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MC-16-908 r < Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FIL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-256257 Permit Number: MC-4-16-908 Scheduled Inspection Date:April 20,2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: BARRY,BETTY Work Classification: Addition/Alteration Job Address:716 NE 92 Street 1-M Miami Shores, FL Phone Number Parcel Number 1132060440510 Project: <NONE> Contractor. AFFORDABLE AIR&HEAT INC Phone: (305)940-0777 Building Department Comments INSTALLATION OF NEW DRYER VENT Infractio Passed Comments INSPECTOR COMMENTS False qq Inspector Comments Passed 10M Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid April 19,2016 For Inspections please call: (305)762-4949 Page 26 of 46 m e Miami Shores Village _ , y 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 ` Phone: (305)795-2204 Ex iration: 1 2016\ Project Address Parcel Number Applicant 716 NE 92 Street Number: 1-M 1132060440510 Miami Shores, FL Block: Lot: BETTY BARRY Owner Information Address Phone Cell BETTY BARRY 716 NE 92 ST UNIT 1M MIAMI FL 33138-2958 Contractor(s) Phone Cell Phone Valuation: $ 600.00 AFFORDABLE AIR&HEAT INC (305)940-0777 _. _..._.,.. „ . Total Sq Feet: 0 Tons: Available Inspections: Additional Info:INSTALLATION OF NEW DRYER VENT 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 $0.60 Invoice# MC-4-16-59283 DBPR Fee $2.25 04/05/2016 Credit Card $50.00 $115.10 DCA Fee $2.25 Education Surcharge $0.20 04/08/2016 Check#:3251 $115.10 $0.00 Permit Fee $150.00 Scanning Fee $8.00 Technology Fee $0.80 Total:,,, $165.10 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required Mt,JE-LECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERSAfFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructipn!and z4ning. Futhermore,I authorize the above-named contractor to do the work stated. April 08,2016 Authoriz ignature:Owner / Applicant / Contractor / Agent Date Built -g Department Copy April 0 2016 1 Miami Shores Village 7BY: R. Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 54A FBC 20!q BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. F-1131.111-DING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP 1. CONTRACTOR DRAWINGS JOB ADDRESS: I e q Q 114 City: Miami Shores County: Miami Dade Zi : 13 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name,(Fee Simple Titleholder): �'�" A Phone# Address: NE Z- 'Z'-2` r P . City: 1 ; e fG$ State: Zip: 3313-3 Tenant/Lessee Name: Ph ne#. Email: CONTRACTOR:Company Name:& �- #A.1' one#:S�� � d77 7 Address 76 City: 0 State: Zip: Qualifier Name: J0.4,j f cc-c nm) Phone#: State Certification or Registration#: Certificate of Competency#: C U/� Co DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ s �7 Square/Linear Footage of Work: Type of Work: ❑ Addition -2t Alteration ( ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: /���� ���� F' ��L�IA� eye Y Specify color of color thru tile: 'Ale Submittal Fee$ civ-�.J`-a Hermit Fee$ CCF$fa o,;r �f.• -CG/..CCS Scanning Fee$ 1 W :9 Radon Fee$ w DBPR$ Notary$ , Technology Fee$ Training/Education Fee$ ~ coP-Q Double Fee$ af Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 96 C — (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. 1 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'wo'rk will be done in compliance with all applicable laws regulating construction and zoning. A "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. he absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrumentwasacknowledged before me this The foregoing instrument was ac cnowleoged before me this 7 _ day of I�/OILe- 1/ ,20 l( ,by _day of CLDVa 20 by Btrry /fRnY who is personally known to who is personally known to 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 n Print: O Print: Seal Se �oti` 'r oie,, DASSILLE N.DURAN . Rl " Seal: �° `�•, Notary Public-State of FloridaOscar M Zaragoza #r F • Commission F 193162 My C;omff&*m�j s ., �:` My Comm.Expires Jan 28,2019 E9392697 1 APPROVED BY nN A VOansExaminer Zoning Structural Review Clerk (Revised02/24/2014) OP ID:AP AC0 �7• DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 04/04/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(tes)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorseme s. PRODUCER CONTACT NAME: Rlemer Insurance Group PHONE F Hallandale BranchAIC No): PO BOX 250 rw ADDRESS: Hallandale,FL 33008-0250 PRO E AFFOAII Vita Kagan Gopman INSU 8 AFFORDING COVERAGE NAIL 0 INSURED Affordable Air&Heat,Inc. INSURER A.Wesco Insurance Co. 515 NE 190 Street INSURER 8: Miami,FL 33178 INSURER C INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCEam POLICY NUMBER Lam GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY PP7055018-04 03117/2016 03/17/2017 DAMAGE TO PREMISES Ea occurrence) $ 100,00 CLAIMS-MADE �OCCUR MED EXP(Any one person) $ 5,0 PERSONAL 8 ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 X POLICY PFCTRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (PER ACCIDENT) NON-OWNED AUTOS $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATIONWC STA TU- 10TH AND EMPLOYERS'LIABILITY Y/N r ANY PROPRIEfOR/PARTNER/E)CECUTNE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? El N I A $ (Mandatory In NII E.L.DISEASE-EA EMPLOYEE $ M yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES IAnach ACORD 101,Additional Reanuft Schedule,H more space is requtred) Air Conditioning Contractor; Service, Installation Ni Repair CERTIFICATE HOLDER CANCELLATION Miami Shores Village MIAMSH1 g SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 N.E.2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores,FL 33138 AUTHOMMD REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2008/09) The ACORD name and logo are registered marks of ACORD • • ••• . ... AFFORDABLE AIR HEAT •• •• • •• •• JON FREEMAN 305-940-0777 305-654-8152 (FAX) .•. . •• . . .. . . . . Te� c, �. :.: :00 : : : :. a s- • . . 0 .. . . . . . ... • •• M MP tow A ; -Shar- es kc fro- 4l0? A • ' ' 1 -31 ��� --- Miami Shcres Village APR ® a 10I8 APPROVED BY DATE 70NING DEPT BY: G DEPT r/ 1 'POT 0 CCNIPLVNCE WITH ALL i Y riL,LcS VID REGULATIONS �. 9D �c e r ve Nom' Wo-i! &P W IDAmPev- DASSILLE N DURAN z ® �"�' Notary Public-State of,Fonda g, f ' •= Commission#FF 193762 '.? W My Comm.Expires Jan 28,2019 &xKW tt Nations Nmary Assn. I I L ' Ile Soma Pip Ea4e eaada aweaon A"awu", Tae. 745 North East 91 st Street Miami Shores,FL 33138 305-759-9069/FAX 305-759-2101 E-MAIL spe1230att net March 7, 2016 Miami Shores Village Building Dept. 10050 NE 2nd Avenue Miami Shores, FL 33138 Dear Sir/Madam: This letter will serve as your confirmation that Mechanical Contractor, "Affordable Air& Heat, Inc." has been contracted by the owner of Unit 1M, at 716 NE 92 Street, Miami Shores, FL, and is authorized by the Board of Directors of the Shores Plaza East Condominium Association to perform the "venTing" of Washer and Dryer at said Unit. Should you have any questions regarding the enclosed, please feel free to contact the condominium office. Sincerely yours, Rert Gonzalez President cc: file .. ... . . . . . .. . .. . . . . %: • . • . • . • . . . . . . . . . . . . . . . . . . ... . . ••• • • • • ••Y • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • � 1 r •• • • • • • ••• •• • ••• • • • • •• • :06 es • • • • ••• • • • • • • • • •• • • •• • • Or • • • • ••• • • • • • • • • • • •• •• • • • •• •• • • • ••• • • • •••