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MC-15-1041 Permit NO. MC-5-15-1041 Miami Shores Village St Permit Type:Mechanical-Residential iT 10050 N.E.2nd Avenue NE P� ' Work Classification:A1C Replacement jj'' Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 F[ORLOp' Issue Date: 10/8/20115 Expiration: 04/05/2016 Project Address Parcel Number Applicant 333 NE 92 Street 1132060136370 JOHN LONGMAN Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell LJOHNLONGMAN 333 NE 92 Street ()__ MIAMI SHORES FL 33138-3133 333 NE 92 Street MIAMI SHORES FL 33138-3133 Contractor(s) Phone Cell Phone Valuation: $ 5,300.00 AIR SYSTEMS A/C LLC (786)208-3484 -_ —,-- Total Sq Feet: 598 Tons:2.5 Available Inspections: Additional Info:NEW 2.5 TON AC UNIT 13 SEER AND DUC Inspection Type: Classification:Residential Final Approved:In Review Review Mechanical Comments: Date Approved: : In Review Date Denied: Type of Work: Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.60 Invoice# MC-5-15-55401 DBPR Fee $2.78 10/08/2015 Credit Card $203.66 $0.00 DCA Fee $2.78 Education Surcharge $1.20 Permit Fee $185.50 Scanning Fee $3.00 Technology Fee $4.80 Total: $203.66 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 08, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy October 08,2015 1 Miami Shores VillageJ . � .�, Building Department l APR 30 2M 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY; INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 lc� 2 BUILDING Master Permit No.9c,1 5 — IU3 1 PERMIT APPLICATION Sub Permit No. M, 15— ) Opt I ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP Z CONTRACTOR DRAWINGS JOB ADDRESS: �j City: Miami Shores County: Miami Dade Zip: 3 ( �1C a Folio/Parcel#: Is the Building Historically Desig,,nlated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: f-I6 BFE: FFE: OWNER:Name(Fee Simple Titleholder): Phone#: c�©S�r j 6G Address: s� City: 1 e? (:-S St te: Zip: -5-3(3,R Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name:_4 \1 r Si.IS:&zM. Phone#: -3 O { Address: �I01 iC /\)l.J �,'� 57, City: �PA I-ock A \/ State:—E— � Zip: 33 OST_ Qualifier Name:'�!� `�GlZ6?Ucc 2 Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address ? City Stated-g�ilip: Value of Work for this Permit:$ ,��`� �� Square/Linear Footage of Work: Type of Work: Addittiioon� � ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 1D"" (07-Z 09—S(Nl L A& P I C otj\T— I sem-(Z- n �Gt c ;PAZ � v� N�-' �?S( �� j�v �✓ 1� -To r-4 2 /ZI Specify color o olor thru tile: h Submittal Fee4;z�� Permit Fee$ 1/ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ Z y� TOTAL FEE NOW DUE$ 233 -(lC, (Revised02/24/2014) 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 r . ection fee will be charged. Signature Signature /ent or AGENT C NTRAC OR The foregoing instrus acknowledged before me this The foregoing instrument was acknowledged before me this -C day of "ay:0 h ,20 ,s by �J day of [` 20 IS by a'•�1^�— n Jon 4—C WAfjdtl(C) who is personally known to 1, V who is personally known to me or who has produced �` r cin as me or w4 has produced 1�1 CW) Vi e as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sig6. Si Q n /— Print: eA Print: Seal: Seal: P �g REBECA M. ASTRANA REBECA M.PASTRANA MY COMMISSIOON#EE872624 EXPIRES:February 07,2017MY COMMISSION#EE872624 °'��®®®��•t� EXPIRES:February 07,2017 APPROVED BY �I�Examiner Zoning Structural Review Clerk (Revised02/24/2014)