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MC-15-436 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-245716 Permit Number: MC-2-15-436 Inspection Date: February 10, 2016 Permit Type: Mechanical - Commercial Inspector: Perez,JanPierre Inspection Type: Final Owner: VILLAGE, MIAMI SHORES Work Classification: A/C Replacement Job Address: 10021 NE 2 Avenue Miami Shores, FL Phone Number Parcel Number 1132060134650 Project: <NONE> Contractor: CSCR AIR CONDITIONING CO Phone: 305-685-6394 Building Department Comments Replacement of 15 ton split system. main system Infractio Passed CommentsINSPECTOR COMMENTS False � - 1 Inspector Comments Passed �o�� Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 February 10,2016 Page 1 of 1 Miami Shores Villagec�i� , Building Department FEB 2015 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY: INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201d��,// BUILDING Master Permit No. I._—Uo PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING [./MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10 0 1). , N e a IN V e City: Miami Shores County: Miami Dade Zip: Q 9 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupanc T Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Si le Titleholdz -I& 1""I' LCt�� IL21,6, Phone#: 0,y Address: 10 o a II 'a"o v e City:M l q vh I S kore r State: F I . Zip:j -J �1 Tenant/Lessee Name: Phone#: Email: (� �7Q CONTRACTOR:Company Name: + 1� A r ®�� Co . Phone#: �O16 &16'ol /9 Addresss::/�6 0 -7�2 I O W I C-7-IT C ' `-4 City: ! ' I State: I' f Zip: '�3j ®1 Qualifier Name: ®IOPr 1} eq J Phone#: State Certification or Registration#: C A C ® '1 (0 Ll 14 Certificate of Competency M L ) ® 0 2 DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: C� y� o Value of Work for this Permit:$ ]6 Iti D • Square/Linear Foo ge of Work: Type of Work: ❑ Addition ❑ Alteration El New a Repair/Replace ❑ Demolition Description of Work: Specify,color of color thru tile: Submittal Fee$ Permit Fee$ :2 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) 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 X 0,Q JLt'i1 IX C.i.�, Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this al day of FC b C4 Qf1!1 20 8.�� by ((��� day of �ebW Q�W ,20 S by X IMIL LLQ n N O 's p who erso�knowno R®�o e Q-t T C k e u J Z ,who i ersonally known o 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: giAm�r_ Print: berfi �ren� J Print: I A net Kra»z ROBERT J.CHRYST Seal: Seal: �.� ;« Commission#FF 088047 ti JANET KRANZ Expires May 24.2018h Commission#FF 197298 BwWWNuTmyFelnlnWsrpe8oNOM18 Ale. Expires May 9,2019 Bonded Thtu Tmy Fan 4wrm ee 880.88.STOi9 k*ile�k�k APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) H I yNo RFs G Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 R1Dp` Fax:(305)756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change-out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address(where the work is being done): 10 ® `a` N t g e City: Miami Shores Village County: Miami Dade Zip Code: J 3 ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means:YES❑ NO❑ ARHI Sheet Attached:YES ❑ NO ❑ Contract Attached:YES ❑ UNIT BEING REPLACED DATA NEW UNIT r "C, MANUFACTURER Trq h-e— 1: S u& s L • Is (o - A AHU or PKG. UNIT MODEL# 1 :Z TWE 180E7300A A 0 C ° 0 -7S2 • A COND. UNIT MODEL# :2= \iv A ® 100 D2005 Is- KW HEAT ) Is NOM TONS (� AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHUSO CU 44PKG AHU CU PKG 3)VOLTS 240 a N AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity(Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 4� (� 3. Voltage of Circuit(208/240/480): a`( ®u® i+ 4. Size Disconnecting Means: G Contractor's Company Name: c t R A' r LO CI� co. Phone: ®S 6 O S 6 State Certifica g tra ' No C-A C a'2 6 LIl LA Certificate of Competency No. 80 9.3 Signature Date: Qualifle signature) (Revised02/24/2014)