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MC-05-66Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 101549 Permit Number: MC -05 -05-66 Scheduled Inspection Date: March 05, 2014 Permit Type: Mechanical - Commercial Inspector: Perez, JanPierre Inspection Type: Final Owner: , JIFFY LURE Work Classification: New Job Address: 8787 BISCAYNE Boulevard Miami Shores, FL 33150 - Phone Number Parcel Number 1132060280450 Project: <NONE> Contractor: AIC TECHNOLOGY INC Phone: (954)344 -0300 Building Department Comments A/C CHAGE OUT EXISTING PACKAGE UNIT AND INSTALL A CARRIER 2 TON 12 SEER WITH 5 KW HEATER a f c March 04, 2014 For Inspections please call: (305)762 -4949 Page 1 of 26 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 04, 2014 For Inspections please call: (305)762 -4949 Page 1 of 26 Miami Shores Village - EW Building Department er M I 2 " "5 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION Permit No. 1, Master Permit No. FBC 2001 Permit Type (circle Building Electrical Plumbing Mechanical Rootfing Owner's Name (Fee Simple Titleholder) C c Phone # J 0 J ---_ $J 1- Q b 0 5o Owner's Address � o(A City i 0, VY1 State F \ Zip �j 1 its g Tenant/Lessee Name Phone 4 Job Address (where the work is being done) 2—Lt N " '\ : City � Miami Shores Village County Miami -Dade Zip (ras Is Building Historically Designated YES NO Contractor's Company Name /?IVa� Phone # Contractor's Address City Qualifier State Certificate or Registration No. State Zip Certificate of Competency N Architect/Engineer's Name (if applicable) Phone # Value of Work For this PermitF�s Type of Work: ❑Addition ❑Alteration ❑New Describe Work: Square Footage Of Work: ❑ Repair/Replace ❑ Demolition Submittal Fee $ Permit Fee CCF $ CO /CC Notary $ Training/Education Fee S t Technology Fee $ Scanning $. Radon S Zoning Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ k d (Continued on opposite side) Bond S 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 such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature kA Signature caner or gent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 ,by who is personal k own to me or who has produced As identifie ,;md who did take an oath. NOTARY L T Sign: Print: day of , 20 _, by who is personally known to me or who has produced NOTARY PUBLIC: Sign: Print: as identification and who did take an oath. My Commission Expires: "F= �� ` °�d My Commission Expires: i APPLICATION APPROVED BY: 19 Plans Examiner Engineer Zoning Che 05/13/03 Miami Shores Village Paint Color Approval and Agreement Date— ® t. Owner's Name Phone # ® 1 Owner's Address 7- (4 Ci State Zip �1 Job Address (where the work is being done) 1 0 �4J 10 ®t � City Nfiami Shores Village County Miami -Dade Zip �, 1 Is Building Historically Designated YES NO--1— Contractor's Company Name (if applicable) Walls Fascia E Phone # All elements on the site must be listed and indicate the color to be painted Drip Cap /drip Edge lit Soffit_ Roof Flower bins Z Shutters Awnings Chimney /V %�- Doors and door jams Z, Garage doors N Railings N fa Fences_ 4& Decorative metal All brick (simulated or regular) _ Stucco banding L / -A Any other stucco features N t Accessory Buildings AJ 1 W- Attach Color Samples With Numbers 0 Other 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. Signature U Owner or Agent APPLICATION APPROVED BY: P& Z Offici Date Date Lfcp -- cho 6/18/03 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 1/28/2005 Applicant: CARMELLE Owner: JULMISSE JOB ADDRESS: 24 Contractor Local Phone: Parcel # 1121360110190 NW 109 Building Permit Permit Number: BP2005 -66 JULMISSE CARMELLE ST Contractor's Address: Page 1 of 1 Legal Description: DUNNINGS MIAMI SHORES EXT NO 7 PB 52 -33 LOT 3 Fees: Description Amount FEE2005 -1248 Building Painting Fee $60.00 Total Fees: $67.30 FEE2005 -1249 CCF $0.60 Total Receipts' $67.30 FEE2005 -1250 Notary Fee $5.00 FEE2005 -1251 Training and Education Fee $0.20 FEE2005 -1252 Technology Fee $1.50 �® Total Fees: $67.30 A Permit Status: APPLIED Permit Expiration: 7/17/2005 Construction Value: $700.00 Work: PAINT Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and In strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: BLK