MC-17-1476�` gµortes ri
yFCOR'lOp'
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Parcel Number
Permit NO. MC-6-17-1476
Permit Type: Mechanical - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 2/16/2018 1
Expiration: 08/15l201$
Applicant
278 NE 103 Street 1132060134860
Miami Shores, FL 33138-2431 Block: Lot: HB GROWTH PROPERTIES LLLI
Owner Information Address Phone Cell
HB GROWTH PROPERTIES LLLP 17071 W DIXIE Highway
NORHT MIAMI BEACH FL 33160-
17071 W DIXIE Highway
NORHT MIAMI BEACH FL 33160-
Contractor(s) Phone Cell Phone
TEST AND BALANCE AIR CONDITION (305)218-1798
Tons:
Additional Info: WORK BASED ON PROVIDED PLANS
Classification: Residential
Approved: In Review
Comments: Date Approved:: In Review
Date Denied: Type of Work:
Scanning: 1
Fees Due
Amount
CCF
$4.20
DBPR Fee
$3.68
DCA Fee
$2.45
Education Surcharge
$1.40
Penalty Fee
$100.00
Permit Fee
$245.00
Scanning Fee
$3.00
Technology Fee
$5.60
Work without Permit Fee
$245.00
Total:
$610.33
Valuation: $ 7,000.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC-6-17-64186
02/16/2018 Credit Card $ 610.33 $ 0.00
Avaname inspections:
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 sibility or all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, P MI
ANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS, FFIDAZVIIFce,-rtify tI h egoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction andherm n e the above -named contractor to do the work stated.
Owner / Applicant / Contractor / Agent
:ment Copy
February 16, 2018
Authorized Signatui
Building Depa
February 16, 2018
&� 04