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MC-09-297Inspection Worksheet Miami Shores Village I 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-107476 Permit Number: MC -2-09-297 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 Phone Number Parcel Number 1132060172350 Project: <NONE> Contractor: C&R AIR CONDITIONING CO Phone: 305-685-6394 tsuiming uepanment comments SUPPLEMENT 3 TON SPLIT SYSTEMFOR QUEEN PALM ROOM February 27, 2015 For Inspections please call: (305)762-4949 Page 2 of 27 Inspector Comments Passed 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 2 of 27 r Miami Shores Village 10050 N.E. 2nd Avenue J Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address 9617 PARK Drive Miami Shores, FL owner Information Address MIAMI SHORES VILLAGE Expiration: 08x29/2009 Parcel Number Applicant 1132060172350 MIAMI SHORES VILLAGE Block: Lot: Contractor(s) Phone Cell Phone C&R AIR CONDITIONING CO 305-685-6394 (954)680-4494 3 Additional Info: SPLIT SYSTEM Classification: Residential Approved: In Review Comments: Date Denied: Fees Due Amount Total: Date Approved:: In Review Type of Work: PhoneCell Valuation: $ $,000.00 Total Sq Feet: 0 Invoice # Total Amt Paid Amt Due $ 0.00 Available Inspections: 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 Building Department Copy March 02, 2009 31ti1oq Jv�n MOS Miami Shores Village D g FM 2 7200 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY..--- = ::..... . Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type: Mechanical �^ r Q Owner's Name (Fee Simple itte older) -&- Mei , ,� Phone # 3(3,4 - % V G1 1 d� Owner's Address 16 7 City ` State Zip Tenant/Lessee Name Phone # �3 &10,— E -MAIL: 10, -E-MAIL: Job Address (where the work is being done) 9 C. City Miami Shores Village County Miami -Dade Zip i FOLIO / PARCEL # Is Building Historically Designated YES NO n. Contractor's Company Name � t R A `/' CprJ . Co Phone # 6 9-,T 4,11 q Contractor's Address 60-7,1 N W (6 -7 T CLl City State , Zi Qualifier Name Q be, C� /' ti J Phone # rJ 0,'U &T6 0 q L4 State Certificate or Registration No. C A C Q2,6 419 Certificate of Competency No. Q 4 g $0%%' E-MAIL: Architect/Engineer's Name (if applicable) Phone # 00 , Value of Work For this Permit $ % SSo Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace � ❑Demolition Describe Work: U 9 Al Fees Submittal Fee $ Permit Fee CCF $, CO/CC Notary $ Training/Education Fee`$ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due S. 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: 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. r` n .r0 A Signature '%x Owner or Agent The foregoing instrument was acknowledged before me this aS� day of 200A, byN�%� who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Signature — Contractor The foregoing instrument was acknowledged before me this 1$ day of + ,cbLw(q , 2009 , by who is ersonally know o me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: �. _._. Sign: Print: V71 s,. Print:4�,—Yra ✓►e`t K P q v ".'•., JANET KRANZ My Commission Expires: ' My Commission 5 Commission DD 621880 9:xxxr. acxic �Fxxxi: is is icx*v:* xxie ixxx'.e 4cxxxxaFxx>ti:xx4cxicx k�cxnc*dFxicx icxxie 4c*ie aFxx**xxxic*ic acx�YxoYyt'•oF P1�°.•� Bonded Thru Troy Fain Insurance 800.985.7019 APPLICATION APPROVED BY: (Revised 02/08/06) 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 MECHANICAI M UNIT FEE ITEM UNIT FEE ITEM UNIT FEE H TUB [DISHWASHER SWITCH OUTLETS SPACE HEATERS LIGHT OUTLETS DISPOSAL CENTRAL HEATING FLOOR DRAIN RECEPTACLES A/C (WIND) O h ( O GREASE TRAP SERVICE TEMPORARY A/C (CENTRAL) } lH S i SERVICE SIZE IN AMPS DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP CLOTHES WASHER OVEN UNDERGROUND TANKS SHOWER ABOVE GROUND TANKS SINK. POT/3 COMP. WATER HEATER U.F. PRESSURE VESSELS SINK, RESIDENCE. MOTORS 0-1 HP STEAM BOILERS SINK, SLOP. MOTORS OVER 1-3 HP HOT WATER BOILERS TEMPORARY WATER CLOSET MOTORS OVER 3-5 HP MECHANICAL VENTILATION URINAL MOTORS OVER 5-8 HP TRANSPORTING ASSEMBLIES WATER CLOSET MOTORS OVER 8-10 HP ELEVATORS/ESCALATORS INDIRECT WASTES MOTORS OVER 10-25 HP FIRE SPRINKLER SYSTEMS MOTORS OVER 25-100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION A/C 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 n6+i•O SCgit IrtlgrY�_t_S�^o�e� �eCIFcC t %oh (aUle-cV �oktm ('oom S iceltvnevltU' A_r -30� -?5z 2 103 °[_6 1-1 Fac K or. M i t n't S�,orc4 R, 33 13 O torr aTor SP1�116,235£F(Z 23o'Jo l+ 1PH R Uio Ref. Co KJ mod` _ TC G Fif,, m aK Ease 30 3,y -boo Tb -TU -AIH rn od (= 51= P o y g w s r, We i«thc,t rna x F�sL J 0 d e f �j' I V, e,!LsC4 CJ �, ; (A d Cond l,�r„T SGtor\ ( M)IQ eA rove. n F)G*foo+ C+R a -r Cor,C Co . 30 6�SP6P39 y RTC 2 �g.oq n6tfio scalc POk M ('00►r _S_�Pplcwev,t�t A;,-_Cord;+io►^ �,� 3017 7S8' S 10,3 K_ Tor SPI,t16.23SEFR 23o'vo It IPN R Uro Ref. Cohc� rnod --TCG F,3.� 30 35-bOOTgrU 1q_/N mod= �'SrPOygWSKW�Irc�►,c4� McAxF�sLJQ R ef �he�� 3/ti' sucfi�fi� Seton Ppco\Jc-a s+ow,A on nO goo _Ct2 A'r Co_hC� Co 30 (,SSS' i> �� y RSC 2 i$ Oal