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MC-16-2693 (2)Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number Addition IA1ter ltion it Status: APPROVED Expiration: 04/29/2017 Applicant 671 NE 105 Street Miami Shores, FL 33138-2053 Owner Information Address 1122310120100 Block: Lot: Phone ROBERT MORENO CIO SASHA I Cell ROBERT MORENO CIO SASHA 1 NE 2 Avenue MIAMI FL 33132- 1 1 NE 2 Avenue MIAMI FL 33132- Contractor(s) Phone MARNO AIR CONDITIONING SERVICE (305)885-2195 Cell Phone Valuation: Total Sq Feet: Tons: Additional Info: REPLACE 3 CENTRAL UNITS WITH DUCT W 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 Work without Permit Fee Work without Permit Fee Total: Amount $19.20 $16.31 $16.31 $6.40 $451.50 $3.00 $25.60 $451.50 $100.00 $1,089.82 , Pay Date Pay Type Amt Paid Amt Due Invoice # MC -10-16-61543 10/03/2016 Credit Card $ 50.00 $ 1,039.82 10/31/2016 Credit Card $ 1,039.82 $ 0.00 $ 31,049.61 6000 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. October 31, 2016 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date October 31, 2016 1