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MC-19-523Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date: 04/02/2019 Parcel Number 1321 NE 103 ST, Miami Shores, FL 1132050300120 Contacts Permit No.: MC-03-19-623 Permit type: Mechanical - Residential Work Classification: Alteration Permit status: Approved Expiration: 09/30/2019 ADRIA I SILVERMAN Owner SCOTT SILVERMAN Owner 1321 NE 103 ST, MAMI SHORES, FL 33138 1321 NE 103 ST, MIAMI SHORES, FL 33186 Other:3055420908 ADRIA I SILVERMAN Applicant AAA MODERN AIR CONDITIONING, INC Contractor 1321 NE 103 ST, MAMI SHORES, FL 33138 SALVATORE DI FLORIA Other: 3055420908 901 PHIPPEN RD, DANIA, FL 33004 Business: 9549214486 Description: REPLACE BATH EXHAUST WITH NEW VENT TO Valuation: $ 500.00 Inspection Requests: NEARBY SOFFIT AS PER MECHANICAL PLAN TotalSq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $160.30 Payments Date Paid Amt Paid Total Fees $160.30 Credit Card 03/11/2019 $50.00 Credit Card 04/02/2019 $110.30 Amount Due: $0.00 Building Department Copy 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. �� - -/ - a Authorized Signature: Owner / Applicant / Contractor / Agent Date April 02, 2019 Page 2 of 2 C ~ Miami Shores Village \MARII l �019 Building Department BY: ` 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 Zo lac-*3, -491 BUILDING Master Permit No.A(-- �� PERMIT APPLICATION Sub Permit No.KC-- 3 M - S Z 3 ❑BUILDING ❑ ELECTRIC ROOFING ZIREVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP L CONTRACTOR DRAWINGS JOB ADDRESS: � 3 j- I �i� 1 D 3 r" S1Yecl- City: Miami Shores County: Miami Dade zip: 3 3 13 9 Folio/Parcel#: 113 DS r:) 3 0 D ( D-0 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):�Lt-tt Address: 3 1 (V 6 103 rd C-)Ne r- tSA c in _ c \ Phone#: City: State: FL zip:, '313 ,,eSi Tenant/LesseeName: UV p� I I ` J Phone#: 1" r Email: 0.-.C\jr i (y t k W'e-an&- , K-5b ram cs." - C.t-rn CONTRACTOR: Company Name:1 i' 1 I t r� 9 1 r` Phone#: `lJ�� f —`jZ ( — �I �Z Address: C101 PhlbQ (A� Q 46---5 POL City: L .Cj/ Qualifier Name: I" Zip: C754-g2-1 State Cep rtification or Registration #c i��l '5,;Z"3L'�Certificate of Competency #: DESIGNER: Architect/Engineer: �4rer,-aa G`, rCW tr !J c7St , s, �__.1_L Phone#: L�� " �S �I 0 Address: LN 2-31 3 W G.,u -Q- Ne— City: LA'L'-411rh'— er State: 471— zip: Value of Work for this Permit: $ 930 • o0 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Specify color of color thr tile: Submittal Fee $ Permit Fee $ 1 1 (16v CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 1 w . 3(�) (Ke 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 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 be approved and a reinspection fee will be charged. F-\ Signature "'lT'i` Signature / 7� OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this _ day of I r /lu 1 ek 20 by i ��ei ✓y►� who is personally known to me or who has roduc�e3"'Ji'"y (6'009 S I -G -4S - D as identification and who did take an oath. NOTARY PUBLIC: Notary Public • State oi-Florida Commission # FF 951492 My Comm. Expires Jan 19, 2020 The foregoing instrument was acknowledged before me this day of 1 r IGI 20 101 by who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Print: Seal: MICHAEL FARTHING � Notary Public - State of Florida Commission N FF 951492 %',EOF��•' My Comm. Expires Jan 19, 2020 APPROVED BY V)Ia, APns Examiner Structural Review as Zoning Clerk (Revised02/24/2014) SALES - SERVICE - INSTALLATION CONTRACT �:, .'' PHONE: 954-921-4486 FAX: 954-362-2369 www.aaamodernair.com 901 PHI PPEN WAITERS RD DANIA FL 33004 CAC1813234 accheckup@aaamodernair.com BILL TO: I JOB LOCATION Scott Silverman Scott Silverman 1321 NE 103 St 1321 Ne 103 St Miami Shores FL 33138 Miami Shores FL 33138 Home 305-542-0900 Cellular Home 305-542-0900 Cellular 305-542-0300 PROPOSAL # 00011516521 CUST # 0047011 PAGE # DATE 3/5/2019 CUAN INSTALL ALL EQUIPMENT AND ITEMS LISTED BELOW AMOUNT 1.00 Estimator Name: ANGELO 1.00 t REPLACE BATH EXHAUST WITH NEW VENT TO NEARBY SOFFIT AS PER MECHANICAL PLANS PROVIDED. i 1.00 PERMIT FEES - ADDITIONAL i 1.00 COST 500.00 I TOTAL -a r4tk23� TOTAL $500.00 "Customer satisfaction always comes first" Thank you for the opportunity to bid on your new a/c system. This work sheet is designed to give you more detail on the scope of work performed. Please feel free to call us with any questions. NOTE: PLEASE REFER TO BOTH SIDE OF THIS CONTRACT FOR ALL TERMS AND CONDITIONS. BY SIGNING THE FACE OF THIS CONTRACT, PURCHASER ACKNOWLEDGES THAT PURCHASER HAS READ, UNDERSTANDS AND AGREES TO ABIDE BY THE TERMS AND CONDITIONS OF THIS CONTRACT. TERMS AND CONDITIONS: You are entitled to and exacted copy of the contract you signed. Unless otherwise specified above, all installation of replacement and new A/C systems will be installed, hooking up to existing electrical wiring and breakers, refrigerant lines, drain lines, slabs, roof stands and support brackets, air handler platform boxes, condensate pumps, smoke detector, fire dampers, thermostats, humidistat, duct work, supply and return air grills. Due to your existing building constructions and South Florida's high humility and heat wave weather conditions, seller can't guarantee any particular cooling temperature. It is recommended to set your thermostat at 78 degrees for maximum savings on electrical usage. Temperature set below 78 degrees could result in your air conditioning system to run for extended length of time. if it becomes necessary to take collection actions for any charges, THE CUSTOMER, shall be responsible for all court cost, collection cost, and reasonable attorney7s fees incurred to collect any unpaid charges. Customer Print Name Od Salesman Name Customer Signature Date_-�-��