MC-18-469Lam`
Miami Shores Village
`9t!s
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
CORtDp'
Permit NO. MC-2-18-4C9
Permit Type: Mechanical - Residential
Pen11 * Work Ctslssific#ion: Addition/Alteration
Permit Status: APPROVED
Issue Date: 2/28/2018 1 Expiration: 08/27/2018
Project Address Parcel Number Applicant
1111 NE 91 Terrace 1132050010120
Miami Shores, FL 33138- Block: Lot: ANDREA & UWE KREUTER
Owner Information Address Phone Cell
ANDREA & UWE KREUTER 1111 NE 91 Terrace
MIAMI SHORES FL 33138-
5161 COLLINS Avenue
MIAMI BEACH FL 33139-
Contractor(s) Phone Cell Phone
HARPERS AIR, INC. 305-266-1040
Tons:
Additional Info: INSTALL 27000 BTU DUCTLESS MINI-SPL
Classification: Residential
Approved: In Review
Comments:
Date Denied:
Scanning: 1
Fees Due
Amount
CCF
$2.40
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.80
Permit Fee
$122.50
Scanning Fee
$3.00
Technology Fee
$3.20
Total:
$135.90
Valuation: $ 3,500.00
Total Sq Feet: 0 '
Date Approved:: In Review
Type of Work: INSTALL 27000 BTU DUCTLESS MIN
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC-2-18-66551
02/23/2018 Check #: 2116 $ 50.00 $ 85.90
02/28/2018 Check #: 2118 $ 85.90 $ 0.00
Avauaoie
Inspection Type:
Rough Duct
Review Mechanical
Underaround
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 allAe foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zonivA. FUtheTDT6-rd. "uthorize the above -named contractor to do the work stated.
February 28, 2018
Authorized Signature: Owner / Applicant / Contractor / Agent uate
Building Department Copy
February 28, 2018 1
Rl Ic kar d Fj'
6 s 3 d 5 - Z � -- /0 ` 6
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
RECEIVE[
Miami Shores Vi-11-age FEB 2 3'&?1ffi
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
ppF//BC 201q
Master Permit No.
Sub Permit No. Mc
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ro-1 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11 1 t N ! V 7-64
Folio/Parcel#: I - Q 2 C-1 is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type::
Flood Zone: BFE: FFE:: n e)
OWNER: Name (Fee Simple Titleholder):
p
Phone#:3)S---q-70 - 3 ��'�
C
ii,y
Address � I 1 � Cl t `'iClff
f
City: s� State:
q
Zip: I3 1
Tenant/L see Names,,,11 j re hz
Phone#:
Email:
CONTRACTOR: Company Name:. Mvxys �
Phone#:3Z--2 iI L -1M v
_
Address: 10.3! �i•� �-I a��
City: l State:
Zip:. "7
Qualifier Name: U''Hnvver
Phone#:
State Certification or Registration #: C9 2-
Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address:
City: State: Zip:
Value of Work for this Permit_Square/linear
Footage of Work:
Type of Work: ❑ Addition ❑i Alteration El New
[ Repair/Replace El Demolition :—
Description of Work: S (( �� bM, t
e
DueT It JJ
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ C-Czl DBPR $ - CAD Notary $
Technology Fee $ Training/Education Fee $
Structural Reviews $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ �S; - / Q
(Revised02/24/2014)
P
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.
"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 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 pproved and a reinspe on fee will be charged.
Signatur Signature YA�11
OWNER or AGENT CONT A OR
The foregoing instrument was acknowledged before me this
N day of �C 20 by
X r 6iV -i�&- !who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal:
53
MY COMMISSION # GG005090
EXPIRES .July 02, 2020
The foregoing instrument was acknowledged before
<me this
day of 20 1 Z1? by
LI, who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
APPROVED BY s Examiner
BARBARA BOADA
.' MY COMMISSION #FF160076
"�oRadA'. EXPIRES September 16, 2018
Zoning
(Revised02/24/2014)
Structural Review
Clerk