MC-12-2227Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 182005
Permit Number: MC -11 -12 -2227
Scheduled Inspection Date: February 25, 2013
Inspector: Perez, JanPierre
Owner: GLINN, MacDAM & DENISE
Job Address: 1201 NE 102 Street
Miami Shores, FL 33138-
Project <NONE>
Contractor: MONTESA SOLUTIONS ENTERPRISES INC
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: NC Replacement
Phone Number
Parcel Number 1132050250160
Phone: (786)399 -5406
Building Department Comments
RELOCATE AC UNITS AND DUCTS
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.
February 22, 2013
For Inspections please call: (305)762 -4949
Page 4 of 25
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 No. ni,c1 27-2,t2ii
PERMIT APPLICATION Master Permit No. j-J 2--° l ZZZ-
FBC 20 L k3
Permit Type: MECHANICAL
OWNER: Name (Fee Simple Titleholder): MA G AI v.a 6 v t ", Phone#: 7 a' gga • 06 6
Address: 1 �0 I 10 E \ 0" gk
City: ' lies . 4,-. ° CL-0 e s State: [- ( Zip: 7 1 3
Tenant/Lessee Name: Phone #:
Email: 1/1..., 04 0, ri a. , cam` o va -°. � S' a ar- S k r.\ .. "- , i ` t c" A.-. C e r .1 s ` L
JOB ADDRESS: \ \ t=om (t7:
City: Miami Shores County:
Miami Dade
Zip: 1 3 r
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone: P O
1Cy C :o378 Q-77r 3
CONTRACTOR: Company Name: fA G S Sad ►1,00 Ct fi ? dc-4/4- 473
�}. � PJ`4 Pone#: 1
Address: 1. 004 OAK [ V e` k 4- 3 2
City: V • - i I A iv\ 1) State: PL.-- zip: 3 2 v %'
Qualifier Name: i1'1 ! q Ca 01 7 I, 0 Phone #: (3 oS( 1 T" I 07 2..
State Certification or registration J #: C.. 4 t; 05-6" Q45S Certificate of Competency #:
Contact Phone #: 0 8 Gj 3 4Ct— 14:7 39 Email Address: QV1 i ',(4 g G( Gi +Jcl) 5 a 4* _4 DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ : 5, COO Square/Linear Footage of Work:
Type of Work: DAddress DAlteration °New ORepair/Replace °Demolition
Description of Work: C' 1 ci t- e A /c. tin n r °r'.a ve..e f left e b t - t(
* * * *F **** ***** ******* * ***w* * ** * * **i,r*es ** * **
Submittal Fee $51) 'L I' Permit Fee $ CF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 141 • V
ti_
Al!
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 FI.F,CTRICAL 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 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 inspectbn which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will noL%�e approved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this .2)0
day of jRW , 20 11-1-by fl 6,--AvAM CA-I IINN,
who is personally known to me or who has produced-- ( ►/
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
ittuittiol
/ dipf?...k.ti 0Zi 11/
S.Idx 3
* * * * * * * * * ** **** *, say* * * * * *****i*iq u►i,W * * * * * * ** * * *** * * * ** **
Signature
9720 s °t
Contractor.. , _
CgaD _ _. S�
The foregoing instrument was acknowl ged before me this --
day of NOV. , 20 /, by M l9 tie./ Can,
who is personally known to me or who has - oduced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print.* *AP-
Joc,,,L a-H./
01
4,
My C9
APPRO
G l■ I t l 1 Plans Examiner
Structural Review
(Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09)
RAUUEL A. SCARBOROUGH
Platy Public - State of Florida
vs My Comm. Expires Oct 18, 2015
Commission # EE 132379
* * * **
Zoning
Clerk