MC-05-70Mar 02 2007 1:22PM ORONI INC
305-888-9550
p.2
ORONI INC Phone: 305-685-0412
14040 NW 6 CT Fax: 305-688-9550
N Miami, FL 33168 E-mail: oroni45@aol.com
RECEIVED
MAR U G 2007
AM141-41tumm•ft
Inspection Request Form
To: Building Department
0 •
From: ORONI INC
TO 'I-1°A
Master permit No: BP2005-335
Sub permit No: MC2005-70
Location: 551 NE 102 ST
Inspection request: FINAL MECHANICAL
Request by: ORONI
Date of request: 03/02/07 TIME:1:15P.M.
Inspection date: 03/05/07
Notes:
SHANK YOU
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address / L2- �•
City P/4-4/ -k)6eE5. S State
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (30:.) 795.2204 Fax: (305) 756.8972
MAy23 2805
Pegs —70
Permit No. 0c=3.3a—
aster Permit No.
Electrical Plumbing
(Mechanical/ Roofing
l� / 1 1 0e , doi2 y Phone # (3d�) Jg� 1ge0
Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip 9 3/�
Is Building historically Designated YES NO
Contractor's Company Name A C MEN/9c3,v/dal`
Contractor's Address V4,0 S-1(-) 7is �-F-t 4
City % State
Phone # (-) /5L ,_/..5/
giA Zip .55/f/3jQualifier Cr 0 ie Lj/ D ,C i
Architect/Engineer's Name (if applicable) »A2/t 4l. Il 4 ,1, / Phone # (3e)
$ Value of Work For this Permit
Type of Work:
Describe Work:
`J5'op,sa
addition ❑Alteration
ce)t
❑New
Square Footage Of Work: /d v
)
❑ Repair/Replace ❑ Demolition
) ad > cam✓
oo e-5
****************************Fees******************************
Submittal Fee $ Permit Fee $
Notary $ Training/Education Fee $
Scanning $ Radon $ Zoning
\`9760
CCF $ CO/CC
Technology Fee $
Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite side)
Bonding Company's Name (if applicable) I/A- .
Bonding Company's Address `i4 -
City State Zip
Mortgage Lender's Name (if applicable) A / • �4
Mortgage Lender's Address /U `ft
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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.
Signature
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this The for
day of , 20 , by , day of i ' , 20 =, n
who is personally known to me or who has produced who is pits,il aB. n t• e or who has produced - �X
As identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
C actor
ent was ackn
ledged before me this 93
by VI Q11G Cc c Gl
fication and who did take an oath.
My Commission Expires: My Commission �s:=_EXp
*****************************************************************************Antos x** *s�Sil* **** *********
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
**************************************************************************************************************
APPLICATION APPROVED BY: a !y
Chc 12/15/03
Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305-795-2204
Printed: 8/18/2005
Applicant: CORY
Owner: GITTNER
JOB ADDRESS: 551 NE 102
Contractor A.G. MECHANICAL INC.
Local Phone:
Parcel # 1132060170980
Mechanical Permit
Permit Number: MC2005-70
Page 1 of 1
GITTNER
CORY
ST
Contractor's Address: 2831 SW 38TH COURT
Legal Description: MIAMI SHORES SEC 4 AMD PLAT
PB 15-14 LOT 19 & W1/2 LOT 20
Fees:
FEE2005-11387
FEE2005-11388
FEE2005-11389
FEE2005-11390
FEE2005-11391
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$192.50
$3.60
$1.20
$4.81
$3.00
$205.11
Total Fees: $205.11
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 11/19/2005 Construction Value: $5,500.00
Work: FOR ADDITION BEDROOM CLOSER BATHROOM OOFICE AND GARAGE
Signed: (INSPECTOR)
AUG 18 PAID
— ->- t i Its
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder)
BY: