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MC-09-296I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-107469 Permit Number: MC -2-09-296 Scheduled Inspection Date: March 02, 2015 Permit Type: Mechanical - Commercial Inspector: Perez, JanPierre Inspection Type: Final Owner: VILLAGE, MIAMI SHORES Work Classification: Addition/Alteration Job Address: 9617 PARK Drive Miami Shores, FL Project: <NONE> Phone Number Parcel Number 1132060172350 Contractor: C&R AIR CONDITIONING CO Phone: 305-685-6394 Building Department Comments EXACT REPLACEMENT OF 10 TON A/H AND 1=5 TON CONDENSING UNIT. February 27, 2015 For Inspections please call: (305)762-4949 Page 1 of 27 Inspector Comments Passed gul— Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. February 27, 2015 For Inspections please call: (305)762-4949 Page 1 of 27 Miami Shores Village s 10050 N.E. 2nd Avenue 11 Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address ...... .............. 9617 PARK Drive Miami Shores, FL Parcel Number 1132060172350 Block: Lot: Expiration: =2912009 Applicant MIAMI SHORES VILLAGE owner rnrormanon Address Phone Cell MIAMI SHORES VILLAGE Contractor(s) Phone Cell Phone C&R AIR CONDITIONING CO 305-685-6394 (954)680-4494 Im Additional Info: A/H & CONDENSING UNIT Classification: Residential Approved: In Review Comments: Date Denied: Fees Due Amount Total: Date Approved:: In Review Type of Work: Valuation: $ 9,000.00 Total Sq Feet: 0 Invoice # Total Amt Paid Amt Due $ 0.00 Avauame Inspection Type: Hood Rough Duct Smoke Test Smoke Det Test 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. March 02, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy March 02, 2009 I Miami Shores Village Building Department 2 7 2009 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305)756.8972 BY' _'_ BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Permit No. cm—m Master Permit No. Owner's Name (Fee Simple T' ho der) -1fk..A1"w4 )"4u,, Phone ft 44 • 7 102 Owner's Address -40- City State Zip Tenant/Lessee Name G Phone # SOT E-MAIL: Job Address (where the work is being done) City _ Miami Shores Villa:re County Miami -Dade Zip 3 FOLIO / PARCEL # Is Building Historically Designated YES NO lor Contractor's Company Name Q t f (o i,, Q C6, Phone # 3 OS b Q S 61394 1394 Contractor's,Address b 0 7 W 1 (; % S T C y City ��1 State Zip Qualifier NameQ J' Jf 3T Phone rry State Certificate or Registration No. C, A C 0 9 b 414 Certificate of Competency No. 0 4 p E-MAIL: Architect/Engineer's Name (if applicable) Phone # 0O Value of Work For this Permit $ 8991 Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alterafon ❑New [(Re air/Replace El Demolition Describe Work; i Q 14 i -S Submittal Fee $ Permit Fee $ 11 CCF $5,46 CO/CC Notary $5_ Training/Education Fee $__I, Technology Fee $-�� Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural. Review. $ Totat Fee Now Dues ._ 3y . Z. See Reverse side —� 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: l 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. n n ^ I IF-. Signature"' Owner or Agent The foregoing instrument was acknowledged before me this day of � > 20(A, by _�iMM who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Signature Contractor pp The foregoing instrument was acknowledged before me this ( p day of ebLAe_, 20 09, by who i X6rsonally know to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: n� Sign: r Print:�bQ�A �PX� Print: J q My Commission Expires: My Commission E APPLICATION APPROVED BY: (Revised 02/08/06) Commission DD 621880 Expires December 26, 2010 Plans Examiner Engineer Zoning 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: PERMIT # PLUMBING ELECTRICAL MECHANICAL ITEM (UNIT IFEE (ITEM BATH TUB SWITCH OUTLETS DISHWASHER LIGHT OUTLETS DISPOSAL RECEPTACLES FLOOR DRAIN SERVICE TEMPORARY GREASE TRAP SERVICE SIZE IN AMPS INTERCEPTOR SERVICE REPAIR/METER CHAN LAVATORY APPLIANCE OUTLETS LAUNDRY TRAY RANGE TOP CLOTHES WASHER OVEN SHOWER WATER HEATER SINK. POT/3 COMP. MOTORS 0-1 HP SINK, RESIDENCE. MOTORS OVER 1-3 HP SINK, SLOP. MOTORS OVER 3-5 HP TEMPORARY WATER CLOSET MOTORS OVER 5-8 HP URINAL MOTORS OVER 8-10 HP WATER CLOSET MOTORS OVER 10-25 HP INDIRECT WASTES MOTORS OVER 25-100 HP WATER SUPPLY TO: MOTORS OVER 100 HP A/C UNIT A/C WINDOW 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 LITY-WATER SIGN TRANSFORMERS PTIC TANK SIGN TIME CLOCK LAY rFAINFIELD, FIXTURES 4"TILE/RES. ANTENNA MP & 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 UNITIFEE (ITEM ITIFEE SPACE HEATERS CENTRAL HEATING I: I ►' A/C (WIND) t = 1® Dd1 / _ v %Gll 1 U%^L) I - a DUCT WORK REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE GROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS/ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION REINSPECTION