MC-15-984 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-233316 Permit Number: MC-4-15-984
Scheduled Inspection Date: October 07,2015 Permit Type: Mechanical - Residential
Inspector: Perez,JlanPierre
Inspection Type: Final
Owner: , Work Classification: Addition/Alteration
Job Address:652 NE 105 Street
Miami Shores, FL Phone Number
Parcel Number 1122310120140
Project: <NONE>
Contractor: ALOHA AIR CONDITION INC Phone: (954)772-0079
Building Department Comments
INSTALL NEW MINI SPLIT UNITS DUCT WORK Infractio Passed Comments
EXHAUST FANS AS PER PLANS INSPECTOR COMMENTS False
-7115
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 06,2015 For Inspections please call: (305)762-4949 Page 5 of 60
IF
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Miami Shores Village f MNTpe Me (i C
10050 N.E.2nd Avenue NE Wta a bon A� ori#tiflt't
Miami Shores,FL 33138-0000 l
� oi�Ag Phone: (305)795-2204
R
�g at�7lSiIS�
Issue nate ration: 10/25/2015
Ex ip.
Project Address Parcel Number Applicant
652 NE 105 Street 1122310120140
KILUAN, INC
Miami Shores, FL Block: Lot:
Owner Information Address Phone Celt
E
KILUAN,INC 652 NE 105 Street
MIAMI SHORES FL 33138-
150 SE 2 Avenue
MIAMI FL 33131-
Contractor(s) Phone Cell Phone $ 28,000.00
Valuation:
ALOHA AIR CONDITION INC (954)772-0079
__._ ..,...w., Total Sq Feet: 00
Tons: Available Inspections:
Additional Info:INSTALL NEW MINI SPLIT UNITS DUCT W Inspection Type:
Classification:Residential Final
Approved:In Review Rough Duct
Comments: Date Approved::In Review Review Mechanical
Date Denied: Type of Work: Underground
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $16.80 Invoice# MC-4-15-55321
DBPR Fee $14.70 04/24/2015 Credit Card $50.00 $1,013.20
DCA Fee $14.70
Education Surcharge $5.60 04/28/2015 Credit Card $ 1,013.20 $0.00
Permit Fee $980.00
Scanning Fee $9.00
Technology Fee $22.40
Total: $1,063.20
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. Fu!Permore,I authori e-tFia above-named contractor to do the work stated.
April 28, 2015
Authorize nature:Owner / Applicant / Contractor / Agent Date
Build' Department Copy
April 28,2015 1
Miami Shores Village C
Building a artment APR 24 2015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY:
Tel:(305)795-2204 Fax:(305)7S6-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2 l0
BUILDING master Permit No. RC-`/— /S— J'33
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING FX-� MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 652 N. E. 105 St.
City Miami Shores County: Miami Dade Zia: 33138
Folio/Parcel#: 11-2231-012-0140 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Kiluan, Inc. Phone#:
Address: 652 N.E. 105 St.
City: Miami Shores State: Florida Zip: 33138
Tenant/Lessee Name: N/A Phone#:
Email:
CONTRACTOR:Company Name: Aloha Air Conditioning Phone#:5954)772-0079
Address: 4474 Weston Rd. # 170
City: Davie State: Florida zip: 33331
Qualifier Name: James Barry Phone#: (954)772-0079
State Certification or Registration#: CAC 025379 Certificate of Competency#:
DESIGNER:Architect/Engineer: A& I Associates Phone#:(305)310-5030
Address: 370 N.E. 101 St. city:Miami Shores state:Fl. Zip: 33138
Value of Work for this Permit:$ �_� 6�'O Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑X Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Install new mini-split units ductwork exhaust fans and ducts asear plans
Specify color of color three tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee S Training/Education Fee$ Double Fee$
Structural Reviews$ Band$ `t n'
TOTAL FEE NOW DUE$ 01
(Rev1sed02/24/2014)
Bonding Company's Name(if applicable) N/A
Bonding Company's Address
City State ZIP
Mortgage Lender's Name(if applicable) N/A
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.
Marco B zzi Director Kiluan, Inc) James Barry(Oualifier)
Signature Signature
owN44 or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day ofpyl) 20 IS by _�_day of6'pY► ZO �S by
HC 1<C p 2)rUZz► who is personally known to C_ 3V�*y who i rsanall known
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:
T
Print: l)(ACA Q Print:
TERRI L FLAHERTY
Seal: ,p: �, LUCIA G ISASI Seal: :—
;•I MY COMMISSION#FF182828 ¢" f• MY COMMISSION#FF078781
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APPROVED BY -7/(J3
L Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/20141