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MC-17-2203 (2)Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. MC -8-17-2203 Permit Type: Mechanical - Residential Work Classification: Addition/Aiteration Permit Status: APPROVED Issue Date: 10/4/2017 Expiration: 04/0212018 Parcel Number Applicant 1150 NE 103 Street Miami Shores, FL 1132050190050 Block: Lot: FULFORD UNITED METHODIST Owner Information Address Phone Cell FULFORD UNITED METHODIST 1150 NE 103 Street MIAMI SHORES FL 33138- 1960 NE 164 Street N. MIANI BEACH FL 33162- Contractor(s) COOL WIND CORP Phone (305)879-6580 Cell Phone (305)206-2067 Valuation: Total Sq Feet: $ 500.00 0 Tons: Additional Info: INSTALL DUCT FOR MICROWAVE EXHAUST Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: INSTALL DUCT FOR MICROWAVE E Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.25 $1.50 $0.20 $150.00 $3.00 $0.80 $158.35 Pay Date Pay Type Invoice # MC -8-17-65044 10/04/2017 Check #: 1417 $ 108.35 $ 50.00 08/31/2017 Check #: 1367 $ 50.00 $ 0.00 Amt Paid Amt Due Available Inspections: 1 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 construction tha -II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating authorize the above-named contractor to do the work stated. October 04, 2017 / Applicant / Contractor / Agent Building D - partment Copy Date October 04, 2017 1