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MC-16-158 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-251283 Permit Number. MC-1-16-158 Scheduled Inspection Date: March 02,2016 Permit Type: Mechanical-Commercial Inspector: Perez,JanPierre Inspection Type: Final Owner: OCAMPO, DAVID Work Classification: New Job Address:755 NE 91 ST Street 4-F Miami Shores,FL Phone Number (305)962-6888 Parcel Number 1132060440310 Project <NONE> Contractor. AFFORDABLE AIR&HEAT INC Phone: (305)940-0777 Building Department Comments INSTALLATION OF NEW CENTRAL AIR SYSTEM UNIT Infractio Passed comments 4F INSPECTOR COMMENTS False Inspector Comments Passed W1 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 14 of 40 Miami Shores Village ' 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 =a Phone: (305)795-2204 Y� 1 � i � ,� n• 1 2®'�6 �„ Ex iratlo .�07 25! P Project Address Parcel Number Applicant 755 NE 91 ST Street Number: 4-F 1132060440310 DAVID OCAMPO Miami Shores, FL Block: Lot: Owner lnfbnnatlon Address Phone Cell DAVID OCAMPO 755 NE 91 Street (305)962-6888 MIAMI SHORES FL 33138- 755 NE 91 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 6,700.00 AFFORDABLE AIR 8,HEAT INC (305)940-0777 Total Sq Feet: 00 Tons: Available Inspections: Additional Info:UNIT 4F Inspection Type: Classification:Commercial Ventilation Approved:In Review Final Comments: Date Approved::In Review Rough Date Denied: Type of Work:INSTALLATION OF NEW CENTRAL A Hood Scanning:4 Rough Duct Smoke Test Duct Detector Test Review Mechanical Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $4.20 InVOICO# MC-1-16-58396 DFee $3.52 DCACA Fee $3.52 01/22/2016 Check*3132 $50.00 $214.74 Education Surcharge $1.40 01/27/2016 Check#:3142 $214.74 $0.00 Permit Fee $234.50 Scanning Fee $12.00 Technology Fee $5.60 Total: $264.74 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 constru and zoning. Futhermore,I authorize the above-named contractor to do the work stated. January 27,2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy January 27,2016 1 Miami Shores Village ----- Building Department SAN 2 2 IL 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,( �4 BUILDING Master Permit No." -- PERMIT APPLICATION Sub Permit No. ❑BUILDING. ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING g MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION [:] SHOP -1% -A WL (� CONTRACTOR DRAWINGS I JOB ADDRESS: `I ST f_ City: Miami Shores County: Miami Dade Zi : J✓I Folio/Parcel#: 1 I' 32DU - 031 ® Is the Building Historically Designated:Yes NO Occupancy Type: _Load: Construction Type:+thI BUY Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): DM ID O' NOPy Phone#:"'6lo2 - Address:7% It-M City: �AI�I,I State: � Zip: /'✓�� Tenant/Lessee Name: Phone#: Email: Ay{ CONTRACTOR:Company Name: 7� 4W Phone#: ms qqo 0-M Address: 5 V NFi go City: '`�`�7\1Y 1� State: Zip: 3 J Qualifier Name: AA,,I V Phone#: State Certification or Registration M Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: ®®�� Value of Work for this Permit:$ lU� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration W'New ❑ Repair/Replace ❑ Demolition Description of Work: W917\ ✓A DA CF New OON aAL Alp- (946 Ll Specify color gf color thru tile: Submittal Fee$ 4�- CZ Permit Fee$ e (/ CCF$ 44. 9-0 CO/CC$ Scanning Fee$ Radon Fee$ 2i DBPR$ 3.52- Notary$ 0 Technology Fee$ `J r® Training/Education Fee$ I a (1 Double Fee$ 46 Structural Reviews$ Bond$ TOTAL FEE NOW DUE (Revised02/24/2014) <94 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. !n the absence o uch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Q&A L Signature OWNER or AGENT CONTWACrOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged beforie me this day of 20 by day of 20 I -h[U! H DPS ,who personally known to ZO If 5"9 F�Oq-Ily ,who r, nso ally k o w.n me or who has produced 1?*V as Por who has produced as identification and who did take an oath. entification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: �� , \ Sign:_ f) Print: Print: r11 Seal• """„' , ,a., DASSILLE N.DURAN V • J`iPav PVB. DASSILLE N.DURAN Seal: ,��,� *°c:'s Notary Public-State of rlorida :° `,- Notary Public-State of rlorida * ; = Commission FF 193762 W•_ Commission#FF 193762 ;sMy Comm.Expires Jan 28,2019 �� ' My Comm.Expires Jan 26,2019 ''FOF p`° Bonded tt wo National Notary Assn. APPROVED BY �(ans Examiner Zoning Structural Review Clerk (Revised02/24/2014) JAW —Where Quality Service is Affordable— 515 N.E. 190th Street • Miami, FL- 33179 CAC04814/� AeDade(305) 940-0777 • BrOWard (954) 987-9943 NAME: STREET s �* EQUIPMENT SCHEDULE TONS } r kti A Br ni Sf a N k j 4. JOB ON: FP Lez 1 1 zwPi {V3 1 DESCRIPTION OF SERVICES PERFORMED Title to the above merchandls&lwa6nq with Affordable Air and eat,Inc. AIR DISTRIBUTION• (seller)until paid for in full.In case of default in any terms of this contract,the Ductwork will be designed,fabricated and Installed In accordance with seller shall have the right to take Immediate possession of said merchandise and full amount of the purchase price then unpaid shall become Immediately accepted engineering practices and in compliance with all building codes In due and payable at the sells option without notice or demand.All monies paid force on above date• shall remain with the seller as liquidated damages,In the event the services of an DUCT WORK: / /t, attorney are required to enforce the interest of the seller,the purchaser shall be System of ber and/or ductwork-with 1y� required to pay all reasonable attorney's fees together with interest and all costs outlets and returns.Subject to nrodlRcatlon Stf1dlfal thereto.No warranty service shalt be performed on accounts with an outstanding according balance.Labor warranty excludes,existing ductwork,existing electrical systems, or other requirements and maintenance related repairs. LABOR WARRANTY In the event the purchaser refuses to allow seller to commence work after Service will be provided free by us for a period of A�B the contract las been executed,purchaser shall be responsible to the seller for 25% of the total price as liquidated and agreed damages. Seller shall not be year(s)from date of installation during regular working days&hours. responsible for any existing building or electrical code violations. MANUFACTURER WARRANTY All material Is guaranteed to be as specified.All work to be completed in a Parts Warranty(Yrs) A worlmianlike manner according to standard practices. Any alteration or Compressor Warranty / deviation from the contract specifications Involving extra costs will be executed (Yrs.) A � B upon written cee subject and will b HET NDED WARRANTY 7- to charges over Wove this estimate. V Provided through for year(s). Initial Here AFFORDABLE AIR&HEAT,INC.WILL PROVIDE: YES NO EXISTING YES NO EXISTING INSTALLATION OF EQUIPMENT � E] E] CONCRETE SLAB , / �► 1:1 ElREFRIGERATION LINES( )OR FLUSH( ) � ❑ ❑ THERMOSTAT /rY Dr ❑ ❑ GRILLES( )RETURNS( ) � T ❑ ❑ BALANCEAIR SITE DIMEl El PERMIT FE1:1 El&PLANS,IF REQUIRED El El OF JOB S DRAIN PIPING( )OR FLUSH( ) ❑ ❑ ELECTRICAL WRUNG(POWER CONTROL) �' ❑ ❑ AIR HANDLER SUPPORTS Off ❑ ❑ CONNECTTO EXISTING SERVORANELS 11 El PUMP �J El [:1 OTHER ❑ lie ❑ EMERGENCY FLOAT SWITCH 2r El ElOTHER HURRICANE TIE-DOWNS ❑ ❑ OTHER 11 COST TOTALCOST Aoil Y' d d= @Tit to be fltad®awi, ,+ dance upon start-up r e Aunt oriaW Die 1. propo�i :hf hj f'tltt the"option oilahe toner. nafE � { rr�a:� _as Option Chosert_____W_ D9ft_ �1`� 2•�!S