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MC-13-1198Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 206763 Scheduled Inspection Date: February 10, 2014 Inspector: Perez, JanPierre Owner: PEDRO DE MELLO, CYNTHIA DA f`f1CTA Job Address: 1208 NE 95 Street Miami Shores, FL Project: <NONE> Contractor: MANCO AIR INC. Esuiilding Department comments , L-",j Permit Number: MC -5 -13 -1198 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration COMPLETE CHANGE OUT WITH NEW DUCTWORK AND I Infractio NEW EQUIPMENT INSPECTOR COMMENTS 01/15/2014 -STOP WORK ORDER: NEED PERMIT & PLANS FOR KITCHEN HOOD Passed Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Phone Number Parcel Number False 11'32060144100 Phone: 3051409 -7719 Inspector Comments CREATED AS REINSPECTION FOR INSP- 192508. HAS REVISION IN PROCESS FOR KITCHEN HOOD February 07, 2014 For Inspections please call: (305)762.4949 Page 31 of 44 Miami Shores Village Building Department r 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 JAN .2 8 2014 INSPECTION'S PHONE NUMBER: (305) 762.4949 JOB ADDRESS: /."), ® e " City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Address:) ? �� 44<f— ?s City: ,&L4�(' 911A-2 )Z(6--S State: NO Flood Zone: L C ® Phone #: 30sv Tenant/Lessee Name: Phone #: Email: xso . 33, ?d,� CONTRACTOR: Company Name: 7 1' Phone #. `�� 7 G 771(? Address: r 5 7 i✓ W 10 4 City: N—M X3®7/ State. Certification or Registration #: L_ ..4-0,® yE'e-4-9 tr Certificate of Competency #: Contact Phone #:.3 as- yy 9 - 7 -7 T Email Address: /&+.b b y Cg� � 12 DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 35V e Square/Linear Footage of Work: Type of Work: ❑Address 6 _ Al r OAlteration Description of Work; ODemolition Submittal Fee Scanning Fee $ Permit Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City- State Mortgage Lender's Name (if applicable) Mop gage Lender's Address* 4 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 such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this;: 6,9 -L+ day ofd 214� , by r�1(LF,>7� Dt r-n21.t "D, who is personally known to me or who has produced -- l As identification and who did take an oath. The fore oing instrument was acknowledged before me thi day of 20 L�, by t ►'I- 11 ILq09 0 who is personally k2nown to me or who has produced 45 Oa identification and who did take an oath NOTARY /Z NOTARY PUBLIC: Si �Z C ' Sign: Print:'aQR��` 3� 4� R <c = p ' My Co aissibn i�e��s; ' `� M CommissiTAA lm 00ft �° of mor s anna M Feddano i Commission FF 082753 pin3sotM2/2018 de4rdr9nY�Srdratrie& de�Yst�eaY& a4de4nk4e�YrkstrdF�Y3rtSroY4raYsY8rat3ea@ d` akaYdr4nkdnkdrdF�Y3: vrrks YsLroY9FdraYaYFrdrdeaCd: iFaYs k9rdr& �Y�YdFaYaYs�dnYtk4: �rs Y& aY�lydedraY9nYeYsTrsYatatrdr3rsYtSrdnYa 'r�YAraYe49r APPROVED BY dr1 Plans Examiner Zoning Structural Review Clerk (Revised 3 /1=012XRevised 07/10/07 )(Revised 06 /10/2009XRevised 3/15/09) T t (Y Miami Shores Village Building Department 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 APPLICATION FBC 20 Permit Type: MECHAMCAL OWNER: Name (Fee Simple MAY 312013 Permit No. Master Permit No._ —" v City: , j j}wt 1 S W oR bs State: f= l zip: IST Tenanthl— -k6e Name: , 4 Phone#: Email,• r JOB ADDRESS: 2 F City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: It —3 W-- A o14- —4-106) Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Address: k Z —t ul l City: 0oa2s+L Q#CA.1Q.S Qualifier Name: t e-f ,4 State Certification or Registration #: Contact Phone#: DESIGN ER: Architect/Engineer. _ WCO !F- Phone#: -3 o S'" ,p 771 5 001y - S�t�aate: zip: 3 3 ® `1 �L. /If A ND phone#: a 4 m 3'615-0 s Certificate of Competency' #: ` �71 f 9 Email Address: _ At 4 SAl. a& Phone#: Value of Work for this Permit: SquareffJo r Footage of Work: Type of Work: DAddress DAlteration ONew ORepair/Replace DDemolition Description of Work: _1��D,14A %Tle. GAGA O . -4 w� �t� i a a�mi�sFia�ra�usanuuan�aua�r� s Submittal Fee $ Permit Fee $ U 1,6i � c •® Scanning Fee $ Radon Fee $ _ a DBPR $ "hd $ fVM Notary $ Thaining/Education Fee $ Twimol a Double Fee $ Structural Review $ —- TOTALFEE NOW DUE 71 AA 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 t= Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or- installatuin 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 ELM, MCAU WOIK PI, N BlNq, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIOS, 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 NOVICE 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be . delivered to the, person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the jots site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspecdon fee will be charged A _ _ "If Signature —� Owner or Agent / The foregoing instrument was acknowledged before me this �p-- day of 20 by - , ?Q who is onally known t me or who has produced As identification and who did take an oath. NOTARY PUBLIC; Sign: t� i� Print: 64!�LJA My Commission Expires: cz�r /,3 HIM Signature LZ4KC��[✓��'.��l/ Contractor The foregoing instrument was acknowledged before me this !� day of _ � t 20�, by VV I (�,� � 1`"i if,4 r4 o who is personally known tome or who has producedi as identification and who did take an oath. Structural Review (Revised 07/10ro7)(Revised 06/10=09)(Revised 3/15109) NOTARY PUBLIC: Sign: Print: My Commission Expires: b, Zoning G9erk 10/04/2013 10:19 3526749037 ALLIN ONE INSURANCE PAGE 01/01 • . `% �►._ GORD. CERTIFICATE OF LIABILITY ROWMR ALL IN ONE INSURANCE - DAVIE 526 N US HWY 442/27 LADY LAKE, FL 32159 Phone:(954)589 -3000 Fax! (954) 584-9454 ISUPZD INSURANCE DA79(N ON 10/04/13 t5 CERTIFICATE I$ ISSUED AS A MATTER OF NFORMATION ONLY AND CONFERS NO RIGHT UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVER jkGE AFFORDED BY THE POLICIES BELOW. INSURERS ORDING CO ►NSURERAaOBE Specialty Insurance Co any MANCO AIR, INC dba FLORIDA SOLAR A/C 4314 NW 1120TH AVE CORAL SPRINGS, FL 33065 Phone: (305) 409 -7719 AISUREk 9, SU u iNmRERC: RatI» INDICATED. NOTHWITHSTANDING ANY REQUIREM� TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IWfFh! RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- 01% TYP60FINSyRANC6 PQLfCYNUNBER "Llay rve, , uen -- DA-M MWIIWXYI POLICY ummm y NAYS X COMMERCIAL MjkAL UABILIN CLAMS MADE IN OCCUR A AC+GR TE LIMIT APPLIES X POLICY PRCVWT LOC UTOMOBILE UAWLPrY ANY AUTO ALL OWNED AUTOS SCHIOULED AUTOS HIRED AUTOS NON-OWNED AUTOS MA G15 ANY AUTO �DE55 TY OCCUR ❑ CLAli41,R MADE aZDJMKE AC and /ox heating se,>:vice0 MIAMI SHORES VILLAGE 10050 NE 2nd AVENUE MIAMI SHORES, FL 33162 Faxed to: 303 - 756 -8572 SCL0002624 1 10/14/203,2 I 10/10/203,3 ON DATE Tai THE Nonce TO THE RERTIFl . WIPOW NO OBLtOATic 4 '.J� Fu—mii(�*&' P 100, ()00 1 —T 2 THAN ONLY: ANY JQNO Aft s 2,000,000 � S 0 s To bo FIT O ACCORD 28,5 (7197) ACORD CORPORATION 1988