MC-15-2022 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-257478 Permit Number: MC-8-15-2022
Scheduled Inspection Date: April 27,2016 Permit Type: Mechanical- Residential
Inspector: Perez,JanPlerre
Inspection Type: Final
Owner: JONES,WILLIAM Work Classification: Addition/Alteration
Job Address:379 NE 94 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060136130
Project <NONE>
Contractor: AIR SYSTEMS A/C LLC Phone: (786)208-3484
Building Department Comments
MECHANICAL WORK AS PER PLANS TO INCLUDE 2 Infractio Passed Comments
NEW 2 TON UNITS. REMOVING A 4 TON. DUCT WORK. INSPECTOR COMMENTS False
V
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-257434. CREATED AS
REINSPECTION FOR INSP-248256. CREATED AS REINSPECTION FOR
INSP-248232. CREATED AS REINSPECTION FOR INSP-241154.
ORLANDO CALLED TO CANCELL IT(11/9/15)
Failed ❑ 04/25/2016
CANCELLED BY SUYAPA
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
April 26,2016 For Inspections please call: (305)762-4949 Page 35 of 49
t E E
Miami Shores Village
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-00001 ;
� a
W s _ t a - d. " -cz,t ,k .4�: -ser-'•
Phone: (30795-2204
Expiration: QZl1 Q12016
Project Address Parcel Number Applicant
379 NE 94 Street 1132060136130
WILLIAM JONES
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
WILLIAM JONES 379 NE 94 Street
MIAMI SHORES FL 33138-2842
Contractor(s) Phone Cell Phone Valuation: $ 6,700.00
AIR SYSTEMS A/C LLC (786)208-3484 Total Sq Feet: 0
Tons:2 Available Inspections:
Additional Info:MECHANICAL WORK AS PER PLANS TO INC 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 $3.60 Invoice# MC-8-15.56677
DBPR Fee $2.98 08/11/2015 Credit Card $50.00 $174.08
DCA Fee $2.99
Education Surcharge $1.20 08/14/2015 Credit Card $174.08 $0.00
Permit Fee $199.50
Scanning Fee $9.00
Technology Fee $4.80
Total: $224.08
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: certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zj. Futhermore.I authorize the above-named contractor to do the work stated.
August 14,2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
August 14,2015 1.
Miami Shores Village
1A
1� Building Department A 112015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 i=>
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 �� s
BUILDING Master Permit No. fl -(Z /y Z
PERMIT APPLICATION Sub Permit No. N1 Lt S-
BUILDING ELECTRIC ROOFING REVISION F-1 EXTENSION RENEWAL
❑PLUMBING MIMECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:] CANCELLATION ❑ SHOP
t CONTRACTOR DRAWINGS
JOB ADDRESS: iJ(C� q S — ?
City: Miami Shores / County: Miami Dade Zip: ,7
Folio/Parcel#:�(`3�� 0Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): o) "., c Gor_ T Phone#:?,
Address: 41E -
City:_ �- oma'` S State: l� Zip: ' y(.3
Tenant/Lessee Name: kit A— Phone#:
Email: A(� (n�
CONTRACTOR:Company Name: `�"�4�- ��LS. S 1Q, Phone#:
Address: �j wq?�. M l.S
City: c3PA- L O KA State: Zip:
Qualifier Name: V-,c�-u _jra2_c iLg2_ Phone#:
State Certification or Registration#: � ie
-. 'J` Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: —State: `" Zip:
Value of Work for this P it:$ cam,�'� Square/linear Footage of Work: ;;0I^t5 4' rf_ A-crL-A—
Type of Work: Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:�l�/�(CA-c- L Asigr- AS Pc3& (��S =,([xGL.UAC�
T
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ o 3w � CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(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 /&-Y2. 6�2� Signature
OWNERbaiKT/
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
16 day of�// 11SJr .20 1S by QQ day of C 20 y6; by
kA 1;Al n4l neS ,who is personally known to QAU JCt,7- 2 .who is personally known to
me or who has produced !bl_7*- d(1 F=IX2 as me or who has produced 1bL.& cmfty r - as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sig : Sign:
Print: Print•
k . :` .PASTRANA
Seal: StON#EE872624 Seal: REBECA M.PASTRAletA
rt i , ,Yauary 07,2017 MY COMMSSION#EES72624
w ° EXPIRES:Femmy 07,2017
w
r�fs�'t
######################## ############# ###### #### ####################################################
APPROVED BY Elans Examiner Zoning
Structural Review Clerk
(Rev1sed02/24/2014)
Miami Shores Village
�
BuildingDepartment Nov g s 2ot5t
1110111111110 1 050 Miami Shores,Florida 33138
0 79 - 204 a . )756-8972 -- -
N E :(305)762-4949
BUILDING Master Permit N®_'� L2- I
PERMIT APPLICATION sub Permit No. C - ��
❑BUILDING r-1ELECTRIC ❑ ROOFING REVISION ❑ EXTENSIOi RENE'!.'.-
❑PLUMBING MECHANICAL ❑PUBLIC WORKS [] CHANGE OF ❑ CANCELLA- SHOT'
`�o� `U `�C� CONTRACTOR J DRAk`IIN- :
JOB ADDRESS: 331 l S
City: MMiami Shores County: Miami Dade
Folio/Parcel#: l` 3?:p6'- 6,3c:;) is the Building Historically Designate. _N0
Occupancy Type: Load: Construction Type; Flood Zone:PB
_ -
OWNER:Name(- . r� /�Fee Simple Titleholder): Com,u I,� O�� Phone#:3r,�_�-t qS to
Address: 3� ( <r(—
City: *t k L&IState• It,
C _ _
Tenant/Lessee Name: w) Phone#:..
Email: �l
CONTRACTOR:Company Name: `(Z �yL,L �MtiSl�- ^`�'- Phone#:�� S v
Address: &j 10 l 8 laa ,�1- -- -
City: t, l nn State: _,.,,t
Qualifier Name: l(i�� Z-. 2(�Ch�-C7 Phoneu. 3 _ 1_ ICAID
- - p
State Certification or Reestiation Certificate of Competency#:_
DESIGNER:Architect/Engineer: Phone#:
Address: City: Sta..':
Value of Work for this Permit: Square/Linear Footage of Work:_4:;O �
Type of Work: Z Addition ❑ Alteration ❑ New ❑ Repair/Replace nc"
Description of Work: 'As--w r - l em!�V t o r✓
Specify color f color thru tile:
Submittal Fee Permit Fee$ CCF$
Scanning Fee$ Radon Fee$ DBPR$
Technology Fee$ Training/Education Fee$ Douh-_
Structural Reviews$ Bon:
TOTAL FEE NOW r
(Revised02/24/2014) e
V C�
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.
�Z�
Signature Signature
OWNERr NT C NTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was
as acknowledged before me this
day of F�J ,20�by -�� day of i1�J .20 a •by
�tLLcA-�'V �n S ,��wPP ho is persoonna0llyknown to e� �f .2 &gAtX--"J,who is personally known to
me or who has produced L 6N as me or who has produced D(, dN AL 6 as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: -_ LIOPM- I Sign:
DoLbmPrint: Un SPrin Isla 1
8lT�7
Seal: DtPBtE„g Mwah 10.2016 Seal: fto
AWN0
COMM fgku Sep 11,2019
APPROVED BYPla mer Zoning
Structural Review Clerk
(Revised02/24/2014)
ej S 1!;SST-