MC-19-3003Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
671 NE 105TH ST, Miami Shores, FL 33138
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Permit NO.: MC-12-19-3003
Permit Type: Mechanical - Residential
IP9
Work Classification: Alteration
Permit Status: Approved
Issue Date:12/27/2019 I Expiration: 06/24/2020
Parcel Number
1122310120100
UNAM 671, INC Owner
MARCO BRUZZI
671
RICKS COOLING INC Contractor
RICARDO RODRIGUEZ
9241 SW 57 TER, MIAMI, FL 33173
Description: INSTALL EXHAUST FAN IN POWDER ROOM. Valuation: $ 400.00 Requests:
Inspection 305-4949
Total Sq Feet: 2,400.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$110.30
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$110.30
Credit Card
12/27/2019 $110.30
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 construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Sionafure: Owner / Applicant / Contractor / Agent
Date
27, 2019 Page 2 of 2
RECEI gn
Miami Shores Village o c 24 ots
Building Department BY-
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
❑PLUMBING ® MECHANICAL ❑PUBLIC WORKS
FBC 20 i---+
Master Permit No. RC-02-19-306
Sub Permit No. MC - 1 Z- _ (6 - 3a:3
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 671 NE 105 St.
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-2231-012-0100 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titlehold
Address. 671 NE 105 St.
City; Miami Shores
Tenant/Lessee Name:
Email
UNAM 671. Inc.
one#:
State: FI. zip: 33138
Phone#:
CONTRACTOR: Company Name: Rick's Cooling Phone#: (305) 951-7658
Address: 9241 SW 57 Terr.
city: Miami state Florida zip•33173
Qualifier Name: Ricardo
State Certification or R is,
DESIGNER:
Value of Work for this
Type of Work: ❑
Description of Work: I
ration #: CACO-58371
eer: Victor Bruce
mit: $ 400.00 Scl
ition ❑ Alteration ® New
M exhaust fan in powder room
Specify color of color thru tile:,
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee S Training/Education Fee $
Structural Reviews $
hone#: (305) 951-7658
of Competency #:
Phone#: (305) 310-5030
Karne Shores State: El. Zip: 33138
r Footage of Work: 30 sq. ft.
❑ Repair/Replace ❑ Demolition
0
A
CCF $ CO/CC $
DBPR $ J Notary $
Double Fee $
_ Bond $ `
TOTAL FEE NOW DUE $ \ O b
(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
Zip
City State Zi
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 ab of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
M. rcq Bru VP- UNAM-671, Inc.) is } o R ck' ooling)
1
Signature Signature
OWNER r AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 _l ? by G q day of 20 1 ! by
Marco Bruzzi who is personally known to )CAOVQ t t'�i>¢1��)�� who is personally known to
me or who has produced U�� r u � N lf—
p as me or who has producedL ��1�� as
identification and who did take an oath.
NOTARY PU LI :
Sign: '\
Print: �_l,Q• -y i a ) L(
Seal:
APPROVED BY _
(Revised02/24/2014)
SINDIA ALVAREZ
MY COMMISSION # GG 238273
EXPIRES: September 3, 2022
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: `
Seal:
SINDIA ALVAREZ
MYCOMMI
F! •;PgRF`a.,:S:September3,2022
nded Tft Notvy Public U
x iner ing
Structural Review
Clerk