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MC-15-1667 hep Is-- Inspection Worksheet Miami Shores Village f/ 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-238337 Permit Number: MC-7-15-1667 Scheduled Inspection Date: April 20,2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: TAVARES,TIERES Work Classification: Pool Heater Job Address:10050 NE 12 Avenue Miami Shores, FL Phone Number (305)244-2356 Project: <NONE> Parcel Number 1132050190370 Contractor: HAVANA AIR CONDITIONING, INC Phone: (305)558-9136 Building Department Comments INSTALL 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 19,2016 For Inspections please call: (305)762-4949 Page 2 of 46 ho 1 Miami Shores Village a. �i 11 1t110 @tsEl i� ' 10050 N.E.2nd Avenue NE 'W#1 ool rn£f ,. _ ••'•g Miami Shores,FL 33138 0000 `2- Phone: (305)795-2204 . rrt :APPF Expiration: 02/03/2016 X17/2 'i E Project Address Parcel Number Applicant 10060 NE 12 Avenue 1132050190370 BEYOND ALL REVOCABLE TRU Miami Shores, FL Block: Lot: Owner Information Address Phone Cell BEYOND ALL REVOCABLE TRUST 10050 NE 12 Avenue (305)244-2356 (786)709-3909 - --- - --- MIAMI SHORES FL 33138- 10050 NE 12 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 300.00 HAVANA AIR CONDITIONING,INC (305)558-9136 Total Sq Feet: 00 Tons: Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Approved:In Review Review Mechanical Comments: Date Approved::In Review Date Denied: Type of Work:INSTALL HEATER Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# MC-7-16.66216 DBPR Fee $2.00 07/06/2015 Check#:12874 $50.00 $64.60 DCA Fee $2.00 Education Surcharge $0.20 08/07/2015 Check#:12936 $64.60 $0.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $114.60 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 inform 'on is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-n ed contr ct to do the work stated. August 07, 2015 Authorized Signature:Owner / Applicant ontra or / Agent Date Building Department Copy August 07,2015 1 Miami Shores Village JUL 06 2015 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY. Tet:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 ®y BUILDING Master Permit NoB'�� PL PERMIT APPLICATION Sub Permit (BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING SMECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I C)as L2E 16) •-Aye_ City: Miami Shores County: Miami Dade Z11): 3 Folio/Parcel#: 1 1 -22Q©5-®1 G .®3"Z CO. Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 1 I eC fe S Phone#: Address: 1 005.0 L 10? -moi 1e� P City: a41 CXAdl S�� State:_ �., Zip: 3 313 Tenant/Lessee Name: 1-4k Phone#: Email: CONTRACTOR:Company Name: dNAPJ 4 AIX,C-dia-01_11 fn 111fj_77�)e- Phone#: Address: gy-1 Er f:1" -r City:p/a State:_ _/::;6_ Qualifier Name: 0ef-W& A 16166,et Phone#:��d�, ��-��.v C State Certification or Registration M eAeo s-4 4 3 1P Certiflcate of Competency M DESIGNER:Architect/Engineer: "a✓t eY�nca„��T �1�$ifione#: 50's—, ' l Address: 1 `-f LA 1 '1!c1 i jef ir_ City: OAclan ►; State: 'FL—Zip: 351-1 b Value of Work for this Permit:$ z.l 5( y Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: I P1Z:rvG1t k V-4ni-c-C Specify color of color thru tile: Submittal Fee$ Permit Fee$ U WC-C/F$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ �® (Revlsed02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) N 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 OBT-IN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N TICE 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 inspect/olch.occu 7} days after the build/ng permit Is issued. in the absence of such posted notice, the Inspection will not a approved d a relnspe ion 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 3 Qnf-° .201 S _,by 2- day of .20%S by l—kParf-eS 7a who is 0\8 P ersonail know �� 2 Crfel(,who i ersonaily known 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: Sign: Sign: Print: L-u2 4.1e-Wn N r, a0en Print: Li e-7 5CX`:,�s{(��Gc�n Seal: aSeal: 0 Oe��pR;YRpey��.UZ S�[eler�e�r�q,,'�t1C1 °.rap'-,,, LIIZ l•felera-Amo1! �ro' PC0MMISS10N#FF01905 `�"OMMISSION FF01905^ ES: MAY 19,2017 q W : iPIRES: �4AY 19,201'7 74' 1f1IWT� #4# ###44 #####4###4##4444 �4 � 4444444444444#4#i4 APPROVED BY Examiner zoning Structural Review Clerk (Revised02/24/2014)