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MCC-10-21-2786 1 � \\ \ S � �� Z� � �� } i } �'����� rp$,���.� � 1 � :� �\�� �� ���5� � \t 4l � '� t�`%��� ��£�\\����t�,`i S� �l ,d�.. �x�td �"'�. , �� \ � l` t.�„�,.11 .i\ c`\\\ ��,� �.1\� 4\� � �,,� iarrti S[�e�r�s VEIIa e � � .��� � �� � , , y �y �� ��; � � � � , X _�° � � �� �, � "`��v � 1QQ50 N�2 AV2 � �t�� ti ����ik�`�t��\ ���a�i���\A����ti i���?tt�� '������ � ���'� Miami Shores FC 33138 � � ������ ����������� l " _ z ` � ����>ti � �� t � , �`�.: - �.,�,� 3Q5-795-2204 � \ � `�,,z � ������i�������� �� '.��r ' � � . ��..,..:...�..�.... � \.ta•.>.. .�.r :...:..A�...A,,.;.,A�..?�„� y � �` � V t�y te�- �a.������� > � �1� } �� � � �������f��������.� �xp����,o�,. a�/z�/zo22 ,, ,,, t,ocation Address Parcet�1umb�r �R.�,.�,r.._. �mm�_�._ �._ ��__.A.a.�.e� _w,._�., � __u�e�.�� � � � .. �w. w�, �,._ _...n����_�n.n.� ��_� 1426 tVE 1€DST�f ST�9, iVii�rtai Shar�s,FL 33138 2122340530�5� ��� �. � Cantacts �. _ r._.A�_.,�,_�_�w� _..�.�.. .,m.,,n. ��_.�..._.,, ��__�..�_M,�.,�_ �� �.�_ __.N_ . �,��,.__.�.__�. €���M���m��,.�����.���_�_,.._..._..,,,w�_,_u, . ! CR,0.iG SWANSC?N C3wner C�R AIR CONDITlC?NING GQ C�ntractor 1426 NE 105 ST UNIT D-9,MIAME SNQRES,FL 331382224 RQ�ERT CHRYST 6073 NW 267th Street NW 167 ST C-4,Miami Ciardens,F� 33015 � � � �usiness:3056$56394 eandraceompany@aol.cam � Other:95468Q4494 ' �x� _..___..._._....._...�..._..� ... ,�__...��_......._,_..__...__��..._.�_____��.__._._.._.�_..,.M�_................._........._.__._._.._._..._._.._...��.__._.�...... , ....�_..............______.._��......,........._�....__........._�.,,...._..._....,..... __._ ... ' ins ect�an Re uests j DeseriptiQr�.€XACT REFIACEM�NT QF 2 2j2 TQN SYSTEM SP�IT. � V�lu�tic�n: �6,605.Ct0 � � ��������� � � Tota(Sq�eet: 0.04 r.. ��� Fees Amcrunt P�yments �ate P�id Amt Pa�d Appiicatian�ee-Other $Sd.dO Tatal Fges $257.34 CCF 54.2C1 Credit Card 14/27/2021 $SO.QQ DBPR Fee $3.47 Credit Card 10/29f 2Q21 $2flT.34 DCA Fee $�.32 Education Surct�arge $�.qp Amat�rtt Due: $O.QO Permit Fee $1�1.18 Seanning Fee $9.Oa Technalogy Fee $5.7$ T'otal: �257.34 11 It1 � � � In eonsideratian of the issuanee to me of thi� permit, I agree tc� p�rfarm the wrork cov�red h�reunder in compliance with alE cardinances and regulations perteining th�rete and in strict conformity with the plans, drawings, staEements or sp�eifieations submitted to the praper authoeiti�s of Miami Shores Village. 4n �ccepting this permit 1 a�sum� responsEbility for�l(woek dc�na�y either myseif, my agent, servanC�, ar�mployes. I understand that s�parate permits are required far ELECTFtICAL, PLUM�i(VG, fUlE�tiAN1�A�,WINDC?WS, DOOF2S, RCIQFING and SWIfVfN1lNG PC?O�work. OWRI�fZS AFF{I�AVIl': I ceetify that a!I th f e ain in r t �s accurate and tha� all work wiil be dane in complianee with �EI applicable laws regulating construction and zoning. Futhe o a th i the a �nam�d contractor to do the work stated. Fluthorized�ignatue�: Owner ! Applic�nt/ ntr�ctor ! Rgent Q�t� Oetober 29,2021 Page 2 caf 2 � R i� i r s i I� ���_����.-����������� � ���.v� �i� ir� e � �t r�� � � ��.���� ,��� • 20050 N.�.2nd�venue, R�iami Shores, Fl�arida 33138 ���`:� � l�' , � �°��: (�os�79�-zzo����:��o��7s�-s�7a �a�.���,� �.. � tNSPECTlO[d LtNE PHQR�E NUM�ER:��as�}�sa-�sa� � C 2t1 �L � Mast�r Permit Na. ��.� " r��� °� IT PLIC 1 s�� P���,�t ��. �au��DE�v� ❑ E��c-rRec ❑ �ooFi�v� ❑ �Ev�s�o� � �x-r��sio� ❑����waL ❑��un����� ❑ r��c�ta�oc�L ❑�c.���icw���s ❑ cr����� o� ❑ c��veE��a-rio�v ❑ sr�c�� cca��r��c�r�� ���wirv�s JC>B ADDRESS: �� � �� �°" t� � � °�' � -� � Cit : Miami Shores Count : Msami Dade Zi : � � � Faliof Parce!#. �� � L1 �� Is the�uilding Histor�cally D�signated:Yes NO C�ccup�ncy Type: Laad: Construction Typ�: Flood Zane: BFE: FFE: a � �WNER: Name(Fee Simple Titfehold�r}: �° Phone#: � �� ���°�.�����' Address: � � � � � � ��� � t City: t� � ,�� �`i�f'`�,� State: � � Zip: �� � � Tenant/�essee �lame: Phone#: Email: , CONTRACT�R:Company Name: � � � � � �'� �� . �� , Phane#: �� ���� � ��� � �� � � � � � � ��d���s:� ,� � � " c;�Y: �� �� � st�t�: � . z��: � � � � � Qualifier Name: �� a � ��' � � Phane#: St�te Certification or Registration#: � � �. ��� � � � Ce�tifieate of Competsney#:� � ��,�� DESI(a�tER:Archifect/Engineer: Phone#: Address: �ity: State; �ip: t�alue af Work far this Permit:$ � �� � � Squarej�.inear F� ge of Work: Type af Work: ❑ Rdditian ❑ Alteratian [� New Repair/Replace ❑ Demaiition c [?eSCCipt'roM af WQrk: � �� �� v r ��a, � `` _ � ;� k ? .. .. ,.. � ,.p,. { Sp��if y cc��car c�f colar fhru ��le � . , : ��� t . , . ..���� � .�t .� �x v .«u, �N«� u� � Submittal Fee$ Permit Fee$ CCF$ CO/CC$ ` �� t�a� l Scanning Fee$ Radon Fee� DBPR$� I�otary$ � � t�� ���� tk�����'; Teehnology Fe�$ Training�Education Fee$ Doubte�e�$ ��,� Structural Revi�ws$ �ond$ 4 TOTAL FEE IVOW Dt1E$ ��.,��� ��� (�Eu�s�daalz�/zoi4) '� Bonding Compar�y's�ame(if applicablej Bonding Company's Address _ City State Zip Mortga�e�ender's EVame (if applicable) fVlort�age l�ender's F�ddress City State Zip Applieation is hereby made to obtain a permit to dc� the wark and installaticsns as indicated. I eertify that no work crr installatior� l�as commenced pricar to the issu�nce of a permit and that all wcark will be perf�armed ta meet the standards of all l�ws re�ulating constru�tion in this jurisdictican. I understand that a separate permit must be secured for ELECTRI�, PLUIid1�ING, SfGNS, POOLS, FURIUACES, �OI�ERS, NEATERS,TAfVKS,AIR CONDITlC�NERS, ETC..... �W(�ER'S ,4FFl�AV(T: I c�rtify that all the foregc�ing inf�rmation is accurate and that all work will be dcane in complianee with all applicable laws regulatin�construction and zoning. "UVARNIN� TQ Qt11�NER: YC?UR FAILURE Tt� RECQRD A N£)TICE QF COIV1 ENCEMENT MAY RESULT IN YdUR PAYING TWICE FQR IMPR�VEMENTS T� YOUR PRQPERTY. IF YOU INTEND TO Q�TAtN FINANCING, C�N5ULT WITH YOUR LENDER QR AN A QRNEY BEFQRE RECORDING YOUR NOTl�E �F Cf�MMENCEMENT.,' Notiee to�4ppl�ccznt: ,As a condii�ion to the issuance of a buildrng permit wi£h an estima�ed value exc�edfng$25�0, t6��capg�ticant�must promise in goad faEth that€� cc��ay of the notrce of commer�cement and canstrueti€�n tien law brochure witl be deiiver�d to the person whose property is subjeet te�attachment. Afsa, �a certified copy of the recorded notice of eommenc�ment musf be posted crt ihe jab sife for the first insp�ction which occurs seven (7) days after the building permit is issued. tn the absence o�such post�d notice, the inspection wifl not be approued crnd a reinspectic�n fee wiN be ehe�rged. � °� .� � Signattare �' ^ ����`":� �� ,��°��` Sign�ture �_.� �WNER or AG�NT CC?N ACTC7R ���� Th�fore�oing instrument was acknc�wledged before me this The foregoin�instrum�nt w s a knowled�ed before me this �� day of � ZO �� , by �.� day af , 20 � � , by „�,..� � �a.�_, f ��`���v��:�.� ..;>�;�,r' ���.`�� ,who� personally know��,to ��`��� < ����'�S�who i personally known�a � me�r wha has produced as me or�+rho has produced as identifieation�nd who did take an aath. identification and who did take an oath. P1f)TARY PUBLIC: NOTARY PU�LIC: Si n: � Si n: � � � Print: ,..,. ... � �•`� Print: �( }PN W� ��{l� ;Q� `.3 C��nr��aai�n A G�323��D Seal: � ��, Co+rrr�sfvn�t��323�9� Seal: � p�« ,�_' Expir�a���€9,2U23 4�e. �-�:,� �xp�r�s A�a�9,2Q2� '8�•.e1��' ii��+#oi il�ru TrB7 F�tn i€n�utance�b{l�=�b5^I01$ '�:'aa°,���;,�^' gp�£�ut9 tlttu i'toy Feln it�sttt�rtu�b�Q 1$�7�99 � "9 �k#�k�k#+k#�kek�k�R�k##�kok#�k��z��k�a'.k#:k�k ji*�t*�k##k��k�k#�k��k�#�k�k�llc.,e�k��k�+K��k �:�k�k�`kak�k�k�K�k�K+kAk:Is�l:ok�kk�k�k�k�kEk�k�k�k�k�kek+k�k�k�k��k�k�k#�k##�k�k�k�k�k�K�k�k�k+k�k�k�k k k�� k k � k k k k k k k k R k �, ���� R � � � � ��^ '� � ��^ "�� . �PPROVED BY � ����"�:� � '"`� �, � �`"�Pl�ns Examiner Zoning � �� � Struetural Review Clerk (Revised02j24J2tI14) � �����'���s,� Miarni Shores Villag� �' �uilding Departm�r�� �► '�.�. ���,�m 10Q5Q N.E.2nd Av�nue �< � � Miami Shc�res, FEorida �313� ��``�^%r�$t��°�`� ��c�Rt�taA Tel; (3��} 79s.�2o4 Fax:(3t35} 756.8972 A1R �t)NDITI NING REPE.ACE EI�IT �1�tTA FERMiT NUM�ER: MC `fhis form must accompar�y A!L air cond�tionin�r�placement permit applications. Each unit change-out must be�n its own data sheet. Multiple units on single she�ts are not aceeptable. Job Addr�ss(where th�work is bein�done). � � f � � � �� �� �ity: Miami Shoras V�IEa�e ��unty. Miami Dade Zip Code: � � �°� ALE, CQN�E�ISI�IG UNIT� MUST E3� ON A 41NCN SC}LID CC}�ICRETE S�A� AL�UNtTS MUS�'CQMPlY WITN F.E.M.A MINIMt1M F�AOD ECEVATI�N A CORY C?F TME CONTRACT IS REQUIRED WITH A!L 5l1BNi1TALS AHRI DATA SHEET REQUIRED Change disconn�ctin�means:YES❑ [d0[� ARHI Sheet Attached:YES ❑ N� �] Cantract Attach�d:YE5 ❑ UNE'T�EItVG REPLACE[} DATA �3E11V U�V17' MANUFACTURER �" ' �� � � ° �,a � � � � ` ��+u or�K�. u�i��r�noo��# �°�, � � � ��l � ��� co�Q. �n���r�c��E�a� � � � �� . ������f� "�T , � KVV F�ERT � .�. �.� RIQIVI TQNS , � ANU ClJ PKG 2)M.C.A A�#U CU PKCa Ah9U CtJ FKG 2) M.�.P AHU��U PKG AHC1 CU PKG 3}VC}LTS AHU CU PKG ��� u�fT � / ��� u��� / j EER/SEER YES NO REP�ACING DUCTS YES �Cl YES N(� REPEsACIRIG TNERMC?STAT S NC� YES NQ fVEW 4"CCINCRETE SE�AB YES IVQ YES NtJ NEW RC}C1F STAND YES (� YES Nt� (VEW RETURN PLENUN� �QX YES NO 1. Minimum Circuit Ampacity(Wire Size}: � 2. (Vlaximum C�vercurrent Prc�tecti�n (FuseJ�reakerSize}. �� � � `� °� � 3. Valta�e e�f Circ�ait (208 240 �Q): � �� 4. Size Qisee�nnectin� (Vleans: ,�r � �� Contractor's Gompany Name: �°�" � � ����� .�� Phone: � � � ��•� � � Stat� Certifica� Regi a ' o.������� � � Certifieate af Competeney N�. �t��� �1�l1�tt,lCE ����: �� ��'� � uaEifier's signature) (�ev�s�doz/z�/zosa) . !► � . � �� cr�ndar���ium� 5630�f.E.3�54h�ir�et,l�fiam6 Shar�s,Ftar[da�353� e Ph�ne S93•�17� Qc�ober 26, 2021 T�: Mi�rr�i She�res Villa�e Narbour Club approues the Air CQnditionir�g replacem�nt for unit 1426 NE 105�� Str�et, Miami Shores, FC 331.38 � t �� ��� � �� � E�� t �� � {t€ �f �{Lt� ! f��� .... __. 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