MC-09-710_PER:MC/ APPLICATICO NT
FBC 20
Tenant/Lessee Name
Arehiteet/Engineer's Name (if applicable)
Value of Work For this remit $ t/�0 0 41:
titiy!ve a Work: Addition
12 e-staoi-dE_
iktiarril Shores
() .
• k
Lir;Jf.,)
- Notary $ ---- Training/Education Fee $
Scanning $ 1.3* Radon $
Bond $ Code Enforcement $
Structural Review. $
RECEIVED
AP 2 9 2009
..
Permit Type: MECHANICAL
Owner's Name (Fee Simple Titleholder) 4 C /5 CO tit rv Phone #
• Owner's Address 124 Ilire 6 6 re-
City C 410,7 -7 ,1 " gvi ("IC_ State Tc_ Zip '3313 4 6,
Email
Job Address (where the work is being done) I Z 6 ci
City Miami Shores Village . County Miami:Dade Zip -.3t3e
FOLIO / PARCEL # JI — 70 — Ot• 5 —3/3 a
Is Building Historically Designated YES NO
Contractor's Company Name Jos- - 4 r Phone #
Contractor's Address 3 S
City i v State Zip
Qualifier Name a se_ Phone #
State Certificate or Registration No. 6 5 .9- '1 (3 ) Certificate of Competency No.
Contact Phone ?fit 6. Li z3 66 Z b E-mail
DPBR
SquDire fiC,inear Foo
41 .
Submittal Fee $ er,) Permit Fee $
,A,
Pennii No. 09 " 11 °
aster Permit No. FC Cq:- 495
Phone # 567-240.509-9
Phone # 8O5 260 .
1•4Ec
T-E4
Flood Zone
?8 6 ZS( CO B
ge Of Work:
,Alteration ONew , 0 Repair/Replace 0 Demolition
i%/040.1 40/4-/J/VisorZ /4—tr4_414 "419C.1447,-(
****************1************
. •
CCF $ t C4/CC
Technology Fee $ __10 • •
Zoning $
Total Fee Now Due $ 7513 10-
See Reverse side •-*
41
Bent inn Company'. Flame (if app c-: ie
Bonding Company's Address
t'vloi'tgAige Lendc,'s f'•l;tlil� iff Ht11 - iii
Mortgage ISd'nder's Address
City Stag t' alp
Application is hereby made to obtain a permit to 4J ile -4' rk.- an.0 ^iMtallatie:ris 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, BOIL FRS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AF•'F'I)AVIT: 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
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 niust
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 ce ified copy of the recorded notice of commencement must be posted at the job site
.for the fir inspection which occurs sev'n (7) i' s •fter the building permit is issued. In the absence of such posted notice, the
not • :: proved and a r: "spec "vim - will be charged.
iddy
inspecti
y'
� r 'gent
instrument w owl
. Signature
Sign:
Print:
0
oin
The foregoin ' t�
g Bed b me th �� The foregoing instrument was acknowledged.before me this
day of >M , 20Q, by Fir, dirt S r o Hirt e Z , day of , 20 _, by
• who is personally. known to me or who has produced li J
(re donc As identification and who did take an oath.
NO'T'ARY In €isLUC:
.. o yc �` MARGEE CASSILE
y = Notary Public - State of Florida
My Comtsdon Expires Jan 30, 2012
�R Commission # DD 73335.1
My Commissioq
•
*******************5:***********
APPLICATION AP
Revised.07/1 0/07)
OVED
afPNIZI
Plans Examiner
Engineer
Signatur
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PU
Sign:
Print:
4
My Cow
qp
P
fl s
Contractor
A�MMISSION # DD 832441
p►RS: November 7, 2012
•�` Bonded Thin Budget Notary Sots
Zoning
dlerk checked
Scheduled Inspection Date: April 13, 2010
Inspector: Perez, JanPierre
Owner: HERNANDEZ, FRANCISCO
Job Address: 126 NE 93 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: JM ARCE SERVICE
Building Department Comments
April 12, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
b•1•oq .1j?
Inspection Number: INSP - 140437 Permit Number: MC -4 -09 -710
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (786)282 -9014
Parcel Number 1132060133130
Phone: 305 - 262 -3589
NEW NC DUCT AND NEW COMPRESSOR FOR ALL THE
RESIDENCE.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 17 of 17