MC-15-2240 (2) 2.2 3
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INS P-249415 Permit Number: MC-9-15-2240
Scheduled Inspection Date:January 20,2016 Permit Type: Mechanical - Residential
Inspector. Perez,JanPlerre
Inspection Type: Final
Owner. , Work Classification: Addition/Alteration
Job Address:501 NE 96 Street
Miami Shores,FL 33138-2735
Phone Number (305)333-7700
Parcel Number 1132060171550
Project <NONE>
Contractor: REGOSA ENGINEERING SERVICES INC Phone: (786)262-2964
Building Department Comments
REPLACE AHU DUCT 2 MINI SPLIT Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-242738. need kitchen exhaust
duct and revise plan to show new duct and Gu not installed as per plans
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
January 19,2016 For Inspections please call: (305)762-4949 Page 27 of 56
Miami Shores Village
Building Department SEP o2 2015
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 201
BUILDING Master Permit No, 22
PERMIT APPLICATION Sub Permit NO./i'f i�'IL-
BUILDING ❑ ELECTRIC ROOFING REVISION EXTENSION EJRENEWAL
❑PLUMBING [4 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
N45- �r CONTRACTOR DRAWINGS
JOB ADDRESS: OI NG / Sr
City: Miami Shores County: Miami Dade Zip: z,v6g
Folio/Parcel#: 113PLa6 of Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:NameFee Simple Titleholder):
( p ) S 45;. Phone#•
Address: "5"0/ /-/4,!57 ?i6 S7' T!E01141 X21 / I-L L
City: al"/ State: Zip:
Tenant/Lessee Name: Phone#:
Email: �• /�
CONTRACTOR:Company Name: ��F c S* &`l tom/t1&5R/ly C� 1S;PV/1 hone#: &61q2-9'6
Address: /5'i(-00 A/E7 1� ~
City: 4119U/ — State: ✓ Zip:
Qualifier Name: 6U5y-'q 1/D W L - Phone#: -4616126V-94
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ S CYC Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration 10 New A ❑ Repair/Replace ❑ Demolition
Description of Work: :r5pmC,57 fi +1 Qj
Specify color of color thru tile:
Submittal Fee$ '5-0-C)�l Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 3 Sb
(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 Signature
Oo�AG NTC RACTOR
The foregoing instrument was acknowledged before me this The foregoing ins um 2 cknowledged before me this
$day of 20 /IT .by 1'day of SU(4 P 20 by
is who is personally known to who is ersonally known
e f6-0
me or who has produced f' as (Por who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
S' Sign
�[/ •
Pri N� �MFelic�n0,0 Print: �I.
`s MY COmoti11201 ''= MY COMMISSION 4 FF203458
Seal E, Seal: EXPIRES ES March 22.2019
ofp aC7 3E+9 C'S3 fksrota YSe�vice.car
######################### ##### ##n# #######################################################################
APPROVED BY v Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)