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MC-17-2855 1 J Permit NO. MC-12-17-28555 Miami Shores Villagem t Permit Type:Mechanical-Commercial 10050 N.E.2nd Avenue NE Perilli Work Classification:New Miami Shores,FL 33138-0000 Permft Status:APPROVED Phone: (305)795-2204 LoxmA 06/09/2018Fxpiration:fssue©ate: 12/1112017 Project Address Parcel Number Applicant 9705 NE 2 Avenue 1132060134230 COCHRAN MIAMI SHORES LLC Miami Shores, FL Block: Lot: Owner Information Address Phone Cell COCHRAN MIAMI SHORES LLC 1800 ELLER Drive FT. LAUDERDALE FL 33316- 1800 ELLER Drive FT. LAUDERDALE FL 33316- Contractor(s) Phone Cell Phone Valuation: $ 13,850.00 SUPA AIR AND HEAT INC Total Sq Feet: 0 Tons: Available Inspections: Additional Info:HVAC INSTALLATION Inspection Type: Classification:Commercial Ventilation Approved:In Review Final Comments: Date Approved: : In Review Rough Date Denied: Type of Work: Hood Scanning: 1 Rough Duct Smoke Test Duct Detector Test Review Mechanical t Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $8.40 Invoice# MC-12-17-65809 DBPR Fee $6.23 12/04/2017 Check#: 1511 $200.00 $251.29 DCA Fee $4.16 Education Surcharge $2.80 12/11/2017 Check#: 1512 $251.29 $0.00 Permit Fee $415.50 Scanning Fee $3.00 Technology Fee $11.20 Total: $451.29 4 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 ELECTRIC PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVI -cify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoni g ! her ore,I authorize the above-named contractor to do the work stated. December 11, 2017 Authorizednature:Owner / Applicant / Contractor / Agent Date Building D partment Copy I December 11,2017 1 Tr r 04 017 Mia Shores Village o Building Department LBY: n 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201 BUILDING Master Permit No. CC-J-�` ( �s PERMIT APPLICATION Sub Permit No. MC I ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION .❑ EXTENSION ❑RENEWAL ❑PLUMBING D?1 ECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP Gf r CONTRACTOR DRAWINGS JOB ADDRESS: /��l Ny � Ili City: Miami Shores County Miami-Dade Zip: 33/s a Folio/Parcel#: : . Is the Building Historically Designated:Yes. NO, Occupancy Type: _ Load:., Construction Type: Flood Zone: BFE: w FFE: OWNER:Name(Fee Simple Title�,holder) � ) ��rr7y1 Address: I Soo allex >-int? City: 1 (' 1 State: [� Zip: I b Tenant/Lessee j/Name: ) /c� � �I ? LQJ�I,✓�iG •-I-f1.�L Phone#: Email: ^ .n 1 CONTRACTOR:Company Name: 5QA4 f6)2 k p Fes/ Phone#: Address: 1�CZU 1117a A , City: I State: PL Zip: Qualifier Name: (i f Phone#:y�82a State Certification or Registration#: Certificate of Competency#: DESIGNER:Arch it�e`ct/Engineer: Phone#: Address: '.C7/ kt" City: 5&2?4t-�State: Zip: Value of Work for this Permit:$ V70 Square/Linear Footage of Work: Type of Work: ❑ Addition rw Alterationn " n Z; -�❑ New ❑ Repair/Replace ❑ Demolition Description of Work: � � —+—/�s%;u�/4/11IL "":.rf nq.w;iry-w w:m". �. ".x.,,;..,s.:.,,..x..a:`SS..::�a:ty'! .. +•'' r •ir f � „ 3.. xi Specify color of color ihrumL I.,,.i;l200 �S,r. Submittal Fee$ Permit Fee$.,_. . .. :_ �' CCF$ 2 CO/CC$ Scanning Fee$ Radon Fee$ f �/J DBPR$ 6 • 2.3 Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) s Bonding Company's Namej(if applicable) Bonding Company's Address , City State Zip Mortgage Lender's Name(if applicable) t 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 th bsence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Z Si nature W�• t (. I g - C Signature OWNER ci or AGENT CONTRACTOR ThQe &egoing instrument was acknowledged before me this The foregoing in rument was acknowledged before me this V 'day of Kj0VC.Mbt.,;` 20 1 by �_day of_DeXee-/64. ,20 by i' P� l -- , OV who is p 7sonally kno n to C,&M W %%&0Lrr-i S who is ersonally know o 01 me or who has produced 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: J<— Sign: /� 1n_ Sign: Print:_ 1 Sy\raeA /�• �j0(� Pr' nFlorlda r••-,�—, Seal: •• '�� IsmaelMon ti Yp•, JENNYALEXIS r= Commission#GG082163 se N t P li o ary ub c-SExpires: March 13, 2021Commission#Bonded thru Aaron NotaryMy Comm.EMpireBordpdthrcuyhhati APPROVED BY P�ns Examiner Zoning Structural Review Clerk (Revised02/24/2014) { .3 r t a 009460 {1.'oca] -Business 76i-A"'' ceipt v r•1r ' Pl rtax Dade County, State of Florldwr t —THISIS�NOT-ABILL=DO:NOTPAY 's .i i ' 6029706 BUSINESS:NAM •. E�fFiEs � Sup"IRAND HEATINC. RENEWAL " SEPTEMBER 30; 2018 2830 NW 208_ST ` x 's 6290365' .Must be displayed at'place of,business- MIAMI GARDENS FL 33056 Pursuant to County Gode, Chapter 8A=Art 9&10 OWNER„ SEC.TYPE OF.;BUSINESS SUPA AIR AND HEAT INC 196 SPEC MECHANICAL CONTRACTOR BYTAX C LLECTO t CA 1815411 BY TAX COLLECTOR V � Vlfo 1 . $45.00 09/18/2017.'•� i T7=192751 :&�Y This Local Business Taz Receipt only corrfirms payment ofthe Local Business Tax.The Receipt is not a license, pane or a certifications!the holdwrequalificatiorisrto do business.Holder must comply with any governmental ornmrgovemmeMafregulatoryl4ws and requirements which apply to the business" The RECEIPT NO.above mutt be displayed on all commercial vebiclsr—Miamm Dade Code Sec 8a-M. For moreinformation,vunt wuvw.mce iamidede.aoihexlleetar ' t I