MC-16-2724 (2) Permit NO. MC-10-16-2724
`SNO,ORES i, Miami Shores Village ' Permit Type: Mechanical-Residential
4 10050 N.E.2nd Avenue NE
Pen ' ' Work Classification:A/C Replacement
Miami Shores,FL 33138-0000 Permit Status:APPROVED
Phone: (305)795-2204
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Issue Date: 1112912016 Expiration: 05/28/2017
Project Address Parcel Number Applicant
925 NE 95 Street 1132060143100
Miami Shores, FL 33138- Block: Lot: 925 NE 95 LLC
Owner Information Address Phone Cell
925 NE 95 LLC 925 NE 95 Street (917)703-6010
MIAMI SHORES FL 33138-
925 NE 95 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 9,600.00
A&L SERVICES INC (305)481-8764
. ....._�.__..__.._ __. _ Total Sq Feet: 0
Tons:4 Available Inspections:
Additional Info:A/C CHANGE OUT 4 TONS 16 SEER 10 KW Inspection Type:
Classification:Residential Final
Approved: In Review
Review Mechanical
Comments: Date Approved: :In Review
Date Denied: Type of Work:A/C CHANGE OUT 4 TONS 16 SEER
Scanning: 1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $6.00
DBPR Fee Invoice# MC-10-16-61577
$5.04 10/05/2016 Credit Card $50.00 $315.08
DCA Fee $5.04
Education Surcharge $2.00 11/29/2016 Check#:1172217( $315.08 $0.00
Permit Fee $336.00
Scanning Fee $3.00
Technology Fee $8.00
Total: $365.08
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.
November 29, 2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
November 29,2016 1