MC-18-1540Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. MC-6-18-1540
Permit Type: Mechanical- Residential
Work Classification: Addition/Alteration
Pennit Status: APPROVED
issue Date: 6/15/2018
Expiration: 12/12/2018
Parcel Number
Applicant
671 NE 105 Street
Miami Shores, FL 33138-2053
1122310120100
Block: Lot:
CAROL INVEST USA INC
Owner Information
Address
Phone
CeII
CAROL INVEST USA INC
671 NE 105 Street
MIAMI SHORES FL 33138-
(305)747-3098
671 NE 105 Street
MIAMI SHORES FL 33138-
Contractor(s)
ALOHA AIR CONDITION INC
Phone
(954)772-0079
CeII Phone
Valuation:
Total Sq Feet:
$ 2,800.00
30
Tons:
Additional Info: INSTALL CROSSOVER RETURNS, RELOCATE
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
$1.80
$2.25
$2.00
$0.60
$150.00
$3.00
$2.40
$162.05
Pay Date Pay Type
Invoice # MC-6-18-67810
06/15/2018 Credit Card
06/05/2018 Credit Card
Amt Paid Amt Due
$ 112.05 $ 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, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certi hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. r . re, I authorize the above -named contractor to do the work stated.
Autho , nature: Owner / Applicant / Contractor / Agent
June 15, 2018
Date
Bui'"g Department Copy
June 15, 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
El BUILDING ❑ ELECTRIC ❑ ROOFING
❑ PLUMBING ® MECHANICAL
JOB ADDRESS: 671 NE 105 St.
(PUBLIC WORKS
Master Permit No.
GT-Li 201�
"IC- S /8 i Z97
Sub Permit No. -
n REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF n CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores
Folio/Parcel#: 11-2231-012-01001.
Occupancy Type: Load:
County:
Miami Dade Zip: 33138
Is the Building Historically Designated: Yes NO X
Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): Carol Invest, USA
Address: 990 Biscayne Blvd.
City: Miami
Suite 801
BFE: FFE:
Phone#:
State: FI. Zip: 33132
Tenant/Lessee Name: Phone#:
1 Email:
CONTRACTOR: Company Name: Aloha NC Phone#: (954) 772-0183
Address: 4474 Weston Rd.
City: Davie
Qualifier Name: James E. Barry
State Certification or Registration #: CAC 025379
DESIGNER: Architect/Engineer: Victor Bruce
State: Florida
Zip: 33331
Phone#: (954) 772-0183
Certificate of Competency #:
Phone#: (305) 310-5030
Address: 370 NE 101 St. city: Miami Shores state: FI• Zip: 33138
Value of Work for this Permit: $ 2.800.00
Type of Work: ❑ Addition n Alteration
Square/Linear Footage of Work: • 30 I/f
l i New ❑ Repair/Replace n Demolition
Description of Work: Install crossover returns, relocate range hood duct, install exhaust fan in bathroom
Specify color of coidr thrutile:.
Submittal Fee $ L``, ••`1Vi•mit fee:$
Scanning Fee $ Radon Fee $ DBPR $ "`.. Notary $
Technology Fee $ Training/Education Fee $ Double Fee $ 0
Structural Reviews $ Bond $ \I,
TOTAL FEE NOW DUE $ \
(Revised02/24/2014)
• ` S
p {i
I„ 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 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. _ µ
"WARNING TO OWNER: YOUR FAILURE TO RECORD -A' NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS -TO YOUR PROPERTY. IFYOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ORAN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT." - t
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 con's'truction lien !ail 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.
Marc. Bru
Signature .t
•FOWNER%ir AGENT
The olforegoingJinstrument was acknowledged before me this
O '1 day of U nit , 20 l % , by
• ,R/?% v /J%ZiJ'Z'Z I "I who is p sonally know to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
LUCIA G ISASI
MY COMMISSION #FF182628
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*******-.*4m; +a**s�k7� 'Y�C#'#�#sf ki4l i�'#' J�ls ##7i*
(407) 398-0153 FloridallotaryService.com
M-174 1
APPROVED BY
as
James E. Barry
Signature
/ x CONTRACTOR /'
The foregoing instrument was acknowledgedbeforeme this
day of +` , 20 , by
JJ% _ is ersonall kn t
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: `..�.".."
-Print '24 •
Seal: 40001 b TERRII.FLAHERiY
Cession $GG 165533
7e Expires January 28.2022 ,
?Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)