MCC-20-225Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
9723 NE 2ND AVE, Miami Shores, FL 33138
rnnrarfc
Permit No.: MCC-01-20-225
Permit Type: Mechanical -Commercial
' JJ( Work Classification: A/C Replacement
Permit Status: Approved
Issue Date:02/07/2020 I Expiration: 08/05/2020
Parcel Number
1132060134210
Gator 9723 NE 2 Avenue, LLC Owner RB AIR CONDITIONING INC Contractor
9723 NE 2 AVE, Miami Shores, FL RICARDO BENDANA
2530 W 78 ST, HIALEAH, FL 33172
Business: 3052167766
on
Description: UNIT 9721 ADD ADA RESTROOM, INCREASE REST Valuation: $ 3,000.00 Ins ect2-4 Requests:
305-762-4949
ROOM SIZE
Total Sq Feet: 48.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee
$55.00
Scanning Fee
$3.00
Technology Fee
$2.63
Total:
$117.03
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$117.03
Credit Card
02/07/2020 $117.03
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 WM that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above named co tracer to do the work stated.
Authorized Signature: Owner / Applicant / Contractor /
Date
February 07, 2020 Page 2 of 2
Miami Shores Village
RECEIVED
BUILDING
PERMIT APPLICATION
BUILDING
[—]PLUMBING
❑ ELECTRIC
MECHANICAL
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
JA 81 2 7 0
r„ \�
FBC 20 t�
F`'(cc-
Master Permit No.'s FAA 2
Sub Permit No. - DE) -- I q-1160
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
A)
JOB ADDRESS: - I ! ► `� a t C��4'f-E a
❑ CANCELLATION ❑ SHOP
DRAWINGS
City: Miami Shores County: Miami Dade Zip: 3 / 3 IF?
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):C-9ai-Or q 1 a N� Ay4. LTPhone#:
Address,:A 7& Q NIA) i%DJ oor
City: L�'4.1 State: �L Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company
Name:
Address: 16,
o p
City:
Qualifier Name:
State Certification or Registration #:
L�� Zip:
A Phone#:,����o— / ✓��
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
Value of Work for this Permit: $ �, o Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
Description of Work: MC ew-
New ❑ Repair/Replace
:_ �= J 14
Specify color of co%r•,t&d iile: i
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Zip:
E
Double Fee $
Bond $
TOTAL FEE NOW DUE $ G�
(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 oc urs seven (7J da after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved a rein sp n fee will be charged.
Signatu
ER or AGENT
The foregoing instru M&W
was acknowledged before me this
011 �A day of 20 .1(21 , by
_ w is personally known known
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print
Seal: Notary Public State of Florida
Leslye Chinno
My Commission GG 1357
?,,,,, Expires 06/13/2020
APPROVED BY
S
CONTRACTOR
The foregoing instrument was acknowledged before me this
'I I_ day of 20 1-0 by
94,044" gWOM&- . ho is personally known o
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: r
** Comn�tlonili0�26W8
Seal: ''� 0.2=
%orf1. a gw4w7ftw dNobySw"
as
sass**sss *s ss*sss***ssss*ssssssssss**sss*ssss*s******s*sss***s
Z Tans Examiner Zoning
(Revised02/24/2014)
Structural Review
Clerk