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MC-18-979Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date: Parcel Number 443 NE 94 ST, Miami Shores, FL 33138 113206014OS10 Contacts Permit No.: MC4-18-979 Permit Type: Mechanical - Residential Work Classification: Addition/Alteration Permit Status: Approved •&' Expiration:03/31/2020 SETH LONG Owner SETH LONG Applicant 650 W AVE 501, MIAMI BEACH, FL 33139 650 W AVE 501, MIAMI BEACH, FL 33139 Mobile: 3017853381 Mobile: 3017853381 ABL CONTRACTOR CORP Contractor ABEL ALFONSO 1840 NW 16 ST, MIAMI, FL 33125 Business: 7867189935 Description: HVAC AT NEW ALTERATIONS Valuation: $ 5,200.00 Inspection Requests: 305-762-4949 Total 5q Feet: 0.00 Fees Amount CCF $3.60 Change of Contractor $110.00 DBPR Fee $2.73 DCA Fee $2.00 Education Surcharge $1.20 Permit Fee $182.00 Scanning Fee $3.00 Technology Fee $4.80 Tota I : $309.33 Payments Date Paid Amt Paid Total Fees $309.33 Credit Card 04/12/2018 $50.00 Credit Card 05/02/2018 $149.33 Credit Card 10/03/2019 $110.00 Amount Due: $0.00 Building Department Copy 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 AFFIDA Ily- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating cons}riu i nd zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signatife: Owner / Applicant / Contractor / Agent Date October 03, 2019 Page 2 of 2 �` gNortFs °� F�ORIDA Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit No. III C-4-18-979 Permit Type: Mechanical - Residential Perilimit Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 5/212018 1 Expiration: 10/29/2018 rrojeci Aaaress Parcel Number Applicant 443 NE 94 Street 1132060140510 Miami Shores, FL 33138- Block: Lot: SETH LONG Owner Information Address Phone Cell SETH LONG 650 W Avenue MIAMI BEACH FL 33139- 650 W Avenue MIAMI BEACH FL 33139- Contractors) Phone Cell Phone SANSONE CORPORATION 954-428-8919 Tons: Additional Info: HVAC AT NEW ALTERATIONS Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Fees Due Amount CCF $3.60 DBPR Fee $2.73 DCA Fee $2.00 Education Surcharge $1.20 Permit Fee $182.00 Scanning Fee $3.00 Technology Fee $4.80 Total: $199.33 Date Approved:: In Review Type of Work: HVAC AT NEW ALTERATIONS Valuation: $ 5,200.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # MC-4-18-67151 05/02/2018 Credit Card $ 149.33 $ 50.00 04/12/2018 Credit Card $ 50.00 $ 0.00 Available Inspectl< Inspection Type: Final Rough Duct Review Mechanical Underground 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 AFf�IDAV,X: I certify thahall the foregoing i constru ion a z o. Futhermorkl I authorU� �Zhg d Sign�ltur caner / Applicant BuiDepa ent Copy May 02, 2018 rmation is accurate and that all work will be done in compliance with all applicable laws regulating :-na con ra for to d the work stated. �p May 02, 2018 / Contractor / Agent Date 0 BUILDING PERMIT APPLICATION 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 FBC 20 Master Permit No. RC-5-17-1209 Sub Permit No. M-C- 16 - 919 BUILDING ELECTRIC ROOFING REVISION EXTENSION RENEWAL ❑PLUMBING 0 MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 443 NE 94th Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11 -3206-014--0510 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Seth Long Phone#: 954.410.4695 Address..537 NE 96th Street City: Miami Shores State: FL. Zip: 33138 Tenant/Lessee Name: Email CONTRACTOR: Company Name: Address: CM (& 00 City Qualifier Name: �7�1 j µin Phone State Certification or Registration #: (° t�A L46 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State Value of Work for this Permit: $ 5200.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Q New ❑ Repair/Replace Description of work: HVAC at new alterations. Specify color of color thru tile: 04 Submittal Fee $ So ) Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ ksg429-91117 Zip: ❑ Demolition CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ J 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 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 wytrmt be appAed and a reinspection fee will be charged. 711 OWNER or The foregoing instrument was acknowledged before me this S day of \ 20 14W" by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: LAX U 3=w ' Print: Cities v Gt Seal: LAURAFARLEY # * MY COMMISSION f FF 189027 EXPIRES: March 16, 2019 Bonded Thru Budget Notary Senim Signature CONTRACTOR The foregoing instru nt was acknowledged before me this _ day of 20 L g , by �� k� , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: n Sign: Print: Lm.,C to � { 1OV PO4 Seal: �' ••'"'• LAURA ARLEY MY COMMISSI t FF 188027 * * EXPIRES: March 16, 2019 QV4*d Thru Budget Notary senkes APPROVED BYT** Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami a Shores Village Building Department 3 ��019 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 20q BUILDING Master Permit No. U S k Ic7 —t2� I PERMIT APPLICATION Sub Permit No. K C--4 - 18 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING .MECHANICAL ❑PUBLIC WORKS tZ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: yy3 NE U 15T City: Miami Shores County: ✓ Miami Dade zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): zo Phone#: 3D/ ' 7�SS 33 ice/ Address: 573 � i{/� G Cj 3 City: G�'i' (!��(� S �� C State: L— Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: AU eyy I R4c—tD,e Coo /p Phone#: Address: L RYD NA) 16 S -�— *-t l a.^ City: M.LState: rt Zip: 'i3/ 2 5 Qualifier Name: 0'-oa,7So ne#: State Certification or Registration #: 6A C- 19 If '??i Z ;� Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ S 2 42 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: ,, 1' Y ' ' Specify color of color tbru,tile.: _ Submittal Fee $ Permit Fee $ CCF $_ Scanning Fee $ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ (Revised02/24/2014) CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 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 on 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 be approved and a reinspection fee will be charged. Signature Signature 407— OWNERorA9T CONTRACTOR The foregoing instrume t was acknowledged before me this 2 l day( �y� T 20 / I by who is personally known to me or who has produced ��YL �1P2 ��CcSn> as The foregoing instrument was acknowledged before me this Z day of . U V P , 20 1 R by O409-o who is personally known to me or who has produced F�g7oV //+ I,OWK Zvi as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: r, NOTARY PUBLIC: Sign: Sign: NET CAMPpE Print: Print: I ` Commission k G 286095 Commission i TNoA Seal: '•..,an My Comm. Expire,22 Seal:`...,,orq+My Comm, Expires Dec 20, 2022 ed through National tary ssn. Bonded through National Notary Assn. ************************************************************************************************************ APPROVED BY Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) ti 0 C0 $3.50 ❑ Retum Recelpt (habccpY) $ sU - UU'} ❑ Return Receipt (electronic) $ A ,yv V 4 []Certified Mall Restricted Delivery $ — ❑ Adult Signature Required $ ❑ Adult Signature Restricted Delivery $ 'ostage $0.55 A .85 Certified Mail service provides the following benefits: ■ A receipt (this portion of the Certified Mail label). for an electronic return receipt, see a retail ■ A unique identifier for your mailpiece. associate for assistance. To receive a duplicate ■ Electronic verification of delivery or attempted return receipt for no additional fee, present this delivery. USPS®-postmarked Certified Mail receipt to the retail associate. ■ A record of delivery (Including the recipient s signature) that is retained by the Postal Service — for a specified period. Important Reminders. ■ You may purchase Certified Mail service vilh First -Class Mail', First -Class Package Service®, or Priority Mai10 service. ■ Certified Mali service is notavailable for International mail. ■ Insurance coverage is notavailable for purchase with Certified Mail service. However, the purchasb of Certified Mail service does not change the insurance coverage automatically included with certain Priority Mail items. ■ For an additional fee, and with a proper endorsement on the mailpiece, you may request the following services: - Return receipt service, which provides a record of delivery (Including the recipient's signature). You can request a hardcopy return receipt or an electronic version. For a hardcopy return receipt, complete PS Form 3811, Domestic Retum i Recap> attach PS Form 3811 Zo your mailpiece; Restricted delivery service, which Avides delivery to the addressee specified by name, or to the addressee's authorized agent Adult signature service, which requires the signee to be at le -A 21 years of age (not available at retail). Adult signature restricted delivery service, which requires the signee to be at least 21 years of age and provides delivery to the addressee specified ti by name, or to the zddresscc's authorized agent (not available at retaiq. ■ To ensure that your Certified Mail receipt is accepted as legal proof of miring, it should bear a US?S postmark. If you would No a postmark on this Certified Mail receipt, please present your Certified Mail Item at a Post Office' for postmarking. If you don't need a postmark on th!s Certified Ma!I receipt, detach the barcoded portion of this label, affix it to the mailpiece, apply appropriate postage, and deposit the milpiece. IMPORTANT. Save this receipt for your records. Ps Form 3806, April 2015 (R.Wrse) PSN 7530-02-000.9047 May 24, 2019 SANSONE CORP 590 GOOLSBY BLVD DEERFIELD BEACH, FL 33442 954-428-8919 Re: Change of Contractor, 443 ne 94th St., Miami Shores, FL 33138 Dear Sansone Corp : This certified letter serves as notice of our formal intent to change Mechanical Contractor at our property, 443 ne 94th St., Miami Shores, FL 33138. date sign and notarize this change of contractor request form at your opfwst convenience and return to my address: 537 NE 96th Street, Miami Shores, FI 33138. Sincerely, Seth Long L tte Lonj Owner Owner