REV-09-22-2251, 1020 NE 92nd StMiami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: REV-09-22-2251
101
l Permit Type: Revision
IF, ' Work Classification: Mechanical
Permit Status: Applied
Issue Date:12/22/2022 I Expiration: 06/22/2023
Location Address Parcel Number Project
1020 NE 92ND ST, Miami Shores, FL 33138 1132050130020 ONLINE PERMITS
Contacts
1760 NE LLC Owner Boost Construction Applicant
1020 NE 92 ST David Pupo
Business: 305-878-9326 MANNIX7705@HOTMAIL.COM 7841 NW 32 ST, DORAL, FL 33122
Business:3054847834 DPUPO@MODERN-STONES.COM
Mobile: 3054847834
TEST AND BALANCE AIR CONDITIONING Contractor
CORP
AGUSTINE ALVAREZ
8355 NW FLAGLER ST, MIAMI, FL 33144
Business: 3052181798
inspection
Description: move ac handler to anther location, add lights Valuation: $ 98,200.00 Requests:
4949
recalculate ceiling height and insulation
Total Sq Feet: 2,475.00
Fees
Amount
Payments
Date Paid Amt Paid
Revision: Major Change of Plans
$90.00
Total Fees
$93.00
Scanning Fee (Manual)
$3.00
Credit Card
12/22/2022 $93.00
Total:
$93.00
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. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
I certify I
and zoning.
all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
hermore, I authorize the above named contractor to do the work stated. 14
Signature: Owner
/ Applicant / Contractor / Agent
Date
December 22, 2022 Page 2 of 2
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
st , Al
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 &A-*:11
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
j� tv �g �,✓ CONTRACTOR DRAWINGS
JOB ADDRESS: I vy 1_ qla lT
Folio/Parcel#: i 1� 6,:3l) l 3 ® ®z o Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: / Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 1 _% lZ � 0- v UL Phone#:
Address: k0'7 ® j-- /1 r�� � 2 CI
City: M S��l SLav-> State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: % % /T11t41((&1 *yY Phone#_:_�
Address: ���� L�
Email:
Qualifier Name: _7 �— Phone#: �� 917,5
State Certification or Registration #: C—' ✓ �/ �D Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address:
e#:
City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: 159 Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work: Imo, G r
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
DCA Fee $
Training/Education Fee $
❑ Demolition
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
P&Z Review $ Bond $
TOTAL FEE NOW DUE $
(Revised04/05/2022)
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 w ich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be a ve n a reinspection fee will be charged.
Signatu
ER or AGENT
The fore oing instr^^ t£ was acknowledged before me this
Z day of 20 2iZ , by
who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY
Sign:_
Print:
W
Seal- DAVID PUPO
., ., MY COMMISSION # HH 936844
Pam•`p�����EXPIRES: Ju�n�e� y22, 2= �y .�
�•.FOF.... [�tn RIPI �I�y public �%��ua. vnitm0
***********
APPROVED BY
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
�Ss day of (��V�%_ 20 �2 .by
�'rC0 (JST/ /0 &. ho is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: M ;
ttnn—
Maria E Trinidad
My Commissim GG 283356
Expires 02127/2023
as
**************************************************************
Plans Examiner Zoning
Structural Review Clerk
(Revised04/05/2022)