MC-15-871 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-259061 Permit lNumber: C-4-15-871
Inspection Date: May 18,2016 Permit Type: Mechanical - Residential
Inspector: PE�rez,JanPierre
Inspection Type: f=inal
Owner: OLASO, M CLAUDIA r Work CPassification: Addition/Alteration
Job Address:55 NE 99 Street
Miami Shores, FL Phone Number
Parcel Numner i!32060131290
Project: <NnNE>
Contractor: AIR SYSTEMS A/C LLC _ Phorra: (786;20", 484
Building Department Comments
DUCT WORK AS PER PLANS mfractio _ _ Passed------ Comments
INSPECTOR COMMENTS False
I Inspector Comments
Passed
I
Failed
Cor,act D I �
Needed
------
Ra-inspection
k
No A.dii*icna I i.ispections can be scheduled until
re:nzpz;:,;on fee is paid.
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A.
For Inspections please call: (305)762-4949 ,E
May 17;2t)1t, Page 1 of 1
Miami Shores Village xi
10050 N.E.2nd Avenue NE y
Miami Shores,FL 33138-0000 yx b u y
Phone. (305)795-2204
`° � A �� � � Expiration: 2r24121
Project Address Parcel Number Applicant
55 NE 99 Street 1132060131290
M CLAUDIA OLASO
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
M CLAUDIA OLASO 55 NE 99 ST
MIAMI SHORES FL 33138-2338
Contractor(s) Phone Cell Phone Valuation: $ 1.,900.00
AIR SYSTEMS A/C LLC _ (786)208-3484 Total Sq Feet: 300
Tons: Available Inspections:
Additional Info:DUCT WORK AS PER PLANS Inspection Type:
Classification:Residential Final
Approved:In Review Rough Duct
Comments: Date Approved::In Review Review Mechanical
Date Denied: Type of Work: Underground �JE
Scanning:1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# MC-4-15-55193
DBPR Fee $2.25 08/28/2015 Credit Card $ 110.70 $50.00
DCA Fee $2.25
Education Surcharge $0.40 04/14/2015 Credit Card $50.00 $0.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $1.60
Total: $160.70
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: rtiry that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zone . utrtnore,I authorize the above-named contractor to do the work stated.
August 28,2015
Authoriz ignature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
August 28,2015 1
Miami Shores Village REO
Building Department APR 2015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY:
Tel:(30S)795-2204 Fax:(30S)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201C)
BUILDING Master Permit No. Gee
PERMIT APPLICATION Sub Permit No.
❑BUILDING ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[]PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: '155 &.Qki Q9 seek
City: Miami Shores County: Miami Dade Zio•
Folio/Parcel#: k1 i?5W(D eSt S 129 b Is the Building Historically Designated:Yes NO_
Occupancy Type: Load: Construction Type: Flood Zone: ATO BFE: FFE:
OWNER:Name(Fee Simple Titleholder):n'-'�- m aA'kCa /�kClse> Phone#:?� - 90 - &
Address:55 11 E 9 q S'L--Yr A
City: V— k .w\% 5\rtoes State: Zip:Zip: 3&U99-
Tenant/Lessee Name: 1 Phone#:
Email: A tt�cQy
,
CONTRACTOR:Company Name: �� ���, S �'[�— Phone#:��S�T t
Address: y W99, M.i?�� ,fie
City: C�Qf -Lexxo. State 7L Zip: $�
Qualifier Name: J?ejU � -yp2 t Phone#:
State Certification or Registration M Ck-OS2 --1 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ ���.� Square/Linear Footage of Work:
Type of Work: 10 Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
`
Description of Work: 1X='E Cp-le AJC- Acs 19ft-a R-+Rv'1`j
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 6?t7CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Tralning/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ Q
(Revisedo2/24/2014)
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 flrst 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
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instr ent was acknowledged before me this
day of , ,20 )15- by 1�_day of7 T ,20 VS- ,by
who is personally known to who is personally known to
me or who has produced�� , +--i� as me or w o has p oduced as
identification and who did take an oath. identification and who did take an oath.
NO PUBLIC: NOTAR UC:
,TARY
Sign
Print: Print:
Seal: REBECA M.PASTRAAIA Seal: e— %- REBECA M.PASTRMA
MY COMNQSSION 11 EE872624 � my cohouFcbrmy 07,201
SI >: 74
,�9 FJD?IRES:Fly 07,2017
APPROVED BY ® P Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)