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MC-15-1327 (2) Inspection Worksheet Miami Shores Village I 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-235921 PermitNumber: MC-6-15-1327 Scheduled Inspection Date:January 0%2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner. CONTESSA, MICHELE Work Classification: A/C Replacement Job Address:9220 NE 2 Avenue Miami Shores,FL Phone Number (305)761-5243 Parcel Number 1132060133060 Project <NONE> Contractor. THE HUNTER AIR CONDITIONING CONTRACTOR INC Phone: (305)218-8878 Building Department Comments CHANGE A/C OUT(2 MACHINES) Infraetlo Passed Comments INSPECTOR COMMENTS False Li1 ' Inspector Comments Passed Failed Correction ❑ Needed Re-inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid January 05,2016 For Inspections please call: (305)762.4949 Page 3 of 35 Miami Shores Village n� « 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 ` Phone. (305)795-2204 M �.. '.. ',3 t Expiration: 01/31/2016 Project Address Parcel Number Applicant 9220 NE 2 Avenue 1132060133060 Miami Shores, FL Block: Lot: MICHELE CONTESSA Owner Information Address Phone cell MICHELE CONTESSA 9220 NE 2 Avenue (305)761-5243 MIAMI SHORES FL 33138- 9220 NE 2 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 6,000.00 THE HUNTER AIR CONDITIONING COI (305)218-8878 ......�_ _ _.... _.�__� ....__. _ _.._..........._. ...�,._...._ Total Sq Feet: p Tons:6 Available Inspections: Additional Info:CHANGE A/C OUT(2) Inspection Type: Classification:Residential Final Approved:in Review Review Mechanical Comments: Date Approved::In Review Date Denied: Type of Work: Scanning:1 Fees Due Amount Pay Date Pa Type Amt Paid Amt Due CCF $3.60 DBPR Fee Invoice# MC-6-15-55802 $3.15 06/02/2015 Credit Card $50.00 $178.90 DCA Fee $3.15 Education Surcharge $1,20 08/04/2015 Credit Card $178.90 $0.00 Permit Fee $210.00 Scanning Fee $3.00 Technology Fee $4,80 Total: $228.90 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 ELE ICA PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFI AV[ I that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin . ut rmore,I authorize the above-named contractor to do the work stated. August 04, 2015 Authoriz A plican tractor / Agent Date Building D artment Copy August 04,2015 1 Miami Shores Village Building Department JUN 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 1z15--40R C 20(p BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. K_IS— cn2 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ZMECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: A V el City: Miami Shores County: Miami Dade Zip: J Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: � �KJIi�._Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder):Y`vV \ � — Phone#: S-16S2 4� Address e City: AAV'n State: Zip: Tenant/Lessee Name: Phone#: Email: �- V-A,._ CONTRACTOR:Company Name: l �e *j AlTedt AA r C d�iA- f I5 Phone#: Address: oVw (0 %-( City: " ' / P state: Zip: 3/�1 Qualifier Name: ll/��f'WtJ J/ Vzr r. Phone#:_,0S-2/ State Certification or Registration M Com:C f 2 S 6>3 3/' Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ (OVc® 0--0 Square/Linear Footage of Work: Type of Work: ❑ Addition p❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: C-- Specify -Specify cotar of color thru tile: :. d Submittal Fee : Pew - CCFs' CO/CC$ Scanning Fee$ Radon Fee$ DBP R$ Nota $ ry Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) � p 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 a oved and a reinspection fee will be charged. Signature .. Signature A OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged beforemethis rte_day of t2V: r ,20. « ,by 2.40 day of r t N ,20 t> ,by x,/11&14E who is personally known to /f.lwaw.•cf D• Vt -M— } ho is personally kno me or who has produced I"1 eP P� UN 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: • Print: Print: Seal: Public State of Florida Seal: •`�� ;• MIGUEL A.'GUERREJld +Q Alvarez Notary Public•State 0 +� mmissiat FF 188750 ��.AAy Comm.Expires May 2 �t,w�*:T s 09103/2018 'yCommission B FF 12**************************************** ************* 04 APPROVED BY Ja5n1xamIner Zoning Structural Review Clerk (Revised02/24/2014)