MC-09-940 r 3 t � f a
d
Miami Shores Village I ";.
10050 N. E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204 X� ;AWED
�[OR
l
Expiration: 121071
Project Address Parcel Number Applicant
8953 4 Avenue Road 1132060460420 DOLORES WOOD
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
DOLORES WOOD 8953 NE 4 AVE RD
MIAMI SHORES FL 33138 -3181
Contractor(s) Phone Cell Phone
Valuation: $ 1,451.14
MARNO A/C SERVICES
(305)885 -2195
_.. Total Sq Feet:
Tons: 2 For Inspections please call:
Additional Info: A/C SPLIT SYSTEM (305)762 -4949
Classification: Residential Available Inspections:
Approved: In Review Inspection Type:
Comments: Date Approved:: In Review Ventilation
Date Denied: Type of Work: MECHANICAL Final
Rough
Hood
Rough Duct
Smoke Test
Duct Detector Test
Fees Due Amount Invoice # Total Amt Paid Am ]Due
CCF $ MC -6-09 -35024 $ 50.00 $ 50.00 $
Education Surcharge $0.40
Permit Fee - Additions/Alterations $100.00
Scanning Fee $3.00 MC - 6 - 09 - 35065 $ 57.10 $ 57.10 $
Submittal Fee $50.00
Submittal Reversal Fee ($50.00) Check #: 29756
Technology Fee $2.50
Total: $107.10
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated.
June 11, 2009
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 11, 2009 1
c4 k
W* ' JLM 0 4 2009
Miami Shores Village
Building Department
f0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No. ® •
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type Mechanical
Owner's Name (Fee Simple Titleholder) i� / :i y _� , I , \ s 3-S Phone
Owner's Address NE,
CitY i , N 6 *h � h l: 6 4��, State - 1 �� ( Q �d �_ . Zip --
Tenant/Lessee Name Phone #
E -MAIL: g A O L Ac- l i
Job Address (where the work is being done)
City Miami Shores Vill e County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name 4 ,qI 7, l , •. a1 Phone �3a, � 'Ji�,r; —� �,
Contrac is A dress i
C State _ Zip
Qualifier Nam u)r-� f w i P A, Phone
r`
State Cert�i''ate or Registra ' A- �$ `..� {,' 1 -�;� � 1 Certificate of Competency No
E- MAIL: \°'s, �a \�1;u'�
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ r Square / Linear Footage Of Work: 2� I
Type of Work: _ �Addifon ❑Alteration [ ep /Replace ❑ Demolition
Describe Work: d � i ' (C�(, 1"" i rAltj 6 �. z ,
-
,►,►,►.�,►�,►.►,►,►�.►.►,r�, x.► �.►, �,► ,►�,�.��.�,►,�.a,►,.,��,►,►,�.► F ��.►.►.►, u, �.►.► �.►. �.►, �,►. �, ��. �.►.► �, a, �,►, �,►. ►,►,►,►.�,►.�.�,►��.►,�,a,►.►.a
Submittal Fee $ Permit Fee $ ti CCF $ CO /CC
Notary $ . Training/Education Fee $ Technology Fee $ Z ►
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ 1 ` 0
ee Reverse side
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State 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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 delivereho 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 n the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature
Az — — '. � � Ik Signature ✓� `""
Owner or Agent Contractor
The fore ping instrument was acknowledged before m� this The fore o' instrument was acknowledged befo me this
day of 'i��, 20, by �`C� ?�` i f.. ,�1�'L�( day of
�
who is ersonally known)to me or who has produced who is ersonally kno L4 m or sham � � p � �
9 � As id - -- � 'fic�a�i Fce an h.
, .', • !+ �` VILMA A� =* *_ MY COMMI ION # DD19248
NOTARY PUBLIC: *_ SAY COMMI # DD792487 NOTARY EXPIRES June 16. 12
z
JEX ES J une 16.2012 7)s9e -0153 F Note . r, is,,, c,Qb4 y 4 ) 95 0153 brida PR ,� Nota Servfce.com
Sign: e ? C"" Sign:
Print:�` Print: J J r
My Commission Expires: My Commission Expires:
APPLICATION APPROVED BY: Plans Examiner
Engineer
Zoning
(Revised 02/08/06)
4C 09 - I
Mar.
AIR CONDITIONING SERVICE, INC 2012 W 73rd Street, Hialeah, FL 33016
305 -885 -2195 Fax 305 -823 -2195
LIC. # CAC 042630
JUNE 4, 2009
Miami Shores Village Building Dept.
10050 NE 2 nd Ave
Miami Shores, Florida 33138
To whom it may concern:
This letter is to inform you that Maria Julia Perez has been given permission by
Juan Perez, owner and qualifier of Marno Air Conditioning Service Inc. to sign
and retrieve permits and or any other papers pertaining to my company. She has
also been given authority to sign any permits for the purpose of pick up
applications for the company.
Thank you in advance for your attention to this matter.
Marno Air Conditioning Service Inc.
' VILIMA E ERN - ...
iident
erez
=' *: MY COMMI ION # DD792487
�
.. " FXI?
-�;, :,. IRES June 16, 2012
(407) 398 G'; "'. - !AoWry3eMce.com
,yY Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
�io `
Phone: (305)795 -2204. Fax: (305)756 -8972
r x^
Scheduled Inspection Date: June 23 2009 Permit Type: Mechanical - Residential
Inspector: Perez, JanPierre
Inspection Type:
Owner: WOOD, DOI.ORES Work Classification: A/C Replacement
Job Address: 8953 NE 4 Avenue Road �s
Miami Shores, FL
Phone Number
Parcel Number 1132060460420
Project: <NONE>
Contractor: MARNO A/C SERVICES Phone: (305)885 -2195
Building Department Comments
Inspector Comments
Pas e
Failed
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
June 22, 2009 Page 10 of 17