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MC-11-21-2977, 304 NE 93rd StNtia-mi Shores Vil -age: Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPEC HON UNE PHONE NUMBER: (305� 762-4949 '01 Ill INIA1 i"' 5.0%01S. oIIv%I PERMIT APPLICATION .0:$11.la..ni-mr E].ELECTRI.0 []IROOFinlr BY. _FBC 20 ivicSieF Pei ii� Ivu.�tn,�� Sub Permit No. 1 ' 1 �-' 1 �' 2 2-5 D ?E1tiS]O'N FxTflNS+IO i -E]RENEWAi []PLUMBING ©.MECHANICAL DPUBLIC WORKS D CHANGE OF CANCELLATION D.SHOP - COUTRACTO R DR'AVtiWGS JOB ADDRESS: 304 NE 93 St City: Miami Shores County: Miami Dade Zip: 33138 Folio/ Parcel#: 11-3206-013-6350 Ls the, Buildi klistoricalk . De �. y sEgF►ated:.Xes NO Occupancy Type: toad: Construction Type: Flood Zone: BFE: FFE: `Bradley A`lohnsontLinda' D Ayles'lahnson 1(310)633=0330 V VV111Cn. IVd111C tfCC JII IIiJIC IIlIC11V 11.1C1). - rllUliC}f. Address: 304 NE 93 St City: Miami Shores State: FL Zip: 33138 Tenantjtessee=Narne: tPhoiae##: Email CONTRACTOR: Company Name: ^II ^il Cutluiiii;rl ^�aas Address: 370 west 61 st Hialeah City Hialeah State: FI AKielCGabriekLopez Qualtf'aer Name:Plnonet#: State-Certificatiw car Registration :#: CAC1818228 -Certificate of -Competency:#: _ 'DFSIt;IUFR- "Ar, hitartYFnainpar• "Phnna#- Zip: 33012 Address: City: State: Zip: Value of Work for this. Permit: $ $16,000.00 quarejLinear-Footage of Work: 15,875 Sq Ft. .Type:af'Work: 'D Addition D i+Adti?ration : L :t�tew � f�pairj#t�place `D<�Demofibon Description of Work: A/C installation , and ventilation as per plans Specify color of color thru-tile: Submittal Fee Scaming fee $ Tarhnrilnav`Faa 1' Structural Reviews $ Permit1ee $ CCE $` CO/CC :Radon :fee $ {�SRR $ notary $ TralnlnvlF Allrn+inn -rap 1 `nn1ihia Tap It Bond $ TOTAL -FEE NOW -DUE $ (P��• (Revised02%24%2014) Bonding Company's Name (if applicable) Bonding Company's Address, City State Mortgage Lender's Name (if applicable) Mortgage Lenders 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 AFFiDWT-. i certify that aii the ioregoing iniormation is accurate and that aii work wiii be none in compliance with aii 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, COLT vv'I I I YOUR LENDER OR AIIs ATTORNEY BEFORE RECORDING -YOUR,�m tv x�. i` €' C2.02e1/A.°f: -Notice Ito Applicant: As�a condition to -the issuance=ofo 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 the approved and a re_"inspection fee Will be charged. R Signature/6 Signature O .NEB or AGENT CONTRACTOR,. The foregoing instrument was acknowledged before me this 10 day of Nov 120 21 by Bradley A Johnson / Linda D Ayles Johnson who. is: pevrsonalty kIQOM1IV11n'+.to me or who has produced The foregoing instrument was acknowledged before me this to day of Nov 20 21 by Ariel Gabriel Lopez e=L , wha is pensoma4V kmflwn to as me or who has produced identification and _%4ho-did'take.an-oath. NOTARY PUBLIC: YUpITH A VILCHEZ Notary Public- State of Florida Commission # GG 328519 c My Commission Expires clan • Apnl-29, 2023 Sion: „ -Print: Yudith Vilibb Seal: APPROVEN7 BY. identification. and _who -did°take. an. oath. NOTARY PUBLIC: as `\��PPY PUB�, YUDITH A VILCHEZ Cyan ;_� `;Notary Public -State of Florida ..b... _ = Commission # GG 328519 My Commission Expires -Print: • °n9,;,`;°` April-29, 2023 -,_ Sea l: Plans. Examiirter Zoning, (Revised02/24/2014) -Structural'Review =Clerk Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: MC-1 1 -21-2977 Permit Type: Mechanical - Residential Work Classification: Alteration Permit Status: Approved Issue Date:11/12/2021 Expiration: 05/11/2022 Location Address Parcel Number 304 NE 93RD ST, Miami Shores, FL 33138 1132060136350 Contacts BRADLEY JOHNSON Owner Yudith Vilchez Applicant 304 NE 93 ST, MIAMI SHORES, FL 33108 18601 Northeast 14th Avenue, 306 18601 Northeast 14th Avenue, 306, 2 meryudvi180@gmail.com ALL AIR CONDITIONING DUCTS INC Contractor ARIEL GABRIEL LOPEZ 7200 W 10 CT 18, HIALEAH, FL 33014 Business: 3054975822 Description: INTERIOR REMODEL OF KITCHEN, BATHROOMS Valuation: $ 17,100.00 �'i Inspection Requests: 305-762-4949 AND OTHER AREAS. IMPACT WINDOWS REPLACEMENT. Total Sq Feet: 681.00 Fees Amount Application Fee - Other $50.00 CCF $10.80 DBPR Fee $8.98 DCA Fee $5.99 Education Surcharge $3.60 Permit Fee $548.50 Scanning Fee $15.00 Technology Fee $14.96 Total: $657.83 Payments Date Paid Amt Paid Total Fees $657.83 Credit Card 11/12/2021 $657.83 Amount Due: $0.00 Applicant Copy For Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/. Requests must be received by 3pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES. f r rr r V� " // k *411 November 12, 2021 Page 1 of 2