
4ESTIC HELL
EA CRAIN
CF INLET
LAA WATER HEATER
;E STANDPIPE
1^L PIPING
�'N SPRINtLER SYSTEM
5 RAIDE
TER SET (GAS)
3 PIPING
ti