MC-19-1098Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 06/24/2019
Location Address Parcel Number
1234 NE 94 ST, Miami Shores, FL 1132050100210
Contacts
PermitN .: MC-05-19-1098
Permit Type: Mechanical - Residential
Work Classification: New A/C System
Permit Status:
Expiration: 11/ 11/2019
ELI BRAVO Owner MARIA GABRIELA CONTRERAS Owner
1200 NE 97 ST, MIAMI SHORES, FL 33138 1200 NE 97 ST, MIAMI SHORES, FL 33138
Other:3054942371 Other:3059492371
MIAMI MECHANICAL CONTRACTORS INC Contractor
JOSE F BATISTA
5005 COLLINS AVE #1018, MIAMI BEACH, FL 33140
Business: 7864024457
Description: NEW DUCTWORK AND AC EQUIPMENT Valuation: $ 28,450.00 Inspection Requests:
4 UNITS, 4 TON, 3 TON, (2) 2 TON
Total Sq Feet: 1,500.00
.j I "
Fees
Amount
Application Fee - Other
$50.00
CCF
$17.40
DBPR Fee
$14.93
DCA Fee
$9.95
Education Surcharge
$5.80
Permit Fee (Manual)
$945.00
Scanning Fee
$3.00
Total:
$1,046.08
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$1,046.08
Credit Card
06/24/2019 $1,046.08
Amount Due:
$0.00
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.
I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner
/ Applicant / Contractor / Agent
Date
June 24, 2019 Page 2 of 2
Miami Shores Village RECEIVED
BUllding Department JUN24101
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 &0
Tel: (305) 795 2204 Fax: (305) 756-8972 SL
INSPECTION LINE PHONE NUMBER: (305) 762-4949 4
FBC 2011
BUILDING Master Permit No. PC—, 2-11 -ycci -3
PERMIT APPLICATION sub Permit No. knc_05_(C� — (Ocir
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING " __ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
1V_ CONTRACTOR DRAWINGS
JOB ADDRESS: IZ 34 � ✓`7 4 ST
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): I`�anG G,.-;t�e1a 6onl(er& % Phone#: 325, 424 232
Address: 1239 i, 1�11 J} S I
City: KC-Av i S�L-Ce J State: FL_ Zip: 3313�
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: j r-� t- \4c vac 4cc-( 6On1yzjJ Phone#. 1 14 02-
Address: _2(o - M_
City: /`i!/� State: lee- ip: 33 t 3 7
Qualifier Name: cif-- %� .�/�.9 Phone#: 'lo 07.-
State Certification or Registration #: Certificate of Competency #: 17H v000 23
DESIGNER: Architect/Engineer: Phone#:
Ad
Value of Work for this Permit: $ Z9450
City: State: Zip:
Square/Linear Footage of Work:
Type of Work: ❑ Addition �< Alteration -p
❑,1 New ❑ Repair/Replace ❑-Demolition
Description.of Work: slew c6cT WOr� I��I,�C el tq P5 W),C, Vn��f l a:-
p i 3) Ion
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ `�I� -dn
(Revised02/24/2014)
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.
Signature 1/1 11111-
OWNER or AGENT
The forAgoing instrument was acknowledged before me this
�_ day of �"( 20 IJ by
I -I Cep-of-c1S , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PU IC:
Sign:-01
Print:
Seal: MY COMMISSION # GG 142111
EXPIRES: January 7, 2022
B.WW Th, MMY Pubic UmenM ws
*******************************************************
APPROVED BY
Signature
C NTRACTOR
The fo�ng instrumen was acknowledged beforemethis
day of 20 / by
VAis personally known to
me or who has produced
identification and who did take an oath.
NOTARY PU
Sion C 4
Plans Examiner
Structural Review
PERLA M. GARCIA T
MY COMMISSION # GG 142111
EXPIRES: January 7, 2022
Bonded Thru Notary Public Underwriters
as
00-1
Zoning
Clerk
(Revised02/24/2014)