MC-13-07943 -79,
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 207384 Permit Number: MC -4 -13 -794
Scheduled Inspection Date: February 19, 2014 Permit Type: Mechanical - Commercial
Inspector: Perez, JanPierre
Owner: CONDOMINIUM, SHORES
Job Address: 1700 NE 105 Street
Miami Shores, FL
Project: <NONE>
Contractor: AUSTEN ELECTRICS
Building Department Comments
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number
Parcel Number 1122300500010
Phone: (305)805 -8166
NEW A/C UNIT INSTALLATION TO ELEVATOR MACHINE -� "- -- -
ROOM INSPECTOR COMMENTS False
<�Q4 '!�J / tq 1,�
February 18, 2014 For Inspections please call: (305)762 -4949 Page 51 of 53
Inspector Comments
Passed IV
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 18, 2014 For Inspections please call: (305)762 -4949 Page 51 of 53
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Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
z ME
APR 1* 7 2013
Permit NY D 15 0 "PA -
Master Permit No. 3
Permit Type: Mechanical ` �° j
Owner's Name (Fee Simple Titleholder) �A °�1ko 1L_*- h i_, IUO 0 Phone #
Owner's Address I-)00, Aj j , S-�
City MA Aj. y State if7
Tenant/Lessee Name
Zip SS /
Phone #
Job Address (where the work is being done) ® 7 G� ® /047- / to �
City Miami Shores Villaee County Miami -Dade Zip
FOLIO / PARCEL # ®/ ��� `_ �� � `° 001D /
Is Building Historically Designated YES NO
"S3/
Contractor's Company Name TJ(, <;; �cf� -1 Aj (2, Phone # :?, 0T_- e 0f (f 41-1-
Contractor's ddre „„ ,��`2�
City ///P , G'T (r 0 State 6 r Zip /
Qualifier Name qTIYA �*_5 �� I?- t�`� �z � 8 Z� Phone #
State Certificate or Registration No. Certificate of Competency No.
E- MAIL:1-6 S- c,I ` ®C c ° f-A
Architect/Engineer's Name (if applicable)
Phone #
L1
Value of Work For this Permit $ :; �5 ct, C, Square / Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration 2<ew ❑ Repair/Replace ❑ Demolition
Describe Work:
y
Submittal Fee $ Permit Fee $
CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $ _
Scanning $ Radon $ DPBR $ Zoning
Bond $ Code Enforcement $
Structural Review. $
Double Fee $
Total Fee Now Due $
See Reverse side
. «„ /i
Bonding Company's Name (if applicable) VV
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 roust
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
Owner or Agent
The foregoing instrument was acknowledged before me this J5
day of , 20 L3, by ,
Signature
Contractor
The foregoing instrument was acknowledged before me this-2 '
day of 0
eLgA, 20 I by
who is personally known to me or who has produced who is personally known to me or who has
identification and who did take an oath.
NOT C: TROY s*60f— a"" p �
_. a Notary Public - State of Flaft
Cornet. Expires Jan 25, 2015
Sign: Commission
ugh Nato Assn.l
Print:
My Commission Expires: "U; - ., a,5-1 40 13
APPLICATION APPROVED BY:
(Revised 02/08/06)
NOTARY Notafy Public - state of Rorlds
• My Comm. Expires Jan 2S. 2015
•a Cmnmisslon I EE 318
86M Through National Notary Assn.
Sign: 0
wow
Print,
My Commission Expires -0-AW, a s'„ 026 / 5~
ZM ( Plans Examiner
Engineer
Zoning