MC-12-1006Miami 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 t0
Permit Type: MECHANICAL M ,, A n
OWNER: Name (Fee Simple Titleholder): '1 t t IAJVC Mom
a
JUN 012012
Permit No. i I _ I l`°`
Master Permit No. t2--C-- I L- 1co-t
Phone #: ) - 2-O / 0
Address: 363- N6 q,SSr
City: p" ' th
Tenant/Lessee Name:
Email:
N(-
State:
Zip: 33 r 5 S
Phone #:
JOB ADDRESS:
City: Miami Shores
Folio/Parcel #: It -3 L (g a (jam
Is the Building Historically Designated: Yes
County: Miami Dade
Zip:
NO
Flood Zone:
CONTRACTOR: Company Name: t \' I■Q cje.LIV•o'ns Phone#: 9S4- %V- (865
Address: 2,0%k 2(1 n16 lts co wric Q-tt
City: ... State: F t...
Qualifier Name: rj+ascq.As Sitt*4a...A
State Certification or Registration #: C A.G \ % S% V$ Certificate of Competency #:
Contact Phone#: Y- $gZ - `CDS Email Address: sd.nc.'-Ao80 e, C3 aav4►. NI.4,
DESIGNE : Archi gineer: 1 %larbic- (4/41041 P 61 LA-... Phone #: 30 y ,5- ' 313S
Value of Work for this Permit: $ !Cal-ZOO .'— Square/Linear Footage of Work: 5ik f I kS. .
Type of Work: °Address )13Alteration • n New ORepair/Repl . ce
Description of Work:
Phone #:
Zip: -1-3 ■749
lila- 148 - 'Satz
°De olition
df
� C� (9
Submittal Fee $ Permit Fee $ ` CCF $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $
Technology Fee $
CO /CC $
Bond $
TOTAL FEE NOW DUE $ 5(,c
1
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
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
"^ V Signature
Owner or Agent Contractor
The fore oing instrument was acknowledged before me this �b The foregoing instrument was acknowledged before me this
day of + � , 2012- , by A A d rEw La � �E , day of 1 g-1 L , 20 ieZ by brazieto 4L
.k-''`�jw�
who is personally known to me or who has produced t d who is personally known to me or who has produced
ra `gees 6 ►eEnSe5 As identification and who did take an oath. `�L-.* OP Fi�- as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Print:
My Comm
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09)
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 174367 Permit Number: MC -6 -12 -1006
Scheduled Inspection Date: April 22, 2013
Inspector: Perez, JanPierre
Owner: MORGAN, MARY
Job Address: 307 NE 95 Street
Miami Shores, FL 33138-
Project <NONE>
Contractor: ALL AIR SOLUTIONS INC
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number (305)606 -2098
Parcel Number 1132060136000
Building Department Comments
REPLACE AC UNIT TO INCLUDE NEW DUCT WORK
1,5
Inspector Comments
Passed
D
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 19, 2013
For Inspections please call: (305)762-4949
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