REV-19-2859Miami 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: (30S) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
ENTERED
NOV 2 7 2014
Fsc ion
Master Permit No. nAC-oS - I C( " i 13
Sub Permit No. I` rLt -1 � " 1 - M-5�
❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING XMECHANICAL ❑PUBLIC WORKS [—]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: �� N- ( C)2 SA ,
City: Miami Shores ,�1 County: Miami Dade zip:
Folio/Parcel#: % I - ��o (O - �/ i 3 ~ i (o Is the Building Historically Designated: Yes NO
Occupancy Type: Load
OWNER: Name (Fee Simple Titleholde
Address: QJc, "c I c _
City: M(.,t 1/✓1 S vrR j State: — Zip:
Construction Type: Flood Zone: BFE: FFE:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: 1� Q I Y �„` ��'�""`c5 C-)° �Z Phone#:
Address: 1002 IJ U-) 0
City: Pta w i State: r L Zip: -7 Z
Qualifier Name: Ca v� `� C,5t v Phone#:
State Certification or Registration #: CAAC 1 2-SO 3 I Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address:
Value of Work for this Permit: $ (0 J
City: State:
Square/Linear Footagepf Work:
Zip:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 1'-e �(Cc `'�� Gov, 1? 1l JDvC-�
1M S 4-e,. ►v .
Specify color ioftolorthru tile:
Submittal Fee $ ,.<. Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
DBPR $
Notary
Double Fee $
Bond $
TOTAL FEE NOW DUE $
315�
(Revised02/24/2014)
C'ar�s Caq
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 will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of " O V 20 by
rn'1A `1 who is personally known to
me or who has pr ced -V as
4NOTYPU
d who id take an oath. \\�\\\��D�IlIIh////j�
: ����r':• ass o R/FT0
'� RP P
*' ••�
#GG 287268
Print: A Z o
; e cy';143
Seal: �� °�b/ic Unde ,
��/�� 8(/C, STAiEOR
Signature Q,,-t o—J
CONTRACTOR
The foregoing instrument was acknowledged before me this
Z- day of I1-1 0\i • 20 by
CkW-0 S C KSMV,1 V , who i personally known
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
:Sign:
Print: A
Seal: lP` N Notary droPublicG Stets of Fonda
Alejandro Garcia
My My Commissm GG 167807
�I; Expires 12/13/2021
*******************************************************************
APPROVED BY
Plans Examiner
Structural Review
*******************************
Zoning
Clerk
(Revised02/24/2014)
JOAQUIN MONTESINO
P R O F E S C I O N AL WKg C i N LEE
6219 SW 131 PL Unit 102
MIAMI, FL 33183
Phone (786) 252 2768
Letter
Tuesday, November 26, 2019
To: Miami Shores Village Building Department
10050 NE 2"d Ave, Miami, FL 33138
Re: Remodeling in a Residential Property
Located at 89 NE 102 ST, FL 33138
Permit Number: 07-19-1555
Dear Sir or Madam:
Due to field conditions the 8" duct supplying air conditioning to the Master Bedroom is been replaced by two 6" ducts
connected to two individual aft long linear diffusers. This change complies with the FBC 2017 and works better with the
existing field conditions.
Should you have any questions, or need additional information, please do not hesitate to contact me.
Sincerely
Joaquin Montesino.
\IIIIIII���
J�N P. ONry
69
. -- — Q.
STATE OF
�0�� FIOR\OP'•'��j�\
1of1