MC-14-1844.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FI_
Phone: (305)795-2204 Fax: (305)756-89720--, _
Inspection Number: INSP-218396 Permit Number: MC -8-14-1844
Scheduled Inspection Date: January 05, 2015 Permit Type: Mechanical - Residential
Inspector: Perez, JanPierre
Owner: VEJDANI, RAMIN & BETHANEY
Job Address: 665 NE 97 Street
Miami Shores, FI -
Project: <NONE>
Inspection Type: Final
Work Classification: Kitchen Hood
Phone Number 3051758-9375
Parcel Number 1132060171910
Contractor: AAA MODERN AIR CONDITIONING, INC Phone: 954-921-4486
Building Department Comments
KITCHEN RENOVATION VENTING Infractio Passed Comments
INSPECTOR COMMENTS False
I
J --
January 05, 2015
For Inspections please call: (305)762-4949
Page 3 of 21
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
January 05, 2015
For Inspections please call: (305)762-4949
Page 3 of 21
fil
Miami Shores Village
F�zTj
Building Department i 2.'2014
C1
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 AUG X
Tel: (305) 795-2204 Fax: (305) 756-8972 M':
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
FBC20 /0
Master Permit No. ///
Sub Permit No. lqa121-1SW
❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF
JOB ADDRESS: t!l �a S7
ti£ 9 -
CONTRACTOR
5e_11
❑ CANCELLATION ❑ SHOP
DRAWINGS
City: Miami Shores County: Miami Dade Zi r): t b
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 1�� Phone#:
Address: F7A�- A16 q -? f` y
City: / —/I 4 —1 .i z"'; -0 S
Tenant/Lessee Name:
Email: (ham--ct/r�
CONTRACT : Compa me:
Add o
City•
-b ki I Of—
Qualifier Name:
State Certification or Registration
State: Zip: 7T -_�: /_
«/�}A (�
v dCf�� �% Phone#96/� I — 4 L 1-k 52,v
of Competency #:
DESIGNER: Architect/Engineer: Phone#:
L�i
Address: City: State
Value of Work fo=Addit*
�d�� Square/Linear Footage of Work:
Type of Work: Alteration ❑ New ❑ Repair/Replace
Description of Work: Y✓ n l t IA -
Specify color of color thru tile:
Submittal Fee $ .00 Permit Fee $
Scanning Fee $
Technology Fee
Structural Reviews
(Revised02/24/2014)
Radon Fee $
Zip:
❑ Demolition
r0e? CCF $ CO/CC $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ I
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
Zi
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 charge
Signatur
OWNER or AGENT
The foregoing instrument was acknowledged before me,eI�his
Z day of C7��z/d� .20 _Z�� by
G' 1 Vel who is personally known to
me or who has produced,�-3 -WZ2g2�' as
identification and who did take an oath.
NOTARY PUBLIC:
Joanna M Feliciano
My Commission FF 092753
Expires 0111212018
d.
Signature
CONTRACTOR
The foregoing instrume t was acknowledged before me this
ay of 20 by
rY� ho is personally known to
me or who has produced. as
identification and who did take an oath.
APPROVED BYhigf7/4ans Examiner
Structural Review
(Revised02/24/2014)
Notary Public !State of Florida
My Comm. Expires May 19, 2017
Commission # EE 868587
Bonded Through National Notary Assn.
*******************
Zoning
Clerk