MC-16-2939�sKO1s o�� Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
FLORIDA
Permit NO. MC-10-16- 939
Permit Type: Mechanical - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
issue Date:11121/2016 1 Expiration: 05/20/2017
Project Address Parcel Number Applicant
94 NE 93 Street 1132060130150
CHARLES WALTER MARIA PAU
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
CHARLES WALTER MARIA PAULA 838 SALZEDO Street
- -- CORAL GABLES FL 33134-
838 SALZEDO Street
CORAL GABLES FL 33134-
Contractor(s) Phone Cell Phone
AIR SYSTEMS A/C LLC (786)208-3484
s:
Info:
ion: Residential
In Review
Denied:
ning: 1
Fees Due
Amount
CCF
$7.60
DBPR Fee
$6.46
DCA Fee
$6.46
Education Surcharge
$2.60
Permit Fee
$430.50
Scanning Fee
$3.00
Technology Fee
$10.40
Total:
$467.22
Date Approved:: In Review
Type of Work:
Valuation: $ 12,300.00
Total Sq Feet: 1200
Available Inspections:
Inspection Type:
Final
Rough Duct
Review Mechanical
Underground
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC-10-16-61819
11/21/2016 Credit Card
$ 467.22 $ 0.00
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. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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 rmore, I authorize the above -named contractor to do the work stated.
November 21, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
November 21, 2016
Miami Shores Village�vEo
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 20►`(
BUILDING Master Permit No. 9,CIG -(0 3
PERMIT APPLICATION Sub Permit No - 3
❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING &(MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 94 NE 93 Street
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11 -3206-013-0150 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type
OWNER: Name (Fee Simple Titleholder): Charles Walter
Address:94 NE 93 Street
Flood Zone: BFE: FFE:
Phone#: 347-281-0407
City: Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: A1,r -s sh rn-% Ale- LLc Phone#:
Address:
City: ' State: Zip:
`V
Qualifier Name: ROy G2A%Aez Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#: d
Address: City: State: Zip:
Value of Work for this Permit: $ . Square/Linear Footage of Work:
Type of Work: �9 Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 3 j21'�! Mjr /qF/2. PZ-2f yL/f
Specify'color of colorihriu,t le i' �'�
c a :'�.E1 � ��';%.J � •%.'.•,, it .. ,�.� �� 7e'^ } l; %,.!
Submittal�Fee`�$ "- F ° Permit Fee $ 1 CCF $'v1. =rt. •. t�}iii t:"f±u`i CO/CC`$
Scanning Fee $ Radon Fee $ y (0 DBPR $ i0 Notary $
Technology Fee $ Training/Education Fee $ 2 Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ Z Z
(Revised02/24/2014)
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 a Signature_
OWNER or AGENT 4
The foregoing instrument was acknowledged before me this
^R`0 dayof June 20 JU by
l_ YlAr kS Wa RfY , who is personally known to
me or who s produ bL -k iDYI '�as
NTRACTOR
The foregoink instrument was acknowledged before me this
day of JU��I 20Ib by
Qo.1 �ZQl1CZ who is personally known to
me or who as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: A Print: LA J� �Ia IIGZ
Seal: %� ; Suyapa T. Vasquez Seal: t1�%,, Suyana T. Vasquez
Commission # FF942611 Commission # FF942611
Expires: December 9, 2019 �`,, "= Expires: December 9, 2019
s* *M�� %qd$0 thru A r ** ***r*** *r**s****s**** if AeHM `***s�nd th*UAaron Not2 * s ***
APPROVED BY 0 Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)