MC-14-1888Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-218767 Permit Number: MC -8-14-1888
Scheduled Inspection Date: October 29, 2014
Inspector: Perez, JanPierre
Owner: ALE CASTRO, MARIA GABRIELA
Job Address: 9701 BISCAYNE Boulevard
Miami Shores, FL 33138 -
Project: <NONE>
Permit Type: Mechanical - Commercial
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number
Parcel Number 1132060143320
Contractor: ALL STAR HOME SERVICES Phone: (786)270-1860
tsunamg uepartment comments
exact ac change 4 ton Infractio Passed Comments
INSPECTOR COMMENTS False
Passed 10
Inspector Comments
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 28, 2014 For Inspections please call: (305)762-4949 Page 12 of 46
0((. 4[2-0f %A
BUILDING
PERMIT APPLICATION
Miami Shores Village
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Building Department �� �--7
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i
AUG 2%2014
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 a
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
F�BC 20 LO)
Master Permit No. MCI 1`CI1-4 - L-�
Sub Permit No
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL F-] PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
%� CONTRACTOR i DRAWINGS
JOB ADDRESS: ��`/ I � P�j���iI�A ry RV&
x'1/'1/A _ fll9 i
the Building Historically Designated: Yes NO
Occupancy Type: Load:
ConstructionType:
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
i�a /
ahs
4 LCJ'Phone#:
city: m/
Tenant/Lessee Name:
Email:
• State:
e#:
CONTRACTOR: Company Name: ���— �e �� /i►� S'&XL�"C116,hone#:
Qualifier Name:
State Certification or Registration #:
Certificate of Competency #:
Zip:
DESIGNER: Architect/Engineer: Phone#:
Address: 5efCity: State:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work:
3-313S.
Zip:
❑ Demolition
Specify color of colour thru tile: r
Submittal Fee $ 1503 'y� Permit Fee $ i 1 CCF CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ a ® Notary $
Technology Fee $ - Training/Education Fee $ e2,0 Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ Or. .
(Revised02/24/2014)
[Q ON
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 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 appr?4ed and a reinspection fee will be charged.
( O OWNER(or�GENT
The foregoing instrument was a nowledged before me this
y� day of 20.0 by
!/'iL(.i^%j0,0'f /np . who is personally known to
me or who has produced 0tf as
identification and who did take an oath.
NOTARY PUBLIC:
Signature '.
CONTRACTOR
The foregoing instrument was acknowledged before me this
G 7 day of fit (.l S -F 20 1+ . by
who is ersonall kn o
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
<.; 1
Seal:
a h, 'o� 1�"f �'�9eeit�°SSiO'd a�EE02��
� �wa� �aatt;iFt 9s4 �n�,iW 125Cdi crd
as
APPROVED BY lans Examiner Zoning
i
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores' Florida 33138
Tel: (305) 795.2204
Fax:(305) 756.8972
AIR CONDITIONING REPLACEMENT DATA
PERMIT NUMBER: MC _ I
This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must
be on its own data sheet. Multiple units on single sheets are not acceptable. r
Job Address (where the work is being done): ®!0
City: Miami Shores Village County: Miami Dade zip Code:
ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB
ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION
A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS
AHRI DATA SHEET REQUIRED
Change disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit (208)&480):
4. Size Disconnecting Means: �7- yam., p' c,� ��-
Contractor's Company Name: AQ S / hbl)q t�I9 /(,CEJ Phone:
State Certificate or Registration No. I 32b Certificate of Competency No.
Signature Date•T f/
(Quasi s signature)
(Revis6d02/24/2014)
UNIT BEING REPLACED
DATA
NEW UNIT
MANUFACTURER
AHU or PKG. UNIT MODEL #
,.
COND. UNIT MODEL #
E4 FLA
KW HEAT
NOM TONS
AHU
CU
PKG
1) M.C.A
Cu
PKG
AHU
PKG
2) M.O.P
A MY
C
PKG
AHU
CU
PKG
3) VOLTS n
AHU
CU
PKG
PKG UNIT /
/
PKG UNIT
EER/SEER
1
YES
REPLACING DUCTS
YES
NO
REPLACING THERMOSTAT
V§3
NO
NO
NEW 4"CONCRETE SLAB
NO
E
NO
NEW'ROOF STAND
ES
YES
kv
NEW RETURN PLENUM BOX
YES
O
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit (208)&480):
4. Size Disconnecting Means: �7- yam., p' c,� ��-
Contractor's Company Name: AQ S / hbl)q t�I9 /(,CEJ Phone:
State Certificate or Registration No. I 32b Certificate of Competency No.
Signature Date•T f/
(Quasi s signature)
(Revis6d02/24/2014)
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