MC-19-259Miami Shores Village
10050 NE 2 Ave
Miami Shores Fl. 33138
305-795-2204
Permit NO.: MC-02-19-259
[) Permit Type: Mechanical - Residential
Work Classification: Alteration
Permit Status: Approved
Issue Date: 02/06/2019 I Expiration: 08/05/2019
Location Address Parcel Number
46 NE 93 ST, Miami Shores, FL 33138 1132060130190
Contacts
SILVINA E FAR
Owner
MAR OS LEDESMA Owner
46 NE 93 ST, MIAMI SHORES, FL 33138
46 NE 93 ST, MIAMI SHORES, FL 33138
Other:3054958880
Other:3054958880
MARCOS LEDESMA
Applicant MILLION AIR CONDITIONING CORP Contractor
46 NE 93 ST, MIAMI SHORES, FL 33138
MANUEL A MORALES
Other: 3054958880
13762 STATE RD 84 #245, DAVIE, FL 33325
Business: 3053289347
Description: 2 A/C DUCTS Valuation: $ 500.00 Inspection Requests:
305-762-4949
TotaISq Feet: 300.00
Fees
Amount
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$100.00
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
02/06/2019 $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 const u ' n and zoning. lFuthermore, I authorize theabovenamed contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
February 06, 2019 Page 2 of 2
BUILDING
PERMIT APPLICATION
❑BUILDING
❑ PLUMBING
❑ ELECTRIC
MECHANICAL
Miami Shores Village
Building Department RECEIVED
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 FEB 0 6 1019
Tel: (305) 795-2204 Fax: (305) 756-8972 Q-� I
INSPECTION LINE PHONE NUMBER: (305) 762-4949 CS-h
FBC 2014
Master Permit No. R c- t (!3 11�6 q
Sub Permit No. M C-- � q - GS 1
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 4 Nlz `)3e j
City: Miami Shores County: Miami Dade Zip: 33i38
Folio/Parcel#: A A - 3 2-0(,0 - 0 A 3 , 0 A 9'Q Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): MGOs 2JeSM A- Phone#: -30S -
Address: 4(e hG '53,--)
City: A4 � rr✓tit i `7 h'01&� State: Zip: 33 3 8
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: hl/l// 0%y Wlf C 9,W17/OA//N6 &00 Phone#: 7 ✓`i ?7"J �-7ffo
Address:
City: u/F State: 7TL Zip:_�?332�_
Qualifier Name: )V%Vpelle�L �% �%A�� .S' / Phone#: e05 C51 9321
State Certification or Registration #: eh� Q �f�'�i�1 00 4Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State
Value of Work for this Permit: $ S�.. Square/Linear Footage of Work: _
Type of Work: ❑ Addition Alteration
Description of Work: "7 * & 3%+A
❑ New ❑ Repair/Replace
Zip:
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ ` 0 Q CCF $ CO/CC $
Scanning Fee $ Radon Fee $
Technology Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Structural Reviews
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $ i 10 - ✓ 1) �w
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 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 hat a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is su j ct to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspecti n which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will tpt b a proved and a reinspection fee will be charged.
E
The
�fyorregoing i�nt was acknowledged before me this
OC — day of �y 4 20 l C by
HGuf'C,o& ��CLQ-'r� , who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
f Y't
Josefins Gerez
Seal: FMy Commission GG 23E740
Expires 09rM2022
Signature
g�7
IV
CONTRACTOR
The foregoing instrument was acknowledged before me this
_ day of CC-L->V'y e-V Y 20 l� by
%hAV-ve-� A RWCC- Cr--' , who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: V
Print: Z"
900 � Y Public Shoo a Flgide
Seal:�Y
JOSefina Gerez
My Comm"" GG 238740
Or Expires 09130/2M
as
APPROVED BY.C\4 v b Plans Examiner Zoning
Structural Review 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: MC
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): 4(p T)-G7 a�l13 r� --�,4eeX,7
City: Miami Shores Village County: Miami Dade Zip Code: '33 13'�3
ALL CONDENSING UNITS MUST BE ON A 4 INCH 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[-] ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑
UNIT BEING REPLACED
DATA
NEW UNIT
MANUFACTURER
AHU or PKG. UNIT MODEL #
COND. UNIT MODEL#
KW HEAT
NOM TONS
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
NO
REPLACING DUCTS
YES
NO
YES
NO
REPLACING THERMOSTAT
YES
NO
YES
NO
NEW 4"CONCRETE SLAB
YES
NO
YES
NO
NEW ROOF STAND
YES
NO
YES
NO
NEW RETURN PLENUM BOX
YES
NO
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit (208/240/480): _
4. Size Disconnecting Means:
Contractor's Company Na �Q*
State Certificate or Reg' trati
Signature
(Qualifier's signature)
(Revised02/24/2014)
i� �r//✓.✓/. -
Certificate of Competency No.
Date: