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MC-16-106Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-250924 Permit Number: MC -1 -16-106 Scheduled Inspection Date: November 09, 2016 Inspector: Perez, JanPierre Owner: GUERRA, JUAN AND BERTA Job Address: 518 NE 94 Street Miami Shores, FL Project: <NONE> Contractor: AIR SYSTEMS AIC LLC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Kitchen Hood Phone Number (305)757-3111 Parcel Number 1132060140960 Phone: (786)208-3484 Building Department Comments 2 BATHROOM EXHAUST FAN AND STOVE EXHAUTS 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. November 08, 2016 For Inspections please call: (305)762-4949 Page 1 of 23 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. MC -1-16-106 Permit Type: Mechanical - Residential Work Classification: Kitchen Hood Permit Status: APPROVED Issue Date: 2/3/2016 Expiration: 08/01/2016 Parcel Number Applicant 518 NE 94 Street Miami Shores, FL 1132060140960 Block: Lot: JUAN AND BERTA GUERRA Owner Information Address Phone CeII JUAN AND BERTA GUERRA 1045 10 ST #907 MIAMI BEACH FL 33139-5362 (305)757-3111 Contractor(s) AIR SYSTEMS A/C LLC Phone (786)208-3484 CeII Phone Valuation: Total Sq Feet: $ 400.00 0 Tons: Additional Info: 2 BATHROOM EXHAUST FAN AND STOVE EX Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.25 $2.25 $0.20 $150.00 $3.00 $0.80 $159.10 Pay Date Pay Type Amt Paid Amt Due Invoice # MC -1-16-58334 02/03/2016 Credit Card $ 159.10 $ 0.00 Available Inspections: Inspection Type: Final Rough Review Mechanical 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 inf., mation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the- 'e -named contractor to do the work stated. February 03, 2016 Authorized Signature: Owner / Ap•licant / Contractor / Agent Building Department Copy Date February 03, 2016 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 S.( -L\ FBC20I4 BUILDING Master Permit No. I S— 3610 PERMIT APPLICATION JAN 1 6 2015 Sub Permit No. I I l G 1 (P - I d b • ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION `` `❑ EXTENSION ❑RENEWAL PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ,❑ SHOP CONTRACTOR DRAWINGS .,JOB JOB ADDRESS: 5�" 1 p O iNt c14 ST 4.4, City: Miami Shores County: Miami Dade Zip: 33132 Folio/Parcel#: 1V- 32..O (o- OM ` 0'160 Is the Building Historically Designated: Yes NO . Occupancy Type: Load: Construction Type: Flood Zone: J4 BFE: FFE: OWNER: Name (Fee Simple Titleholder): SjAr") Phone#:78(•66$%• QRLiE Address: 5 t'53 NE ci'-1 5T City: R\am't Shores • State: zip:33132 Tenant/Lessee Name: Phone#: Email: ,4 CONTRACTOR: Company Name: kW 545-1-C.rn S M_ lLG Phone#: 305• tat. 10LiO Address: 408 NW 133 5T - City: Opa► LOC-kG State: e L Zip: 3305 q Qualifier Name: R.,e,.‘ `1 V42GiutZ r Phone#: 3x5.6%1• I0I-10 State Certification or Registration #: CAC 0335'4'-1 Certificate of Competency #: . DESIGNER: Architect/Engineer: _.. " Phone#: Address: City: State: Zip: Value of Work for this Permit: $ oPe . D"' Square/Linear Footage of Work: Type of Work: E Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: / /t ,--/``e-ie (5Ai rzau-vif 4 is-u.s.--t- f# J ,4fr' D e', -JE act -t a 4° E sss�1 r,t e."S+ f -4-A, t_9Apre 1/4919 . A`l Specify coloriof'color thru tile: :1. += Submittal Fee $' 1;3e' 1 9 Permit Fees$ .t .4. CCF $ co/CC $ ~-co�' Scanning Fee $ 3 ` Radon Fee $ - S DBPR $ • dNotary $ Technology Fee $ • `.0 Training/Education Fee $ 2V Double Fee $ Structural Reviews $ $V Bond $ C TOTAL FEE NOW DUE $ 1 541 ` c (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 yin 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 p) days after the building .permit is issued, In the absence of such pasted notice, the inspection will not be approved and a reinspection , ee will be charged. Signat re /411111114114 Acti MA/gr"-"""Sr The foregoing instrument w. s acknowledged before me this I3 day of 3anu ar\i 1,uaun . ). C4 .VCXY4 , who is personally known to ,2011, ,by me or who has produced n1_ tun -c-eVC. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seai: Suyapa . Vasquez Commission # FF942611 Expires: December 9, 2019 Bonded thru Aaron Nota APPROVED BY (Revised02/24/2014) Signature rAwlT I A r -T The foregoing i I?) day of rument was a owledged before me this At inUG r ROy VG�UGZ , who is personally known to me or who has produced DL ors Nc, as identification and who did take an oath. NOTARY PUBLIC: ,201(0 ,by Sign: Print: Seal: 'iw«^ PI ns Examiner Suyapa T. Vasque2 "s Commission # F942611 apiE Expires: December 9, 201': Zoning Structural Review Clerk