MC-19-1948Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: MC-18-19-1948
Permit Type: Mechanical - Residential
T- t 0- Work Classification: Akeration
Permit status: Approved
ksue Dates:11/14/2019 Expiration:05/12/2020
Parcel Number
1292 NE 95TH ST, Miami Shores, FL 33138 1132060144040
Contacts
MARIA DELLATORRES Owner REGOSA ENGINEERING SERVICES INC Contractor
1292 NE 95 ST, MIAMI SHORES, FL 33138 GUSTAVO VELEZ
15700 NE 2nd AVE, MIAMI, FL 331624267
Business:7862622964 CONTRACTORWORK@GMAIL.COM
Other:7863448720
Description: RELOCATE CONDENSER UNIT (GARAGE Valuation: $ 1,500.00 305-762-Inspection Requests:
RENOVATION) Total Sq Feet: 165.00
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
Total:
$111.10
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$111.10
Credit Card
11/14/2019 $111.10
Amount Due:
$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 aad)zoniipg. Futhermoye, 1 aut'-zo_ the above named contractor to do the work stated.
Authorized Sig
/ � 020 /
DDlicant / CA
/ Agent
Date
November 14, 2019
Page 2 of 2
A REt.: - x VF-D
Miami Shores Village A :a 23 2019
Building Department 13y;
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 (Gl
FBC 20
BUILDING Master Permit No.-vC` 11- 31( 3y
PERMIT APPLICATION Sub Permit Nolo - 0 —1 - - Hq 8
❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION DRENEWAL
PLUMBING ■❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
—�� CONTRACTOR DRAWINGS
JOB ADDRESS: 1292 NE 95 STREET
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-014-4040 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:
OWNER: Name (Fee Simple Titleholder): MARIA PAOLA DELLA TORRE Phone#:
Address: 1292 NE 95 STREET
City: MIAMI SHORES
State: FL
Tenant/Lessee Name: Phone#:
Email:
p: 33138
CONTRACTOR: Company Name: REGOSA ENGINEERING SERVICES, INC Phone#: 7867262-2964
Address: 15700 NE 2 AVE
City: MIAMI State: FL Zip: 33162
Qualifier Name: GUSTAVO VELEZ
State Certification or Registration #: CMC-1249755
DESIGNER: Architect/Engineer:
Address:
Phone#: 786-262-2964
Certificate of Competency #:
Phone#:
City: State: Zip:
Value of Work for this Permit: $ 1,500.00 Square/Linear Footage of Work: 200 SF
Type of Work: ❑ Addition 0 Alteration ❑ New ❑ Repair/Replace
Description of Work: RELOCATE CONDENSER UNIT (GARAGE RENOVATION)
❑ Demolition
Specify color of color. thru.tile:
Submittal Fee $',':` ' Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ -Notary $ -
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(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
promise in good faith that a copy of the notice of commencement and construction lien law bra
whose property is subject to attachment. Also, a certified copy of the recorded notice of comment
for the first inspection hich occurs seven (7) days after the building permit is issued. In the
inspection will not be p roved and _reinspection fee will be charged.
Sig nature Signature_
OWNER or AGENT C0IN
The foregoing instrument was acknowledged before me this
'a '. day off—Nicsu ;—j , 20 r J by
4Q>—l�L Y � wffFois personally known to
- . me or who has produced': -PQ Q?LL1NS1tf, as
identification and who did take an oath.
NOTARY LIC:
Sign: ,, ,^�nn ��-��
Print: S1 N�i I P 1
Seal:
*************
APPROVED BY
(Revised02/24/2014)
$2500, the applicant must
be delivered to the person
�t be posted at the job site
f such posted notice, the
R
The foregoing instrument was acknowledged before me this
21 day of AUGUST 20 19 by
GUSTAVO VELEZ who i e ona y �known
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
*******************
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Zoning
Structural Review Clerk