MC-18-1449Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. MC-5-18-1449
Permit Type: Mechanical - Residential
Work Classification: -Addition/Alteration
Pettit Status: APPROVED
Issue Date: 6/5/2018
Expiration: 12/02/2018
Parcel Number
Applicant
9901 NE 13 Avenue
Miami Shores, FL
1132050090480
Block: Lot:
CAROL INVEST USA INC
Owner Information
Address
Phone
Cell•
CAROL INVEST USA INC
990 BISCAYNE Boulevard
MIAMI FL 33132-
990 BISCAYNE Boulevard
MIAMI FL 33132-
Contractor(s)
ALOHA AIR CONDITION INC
Phone
(954)772-0079
Cell Phone
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
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.00
$0.00
$0.00
$0.00
$75.00
$3.00
$0.00
$78.00
Pay Date Pay Type
Invoice # MC-5-18-67712
06/05/2018 Credit Card
05/25/2018 Credit Card
Amt Paid Amt Due
$ 28.00 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
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 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 zonin. uthermore, I authorize the above -named contractor to do the work stated.
zed Signature: Owner / Applicant / Contractor / Agent
B jr: mg Department Copy
June 05, 2018
Date
June 05, 2018
1
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
BUILDING
PERMIT APPLICATION
RECEIVED
MAY 2 5 1018
5-H
FBC 201Lk
-�-
Master Permit No. /'' C- 9 / 1- lO 19
Sub Permit No. VI C te3"1� `�9
f BUILDING ❑ ELECTRIC in ROOFING n REVISION [(EXTENSION (RENEWAL
PLUMBING n MECHANICAL (PUBLIC WORKS ( CHANGE OF n CANCELLATION n SHOP
JOB ADDRESS: 9901 NE 13 Ave.
City:
CONTRACTOR DRAWINGS
Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-3205-009-0480
Occupancy Type:
Is the Building Historically Designated: Yes NO X
Load: Construction Type: Flood Zone: BFE:
OWNER: Name (Fee Simple Titleholder): Carol Invest USA, Inc
Address: 990 Biscayne Blvd.
City: Miami
Suite 801
FFE:
Phone#:
State: Florida Zip:33132
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Aloha NC
Phone#: (954) 772-0079
Address: 4474 Weston Rd. # 170 -
City: Davie State: Florida Zip: 33331
Qualifier Name: James E. Barry
State Certification or Registration #: CAC 025379 Certificate of Competency#:
DESIGNER: Architect/Engineer: Victor Bruce Phone#: (305) 310-5030
Phone#: (954) 772-0079
Address: 370 NE 101 St. City: Miami Shores State: Fl. Zip: 33138
Value of Work for this Permit: $
(CDO
Square/Linear Footage of Work: O
Type of Work: I I Addition Alteration Ti New ❑ Repair/Replace
Demolition
Description of Work: Install ventless fireplace
O YeeZa CA MC k-- - 27 sq
Specify color of cOlorthru tile. .7. ,;
Submittal Fee $ tt �`• - eff4Perrriif Fee $.�
� r =•:1 SicC t,tz L :r i
Scanning Fee $ Radon Fee $
CCF $
DBPR $
CO/CC $ -,s a
Notary$
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
f •9 - Q4
28-q
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
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 the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Marco BruzziCarol Invest USA)
Signature
OWNER or AGENT
James E. Barry
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
/1 day of /4/17 , 20 / f
c2C9 day of 1(j , 20
Marco Bruzzi , who is
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
1
Sign:
Print:
Seal:
1bacI
°"iEk LUCIA G ISASI
MY COMMISSION #FF182628
Via..... .` EXPIRES December 10, 2018
[13141766
APPROVED BY
, by
s personally known to,)
as
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sig
Print:
Seal:
41011L.1% 1ERRILFWERW
Commission R GG 165533
% w : Jenuaryk2022
******************* *** ltivie ► *******************
, by
Plans Examiner Zoning
(Revised02/24/2014)
Structural Review Clerk