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MC-19-2484Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit No.. MC-10-19-2484 �^� .Z Permit Type: Mechanical - Residential +L Work Classification: Addition Permit Status: Approved issue Date:10/23/2019 1 Expiration: 04/20/2020 Parcel Number 1431 NE 103RD ST, Miami Shores, FL 33138 1132050310160 Contacts CHRISTINA CABALLERO Owner CYCLONE MECHANICAL INC Contractor RAFAEL NORBERTO GIL 3183 W 68 PL, HIALEAH, FL 33018 Business: 3056076682 ._.__.. Description: ADDITION OF EXHAUST DUCTS AND EXHAUST Valuation: $ 1,958.27quests: F-1-62-4949 Inspection Requests: FANS Total Sq Feet: 359.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Work Without Permit 1st Offense $100.00 Total: $211.10 Payments Date Paid Amt Paid Total Fees $211.10 Credit Card 10/23/2019 $211.10 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. 1 understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constryction and zoning. Futq�.rpore,authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date October 23, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores Village ? 1.-7 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 201-+ Master Permit No. - 06 - 1 R " I cIS1 Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING A MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I y 3 I A/ )o3 a S4 City: Miami Shores Countv: Miami Dade Zip: Folio/Parcel#: i I - Ya °� -a 3) -0/60 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): (0ddT �p�✓a r1 a AIIrP�a Phone#: Address: 1 N 3) /v �l' l r, j_t City: /n a M� 1 OM s State: I- l Zip: Tenant/Lessee Name: Email Phone#: CONTRACTOR: Company Name: (-YC�N KP4o)'(Al lnC • Phone#: 3df Sa6-f6q� Address: a- �1) � I V FG S� , J9 Y g City: �iio44lam/ State: �� Zip: 73a/ Qualifier Name: I �a d`t Phone#: �G�-�c 7-C(i(fji State Certification or Registration #: (AI C lS cl C ) Certificate of Competency #: DESIGNER: Architect/Engineer: Address: City: State: Zip: Value of Work for this Permit: $ r8• 97 Square/Linear Footage of Work: Type of Work: W Addition ❑ Alteration ID New j ❑ Repair/Replace ❑ Demolition Description of Work: R /W; e h 07� IC016yJ l Al -I / s Gt �0'� 'PX h 014 J a rLS _ n i n Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $ Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $ DBPR $ CO/CC $ Notary $ Double Fee $ Structural Reviews $ (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE $ O 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature6a2aSignature 6,- g g � OWNER or AGENT The foregoing instrument was acknowledged before me this LLday of 15� 0'.4Z`--454'" � , 20 by Who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: — Print: C Seal: APPROVED BY as CONTRACTOR The foregoing instrument was acknowledged before me this /6 ( day of ©014-e r by R C14 ( �1, , who is personally known o me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: !ee� n Print: A!► ��Gr!Y del% Seal: ANTHOW JOSEPH Wo cw%rAs lon #0G 2,9410$ * t Expk"January 23, 2013 ID Plan Examiner Zoning (Revised02/24/2014) Structural Review Clerk