MC-16-16 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-250420 Permit Number: MC-1-16-16
Scheduled Inspection Date: April 06,2016 Permit Type: Mechanical - Residential
Inspector: Perez,JanPierre Inspection Type: Final
Owner: KERR, DANIEL Work Classification: Pool Heater
Job Address:759 NE 94 Street
Miami Shores, FL 33138- Phone Number
Project: <NONE> Parcel Number 1132060142020
Contractor: HAVANA AIR CONDITIONING, INC Phone: (305)558-9136
Building Department Comments
INSTALLATION OF POOL HEATER. Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
April 05,2016 For Inspections please call: (305)762-4949 Page 7 of 45
... �R c_
1yxO1ts�,t Miami Shores Village dTYPe' GhrCal.. + d[)0[t�)
g 10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000
�it�atus:AP�OrZ
`tion Phone: (305)7952204 g� Expiration: Id7J
�tonttvA � issue Date:2t /2016 P 2016
Project Address Parcel Number Applicant
759 NE 94 Street 1132060142020
DANIEL KERR
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
DANIEL KERR 759 NE 94 Street
MIAMI SHORES FL 33138-
759 NE 94 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 500.00
HAVANA AIR CONDITIONING,INC (305)558-9136 Total Sq Feet: 0
Tons: Available Inspections:
Additional Info:INSTALLATION OF POOL HEATER. 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 Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# MC-1-16-58233
DBPR Fee $2.00 01/06/2016 Check#:13241 $50.00 $58.60
DCA Fee $2.00
Education Surcharge $0.20 02/03/2016 Check#:13261 $58.60 $0.00
Permit Fee $100.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $108.60
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 informal n is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-na d cor rad to do the wo tated.
cL,L t S bruary 03, 2016
Authorized Signature:Owner / Applicant / ( Date
Building Department Copy
February 03, 2016 1
Miami Shores Village
JAN ® 6 2016
Building Department
10050 N.E.2nd Avenue Miami Shores Florida 33138 J_
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 �T
FBC 20)'--I
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No. M� — l G
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING f3q MECHANICAL ]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION [] SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: I J 3 G-Cj('0- 0-144 2c"1_d.� Is the Building Historically Designated: es NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE; FFE:
OWNER:Name(Fee-Simple Titleholder): I Phone#:_
Address �_�Ar��► 1'z qL4 S+ -
City: )-�liCery�� ��1°Y�fP� State: tel- Zip: �3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: / �l� � �/�� � Zv Phone#' ' S f -3
Address: ff f7 al 5 f-316
City: �J�i Z-A State: Zip:
Qualifier Name: 0-'5;W- tL' Phone#:/-3-zj^
State Certification or Registration#: (r j� t�s Certificate of Competency#:
DESIGNER:Architect/Engineer: E rn r e a-rx ca i<"O�.0® .t V(c3'4 1 Phone#:
Address: W 12-Z City: 0 C4 M l State:?""—Zip:
Value of Work for this Permit:$ O Square/Linear Footage of Work:
� '��
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: e►�5 �1 ��'+
Specify color of color thru tile:
Submittal Fee$ NZ), � Permit Fee$ e CCF$ CO/CIC$
Scanning Fee$ ° Radon Fee$ 453 DBPR$ C9- Notary$
Technology Fee$ C) Training/Education Fee$ °Dt Double Fee$
Structural Reviews$ Bond$ �)
TOTAL FEE NOW DUE$ CJ
(Revised02/24/2014)
Bonding Company's Name(if applicable) ��'1I)i
Bonding Company's Address 6`-y
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 fast 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 instrument was acknowledged before me this
�� day of l�� k-�� 20 %!S by 30 day of L� f ,by
V_ -� wh is rsonally know o -ec �.�w is personally know to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
c
Sign 414� Sign:
FYI
Print: r c c�S .`�"�Z- Print: -
Seal: Seal: -'e MYCOMMISSI i 12'
COMMISSION#FF CC�o
.•5 '�IP);Pp MARCOSA.P,+:UaT?NEI. ',,• ,r EXPIRES:May 15,2017
Y.•` Bonded Thru Notary Public Underwriterst
MY COMMISSIGiV 4i f i=il�?5'8g
a EXPIRES:Miay is,2UIi
Bunded Thru Notary PW_,!,,.Undewv ters
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(ReAsed02/24/2014)