MC-18-1782Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. MC-8-18-1782
Permit Type: Mechanical - Residential
Worts Classification: Addition/Alteration
Pemlit'Status: APPROVED
Issue Date: 6/28/2018
Expiration: 12/25/2018
Parcel Number
Applicant
1263 NE 101 Street
Miami Shores, FL
1132050250040
Block: Lot:
CLAUDIO RODRIGUEZ
Owner Information
Address
Phone
Cell
CLAUDIO RODRIGUEZ
1263 101 Street
MIAMI SHORES FL 33138-
1263 101 Street
MIAMI SHORES FL 33138-
Contractor(s)
UNIVERSAL PLUMBING CORP
Phone CeII Phone
(305)887-3131
Valuation:
Total Sq Feet:
$ 14,000.00
0
Tons: 3 AND 4 TONS
Additional Info:
Classification: Residential
Approved: In Review
Comments:
Date Denied:
Scanning: 1
Date Approved: : In Review
Type of Work:
Fees Due
DBPR Fee
DCA Fee
Permit Fee
Total:
Amount
$0.o0
$0.00
$490.00
$490.00
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC-6-18-68087
06/28/2018 Check #: 1519 $ 490.00 $ 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 zoning. Futhermore, I authorize the above -named co tor to do the work stated.
Authorized Signature: Owner / Applicant / `Contractsr / Agent
June 28, 2018
Date
Building Department Copy
June 28, 2018
1
Address: ( 2 fv 3, i\J l ' _L. 5 l_
State: l
city: .
BUILDING
PERMIT APPLICATION
BUILDING ❑ ELECTRIC
PLUMBING MECHANICAL
JOB ADDRESS: I 2,
City: Miami Shores
Folio/Parcel#:
Occupancy Type:
ROOFING ❑ REVISION
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
FFBC�2`00 (b
Master Permit No..1�,%��-"
0ENEWAL
Sub Permit No.
EXTENSION
❑ PUBLIC WORKS TfCHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
County: Miami Dade Zip: 3' 3) ( q
Is the Building Historically Designated: Yes NO
Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): C Z c-9 O ���C�il �� _Q�`2 Phone#: 2 /42 Z 4..
Tenant/Lessee Name: Phone#:
Email:
Zip:
•
CONTRACTOR: Company Name: cinitoe-asM, P(c%f jiil,7 Goi2
Address: lc/ C e $�
4 CGS{
State:
Qualifier Name: �vG�le e444v 4
State Certification or Registration #.
DESIGNER: Architect/Engineer:
Address: \ i0 1 I¢ •1 J 1 1 2-t+ t
Value of Work for this Permit: $ r• 006 •
Type of Work: ❑ Addition ❑ Alteration New
0
Description of Work: .
Phone#;.4 ,. ?O 4'@;- /
Zip: 370ff
Phone#:fi'',2JO c/ClG/J(/
Certificate of Competency #:
;]� Phone#: ?y C _.s '� —� S S S
City: `✓,4. r2 S 'S State: 4— ( Zip:
Square/Linear Footage of Work:
u
Repair/Replace ❑ Demolition
vi_
Specify color of color thru tile:
•
Submittal Fee $ Permit Fee $ CCF $
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CO/CC $
Notary $
Double Fee $
Bond $ TOTAL FEE NOW DUE $ / IId °
(Revised02/24/2014)
,F 6
Bonding'Compans Name (if applicable)
Bonding Company's Address
City
State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
i ``City _ • 1 t. i >t• State Zip
( I'1
— 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
yf
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.
"WARNINGS 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." 1 w ,
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 th'e 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
,OW aorAGENT
The foregoing instrument was acknowledged before me this
2 day of V f , 20
o,fn
me or who has produced `
identification and who did take an oath.
•
NOTARY PUBLIC:
Seal:
v>Le`'' MAHA
., MY COMMISSION # GG 044602
"' !we EXPIRES: November
Bonded Thru Notary Public Underwriters
by
known to
as
*******************************
APPROVED BY
CONTRACTOR
The foregoing instrument was acknowledged before me this
� ( day of c/ e , 20 / ?l , by
/ ' 1 dui f�? G i - - . , who is personally known to
me or who has produced
•
identification and who did take an oath.
NOTARY PUBLIC;
Sign:
Print:
Seal:
as
$ f,4r, •,.J _
Notary Pu' rc stare of ! U1 ja
Lourdes Marin Rivera
My Commission (3G 124638
Expires 07/18/2021
******_****************************************************************
Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review
Clerk