MC-14-19Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-205325
Scheduled Inspection Date: June 18, 2014
Inspector: Perez, JanPierre
Owner: FREDERICK SUTHERLAND, VERONICA
11AA1 IATA
Job Address: 555 NE 93 Street
Miami Shores, FL
Project: <NONE>
Contractor: SOUTH MECHANICAL CORP
isunamg Department comments
Permit Number: MC -1-14-19
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (786)2604901
Parcel Number 1132060141020
Phone: (305)890-3379
REPLACING A/C UNIT AND DUCT WORK, REPLACE Infractio Passed comments
EXHAUST FAN REPLACE KITCHEN HOOD I INSPECTOR COMMENTS False
�Q - [ 'Ili q
June 17, 2014 For Inspections please call: (305)762-4949 Page 3 of 26
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
June 17, 2014 For Inspections please call: (305)762-4949 Page 3 of 26
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
FBC 20
BUILDING ermit No. Mr-
PERMIT APPLICAT ' Permit No.
Permit Type: MECHANICAL
JOB ADDRESS: 5 5 N R3 s T
City: Miami Shores County: Miami Dade Zip: 33 -1 3 S
Folio/Parcel#: 11- 3 2 0(0 0 020
Is the Building Historically Designated: Yes
NO ✓ Flood zone: AX
OWNER: Name (Fee Simple Titleholder): Yf-"0 t CA i -W L-1 4) A Phone#: W6 -260 - 4.70/
Address: 555 Of 13 -5 i
City: +U A K I S t+,0 S State �L zip: 3313 g
Tenant/Lessee Name: Phone#:
Email: V -r0 rl 1 CA— M01 i 04 4& M e. Cor4
A CONTRACTOR: Company Name: S&A / 6 me r �7��C11 � r®z!�? Phone#: _ 3,'05- r9® 3.7 -
Address: 14,5-5 S W tofeac er W -1Z
City:( 1 State: ,�� zip: 1r .�
Qualifier Name: ,&%Q . 40 19,)' Phone#: ?°90
State Certification or Registration #: C Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $! DO -00 Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteratio"wn�, ❑New ❑Repair/Replace ❑Demolition
Description ofiWork: jWPLA S//V 6 ALN UAII r AN,0 PV GT tdmf% "t nAc_.F_
tic 517 TA,J agnA c_c lG r cofw -dw P
Submittal Fee $ , C
a &fD Permit Fee $
Scanning Fee $
Radon Fee $
$ CO/CC $
DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ ,��
Bonding Company's Name (if applicable)
Bonding C&nm any's Address
City
State
Mortgage sender's Name (if applicable)
Mortgage Lender's Address
City
Zip
zip
Application is hereby made to obtain a p! 140 0 A T ' N I certify that no work or installation has
commenced prior to the issuance of a pV
t'�iat all work will "e 00i _ 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.
r
Signature Signature - �.-
O er orAg t Contractor
The foregoing instrument was acknowledged before me this L
day of Fi C , 2013 ,by ��Sl-c-l�+� c� ►^'tom
who iersonally kno a or who has produced7r
i entification and who did take an oath.
NOTARY PUBLIC:
My Commission Expires:
The foregoing instrument 3acknowledged before me this
day off k. , 2, by
who is personally known to me or who has produced
as identification
My Commission Expires:
did take an oath.
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Miami Shores Village
Building Department
10050 N. E.2nd Avenue
Miami Shores, Florida 33138
Tel (305) 795.2204
Fax. (305) 756.8972
AIR 6bNDITION.ING 1100LACEME DATA
PERMIT NUMBER: MC
This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data
sheet. Multiple units on single sheets are not acceptable.
Job Address (where the work is being done): 1555 N£ 93 ST -
City: Miami Shores Village County: Miami Dade Zip Code: '33138
ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB
ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION
A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS
ARI (AHRI) DATA SHEET REQUIRED
Change Disconnecting means: YES ❑ NO ❑ ARSheet Attached: YES ❑ NO ❑ CoBtra Attached: YES ❑
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size): 40 A h'( P
3. Voltage of Circuit (208/240/480): UO 2-60
4. Size Disconnecting Means: 60 kv
Contractor's Company Name: U/� 7 k3'i I Phone: -705- ,f?13 7 3 19°
State Certificate or Registration N. C r4 C / 2 d -01G9 Certificate of Competency N.
Signature Nik-, Date: to
Qual er's sl8nature only)
UNIT BEING REPLACED
DATA
NEW UNIT
MANUFACTURER
AHU or PKG. UNIT MODEL #
p�®
COND. UNIT MODEL #
CA46NAO#bv
KW HEAT
40 1-W
NOM TONS
AHU
CU
PKG
1 M.C.A
AHU CU PKG
AHU
CU
PKG
2 M.O.P
AHU CU PKG
AHU
CU
PKG
3 VOLTS
AHU CU PKG
PKG UNIT /
/
PKG UNIT / /
EER/SEER
4-60 5 46
YES
NO
REPLACING DUCTS
YES NO
YES
NO
REPLACING THERMOSTAT
YES NO
YES
NO
NEW 4"CONCRETE SLAB
FYES X NO
YES
NO
NEW ROOF STAND
YES NO
YES
NO
NEW RETURN PLENUM BOX
YES NO
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size): 40 A h'( P
3. Voltage of Circuit (208/240/480): UO 2-60
4. Size Disconnecting Means: 60 kv
Contractor's Company Name: U/� 7 k3'i I Phone: -705- ,f?13 7 3 19°
State Certificate or Registration N. C r4 C / 2 d -01G9 Certificate of Competency N.
Signature Nik-, Date: to
Qual er's sl8nature only)
FPL: 63655-01052
TOTAL
Invoice # 1263
Date: 12/17/2013
To: VERONICA MOLINA
555 NE 93 ST
MIAMI SHORES, FL 33138
Veronica Molina@mexom