MC-16-1238 (2) Permit`NO. MC-5-16-123$
`gNOREs D�� Miami Shores Village Permit Type:Mechanical-Residential.
10050 N.E.2nd Avenue NE ON I
Pco% rill Work Classification:Addition/Alteration
— Miami Shores,FL 33138-0000 permit states:APPROVED
Phone: (305)795-2204
fiLORIDp'
Issue Date:5/17/2016Expiration: 1111312016
Project Address Parcel Number _ Applicant
9915 NE 4 Avenue Road 1132060171300
ESTEBAN GiUGOVAZ TRS FRAI'
Miami Shores, FL Block: Lot:
Owner Information Address Phone cell
ESTEBAN GIUGOVAZ TRS FRANCESCA 9915 NE 4 Avenue Road
- - -- --- MIAMI SHORES FL 33138-
9915 NE 4 Avenue Road
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone_ �- FValuati^on: b 5,5u6.irJ
C&T AIR SERVICES INC 305-888-6560
Total Sq Feet: 0
Tons:4 Available Ir_soe_ctions:
Additional Info:NEW A/C SYSTEM FOR ADDITION OF NEW Inspection Topa-
Classification:Residential Final
Approved: In Review
Rough Duct
Comments: Date Approved: - In Review � —
Review Jnr;,.;ipnical
Date Denied: Type of Work: iUndergrouno
Scanning: 1 —
I
r
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.60 t
DBPR FeeInvoice# MC-5-16-59704
$2.89
DCA Fee $2.89 05/17/2016 Credit Card $ 160.88 $50.00
Education Surcharge $1.20 05/09/2016 Credit Card $ 50.00 $0.00
Permit Fee $192.50
Scanning Fee $3.00
Technology Fee $4.80
Total: $210.88 I
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compli ince with all ordinances and regulations
pertaining thereto and in strict conformity with the plars,drawings, statements or specifications submitted to the prol er authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done ty ci`.ha! : eff :, Z�R._r.?cr e,r I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICA:.,WINDOWS,DOORS ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify t iat all the foregoing information is accurate. and that all work will be done in com)liance with all applicable laws regulating
constructio i d zoning. Futher re, I authorize the above-named contractor to do the work stated.
Mal 17, 2016
A t oozed Signatu e / Applicant / Contractor / Agent )ate
Building Depa ent Copy
May 17, 2016 1