MC-15-2301 (2) Permit NO. MC-9-15-2301
�sKO1 s yt Miami Shores Village Permit Type:Mechanical-Residential
10050 N.E.2nd Avenue NW
�a � Perl" ll ' t' Work Classification:A/C Replacement
- ""'"' Miami Shores,FL 33138-0000 Permit Status:APPROVED
Phone: (305)795-2204
F�ORiDp'
Issue Date: 10121/2015 Expiration: 04/18/2016
Project Address Parcel Number Applicant
64 NW 99 Street 1131010330060
Miami Shores, FL Block: Lot: THOMAS TELESCO JR.
Owner Information Address Phone Cell
THOMAS TELESCO JR. 64 NW 99 Street (305)216-6161
MIAMI SHORES FL 33150-
64 NW 99 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone
Valuation: $ 10,500.00
MEYER, LADD DAVIS AIR CONDITION (954)260-7377
__. _� ..,. ..� ,,....... w..... a ._._..., m._ Total Sq Feet: 900
Tons:3 Available Inspections:
Additional Info:REMOVE AND REPLACE EXISTING AC FANS Inspection Type:
Classification:Residential
Final
Approved:In Review
Review Mechanical
Comments: Date Approved: :In Review
Date Denied: Type of Work:
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $6.60
Invoice# MC-9-15-57033
DBPR Fee $5.52
DCA Fee $5.52 10/21/2015 Check#: 1238 $ 355.14 $50.00
Education Surcharge $2.20 09/10/2015 Check#: 11260 $50.00 $0.00
Permit Fee $367.50
Scanning Fee $9.00
Technology Fee $8.80
Total: $405.14
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.
October 21, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
October 21, 2015 1
Permit NO. MC-9-15-2301
Miami Shores Village
10050 N.E.2nd Avenue NW
Permit Type:Mechanical- Residential
Pe �� Work Classification:A/C Replacement
Miami Shores,FL 3313&0000 Permtt Status:APPROVED
Phone: (305)795 2204
FC RiDp`
Issue Date: 10/21/2015 Fxpiration: 04/18/2016
Project Address Parcel Number Applicant
164 NW 99 Street 1131010330060 THOMAS TELESCO JR.
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
THOMAS TELESCO JR. 64 NW 99 Street (305)216-6161
MIAMI SHORES FL 33150-
64 NW 99 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone
Valuation: $ 10,500.00
MEYER, LADD DAVIS AIR CONDITION (954)260-7377
� �- -- -- Total Sq Feet: 900
Tons:3 Available Inspections:
Additional Info: REMOVE AND REPLACE EXISTING AC FANS Inspection Type:
Classification: Residential
Final
Approved:In Review Review Mechanical
Comments: Date Approved::In Review
Date Denied: Type of Work:
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $6.60
DBPR Fee Invoice# MC-9-15-57033
$5.52 10/21/2015 Check#:1238 $355.14 $ 50.00
DCA Fee $5.52
.Education Surcharge $2.20 09/10/2015 Check#: 11260 $50.00 $0.00
Permit Fee $367.50
Scanning Fee $9.00 r itis vX
Technology Fee $8.80
Total: $405.14
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JOB AT TImMAE OF
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Applicant Copy
For Inspections, Call (305) 762-4949 or Log on at https://bldg.miamishoresvillage.com/cap/.
Requests must be received by 3 pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
the public records of this county. DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES.
October 21, 2015 2