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MC-12-1256Permit Number: MC -7 -12 -1256 I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 186252 Inspection Date: February 20, 2013 Inspector: Perez, JanPierre Owner: RIVERA, FRANZ AND JASMIN Job Address: 10255 BISCAYNE Boulevard Miami Shores, FL 33138- Project: <NONE> Contractor: ALL AIR SOLUTIONS INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (786)200 -6605 Parcel Number 1132050190070 Building Department Comments MECHANICAL WORK FOR GARAGE ENCLOSURE Infractio Passed Comments INSPECTOR COMMENTS False q_Q rt iii 2,1zo 13 Passed Inspector Comments rui Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 February 21, 2013 Page 1 of 1 yo Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: MECHANICAL JOB ADDRESS: /® ICS Rf C4-1/ie't'- City: Miami Shores Folio/Parcel #: /`° ,3 X bq, ©o Is the Building Historically Designated: Yes ZZ r" + ` )rte �° E.: o ii FBC 20 Permit No. 3 '12- f 2C-6, Master Permit No. / 3- ' /1 j County: Miami Dade Zip: NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 11 M2 -- Phone #: 3 5'— q'-'C %— f Z F Address: / O 2- /3/k City: N/44/ t 2)V J State: Pe.._ Zip: ? 3 /j P Tenant/Lessee Name: Phone #: Email: (),/-4,1 CONTRACTOR: Company Name: n lam- ptll2_ Q t_V Tok)S Phone #: ( i 7c)6 S-DZZ \10k P6 C( afovi L Address: City: •L.AAAs State: ti Zip: 73 r9-1 Qualifier Name: C91r.) S Phone #: State Certification or Registration #: C .1N 1 5-1 I g Certificate of Competency #: Email Address: DESIGNER: Architect/Engnee!' ° Contact Phone #: Phone#: Value of Work for thi Permits- $1 Square/Linear Footage of Work: Type of Work: Address `` DAlteration. ❑New URepair/Replace ' Obemolition Description of (;'r /21..714<P/0'6. * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ ° Permit Fee $ * * **** *Fee ************* * * *** ** * ** * * * * * ** ** * ** * * * * * * * ** CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 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 lws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done incomp1iance 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 approv and a re spection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of�eC , 20 by / 72 g-tie1'2A - who is personally known to me or who has producedl 8/`) / 1 As identification and who did take an oath. NOTARY PUBLIC: EXPIRES March 10, 2016 xpiretaavyamt * * * * * * * * * * * * * * * * * * * * * ** **fir * * * * * * * * * *Fx * *** APPROVED BY j� Signature Contractor l29 The foregoing instrument was acknowledgedbefore me this day of , 20 C2—, by -GI Q Ct2 , who is personally known to me or who has produced C - Q/� as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My C Plans Examiner Zoning Structural Review Clerk Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)