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MC-16-133 a Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-251114 Permit Number. MC-1-16-133 Scheduled Inspection Date: March 02,2016 Permit Type: Mechanical-Commercial Inspector: Perez,JanPierre Inspection Type: Final Owner: KING, LADYE Work Classification: New Job Address:9140 NE 8 Avenue 1H Miami Shores,FL Phone Number Parcel Number 1132060440250 Project: <NONE> Contractor. AFFORDABLE AIR$HEAT INC Phone: (305)940-0777 Building Department Comments INSTALLATION OF NEW CENTRAL AIR SYSTEM WITH Infractio Passed Comments DUCTWORK INSPECTOR COMMENTS False ;V Inspector Comments Passed 91 Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid March 01,2016 For Inspections please call: (305)762-4949 Page 12 of 40 Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 �� a, � •��, �E ,� 3� r ri,� Phone: (305)795-2204 &K Expiration: 07/2612016 Project Address Parcel Number Applicant 9140 NE 8 Avenue Number: 1 H 1132060440250 LADYE KING Miami Shores, FL Block: Lot: Owner Information Address Phone Cell LADYE KING 4880 CANDACRAIG ALPHARETTA GA 30022 Contractor(s) Phone Cell Phone Valuation: $ 5,825.00 AFFORDABLE AIR&HEAT INC _ (305)940-0777 Total Sq Feet: 00 Tons: Available Inspections: Additional Info: Inspection Type: Classification:Residential Ventilation Approved:In Review Final Comments: Date Approved::In Review Rough Date Denied: Type of Work: Hood Scanning:4 Rough Duct Smoke Test Duct Detector Test Review Electrical Review Mechanical Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.60 Invoice# MC-1-16.58366 DBPR Fee $2.62 01/15/2016 Check#:3127 $50.00 $151.68 DCA Fee $2.62 Education Surcharge $1.20 01/27/2016 Check#:3142 $151.68 $0.00 Permit Fee $174.84 Scanning Fee $12.00 Technology Fee $4.80 Total: $201.68 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. OWNERSAFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructi=041e"T) Fut ore,I authorize the above-named contractor to do the work stated. January 27,2016 A Ignature:owner / Applicant / Contractor / Agent Date Building Department Copy January 27,2016 1 I Miami Shores Village $r � 1� g AN 15 2 �� Building De artlment ops c� p 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(365)762-4949 FBC 20141 BUILDING Master Permit No. 16 — PERMIT 6 — PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION; ❑EXTENSION ❑RENEWAL ❑PLUMBING ® MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CO RA&OR DRAWINGS JOB ADDRESS: Q0 City: Miami Shores ,r 'J V Coun • Miami Dade Z11): Folio/Parcel#: `b!-tJll� WL - 07% is the Building Historically Designated:Yes NO Occupancy Type: 40 Load: Construction Type: �� n_Frood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Phone#:`1f)V 110410* Address: City: AntLf UM071k- i State: ! Zip: 22- Tenant/Lessee Name: Phone#: Email: , l CONTRACTOR:Company Name: ry (� l �- t` � 1 1 '�!� 1 Phone#: `/►4o o(j !Fn Address: �ii� [� AV 9 t �, r -� + City: �t i State: '1 V py_l Oki Zip: 3-3 111q l Qualifier Name: AI-J I I Phone#: QUO mill"A State Certification or Registration#:Ck CCrtifi to of Competency#: DESIGNER:Architect/Engineer:- iI Phone#: Address: C�ty: I State: Zip: Value of Work for this Permit:$ Square/Uneak Footage of Work: Type of Work: KI Addition Alteration ❑,ANew ❑Repair/Replace ❑ Demolition Description of Work: I A ITAL i t I Cy CE 14E v OLW P L A112- b9s� w Iffy WOW V� i Specify color of color thru tile: Submittal Fee$ Permit Fee$ Ir N CC 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) t � ' Bonding Company's Name(if applicable) i 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..... j 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 REC04D b NOTICE OF COMMENCEMENT IViAY RESULT IN YOUR PAYING TWICE FOR'IMPROVEMENTS O 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 ad,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 flrst inspection which occurs seven (7) days after the building permit Its Issued. the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT U CONTRACTOR The foregoing instrument was acknowledged before me this The foregoiing instrument was acknowledged befor me this day of 20 ,by day of 20 by 1- YJ Lg CA)6 .who is personally known to -?�AJ PA"H 4 l� ,who onally known me or who has produced IL, A"!L as me o a ho as produced as Identification and who did take an oath. idents cati in and who did take an oath. NOTARY PUBLIC: NOTARY PUIBLIC: Sign: Sign: `r i Print: SIL N.OURAN Print: '• Commission#FF 193762 P sale x3•wwob AW d b� Seal: - Seal: 9LEBldd#uoessewwo�' Aly Comm.Expires Jan 28 �o1310•le3S-o11Qod 6�eio ••,�� Bonded . s N ora NVi1110'N 311issva ####################### ################################################################################### APPROVED BY 'Welans Examiner Zoning Structural Review j Clerk (Revised02/24/2014)