MC-18-3472Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date: 11/16/2018
Permit NO.: MC-41-18-3472
permit Type: Mechanical - Residential
Work Classification: A/C Replacement
Permit Status: Approved
Expiration: 05/15/2019
Parcel Number
142 NE 103 ST, Miami Shores, FL 33138
Contacts
FERNANDO YANEZ
142 NE 103 ST, MIAMI SHORES, FL 33138
Other: 3055103348
Owner
LG REFRIGIRATION CONTROLLLC
LUIS GALMES
Business: 3059688087
Contractor
LUIS31@LIVE.COM
Description: PROPOSED NEW MASTER BEDROOM NEW
BATHROOM AND NEW KITCHEN
Fees
Amount
Application Fee - Other
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
$50.00
$3.00
$2.26
$2.00
$1.00
$100.50
$3.00
$3.76
Total: $165.52
FERNANDO YANEZ
142 NE 103 ST, MIAMI SHORES, FL 33138
Other: 3055103348
Applicant
Valuation: $ 4,300.00
Total Sq Feet:
530.00
Inspection Requests:
305-762-4949'
Payments
Total Fees
Credit Card
Amount Due:
Date Paid
11/16/2018
Amt Paid
$165.52
$165.52
$0.00
Building Department Copy
In cons i• -ration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaini thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Villag- In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
perm : required for LECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
IIII11.( Illi.
OW
regul
g
DAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
struction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authoriz-. S •nature: Owner / Applicant / Contractor / Agent Date
November 16, 2018
Page 2 of 2