MECHANICALMIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Re
Date
Type Insp'n
Permit No. rf\ c
Name
Address
Company
Phnne #
Inspection Date
Approved
Correction
Re -Insp' n Fee
MIA-- V _ . •
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date%I
Type Insp'n '' Fi n Q \
Permit No. 1' 0. 04-.40
Name t
Address I a- 3 i3 F. 4 U�
Company +GC., iC CC)— t
f
Phone #
Inspection Date I t I P E
Approved
Correction
Re- Insp'n Fee
El
MIAMI %TORS VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
I _
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Permit No. t"
Name S RV f
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Address i C. '
Company '/ kC vC C1 C Cc '
Phone #
Inspection Date ti I
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Re- Insp'n Fee El
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MIAMI SHORES VILLAGE
BUILDING ]DEPARTMENT
305 -795 -2204
Building Inspection Request
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MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Buildi g In ection Request
Date /7 d3 o'P
Type Irisp'n /
Permit No. / O9
Name
Address /a / 3 / 7 f
Company
Phone #
Inspection Date
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BUILDING
PERMIT APPLICATIO
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address /- J' a.-'
City 7. : '7 State
Ci '��' <,�'�' S z
'
Tenant/Lessee Name
Total Fee Now Due $
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES NO
$ Value of Work For this Permit
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
AUG 3 o 204
,Electrical
Type of Work: iZIAddition ❑Alteration E3 New
Describe Work:
05) 756.8972
1
Plumbing
County Miami -Dade
Architect/Engineer's Name (if applicable) Phone #
Submittal Fee $ Permit Fee $ (f) Cpuej' CCF $
Notary $ Training/Education Fee $
Scanning $ Radon $ Zoning_
Code Enforcement $ Structural Plan Review. $
Permit No. /7.4= O 9(
Master Permit No. / �Jj - O — '4S
Phone #
echanical ) Roofing
Zip
Contractor's Company Name PUI -0-7 Phone #( c�� > 57 --- 1j
Contractor Address /72 y ‘i.„) �i 7 5 / - ,- <� z� ,/ //
City / --7 1 ' x' X/ Slate /---'C- Zip 33 '-)/ 2
Qualifier / ! / mss', _
State Certificate or Registration No. Certificate of Competency No.
Square Footage Of Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
❑ Repair/Replace ❑ Demolition
Technology Fee $
Bond $
CO /CC
Bonding Company's Name (if applicable) s►?
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 Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 , by , day of , 20 , by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
My Commission Expires: My Commission Expires:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 05/13/03
( ( 1
cer Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 4/5/2004
Applicant: URQUIA
Owner: HERNANDEZ
JOB ADDRESS: 1213 NE 94
Contractor MAGIC COOL AIR CONDITIONING
Local Phone: 305 - 556 -9620
Parcel # 1132050100020
Fees:
FEE2004 -3511
FEE2004 -3513
FEE2004 -3514
FGG ')nnn -3515
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Total Fees:
Permit Number: MC2004 -40
HERNANDEZ
URQUIA
ST
Contractor's Address: 9821 NW 80 AVE
Amount
$175.00
$3.60
$1.20
$4.38
$184.18
Permit Status: APPROVED Permit Expiration: 9/20/2004 Construction Value:
Work: MEC WORK FOR ADDITION
Signed:
Signed: (Contractor or Builder)
Mechanical Permit
Page 1 of 1
Legal Description: MIAMI SHORES BAY VIEW PB 40 -16 LOTS 2 & 3 LOT SIZE 150.00 X 125.00 OR
(INSPECTOR)
BY:
Total Fees: $y$a4.i g )
Total Receipts: $0:00
1 le
ppR07
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.
BUILDING
PERMIT APPLICATION
FBC 2001
Owner's Address
City tk(' S //D2e5 State F(02(d4
Tenant/Lessee Name
$ Value of Work For this Permit ,x.5 00
Miami Shores Village
Building D epartment
10050 N.E.2nd Avenue, Miami. Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Master Permit No. 5P 3
A .
Permit Type (circle): Building Electrical Plumbing ( Meclianical Roofing
Owner's Name (Fee Simple Titleholder) 026%1 get2A/41/be Phone # 305 6066,
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ 1,
(Continued on opposite side)
Zip 33, 3
Phone #
Job Address (where the work is being done) (2.1 3 /v 9 e/ 77/ 5T2EEr
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO_)..
Contractor's Company Name X 106/6 �I2�, A/iQ C.E/ru,�/T -P.04( Phone # <, ) 5 Sfr 9( 0
Contractor's Address �J D f A/I W, MAW. /.jL
gy
City �!a/Y2/ State ; Zip 33e/6
Qualifier Reim/do C„ Wytei�Q
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
2 (11;
Permit No. t- (C260u- ( -1()
33/38
Type of Work: ❑ Addition _ �t ['Alteration (=New /f E] Repair/Replace El Demolition
Describe Work: . riS7 W,b1;oa1 cT ?t/ Nt 7hee LT A TG� modty N( apzelz/
k B / - / e - � f J - t - ( $F and 2 t f c t kb k.5. A / - 2 r 1 . 7 ; / / he e 1
,'2 7,ie rrne ; ee 6.1 eK i7 'c old it rrt' da u e J .
C \C .8()
Submittal Fee $ bO Permit Fee $ 7s --- CCF $ 3,6 4 CO /CC
Notary $ Training/Education Fee $ 1 C) Technology Fee $ ) 3 W
Scanning $ Radon $ Zoning_ Bond $
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:
promise in good
whose proper
for the fir inspe
inspect' .n will no
tha
bject t
tion w',
0
trument
2$
attire
tknowledged before me this The foregoing instrument was acknowledged before me this
_, by , day of , 20 _, by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and w)o:lid take an oath.
The foregoing
day of
NOTARY P
Sign:
Print:
My Commission Expires:
State Certificate or Registration No. w Certificate of Competency No.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 12/15/03
As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
copy of the notice of commencement and construction lien law brochure will be delivered to the person
,ttachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
h occurs seven (7) days after the building permit is issued. In the abse e i c posted notice, the
ed mnd a reinspection fee will be charged.
ent
4r
Contrac or
NOTARY PUBLIC:
Sign:
Print: 7QU57%/V 46(..f;
My Commission Expires: ' k en / Expires March 25, 2007
"ON Faustino Lopez
F '
* * * * * * * * * * * * * * ** *fit *S}h04.** ******** 9r***** rt****** *9tl tak***ic9e *** ***** *** ***9r**** ******
(Certifigat'e of ompetency Holder)
lam: `"e Plans Examiner
Engineer
Zoning
793