Loading...
MCC-20-22Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: MCC-01-20-22 At-n�-� ~� -�`Permit Type: Mechanical - Commercial E ,. Af J �1 Work Classification: Alteration Permit Status: Approved Issue Date:01/08/2020 Expiration: 07/06/2020 Location Address Parcel Number 11300 NE 2ND AVE THOMPSON HALL, Miami Shores, FL 1121360000050 33161 Contacts BARRY UNIVERSITY INC Owner 11300 NE 2 AVE, MIAMI SHORES, FL 331616628 CHILLS AIR CONDITIONING SERVICES INC Contractor MICHAEL ANGELO FERNANDEZ Business: 3057782665 Inspection Requests: Description: HVAC AND DUCTWORK AS PER PLANS Valuation: $ 7,000.00 Inspec i n Re 49 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $4.20 DBPR Fee $3.15 DCA Fee $2.10 Education Surcharge $1.40 Permit Fee $160.00 Scanning Fee $3.00 Technology Fee $5.25 Total: $229.10 Building Department Copy Payments Date Paid Amt Paid Total Fees $229.10 Credit Card 01/08/2020 $229.10 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 regula�ine:�structio a d zoning,._Futhermore, I authorize the above named contractor to do the work stated. A ho sized SignatOwner / Applicant / Contractor / Agent Date January 08, 2020 Page 2 of 2 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 ENTERED JAN 0 7 2020 BY: FBC 20 CI] Master Permit No. C.- j ©" j clf �q V� Z Sub Permit No. P QC— 01 - 2-Q"ZZ- ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING 0 MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2ND AVENUE Thompson Building 2nd Floor City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2136-000-0050 Is the Building Historically Designated: Yes NO NO Occupancy Type: Load: Construction Type: CBS Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Barry University Address: 11300 NE 2ND AVENUE City: Miami Shores Tenant/Lessee Name: Email Phone#: (305)899-3790 State: FL Zip: 33161 CONTRACTOR: Company Name: Chills Air Conditioning Phone#: 305-763-5101 Address: 13267 SW 131 st City: Miami State: FL Zip: 33186 qualifier Name: Michael Fernandez Phone#: 305-763-5101 State Certification or Registration #: CAC1816279 Certificate of Competency #: DESIGNER: Architect/Eng er: "yj o' Address: 1800 Eller, rive uite 500 k Saye ne#: 954-961-6806 City: Ft Lauderdale State: FL Zip: 33316 Value of Work for this Pe mit: $ 7,000 Square/Linear Footage of Work: Type of Work: ❑ Additi ■ ation ❑New ❑Repair/Replace Description of work: HVAC and Ductwork as per plans Specify color of color thru the: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ Permit Fee $ CCF $_ Radon Fee $ DBPR $ Training/Education Fee $ ❑ Demolition CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ �� ' (Revised02/24/2014) Bonding Company's Name (if applicable) N/A Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address N/A 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 by approved and a reinspection fee will be charged. Signatu OWNER or AGENT The fork&of nstrument was acknowledged before me this day of / , 20 Zb by m1ul v V' . who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:_ as Signature _/e -4e� CONTRACTOR The foregoing instrument was acknowledged before me this day of N► 20 _ by 6,16%0.4 ► w �perso�nallyownto me or who has produced as identification and who did take an oath. NOTARY PU Print: P Sea JEFFWMAAD S C=r&sion * GG 249918 November 12, iQ2 I �111rr1�IF�Ylnwrana eoo,�•to�a APPROVED BY Plans Examiner Structural Review ZMA COMMISSION 0 =1092 EXPIRES: Nov. 9, 2022 Bat W I N AHN Notery *********************************** Zoning Clerk (Revised02/24/2014)