MCC-18-2555Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: MCC-09-18-2555
l r~ rt Permit Type: Mechanical - Commercial
rWork Ctossificotion: Alteration
Permit Status: Approved
issue Date:05/30/2019 Expiration: 11/26/2019
Location Address Parcel Number
715 NE 91ST ST, Miami Shores, FL 33138 1132060440001
Contacts
DIAMOND APTS CONDO Owner POLAR BEAR AIR CONDITIONING Contractor
271 NE 101 ST, Miami Shores, 331382134 MATTHEW GEORGE ROSEN
2225 ANCHOR CT, FORT LAUDERDALE, FL 33312
Business: 9548954324
Description: AIR CONDITIONING REMOVAL, CLEANING AND Valuation: $ 2,405.69 Requests:
Inspection tition Re Re
RESET
762-4949
Total Sq Feet: 800.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.90
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$111.90
Check # 18604
05/30/2019 $111.90
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.
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 cor6%4uction and zq wo"Futhermore, I authorize the above named contractor to do the work stated.
/ Applicant / Contractor ! Agent
May 30, 2019
Date
Page 2 of 2
Miami Shores Village
RECEIVED
Building Department
SEF 2 2018
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 201-1
BUILDING
Master Permit No. & 16 —?'S'3
PERMIT APPLICATION
Sub Permit No. MC I—ZSSS
❑BUILDING ❑ ELECTRIC
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ■❑ MECHANICAL
PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 715 NE 91 STREET UNIT 1A
City: Miami Shores
County: Miami Dade Zip:
Folio/Parcel#: 11 -3206-044-0010
Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): JOHN GRANT CAMERON Phone#: 816.946.0260
Address:93 ONE MAIN PLACE
City: FORT WORTH
State: TX Zip: 76126
Tenant/Lessee Name:
Phone#:
Email: JACKGCAMERON@SBCGLOBAL.NET
CONTRACTOR: Company Name: POLAR BEAR AIR CONDITIONING LLC
Address: 3725 PEMBROKE ROAD Al
City: HOLLYWOOD State: FL
Qualifier Name: MATTHEW GEORGE ROSEN Phone#:
State Certification or Registration #: CAC1817367 Certificate of Competency #: _
DESIGNER: Architect/Engineer: Phone#:
Address:
Phone#: 954.895.4324
Zip: 33021
954.895.4324
City: State: Zip:
Value of Work for this Permit: $ 7 A0 5 i �� Square/Linear Footage of Work: 245 F
Type of Work: ❑ Addition ❑ Alteration ❑ New ■❑ Repair/Replace ❑ Demolition
Description of Work: AIR CONDITIONING REMOVAL, CLEANING, AND RESET
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ .9POD CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $,
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ '
(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
ul
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
r
or the first inspection w ' occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be ap rov and a reinspection fee will be charged. "
Signa
or AGENT
The foregoing in ru ent was acknowledged before me this
i h day of m I dCX ZO $ by
34 n �0.1(Yl rl who ' personally known to
me or who has produced h cv as
identification and who did take an oath
NOTARY PUBLIC:
Sign:
.... ., kQ��
Print: 1 CA. LOhelcheJl
JESSICA WHELCHEL
MY COMMISSION # GG 036646
EXPIRES: February 5, 2021
Bonded Thru Notary Public Underwriters
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of SFPIrAAl3fl�� 20 JC by
✓"' {i�l.� V4.61-' who is personally known to
me or who has produced Ft- D� VF25 CMG E-15r as
identification and who did take an oath.
APPROVED BY
PI s Examiner Zoning
Structural Review
(Rovised02/24/2014)
Clerk
r
I
%!cc SlcNtcd �<,aga �aet L��ciitluac r¢QaaG+uttarc, lice.
745 North East 91 sc Street
Miami Shores, FL 33138
305-759-9069/-
E-MAIL spei13Ld)att.net
September 24, 2018
Miami Shores Village
Building Dept.
10050 NE 2nd Avenue
Miami Shores, FL 33138
Dear Sir / Madam:
This letter will serve as your confirmation that "Polar Bear Air
Conditioning, LLC" has been contracted by the owner of Apt. IA, at 715 NE
91 Street, Miami Shores, FL, and is authorized by the Board of Directors of
the Shores Plaza East Condominium Association to Reinstall Central A/C
unit at said location.
Should you have any questions regarding the enclosed, please feel free to
contact the condominium office.
Sincerely yours,
Carlos Talavera
Vice -President
cc: file
%kc Sl"ca ;Vlaga Eaat e4a4 w4mecuk r�aaacdattowc, %ae.
745 North East 91 s< Street
Miami Shores, FL 33138
-at 305-759-9069/ _ ,
E-MAIL spe1239att.net
May 6, 2019
Miami Shores Village
Building Dept.
10050 NE 2" d Avenue
Miami Shores, FL 33138
Dear Sir / Madam:
This letter will serve as your confirmation that "Polar Bear Air
Conditioning, LLC" has been contracted by the owner of Apt. IA, at 715 NE
91 Street, Miami Shores, FL, and is authorized by the Board of Directors of
the Shores Plaza East Condominium Association to Reinstall Central A/C
unit with existing duct work at said location.
Should you have any questions regarding the enclosed, please feel free to
contact the condominium office.
Sincerely yours,
Carlos Talavera
Vice -President
cc: file
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