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MC-19-535Permit NO.: MC-03-19-535 Miami Shores Village Permit Type: Mechanical -Residential 10050 NE 2 Ave P Miami Shores FL 33138C-D , ` . _ Work Classification: Alteration 305-795-2204 Permit status: Approved Issue Date:03/25/2019 Expiration: 09/09/2019 Location Address Parcel Number 490 NE 91 ST, Miami Shores, FL 33138 1132060190010 Contacts SALVATORE CAVALLARO Owner SALVATORE CAVALLARO Applicant 21 E SUNRISE AVE, CORAL GABLES, FL 33133 21 E SUNRISE AVE, CORAL GABLES, FL 33133 Other:3055821985 Other:3055821985 MIAMI ELECTRICAL SERVICES. INC Contractor RAMIRO ALCALDE 6779 NW 189 TER, MIAMI, FL 33015 Business: 3057783578 Description: INSTALL AND REPLACE NEW AIR CONSITIONING Valuation: $ 10,500.00 Inspection Requests: EQUIPMENT AND RELOCATE DUCTWORK Total Scl Feet: 626.00 Fees Amount Application Fee - Other $50.00 CCF $6.60 DBPR Fee $5.51 DCA Fee $3.68 Education Surcharge $2.20 Permit Fee $317.50 Scanning Fee $3.00 Technology Fee $9.19 Total: $397.68 Payments Date Paid Amt Paid Total Fees $397.68 Credit Card 03/12/2019 $50.00 Credit Card 03/25/2019 $347.68 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 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. tread �asc (h 03- Z 5- Pi Signature: Owner / Applicant / Contractor / Agent Date March 25, 2019 Page 2 of 2 Miami Shores Village Building Department RECEIVE® 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 M 2 2019 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201-:� BUILDING Master Permit No. P—c b " I F "I? 3� PERMIT APPLICATION Sub Permit No. I " `C- Iq :5S S ❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION EXTENSION RENEWAL ❑PLUMBING] MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS:—qqo l- !j I S� -5 6"', City: IMiiami Shores County: Miami Dade Zip: / Folio/Parcel#: / 3 24) / / !2, ©jQ16 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name�g(Fee Simple Titleholder � Phone#: �/AJ Address: "1 ` Q Z, L City: , A"X�i State: Z / Zip: 3.3 .J � Tenant/Lessee Name: Phone#: Email: ,/I ,,��••A,A�/ / \ten �/ q ��^ p CONTRACTOR: Company Name: �,�fcvl l �(� �-��l Phone#:D`r Address: �/ W 1 ? I City:. ii State: Zip: ,-3 3 �1 �a- Qualifier Name: Le Phone#:� State Certification or Registration #: 9 Certificate of Competency #: C'4 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Value of Work for this Permit: $ 0 Square/Linear Footage of Work: Type of Work: Addition ❑I Alteration I❑ New ❑ Repair/Replace Description of Work: 1J 1 / `� �-� C\ l Specify color of color thry tile: Submittal Fee $ Permit Fee $ I Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ (Revised02/24/2014) Zip: ❑ Demolition r� Ar C'C CCF 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 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 gven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved an el spection fee will be charged. t Signature Signature OWNER-br GENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this CJ day of 20 I q by day of t:Eiy"4se-5- 20 �� by Frtdd�l SQL I who is personally known to �M I P-1p L0-A*-Tk—', who is personally known to me or who has producedfloiidA NVr( UCtnIL as me or who has produced�WDENSL as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY NBLIC: Sign:_ Print: I Seal: ��`,'�'v"'ati. fir•' CRISTIANY TORRES N"V FAft - SlI t of Floft ,o Co11unNttlon ! FF M719 APPROVED BY Q `, Sign:_ Print: Seal: MY COMMISSION # GG 238273 o ^EXPIIRES: September 3,, 220222 n d 8 W hru Notary Public Underwriters *s�ss�****:.********s****�*******�***�****�►s****s***ss*.****** Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)