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MC-10-17-2590 �\ � :,\ ` ,.�< :.\ \ ���� l �� � �,�,�u���s� Miami Shores Villag� � � � � �.' �''���'� ������"�� ����k1��� � ° � � � 10050 N.E.2nd Avenu�NE � �� � ��� � �`.�, . t�.�'�� ll�iamE Shares, FL 33138-400Q t �� � �. � ` �� � ����������� ��������������: -�,.; ,�. � ���\�,� i 1� � 1 ��f+"� ��i� '�� �� Phon�: (305)795-22d� ��3� � � � ��� � ���� ���`���a����::: �kf3R'd��' �� \ ��\ ti ` � \` it 1 �� 1 „�.��,�,^.`..�... ......:... .. . .. . . �X Ir�ttt�n: ���������� � �.;'�� ���� �����.�k����� �- Praject Address Rarcel Numbee Applicant � 1270 N� 97 �tr��t��,� ��� �.a ���.�, ���20�oo�o�so �.� �,..�� a� �� �� � �v m��� �a�� �r,n�a � R1111CT11 �hQ�°�S, FL 3313��25�0 BEc�ck: L�t: CA�fllk.l��YEC1`C}�IA VtLLEGA� ti•:\�"�'k'«�•�"`�'`"�•��'6 . �. . . _ ��`� . . . `�rt.'A13.� .. . .-zbS1�.�`kid.`3§\3;�?+"S�2k'��.C"c`�1`x.\.`�R�.`�'akb'Q�Yh.."3,'�3s�,`.SCl�`.!`.�A.'b.�Y"\'C`S�W,l"�.yi.�i"'"x1.k:kS`k.l.��"i��:�kT`.a#,bt".5`Y'»Ua}Y.�SN9;.21�'�;:4:��25��."�".EZ:Ae"�"� Owner ir�fQrmatian Address i�hon� Gel( � ��,� � n�. .��rc ��� �v���.,��a��.�.��. n�n�. 4..,.����� �_..n� �.�.� .�� .. .��. b_,��n4 _ww�� v�.� x � �A(VIILQ�VICTORIA VILI.�GAS 1270 N�9T atreet MIAM1�HC?��S Fl�3313�- s?k.'v4�SR,5"`�U�rz�.�a. . . ...k� . _ . . �b4,j�3,�,.''�Yz�V'P��a�R�'�.yF'�.�.°�a3'N�ki`:X6`tBt�.Y'Shi.��.."�l�YftE3��.5':::d`SS.+�X��9;��'3� �`3}C�1�R33:ik[.`'i,Y,n2.fa+.�YAi;m41`+NUt:.`+;::tth.,fi`3`S.`,�k4.'ti�'�.`YtE� . 12TQ N�97 Street MIAlVII SHC>R�S Ft�33138- Ce�ntractc�r(�} Phone �ell Phone { �Vai�afi�on;�� ��.��4,Q00 00��9�W_ T�ST ANR �ALANCE�41R�(�NDITION (305}218-1T98 _._ . _ _ _ _. _ .. = T'otal Sq Feet, p i •.•'tfi..Cat'�;.L�TYCR1iaR,Z�@'�'E.e1Yt�":a1:�'.�.`Sbu�`�O\`Y.,'�°�ik'3Ci�,�v�`.YYaF?�%A5%#'�.R.C'2GftAYv.Yfzx.�;,iiti�.k�l3:, .. Tons:5 Availa�Ie Inspections: Additionai Infca: EQURL F2EP�ACEMENI"QF R 5 T�N A/C UN ��������Q�T�p�: Ciassificati�n: Re�id�ntial Final Appraved; In Revi�w � Review Nlechanical Comments: Dat�Appraved: : In Review Review Mechanical Date Qenied: Type of Work: EQUAL REPLACEMENT OF A 5 TON Scanning:3 Fees �u� Amouttt Pa Dat� Pay Type Amfi Paid A�nt Rue ceF ��ao Change of Contracto€Fee �11Q.QQ IFIYQI�e#� MC-10-17-655Q$ DE�PR Fee ���� 11(02f2Q17 Gheck#:7540 $ 109.5Q $ 50.00 DCA Fee $2.Q0 1Ql3112Q17 ChecK#:7537 $ 54.Qq $Q.44 Edueation Surchare�e $0.80 P�rmit Fee $144.00 �nY�lG�# N�C-3-1$-66976 Seanning Fee �`�QQ p4/16(2d18 �redit Card $ 110.QQ $d.QO TechnoiQgy�ee $320 �rot��: �ass.�o !n cansideration of 4he issuance to me af 4his permit, i agree to perform the wark covered h�reunder in compliance with alI ordinances and regulat�ons pertaining thereta and in sirict confarmity with the plans,drawings, statements or specifications submitted to the praper authorities of Miami Shares Village. �n accepfing this permit I assume responsibility for all work done by either myself, my agent, servants, ar employes. I underst�nd that separate p�rmits are required for ELE�TFtICAL, P�tJft��ING, MEt;NANICA�,WERiDf?WS,DOORS, RUQFING and SWIMMING POOL work. F°7 ��J t UWN�RS AFF�D�VIT: I ee t�y Eh�'��C�fhe f g�ing infarmatian is aecurate and that aI�woek will be done in compliance with aif appficable laws regulating � construction nd zoning. F err�ra;`!auth,etr�z�the above-r�amed cantraetor to da the work stated. {F.; � � �--�` April 16, 20`18 Authori � Sign ur�: �r2 I fippficant ! Cta tracQar l Agent €3ate ��aildin p�a �� � �nt C�pY A�ril '16, 201� � � \��` �.�� \�� e l � ,�� �\ ������ � �� \ � �c� �\� � �\\, �1..� ��, � �; � 1\� � \ \\ \\�� �r \� � >>a`\`���a1���\����\1����� �\��l`�L��\ ?�\��\4ti 41`z�`�\�:\{� � �� � ��� � �y�4)�.'S ' 3� ,. �`l�j��,� iti �����\\����l , ? ����� �\��.�� ���� �� �dF��.,���F+d`�'�� ���`�� � ,� ,«<-.��, r� Miam��hoees Villag� , �� �� � �` � �ti;�� � � � � �' � 1QQ50 N.�.2nd Avenu�NE � � t � t` . ,� z ��� ��t � � � ������� �""��'��� Miami Shores, F�33138-OQ00 \ \\��, � ��� � V �� �`��� "�`���������" �� � �'����� vt i\ yi � A l\ � 3� ��.t sy1 �t t �V �1 � i �� } � �y � � <3� ti �\��:.1 ����� � V� ��, .��.�� � ? �."�"����������k��`������r����na������ "'k�""�'�� Phone: 3Q5 795-2244 ' �� �� �`� ��,'��.t��, � �� �.`,� s�"�t � ,� � �+�tit�, f ? �.� � � \V � �� �y � � \� �>�����: � : ��R�V� � 1\�i 4) �1L \ � \l � � � o . .... .�.. . .....�v .� � �� �\`� Z� ��� �l�L �` ��� 3��'��` \ `�.����� �"y uy /+� g,¢ppe4�{$�qg+�� gp�$ ��gg `���\ \ � �` i��L��lS `�` �y \l\ ����� G.I� ��6dl��V�� 6R0�d�9 �S�II��6P .�,,..:.,.:..,.�.E.�0�..,\ �.c���`'�i���IFi..a\.,��a��'� ���1 � it, A.,, l�`, Project Address P�rcei Number Apptdcant ` 1�70 N� 97 Str�et������� ���������,�����3aosoososso �� �.��.a�w�..�� �.��_n c�,nn��c��vt�-ro�ta v������as� : Miami ahcrr��, FL 3313���56Q �i�e�: �.ot: � ; ��. ����.�� ������.� �Y��r�����������;�������� Qwner information Addres� Rhon� CeEI R� �� a �,,. W.���m�.��,��._a.��. ,��.,_��,��,�.�x���e.,,m.,��.� ��m��� ..�n���,.����.�a��.�...,���,��m.a�.���mv.� ��...�,. . ���� ` CAMILO�VIGTORlA YIL.�EC�AS 1270 fVE 97�tr�et � � I�IIAMI SHURES Fl�33138� _ �� � ����������a,���.���� 1270 N�9T�tr�e� MIAM1 SHQRE a F�33138- �m...u.u.._,n..��,�._� �._�..,,�m�a�,_.__... ��.__...,� Contractor(s� Phone C�li Phone � $ 4�,000 QO � V�luation: � METRQPOLITAN A1R CQN�ITIt3NB�i� 305-264-4646 � __ � Total Sq Feet: p t �����������;� Tans:5 �vailable 6n�p�ctions: Additionai lnfa:EQUA�REPLAC�MEN7 OF A 5 TON AIG UN IttspeCtiott Typ�: Classificatian�Resid�ntial Final Approved: In Revi�wr �eview Mechanical Comments: I�at�Appreav�d: : In Review E?ate Denied: �YPe of Woek: EQURL FtER�.ACEMEf�T f}F R 5 TQN Scanning:3 Fe�s �u� Am�unt �� Dat� �ay'C r�ae Amt Paid Amt�ue GCF $2.4Q InvOiCe� M�-10�17@65508 DBPR Fee $2.1Q DCR Fee ���a 1110212Q17 Check#:7540 ."b 1Q9.5Q $54.00 Educ�tion Si�rcharge �p.gp 10l31(2017 Check# 7537 $ 5Q.00 $O.QO Permit Fee $140.Q0 Scanning Fee �g,pp Techncalogy Fee $3.2p �Q���: ����.�� In consideratior� af the iss�ance t� me Qf this permit, I �gree fo perEarm the w�ork cov�red Mer�und�e in complianc� with a(I ordinane�s and regul�tians pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted ta the proper auEhorities af Miami Shores Vill�ge. In aceepting this permit I assume responsibility for �II work don� by either myself, my agent, servants, ar �mployes. E understand that separ�te permits are required for EL�CTRICAL,PLUMBING,[VIECHANIC��,WINDOWS,DOORS, RQ�FING and SWIMMING P�C}G wark. OWiVERS AFFIC?AVIT: I e�rtify that �IE the foregoing information is aceurate and that alI wrork wili be dan� in compliance with aIi applic�ble laws regulating construetion and aoning. Futhermore, I authorize th�af�ov�-name niractor f da e wr,prk�tated. �o�����r a�, 2a�� Authorized 8ignatuee: Owner ! Applicant / Gontraetor t Age t D�te Building ��p�rtment �apY Novemb�r 02,2Q17 � } �'t' r . 8�.�� h�'��"$ �f��«.°�„S; 4 I E � 1 I I ` s�°'tt°` ��� �' � ����� [� I C' 14050 N.E.2nd Avenue, Miami Shores, Florida 33138 Te�:(�os}��s-2zoa ���;(�os)���-s��z [€�SPECTf01V CIt�E PF�OIVE[4U[���R:{3Q5)762-49�t9 �� ��...f� � � ast�r Perrmi� IV�. �..� � ���'� � � �ub Perrnit �o. ���` � �gu�«o�� � E��c-r��c � �ooFE�� � �Ev€s�o� , � Ex-r��sfc�� �Erv��vA� ❑��u��i�v� � M�er����c�� ��ua�.fcw�R�s ❑ c�arv�� a� � c��c�����-�ar� 0 s��� C�NTR�CTQR = DRAWINGS 1llGl MLfVISC.SS. ) � a. � f .• 9.0 Cit� Miami Shores County: Miami C}ade Zip::�.":> � ��'� F�lio/Parcel#: Is fihe�uilding His�orieally[?esignated:Yes NO Occupancy Type: Load: Canstruction Type: Ffood Zone: �§FE: FFE: Ot�t��R; R1ame{Fee Simple�itEehalder): �,�� �- �'�` f f'~� �r� t ��-��'- t�. �_a Phone#:�"f ,_t}'� � ` �~�� ���~°��� �ddress: � �2 ,�� �, , _,__. } City: �fd���t�E-�.,�6 �'�������`-'� State: "� l..: Zip: ����� �—� Te^ant/�.essee Name: Phone#; EmaiE:4� ' ``� �'� t�F !�� ;�� ��:�°�r``"�"l��` ,�.�"�..�' �.�.'�'�9``� � � �tJ�1TRACTt�R. Ca�npany Name: � � Phone#:, �' "`s�f `7 �`� �� Address: �.'% " �( � �Ty City: '� � � State: ��� Zip: .�'� .... QuafifierName: �C��� �"� ��C���;��._�� Phone#: ��"�;�������'� State Certificatian ar Registration#: �� � � �� Certificate af Gompe�ency#: t�ESIGiVEId:,0.rchitectJEngineer: Phane#: Address: City: State: Zip: ttaEue of Vltc�rk for�his Permit:$ � �Square/Eir��ar Fo�tag�of�ork: 'fypeofVtfcarEe; ❑ Addition ❑ Alteretian ❑ New ❑ Repair/Replaee ❑ De��olitian Description o#lAtark: � �� �� � ��� �� �" � � �-�����' ��— c�� ��� � S��c%�y���1�r o,�c�l����a�e� ti��a � . Subrnittal Fee$ Rerrnit Fee$ CCF$ CC}JCC$ Scannang Fee$ �adon Fee$ �:�-� �`��' D�PR$ Y� , �� �IatarY$ Teehnalog�Fee$ TrainingjEducation Fe�$ Doubie Fee$ Sirtacturat Reviev�s$ ��nd� i ��;:"`� ��,:�� �rc��ra�.����vo�t�u�$ �ti� � {RevisedQ2/24f2Q14} f � ,,4y� ,� �onding Company's Name(if applicable) Banding Campany's�ddress e��v s��t� z� _ Mor�ga�e�enaer's Name(if applicabie} Martga�e Lender's Address CitY State ��� Application is hereby made ta obtain a permit ta da the work and installations as indicate�. i certify�hat no��vcrk or instailati�n h�s commenced priar to the issuance of a permit and that all work wiil be performed to meet the standards oi ail (aws regulaiing construction in Chis jurisdiction. ! understand that a separat� permit musi be secured for ELECTRI�, PI.UN1Bi�1G, SIGIVS, POQLS, FURNACES, �C?[LERS,NEATERS,�Al�I<S,A(R CONDITIC?NERS, ETC..... �1�(�ER'S AFFIC��llIT: I certify that all the foregoing iriformation is aceurate and that all wark will be done in ec�mp(iance with al! applieable laws regulating construction and zoni��g. �` �ll�� �' E m � t1 F��LCIRE T EC � T"iCE F � E �E E � �� ES LT � Y �!R P YI� T ICE F 1 P l�E E 1"S 7" � C1R �R RE 7"1'a iF Y � 1'E 1" TA1 F6 �N�� �, � SE��T IT�1 ��E�� L� �E� � ��E� EF �E �EC � Y` t1R 1`�CE F � E1��E E�Te„ Notice to App(icant: As a conc�it�on to the issuanee of a bui/ding permit with vn estimated va/ue exceeding$25Q0, the appNcant must prorrrise in gaod faitt� that a copy of ihe noPice of cammencement and construetion lien !aw brochure wit!be delivered to the�aerson whose property is sutajeet to ottaehment. Als�a, a e�rtifiec�eopy Qf the reeord�d no�tce of corr�rr�P.ncerrrent must be,�a�ted at the job site for the first inspection which occurs seven (7) days after the building permit is ;ssuecl. ln the absenee �f such posted notice, the inspection will not be approved and a reinspection fee vJi(1 be charqed. S � 'i� \ � Signat�ar� `., - i����tur� � s� CJWNER or AGENT CO{VTRACT�R The faregoin�instrumer-�t was aeknowledged before m this The foregoing instrument was acknaw(edged before me this �� a�y o� ���"t�- � �Q �� � �y ` ��? d�y o� ��� zo �� , r�y �.��t�����>�-i �y���� S who is persQnally known eo �{E..-��.��"� ��`1`2��..�who is personaily known to me or wha has prt�duced � ���i� � ����,?€.t.�� as me or wl�a has produc�d ��t��"���� �''`� as identification and wha did take an oath, identification and wha did take an aath. �C}T�RY Rll�LI�. M1�Oi"A,RY PU�LIC: ��,. � � :� . �1� �l f `, Sign: 5ign: � .,+� � � � Print: Prinfi: � �' � �a� ida Seal: S�rF� �°��� Seal: � c� � ���n�F�c�dr� � �����ni�i ��o�o��o `� ° ` �'c; �-.P2��,�l�E� ��� ��a� �a����z�z� A2 s vQ�2R2�3 �.y:#p'F2 1b042 `�� F.�4�titF4 'ei3tiu�t�r I3,2Q1$ ��b� �F���##�k#�#��#�# �k��ak# %&������>k�.&#����&ae%��%�:k�.Y#�k��#��k#�R'+k�&�###���k�&�#�#�%:�A�#���#���sk���k�kk�kat�� APFftOVEQ BY � � �� (ans Examiner zc,�i�� � � ' Struetural Review Clerk (Re�iseaoziz�/zo��� i i r s ill � � ��� � � uiI in rt r�t ; ���� � � � �G�°� '� 20Q50 N�E.2nd Avenu�, Miami Shores, Florida 3313� � . �� � � m� Tek{305}795-22Q�F�x;(3Q5} 756-8972 �� ,� , �* � INSPE�'F�QIV LfNE PHOt�tE NtlMBEE2:(3U5}762-�9�9 �-� ��... •.._w a_ _..e.,,�_ ��� 1'�i� ���, 'L ' Master Perrnit No. ��� � �� ��._ E IT P LI 1 sub �ermit tvo.�����; �� _���{�:*� � ��uoL���G ❑ ���c-rR€c � �a��E�� ❑ R�visEo� ❑ Ex�rE�s�a� ����v��nr�� �- �P�u����� ���c�a�aca� ��ug��cwo��cs 0 cr��r��� c�F � caNc���a�r�c�� � s�oP �Qh1TRACTOR DR�WIPV{�S If}B ADDRESS: ?�� ���..�- �'`� . ��� �_� Citv: Miarni Shares Countv: Miami Dade Zip� Fcalio/Rarcel#: 1s th��uildin�Nistarically Designated: Yes N�} Occupancy Type: Load: Construction Type: Flood Z�ane: BFE: FFE: OWNER. Name Fee Sirrt le Titlehealder : l�'=� '��t �� f P } � �f�� �1�t.�` �? �. ���Phone#: ,0.ddress: ���ac:�� � � � �� � ��. City: �.����.� St�te: ��� , �ip: �� Tenan�f Lessee Name: Phone#: Email: � 1 ��CC�NTRACTOR: Company Name: � � � ���� ��. �-�t � ;,� �� , Phone#:'� � `�-�'C��������` Add ress: ����'`� ��}(�.-�' �L'� ,��" •--�. ._.. _ City. ��'�1 1e�t�°t t State: �_� � Zip: .-��'�° �' Qu�lifierName: `�C�.C�.�/"4f���tT`�``��_��"'�:���_F� �-.�- Phone#: State Certifcation ar Regis�ration#: � � � �..C�`..% � �f �� Certifieate o#Competency#: C�ESEGNER:Architect�Engineer. Phc�ne#: Address: ty: �Stat�. Zip: Value of Work for this Permit:$ °'� , ..� :��� � ��ri � � ` Square L� ear�ootage af Work: Type of Work: ❑ Additie�n ❑ Alteration ❑ New ❑ RepairJReplace ❑ [�emolitian ' _ DescrEptic��t of Work: �°� � t"' � u� �` 'r`�'�� � s _ ...� �s� � � t � �� ..�., � � e�" Specify�olor c�f color thru t°ile: ������ � ������.�� Submittal Fee$� �'� �< � i�ermit Fee$ <� CCF$ .� � CajCC� "� �� � l� Scannin�Fee$ Radon F�e$ � DBPR$ ����� Notary$ "'�'"�..����°�""`�",�� `�� T�cfinolcagy Fee$ TrainingjEducation Fe�e$ � � �� D�auble Fee$ �������°���°.� Steuctural Reviews$ �""�.`". ���������.��.�_ _ Bond$ "-""��'� ������ � TQTA�FEE R1C�W QE1E��-~ ���`� m���� (�e�r��edo�/za/zo�n� �,��� �'� � �anding Company's Name{if applicable) Bonding Company's Address _ City State Zip M�rtgage E�ender`s Name(if applicable) Mortgage Lender`s Address City � State �ip Applieati�n is hereby made to c�btain a permiC ta da the work and installatians as indieated. I eertify that no w�rk oe instaliation has commeneed prior to the issuanee of a permit and that all work will be perfarmed ta mee� the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for E�ECTRIC, P�UMBING, SI(aNS, POCJLS, FUftNACES, BOIL.ERS, HEATERS,TANKS,AIR CC�NDITIC?NERS, ETC..... QWNER'S AFFEDAVIT: I certify that all the foregoing information is accurate and that all wark will be done in eampliance with all appiicab(e laws reg�alating eonstruction and zonin�. "WARIVING TQ aWNER: YOUR FAI�.URE TQ RECtJRD ,� NQTICE QF CC}MMEtVCEMERIT AY RESULT IN Yt�UR PAYING TWICE FOR IMPR01dEMEfVTS TC� YQUR PRQPER°TY. IF YOU IEVTEND TQ �BTAIN FINAIVGING, CQNSl1�T WITN YC}U CENDER OR AN t4TTQ►RNEY BEF{JftE RECC}RQING YOUR NQTICE t'�F C�M�f(ENCEMENT." Notice to Appl�cant. As a conditian to the issucrnce of a butldir�g�ermit with an est�mated vc�lue exceedrng$25QQ, the applicant must promise in goad faith that a capy of th�* notice c�f cammencement anef cvnstructian lien lawv 6rochure will be deJivered to the person whose property is subj�ct to attachment. Atsa,a certified copy af the recorded notice of comrraencement must be pasted at the job site foe the first inspection which t�ccurs seven (7) days cafier the burlding permit rs rssued. !n the a6senee of such posted natice, the inspection wifl not be appraved and a reinspect+on fee wilf be charged. � n �� �. � ; „�. _ --�-3 ��� � Signature � °�`� �- � .,x� �� f����a.� ._�m��- � ,� c� �i na�ure �� � .�.- ,,�- � � -. . m. � � -a .- OWNER or AGENT �'" �N���-����CORITRACTQR The fore�oing instrument was acknowledged before me this The foregoing instrument was acknowledged before m�this .,.� day�f ��" � ���.����'`�.�.___, 20 f � by _� day of ��'�� �[.��� � , 20 `� � by _������`� �d�'����,wha is persanally known to ��f�`'�� �� ����1 ���`� wha is pers�anally known ta me ar wha has procluced ���.5���� ��"��"�� as me e�r wha has produeed 1 �r��s������ �`�-��'�`��"� as identificatian and who di . �� identificatian and who did take an oath. ���� €��E�r���blt�.Si�t�e�,*�=fari�a I�](3TARY PUBltC � " 1���r��E;o�ric��=.e� t\IQTARY PUBLIC. .�. � �`� ` ��p Comm��si�n��662�€7� � � ��pir�sf33131r'29T7 "� �` e� ��` � � _ �� � �f� .."�,�. �-� � F_ —~ � �" : � �� � Sign:�..��' ,� _ - _ ,,..,:.� � Sign. � � � ,. _u u_�� � . ��-��„�w,i;f,n.�.� � -;� � ti �...�w. �... �.�..-- Print: _�-��`��..`2t`.�.. � L���FC�t�-�'�.. Prinfi: �f j�.{�.� ��� �r����� �e:t,ry���h+�.,a€,���¢F�carrda S�al: Seal: � � p 'i�.���r;��;���r��u�� `�.� h � r���r��r���xc �t,��z�T» ��e�� �x�ir�s C#3r F 9r`2E}1 z '�''��� *��***�*:k�:���*#�*****:a*�*�� *»: :k****�** ****� �*�** :���*�*��x**��**�**:z�����::��**��*�:**���:***�*���**��*��*�**� t � APPROVED BY � ` Plans Examin�r Zoning Structural Review Clerk (Revisedo2/24J2014}