MC-16-1800 Permit NO. MC-6-1 6-1800
�sKO1S y,� Miami Shores Village ! Permit Type:Mechanical-Residential
10050 N.E.2nd Avenue NE
Per��� ' Work Classification:Addition/Alteration
Miami Shores,FL 33138-0000 Permit Status:APPROVED
Phone: (305)795-2204
FCORtOp`
Issue Date:7/5/2016 Expiration: 01/01/2017
Project Address Parcel Number Applicant
35 NE 91 Street 1132060130100
Miami Shores, FL 33138- Block: Lot: JEAN-BAPTISTE RAMET
Owner Information Address Phone Cell
JEAN-BAPTISTE RAMET 35 NE 91 Street (954)667-5242
MIAMI SHORES FL 33138-
35 NE 91 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 5,800.00
JOSE C YANE AIR CONDITIONING&)
Total Sq Feet: 0
Tons: Available Inspections:
Additional Info:DUCT WORK AND VENTILATION AS PER PL Inspection Type:
Classification:Residential Final
Approved:In Review Rough Duct
Comments: Date Approved::In Review
Review Mechanical
Date Denied: Type of Work: Underground
Scanning: 1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.60
Invoice# MC-6-16-60370
DBPR Fee $3.05
DCA Fee $3.05 07/05/2016 Credit Card $ 171.70 $50.00
Education Surcharge $1.20 06/28/2016 Credit Card $50.00 $0.00
Permit Fee $203.00
Scanning Fee $3.00
Technology Fee $4.80
Total: $221.70
In consideration of the issuan)tome er it, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict ci h p ns,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume ' f r I work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUANI AL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certiffore oing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futheoriz the above-named contractor to do the work stated.
July 05, 2016
Authorized Sign50
/ Applicant / Contractor / Agent Date
Building Depart nt Copy
July 05, 2016 1
( Miami Shores Village F � E
g
t J N282016
Building Department
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 l—�
FBC 20 (��•
BUILDING Master Permit No.n. c' � s _ '
PERMIT APPLICATION Sub Permit No.1—
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
35 CONTRACTOR DRAWINGS
JOB ADDRESS: Uz `3 I 4 J�
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Js the Building Historically Designated:Yes NO_
Occupancy Type: Road: Construction Type: Flood Zone: BFE: FFE:
AI src R� M�-)�
OWNER: Name(Fee Simp a Titleh der): Phone#:
Address: 1sT
I^ r
City: f \ 1'f` State: —F1 o Zi
p:
Tenant/Lessee Name: Phone#:
Email: ,po q
CONTRACTOR:Company Name: 0 e— V4 Al P ^IL,.6M Phone#*?" (2 XLr
Address: ZQ /
City: State:_�/(.L¢ Zip: `�,3/(�
Qualifier Name:� 0.S r � �/�� Phone#: ^
State Certification or Registration#: C- 1�1 S-q N Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ .0 Square/Linear Footage of Work:
Type of Wolk ] Addition ❑' Alteration New ❑ Repair/Replace ❑ Demolition
Description of Work: D Ur_ t' Q �� N �' N
+ S T
J2 Al 4t"2P/,
N
y.
i
Specify color of color thru tile:
Submittal Fee$ A, Permit Fee$ �, •e0CF$ �' GO
f_ CO/CC$
Scanning Fee _ W Radon Fee$ L_' DBPR$ �' ✓ Notary$
Technology Fee$ O Training/Education Fee$ t - 2-0 Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
1
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State 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 approved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
—Mday of �tx( 20 If by 2q day of 3LV\e�...•-� ,20 1(;, by
4_J E (s�� ho is personally known to ho is personally known to
me or who has produced �� as me or who has produced . as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC: LAURA UGUETO
J �_ MY COMMISSION#FF241289
� I EXPIRES September 05,2019
Sign: n did� i raa>);ss c1sa. a• 5arvic#.com
Print: ^ Print: (,f u�(� L �Tu .
Seal: ;V9: LAURA UGUETO Seal:
y� MY COMMISSION#FF241289
XPIRES September 05,2019,
APPROVED BY 0 lans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
,SNORES Miami Shores Village
V-1 Building Department
F a
Eggs J 11111M 10050 N.E.2nd Avenue
jy Miami Shores, Florida 33138
OAHU Tel: (305)795.2204
Fax:(305) 756.8972
AIR CONDITIONING REPLACEMENT DATA
PERMIT NUMBER: MC
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 acce((ptabllee.. /� /�,
Job Address(where the work is being done): 1 1 511,16 lf`1 10
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 ❑
UNIT BEING REPLACED DTA NEW UNIT
MANUFACTURER
AHU or PKG. UNIT MODEL# P
COND. UNIT MODEL#
KW HEAT
NOM TONS
AHU CU PKG 1)M.C.A AHU CU PKG
AHU CU PKG 2) M.O.P AHU CU PKG
AHU CU PKG 3)VOLTS AHU CU PKG
PKG UNIT / / PKG UNIT
EER/SEER'
YES NO REPLACING DUC S YES NO
YES NO REPLACING THERMOSTAT NO
YES NO NEW 4"CONCRETE SLAB E NO
YES NO NEW ROOF STAND YES NO
YES NO NEW RETURN PLENUM BOX YES NO
1. Minimum Circuit Ampacity(Wire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit(208/240/480):
4. Size Disconnecting Means:
Contractor's Company Name: Phone:
State Certificate or Registration No. Certificate of Competency No.
Signature Date:
U s I ure)
(Revised02/24/2014)
Work Proposal
JOSE C. YANES
AIR CONDITIONING &
APPLIANCES SERVICES, INC.
1021 NE 132 ST, NORTH MIAMI, FL 33161
LICENSED CAC1815974&INSURED CELL: 786.683.9345 FAX:305.895.3565
DATE:06/27/16
Name: Otoniel Florez WORK TO BE PERFORMED AT:
Email: Oto208@hotmail.com Address: 35 NE 91 ST
City/State: Miami Shores, FL
DESCRIPTION OF WORK PROPOSED:
SCOPE OF WORK:
Furnish and install a 5 ton 13 EER 16 Seer Rheem Unit.
Complete Duct Work.
2 years Contractor Labor Warranty
Contractor furnishes labor,materials,AC system, license, and insurance.
All material is guaranteed to be as specified, and the above work to be performed in accordance
with the drawings and specifications submitted above and completed in a substantial workman-
like manner for the sum of:
Five Thousand Eight Hundred Dollars $(5,800)
Payments will be made as follows: 50% Deposit and Remaining Balance after Completion.
❑ACCEPTANCE 0F f? POSAL
The above price sped tions and conditions are satisfactory and are hereby accepted.You are
authorized to he w as specified. Payments will be made as outlined above.
Signatur Date /X�