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MC-19-1138Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit No.. MC-05-19-1138 N -Permit Type: Mechanical - Residential �� jjjrU ic Work Classification: Addi on/Alteration Permit Status: Approved Issue Date:05/31/2019 1 Expiration: 11/27/2019 Location Address Parcel Number 89 NE 102 ST, Miami Shores, FL 33138-2322 1132060131690 Contacts PALOMA TEPPA Owner PALOMA TEPPA Applicant 89 NE 102 ST, MIAMI SHORES, FL 331382322 89 NE 102 ST, MIAMI SHORES, FL 331382322 Business: 7862084005 Business: 7862084005 D-AIR CONDITIONING COMPANY Contractor CARLOS CASTANO 990 NW 126 PATH, MIAMI, FL 33182 Business: 7863901532 Description: NEW MINISPLIT, 2 FLEXIBLE DUCTS, RELOCATION Valuation: $ 6,500.00 Requests: Inspection 305-4949 OF EXISTING CU TotalSq Feet: 850.00 Fees Amount Application Fee - Other $50.00 CCF $4.20 DBPR Fee $3.41 DCA Fee $2.28 Education Surcharge $1.40 Permit Fee $177.50 Scanning Fee $3.00 Technology Fee $5.69 Total: $247.48 Building Department Copy Payments Date Paid Amt Paid Total Fees $247.48 Credit Card 05/20/2019 $50.00 Credit Card 05/31/2019 $197.48 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 anaVoning. Futhermore, I authorize the above named contractor to do the work stated. / Applicant / Contractor / Agent Date May 31, 2019 Page 2 of 2 IVI ld I I l l JI IUI CJ V I I Idgu `� uF Building Department MIA 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: R q 0 tE 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 Titlehppolder): �� O m (� CA Phone#: "I �� S I0 � Address: �CI 0 C \©Z SZ City: IjVt jwA 1 S (,l�o klA S State: h L Zip: Tenant/Lessee Name: Phone#: Email CONTRACTOR: Company Name: Phone#: �`�F, Address: City: M t &iw�'l State: L Zip:1-72- QualifierName: 0 Au. Lo S C AS` -A1' 3Z:� Phone#: _786-2, 0I 3 State Certification or Registration #: C A4C 113 O�Gik Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: Square/Linear Footage of Work: Type of Work: ❑ Addition [� Alteration ❑ New ❑ Repair/Replace ❑/ Demolition Description of Work: iJ e �^ % r1 S p(t 2 t�k- ['u C� C_ -3 . 4le�i C� Specify; color bf color thru tile:, Submittal Fee $" . 1 Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ Notary $. Double Fee $ Bond $ TOTAL FEE NOW DUE S �11 H 9W 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 tion is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. OMCI "V_ "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 be approved and a reinspection fee will be charged. Signature OWNER rAGENT The foregoing instrument was acknowledged before me this day of 120� by 1 A who is personally known to me or who has produ d vYl �8-{iYe��3 cl(qas hm _V1d,Q-(0(00 (-°_'aQ identification and who did take an oath. 1,lsetitrrr"', NOTARY PUBLIC:�., Sign: Print:ts, z0� .: a Signature _av k C—t CONTRACTOR The foregoing instrument was acknowledged before me this I S day of V AA? 20 �` by CA-tUO S 6113S , who ' ersonally kn n to me or who has produced as identification and who did take Notary Public State of Florida NOTARY PUBLIC: Alejandro Garcia t , My Commission GG 787907 Ex Expires 12/73/202121 Print: �- v �- gs,�•� ` oPA' M.s Notary Fublic Stnte of Flond,, Seal: %C,�j�;Awl Seal: l,r =llepodro Garcia "State �eto ,. '?Trit' My Commission GG 407807 CQ'' F_WfFS 12/1 ,/7.0%t #################################### ######################################################### �l` APPROVED BY v Plans Examiner Zoning Structural Review (Revised02/24/2014) Clerk