MC-17-1215 3;
Peirni NO. IAC-�•�l x'15:
Miami Shores Village PiOrmff Type:M )'tatt)Cal-Residentlo
10050 N.E.2nd Avenue NW
g � Pet
� Work Cfas�+�effc;�t:A+d1itIflnlAl1`atian .
Miami Shores,FL 33138-0000
yve � Phone: (305)795-2204 Sas:PefnW _
ecR irnA Expiration:
10/3112017
�Dete ;�141�ti17
Project Address Parcel Number Applicant
[2!65 NW 91 Street 1131010331320
Miami Shores, FL 33138- Block: Lot: SHARON BICHACHI
Owner Information Address Phone Cell
[SHARON BICHACHI 265 NW 91 Street
MIAMI SHORES FL 33150- (305)968-4026
Contractor(s) Phone Cell Phone Valuation: $ 4,000.00
AFFORDABLE AIR&HEAT INC (305)940-0777
Total Sq Feet: 0
Tons: Available Inspections:
Additional Info:REPLACE DUCT WORK Inspection Type:
Classification:Residential
Final
Approved:In Review Rough Duct
Comments: Date Approved::In Review Review Mechanical
Date Denied: Type of Work:REPLACE DUCT WORK Underground
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $2.40 Invoice# MC-5-17-63893
DBPR Fee $2.10 05/04/2017 Credit Card $ 109.60 $50.00
DCA Fee $2.10
Education Surcharge $0.80 05/03/2017 Check* 1104 $50.00 $0.00
Permit Fee $140.00
Scanning Fee $9.00
Technology Fee $3.20
Total: $159.60
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 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 an7
d Hing. Futhe e,I a }horize the above-named contractor to do the work stated.
J May 04,2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
May 04,2017 1
Miami Shores a RECEIVED Villa
g
Building Department MAY - 3 2017
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(30S)762-4949
FBC 20IQ4
BUILDING Master Permit No. t-'l C
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION F-1 RENEWAL
❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
n�,�p� �(�A q
�� CONTRACTOR DRAWINGS
JOB ADDRESS: 2415 5 • "�+ [ 9 l . /�
City: Miami
Shores County: Miami Dade Zip: �611570
Folio/Parcel#: 11. 310- otr;)' R 3�w Is the Building Historically Designated:Yes NO x
Occupancy Type: �� Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple itleholder):V�N► — 't;st C�CI.�T[ Phone#: —IWZJ
Address: 2U�5 W — t 1 151
City: M" ( 6 lJk!Es State: Zip: ✓!�
Tenant/Lessee Name: Phone#:
Email: ae �-�(^�(�
CONTRACTOR:Company Name: Phone#:- l.J J l�
Add resss:: 5
City: Mtk&k( State: 7zal Zip: ;;ff��'�
Qualifier Name: Phone#: 0/"t41V
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
jJ.
Value of Work for this Permit:$ �'I 1 VI.��rryy��tJ. 0 n Square/Linear Footage of Work:
Type of Work: ❑ Addition /❑ Alterations �/�-�' *❑ New Repair/Replace ❑ Demolition
Description of Work: PC_1 L:�C� ,1/lJ GI WCJPLk.
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 1 U L CCF$ CO/CC$
Scanning Fee$ Radon Fee$ 2— DBPR$ ' Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 10 • 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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issu n the abse of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
1
Signature Signature
INNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before
me this The/o�regoing instrument was acknowledged before me this
_ day of k&+ 20 1 1 by L day of 20 by
Who is personally known to � ,� who is personally known to
me or who has produced 'rL as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
1 06 m
Sigxlxt�2,�a( 'A\ f ( Sign.
Print: 1 V k 'v i L✓ Print: 1
Seal: CHRISTINA WILLIAMS Seal: CHRISTINA WILLIAMS
%Y"�BG� ro MY COMMISSION#'FF035961
MY COMMISSION#FF035961
EXPIRES:AUG 12,2017 a EXPIRES:AUG 12,2017
Banded through lstState Insurance
1�9h�Q 41 4,)4vk 1*i�
APPROVED BYIN s Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
s t
1 1
N.
—Where duality Service is Affordable—
515 N.E. 190th Street - Miami, FL - 33179
CAC04811 ? Dade(305) 940-0777 . Br®Ward (954) 997-9943
Pfa�fA�`�#P .` aSECONDAJY# EMAIL
NAME` �ti �* ;, JOB NAME:
r. 12-1
6
STREET ie� STREET:
CITY: £ , STA Z(P ,- CIT1f STATE: ZIP:
E87:ANi�
MANUFACTURES CONDEWSER/PACKAQEHODEL AIR HANDLER MODEL S.E.L,R QPBRATINEi UAL COST HEATER
KW TONS
A
p,
J013 DESCRIPTION:
y rb ��s°' �t f�'''��,�.-�'� �" �.�.--� '�.. ��^C^ ♦gym' ���e a�+' e'�e T ���� d'�6.s� � � � ,>��4,��i.c. 3'�� �rs."��
DESCRIPTION OF SERVICES PERFORMED Title to the above merchandise remains with Afford ijb e ''%H
AIR DISTRIBUTION: (seller)until paid for in full.In case of default in any terms of this co �aL�$jie
Ductwork Will be designed,fabricated and Installed(n accordance with seller shall have the right to take Immediate possession of said merchangise
and full amount of the purchase price then unpaid shall become immedioely
accepted engineering practices and in compliance with all building codes in due and payable at the seller's option without notice or demand.All monies paid
force on above date. shall remain with the seller as liquidated damages,In the event the services of an
DUCT WORK: + A attorney are required to enforce the interest of the seller,the purchaser shall be
A required to pay all reasonable attorney's fees together with interest and all costs
System of fleyiNfidr and/or ductwork with' Zif thereto.No warranty service shall be performed on accounts with an outstanding
outlets and retums.Subject to modification according to structu balance.Labor.warranty excludes,existing ductwork,existing electrical systems,
or other requit6ments and maintenance related repairs.
LABOR WARRANTY: ° In the event the purchaser refuses to allow seller to commence work after
the contract has been executed,purchaser shall be responsible to the seller for
Service will be provided free by us for a period of A_ 25% of the total price as liquidated and agreed damages. Seller shall not be
year(s)from date of installation during regular working days&hou ble for any existing building or electrical code violations.
MANUFACTURER WARRANTY: ydon
aterial is guaranteed to be as specified.All w ,k to be completed in a
Parts Warranty(Yrs) A B�� nlike manner according to standard practices. Any alteration or
from the contract specifications Involving extra costs will be executed
Compressor Warranty(Yrs.) A B itten orders and will be subject to charges over and above this estimate.
EXTENDED WARRANTY:
Provided through for year(s). Initial Here
AFFORDABLE AIR&HEAT,INC.WILL PROVIDE: YES NO EXISTING YES NO EXISTING
INSTALLATION OF EQUIPMENT ,E ® ❑ ❑ CONCRETE SLAB ❑ ❑
REFRIGERATION LINES( )OR FLUSH( ) ❑ ❑ THERMOSTAT ❑ ❑ �a
GRILLES ')RETURNS( ') 4o- ElElElBALANCE AIR FLOW . ❑
PERMIT M(S)&PLANS,IFREQUIRED f ❑ ❑ REMOVAL OF JOB SITE DEBRIS -Q" ❑ ❑
DRAIN PIPING( )OR FLUSH( ? ) ❑ ❑ ELECTRICAL WIRING(POWER CONTROL) ❑ ❑
AIR HANDLER SUPPORTS ❑ ❑ CONNECT TO EXISTING SERVICEIPANELS El ❑
CONDENSATION PUMP ❑ OTHER ❑
EMERGENCY FLOAT SWITCH ❑ ❑ OTHER ❑ ❑
HURRICANE TIE-DOWNS ❑ ❑ OTHER ❑ „> ] ❑
C913T REBATES/CREDITS TPTA� COST
B �
FINANCING AVAILABLE
Payment to be_made as follows:_._. .'` deposit,balance upon start-up.
Authorized Company Signature Date
This proposal subject acceptance i I _�,/ _.._days•and Is void there after at the option of the seller.
THE ABOVE PRICES,SPECMAMN APM CONDITNINS ARE HEREBY ACCEPTED.YN ARE AUTHO M TO W TWWORXAs MCIREII,PAYIV w Il IU BE MADE As OUTLINED ABOVE,
Option Chosen Signature „�„ ,,,, =-�" Date I" M 2011