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MC-15-479 / 0 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-229468 Permit Number: MC-3-15-479 Scheduled Inspection Date: August 24, 2015 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: WEBER, STEVEN &VIRGINIA Work Classification: Kitchen Hood Job Address: 1214 NE 92 Street Miami Shores, FL 33138- Phone Number (631)379-8547 Parcel Number 1132050270480 Project: <NONE> Contractor: MANCO AIR INC. Phone: 305/409-7719 Building Department Comments INSTALL DRYER DUCT TO WALL CAP AND INSTALL Infractio Passed Comments KITCHEN HOOD AS PER PLANS INSPECTOR COMMENTS False Inspector Comments Passed [Do Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 21, 2015 For Inspections please call: (305)762-4949 Page 4 of 39 a LYFORD YELLOW■RL4303 lam` I i 'I ` Miami Shores Village �x g MAR o 5 2015 ►— • �''� Building Department ' jam 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 20 BUILDING Master Permit No. C,- 7-1 9 -/5-54 PERMIT APPLICATION Sub Permit No.wl_'115 —Li ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING E3'/MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ,c CONTRACTOR DRAWINGS JOB ADDRESS: - l vis- 33 City: Miami Shores County: Miami Dade zip: — /.3 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): 11/��/�`id L�� Phone#: Address: /a- / 54 A JE 9J_ Se City: State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: d [ /U�� dr r— Phone#: Address: L! 'Oval City State: a Zip: —3®-l Qualifier Name: l yi(.o'' Phone#: State Certification or Registration M. Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City State: Zip: Value of Work for this Permit:$ �� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition Description of Work-, (ti Specify color of c for thru tile: �- F Submittal Fee$ Permit Fee$ t 00 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) i 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 01 Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of (1'lz—C'�A ,20 L ,by day of �'L C4� 20 I by Z"'n X4 VK-03-0-is personally known to Nlc+�AO— h1AIVQC ,who is personally known to me or who has produced L l� as me or who has produced_ t as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: ��iiiiu�i�,, NOTARY PUBLIC: go '. Sign: Z. � � ��?� � ' - Sign: _ amend Aarlo�� - ,,,,,,►,��,,,,,,, Print: Print Seal: �''say dX3. Seal: osp0 a'•:°y Al all kkkkkh#kk8kkk+kkk7k7k7k7k7k7k7kk8kkkkk7k #+k+kNk +kkk &kkk7k7R7k+kklt7kkk+k7kktk+kik+kNtk7kkkk#kkkN7k7k�i�k•��y�j,,' 7k9t$&7�►ytWekkkk+k$+kk APPROVED BY V ans Examiner 'VV��/d V . Zoning unnnil Structural Review Clerk (Revised02/24/2014) MANCO AIR, Inc. No 197 N.W. 104TH AVENUE CORAL SPRINGS, FL 33071 305-409-7719 PICKUP Uc.#CACO 58505 DEL. SERVICE ORDER rM DATE :3 N MW e�L Make Addres s1,214 A/L 9o24-- AM Phone SIN Price 90 0 ®vs I SV. CHG. PICKUP & ESTIMATE LABOR CHARGE TOTAL TAX TOTAL This estimate includes only repairs mentioned above. There will be a storage charge for merchandise left over 30 days. Customer agrees that any expense incurred in the collection of this repair urge will be paid by the customer. REPAIRS AUTHORIZED BYE' i Q yt1�,R�S n NINE �, Miami shores Village ooN �n Building Department RSA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption s .. _. Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: t Q�) Owner State of Florida/ 5 County of Miami-Dade The foregoing was acknowledge before me thiS75_�'_day of M ACC-P'f ,20 1,57 �sij personally known to me or has produced u, uti ® \ N as ® Notary: SEAL: : loll