MC-13-2749 Inspection Worksheet
Miami Shores Village r
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 --
Inspection Number: INSP-219807 Permit Number: MC-12-13-2749
Scheduled Inspection Date: September 17,2014 Permit Type: Mechanical - Residential
Inspector: Perez,JanPierre
Inspection Type: Final
Owner: HALPERN, MARK Work Classification: A/C Replacement
Job Address:9377 NE 9 Place
Miami Shores, FL 33138- Phone Number (305)610-6688
Parcel Number 1132050070100
Project: <NONE>
Contractor: CHALEX COOL AIR OF MIAMI CORP Phone: (305)225-0353
Building Department Comments
NEW CONSTRUCTION 3.5 TONS Infractio Passed CommentsINSPECTOR COMMENTS
False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-215880. CREATED AS
10 REINSPECTION FOR INSP-215159. CREATED AS REINSPECTION FOR
INSP-204120. missing kitchen hood
Failed ❑ HOOD NOT INSTALLED AS PER SPEC
OPEN UP CEILING TO SEE DUCT
MISIING ATTIC OPENING
Correction NO ONE ON SITE
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 16,2014 For Inspections please call: (305)762-4949 Page 44 of 45
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01/27/2014 12:30 FAX 3054802808 Chalex Cool Air of Miami IM 004/005
STATE CF` FLORIDA
DEPARTIVIENT OF BUSINESS AND•PROFESSIONAL REGULATION
a
CONSTRWT'I614 II I T'RY L1b N ING BOARD (850)487-1395
1940 NORTH MONROE STREET.._
TALLAHASSEE FL 32399-0783
REYES,ALEXANDER E
CHALEX COOLAIR OF MIAMI CORP
6801 NW 77TR AVE#101
MIAMI FL 33166
Congrgthladbiisl Vitlis Iii ilse'yciu ti�coiif+a otic of tFt�neai'iy
one million Floridians licensed by the Department of Business and "� -...�-:
Professional Regulation. Our professionals and businesses range
from architects td yacht brokers,from boxers to barbeque restaurants,
and they keep Florida's economy strong.
~'
Every day we work to improve the way we do business in order to .d •.�-°.:..•- •„"a"';-.serve you you better. For Information about our services,please log onto `a r” ,• "" "�
www.myflorldaticense.com. There you can find more information
about our divisions and theulations that impact yousubscribe "-• """ ^ `""� :
reg , •�
to department newsletters and team more about the Department's
Initiatives.
Our mission at the Department is:License Efficiently, Regulate Fairly. a y , .„„ '”
V11e:constanfiy's �cx.:�rtca u.betterso-thot.you can serve your
Gusto=. Thank you foi*�busiriesa in Florida, "; ys •.' w„ -.
and congratulations on your newi'rcefisei
The Department of State Is leading the commemoration of Florida's 500th anniversary in 2013. 1
For more information, please go to www.VfvaFlorida.org.
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RICK SCOTT 'ISSUED: 08/29/2013 SEQ# L1308290001`753 KEPI LAWSON
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01/27/2014 12:31 FAX 3054802808 Chalex Cool Air of Miami 9005/005
JAN/24/2014/FRI 04:08 PBS FAX No. P. 001/001
CERTIFICATE F IC INSURANCE DATE(IN1Imilir YY)
E ,HTE OF LIABILITY NSURA 01/24/14
THIS CERTIFICATE IS ISSUED.AS A MATTER OF INFORMATION ONLY AND CONFERS NO[LIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, VO CORTIFICATE OF INSURANCE DOES NOT CONSTrl`UTE A CONTRACT BETWEEN THIS ISSUING INSLOW-KS),AUTHORIZED
REPRESE"TATIVE OR PRODUCER,AND THE CERTIFICATE 1401-ODIC
IMPORTANT.Ifthoe—ris an ADDITIONAL INSURED,tho paicy(Ws)must a ea need. If SUBROGA71ON IS WAIVED,sUbjectto
the tem v Diad condwom of the policy,Certain policies may require an endorsement Astatenont on this cortitkatB does not confer rights to the
aedifiuste holder In Usu of ouch endomment(s).
Y4*CwcBR
Jordan Insurance Agency Inc.II (3o5)271-2121 277-2110
7750 SW 117 AVE,Suite 204 ca rdanfns.net
Miran,PL 339a3 INSLIOM AFFORDINQ cove Ga wAIC e
Phone 271-2121 Fax (305)211-2110 INSUME;A; MOUNT VERNON FIRE INS CO.
WoUREo gjWjREg . ASSOCIATRDI NOUSTRIES INS CO.
Chalex CW Air d Miami,Corp ANNUM 0
6801 NW 77 Ava#10
MIAMI,FL 33188- (305)725-WN INSURER
COVERAGES CERTIFICATE NUMBER: u REVISION NUMBER:
THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCE LW95 BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OFANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUPrJECT TO ALL THE TERNS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMB'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAW.
TV Tree OF mi9uwWc$ ADIX SUES I
FMJOYWITS
AENEJiAL L1AeIttTY
BACH 0000MLM ar 1,()00.000.00
® COMMISRCIAL GENERAL a.rastJTY ° 0 100.00
A ❑ ❑ CLAMS40De ® OCCUR N CL26063128 mw EXP one v 5.000.00
gpD pID 09/19/2014 09/98/2015 PERSONAL&ADV INJURY S 1 OOO,ODO.OU
❑ GiENERALAGOREOA'M S 1,000,000.D0
GEwL AGf.ReQAv9 umITAPPLme P6R: PRODUCTS-comp/op AGO 1,000,000.00
❑ POLCY ❑ P ❑ LOC a
AUTOMOBILE LIAMLrrY I
e
❑ ANYAVTp Ater_ BODILYINJURY(PerPis)
B ❑ ALLsQWNiiD ❑ NON OWNED BODILY INAIRY(PgrW040ont S
❑ HHIVR�EvDSAUTOB ❑ Aumg „ AMAW e
s
IMBREIAA Ll48 ❑ocmm EACH OCCURRENCE s
XCESSLIAB CLAWS-MADE AGGREOAIE S
ED
WORK5RS COMPENSATION ❑
AND EMPLOYBRS'UABUITY Y/N
N� DCOLUpEO? rtw� NIA AWC1010910 rn L.GACN ACCIDENT a 1000,000.00
01/14/2094 01/94/2095
Iftsudday E.L.D6FAAS6-EA EMPLOYE i 1000 000.00
Irpsm
Dfun= VM loin Et..DSEASE-P01=Y-LIMFT1 f
WSCRIPTiON OF OPERATION8I LOCATIONS I VEHOLE8(Awft ACORD 109,Add WwW Panwlts Rhea%lir mm speoa 10 roqu9adl
A/G REPAIRS&INsTALLAT10N
MECHANICAL CONTRACTOR
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF TME.ASOVE DESCRIBED POLICIES BE CANCELLED WFORE
MIAMI SHORES VILLAGE HALL THE EXPIRA DATE TWREOP,NOTICEVALL BE DELIWRED IN
10050 NE 2 AVl; AC THE POLICY PROVISIONS.
MIAMI SHORES.FL 33138 AUTn D wnvE
®198&2010 ACORD CORPORATION. AO 69WO rami rved.
ACO(ZD 25(2W01"QF1 The ACORD name and logo are registered merits of ACORD
12/05/2013 17:55 FAX 3054802808 Chalex Cool Air of Ni=i aOO1/002
Miami Shores Village
y _
• Building Department
p e
q
10050 N.E.2nd Avenue,Miami-Shores,Florida 33138 �^ir.<• ® b�b `
Tel:(305)79.5.2204 Fax:(305)756.8972 a
INSPECTION'S PHONE NUMBER:(305)762.4949 _m
FBC 20 h
BUILDING Permit No. M C X J �n tqq
PERMIT APPLICATION Master Permit No. ,e2) �S
Permit Type: MECHANICAL i
JOB ADDRESS:- 9311 v 94 n. aa,
0 1 Cj
City: Miami Shores County: Miami Dade Zip: 3 3,13.8 _
Folio/Parcel#:I d I3-17S � C21 /D n
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address:
City: State: Zip:
TenanuLessee Name: Phone#:
Email:
o
A
CONTRACTOR:Company Name: Phone#: 3•s
Adan : o f �J W -I.1 A - 1 o
City: State:, Zip: to
Qualifier Name: Phone#: —7 (¢
State Certification or Registration#:-ORmail Cert' cafe of Comp cy#: Y
Contact Phone#: EAddress: •
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ r®� ®®��' SquareiUsear Footage of Work:
Type of Work: OAddress DA teration ew ❑Repav/R lace (]Demolition
Description at Work: '�
Submittal Fee S Permit Fee$ �" "— `� CCF$ MCC S
�
Scanning Fee$ Radon Fee$_ DBPR$ Bond S
Notary$ TraininglEducation Fee S Technology Fee$
Double Fee S Structural Review$
TOTAL FEE NOW DUE S
12/05/2013 17:55 FAX 3054802808 Chalex Cool Air of Miami la 002/002
Bondlag 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 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$2500, the applicant must promise in
good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is
subject to attachent. Also,a certified copy of the recorded notice of commencement mast be posted at the job site for the first inspection which
occurs seven (T) s er the building permit is issued. in the absence of-such posted notice, the inspection will not be approved and a
reinspection fe be c ged.
Si Signature allln�?/,Olt
Owner or Agent Contractor
The fo ung' ent was ac wledged before me this The for ing instrument was ackno 1 ged before e thiI' ] Q i s
day of ,by day of - 20�,by -e
who is personally known to me of who has produced_ ( who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an
oath.
NOTARY PUBLIC: �����' i i u 's ,� NOTARY PUBLI
Sign: /�ca_- Sign:
Print: m �'3. <= prW: _
My Commission Expires: ® `� '�'�\ My Commission E ZJ
o
tib ��19M2b
APPROVED BY - l Examiner Zoning
Structural Review Clerk
Revised 3/12f2012XRe4ised 07/107)(Revised 06/10/2009)(Revised 3/1509)
12/05/2013 17:23 FAX 3054802808 Chalex Cool Air of Miami RD004/005
STATE OF FLORIDA
DEFA T VIEW OF BUSMESS AND PROFESSIONAL REGULATION
C�AI�$ Jk. It I lI U9 Y i�l �NSIN•G-SOARD (850)487-1395
a 1940 NORTH MONROE STREET. .
TALLAHASSEE FL 32399-0783
REYES,ALEXANDER E
CHALEX COOL AIR OF MIAMI CORP
6801 NW 77TH AVE#101
MIAMI FL 33166
Congr�tlatititis!'fiVs Mise yoc�bscorrte cnb of tfitb naariy
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from archlbEgds td-yacht brokers,from boxers to barbeque restaurants, F>
and they keep Florida's economy strong.
-..� ..
Every day we work to Improve the way we do business in order to ._. � •� r; ; "'" ..
serve you better. For information about our services, please log onto fiiR-
www.,myfloridallcerrsa.com. There you can find more Information
about our divisions and the regulations that impact you,subscribe
to department newsletters and learn more about the Department's r
initiatives. A ��
h Department is:License Efflcisrtti Regulate Fairly.
Our mission at the � e9 ......�
DeParEm Y
We don stHve :Wm fou better se-AhOt you can serve your
c u tomersThank you far -,- ,tausiness in Florida,
and congratulations on your nIse!
The Department of State is leading the commemoration of Florida's 500th anniversary in 2013.
For more information, please go to www.ViivaFlodda.org.
iRRM501 i
DETACH HERE
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RICK SCOTT .9 ISSUED: 08/29/2013 SEQ# L1308290001753 KEN LAWSON
f3A\/CDAIAD rut nj AW AC%ntr^4 nacn av I AM RFCRFTARY