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MC-14-2136 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-220636 Permit Number: MC-9-14-2136 Scheduled Inspection Date: July 01,2015 Permit Type: Mechanical- Commercial Inspector: Perez,JanPierre Inspection Type: Final Owner: , Work Classification: Addition/Alteration Job Address:9501 NE 2 Avenue Miami Shores, FL 33138- Phone Number (305)756-3711 Parcel Number 1132060133920 Project: <NONE> Contractor: TYCOON FLOW CONTROL Phone: (305)828-6655 Building Department Comments DUCT WORK FOR REPLACING TO A GYM. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed i Failed V Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 June 30,2015 Page 4 of 40 Yrvli J � � *�S a�E� st .v.. Ei� 64 ��►/ �e8' ICl�f61<it�S Miami Shores VillageIM 9 �[ `J 10050 N.E.2nd Avenue NEem 3Er � •�• Miami Shores,FL 33138-0000Al E (�. Phone: (305)795-2204 e30"( EXpIr E. ,. atlon: 9/09/2015 Project Address Parcel Number Applicant 9501 NE 2 Avenue 1132060133920 DVS LLC Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell DVS LLC 9400 NE 2 Avenue (305)756-3711 MIAMI FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 8,000.00 TYCOON FLOW CONTROL (305)828-6655 _... VA µHX Total Sq Feet: Q Tons: Available Inspections: Additional Info:DUCT WORK FOR REPLACING TO A GYM. Inspection Type: Classification:Commercial Ventilation Approved:In Review Final Comments: Date Approved::In Review Rough Date Denied: Type of Work: Rough Duct Scanning:3 Duct Detector Test Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $4.80 Invoice# MC-9-14-53113 DBPR Fee $3.60 03/13/2015 Check#:11787 $219.00 $50.00 DCA Fee $3.60 Education Surcharge $1.60 09/30/2014 Check#:3027 $50.00 $0.00 Permit Fee $240.00 Scanning Fee $9.00 Technology Fee $6.40 Total: $269.00 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 information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above- med Aecdo the work s0bW. March 13,2015 Authorized Signature:Owner / Applicant / Contra Agent Date Building Department Copy March 13,2016 1 Miami Shores Village x7R, Building Department up 2014 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 I-ly Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 C BUILDING Master Permit No. 00 I PERMIT APPLICATION Sub Permit No. MQ_-r ` �- ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [-]RENEWAL ❑PLUMBING MECHANICAL []PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: � 5 �� I V F_ �.�� A V� City: Miami Shores County: Miami Dade Zip: 3 3 13 Y Folio/Parcel#: 1 1 r 3 a'O a- 013 - 3 5(o Is the Building Historically Designated:Yes NO Z-- Occupancy /Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): P�� 9 �' 9 m Phone#: Address: q3 3-) I-V(--= }` ��� [-)&-a City: State: r�" Zip: J� Tenant/Lessee Name: Phone#: Email: / l c� ��^ CONTRACTOR:Company Name:_TYC©ny F(=� [ �iY�I POL• _ Phone#: (3OS 1 l� 9-6655 Address: Z506 (� 9 r City: /4�7&1L c^ State: ('12 Zip:_3 Mi �? — Qualifier Name: lr%Jt� t ,� Phone#: (3 'a1&-? State Certification or Registration#: �C-L`_ /49/,3 706 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address City: State: Zip: Value of Work for this Permit:$ 60 V�' Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Re lace p F-1 Demolition Description of Work: R,.m 4 .j `' y M Specify color of color thru tile: //�� Submittal Fee$ ' Permit Fee$ 'i 0100CCF$ V ���� CO/CC$ Scanning Fee$ Radon Fee$�' C: ) DBPR$ Notary$ 0 Technology Fee$ - Training/Education Fee$ ( Double Fee$ Structural Reviews S Bond$ TOTAL FEE NOW DUE$ (Rev1sed02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address 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 i Signature ✓' OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this O day of -------,20 ' .by 'ay day of S� 20 1 by who i ersonall known ��I%� F So(� y .who is ersonal y know to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: r Print: , G'5�`r�`9 „B��^ ISRAEL GARCIA •``"'""�, Seal: Notar Seal: o1pRYPe;•,, Notary Public-State of Florida r• •�: ]t ' gEL GARCIAMyComm.Expires Jul 17, . ' Noic_2015 •' State of FloridapM 11.°. Commission#EE 77663 �F °Pc; yxpires JW ' • 17.2015�1z}�t�## ####### APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) �,- r� t ' "� •" si x ��� N � � i4`r � � �'j v��� A�isi '�.k¢�y }i r� � u h< �."y'�d^k aJ'h x vP1Y h'7 TFC �P'. r'k,3s ��CYeti �- Y., } ',nad r✓ s. 1 �- �; Cir ,1 � r ( 5 ���� � r4✓s-�- �•C 4 a �kFr'lr,�r,tr S`�KL ^r� �s T�,',,ty t�� 5( .� �, � � Y �! 13i YI ;}1 f � � LICENSC NUMBER 9 C � a �. • y - Y n,s. - i X11• �� `� 'A' il- * ..'yid x. :at... t "� t 1, 1� �• L ,�.,..,� '� 4 T ��rte— • .. ..u�'� 54:. �`""'v� _'dryµ• {�� ��-'y`� T � �L ���/�,^� J C w L.i •�S CERTIFICATE OF LIABILITY INSURANCE PRODUCER South Paoiffc ProfeAtsionpl Ins. I�JJB?J14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION M. K W.49th Stmt ONLY AND CONFER NO Wa"TS UPON THE CMMpICATE Hialeah,FL 33012 HOLDER.THIS CERTIFtCAT$DOES NOT ANIENO,ERTBND OR 1 Phone (3{150jg25 msGE AFFORD BY P ICIE D Fax ( INSiJRERS AFFOPOINE COyERAGE I NAIL# . FMURED TYCOON FLOW CONTROL CORP INSURERA GRANADA COMMERCIAL INS 00 13683 266 W 78 St Bey#B wsutzER Hialeah,FL 33016 INSURER C: PH(W5)21"788 suR�D COVERAGES wsuReR E: ASDANT UNDERWFRITERS,LLC 13 3 THE POLICES OF INSURANCE LISTED HAVE BEEN l�LIED TO THE INSURED NAMED ABOVS FOR THE POLICY PERIOD INDICATED. N07W17HS1ANDING ANY REQ KTHE I.TERGA OR ApFo IDN OF ANY CONTRACT QR QTHER DOCUMENT yNTH RESPECT TO WHICH THIS CP,(ITIFICATE MAY BE ISSUED OR 114AY PF.RTAW iTiE INSURANCE AFFORDED BY THE POLICIES DCSCRM HEREIN IS SUBJECT TO ALL THE TERM.EXCLUSIONS AND CONDITIONS OF SUCH POLIOS.AGGREGATE:LWM SHOWN MAY HAVE BIMN REDUCED BY PAID¢LAMAS fm ADDL TYPE OF INSURANCE POLICY NU61B PMXV710N I GENERAL LIgBp,ITy dATe Lleg1 rs IR COMMERCIAL GENERAL UABItJTY EACH OCCURRENCE 1.000,000 A ® ❑❑ CLAIM MADE a OCCUR GL0185F•=52827 08/23/2014 Osll M015 P�SEso 100,ODO MED to fkw&W ❑ PERSONAL A ADV INJURY 5,000 ❑ � 1,000,000 GEMLAGGREGATE!LMAITAPPLIES PER: GENERALAGGIREGATF. 2, ,ODO ® POLICY ❑PROJECT M LOC PRODUM.COMPlQPAGQ 2000,000 AUTOMOBILE LL40UTY ❑ ANY AUTO COMBINED SINGLE LM ❑ ALL OWNED Auros —" ❑ ❑ SCHEDULED AUTOS BODILY UVJURY ❑ HMAUTOS (Per Q❑ NON OINKED AUTO$ BODILY LY INJURY � $i PROPERTY DAMAGE OAR�4GE LMBRM (Per a ❑ ❑ ANYAVM AUTO ONLY.EA ACCIDENT ❑ OTHERTHAN EAA Mcm!tSMRELLA LIA09-ITV AUTO ONLY AGO ❑ OCCUR ❑CLAMAS MADE EACH OCCURRENCE AGGREGATE Cl DEDUCTIBLE Cl•REI ENTIQN • $ . OVERS'i l j�y� EMP ONANo E ANY PROPRIETOR/PARTNER I FMCVrWE YM WC•(30t3D3-4 O8I2=14 09/23/2015 9CHACCfDENT OPFlCERl MEM$ER EXCLUDED? E L ff d in under 600,000 3PE�AL PROVISIONS bebw DISEASE-EA aVLOYEE 500,000 OTHER E L DISEASE-POLICY LIMIT =1000 DESCRIPTION OF IIII E TIDMB!LOCATIONS!11 dClf$1 occLUSIONS ADDED BY E�IDO AIR CONDITIONING-CAC161370r, RANT ISPJ;CC�AL pRpVL,tp�g CERTIPICATE HOL�tER I CANCELLATION SHOULD ANY OF THE ABOVE DESCRM®POLICB39 BE cANGELI,ED BEFORE THE MIAMI SHORES VILLAGE aPIRnTION DATE ZrrMQF,THE ISSutnnd U�IJRER WILL ENDEAVOR To MML 3o DI►Y8 WRI T fEN NOTID>;TO nm CER1iFltSA71E HOLDER NALAEid TO 10050 NE 2 A1/�jVUlE TFE LEFT,BUT PAILURE Yo DO SO SH/LLL GMIPOMERIMI A OBLIGATION IM LIABtLRY Mt J►I SHORES,FL 33738 OF ANY MM UPON THE INSURM FM AGM7a-OR FAX 305-75"972 AMH�FAX I ACORD 25{20OM)QF The ACORD name and foCORPORATION.Ail riShb reserved. 9 metered marks oiAcoRD ZO/Z0 3JGd XVW30I--UU 6ZL90ZZSOE ZO:tti VIOZ/5Z/60