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MC-07-1360EXACT REPLACEMENT OF 5 TON SPLIT SYSTEM q719 L 'L k Cil / G v * Passed Inspector Comments DuJ )(0.0)t.o..( ro, uct- I,, •,___o__,I, \p i L t r ` l� ` Gt/' - v � � Z-/IDIU II f t e - 4 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 12/05/2007 Inspector: Perez, JanPierre Owner: VILLAGE, MIAMI SHORES Job Address: 9617 PARK Drive Miami Shores Village, FL Project: <NONE> Contractor: C&R AIR CONDITIONING CO Building Department Comments Tuesday, December 4, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060172350 Lot: Phone: 305 - 685 -6394 Page 1 of 2 BUILDING id01ou,� PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) RC.? pi 9 Owner's Address 100S ( E Avg City ill l t -D t c j State IP Tenant/Lessee Name E- MAIL: / ��`` Job Address (where the work is being done) t b 17 Pcat r LD (. City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: Describe Work: ❑Addition Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DAlteration xxxxxxxxxx xx****aexxxxxxxxxxxxxxxxmxxxxxF Submittal Fee $ Permit Fee $ Notary $ Training /Education Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Review. $ ['New DPBR $ Zip Permit No. Master Permit No Phone# 303 1 1 J a aO Ll 33i.0 Phone # Phone # Zip 33 K1 Is Building Historically Designated YES NO Contractor's Company Name C - 1' R it f- C..0143. co. . Contractor's Address Po bo x 6 k1 2 0 / City d r I ill VM I _ State A. Zip 3 3 16 g' Qualifier Name P ®I d t t' a.� . C14 r J Phone # State Certificate or Registration No. C. A C- ® 2 i Certificate of Competency No. 0 9 e $ d .2 • .3 E -MAIL: Phone # 301 6 O,S 94 Square / Linear Footage Of Work: IN Repair /Replace Double Fee $ ** k*******************x ww w * CF $ Technology Fee $ Zoning $ Total Fee Now Due $ See Reverse side -+ RI) MOMEIFICI 191 JUN 2 s soot 1v1001 CO /CC ❑ Demolition 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. 1 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. 1 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: 1 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 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 wner or Age The foregoing instrument was acknowledged before me this a% day of —,- 2061, by , who i personally known o me or who has produced who is As identification and who did take an oath. NOTARY PUBLIC: Print: (Z.0 \3, CV• Sign: My Commission Expires: ** x*** *w*WW% is x ***** ** APPLICATION APPROVED BY: (Revised 02/08/06) Signature Sign: Print: NOTARY PUBLIC: Contractor The foregoing instrument was acknowledged before me this a a day of 5 e , 20 b , by own�to me or who has produced as identification and who did take an oath. Robert J. Chryst Commission # DD524802 24 1 a note, ins 800.3854019 My Commission E ww ww*** R*****'X •:. 314 7 JANET KRANZ ''xp es member 21,1 10 X X>r Banded lbw Troy Fain Insurance 800. 3837019 Plans Examiner Engineer Zoning Rayon/Oldies below stab be assumed by either us or you, as indicated: l� Reconnect, E Existing. F None, Y You. and Datio ry a Ph a electoral service from a ssembly. erection f suet to dechidd peel .f{ppi��.�� . {a....NN.. {NiN•.N1H Wring from wiring to .... ....I.e. {NN.M Mot .rstiladen..1 •...e.. -.e N..... i... E. Control system "_ ir 11.. �. � Cutting and tides P . {.. S_ duds, pipes. etc. A9ic Insulation i.....N..., � _._ Painting, redecorating G A ouillftedair condoning soot will start and test the system and explain fis-operetlon. This proposal Is good for a two period from date of pupped and et that time to subloot to review. Tide to the system shall remain in us until ail sums due us have been fully paid. In therevent tioourchaser feast* comply with any of the requirements of this contract and such default results in Niigata*, the Potholer agrees to pay -reasonable attorney's fees and all court costs and s ues incident to such ration. Delinquent payments shall bear 1.5% per month Interest from due date sntll paid. AN wale is to be performed during our regular worth hours unless otherwise specified. This itOntract contain:s ail agreements. Neither pwty shall be bound by any representation , waryantes or agreenei %oral or -written not heroin contained. This proposal shalbscome a contact when accepted by you and approved ill wilting by our duly and corporate officer. Page .o 3 ILMENNO B._..• j s Lmwor ' aids C as . `.. the n. a� In C S'R`.shut amide labor to adjust system and replace patb Tara paled er 355 Initial abut ep date. S YEAR COMPRESSOR, 1 YEAR PARTS ON CORD ER S YEAR PARTS ON AIR HANDLE; OO ready to enema "RE 3 I I� CO UNIT Psis CONDITIONING COMPANY Ie ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING C I` (A) DISPOSAL RECEPTACLES A/C (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) 7 TO r, 4 f p p 1 GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK - C o In d INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP UNDERGROUND TANKS CLOTHES WASHER OVEN ABOVE GROUND TANKS SHOWER WATER HEATER U.F. PRESSURE VESSELS SINK. POT /3 COMP. MOTORS 0 -1 HP STEAM BOILERS SINK, RESIDENCE. MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3-5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5-8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8 -10 HP ELEVATORS/ESCALATORS WATER CLOSET MOTORS OVER 10-25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25 -100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION NC UNIT NC WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. STRIP HEATER HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE SPECIAL PURPOSE SEWER CONNECTIONS OUTLETS COMMERCIAL UTILITY -SEWER SIGN TUBES UTILITY -WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES FAINFIELD, 4" TILE/RES. ANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU. FT. VIOLATION CATCH BASIN REINSPECTION DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL PERMIT # MECHANICAL Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Building Department Copy Contractor(s) C&R AIR CONDITIONING CO Phone 305 - 685 -6394 Cell Phone Fees Due Total: Amount Authorized Signature: Owner / Applicant / Contractor / Agent Expiration: 01/01/2008 Project Address 9617 PARK Drive Miami Shores Village, FL 1132060172350 Block: Lot MIAMI SHORES VILLAGE MIAMI SHORES VILLAGE Valuation: Total Sq Feet Tons: 5 Additional Info: NC Classification: Residential Approved: In Review Comments: Date Denied: Date Approved: : In Review Available Inspections : Inspection Type: Smoke Test Rough Smoke Det Test Hood Final Rough Dud Ventilation IA 5 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 information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated July 05, 2007 Date Thursday, July 5, 2007 1 PERMIT MC -6 -07 -1360 HAS AN OPEN INVOICE. PLEASE PAY THIS INVOICE BEFORE PRINTING THE INSPECTION WORKSHEET FOR INSPECTION INSP- 69719. July 02, 2010 Lx.. t O c!"z C 15 FA %• I [307 SH C) ) CDPCEN,_s tN c1CIL Sip - Tvs For Inspections please call: (305)762 -4949 Page 15 of 16