MC-14-624El
Inspection Worksheet
Miami Shores Village I
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 eo(\_ 14—
Inspection
4—
Inspection Number: INSP-226294 Permit Number: MC -3-14-624
Scheduled Inspection Date: January 12, 2015
Inspector: Perez, JanPierre
Owner: DOVALINA, ARTURO
Job Address: 730 NE 94 Street
Miami Shores, FL
Project: <NONE>
Contractor: ALL AIR SOLUTIONS INC
Buiuiing Department comments
MECHANICAL WORK AND NEW A/C UNIT FOR FAMILY
ROOM ADDITION
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number 1132060141690
INSPECTOR COMMENTS False
l
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re -Inspection; -i ��6-^
Fee A)
No Additional Inspections can be scheduled until
re -inspection fee is paid.
January 09, 2015 For Inspections please call: (305)762-4949 Page 26 of 26
Miami Shores Village
Building Department MA a 2014
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 iBy:
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PRONE NUMBER: (305) 762.4949
FBC 20
BUILDING Permit No. 2.
PERMIT APPLICATION Master Permit No. Q_0_ 23i
Permit Type: MECHANICAL
JOB ADDRESS: �� /v 67 '--7#.f
City: Miami Shores County: Miami Dade Zip: 33 i 3&-
Folio/Parcel#: • �� ®� ' ��
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): XaTy9° � t�/4 Phone#: ''
City: I State: Zip:
Tenant/Lessee Name: 0� I � Phone#:
Email:
CONTRACTOR: Company Name: Aid A:f� Sole Phone#: 9 SA HroS
Address: %\0% t.16 latl S k -' 'UT,
City: Y- a State: Zip: 37 1ch
Qualifier Name: ;.a So..�.t�w $ Phone#: • U'Sej
State Certification or Registration #: CkCA1& 51 %1 Certificate of Competency #'
Contact Phone#: 4541- BALL (a't615 Email Address: ��.A:.cl.Sol,.�:.®-+A Bio. Wr�•oc�1—�
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: LlAddress iteration ONgqew 'LlRepair/Replace
Description ofork:. U
Submittal Fee $DrM Permit Fee $ M15 CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $_�� - LV
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
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 jo
for the first inspection ry�i ch ours seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be a oved n a reinspection fee will be charged.
The foregoing rinstrument-Was acknowledged before me this The foregoing instrument was acknowledged before me this
day of i('VI > 20 , by 190 da ht,9(((lll _ day o� ua, , 20 LIA byQ ,
who is personally known to me or who has produced who is per o 1 o me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARYURLIC: ,t NOTARY PUMC:
Sign:
APPROVED BY
Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Sign:
Print: � IlSSION #
My Commission Ex u�
Zoning
Clerk