MC-12-2211 (2)Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-181910 Permit Number: MC -11-12-2211
Scheduled Inspection Date: September 18, 2013 Permit Type: Mechanical - Residential
Inspector: Perez, JanPlerre
Owner: LIVINGSTONE, DAVID AND KAREN
Job Address: 10560 NE 2 Court
Miami Shores, FL 33138 -
Project <NONE>
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number 1122310130660
Contractor: C&T AIR SERVICES INC Phone: 305-888-6560
Building Department Comments
ADDITIONAL EAST BEDROOM ADD SPLIT UNIT AC
INSPECTOR COMMENTS False
07/08/2013 - PERMIT EXTENDED PER LAST APPROVED
INSP. 1
u
2)([3
September 17, 2013 For Inspections please call: (305)762-4949 Page 3 of 17
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
September 17, 2013 For Inspections please call: (305)762-4949 Page 3 of 17
di
Miami Shores pillage �� sFP 0 5 263
Building Department L
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762A%9
BUILDING Permit No. ) M® 2�jl
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: MECHANICAL
OWNER: Name (Fee Simple Titleholder):_
Phone#•
Address: A"''
City: �l�Z, �� Lt ?S State•- Zip; 33
Tenantkig. see Name: Phone#: - Q 2i fit° '� 2 2/7
Einail:
JOB ADDRESS: d %�,° L C
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Bi ildb* Histbrimlly Designated: Yes NO Hood Zone:
CONTRACTOR: Company Name: '�-i7 d'" Phone#:
Address: G0 7i�i �-� q
City: to > l State: Zip: `�
QualifierName: Phone#:
StAt Cer6fic'u6ob or RegiWation #: C> � Certificate ofC6nVetaiq #:
Contact Phone#: 3 �C is d (� Email Address:
DESIGM AtchitecW.&eer. re r ! Phon
.' !thy$ �ilzc7�iis'.:� 'ara+s+2+s�3'wdiSt aF: "g m 3
V ue-WmWitiforcmTie mita' ,L Square/Linear Foo of Work:
4-4,01119-.4
� a 'd ` Lf iq
of ,0111 -. s on ONew air/R ODemolition
Ds
_...,�6"l�G?/CeZ1c-s9�''Z !ice
u a.,. , _: .--..;,•+�..-T,-.•..��,.•...,.�:......,.,'�...,..vr��m'e�vs+,�gmv+rf .- a=�sasm�assffq!�eFfissq!aYs+e4�4Saaip!Il�#�9if•F�NM6!(R4i�
Submittal Fee $ Permit Fee $ G CCF $ CO/CC $
1'5canning Pee $ Radon Fee $ DBPR $ Bond $
Notary $ Tmining/Education Fee $ Technology Fee $
Double fee $ Strnetural Review $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's AiddTss
City State Zip
V
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 Al 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 lav 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 jolt site
for the flrst inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will n be approved and a reinspection fee will be charged
Signature Signa
Owner or AgentitcC frac
The foregoing instrument was acknowledged before me this
day of & 4a1, 20 %3, by —,r del S: , ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: • 1 VI -L
Print: �� i 1.... �_
My Commission Expires: 904SION#EE25472
I1."M
� ov®bar 18, 2014
.900. Y N -y
DieOomt A68oa Ca.
APPROVED BY
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
on for
The foregoing instrument was acknowledged before me this
day of 1 20r7 .1- -, by b .�, :Z 4,
who is personally known to me or who has prodqeed,,;_
MAD�INE CASTELLANOS oath.
NO 019WY Pates • State 01 Ronda
s • My COrtan. E*es May 10, 2015
COMMhOw I EE 67938
Si
Print:
My Commission Expires:
Plans Examiner Zoning
Structural Review Clerk
1 1:
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 20th
Permit Type: MECHANICAL
OWNER: Name (Fee Simple
iFIR • .1 � r
NOV 2 12012
Permit No. MCI
Master Permit No. C
Tenant/Ussee Name: Phone#:
Email:
JOB ADDRESS: In 4,q4 o N aE 24 G/ •,
City: M�iami Shores County: Miami Dade Zip:
/
Folio/Parcel#: / — _2 2 9 �' nl 11 —/) 1�1 A6 i) 11
Is the Building Historically Designated: Yes NO
Zone:
CONTRACTOR: Company Name: 6; . h �? ��' Phone#: .- See - C
Address:
City: 8 State: Zip: 336/1
Qualifier Name: ��„� ���a �° Phone#: 34r—
State Certification or Registration #: L-49 C" a. , r- Certificate of Competency #:
Contact Phone#: �'a i�+Cn Email Address:
DESIGNER: Architect/Engineer: 90 01 G u UI 15 AAL4LIAl Phone4(k5).5% Q — 7&a
2
/ 4i0AL
Value of Work for this Permit: $ 6 0 o i /Linear Footage of Work: `7-7-
Type of Work: OAddress `Alteration ONew ORepair/Replace . PDemolition
Description of Work:
tLp:.��� Pu .�xetax• - :o���faa�5 �pge.::a.
6
S&A Mop
Submittal Fee $ Permit Fee $ t57c CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
Al
TOTAL FEE NOW DUE $lum-k)
�-2.,,l � 7,74
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, EI'C.....
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will no, approved and a reinspection fee will be charged.
Signature--4tf-I " "_`'Signatur - L�-
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this
day of by 'BSS kZ'Qr ..Q f ® ,
wh 1spersonally own to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
The foregoing instrument was acknowledged before me this
day of id%®J , 20 0j; by
who is personally known to me or who has produced
as identification and who did take an oath.
Sign:
Print: •J SV►wt • JA
1N1t
My Commission Expires %WIN,=
I.gpp y1JOSARY � AY00.lb.
,k,k�a+k�+k�ksk�&+kd�da#+AsB,kd�,k�,kdat��+k+&,RsS,k� ,& >de8askd��kHa+��k ,$jam,�',k�k�A�&&�B
APPROVED BY Plan!/ss EExaminer
(Revised 07/10/07)(Revised 0 i/10=09)(Revised 3/15/09)
NOTARY PUBLIC:
Print
My Co s•MA ELME CASTRLAMM
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Zoning
Structural Review Clerk