MC-14-2519Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-227764 Permit Number: MC -11-14-2519
Scheduled Inspection Date: February 09, 2015 Permit Type: Mechanical - Residential
Inspector: Perez, JanPierre
Inspection Type: Final
Owner: STROGIN, MATTHEW & ALISON Work Classification: Repair
Job Address: 301 NE 96 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060135880
Project: <NONE>
Contractor: BLUE BREEZE AIR CONDITIONING AND HEATING Phone: 305-865-1220
Building Department Comments
REPLACE DUCTS intractio rassea comments
INSPECTOR COMMENTS False
February 06, 2015 For Inspections please call: (305)762-4949 Page 16 of 26
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
February 06, 2015 For Inspections please call: (305)762-4949 Page 16 of 26
Miami Shores Village
BuildingDepartment
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10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949 B
FBC 20
BUILDING
PERMIT APPLICATION
Permit Type: MECHANIAL / /
JOB ADDRESS: 'SO / /V F,/ A b PA
Permit No. _
Master Permit No.
City: Miami Shores County: Miami Dade Zip: 3 3 3
Folio/Parcel#: I( -,✓ 2 0 6- 0 t 3- SKS' U ./
Is the Building Historically Designated: Yes NO X Flood Zone: Ale
OWNER: Name (Fee Simple Titleholder): M a �tke'ul Phone#:
Address: 12_�,O ( Alr, q�A yT
City: /14 t'4 M � .S
State: FL__
TenanbUssee Name: Phone#:
Email: Mac � _ COx
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CONTRACTOR: Company Name: 3 t wC � rei &L 1100 i C Phone#: 305. 2565 Z26
Address: (0 6 r__) N W I 1 3 3 F T—
solu'r 16MM
Qualifier Name: rro1 o Phone
State Certification or Registration #: CAL 153 2-1 Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 400o • l Square/Linear Footage of Work:
Type of Work: ❑Ad
Description of Work:
`,J
❑Alteration ` ❑New ORepair/Replace ❑Demolition
Submittal Fee $ Permit Fee CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ 3.6 b
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) f k K /C V kt i '(�
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Mortgage Lender's Address -7 S I J�- N W 1 *a' A S-i^.-�ef'
City 1- i f oLm i L L l -e 5 State r—L' zip 330/6
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 suosted notice, the
inspection will not be approved and a reinspection fee will be charged. I/ (nT
Signature
Owner or Agent Cofract6r
The foregoing instrument was acknowledged before me this S The foregoing instrument was acknowledged before me this -5
day of Nn t/ , 20 0A, by NAr�rt . `374V k D day of N,9✓ , 20 lH , by 1'\Ari11» —L WiPOI i 2,
who is personally known to me or who has produced_ who is personally known tome or who has produced_
–F.'D• L14T.zve t As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: _ NOTARY PUBLIC:
Sign:
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Sign:
Print:
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My Co
sir irry Public state of Florida
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My
Notary Public stale of Flornas
cyan Den Bergh
My Commission EE 185262
Emilce Van
+� My Commission EE 185262
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APPROVED BY l Plans Examiner Zoning
Structural Review Clerk
Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
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Invoice
MDM Air Conditioning - OneHour
540 W 83rd St
Miami FL 33014
305-865-1220 FAX: 305-865-7779
CAC 1813298
Account# 108397
Invoice #
317843
Date:
11/17/14
Page #
1 of 1
Service At:
Matthew Strongin Matthew Strongin
301 NE 96 ST. 301 NE 96 ST.
Miami Shores FL 33138 Miami Shores FL 33138
Service Date PO # Job # 220139 Contract # Claim #
Description Of Service Quantity Unit Price Extended Price Tax
Replace AC duct work (no cans and grills 1 $3,650.00 $3,650.00
Retrun ducted at beroom 1 $245.00 $245.00
Transfer girll at bedroom 1 $145.00 $145.00
Balance Due $4,040.00
Terms: Due Upon Receipt Please pay from this Invoice. Thank You
----------------------------------------------------------------------------------------------------
Please Detach and Return with Remittance
Check Enclosed[ ] Method of Payment
Master Card [ ] Visa [ ] AmExp [ ] Discover [ ]
Acct # Exp Date
Name on Card
Signature
Remit To:
MDM Air Conditioning - OneHour
655 NW 118th Street
Miami FL 33168
Invoice # 317843
Date : 11/17/14
Account # 108397
Strongin, Matthew
Amount Due $4,040.00
Amount Paid