Loading...
MC-16-1823 Permit No. MC-6-16-1$23 Miami Shores Village Permit Type:Mechanical-Residential 10050 N.E.2nd Avenue NEPer I Work Classification:Addition/Alteration - Miami Shores,FL 3313&0000 Permit Status:APPROVED Phone: (305)795-2204 F�ORtDA Issue Date: 12/1512016 Expiration: 06/13/2017 Project Address Parcel Number Applicant 138 NE 106 Street 1121360050050 Miami Shores, FL 33138- Block: Lot: COREY MANION JTRS Owner Information Address Phone Cell COREY MANION JTRS 138 NW 106 Street MIAMI SHORES FL 33138- 138 NW 106 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,800.00 AIR Q INC (786)486-7810 .._� ...... Total Sq Feet: 0 Tons: Available Inspections: Additional Info:EXTEND DUCT WORK TO NEW AREA NEW BA Inspection Type: Classification:Residential Final Approved:In Review Rough Duct Comments: Date Approved: : In Review Review Mechanical Date Denied: Type of Work: Underground �JE Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee Invoice# MC-6-16-60403 $2.25 12/15/2016 Check#:133 $ 160.70 $0.00 DCA Fee $2.25 Education Surcharge $0.40 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $160.70 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING, MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDA T: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and ' g. Futhermore, I authorize the above-named contractor to do the work stated. December 15, 2016 Aut rized gnature:Owner / Applicant / Contractor / Agent Date Building Department Copy December 15,2016 1 Miami Shores Village =JUN3 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138I Tel: (305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 FBC 2014// BUILDING Permit No. - j 8 2 PERMIT APPLICATION Master Permit No.� (- Permit Type: MECHpANIllC11AL JOB ADDRESS: N E, 'O City: Miami Shores County: Miami Dade Zip: 3-31 -3P Folio/Parcel#: ' -a13(o 'O w S- otSa Is the Building Historically Designated: Yes NO ✓ Flood Zone: OWNER:Name(Fee Simple Titleholder): Coreq Uam M a n l o n Phone#: Address: 115 1J C 5+ City- rn 1 a✓n i Q10 1r28 State: zip: 3 -6( 39 Tenant/Lessee Name: Phone#: — Email: CONTRACTOR: Company Name: Am- Ta", Phone#: 7 11 ' 'i 25�o '7810 Address: 9010 Uj aaNr) 9-f- City: VAC VV'L-t State: Zip: 33 1 to S Qualifier Name: �AS'0 / Phone#:- — State Certification or Registration#:_0^h p 0 I a V q / 7'Certificate of Competency#: Contact Phone#:-7&�—qya -7 r I o Email Address: O_I Ire .I V%G LO y.0._"O DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ " Square/Linear Footage of Work: Type of Work: ❑Address dAlteration ❑New ❑Repair/Replace ❑Demolition Description of Work: O XtC,&o %af "a- 4y Neuj ArreA h" b0h omm e4 "ca' a v%.. Submittal Fee$ 95 Permit Fee$ C/• © CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ 0 Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ rt ' 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS,HEATERS,TANKS and 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 attachmen Iso, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) ays ter the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee ill be harged. Signature Signature Owner or Agent �. Contractor The foregoing instrument was acknowledged before me this 2 The foregoing instrument was acknowledged before me th' day of J /lP— 20`&,by COf ja ,I MGLIA 0v^' day of ,20��o,by who is personally known to me or who has produced PL ho is e n to me or who has produced Rmm M SSo o��?.,s3o As identification and who did take a ; "%;; as identificati a d who did take an xC NOTARY PUBLIC: soA:*,; = NOTMY PU C: Zme ¢� z� MX SMT Sign. " ign:V a nn---- ,^ z AC M9 Print: H� G5;%(Wc- U cn Print: tyl " Zq My Commission Expires: L4 12%31� q Q_�C', My Commission Expires: b I) 8 APPROVED BY Plans Examiner Zoning Structural Review Clerk Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)