MC-19-1660Permit No.: MC-07-19-1660
Miami Shores Village .- -- Permit Type: Mechanical - Residential
10050 NE 2 Ave
Miami Shores FL 33138 F(D'n � IL . Work Clossifturtlt7T►: AdditicslljAtteratiisil
305-795-2204 Permit status: Approved
Issue Date at7/19/ 9 ; Expiration: 01/15/2020
Location Address Parcel Number
299 NE 99 ST, Miami Shores, FL 33138-2434 1132060134580
Contacts
TREVOR & KRYSTLE HAGUE Owner TREVOR & KRYSTLE HAGUE Applicant
299 NE 99 ST, MIAMI SHORES, FL 33138 299 NE 99 ST, MIAMI SHORES, FL 33138
Other:3053934461 Other:3053934461
CHALEX COOL AIR OF MIAMI, CORP Contractor
ALEXANDER E REYES
5511 NW 74 AVE, MIAMI, FL 33166
Business: 7863674184
Inspection Requests:
Description: ADDITION TO SINGLE FAMILY HOME - NEW Valuation: $ 7,200.00
DUCTWORK 1 NEW SPLIT SYSTEM, 2 BATH VENTS AND 1 305-7624949
DRYER Total Sq Feet: 1,393.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$4.80
DBPR Fee
$3.78
DCA Fee
$2.52
Education Surcharge
$1.60
Notary Fee
$5.00
Permit Fee
$202.00
Scanning Fee
$3.00
Technology Fee
$6.30
Total:
$279.00
Payments
Date Paid Amt Paid
Total Fees
$279.00
Credit Card
07/19/2019 $279.00
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 A AVIT: I Pertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating ions ucti;)RAnd oning. Futhermore, I authorize the above named contractor to do the work stated.
Signature: Owner /)/ Applicant / Contractor / Agent
July 19, 2019
Date
Page 2 of 2
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC
Miami Shores Village RECEIVED
Building Department JUL 1 s • is
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 2on �7
Master Permit No. 'ZC ^ L�-TR�
Sub Permit No. M C"'C"T7 -19 —t `e(o�
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING AM ECHANICAL [:]PUBLICWORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 2-01I NE, ctI-t-\ S+-
City: Miami Shores County: Miami Dade Zip: 3 313 8
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 5'(Zsi- �''t C"5 "S1L_ Phone#: 3 S — la 13— Sq -7 �
Address: 01cl 61 tJ F_ q C1 A- S-i -
City: M t Uxy t S h State: F L zip: 3 313 Fl
Tenant/Lessee Name: Phone#: 30 S' U13" Sq 18
Email: kryS io 0. r C)Ao I. Corte
CONTRACTOR: Company Name: Uq` -r Ccoo 6(L W1v"'L Phone#: 78(e — 310 "'AIg4
Address: Ll 4V G
City: Y1It State: F zip: 331641
Qualifier Name: A) L `ta A D (L 22 CS ' Phone#: % eo— 31— 41 a�
State Certification or Registration #- L Z'so S Z.
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City:..twool;.... State: Zip:
Value of Work for thiA,�ddit
� UD• oo Square%Linear footage"of Work:
Type of Work: ❑ Alteration New ;` Re air Re Ice
❑ p / p Demolition
Description of Work:�tl-
e.
Specify color of color thru tile.
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $ _
Bond $
TOTAL FEE NOW DUE $ ���
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City S 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 be approved and a reinspection fee will be charged.
0
Signature Ji nature
OWNER or AGAT CONTRACTOR
The foregoing instrumen was acknowledged before
me this The foregoing instrument was acknowledged before me this
II (�day of ++ 20 � 1 by j�2 � day of � l�C% 20 ! !(] by
a , who is perspnally known to /'1 Qx aV1Gf�X ��e`%e-r , who is ersonalllyy ktn'o—w�n to
me or who has produced as me or who has produced as
Print:
Seal:
ti nd did take an oa``��N" y pR�FT0
PUB IC: ` •.� • � ?� 1��•••
�nLVUJ• i ..D _R9A�'�Iw.��nA�alh�i+1��0r���
identification and whoAid take an oath.
7 i
NOTARY PUBLIC:
Sign:_
Print:
Seal:
7MAPPROVED BY PI s E miner Zoning
Structural Review Clerk
(Revised02/24/2014)