Loading...
MC-15-2129 15 �- � 26 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-251473 Permit Number: MC-8-15-2129 Scheduled Inspection Date:January 25,2016 Permit Type: Mechanical - Residential Inspector. Perez,JanPlerre Inspection Type: Final Owner. , Work Classification: Addition/Alteration Job Address:1151 NE 99 Street Miami Shores,FL 33138- Phone Number (786)253-2869 Parcel Number 1132050180070 Project <NONE> Contractor. RESULTS AIR CONDITIONING CO Phone: 305-886-2534 Building Department Comments REPLACING FORMER A/C UNIT WITH A NEW LARGER Infractio Passed Comments UNIT INCLUDING NEW DUCT WORK INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-248574. pending c/u slab LE elevation Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid January 22,2016 For Inspections please call: (305)762-4949 Page 48 of 51 Questions/Comments/Concerns? Miami SioresVillage Please call either Monique: 786-253-2869 or Building Department Louis: 305-796-4922 AUG ® �fl15 10050 ROWAvem^Miami Styes,Rorida33138 BY. Tel:(305)7W2204 Fax(305)756 72 INS 38MON UNER NIIIBt(305)M490 1 20 J° lfm. BLJILDNG Mater Peradt No PSW ITAPRJCATI I Sib Perm* No.,�/a/ -- ❑iUt,ONG ❑RWRC ❑ FCWW ❑ R-MSCN ❑BMNSON ❑RNW& ❑PLIJM ESI G v M to ❑PIMCVVCFM ❑ of ❑M4MLAn N ❑ SiOP QRWNW MBAD13FM 1151 N97 gty Miami Ses Quiz Miami Dam- R; 3 f/yWo r�C®k�A�Aj. 11^-6�OS—olo/r�..,00'7O lstieSWIWrg HotolcWly DWgrWed: es NO 01=4 �a • a s Load: x/1/1 truction'��� �EFF RE OVW4ER ?&fo_ torte(FesSmpleliti�oldt):Csi+lmA� ✓ir LLC . ?9�0- 4g2-2 Address IS35 NC too cr, oty M(A k t s lko&ES -39W.-F L ap: 3 313 k Temamrt/LesaeeN : moi: OWIWCrI0FtQnpwyNww 9C.6ul /4'112 Pty: 3 014.7 Amciress 7 Ll 3-1 Nw 7a- /�U-@ city P-t/yam Sake �I AV. 3 /�L Qud fier Name Site OartiftW!on or Raostratian# 'C G+ +$ j?5 wtncake of Oem patowl DMCNB2 ArdtecUftirwr Address City Sate ZiP: Value of Work for this Permit:$ si O o� � "'- ftwet Unew Fbdap of Work 2000 S r Typeofftrk: ❑ Adlitim ❑ Alteration ❑ New ( R r/Rsfalaoej ❑ Dsmolttion Dascription of VVwx fS E e L A'G/iV G Fo k f-1 Ek - AC u_�,J., r w i-r t+ A N e W L A" C*R V N r TA INCL NE:P%/ 6OCT h/Or2K . ,4)ecify color of color thru tile: All ' aibmitteJ Fee$ Permit Fee$ t O 0(F$ QGL— C(Y CC$ &wv,dng Fee$ ', Radon Fee$ j.6�— IFR$ 3. Notary$ Technolow Fee$ T afrgr t Mmudion Fee$ f a C� 13mble Fee$ Sructural Reeriews$ Bm*4$ MTALREF-NOWME$ I- = 26 a�ae� Bonding Company's Name(if applicable) Bonding Company's Address city State ZIP Mortgage Lender's Name(if applicable) Mortgage Lender's Address qty 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 commend prior to the issuance of a permit and that all work wilt 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..... OMNYER'S AFRDAVIT: 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 A lt: Asa cation to the is roe of a building permit with an estimated value eaceeding$2500,the applicant ffW promise in good faith the a copy of the notice of connnencernent and construction lien law brochure will be delivered to the person whose property Ism ed to arta chnwnt. Also,a certtfled cam+of the recorded notice of------ oemerrt must be posted at the job site for the first Inspection which ooccjrs waren days after the bdIdIng peri it Isisand. in the absence of sxh posted rwtk xk the Inspection wilt,not be a*'oved and a rednsp ion fee will be cherpl Signature ' ' �- y Signature l� OWNER or AGENT 96NTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day .20 ,by �� day of�r6'1'` .20 dJ' .by i_ ,V t'-/-, - i`" r.who is personally known to Icy Q�x ��s �� .who is ersonatly known me or who has produced 'Eaas me or who has produced as Identification and who did take an oath. identification and who did take an oath. NOTARY PUBO NOTARY PUBLIQ Ste: •' . FjLj NGUEZ Prim of F1 Print ecu :r MY COIF SK�1 B 8 put>ric State Seal: ' M�aommh>►�+'FR oe27S3 seal:: ' A lilii!!!!#•!#ii!liiii!!!!i!#!ii!##!4 i!i#i#i#i#i#ilii !!#i#i!!#!i!liii!!##iii!!#!!!#iii!!!!#iii#!iiliiii!## APPROVED BY PI Examiner Zoning Structural Review Clerk IRwbed02/24/zo14l .a f.' • Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This farm must accompany ALL air conditioning replacement permit appikations.Each unit change-out must be on its own data sheet.Multiple units on single sheets are not acceptable. ,lob Address(where the work Is being done): 11.5-1 N C 99 S?. Ff f A M i City. Miami Shores Village County: Miami Dade zip Code: 3B 13 ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means:YES❑ NO❑ ARHI Sheet Attached:YES❑ NO❑ Contract Attached:YES ❑ UNIT BEING REPLACED DATA NEW UNR GOOhHAM MANUFACTURER SC1,503& 1G AHU or PKG.UNIT MODEL# /#O COND.UNIT MODEL# G s X l G KW HEAT 10 1<w NOM TONS AHU CU PKG 1)M.C.A AHUS/ CU 2 p G AHU CU PKG 2 M.O.P AHU o CU OPKG AHU Cu PKG 3 VOLTS IYE CU 2,3 PKG PKG UNIT / / UNIT / / EER/SEER YES NO REPLACING DUCTS NO YES NO REPLACING THERMOSTAT NO YES NO NEW 4"CONCRETE SLAB NO YES NO NEW ROOF STAND YES NO NEW RETURN PPLENUM BOXNO 1. Minimum Circuit Ampacity(Wire Size): a 2. Maximum Overcurrent Protection(Fuse/Breaker Size): 5-0 A-M P 3. Voltage of Circuit(208/240/480): S40 4. Size Disconnecting Means: A- KC Contractors Company Name: 4 'r d 'fit 07`r State Certificate or Registra Q R Q-3-6 s3 Certificate of Competency . _ Signature Date: ©oa 1 ,*or (ReWse02A4/2014) „b Miami Shores Village X 10050 N.E.2nd Avenue NE •••• Miami Shores,FL 33138-0000 ` Phone: (305)795-2204 MOM � Expiration: 03/1212016 Project Address Parcel Number Applicant 1151 NE 99 Street 1132050180070 Shima VII LLC Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell Shima VII LLC 1235 NE 100 Street (786)253-2869 (305)796-4922 Miami Shores FL 1235 NE 100 Street Miami Shores FL Contractor(s) Phone Cell Phone Valuation: $ 5,000.00 RESULTS AIR CONDITIONING CO 305-886-2534 _�_....._...__.�......�.... .. ..�.�._ Total Sq Feet: 00 Tons: Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Approved:In Review Rough Duct Comments: Date Approved::In Review Review Mechanical Date Denied: Type of Work:REPLACING FORMER A/C UNIT WIT Underground Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 Invoice# MC-846-56797 DBPR Fee $2.63 09/14/2015 Credit Card $197.26 $0.00 DCA Fee $2.63 Education Surcharge $1.00 Permit Fee $175.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $197.26 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 construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated. September 14,2015 /r Authorized Signature:Owner / Applicant / Contractor / Agent uate Building Department Copy September 14,2015 1 r- a 5901 SW 22nd Street Miami,FL 33155 (786)385.6600 Date: State of Florida County of Miami-Dade Before me this day personally appeared who,being duly sworn, deposes and says: That he/she will be the only person working on the project located at: 1151 NE 99 Street,Miami Shores,fl.33338. Affirmed a ubscribed before me this day of 2015 by LUIS K * MY COWAISSIOAf#EE SS180 * EX?IRES-.November 7,2016 • �rq�i of f<�pOP g�lad'(Im1 Bwlget NAY Produced identification Type of IdentificatIon Produced: Print,Type or Stamp Name of Notary AelOR& CERTIFICATE OF LIABILITY INSURANCE °��08/24/15'" THIS CERTIFICATE IS ISSUED AS A mATTER OF INFORMATION-ONLY AND GOLFERS 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: lfthecortVkmtohoidwlsanAUMTKMIALI(48UWMttopoUcyt"raMbeendonvmL QSUBROGATM IS WAIVED.w iltwi to the tenus and arrdIEons of the pdWh awtdn policles mW mqui a an on donmawiL A afatmenton this cis does note arhfm rights to the certiflcats hokler In Leu of such endweamerift PRODUCER ACT Insurance Consultants Of Dade E (30.5)406-1658 i99-3281 7951 Riviera Blvd,Sine 410ADDRMeDonau can MUamar,FL 33023 INSINUIR(S)AFFORDING COVERAGE mimes Phone (3051558 Fax (305)599.3281 INywRERA: ATLANTIC CASUALTY INSURED -- -- sLsuRErR e JM ARCE INsuR®R c SM SW 22 Street INSURORD: ---- MIAMI, FL 33155, -- _ - -- -- - I INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: _ ------ THIS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED FLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TH IS E POLY PERIOD OD--� INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE LSSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TES. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAM. — —------- -- sm ADM SURS -—TYPE U TRANCE —T-P�Y Eft POLICY Nemom Lam Gam-LMOLI Y EACH OCCURRENCE $ 1 ADO 0m•OD [] CONIMICIAL GMEI l Lira mrry rmeJ s 50,000.00 ❑ ❑ M AN&MADE W_ OCCUR L174000393-4 MED EXP Anr am I s 1,000.00 A ❑ Y 08I08t2014 09/31/20151PERSONAL a ADV INXRY S 1 000 X0.00 I _ 4 ❑ _T__-_-._ �_.��__ GENERAL AGGREGATE s 2,000,CIl0.00 (i6YL ANTE LNIT APES PER: PRODUCTS-COMPIOP AGO S 1 VW VW.VH ❑ POLICY C ❑ LOC S AUTOMOBILE LIABILITY sIRG%E I.ediT ANYAUTO SODEYWAW(perPerson) S AUTOS _ AUTOSUIM BODILYIWURY(Pet NON-OWNEDSWMrS i L- HIRED AUTOS _, AUTOS RAMAGE L UYaAINlA UAB ❑OCCUREACH OCCURRENCE $ EXCESS UAB Q CLAN w4iADE AGGREGATE S - _ --- -- _._. _C_._RED --C RErENTIONs ' WORKERS COMPENSATION f T WIC STATu- OTH- AND E�6fpPpLO�YQptB LIJAIBfLr1Y Y I N ( RAAEIIA tlBElt E7(CI D7 �� EL EACH ACC� S 1 fNfyy��� e u E L DISEASE-EA EbIPlO S OE�dtIP1TON OPERATIOtr$.t mq -- _---.--- - --------__---- EL.DISEASE-POLICY UMIT i onscit nm OF OPMRATHMl LACA71ONa 1 VEMM.ES(Avseh ACORD tat.AdWUcm R SchaduWff more epme m reghmeul CAODS7951 CERTIFICATE HOLDER - — ----� -- _— CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8138 CA14CELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2 AVENUE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES,FL 33138 -- —--------- ---- ---- -- - ... __----------- REPRESENTATIVE I ®1886-2010 ACORD CORPORATHAI. All tights reserved. ACORD 26(21M0106)QF The ACORD nems and logo are regbbmW marks of ACORD t � � �- � �� �� � �yr � � �� ��t� t�a �x��� � ���� '� iy y � �n� c ���� �� �� Y� � t �� '� f y �x ja�y3�b y� '�i � .. c9 i �� T � 6 Y^OSPy4 irk y�Y � "� ��.� �, '� �-s��3 yr �z:�`t �:�u v '« � � iii., x£ � •� �� �' �f�� Y fy