MC-13-1129Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 191942 Permit Number: MC -5 -13 -1129
Scheduled Inspection Date: November 20, 2013 Permit Type: Mechanical - Residential
Inspector: Perez, JanPlerre
Inspection Type: Final
Owner: VOGTNER, ALINA Work Classification: Addition /Alteration
Job Address: 53 NE 98 Street
Miami Shores, FL
Project: <NONE>
Contractor: ALL AIR SOLUTIONS INC
Phone Number (954)452 -0110
Parcel Number 1132060131140
tsuuaing uepanment comments
BATH EXHAUST FAN Infractio Passed Comments
INSPECTOR COMMENTS False
November 19, 2013 For Inspections please call: (305)762 -4949 Page 5 of 40
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 5 of 40
Miami Shores Village
Building Department_
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 MAY 2 2 280
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20
BUILDING
PERMIT APPLICATION
Permit Type: MECHANICAL
Permit No. IT-11.2c?
Master Permit No. / / " 3��/7y
JOB ADDRESS: M-g nn S�ree�
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #: 1 t -5aj &g — C33 -11440
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): Y ck -hires, \ jGa4r"ne., Phone#:
Address: X53 NG QC& '—�4_-
City: &I l axlnr i __iz_�42S State: i— L- Zip:
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name:. Bill k, R Phone#: low M
Address: 110 COE, 1`14 S _'� `UJ�,
City: i 1'� ( State: L Zip: _
Qualifier Name:
State Certification or Registration #: C Lc� VR 11% % Certificate of Competency #:
°3°) k -4-9
Contact Phone#: 1% ° -3_Os " s -,L . Email Address: 0% 4a ct S4_* J-.: ,b--, 'P a, ° Cst"
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $ ®• ale, Square/Linear Footage of Work: (0C)o * A .
Type of Work:. OAddress" teration ONew ❑Repair/Replace ❑Demolition
DESCripdon by Work 1\ tae eY-'nn u,4- 1WA rr ir� axaffimom.
+ x�a�,
Submittal Fee $ U Permit Fee $ k � B^ b c° � CCF $ CO /CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ A
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of suc ed notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent v Contractor
The foregoing instrument was acknowledged before me this Von
day of 20 Al, by MiAa, - es; )nQ ilA!1e-
who is personally known to me or who has produced9 $3S
As identification and who did take an oath.
NOT
Sign:
Print:
My C
The foregoing instrument was acknowledged before fore me thisly�
day of 8/"� , 20 �by s�, db`CT
who i5ipersonall own o me or who has produced
APPROVED BY
Structural Review
Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
identification and who did take an oath.
Sign:
Print:
My Commission Expires:
EXMW:Fdr=y07,2a17
k�k�NsN�k�k�k+k��N=k�k� �k�k8a
Zoning
Clerk