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MC-18-1056Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 FtORIOp` Permit NO. MC-4-18-1066 Permit Type: Mechanical - Residential erlill't work Classification: A/C Replacement Permit Status: APPROVED Issue Date: 7/25/2018 1 Expiration: 01/21/2019 Project Address Parcel Number Applicant 9701 NE 4 Avenue 1132060170240 Miami Shores, FL 33138-2481 Block: Lot: BRIDGE INVESTMENTS II LLC Owner Information Address Phone Cell BRIDGE INVESTMENTS II LLC 9701 NE 4 Avenue (786)333-9096 MIAMI SHORES FL 33154- 9701 NE 4 Avenue MIAMI SHORES FL 33154- Contractor(s) Phone Cell Phone C R MECHANICAL CONTRACTORS IN (954)540-7585 s: iional Info: REPLACE EXISTING AC SYSTEM A/H & C/ sification: Residential oved: In Review ments: Denied: ning: 1 Fees Due Amount CC F $3.60 DBPR Fee $2.89 DCA Fee $2.00 Education Surcharge $1.20 Penalty Fee $100.00 Permit Fee $192.50 Scanning Fee $3.00 Technology Fee $4.80 Work without Permit Fee $192.50 Total: $502.49 Valuation: $ 5,500.00 Total Sq Feet: p Date Approved:: In Review Type of Work: REPLACE EXISTING AC SYSTEM A/F Pay Date Pay Type Amt Paid Amt Due Invoice # MC-4-18-67245 07/25/2018 Credit Card $ 452.49 $ 60.00 04/23/2018 Credit Card $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Review Mechanical 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 a construction and zoning. Futhermore, I authorize the above -named ntra Authorized Signature: Owner / Applicant / �Contr3tWr / Building Department Copy that all work will be done in compliance with all applicable laws regulating July 25, 2018 July 25, 2018 1 Miami Shores Village 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 BUILDING PERMIT APPLICATION ❑ BUILDING ❑ ELECTRIC ❑ ROOFING RECEIVED APR ppa F.�°i - 8 Master Permit No. I Sub Permit No. 1' nn � C IC) — 10 S(,--$ ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9 10 I A F y Q"V F N Ur-- City: Miami Shores County: Miami Dade Zip: r Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):_1 ) © Q 0-0b!L bAP- 6� w Phone#:�� - 9t9 9(0 Address: 97 O% A) E '7 A 0 le - City: W o A- 17,140RFS State: �� Zip: / 3 Tenant/Lessee Name: Phone#: 3 l d; 9,� Email 01 CONTRACTOR: Company Name: 1`� y `��L�Ct i� GV I &4+14UWP��one#.IGY ✓ (v �� Address: City: (4 to f3o C,-r Qualifier Name: U 11//IL(() f--litI ( 4 State Certification or Registration #: C G DESIGNER: Architect/Engineer: ne#:— Certificate of Competency #: Address: _ City: State Value of Work for this Permit: ;� S , S"6b Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Zip: 1 ElDemolition Description of Work: 2�r.►�1�G C EE"'*1'�T1 Y\i/1 )� G Specify color of color thru tile: Submittal Fee $ Permit Fee $ �` CCF $ ^ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ v�- ' Notary $ Technology Fee $ Training/Education Fee $ Structural Reviews $ 1 CA• DO (Revised02/24/2014) Double Fee $ 19Dy Bond $ TOTAL FEE NOW DUE $ 0 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 copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to ttachment. Als ertified copy of the recorded notice of commencement must be posted at the job site for the first inspection whi occurs s n (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be ap# a reinspection fee will be charged. Signatu OWNER or AGENT The foregoing instrument was acknowledged before me this day Iof N 20 ig by Jo G Si'b�Skek who is personally known to me or who has producedas identification and who did take an oath. Signature O NTRACTO R The foregoing instrument was acknowledged before me this day of 20J by Yia oo�is personally known to me or who has produced �L �f✓1 as identification and who did take an oath. R' 00' y NOTARY PUBLIC: NOTARY PUBLIC: ,L1 ) --7J i Sign: Sign: Jul Print:Print: 1"� OSCAR ROCA ,''• - .11, M. M4Z Seal: .,•'* Commission # GG 1� Seal: j MY COMMISSION # FF 206514 � EXPIRES: Match 5, Expires AUguct 1, 2021 Il ��RO Bowed lbru Nuia pP 2019 �gfR,0�' Eeodedilar9d0etpoYrilrlrMolil UrMeMom n"rilen ****************************** *** * ***** ** ************************************** APPROVED BY n xaminer Structural Review *************** Zoning Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MCIZC_•-%(o(O This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): 9.101 N f 7 A V F n% L) City: Miami Shores Village County: Miami Dade zip Code: 3,73 1 —69) ALL CONDENSING UNITS MUST BE ON A 41NCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO E ARHI Sheet Attached: YES ❑ NO Contract Attached: YES a UNIT BEING REPLACED DATA NEW UNIT H ✓1 vv MANUFACTURER A M k9l 56 1 p A 0 AHU or PKG. UNIT MODEL # lf a/ a 06 a rao 0 V / O !0 0 COND. UNIT MODEL # J4 W R C 03 0 G b /}/ KW HEAT NOM TONS 10 V0 AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES REPLACING DUCTS YES YES REPLACING THERMOSTAT NO YES NEW 4"CONCRETE SLAB S NO YES NEW ROOF STAND YES YES NEW RETURN PLENUM BOX YES 60) 1. Minimum Circuit Ampacity (Wire Size): 'A D Abq F 2. Maximum Overcurrent Protection (Fuse/Breaker Size): f> cO A %J 3. Voltage of Circuit (208/240/480): a O S/oz SIO Ll 6 4-r 4. Size Disconnecting Means: Contractor's Company Name: C. 2 Pik 6kA IV I C A/- Phone: irg& " 15'6,3-03 3 State Certificate R tration No. C 'A C i g 133 93 Certificate of Competency No. Signature Date: �Trd-0 . l ature) (Revised02/24/2014)