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MC-15-726Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231345 Scheduled Inspection Date: June 10, 2015 Inspector: Perez, JanPierre Owner: RACK, CHARLES Job Address: 439 NE 92 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: C&R AIR CONDITIONING CO Building Department Comments Permit Number: MC -3-15-726 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)762-1666 Parcel Number 1132060140250 Phone: 305-685-6394 INSTALL 1 1/2 SPLIT SYSTEM SERVING GARAGE AREA. Infractio Passed Comments INSPECTOR COMMENTS False .lune 09, 2015 For Inspections please call: (305)762-4949 Page 8 of 27 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. .lune 09, 2015 For Inspections please call: (305)762-4949 Page 8 of 27 �g>i►s Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 ficORti' Project Address Parcel Number Applicant 439 NE 92 Street 1132060140250 CHARLES RACK Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell CHARLES RACK 439 NE 92 Street (305)762-1666 MIAMI SHORES FL 33138- 439 NE 92 Street MIAMI SHORES FL 33138 - Contractors) Phone Cell Phone C&R AIR CONDITIONING CO 305-685-6394 (954)680-4494 Info: INSTALL 1 1/2 SPLIT SYSTEM SERVING ion: Residential In Review Denied: ning: 3 Fees Due Amount CCF $2.40 DBPR Fee $2.09 DCA Fee $2.09 Education Surcharge $0.80 Permit Fee $139.65 Scanning Fee $9.00 Technology Fee $3.20 Total: $159.23 Date Approved:: In Review Type of Work: Valuation: $ 3,990.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # MC -3-15-55000 04/03/2015 Credit Card $ 109.23 $ 50.00 03/31/2015 Credit Card $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Review Mechanical In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing info a . n .s ura th t all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the abov co a r o t work stated. April 03, 2015 Authorized Signature: Owner / Applicant / Contrac ! Aont Date Building Department Copy April 03, 2015 1 U Miami Shores Village RE7BY: R� ;- ,`� Building Department 2015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC MO BUILDING Master Permit No 0 - PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP Q� C; CONTRACTOR DRAWINGS JOB ADDRESS: L4 � —1 t:7t _j ST `� City: Miami Shores County: Miami Dade zip: v 3 ( J 8 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: nnConstruction Type: P Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): l.� r es Rq C '`� Phone#: J 0,S_ 7 ( 2 16 Address: 44 n Cl V L aa_� City: IM t R M 0 .3 State: Zip: � Tenant/Lessee Name: Phone#: 20-7'762 b 6 Email: CONTRACTOR: Company Name: C. t o A i r Cond. C O. Phone#: ^�� ET 6,3 9 `i Address::(®7 (6 7 �� G - Ll �/� City: 1 r � I"q State:�y—i ( Zip: �� 0 % Qualifier Name: t� -ef k(�' �jS`J Phone#: 3oT 6 &T( 2i q State Certification or Registration M C., A C ®.2 6 1 I Lf Certificate of Competency #: ~I S R ® A —1 DESIGNER: Architect/Engineer: Phone#: Add City: State Value of Work for this Permit: $_ 3990. Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Description of Work: Specify color of color thru tile: Submittal Fee Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) Zip: ❑ Demolition CCF $CO/CC.$,, DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 4q. 9-3 q4 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip City State 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 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 charged. Signature l f ` %I�y Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 3 � day of /r)MC11,ck 20 by 3��be t,_ dayof (nQrck ,20 f' .by C k otri r,s (RG C K ho is personally k wwn to "+'v ri T. c � P yS-T. ho is personally nown to me or who has produced identification and who did take an oath. NOTARY PUBLIC: as me or who has produced identification and who did take an oath. NOTARY PUBLIC: as Sign: Sign: _ Print: _ _ e MY_ r _ C In c, -C' Print: ot `^ e yv Seal: Seal:,, JANET KRANZ ROBERT J. CHRYST =*. ; Commission # FF 197298 Commision # FF 0847 = :Q` Expires May 9, 2019 P= Eros May 24, 2018 Bonded Tin NY Fain lrtawmm e19 �k�k�k*�k4&ok�kek�h�k�k sowed F _ &ak �kt��k�k�k�k+k�k�k�k�k*�kakak�k�k�k�k+k�k�k*�k�k�k�k�k�k�k+kak�k�kakak�k�k�k*akak�le�k�kKcak�k##*�k�k�kak�k�k�k�k�k�k�k APPROVED BY Q Gf A � I I D Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) C r Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. 9 IVL ` q Q Job Address (where the work is being done): L4,2 I d , City: Miami Shores Village County: Miami Dade Zip Code: ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ 1. Minimum Circuit Ampacity (Wire Size): I 2. Maximum Overcurrent Protection (Fuse/Breaker Size): '30 3. Voltage of Circuit (208/240/480): ® P 4. Size Disconnecting Means: Contractor's Company Name: State Sign G -t -R Air CoftA (Revised02/24/2014) Phone: J 016 X5629 L4 _LICertificate of Competency No. —Date: -2 '0 1, i S- UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER A n AHU or PKG. UNIT MODEL # 'K Iq a A/ COND. UNIT MODEL # t `(a UP A 0 I KW HEAT NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU ,20 PKG AHU CU PKG 3) VOLTS 990 AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTSS YES NO REPLACING THERMOSTAT ffES WOV YES NO NEW 4"CONCRETE SLAB E NO YES NO NEW ROOF STAND YES N YES NO NEW RETURN PLENUM BOX I YES oyb 1. Minimum Circuit Ampacity (Wire Size): I 2. Maximum Overcurrent Protection (Fuse/Breaker Size): '30 3. Voltage of Circuit (208/240/480): ® P 4. Size Disconnecting Means: Contractor's Company Name: State Sign G -t -R Air CoftA (Revised02/24/2014) Phone: J 016 X5629 L4 _LICertificate of Competency No. —Date: -2 '0 1, i S- MAR 31 2015 Rel ro o rte, �� 1ox�® Stdcwul��o,ll� �► rA18 w;h®®w axa A H s ct ov, n C4�.%% va't r% ower heO.Jcl0 r - Co N ti Y, C h oir Ics Rot 6K Rc,� .20S 1,62. 1666 4�°� (� � 9� �r� I9►^�; S �are 4 C+RAir6ovl�. G®,3 ®s'(ZS56374 QtyaLAtc®N A 0 UT 2oMgX.�,�®i�N A'W Fx®NF0M S'Kv) 10 Mix z3® IP�d R��P a% Su r-+;an�/'� Lr��I;+c��A��p�� S-\..xedOki 1600 CrK at , o8°