MC-14-660Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972( _
Inspection Number: INSP-227589 Permit Number: MC -4-14-660
Scheduled Inspection Date: February 04, 2015 Permit Type: Mechanical - Residential
Inspector: Perez, JanPierre Inspection Type: Final
Owner: CARVER, CHRISTOPHER AND Work Classification: A/C Replacement
"'Noi v
Job Address: 1165 NE 91 Terrace
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: JT MECHANICAL SERVICES LLC
Building Department Comments
Phone Number
Parcel Number
1132050010180
Phone: (954)367-3463
HVAC REPLACEMENT 5 TONS Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed ° CREATED AS REINSPECTION FOR INSP-210131. missing lock caps &
metal stand for c/u
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
February 03, 2015 For Inspections please call: (305)762-4949 Page 22 of 33
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
BUILDING
PERMIT APPLICATION
Permit Type: MECHANICAL
. ;:SPR O 2014
0
i Cl -
Master
Permit No. NA
Permit No� _ lq_
JOB ADDRESS: � � CQ5 eJ q � T 6i e
City: Miami Shores County: Miami Dade Zip:l i
Folio/Parcel#:
Is the Building Historically Designated: Yes NO
Flood Zone:
OWNER: Name (Fee Simple Titleholder):Ch('t & r i U Cacgcr Phone#:(3CS) 09 9,ri
Address:1 I z E Tf rr cmc e_
City:Mck n1 shoncs State: _ Zip -333
Tenant/Lessee Name:
Email:clhc%--,�..
C_,
CONTRACTOR: Company Name: Phone#:��%'36�-3���
Address: S7_10/
City: State: /C -L Zip:c��
Qualifier Name:ti7i-s�ss�i% o fy �� � Phone#: 305S 33.P —e>VS`d
State Certification or Registration #: t4& Certificate of Competency #:
Contact Phone#: 57S-7/� 36%— 3 Y63 Email Address:`J'"-7-�-
DESIGNER: Architect/Engineer:
Phone#:
Value of Work for this Permit: $ 1 7i ?11 Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration v 40aifepp ac� ❑Demolition
Description of Work: H04c. R 61plp Z -rd" [4 OL Zw
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $ 6 ` �"`
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 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 in§pection will not be approved and a
reinspection fee will ba charged.
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Signature % r �, Signature
Owner or Agent / / UontrWtor ,r}
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Av
day of by S,,L�a Ift / '
who is personally know me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC: r 't"' '= MOMCA RUslERA�-1ri
+: w MY COMMISSION # EE 022431 ! b
Bond dTThruNoDecember
ry u�rU de 2014
rs
Sign:
Print: "Coc %, ^
�1e)roc
My Commission Expires: 1
APPROVED BY
who is personally known to me or who has produced
Plans Examiner
Structural Review
Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
as identification and who did take an oath.
NOTARY PUBLIC:
Sigr
Prin
My
Zoning
Clerk