MC-18-1083Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. MC-4-18-108 3
Permit Type: Mechanical - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue -.Date: 611312018
Expiration: 12/10/2018
Parcel Number
474 NE 95 Street
Miami Shores, FL 33138-
1132060140440
Block: Lot:
Applicant
ANNE & NESTOR MORALES
Owner Information
Address
Phone
Cell
ANNE & NESTOR MORALES
474 NE 95 Street
MIAMI SHORES FL 33138-
(305)283-7233 (305)733-6534
Contractor(s) Phone Cell Phone
REGOSA ENGINEERING SERVICES I1 (786)262-2964 (786)344-8720
Valuation:
Total Sq Feet:
$ 3,500.00
0
Tons:
Additional Info: RELOCATE EXISTING AHV
Classification: Residential
Approved: In Review
Comments:
Date Denied:
Scanning: 1
Date Approved: : In Review
Type of Work:
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$2.00
$2.00
$0.80
$122.50
$3.00
$3.20
$135.90
Pay Date Pay Type
Invoice # MC-4-18-67286
06/13/2018 Credit Card
Amt Paid Amt Due
$ 135.90 $ 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 contractor to do the work stated.
June 13, 2018
Authorized Signature: Owner / Applicant / Contractor / Agent
Date
Building Department Copy
June 13, 2018
1
Phone#:
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 ErMECHANICAL El PUBLIC WORKS
JOB ADDRESS: 4 l'7 /''
Master Permit No.
144
FBC 20 P
�-� [e- 53 5j
VJ Sub Permit No.t l C_i & c0
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
DRAWINGS
City: Miami Shores
County:
Miami Dade Zip: 3S/ 3 °
Folio/Parcel#: Is the Building Historically Designated: Yes
NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
Address: (- ',it- 9 ,$- S Z
City: /t'(/9 i-1(
/1//1/6 (?/z (///s.r-oiz goegc6 one#: 3/�33 6 S 3 Y
State: PrZ Zip: 33 / / g
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: ,/9 S/
t%i6//16-svai � ��� S Phone#: 3� -2/ 8 �3 e6
Address: ,i•S7OO /� f/
City: /1l/1I/ State: FG Zip:
Qualifier Name: 6-//x,79 VO .- UgL
State Certification or Registration #:c H C. a y9 S� Certificate of Competency #:
DESIGNER: Architect/Engineer: / Phone#:
Address: City: State: Zip:
Value of'Vorkfort is. Permit:$ J� SSA
Type of Work: F❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace I I Demolition
Desc`ript of Of Work: ±ZO Ch' T
Square/Linear Footage of Work:
_Ey/57-/'G
Specify color,of color thru tile:
Submittal Fee $ Permit Fee $ /t CCF $ < • t , `r~TCO/CC $'
Scanning Fee $ Radon Fee $ DBPR �`°` ' ` Notary'$:
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
Double Fee $
Bond $ -
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable) •
P".1 a ! 4:4 J: t
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City �!' . n.l 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 . •chure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of com (j� ment must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In ®•'bsence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
NER or AGENT
The foregoing instrument was @cknowledged before me this
day of l� , 20 Z A) , by
AVH G4 i/ , who is personally known to
me or who has produced as
identification and who did take axnoath.
NOTARY PUBLIC:
Sign:
Print'
Seal:
***************
APPROVED BY
-.
0220EN.
Jodi Ellis Cardenas
NOTARY PUBLIC
§1•InE*6JE CiR
Signature
The foregoing instrum
�3 day of
ACTOR
\,
t was acknowledged before me this ,20 /8 ,by
me or who has produced
who ersonall known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
,``,N,annnap,,,,
.•�H G►t��'%
_ a� � 2019 Am6.11, all
y ;�• No.ODFF2u �;
******************************************************************
Comrn# GG185896
xpires 2/14/202
ans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)