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MC-18-1477Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores,FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. MC-5-18-1477 Permit Type: Mechanical - Residential Work Classification: Add itionlAlteration Permit Status: APPROVED Issue Date 6/8/2018 Expiration: 12/05/2018 Parcel Number Applicant ' 116 NE 97 Street Miami Shores, FL 33138- 1132060132560 Block: Lot: WATERSEDGE SHORES LLC Owner Information Address Phone Cell , WATERSEDGE SHORES LLC 1094 NE 91 Terrace MIAMI SHORES FL 33160-3313 (305)336-7100 72 GOLDEN BEACH Drive GOLDEN BEACH FL 33160- Contractor(s) ABL CONTRACTOR CORP Phone (786)718-9935 Cell Phone Valuation: Total Sq Feet: $ 500.00 0 Tons: Additional Info: CONNECT TO EXISTING MAIN SUPPLY AIR Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: CONNECT TO EXISTING MAIN SUPP Fees Due CCF DBPR Fee DCA Fee 'Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.25 $2.00 $0.20 $150.00 $3.00 $0.80 $158.85 Pay Date Pay Type Invoice # MC-5-18-67745 06/08/2018 Credit Card 05/30/2018 Credit Card Amt Paid Amt Due $ 108.85 $ 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, PLUMING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certi foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoninuthOil a the ab.ye-na4hed contractor to cto the work stated. Authorized gn. ure: Owner / Applicant / Contractor / Agent June 08, 2018 Date Building Department Copy June 08, 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 • ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING yj MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: City: Master Permit No. Sub Permit No. FBC20�� gC J-) —/22 MG1s"tuq--A_ ❑ REVISION ❑ EXTENSION ❑ RENEWAL EI CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes I NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): U) G !LS ii&E - 414V P- S* t LL- (-phone#: S'- 33 6' 3/M) Address: 'AO 0 t ac-eA4 i % V E City: 't(- 0-6 (i State: r — Zip: r23D I J Tenant/Lessee Name: Phone#: Email: S 'f Cckf 14"-°"1.t1Dr @----.'O� . I - Vi1 A n U %� I d 7 CONTRACTOR: Company Name: A I ` ' l`_ Q%/I% 4Ra C�I/l� i(OR[ Q Phone#: 716— / s elf3 5 Address: rare? NW /G Sf City: RAM/ State: Qualifier Name: a. State Certification. of Registration #: .CiAC. / $ /$ 8•Z DESIGNER: Architect/Engineer: Address: City: Phone#: Zip: j3/ 2 Certificate of Competency #: Phone#: t .a.si State: Zip: Ab,z/ Al Fo,u so Value of Work for this Permit: $ t 5' V Type of Work: CIAddition ❑ Alteration Description of Work: C 0/YJ�/QC-I 7 g vi l ig i &o noJ' /tei'!ff 1LC�. ` •-#. .aw.a.:a\onr-= w-a...."c .ie ,?"-,o Specify fcolor ofcolo• r thru tile: Submittal Fee$;- "" ""'-"'" Permit Fee $ 1 Scanning Fee $ Radon Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) 1 Square/Linear Footage of Work: ❑ New 121 Repair/Replace n Demolition Ma �>v Svo .41 t r} iat, r,Yi imtr.'. 1 4'FA '}_V Vj _ r Training/Education Fee $ (( �t it t; -, �CCF$ CO/CC $ DBPR $,-2 Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE$ OB • Bonding Company's Name (if applicable) Bonding Company's Address t � City vr.31 State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City •-- / r P . ti f i t 1f 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 State Zip 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 beposted 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 r inspection fee will be charged. Signature 0 ER or AG The foregoing instrument was acknowledged before me this 3 © day of HIV( , 20 / .73 , by SyryfpV& tea 7O/R , who is personally known to me or who has produced F/c ,i Q L /ce5Qf as identification and who did take an oath. NOTARY PUBLIC: Sign: Prin Seal: .��• 7 My Comm. spires Oct 30, 2018 '% o1j1111c1\\\ Commission # FF 173169 • ******************##****** *AI** *****#�************* APPROVED BY L) Signature CONTRACTOR Y't t+ q. The foregoing instrument was ack owledged.before me this �� .r n , 41 (SD day, of v.Aa 20 by 1 y4 be IS4Ff M40 , rsonally kno to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: 3 ` �•°�:' MAHARAI K. GONZALEZ Seal: ;r° "' k; nA!IIXI\ MY COMMICOMMISSION# GO 044602 ink EXPIRES: November R^nded 7hn.Notary ?,b underwriters ,p r., r ***********************************#******************al • Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): ) / 6 /I/ E 9 7 5/ City: Miami Shores Village County: Miami Dade Zip Code: 33/ 3 a ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO a ARHI Sheet Attached: YES ❑ NO Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER I AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS , AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER , YES NO / REPLACING DUCTS YES NO YES NO / REPLACING THERMOSTAT YES NO " , YES NO / NEW 4"CONCRETE SLAB YES NO I YES NO / NEW ROOF STAND YES NO -' YES NO / NEW RETURN PLENUM BOX pool, j ,( YES NO I 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage -of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: MI 00e-tfog_ no/AP Phone: j.26`7 63 9f35 State Certificate or Registration No. J4 Q /it; Z Certificate of Competency No. Signature /.' % Date: 0 Sr 3O —/ 2 (Quali er'_ signature) (Revised02/24/2014)