Loading...
MC-16-833Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Parcel Number Permit NO. MCr-3-16-833 Permit Type: Mechanical - Residential Worts Classification: Addition/Alteration Permit Status: APPROVED Issue Date:3131/2016 1 Expiration:49/Z//ZU16 Applicant 548 GRAND CONCOURSE 1132060171410 Miami Shores, FL 33138- Block: Lot: ASHLEY M ABESS REVOCABLE owner mtormation Address Phone Cell ASHLEY M ABESS REVOCABLE TRUST 548 GRAND CONCOURSE (917)657-0713 MIAMI FL 33138- 548 GRAND CONCOURSE MIAMI FL 33138- Contractor(s) Phone Cell Phone UNITED BREEZE CORP (305)262-2530 Tons: 6 lional Info: HVAC CHANGE OUT AND ADD NEW CHILER sification: Residential oved: In Review ments: Date Approved:: In Review Denied: Type of Work: ring: 1 Fees Due Amount CCF $4.80 DBPR Fee $3.94 DCA Fee $3.94 Education Surcharge $1.60 Permit Fee $262.50 Scanning Fee $3.00 Technology Fee $6.40 Work without Permit Fee $262.50 Total: $648.68 Valuation: $ 7,500.00 Total Sq Feet: 0 Available Inspections: Inspection Type: Final Rough Duct Review Mechanical Underground Pay Date Pay Type Amt Paid Amt Due Invoice # MC-3-16-59192 03/31/2016 Credit Card $ 498.68 $ 50.00 03/29/2016 Credit Card $ 50.00 $ 0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered Jereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications bmitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, s ants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and S MI POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all wok wil be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work tated. March 31, 2016 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy March 31, 2016 Miami Shores Village CEI D Building Department Egg 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 7BY: Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 f BC 20 BUILDING. Master Permit -No. �&- 2- PERMIT APPLICATION Sub Permit No.0 2 ❑BUILDING ; ❑ ELECTRIC ❑ ROOFING ❑-REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING S MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 548 Grand Concourse 11 • City: ..Miami Shores= Countv: z .Miami Da e7 ` Zip: T ` Folio/Parcel#:. F 114107 0 3206 1- -1- Is the Building Historically Designated: Yes ' •i NO Occupancy Type: ' - Load: Construction Type: o Flood Zone: -ti. BFE: t a FFE: OWNER: Name (Fee Simple Titleholder): Grand Concourse Trust Phone#: 305-299-5311 Address: 548 .Grand Concourse Miami Shores FL 33138 City:. State:` Zip. Tenant/Lessee Name: Phone#: Email: ttorres@t2-group.com 0 CONTRACTOR: Company Name: /A © Oi7 Phone#: Z�b Address:d�� ,�u % ��%2 City: State: Zip: 7 Qualifier Name: �q Phone#: �'5--,e _27 � State Certification or Registration #: g, t6-191 77 �o 0Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: 4 Type of Work: 0 Addition AI ration , ❑Jew ❑ Re air/Replace ❑ Demolition 0 Descrip' of Work.: v�CE, h V)qA �it Nri - .P0`-vG n � ;,\.e Ca4w --'> -Ta. Specify color of color thru tile: % Submittal Fee $ 'U :q) Permit Fee $ h Scanning Fee $ Radon Fee $ ., Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC• $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 2-1 2- (Revised02/24/2014) ... b♦rI f � i i Bonding Company's Name (if applicable) _ Bonding Company's Address 9 '-5 Cify State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State ter, z 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- absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature v ER or AGENT The foregoing instrume t was acknowledged before me this �� day of 1J1A 20 , by �t 1► b'tsZ who is personally own t me or who has produced as I identification and who did take an oath. NOTARY PUBLIC- ° Sign: } ' Print: A Seal: '�,� My Commission GG 015050 p� A Expires 0712&7020 CONTRACTOR'- The foregoing instrument was -acknowledged before a this Ct--- , by ���i� l�1Cr✓i�"G� .. who is personally known to me or who has produced L as identification and who did take an oath. NOTARY PUBLIC: -� Sign: Print: AY Seal: APPROVED BY / V Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)