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)