MC-17-522Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
150 NE 108 Street
Miami Shores, FL 33161-
Owner Information
Emily Bradfute
Address
Issue Date: 3/30/2017
Permit NO. MC-2-17-522,
Permit Type.._ Mechanical - Residential
Work Classification. A/C Replacement'
Permit Status: APPROVED
Expiration: 09/26/2017
Parcel Number
1121360100040
Block: Lot:
150 NE 108th Street
Miami Shores FL 33161
Contractor(s) Phone
AIR SYSTEMS A/C LLC (786)208-3484
CeII Phone
.160 -
Applicant
JEFFi EY KOLOFOFr
Phone
305 679-9744
Valuation:
Total E;.; Beet'
Tons: 2
Additional Info: INSTALL 2 TON AC UNIT AND DUCT WOR
Classi`ca ion: =iasidential
Approved: In Review
Comments:
Date Denied:
Scanning: 1
Date Approved
Type of Work:
in Review
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
IIMMIN1111111111
Amount
$4.20
$3.28
$3.28
$1.40
$218.75
$3.00
$5.60
$239.51
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC-2-17-63102
03/30/2017 Credit Card $ 239.51 $ 0.00
Cell
$ 6,250.00
r,
Availab:e Inspections:
IInspection Type:
�Fina1
Review Mechanical
Leaseas
In consideration of the issuance to me of this nerrr t, I agree to perform the work covered here_:nder in corp:•.nce w rh ;II ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the pioler authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all \vork done by either myself, my agent, servants, or employes I 'that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL woi
OWNERS AFFIDAVIT: I certify that all the foregoinc, information is accurate and that all work will be done in corn ilience with all acolicable laws regulating
construction and zoning. Futhermore, I authorize the tibove-named contractor to do the work stated.
Mar :h 30, 2017
A.uthod Signature: Owner / Applicant / Contractor / Agent
)ate
Buiiding Department Copy
March 20, 2071
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
[II PLUMBING M MECHANICAL
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
❑ ROOFING ❑ REVISION
RECEIVED
FEB 2 8 2017
FBC 20Hs+11
a er Permit No. I C/
Permit No.Tit• I te 1"P 2,41
❑ EXTENSION ❑RENEWAL
Ell PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 15 0 IV E t 0 0 5•tAr:&6
City: Miami Shores County:
Folio/Parcel#: l 1.21Atp • 00(1.0040
Occupancy Type: Load: Construction Type: Flood Zone:
Miami Dade .Zip:. 331(01
Is the Building Historically Designated: Yes NO
BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Errn1►l Rrad vk A ,k f ty 1460 ko
Address: 150 N F. 10$
Phone#: 3D5-o01 • q')4q
City: M•tami SL,ore-S State: F L
Tenant/Lessee Name: Phone#:
Email:
Zip: 331 i$
CONTRACTOR: Company Name: Ai E"4S4(115 Alc (-LC
Address: ` 1,cf NVv < 132)
City: Opot LOGka 'State: RL
Qualifier Name: hOy V4iuGZ.
State Certification or Registration #: G L 0335 lt LA Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ �) v, Square/Linear Footage of Work: S>C-elf �S M✓�ST��
Type of Work: ❑ Addition ❑ Alteration `' ,, El New ❑ Repair/Replace/ �❑ Demolition
Description of Work: L , C() Z " 1''^ 16 crier- I f C__ UMT 7'-"-''-T�^' Lk
Phone#:
Zip: 33055q
Phone#:
Fora ,fico NaONE
Specify color of co or`tlir"'u tile:. < [
7 }4 'h
/0 '1A ,i[;I tPe'r'mit Fee $ !"•
re
a
Submittal Fee $
ts1
Scanning Fee $ 3 Radon Fee $ `
Technology Fee $ S GO Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
, ! 1;3 d.
i!N .
, f 1
DBPR�$y Notary $ I`"
dDouble Fee $
Bond $
TOTAL FEE NOW DUE $c2 ` 5 I
‹.1,6
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
-, 44., j -.4, pit AM, ,
Application is hereby made to obtain a permit to do the work and installations as indicated:.) 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 cutd nstrurtion lien law_hrncbura w lLbe_dplivered 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.
Signatu
OWNER or AGENT
T fore:oing instrument was acknowledged before me this
J� ay of Teb(u t (1 j , 20 13- , by
mi its grad Ry}e , who is personally known to
me or who has produced bL, # an k as
identification and who, did take an oath.
1 Y
NOTARYIP BLIC:
Sign:
Print:
Seal:'
ebeca M. astrana
Commission # GG065487
_; Expires: Feb. 7, 2021
b'FB Bonded thru Aaron Notary
******************************************
v V
APPROVED BY
Zip
Signature
The foregoing instrume was acknowledged before me this
q _ day of F 6ruar.i , 20 11 , by
3•( \ u C2 , who is personally known to
me or who has produced D L On L4 as
identification and who did take an oath.
NOTARY PUBLIC:
w�
Sign:
Print: Su
Seal:
************************'**
s Examiner
uyapa T. Vasquez
Commission # FF942611
Expires: December 9, 2019
Bonded thru Aaron Notary
**•************************************
Zoning
(Revised02/24/2014)
Structural Review
Clerk