MC-18-827Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit No, MC-3-18.827
Permit Type: Mechanical - Residential
Pen "t Work Classification: Addition/Alteration
Permit Status: APPROVED
Parcel Number
issue Date: 4/18/2018 1 Expiration: 10/15/2018
Applicant
85 NW 103 Street 1121360131080
Miami Shores, FL 33150-1233 Block: Lot: DM INVESTMENT SERVICES LLI
owner mtormation Address Phone Cell
DM INVESTMENT SERVICES LLC 85 NW 103 Street (786)473-5959
MIAMI SHORES FL 33150-
85 NW 103 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone
AA MASTERS MECHANICAL AIR MOV (305)244-0667
Valuation: $ 4,700.00
Total Sq Feet: p
Tons:
Additional Info: NEW AC LIKE PLAN INDICATE REPLACE A
Classification: Residential
Approved: In Review
Comments: Date Approved:: In Review
Date Denied: Type of Work: NEW AC LIKE PLAN INDICATE REPL
Scanning: 1
Fees Due
Amount
CCF
$3.00
DBPR Fee
$2.47
DCA Fee
$2.00
Education Surcharge
$1.00
Permit Fee
$164.50
Scanning Fee
$3.00
Technology Fee
$4.00
Work without Permit Fee
$164.50
Total:
$344.47
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC-3-18-66982
04/18/2018 Check #: 254 $ 294.47 $ 50.00
03/29/2018 Credit Card $ 50.00 $ 0.00
Avaname inspections:
Inspection Type:
Final
Rough Duct
rou
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 ELECT5tC-Ai,, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFI AV c ify that e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an n F er r , I jutppri,', the(�po d con ctor to do the work stated.
('+ll `�-'��' q"� a Aoril18.2018
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
April 18, 2018
1
Miami Shores Village
MAR 2 % Iola
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
FBC 20
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
F-IBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
X CONTRACTOR DRAWINGS
JOB ADDRESS: _ `, w 2 J S�
City: Miami Shores County: Miami Dade zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood fZone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): �9� ���\C(�(� �QY \i\clz�- Phone#:Bl/ ! LOS'SO691
Address: SD k »J SZO ASl
City: ��0.N.\ State: \� �- Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: � � _4tk\P%hone#� U IQ
Address: ` Q
City: «.tom\ State: Zip:
Q�r�\
Qualifier Name: LurkPhone#:� U to
1
State Certification or Registration #: ��(��_��� 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 ❑ Alteration
- ❑ New \ ,� ❑ Repair/Replace -❑ Demolition
Description of Work: kwC \ o `� d d\ 1\d\(` \� Lke) �o- A\ 1)0u\ O NC
m\u
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ a Cj�) DBPR $— Notary $
Technology Fee $ Training/Education Fee $ Double Fee $ (`O `-i • SD
Structural Reviews $
Bond $
TOTAL FEE NOW DUE $--TAT"i
(Revised02/24/2014)
E
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Zi
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 be appro d and a reinspection fee will be charged.
L
Signature Signature
W11 OWNER or AGENT ONT ACTOR
The foregoing instru en as acknowledged before me this The foregoing instrument was acknowledged before me this
day of f. 20 l 1? by 01 day of &OS A 20 Y? by
ir7 who is personally known to `eK)S gOk.,A who is personally known to
me w o has produced as me or who has produced as
i en i ica ion and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC:
NOTARY WBLIC:
Print: / (� / %�`�� ��.Print: 1C11rI ComriWmIGG
Seal: 40to rd4�b titheF�PtANDE7 Seal: �''�orP ea^�°dTn`ueu�p�► senica
N'Y CO. -. ISSN-DN ; FF :C3,52
EX.P19ES: ji�y 12, 20 i8
N.:ary Servi;es
************************** ************** ***************************************************************
APPROVED BY ans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)