MC-15-813U
Inspection Worksheet
Miami Shores Village
i
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-233984 Permit Number: MC -4-15-813
Scheduled Inspection Date: June 10, 2015 Permit Type: Mechanical - Residential
Inspector: Perez, JanPierre
Owner: NEGREVERGNE, JULIA
Job Address: 429 NE 99 Street
Miami Shores, FL 33138-2461
Project: <NONE>
Contractor: ALL YEAR COOLING AND HEATING
:%unama uepartment comments
Inspection Type. Final
Work Classification: A/C Replacement
Phone Number
Parcel Number 1132060170400
RENEWAL OF PERMIT NUMBER MC13-1774. TWO A/C ------
CHANGE
-----CHANGE OUT WITH DUCTWORK AND PLANS. INSPECTOR COMMENTS False
Phone: (954)566-4644
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-232027. NEED TO SEAL
[a CLOSET CEILING WITH DRYWALL NOT DUCT BOARD
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
June 09, 2015 For Inspections please call: (305)762-4949 Page 14 of 27
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number
( 429 NE 99 Street 1132060170400
Miami Shores, FL 33138-2461 Block: Lot: JULIA NEGREVERGNE
Owner Information Address Phone Cell
JULIA NEGREVERGNE 429 NE 99 Avenue
MIAMI SHORES FL 33138-
429 NE 99 Avenue
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
ALL YEAR COOLING AND HEATING (954)566-4644
Info: RENEWAL OF PERMIT NUMBER MC13-1774.
ion: Residential
In Review
Denied:
ning: 1
Fees Due
Amount
CCF
$7.80
DBPR Fee
$6.83
DCA Fee
$6.83
Education Surcharge
$2.60
Permit Fee
$455.00
Scanning Fee
$3.00
Technology Fee
$10.40
Total:
$492.46
Date Approved:: In Review
Type of Work:
Valuation: $ 13,000.00
Total Sq Feet: p
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC -4-15-55128
04/13/2015 Check #: 8170 $ 492.46 $ 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 ssume responsibility for all rk done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRIC , PLUMBING, MECHANI WINDO DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFF�A . I certify that all the for oin rmatio is accurate and that all work will be done in compliance with all applicable laws regulating
construction 7dnd@nnji0n Futhermore, I aut ize a above -name rector to do the work stated.
April 13, 2015
Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
April 13, 2015
1
I
Miami Shores Village-3„�1-F'C
Building Department APR 0 7 ZO 5
10050 N.E.2nd Avenue, Miami Shores, Florida 33138'
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING MECHANICAL E] PUBLIC WORKS
JOB ADDRESS: 429 NE 99 ST
FBC 20 10
Master Permit Nofn C, E5-7_ 00 1 J
Sub Permit No
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County Miami Dade Zip:33138
Folio/Parcel#: 11 -3206-017-0400 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): JULIA CECILE E NEGREVERGNE Phone#:
Address: 429 NE 99 ST
City: MIAMI SHORES State: FL Zip: 33138
Tenant/Lessee Name: Phone#: (786) 282-8558
Email:
CONTRACTOR: Company Name: ALL YEAR COOLING & HEATING
1345 NE 4TH AVE
hone#: 954-566-4644
Address:
City: FT LAUDERDALE State: FL Zip: 33304
Qualifier Name: THOMAS A. SMITH Phone#: 954-566-4644
State Certification or Registration #: CAC058159 Certificate of Competency #: CMC537
DESIGNER: Architect/Engineer: Phone#:
Address: City: State
Value of Work for this Permit: $ 13, C.)o `� ' W Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work: RENEWAL OF PERMIT NUMBER MC 8 131774
Specify color of color thru the:,
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $.
(Rev1sed02/24/2014)
CCF
DBPR $
Zip:
❑ Demolition
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ '51 Z
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
Zi
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 charge
Sig
Ov4z or AGENT
The foregoing instrument was acknowledged before me this
7 day of APRIL 20 15 by
JULIA CECILE E NEGREVERGNE who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY
MY COMMISSION #FF173126
EXPIRES October 30, 2018
d.
SignatureP:;197
AU17�&J�
�
CONTRACTOR
The foregoing instrument was acknowledged before me this
7 day of APRIL 20 15 , by
THOMAS A. SMITH who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PU IC:
1 40 -
Sign:
Print: DI
Seal: ?!.
My couwStM #FF11096
6XPWSOctolbet 30, 3018
as
1(407)39"153 Flonciamnary—rvl-111 I 14;, i,,..
4(407) MOW 60iir__
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)