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MC-12-5990Inspection Worksheet Miami Shores Village / 10050 N.E. 2nd Avenue Miami Shores, FL C� Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 175000 Permit Number: MC -4 -12 -599 Scheduled Inspection Date: June 25, 2012 Permit Type: Mechanical - Residential Inspector: Perez, JanPlerre Inspection Type: Final Owner: MILLER, EDDIE Work Classification: A/C Replacement Job Address: 2 NE 108 Street Miami Shores, FL 33161 -7036 Phone Number (305)807 -4045 Parcel Number 1121360110080 Project: <NONE> Contractor: MASTER MECHANICAL SERVICES, INC. Phone: 305- 825 -3004 rsuummg uepartment comments 3 TONS Passed Failed Correction ❑ Needed Re- inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 172017. need to make fan coil accessible jpp June 22, 2012 For Inspections please call: (305)762 -4949 Page 27 of 43 Miami Shores Village TR CEIV E I Building Department APR 0 5 Nil 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 A i (�' INSPECTION'S PHONE NUMBER: (305) 762.4949 15 V B [ DING PERMIT APPLICATION FBC 20 Y Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): City: Tenant Email: M Permit No. C I 't,� 5�tl Master Permit No. s 1 '�L —59 6 ,`A m 1 PfiopeeivMl'bx� ✓ Phone #: K— 767' T OV At "Ao' - 3wwo: ;S State: Fl- Zip: 3314 1 JOB ADDRESS: City: r Folio/Parcelt ®1 N6- l b F 54&e7 - ?4-011- County: Miami Dade Zip: F 34 % 0®Ciro , Is the Building Historically Designated: Ices NO L _ Flood Zone: ®V � CONTRACTOR: Company Name: dealzlie q&d&hone#: 39,r 3 SK -A I g Address: Vjr2 % A/tA.> 3-3Ay � City: 24f&e State: I" L Qualifier Name: 402C. f-- / fd 6La Phone State Certification or Registration #: L6 X ®� Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: 11 Value of Work for this Permit: s__12 3 b a Square/Linear 1 Type of Work: DAddress DAlteration ONew P / I Description of Work:. �� .' !�L .� Zip: .3 Z V if5— 32yr g 2 ®� / �roos-� Submittal Fee $ e h� Permit Fee $ Wfik,00 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ' � k Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address zip 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 co encement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issue In a absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Own or Agent tractor The foregoing instrument was acknowledged before me this ®� The foregoing in ment was ackno edged fore me this day of B , 20 12, , by" day of �% , 20 LZ, by /� #4 A mg�, 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. r /)6 as identification and who did take an oath. NOTARY PUBLIC: Sign: t Print: ©c My Commission APPROVED BY MY COMMISSION # DD 85739` EXPIRES: June 1, 2013 Bonded Thor Not2ry Public Unde -Uerc (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) l— Plans Examiner Structural Review NOTARY Sign: C.1C io DD 981796 EXPIRES: June 15,2D14 B=Ied TWu Wmv Pupa Wdewbrs Zoning Clerk MV1, Miami Shores Village AIR CONDITIONING REPLACEMENT DATA Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel. (305) 795 2204 Fax. (305) 756.8972 PERMIT NUMBER: MC 11-59c, This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own da sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): l,�f-s City: Miami Shores Village County: Miami Dade Zip Code: 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 ❑ NON ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ 1. Minimum Circuit Ampacity (Wire Size): �%� A t VV 2. Maximum Overcurrent Protection (Fuse /Breaker Size): A j i 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: ( rXrPhone: 3d<--) % ?I A6 1> J jo State Certificate or Registration N. jr;7 Certificate of Competency N. Signature Date: 3 mil nnafina nn1vl N ,, UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER a2yya, AHU or PKG. UNIT MODEL # F3DD S COND. UNIT MODEL # Va 4 13 030) / 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 / / PKG UNIT EERISEER y YES NO REPLACING DUCTS YES N YES NO REPLACING THERMOSTAT YES YES NO NEW 4 °CONCRETE SLAB YES YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES N 1. Minimum Circuit Ampacity (Wire Size): �%� A t VV 2. Maximum Overcurrent Protection (Fuse /Breaker Size): A j i 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: ( rXrPhone: 3d<--) % ?I A6 1> J jo State Certificate or Registration N. jr;7 Certificate of Competency N. Signature Date: 3 mil nnafina nn1vl N ,, a MASTER MECHANICAL HN.A.C. CORPORATION. May 10, 2012. To City of Miami Shores, We want to let you know that we did inspection for all existing duct work in the following address 2 Ne 108 St Miami Shores, FL 33161 and they were installed under new requirement by the city code; using mastic and smacna connection for bring a high quality of seal in the ductwork, Thanks for your President. YOAMMHSVWM. W COb8911S3fON i EE AM E)(PIRES: Novembw 16, 2015 WM nee Nfty Pwa Uw9mms help with these matters, 4521 NW 33 Ave Miami, FL 33142 Phone (305)394 -6218 Fax: (305)359 -5742