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MC-14-2165 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-220822 1<, Permit Number: MC-10-14-2165 Scheduled Inspection Date:August 05,2015 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: IOANNA KONIDARI,WILLIAM F HULME Work Classification: Addition/Alteration III Job Address: 196 NE 105 Street Miami Shores, FL 33138- Phone Number Parcel Number 1121360130630 Project: <NONE> Contractor: COMMUNITY AIR CONDITIONING INC Phone: 305-207-7445 Building Department Comments NEW DUCTWORK AND NEW AC Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed ' L� Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 04,2015 For Inspections please call: (305)762-4949 Page 1 of 29 7 ,��''ll VE' D g a cE' Miami Shores Villa e Building Department �T Q, 2414 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 l to PERMIT APPLICATION Sub Permit No. G]`i—?_� (5 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING 0 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 196 NE 105 Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2136-013-0630 Is the Building Historically Designated:Yes NO X Occupancy Type: SFR Load: Construction Type: CBS Flood Zone: X BFE: FFE: OWNER:Name(Fee Simple Titleholder):William F. Hulme II I & loanna Konidari Phone#:305-510-7342 Address: 196 NE 105 Street City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Not Applicable Phone#: Email: CONTRACTOR:Company Name: Community Air Conditioning Inc Phone#: 305-345-8581 Address. 21671 SW 127 Court City: Miami State: FL Zip: 33170 Qualifier Name: Ricardo Rojas Phone#:7�6 �0 Lwe State Certification or Registration#: CAC051466 Certificate of Competency#: DESIGNER:Architect/Engineer: Alejandro Santamaria Phone#: 305-785-8296 Address. 10251 SW 72 Street, Suite 104 City. Miami State: FL—Zip: 33173 Value of Work for this Permit:$7,500.00 Square/Linear Footage of Work: Type of Work: ❑ Addition X Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: New Ductwork, New A/C Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ '4 , CO/CC$ Scanning Fee$ 'I ��'(�_Radon Fee$ UDBPR$ --3 °oi 4 Notary$ Technology Fee$ 6, �0 Training/Education Fee$ �tg Double Fee$ Structural Reviews$ Bond$ 0 n TOTAL FEE NOW DUE$ d- (Revised02/24/2014) 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 Signature OWNER or AGENT N The foregoing instrument was acknowledged before me this TheJfo7going instrument was acknowledged before me this day''Iof ®�r1 ,20 l .by / sT day ofu,C','���i�ll Len�ally by I9v✓� bfuL- ,who i ersonally know oLG =t�J ,who is kno 0 me or who has produced as me or who has produced g z;Ap--/-4 is identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: 'U C Seal: NELSON NOPUBLiCI&' Seal: NO ELSON MEDIN&JR. STATE OF FLORIDA STATE OF FLORIDA • CMNWFF103142 Con W FF103142 APPROVED BY PlIns aminer Zoning Structural Review Clerk (Revised02/24/2014) CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ESM AS A MATTER OF WFORORMATION ONLY AMD CONFERS NO RIOKM UPON THE CERT11FICATE HOLUM THIS CORTICATE DOER NOT AFFIRMATIVIMY OR NBOATPMLY AMEND.EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TIM CERTHFICATS OF INSURANCE DOW NOT CONST1TM A CONTRACT BETININ I THE ISSUING FROW Bg8h AUTHOROM REPRESENTATIV(s OR PRODUCER AND THE CERTIRCATE HOLDER. uPwrAmr.wan .h P B ad AtmIT10NAL A�ISUp><D,mts t �vt�a)une+l ba•rtQoised.a 811 ATIDt+1 ig WAMP�s�)act m the tanner no common of at poaw'son da p4doa Mvi teQules as andaftsmeft Asb tn"oa tau oadfloda doaa not conrornnna to n a coal left holder m flea m'mM o ' PIIOWtC�I JORGEAOOSTA Proeotn(fie Undnnweftete WE-0757- 74a-q4®8 4908 6W Toth CL MIlo1►I.Fl.33156 PhM C-1"74044W FW (3M740-"89 ttas p t R • WESTEMWORLDI SURANCEMBRANY COMMUNITYAIRCONDMONINGJW m_uRmtB: TF.*MLOGYINSURANCE COMPANY 85 GRAND CANAL DRIVE SUITE tt 109 o6tm e. NATIONAL GENERAL IMURANCE n MMM FL 33144 acv: arstname e COVERAGIM CERTIRGA'TE NUBMEM 1 1ySK?N NIMBER: THM IS TO CI$17"THATTHE POUCM OF IMNANCE U5;rW BELOW HAVE BWN IMM TO TFC INWRVEO MWED ASOVB FORM POLICY PWWM 94MATELL M07MMANDING ANYXIMMEMEMr.TERM OR COKMMN OF ANT CONTRACT OR OTHER DOCtpY Wr WITH KeWWr TO VVIMH THIS CWr9gCAM VAY BE 16 =OR MAY FERIA V,THE INMMANCE ArFORDFD SY THE POLtCM DMORMED HSN I4 SMEOTTO ALL THETMAr% D(CWSIONSAND GONOMONS OF SUCH POLICIES.UMrF8 SHOWN MAY HAVE BEEN REDUCED BY PAID CL4ileSpAwl . 7vPEORtNSUlIMtlX PODGY Loam GEN&ULUARWY EACHaccuRRs 04000G ® oar.�w wit rMai— s MX00D Cj °E la O=Xt NPP8149%0 Nit a» $ +.400 A �] BIA'DS�QDED. Y 0314 MIOd1Z01$ PEI ONM&AMINJURY s 000 Q Laarca►� s 2, too 011i'1 fA&gE ATELaWtAPPLESPER OOtu:ts-casertorwsG a 2.0�,G00 APajora M o AVIGM00 ELUMUTY CON6trE0BtNCiI.ELow s Q ANYAUM (Eases 1,000,000 © ALLONMOAMBBOdILYtNJURY(farpmeen) i C ® 81.MiIDUEEDAtnQa y Z00111T82S 111�1Z013 11N8I2014 BOD°rnWamvp*sr o MMAUMa �PRo 9a�te+uulE s va"WNWAUM s ® SYAA.5/PIP P.LP s 10,000 0 IlUdRKLAUM ❑t7GtUR EACH O s ❑ EKCEMUM CLAWWAM AS�ORFAA[E i Q o s RE®rtnsl s o WfulmoompxNeAMOM Tu on l Yr B MP 9 TO3428M s 1Y MIA 08ff2t4 912016 ,OR -00 Ems"`M'- EAE1�Lov6 a f 000.O0b MAW F-i.,�saR_POLImYGANIr i 9�.OGO.OII DBSCI�PiIOtlC1'Cq►�A71o1ffiItACA'110HS/�tit�.W{AC�AICORQ1fM.l�dcu4ens[ta.mk�0ol�+t�48imnapea�noahad} MrAUATION&REPAIR AIR 0ONDMONfl G I F-ATWC (NO LPG) CERTIFICATE HOLM CANCM ATION SHOULD ANY OF THE ASM DEBMWED POLICIES BECANCELLED BEFORE CITY()F NMI MI SHORE5 RCCOMPXMVATH THE POLMY� VALL P E N9. � IN -- f0009D NEME AVE MIAMI SHORES eft 33128 A � JCME ACOSTA 019MD09 ACORD OORPORATipN. All ACORD 25(211115"O!: Tins AGORD name and Iwo mo rsalsterod®arhe of A RICK SCOTT:GOVERNOR KEN kAWSON,SECRETARY i STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD .s; CACD514M The CLASS A AIR CONDITIONING CONTRACTOR � e.. Named below IS CERTIFIED i Under the provisions of Chapter 489 FS. 4.. Expiration date: AUG 31,2016 «�. R04AS; RICARD9 I. -COMMUNITY A{R:CQNa46 Q INC.' ;,y:; ;��' J WMI 21671..SW 127.THtdt1#3 ''' '' f"""• `` ,.r' wm.y�,� ,s�`.`s.^o- '.y:9s�12iy +}.� :TW"..•\'~.- ��'w \; �ti���`.�. •�` a,N� • • �...-. > r�• . .. .. ............v.19CU}lw.w\Sh'•�'...n�tl.:. ...�. ..._:.�1..! ..��.... � �. ....7C��. - ...�.`,. - -•'S.•l_t ..... .- l ISSUED: 06/16/2014 DISPLAY AS REQUIRED BY LAW S'EQ# L1406160000740 006281 Local Bus!ness Tax' Receipt Miami--;-Dade County, 'State of Florida THIS IS NOTA BILL DO NOT pAy 2852557 BUMNE136 NAMt M*CATtCft RECBIPs NO. (( [B -1/ EXPIRES COMMUNHY AIR CONDmoNING INC RENEWAL SEPTEMBERS 20�5 21671 SW 127 CT 2SU175 MIAMI FL 33170 Must ba displayed at place of busmen Pursuent to County Code Chapter SA–Art,9&10 OWNER 81M TYPE OF 8LMlNE88 COMMUNITY AIR CONDITIONING INC 196 SPEC MECHANICAL CONTRACTOR PAYMENT RECBlitED CAC051466 By TAX COLLECTOR Workers) 2 $75.00 07/18/2014 CHECK21-14-025298 This Local Busip43s Tax Beeaiptonly 044mns paymentnt the Local 8us;ness Tax.The Receipt is apt a Ilcease, para t,oracardflaationoltheholdersgoalificanGULtodoboaiitm Moldermuatctolty{yyyt7haoygav��l ornnngovoweinal►�I#atory km am itgnircumte which apply to the baonam The BECEIPT I+N&above mast be displayed on all commercial vebiolos-ran -0ade Code Ssc tf—. For mate lAU`Veetioa,visit