MC-16-2045 (2)Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number
Expiration: 05/30/2017
Applicant
726 NE 92 Street Number: 4-L
Miami Shores, FL
1132060440420
Block: Lot:
HECTOR and CARMEN LOPEZ
Owner Information
HECTOR and CARMEN LOPEZ
Address
726 NE 92 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone
KING AIR CONDITIIONING AND REFRI (786)283-2711
Cell Phone
Phone
(305)588-5821
Cell
Valuation:
Total Sq Feet:
Tons:
Additional Info: DUCTLESS MINI SPLIT INSTALLATION
Classification: Residential
Approved: In Review
Comments:
Date Denied:
Scanning: 1
Date Approved:: In Review
Type of Work:
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$2.00
$2.00
$0.60
$105.00
$3.00
$2.40
$116.80
Pay Date Pay Type
Invoice # MC -7-16-60685
12/01/2016 Check #: 280
Amt Paid Amt Due
$ 116.80 $0.00
Available Inspections:
Inspection Type:
Final
Rough Duct
Review Mechanical
Underground
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.
December 01, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
December 01, 2016 1