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MC-16-2579 3 A Q iy� N fl� yak Miami Shor®s Village " z' M fttm#Type Ni6chanical Residentlat 10050 N.E.2nd Avenue NE l?�b� frxeit � �Al � n Miami Shores,FL 33138-0000 r Pe1rr_7isttt ` F ��: Phone: (305)795-2204 lt I Ex 03119/ aRi (ration:ata' 01: 16 p� 17 Project Address Parcel Number Applicant 1086 NE 96 Street 1132060143480 Miami Shores, FL Block: Lot: ANA ROJAS Owner Information Address Phone Cell ANA ROJAS 1086 NE 96 Street MIAMI SHORES FL 33138-2552 Contractor(s) Phone Cell Phone Valuation: $ 300.00 MASTER MECHANICAL HVAC CORP (305)394-6218 _. _...W._. ..„ Total Sq Feet: 0 Tons: Available Inspections: Additional Info:REMOVE AND RELOCATE 1 EXISTING SUPP Inspection Type: Classification:Residential Final Approved:In Review Rough Duct Comments: Date Approved::In Review Review Mechanical Date Denied: Type of Work: Underground Scanning:2 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# MC-9-16-61387 DBPR Fee $2.00 09/20/2016 Check#:14517 $61.60 $50.00 DCA Fee $2.00 Education Surcharge $0.20 09/19/2016 Credit Card $50.00 $0.00 Permit Fee $100.00 Scanning Fee $6.00 Technology Fee $0.80 Total: $111.60 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 A Ijin A. th t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction ane,I authorize the above-named contractor to do the work stated. September 20, 2016 Ah rized Signatur :Owner / Applicant / Contractor / Agent Date Build g Department Copy September 20,2016 1 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-267546 Permit Number: MC-9-16-2579 Scheduled Inspection Date: September 21,2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: ROJAS,ANA Work Classification: Addition/Alteration Job Address:1086 NE 96 Street Miami Shores, FL Phone Number Parcel Number 1132060143480 Project: <NONE> Contractor: MASTER MECHANICAL HVAC CORP Phone: (305)394-6218 Building Department Comments REMOVE AND RELOCATE 1 EXISTING SUPPLY DROP. infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid September 20,2016 For Inspections please call: (305)762-4949 Page 13 of 23 Miami Shores Village 4BY: !— j ' 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 TS FBC 201 BUILDING Master Permit No. Af-Z :& — 4"7� PERMIT APPLICATION Sub Permit NoMo A2 'BUILDING ❑ ELECTRIC ❑ ROOFING L '.REVISION ❑ EXTENSION F-1 RENEWAL ❑PLUMBING MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: /O� ®�� 6 f_lfee City: Miami Shores County' Miami Dade Zip' 33/3 ,!t Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: �j� Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Alf /t , lam/ _Phone#: 3,7X'-2-f5�-2-e y7 Address: lore *1 X^ ,f71,_ City: A rfqr State: Zip: _?3,13K Tenant/Lessee Name: Phone#: Email: 'd 2x-3 r e? A ! o , (--A CONTRACTOR:Company Name: gy-61-6-4 �Cf �1 C L �}(� /Phone#: YOJ= .3/ K— U� Address: nV�r /V� 33� 4--1e` ,[X City: ,d4!% State: Qualifier Name: zkc-a Phone#: t66 —f P 3—/-3O )` State Certification or Registration#: C/��'/�O�.1r.3 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 3o C) y® Square/Linear Footage of Work: Type of Work: ❑ Addition [� Alteration ❑ New ❑ /Re lace Re air p p ❑ Demolition Description of Work: 6-2."aycr, / , v feu e'W}7y- -t F"K 15-T- .50,0/'G V UGCOP Specify color of color thru tile: r� Submittal Fee$ Permit Fee$ L CCF S. ® ' `c) CO/CC$ Scanning Fee$ ro . co Radon Fee$ DBPR$ 2 CA�) Notary$ Technology Fee$ 0 '90 Training/Education Fee$ y ' 20 Double Fee$ Structural Reviews$ Bond$ � TOTAL FEE NOW DUE$ (01/ - 60 (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 reinspection fee will be charged. Signature Signature OWNER or AGENT NTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this �.� day ofnn( got .20 by -d`ay of Se.ta�r,.Sal ,20 �� ,by -PWA to• I`�1�=who is personally known to �ef lP 6 u v P L ,who is personally known to i me or who has produced as me or who has produced-Dq 4S9 '0 ' as identificatio and who did take an oath. identification and who did take an oath. NOTARY P B C: NOTARY PUBLIC: I Sign: Sign: Print: QBladys Nieves Print: [ 2(-V% A121- Seal: No�kry Public State of Florida Seal: Gla Nieves ,star' YOANDRA H MNANDFZ y, My Commission FF 072034 My COMMISS10N#FF 800363 EXPI Expires 11/20/2017 RES:November 16,2018 j�• ,, APPROVED BY V Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA ' DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CAC1816537 The CLASS AAIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 ❑� 0 DE LA NUEZ, RIDER R MASTER MECHANICAL,H.V.A♦C. CORP. + 4521 NW 33RD AVE MIAMI FL 33142-4316 ISSUED: 05/23/2016 DISPLAY AS REQUIRED BY LAW SECI# L1605230000841 003707 Local Business Tax Receipt Miami—Dade County, State of Florida —THIS IS NOT ABILL—DO NOT PAY LBT 6637673 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES MASTER MECHANICAL H V A C CORP RENEWAL SEPTEMBER 30, 2017 4521 NW 33 AVE 6908405 Must be displayed at place of business MIAMI FL 33142 Pursuant to County Code Chapter 8A—Art.9&10 OWNER SEC.TYPE OF BUSINESS MASTER MECHANICAL H V A C CORP 196 SPEC MECHANICAL CONTRACTOR PAYMENT RECEIVED CAC1816537 BY TAX COLLECTOR Worker(s) 1 $75.00 08/18/2016 CREDITCARD-16-047948 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, permit or a certification of the holders qualifications,to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles—Miami—Dade Code Sec Ba-276. For more information,visit www.miamidade.novRaxcollector