MC-13-951 (2)� F
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-191066 Permit Number: MC -5-13-951
Scheduled Inspection Date: January 29, 2014
Inspector: Perez, JanPierre
Owner: ,
Job Address: 10650 NE 10 Court
Miami Shores, FL 33138 -
Project: <NONE>
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number
Parcel Number
1122320280930
Contractor: L&M AIR CONDITIONING SYSTEM INC Phone: (954)249-2476
sunamg uepantment comments
INSTALL NEW UNIT AND DUCTWORK Infractao Passed Comments
PLAN REVIEW COMMENTS False
January 28, 2014 For Inspections please call: (305)762-4949 Page 2 of 39
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
January 28, 2014 For Inspections please call: (305)762-4949 Page 2 of 39
` Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: BUILDING
JOB ADDRESS: 16 656 XE 0 c7 -
MAR 2013
(�lJ�
FBC 20 P
Permit No.
Master Permit No!"!
ROOFING
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: /
Is the Building Historically Designated: Yes NO ✓ Flood Zone:
c� p Titleholder):66 PaparrL �i 1d" 3��'.�g3•o;ct2
OWNER: Name (Fee Simple Titleholder : o � n q S Phone#:
Address: / Z 9-5 L; S by n S f
City: ro ! a -rcA Ic P State: f(- Zip: 93
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: t L � n, Phone#: C� �
Address: Z
City: Lb ACA_
Qualifier Name:
State Certification or
Contact Phone#:
2Il Zip:
#: �,_ _,/aE; 7.) Certificate of Competency #:
DESIGNER: Architect/Engineer. (_ GL
Value of Work for this Permit: $ �-� , �Square/Linear Footage of Work:
Type of Work: ❑Addition alterationLINew (Repair/Replace❑Demolition
1. 1 1 _ T T 1 . _ e n nA _ l / , " 11 . _.
Submittal Fee
Scanning Fee $
Color thru dk.
Fee $ CX/ CCF $ CO/CC $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
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)
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 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.
Signatures"' / / Signatur&"--i
f Owner
Agent Con
The foregoing instrument was before me this The foregoing instrument was ac owledged be e me this
day o�120 1, by � ( �>iQ'5-161'x , day of 201: , L/� 5 � � �
who is personally known to me or who has produced 1 who is personally known to me or who has produced Z
As identification and who did take an oath.
as identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
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APPROVED BY 5��J Plans Examiner
Zoning
Structural Review
Clerk
(Revised 5/2/2012)(Revised 3/12/2012) XRevised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)