MC-17-22811
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. MC -9-17-2281
Permit Type: Mechanical - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 9/28/2017 Expiration: 03/27/2018
Parcel Number
Applicant
640 NE 98 Street
Miami Shores, FL 33138-
1132060171820
Block: Lot:
IAN & CORY ROSS
Owner Information
Address
Phone
Cell
IAN & CORY ROSS
640 98 Street
MIAMI SHORES FL 33138-
(305)979-3879
640 98 Street
MIAMI SHORES FL 33138-
Contractor(s)
ABL CONTRACTOR CORP
Phone
(786)718-9935
Cell Phone
Valuation:
Total Sq Feet:
$ 3,800.00
0
Tons:
Additional Info: INSTALL 1.5 TON MINI SPLIT A/C
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
$2.40
$2.00
$2.00
$0.80
$133.00
$3.00
$3.20
$146.40
Pay Date Pay Type
Invoice # MC -9-17-65132
09/21/2017 Credit Card
09/28/2017 Credit Card
Amt Paid Amt Due
$ 50.00 $ 96.40
$ 96.40 $ 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.
C.
September 28, 2017
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
September 28, 2017 1
Miami Shores Village
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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING
JOB ADDRESS:
FBC20(`�
Master Permit No. 'RC- 11 1G Z 7 Pik
Sub Permit No. �� �� r )
❑ EXTENSION ❑RENEWAL
❑ REVISION
MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
❑ CANCELLATION ❑ SHOP
DRAWINGS
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): CO4 IAN- 2O.55 Phone#:
Address:
City:
646 i f I✓ 9 6 51-.
M IA\LX V t
Tenant/Lessee Name:
Email:
State: -Fm 1 3
Phone#:
CONTRACTOR: Company Name:
Address:
A6I ren /tat
,' yo pJ/z" /6 S
City 1.4 dz.,i%
(2o.4/
Phone#: '5 W -7/B- 95
,�J
%/ / State: F Zip: 33/ 2 0
/14 /)
Qualifier Name: .1 ,4 ' Phone#:
State Certification or Registration #: /' d4 [ /9 / g 8 Z 7 Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address:
�-1
1�1
Value of Work fo this Permit: $ 6
Type of Work: a Addition 10
Description of Work:
.00
I6,.1S1-k-t-C--
161'
.n LSI
' . s •co d
e-iti11
Phone#: ZJO 96 gS
City: t`� (Pctl�t j Stater Zip: 3Z, 7C
Square/Linear Footage of Work:
New ❑ Repair/Replace
SPC -n" A- tc-
n Demolition
t,t
(,r.t .R
it;
.'t
1
Specify color of color thru tile:
Submittal•Fee $
Scanning Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
Permit Fee $
Radon Fee $
1 :N
530
(Revised02/24/2014)
11,
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 40
I
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.
/�
ffig0
R or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
41 tf day of AUG 0"'1( , 20 1 , by 41*.
day of Air -to S� , 20 ( , by
lO R QC SS , who is personally known to %F PJF� AL.R )fJSi , who is personally known to
Signature Signature
me or who has produced rt._ DL
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as me or who has produced rt -PC. as
identification and who did take an oath.
NOTARY PUBLIC:
►�`i.".i. ALVARO ROJAS
tt
......e."..ii-,,,,..
MY COMMISSION # FF229202
Nr • • die EXPIRES May 11.2019
toti95.0151 F'fridaNMxySarvlfn cam m
*************************************
APPROVED BY
(Revised02/24/2014)
Sign:
Print:
Seal:•
: ALVARO ROJAS
:'ii MY COMMISSION # FF229202
,, EXPIRES May 11. 2019
(1I 1A0.0151 F, 'daNMxvaango aim
N.
*********************************************************************
r/jIInminer
Zoning
Structural Review Clerk