MECHANICAL PERMIT1111 1 11 iii ii iiiiiiiiii 1111
MIAMI SHORES
Y
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* M E C H A N I C A L*
MECHANICAL
MIAMI SHORES VILLAGE, FLA.
30B
ADDRESS
INSPECTIO
TIME READY
REMARKS -
INSPECTO
N° 6296
DATE
BUILDING
PERMIT APPLICATION
FBC 2001
MIAMI SHORES VILLAGE
BUILDING DEPA ► NT
305- 795 -2204
Building Inspection Reque
Date & --.7
Company v -
Phone # "`�J � U L�1'
Inspection Date � / 1
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): Building Electrical Plumbing �cha nal) Roofing
Owner's Name (Fee Simple Titleholder) ( 71 — Phone # ) ^ sA
Zip
Phone #
Permit No.
Master Permit No.
Phone #
Square Footage Of Work:
vliami -Dade Zip 1 ,'
Type Insp'n ' Fin O N'leC
Permit No. 4 -1 C , 2C304. 55 , 0 C Phone # 7 OL1
Name . C . 11 a
Address v G ` �'t' Zip L
New �epair/Replace ❑ Demolition
T(Ck kAo . U
3 ) N ‘
hail C, ri
00
} CCF $ I‘ 0 0 CO /CC
Technology Fee $ 4 ____
toning Bond $
ew. $
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 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
Chc 12/15/03
Owner or Agent
The foregoing instrument was acknowledged before me this 3
day of , 20 OL/, by ih S /� . �a tip (O�_ )
who is perso
al,
k wn-t o has produced P ,l)n_ G/L
NOTARY PU
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
As identification d who did take an oath.
Signature
ohtractor „' JiW G /74-
The fore oing instrument was acknowledged befo e me this 2 b
, day of , 200 by k. )O rCe KOCIYr
who is personally known to me or who has produced Das
NOTARY PUBLIC:
Sign:
Print:
identification and who did take an oath.
My Commission Expires:.:
Engineer
Zoning
Vargas
son #11_7.f 1984
s: Jul 13, 2007
Notary Public, plate of Florida
My comm. expires April 7, 2008 9 ..,.. , 3ondedThna
* * * * * * * * * * * * * * * * * * * * * * ** ** * * * * * * *il�lomit9466i * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * *ii4 i4** * * *# * *
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
* ** :************************************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
C- Plans Examiner
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5/4/2004
Applicant: CHARLES
Owner: ZEGAR
JOB ADDRESS: 29
Parcel # 1132060130090
NE 91
Mechanical Permit
Permit Number: MC2004 -58
ZEGAR
CHARLES
ST
Contractor J & V AIR CONDITIONING INC. Contractor's Address: 5600 SW 196 LANE
Local Phone: 786 - 367 - 8104
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 15
Page 1 of 1
Fees:
FEE2004 -4520
FEE2004 -4521
FEE2004 -4522
FEE2004 -4523
FEE2004 -4524
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Total Fees:
Amount
$105.00
$1.80
$5.00
$0.60
$2.63
$115.03
Total Fees: $115.03
Total Receipts: $0.
3
Permit Status: APPROVED Permit Expiration: 10/25/2004 Construction Value: $2,500.00
Work: REPLACE EXISTING 2 TON SPLIT SYSTEM NEW UNIT WESTING HOUSE A/CUNIT IN BACK OF BUILDING
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
BY:
MAY 0 5 EN 'D MAY
BLK 1 LOT SIZE 50.000 X
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 responisibility for all work
done by either myself, my agent, servants or employes.
Date i' - G - 5V Job Address nC ? /V- £ 9 / 5%• 1/5/ 2AeS.Tax Folio
Legal Description 040 / h' (234 / �/l�eirc/ie/ 7e0 ,4f o fgg 0ef c'`
Owner / Lessee / Tenant / -•cT /N Reei/e etAre Master Permit 7 76
Owner's Address � ��l/• ? I cT-
Contracting Co. RP1 A Address � 4i "Ze/ Ve /4- c4
Qualifier -/eSe g 4 : 0 7 ` 1 Z 0 . /6'?„
State yeezo3SYS Municipal #
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUUILDING ELECTRICAL PLUMBING ROOFING __ P/ AVING PENCE SIGN
,
WORK DESCRIPTION epi9ce c: 2 la? ,4/ f q/77, 7"S
7 .05 (rs A2 • 2 3 i u,3 87? � / L DOA/CI -((�/I 42 EE 2 .
dgc
Square Ft. Estimated Cost(value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO 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).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify
that all the foregoing information is accurate and that all work will
e in compliance laws regulating construction and zoning. Furthermore, I
ze the abov arced c• actorto d« the work sta
No ry gx tt i ; c President
** *
*
FEES: PERMIT 0, RADON C.C.F. ° o NOTARY
APPROVED:
Zoning
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
SS# Phone 6 7'7 0 .333
Building
g natur o Contr
ate:
Notary as to C
My Commission
Fire
'` 7 t�\�"
Mechanical � Plumbing
Phone 5,5d 5 (
Competency # Ins.Co.
er- Builder
zi FA grolibutkaar
Tai BARBARA ANN FUGAZZI
! COMMISSION NUMBER
"^ a CC360191
�j R . MY CO EXP.
* * * * * F OF F\ MAR. 29 *
TOTAL DUE 11 l
Other
Electrical
Engineering
•
4
STATE OF rLor TD!1, COU'!T' 0 = ') DA(��E
C 'i; ..v.
x
��.
Signature of Own r �.
Print Owneri Name � j\f PA
Sworn to and subscribed before me this
11A9
1 AX/
7
day of (I/ / ,19 Y.
NOTICE OF COMMENCEMENT
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE: 94R329244 1994 JUL 08 12:45
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.,
1. Legal description of property and street address: 2 ! 9/ s7 1)7 re ^S
2. Description of improvement: /7/ 7`C? 4 0 -" Ge) � eD ''� G�/ /D ✓I °/.
3. Owner(s) name and ddress: 70 Yn ( T i
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's me and address: /2,9/ Ai ALA-) ) 2 eek° n /C u/ /
/UPS n o7�' e 41/#9)72/ / , }9 3 3 / 37
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address:
i
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owner designates the following person(s) 10 receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different d e is specified)
Print tWotary's N fry• :: � VS P ' , / -
EOxD1FD THRU AGE-NT'S NOIA.iY B r :-'
My Commiss Expires:
Prepared by: 4t../k y,c >94,
Address: r9fo c= - /r) sT
ce
12301 -52 2/93