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CC-14-1892 (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-223289 Permit Number: CC -8-14-1892 Scheduled Inspection Date: November 13, 2014 Inspector: Rodriguez, Jorge Owner: PROPERTIES LLC, SHORE SQUARE Job Address: 9007-9029 BISCAYNE Boulevard 9007 Miami Shores, FL 33138 - Project: <NONE> Contractor: MICRON CONSTRUCTION INC rsuiming uepantment comments Permit Type: Commercial Construction Inspection Type: Final Work Classification: Alteration Phone Number (305)779-8040 Parcel Number 1132060110070 Phone: (954)471-1247 RENOVATION OF COMMERCIAL UNIT FOR MATTRESS Infractio Passed Comments FIRM I INSPECTOR COMMENTS False November 13, 2014 For Inspections please call: (305)762-4949 Page 43 of 45 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. November 13, 2014 For Inspections please call: (305)762-4949 Page 43 of 45 Thank you for giving us the opportunity to serve you! We appreciate your business and confidenceyou have placed in us. We look forward to providing you the best possible service for years to come! North Miami Miami ~ I -full Service �1 - South Guarantee 658 NW 99th ST 12540 SW 130 ST Pest Control Miami, FL 33150 Miami, FL 33186 Lawn Service U!Fd Termite / No Tent Fumigation Broward County Palm Beach County Bed Bugs 6550 NW 20th ST 2115 Lake Worth Rd. Sunrise, FL 33313 Lake Worth, FL 33461 '1116SPECnON REPORT AREA ACTED I =PECnoN FI main ❑CRAwL QATnC [:]No Acm TERMITE INFESTATIONS DINTERIOR EXTERIOR ACTIVE INFESTATION DwTl] SUB[] OTHER OTHER: DEVIDENCE EXPLAIN: TREATMENT NECESSARY ❑ EXCESSIVE MOISTURE CONDITION TYPE: DATE: ❑OTHER EXPLAIN: COMMENTS: t` , OTHER SERVICES RECOMMENDED: PRICE S TREATMENT REPORT AREA TREATED ❑CRAWL MATTIC ❑INTERIOR DEXTERIOR QdiHER = :� TERMITES TREATED ❑DWT QSi1B STATIONS CHEMICAL USED: ! O' CONCENTRATION : AMOUNT CHEM USED: �= wamdqp Pesticides can be harmful. Keep children and pets away from pesticide applications until dry, dissipated or aerated. For more information contact Guarantee Floridian Customer Signature 111, Date &;2� -6 Employee Signature - ^'` r- ID# Tlme in : � ! � Time out: Zo a um rnia tiva as vi Terms: 10/15/2014 $0.00 Service at: 9007 Biscayne Blvd Guarantee Floridian Pest Control Miami, FL 33138 PO BOX 680306 - 0306 Miami, FL 33168 Lic#: Acct #344180 INV # 475014 305.758.1811 PO #: Acct #344180 INV # 475014 Chen Mailer Comments Form WEB20 Service at: 9007 Biscayne Blvd Miami, FL 33138 Check# Card# Type Signatures'- - Tax Total Ad) Total $250.00 $0.00 $250.00 Prepay ($0.00) Amount Due This INV $250.00 Total Due This Site $250.00 ------- $I- Exp Please return Lower portion NEW NEW CONSTRU PRETREAT $250.00 Ad) Total $250.00 Prepay ($0.00) Amount Due Total Due This Site Tax Total $0.00 $250.00 $250.00 $250.00 L1 7 5 Certificate of Completion :.� 1 Miami Shores Village y. 10050 NE 2 Ave, Miami Shores Fl, 33138 Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department This Certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in pax compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: Permit Type Commercial Construction Bldg. Permit No. CC -8-14-1892 Owner SHORE SQUARE PROPERTIES LLC Contractor MICRON CONSTRUCTION INC Subdivision/Project <NONE> Date Issued 11/24/2014 RENOVATION OF COMMERCIAL UNIT FOR Construction Type Occupancy M MATTRESS FIRM Applicable Code 2010 FLORIDA BUILDING 9007 BISCAYNE BLVD Miami Shores FL 33138 Location Building Officials Approval MAEL NAWU57,=si Not Transferable POST IN A CONSPICUOUS PLACE BACKFLOW PREVENTION ASSEMBLY FIELD TEST REPORT DATE OF "TEST: NAME,OF. PREMISE: Ar"5A/w GONT�GT PERSON: y 46X" � STREET ADDRESS. �A %1AW l JQ /7/i9X 94'{WS TEL # TYPE OF DEVICE RP K D.C. O_` tPVB D OTHER SIZE • PEAMlT NUMBER - - MANUFACTURER:/Lk/nls METER NUMBER: MODEL NUMBER: �� i< <'- SERIAL NUMBEFI: In LINE PRESSURE. / NOTE: ALL REPAIRS/REPLACEMENT SHALL BE COMPLETED WITHIN TEN {10) DAYS. REMARKS: I HEREBY CERTIFY THAT THIS DATA IS ACCURATEARAtFLECTS yTH'E PROPEROPERATION AND MAINTENA14CE OF THE UNIT. ', CERTIFIED TESTIN OMPANY IA-Y)n �� Y TEST EQUIPT. USM Allbllms'..� �_T zoe PASSED. 1PLED -.REPAIR NEEDED INITIAL TEST BY D CERTIFIED TESTER NO. D/e2 7 ELATE REPAIRED BY DATE REPAIRED EXP FINAL TEST BY F T€STER NO: DATE 1 CERTIFIED TESTER S"ATUAE INLi 107 PRESSURE DROP ACROSS FIRST CHECK VALVE YFL / PSI DOPISLE CHECK REDUCED PRESiU E PRESSURE VACUUM CHECK VALVE # I CHElh. mAI.VE # 2 DIFF TIAL PRESSURE REUEF VALVE BREAKER NI- 1. LEAKED ' Q Y. LEAKED ❑ AIR INLET TIAL TEST 9 0 OPENED AT LBS. OPENER AT LBS. Z CLOSED TIGHT Z CLOSED TIGHT /�� I O10 Nell' OPEN 0 010 NOT OPEN 0 CLEANED C. _ CLEANED C 1 CLEANED C CHECK VALVE: REPLACED, REPLACED,, REP}LACet) LEAKED ❑ RUBBER PARTS KIT 0 RUBBER PARTS KIT ❑ HELD AT - PSID G.V. ASSEMBLY 0 C.V. ASSEMBLY 0 RUBBER PARTS KIT ❑ CLEANED ❑ OR OR RV ASSEMBLY 0 OI D DISC ! OR REPT AGE D: O-O-RINGS ❑ -R( O -RINGS: O DISC O C.V. ❑ R SEAT 0 SEAT C l DIAPHRAGM ❑ DISC. . AIR ASSEMBLY ❑ E SPRING 0 SPF(ING ❑ SEAT ❑ DISC. C.V. O P STEWGUIDE 0 STWIGUIDE. ❑ SPRING ❑ SPAfNG 0 A RETAINER ❑ RETAINER 01 GUIDE 0 RETAINER ER 0 I LOCK NUTS a LOGY NUTS ❑ O -RINGS ❑ GUIDE R OTHER 0 OTHER ❑ OTHER E3 0 S I OTHER ❑ FINAL OPEN AT LBS. TEST CLOSED TIGHT 0 CLOSED TIGHT 0 REDUCED PRESSURESAiISFAC?C)RY C� In LINE PRESSURE. / NOTE: ALL REPAIRS/REPLACEMENT SHALL BE COMPLETED WITHIN TEN {10) DAYS. REMARKS: I HEREBY CERTIFY THAT THIS DATA IS ACCURATEARAtFLECTS yTH'E PROPEROPERATION AND MAINTENA14CE OF THE UNIT. ', CERTIFIED TESTIN OMPANY IA-Y)n �� Y TEST EQUIPT. USM Allbllms'..� �_T zoe PASSED. 1PLED -.REPAIR NEEDED INITIAL TEST BY D CERTIFIED TESTER NO. D/e2 7 ELATE REPAIRED BY DATE REPAIRED EXP FINAL TEST BY F T€STER NO: DATE 1 CERTIFIED TESTER S"ATUAE INLi 107 1 YFL / [:Tu40TDAY YR.