MC-16-694 Permit IVO. MC- -' 6-694
Miami Shores Village M Permit Type: Mechanical-Residential
10050 N.E.2nd Avenue NE Peramm Worts Classification:Addition/Alteration
Miami Shores,FL 33138-0000 PeanitStatus:APPROVE
Phone: (305)795-2204
FLORIDA
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Issue nate: 3129/2016 Expiration: 09/25/2016
Project Address Parcel Number Applicant
1055 NE 96 Street 1132060143710
Miami Shores, FL Block: Lot: PATRICE ROBINET
Owner Information Address Phone Cell
PATRICE ROBINET 1055 NE 96 Street
MIAMI SHORES'FL 33138-2551
Contractor(s) Phone Cell Phone Valuation: $ 500.00
DYNAMIC AIRFLOW CORP
Total Sq Feet: 0
Tons: Available Inspections:
Additional Info: INSTALLATION OF VENT IN BATHROOM IN Inspection Type:
Classification:Residential Final
Approved:In Review Rough Duct
Comments: Date Approved: : In Review Review Mechanical
Date Denied: Type of Work: Underground
Scanning: 1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# MC-3-16-59043
$2.25 03/17/2016 Credit Card $50.00 $ 114.10
DCA Fee $2.25
Education Surcharge $0.20 03/29/2016 Credit Card $ 114.10 $0.00 {
Notary Fee $5.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $164.10
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 AFFIDAVI : I ify that all the for infor ion is accurate and that all work will be done in compliance with all applicable laws regulating
autho
construction and zoni . F ermore, I the ov n� contractor to do the work stated.
March 29, 2016
Auth r' d Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 29,2016 1
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Miami Shores RIECEIV
Building Department Ma 17 2016
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 A�'
Tel:(305)795-2204 Fax:(305)756-8972 BY: �J=
INSPECTION LINE PHONE NUMBER:(305)762-0949 t14
FBC 20 (,4S_
BUILDING Master Permit No.RC(( I6-9-1r5-23555
PERMIT APPLICATION Sub Permit No.m\ '1r l y
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
LUMBI ®MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION [:] SHOP
t� CONTRACTOR DRAWINGS
JOB ADDRESS: 1055 NE 96 Street
City: Miami Shores County: Miami Dade Zia:
Folio/Parcel#:11-3206-014-3710 Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
I OWNER:Name(Fee simple Titleholder):Patrice Robinet and Elsa Gagnon Phone#:305-546-8088
Address:1055 NE 96 Street
city:'Miami Shores State: Florida Zip: 33138
Tenant/Lessee Name: N/A Phone#:305-546-8088
Email: patricerobinet(LDhotmail.com
CONTRACTOR:Company Name: (JS!,15 Pamir_ At�jQoft4_Sogcp Phone#:(xC525lo 4o lt-s
Address: /372.? A4
City: State: 4 Zip: 3,177 r
Qualifier Name: Ai^st, Phone#: ,)'r7!'I64.1l4
State Certification or Registration#: 0 Ac— / '77 2 Certificate of Competency#:
DESIGNER:Architect/Engineer: Victor Bruce Phone#: 305-310-5030
Address:370 NE 101st Street City. Miami Shores State: FL Zip: 33138
Value of Work for this Permit:$ Oi3 Square/Linear Footage of Work:
Type of Work: 0 Addition ❑ Alteration ❑E New ❑ Repair/Replace ❑ Demolition
Description of work: Installation of vent in bathroom in new garage construction -see page M-1
Specify color of color thru tile:
Submittal Fee$`, V W Permit Fee$ v CCF$ C), 6O CO/CC$ /
Scanning Fee$ �>� Radon Fee$ 2\ °� DBPR$ Notary$ S ' 0,
Technology Fee Training/Education Fee$ �O Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ '! 10
(Revised02/24/2014)
-- 1
r
Bonding Company's Name(if applicable) N/A
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
i
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
i 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.
t
Signature Signature
OWNER orA T C TOR
The foregoing instrument was acknowledged before me this The f regoing instrument was acknowledged before
r me this
1 day of 20 �by day of 20 l�J by
IR— wh
110 its pers'(on'ally known to rnFobis pers'Oh'ally known to
me or who has produced VR(l/ 4u-N sl�s me or who has produced as
identification and who did take an oath. \\\\\�y �n/d who did take an oath.
NOTARY P LIC: a •••••• ii
S �c• �l i v.::.:U: ,
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Sign: s n
Print:_SI(�(�1� -A1..1/f ' �vd,- ,.loie`I� o.'* n-' a �'g•
Seal: ?40 aqe� Notary Public State of Florida js
Sindia Alvarez
cMy Commission FF 156750 sr ,," ,.• •*```
oFnd Expires 09/03/2018
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APPROVED BY l 4 Plans Examiner Zoning
a
Structural Review Clerk
(Revised02/24/2014)
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