MC-17-166 Permit No. MC-1-17-166
Miami Shores Village Permit Type:Mechanical-Residential
�� 10050 N.E.2nd Avenue NE ' Work Classification:Addition/Alteration
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mi Shores,FL 33138-0000 Perillot
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,N�s,»moo Phone: (305)795-2204 PermitStatus:APPROVED
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issuevate:2/211201~7 Expiration: 08/20/2017
Project Address Parcel Number Applicant
1450 NE 103 Street 1132050310040
Miami Shores, FL 33138-2626 Block: Lot: VIKTORINEX, LLC
Owner Information Address Phone Cell
VIKTORINEX, LLC 1931 CORDOVA RD Road (305)647-6486
FT. LAUDERDALE FL
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Contractor(s) Phone Cell Phone
AValuation: $ 19,550.00
IR 0 INC (786)486-7810
w - Total Sq Feet:
Tons: Available Inspections:
Additional Info:MECHANICAL WORK AS PER PLANS LINEAR Inspection Type:
Classification:Residential Final
Approved:In Review Rough Duct
Comments: Date Approved: : In Review
Review Mechanical
Date Denied: Type of Work: MECHANICAL WORK AS PER PLANS Underground
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $12.00
DBPR Fee InVOICe# MC-1-17-62684 i
$10.26 01/23/2017 Check#:8296 $50.00 $ 1,380.02
DCA Fee $10.26
Education Surcharge $4.00 02/21/2017 Check#:407 $ 1,380.02 $0.00
Permit Fee $684.25
Scanning Fee $9.00
Technology Fee $16.00
Work without Permit Fee $684.25
Total: $1,430.02
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 ssume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECT IC L,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFF I VI I certify that all the fo mg information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an zon' g. Futhermore, I au ize the abov a d contractor to do the work stated.
February 21, 2017
Authori d Signature:Own / Applicant / Contractor / e Date
Buildin Depart ent Copy
February 21, 2017 1
{
Miami Shores Village- r
Building Department JAN 2 s 201?
10050 N.E.2nd Avenue,Miami Shores, Florida 33138 BY'
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
RpFBC 20147/
BUILDING Master Permit Nof`C
PERMIT APPLICATION Sub Permit Nom C () — 1 C0 CO
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING MECHANICAL OPUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: tit, 103
City: Miami Shores County: Miami Dade Zip: -35%S 0
Folio/Parcel#. 11 -.?5205- o 5 -0,04 0 :- Is the Building,Historically Designated:Yes NO
Occupancy Type: Load,: :Construction Type: Flood Zone: ` BFE: i• ' :FFE:
OWNER: Name(Fee Simple Titleholder):V iY_ I Y"% Phone#:
Address: jk'�A b)'f Ck0VQ. J_C�
City: Stste: zip: !> (0
Tenant/Lessee Name: Phone#:•
Email:
CONTRACTOR:Company Name: �if �� i�C Phone#:
Address: A D�o
City: M\aLkA'in __,,i p A State: Zip: 35 IS
Qualifier Name: 1�.V1.10'I^V A`O�kC') Phone#:
State Certification or Registration M CMcl 2A�99
1(o Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: �� ` City: State: Zip:
yyWI
Value of Work for this Permit:$ � I5OB 6_Square/Linear Footage of Work:
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Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demoliition
Description of Work: u/�l tH I �IUr k. Ci� /�.p✓' 121/ 2 lin
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moi? q j S 01 i?�( S h�-T ,
Specify color of color,thru tile:
Submittal Fee$ Al. Permit Fee$ ` CCF$. CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
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1
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
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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. 4
"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 on.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.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
�dayof (.VUR 1 20 1 by day of J6q' V(',_ r 20 11 by
_JM%fg3;lG who is personally known to f pcL0& AiOAS0 who ispersonally known to
me or who has produced l./ez-SSD as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
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Sign: S'
Prin PP rAi 10 Print: Q
Seal: Notary Public-State of FloridaANA LUCIA SIERRA
MYCOMMISSiON#tF224104
- My Comm. Expires Oct 16,2018 Seal:
' '+"'1 qc EXPIRES:April 23 2019
Commission ;Y FF 135660
pi bonded Thru*tM Pubfie Ur4v*t m
Bonded Through National Notary Assn. ,
''APPROVED BY �Islaminer Zoning
Structural Review Clerk
(Revised02/24/2014)