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MC-15-1573 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FIL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-237597 Permit Number: MC-6-15-1573 Scheduled Inspection Date: November 18,2015 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: VERA, EDUARDO Work Classification: Pool Heater Job Address:950 NE 95 Street Miami Shores,FL 33138- Phone Number Parcel Number 1132050070120 Project: <NONE> Contractor: HAVANA AIR CONDITIONING, INC Phone: (305)558-9136 Building Department Comments POOL HEATER Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 17,2015 For Inspections please call: (305)762-4949 Page 3 of 33 -1573, Miami Shores Village f t 10050 N.E.2nd Avenue NE rk esSryt Bflt �:tool F tLr Miami Shores,FL 33138-0000 Phone: (305)795-2204 ' / X04+ Expiration: 02/20/201 Project Address Parcel Number Applicant 950 NE 95 Street 1132050070120 Miami Shores, FL 33138- Block: Lot: EDUARDO VERA Owner Information Address Phone Cell EDUARDO VERA 950 NE 95 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 500.00 HAVANA AIR CONDITIONING,INC (305)558-9136 Total Sq Feet: 0 Tons: Available Inspections: Additional Info:POOL HEATER Inspection Type: Classification:Residential Final Approved:In Review Review Mechanical Comments: Date Approved::In Review Date Denied: Type of Work: Scanning:2 Fees Due Amo]$2.00 Pay Date Pay Type Amt Paid Amt Due CCF DBPR FeeInvoice# MC-6-15-56104 08/19/2015 Credit Card $ 111.60 $0.00 DCA Fee Education Surcharge Permit Fee $Scanning Fee Technology Fee Total: $11 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 i ccurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named o tractor the work stated. 1, Ck Affiugust 24, 2015 Authorized Signature:Owner / Applicant / Contr ctor / Agent Date Building Department Copy August 24,2015 1 Miami Shores Village � = Building Department JUN 2 � 015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tei:(305)795-2204 Fax:(305)756-8972 �'- INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2010 BUILDING master Permit No.5p 15—IS I PERMIT APPLICATION Sub Permit No. MGIS -- IS-73 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING g MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP qCONTRACTOR DRAWINGS JOB ADDRESS: 15 0 JF— c,- ,5,i City: Miami Shores County: Miami Dade zip: i Folio/Parcel#: 1 1- ''s- P,r.):l-n i ar-) Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): EdUC-CAea 4&'rdM6 Phone#: Address: �c Me- Cis St City: vl d State: FL Zip: 3I'M Tenant/Lessee Name: I Qt Phone#: Email: CONTRACTOR:Company Name: �i6� A" ��'�O�D�f/®/-/meq JNL- Phoned�ko) Address: .3 sT City: !1l,A��'�` State: Zip: .3 f Qualifier Name:pSif/f Phone# g� State Certification or Registration M 3f Certificate of Competency M DESIGNER:Architect/Engineer: 0®a:2 C?e (PL13H 1 Phone#:_ "1 BLn�q IS--I I Address: '%r-1 City: M j State:Fi—Zip: 2)31 Eq Value of Work for this Permit:$ 41 Square/Linear Footage of Work: Type of Work: ❑ AdditionEl Alteration ElNew ElRepair/Replace ❑ Demolition I Description of Work: n`-i a( VWr'+C" Specify color of color thru tile: Submittal Fee$ ' = Permit Fee$ t !?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) Q9 Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address_ PJ 7_ 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 o 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 Signature N rAGENT CONTRACTOR The foregoing instrume11nt was acknowledged before me this The foregoing instrument was acknowledged before me this `J day of i by �qc day of J V n� ? by li�a.YC'n �e r� who(personally kno n to _ os V��A o ' r �I. o sonally know me or who has produced as me or who has produced j identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign Sign: ��L-tc , 1 Print: Print: �—u,?w��t'tT_ � Seal: "°x� ®�� .COMMISSION 90E8 s,��r,Vpp�•., < a^EXPIRES: MAY 19,2017 Seal: a�� M1comMMION#FF019058 �a,•Zt mm Www AARONNo7ARYs EXPIRES: PRAY 19,2017 •tenueasa �4 i.WONNOTARUm APPROVED BY ns Examiner izoning Structural Review Clerk (Rev1sed02/24/2014)