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MC-09-121941---cto__ ..........._ . 3...) 1 ....,62 ...... 11 7 rip Passed Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 100°;9 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 I nspection Number: INSP - 119936 Permit Number: MC -7 -09 -1219 I Inspection Date: February 16, 2010 Inspector: Perez, JanPierre Owner: VILLAGE, MIAMI SHORES Job Address: 9617 PARK Drive Project: <NONE> Building Department Comments Miami Shores, FL Contractor: C&R AIR CONDITIONING CO February 16, 2010 For Inspections please call: (305)762 -4949 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: NC Replacement Phone Number Parcel Number 1132060172350 Phone: 305 - 6854394 Page 1 of 1 Protect Address 9617 PARK Drive Miami Shores, FL 1132060172350 Block: Lot: MIAMI SHORES VILLAGE Owner Information MIAMI SHORES VILLAGE Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Contractor(s) C&R AIR CONDITIONING CO Phone Cell Phone 305 - 685 -6394 (954)680 -4494 Fees Due Total: Amount Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Address 219 d enttaN Expiration: 0112012010 Parcel Number Phone Applicant Valuation: Total Sq Feet: Tons: Additional Info: Classification: Residential Approved: In Review Comments: Date Denied: Date Approved: : In Review Type of Work: Invoice # Total Amt Paid Amt Due $ 0.00 July 24, 2009 Date Cell ZONOWNSAUMNAMM $ 4,895.00 0 For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Final 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 24, 2009 1 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) Owner's Address 0 0 s 0 1J g. A cd e. City l..ead Lvi, State SP . Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) . 9 6 ' 7 PCkAt DA. City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name + R Air Co ck, C o. Contractor's Address C:70 11/41w 1 6 -7 . T G_ City � State Qualifier Name KO O '1 Z e CI-1r y s T State Certificate or Registration No. C A Cd o 6 L f 4 E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ "� � Type of Work: ['Addition ['Alteration Describe Work: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Training /Education Fee $ * * *** * *x *x * ***** *arm * *xxx * * * *x * * * * *,•, ***F Submittal Fee $ Permit Fee $ New Master Permit No. Phone # 30S 7V- 2 a o Zip 3 13 Kl Phone # Phone# 30“ 8S 9L1 zip 320 Phone # 3 0s'4 a 6 5 �( Certificate of Competency No. Phone # zip 3310 a' Square / Linear Footage Of Work: o 09 Joie/e, Permit No. ©7" al Repair /Replace ❑ Demolition CCF $ CO /CC Technology Fee $ Zoning $ Notary $ Scanning $ Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side 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 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 Agent The foregoing instrument was acknowledged before me this a I The foregoing instrument was acknowledged before me this 1 day of Zit 1 , 20 64, by , day of 1 ^ , 20 09, by to me or who has produced who personally know to me or who has produced as identification and who did take an oath. who is NOTARY PUBLIC: Sign: Print: ?..INb - eIri My Commission Expires: APPLICATION APPROVED BY: (Revised 02 /08/06) As identification and who did take an oath. 404k Robert J. .. yst .•: Commission # DD524602 at, Expires May 24, 2010 4P60 Bonded inn Fain -Insurance, hx. 800485 019 On 44 Signature NOTARY PU Sign: Print: My Commission Expires: C'ntractor * le *'* xxxxx *le * ** de** lc texxxxxxxxxxxx*** * *x * * * xxx * *x * * de * * / 3 *** * * *x* *x JANET KRANZ *= Commission DD 621880 ires December 26, 2010 890 40.47919 * * * * ** * * * ** r Plans Examiner Engineer Zoning ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT BATH TUB SWITCH OUTLETS SPACE HEATERS FEE DISHWASHER LIGHT OUTLETS CENTRAL HEATING 11 DISPOSAL RECEPTACLES A/C (WIND) 1:- 3 FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) A 0 H A- Co n GREASE TRAP SERVICE SIZE IN AMPS DUCT WORK 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 1025 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25 -100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION NC UNIT A/C 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 s ADDENDUM TO BUILDING PERMIT APPLICATION 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 ELECTRICAL PERMIT # MECHANICAL