MC-17-2289Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. M C-9-17-2289
Permit Type: Mechanical - Residential
Work Classification. Addition/Alteration
Permit Status: APPROVED
Issue Date: 9/26/2017
Expiration: 03/25/2018
Parcel Number
Applicant
9901 NE 13 Avenue
Miami Shores, FL
1132050090480
Block: Lot:
CAROL INVEST USA INC
Owner Information
CAROL INVEST USA INC
Address
990 BISCAYNE Boulevard
MIAMI FL 33132-
990 BISCAYNE Boulevard
MIAMI FL 33132-
Co`ntractor(s)
ALOHA AIR CONDITION INC
Phone
(954)772-0079
Cell Phone
Phone
RFD
Cell
Valuation:
Total Sq Feet:
$ 100.00
0
•
Tons:
Additional Info: INSTALL VENTLESS FIREPLACE
Classification: Residential
Approved: In Review
Comments:
Date Denied:
Scanning: 1
Date Approved: : In Review
Type of Work: INSTALL VENTLESS FIREPLACE
tit'415A/LL.Lt..1)
Fees Due Amount
CCF $0.60
DBPR Fee $2.25
DCA Fee $2.25
Education Surcharge $0.20
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $159.10
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC-9-17-65141
09/25/2017 Credit Card $ 50.00 $ 109.10
09/26/2017 Credit Card $ 109.10 $ 0.00
Available Inspections:
ction Type:
nical
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: ('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 - •r• e-named contractor t.. • e-work stated.
September 26, 2017
Authorized Signature: Owner
Building Depart
September 26, 2017
1
BUILDING
PERMIT APPLICATION
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
RECV [\r
SSEP_2'5 2017
BY:_\
FBC 20►4'
Master Permit No. R C 1-1 — 2OC1 z
Sub Permit No. f 1 C r I -2Z g °l
(BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING 0 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9901 NE 13 Ave.
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 1 1-3205-009-0480 Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone: BFE:
NO X
FFE:
OWNER: Name (Fee Simple Titleholder): Carol Invest USA, Inc Phone#:
Address: 990 Biscayne Blvd. Suite 801
City: Miami
Tenant/Lessee Name:
Email:
State: Florida
Zip: 33132
ems -
Phone#:
CONTRACTOR: Company Name: Aloha NC
Py®: (954) 772-0079
,4
Address: 4474 Weston Rd. # 170�,
.� 4/24°
City: Davie State: Flonda ,Fl;„: ,i _
Qualifier Name: James E. Barry `� Phone#: (9 '
'4 :i#
Stat Certification or Registration #: CAC 025379 Certificate of Competency #:
DE I A crocc._,-,.., : Victor Bruce Phone#: (305) 310-5030
101Si
Address: 7
Value of Work for this Permit: $ 100 .
114
city: Miami Shores State: Fl. zip: 33138
Square/Linear Footage of Work:
Type of Work: El Addition X❑ Alteration ❑ New ❑ Repair/Replace n Demolition
Description of Work: Install ventless fireplace
Specify color of color thru tile:
}Submittal Fei $ (® 9.Q i . Permit Fee $
(5
Af-
CCF $
co/cc $
Scanning Fee $ Radon Fee $ DBPR $ '"' `""" _ — ' " Notary '$" "
Technology Fee S Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE$ I .9,
(Revised02/24/2014)
l
Bonding Company's Name (if applicable) N/A
Bonding Company's Address
City
State Zip
Mortgage Lender's Name (if applicable) N/A
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 v, ilding permit is issued. In the absence of such posted notice, the
inspection will not be apprd ed and a reinspection fee will b �,,. 7• ed.
Marco, Bruzzi
Signature
401 a V.4% >i
'bWNER or AGENT
The foregoin tr;meri was acknowledged before me this
ILA day SPfy4eNYlbev , 20 11
Marco Bruzzi
, who is
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
LUCIA G ISASI
MY COMMISSION #FF182628
?a.tid ,' EXPIRES December 10, 2018
(4i0j5t' i****Ft ricUttia r rar*ct'c r1*********s***f **
I ns Exa
James E. Barry nature E �J 2
+�f�
CONTRACTOR
egoing instrument was acknowledged before me this
/5' day of a,-61 , 20 ,47 , by
N%�AM/1'3 £ 3 4I1 , who is ersonally known
as me or who has produced f as
identification and who did take an oath.
APPROVED BY
NOTARY PUBLIC:
Sign:
Print:
Seal:
iner
,4
TERRI L FLAHERTY
MY COMMISSION #FF078761
EXPIRES January 28, 2018
Florldalloteryservice.com
Zoning
Structural Review Clerk
(Revised02/24/2014)