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262 NE 98 StMIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat 2/© Time Type Insp'n !i Permit No. Al 1 F Name Address T )1 . 4, . Company ,Q 1A41 Phone # 9 T3W-C - For Inspector: C ' 1 �`J. dame & Date Approved ❑ Correction �` � Z Z •o 3 Re- Insp'n Fee ❑ 4 cc,=:-cf- PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / —/ C Job Address 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 305- 756 -8972 j ®� p e �� / � Tax Folio /1 '— 3z ��v - �/ ' 7 Legal Description Z�7 4 /' ' /l 614 e? 7 Historically Designated: Yes No Gv Owner /Lessee/Tenet /I U/ / Z L =7u /0 6 l Master Permit # Owner's Address Bi Lf U /Vi- /l✓ O f / Phone 3 D $ 7s7 /ti Contracting Co. /4 J i / 942,- S 4 ddress - 7 7 O 1 v:" / : tag P "`/— Qualifier 4 N /,_.e �� 2.e >_ d SS# 6 / 7 — JO '-9 770ohone 3O.S ci U i2 State # g 0 7 ? 2- Municipal # Competency # Ins. Co. / '> IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: AV/A. Square Ft. My Commission Expires Signature of owner and/or Condo President Date FEES: PERMIT 60 APPROVED: Zoning Building Mechanical Plumbing Estimated Cost (value) 964' 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 ANY 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 all disciplines. OWNERS AFFIDAVIT: 1 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. Furthermore, 1 authorize the above named contractor to do the work stated. Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner Builder Date My Commission Expires C.C.F a. ( lJ NOTARY � �� 2� Sign / - /,� -e _r u of Contractor r O ner Builder Date 5 ° 00 BOND 3 TOTAL DUE ( Jul z Electrical Structural Engineer SYSTEM MUST DE CONSTRUCTED IN ACCORDANCE MITE SPECIFICATIONS AND STANDARDS OF SECTION 381 -0065, F.S., AND CHAPTER 64E -6, B.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SAFTISFA.CTOR.Y PERFORMANCE FOR ANY SPECIFIC PER/OD OF TIME ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OP THIS PERMIT, REQUIRE TEE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OP THIS PENEIT DOES NOT EXEMPT TEE APPLICANT FROM COMPLIANCE KITE OTHER FEDERAL, STATE, OR LOCAL PETTING REQUIRED FOR DEVELOPMENT OF TRIS PROPERTY. SYSTEM DESION AND SPECIFICATXON9 T 1)0:01 GALLONS / GPD SEPTIC 'P2 RK /AEROBIC UNIT CAPACITY M LTI -OHAMB /IN- SERIES C ] A t ] GALLONS / GPD CAPACITY MULTI - CHAMBERED /IN -SE HIES t N [ ] GALLONS GREASE INTERCEPTOR CAPACITY DULEM UM CAPACITY SINGLE TANK: 1250 GALLONS] X [ r' ] GALLONS DOSING TANK CAPACITY [ 1CALLONS ! [ ] DOSES PER 24 ERB # PUMPS [ ] D I T // 0 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM �$ [ ] SQUARE FEES.' SYSTEM A TYPE BYST [ sTA19ARD 1 1. FILLED [ ] MO'QND [ ] I CONFIGURATION: [V] TRENCH [ ] RED t ] P7 • LOCATION OF E BK l 2 , _ : 3 /3 • CZ • v. l� - /e �. I ELEVATION OF PROPOSED STEMS SITE [34,44 [n1CSE /aT] [ABOVE /BELOW ,. E BOTTOM OF DRAIEFTELD TO BE 147442 t..INCE[SS /FT] [AEO E j B /p P OINT L 0 T E R • ' STATE 4 DEPARTAENT OF HEALTH ONSITE SEWAGE. TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PXMNIT POE' (9/ New System 0 fisting System L ] Repair [ t' ] Abandonment APPLICANT: &!/ '0 14 0 Y t - G 1 1 Q S PROPERTY ADDRESS: +6 0 A a C - I JO' S l ci )' es LOT: 9 t 1 U r 1! .BLOCK:. SUBDIVISION e �,•, 6{ u o f 'j .D cif r ° V r PROPERTY XD ! l - Z 0 a - t 3 ' ISECTION, Tom/8RIP, RANGE, PARCEL ] D FILL REQUIRED: Pc) e t• 10 3 s paci'mq • SPECIFICATIONS BY APPROVED BY: DATE ISSUED: Aiu ] NxcRs l 21 0 2. 30 39dd ONINNVIDIld3Sd3df1Sd [ r)1 Bolding Tank [ / ] 'Innovative [ Temporary I IOR TAX ID NUMBER] sx < o REQDIRB k, t 3 1 .. 1... 1&:. OF SI1' i:`-' Y LII rrED SOIL j 0 • J . !`:!.i;i7ie'. a i3 •, - s• ,, f t;ill'' ., ..- ABSO YlION1 (ARD DE 4016, 12/99 (Page 1) (Pr+eviatw Editions y Be seed) ^� ,t 1 38 B$ACragARRJERFE&ENCS PO Lit lXPIk 'I09if: ; DATE PERM Ro. 0 Z f� - � E7 Z DATE PAID : 1 2 — / 1- 0 FIN PAID: ' � S - . ! RECEIPT 40= ice{ ! 3 - a () ,1'2 41.r, r :6 4'.}{. P 4 ; t , Page 1 et .3 Part 1 - Health Department Pert 2 - AppliCant . Part 3. - IfiStalletiContractOr Mart 4 Eldidirid taeaarnnent 617601796S06 TS :OZ 0103/9T/10 Li-op 16» 1k `rte 33 [7 2(+7 3 vi vc•,i,c. Vlti,scn 4 1 sKt- ourm }-ekek'n, pct.tvai re/t.m1+ FL , Qd3 -1Q Avuttru) ()cu.-14 CONTRACTOR f ,,` Name /l I' Mate l /� ,0 n ( - r 01 l �.L,o /t License No. Address s1 OI Lo►°,bi t i .. r • 1 io?' 1uPS f e R_ '33aaCo Telephone _3ct-5 -aa i Fax 034.385_g 0 2q Qualifier NameO i u ,A ke r na nd e z_ PROPERTY OWNER Name _ . ' y,/'` Address ' Home Telephone : 'Business Telephone Fa x TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other Step 1. Folio Number Lot Block Subdivision PB PG T.eSlck9 Proposed Use of Property e.es (CiP t Current. Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other • • • • • • • • • ••• • • • • • • • • • • • • ••••••• ••.• • •• • • • .•. ••• INSTRUCTJNS - The folloasing steps niust be taken to obtain a permit from the Miami Shores Village: • •• • • '• •• ••• •• Complete the attached permit application•w: ;ra b: siinCd p roperty owner and qualifier. Both signatures must be notarized. Plcase print or type to allow for a more accurate brooes$in: of ytt1 pclication..If roofing work will be done, a roofing application must be submit- ted along with this permit application. • • • • • • • • • • • • Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. PPLICIATIO�1 Job Address: 2492. ) /44 ©I '2 1 l I N�t 5446(1,0 R. 3 3 c3 Address PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax addit / 3 • S.lt�sidiary Permit No. , (9 " • • • • • • • Madan Permit n • • d 1V • • PERMIT APPLICATION Apt. City �� State Zip Description of Work Jn t'� i' Zoning Linear Feet Square Feet Units Floors Value of Work 55 Bk'g Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Page 2 DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVES/01'8W( VAL,4134TFdl QERMgI AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN1j,CL$AIit NB AT AND SAN£IAR+t.CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT J'REE f t(1v1 t)IIiF A N)S DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED lY EQU1 ME1 (1 'E12ICLEI, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 0 • 000 0 0 0 0 0 • • 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. 1 NI P0 RTA NT NOTICES 1. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDi COUNTY OF MIAMI -DADE Signature of Owner SEAL: Signature of Notary Public - State of Florida • 0 • • • • • 0 0 000 0 • • 0 0 0 0 0 0 0 0 0 ° ° ° 0 ° 000 PERMIT APPLICATION /• F FLORID ita ature of Contractor / Qualifier COUNTY OF MIAMI -DADE Orlando 14exncinc ez Print Name Print Name 1 Sworn to and subscribed before me this day of Sworn to and subscribed before me this . 6 5 day of Ianuai. , • I, / Signature of Notary Public - Stalk of Fl • � MMISSVON >< DD 020 1 SEAL: EXPIRES: June*, 2005 Bonded Thru Budget Notary Serv'xes Personally known OR, Produced Identification Personally known !/ OR, Produced Identification J Type of Identification Produced: Type of Identification Produced: SECTION BY DATE Zoning Electrical Mechanical >1 4 , J. Z /. O Plumbing Fire Public Works Structural Building Official Page 4 OFFICE USE ONLY ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Inspector State Educational Fund $ State DCA (Radon) $ Code Enforcement Fine Zoning Review Notary ..• • • ❑ IMPACT FEE (New Construction) $ $ Metropolitan Dade County (C.C.F.) $ . L 0 $ • • • ••• • • • • • • • • • •.• • • • • • • • • • •••• •••..•• • • •. • • ❑ OTHER (Specify & Attach) (sq.ft. = x/1000 (¢.005 / sq.ft.) (¢.01 /sq.ft.) .• • • • • • • •• PERMIT APPLICATION CHECKLIST • • ••• ••• ❑ PROOF OF OWNERSHIP (Attach) (Attach) • ❑ HRS / DEW AP);R At : : ::3 BPR APPROVAL (Restaurants) (Septic / AVM • • • • ❑ CONDO ASSOCIATION APPROVAL ❑ CONTRACTOR REGISTRATION (On File) 'PERMIT FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL 0 (305) 795 -2207. FAX (305) 756 -8972 0 http : / /www.miamishoresvillage.com ELECTRICAL Tyr!: QTY ' I ' PE QTY. '''YPl, Q T Y . 'rvi'I: QTY. Minimum Fee TYPE Refrigeration, Tons Dryer 00 0 0 • Fan • • •(Il1t1et= Appliance Outlet, Wall Cooling Tower Service Repair Service, Temporary Heating Strips, each A/C Central 1 -3 Ton A/C Central 4 -7 Ton A/C Wall/Win. Tons Fire Pump Dryer Vents, Number of Outlet, Switch Paint Booth Signs Ventilation, Cost A/C Central 8 -15 Ton Ductwork, Cost of Fixture - Fluorescent Piping, Flammable Liquid Oven Periodic Inspections Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Bath Fan - Vented, # Spas/Hot Tubs Fireplaces, Number of A/C Central 20+ Ton Pressure Vessel Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Roof Inlet Demolition Low -volt, Intercom/Teleph. Repair Circuits Septic Connection Dishwasher Low -volt, Television Service, Number of Amps Septic Tank MECHANICAL 'I'YpE; Minimum Fee QTY. , ..:l:A'PE Condensate Drain QTY'. TYP :. Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each 'W ent Hood, Cost A/C Wall/Win. Tons 3 Dryer Vents, Number of Filter Replace Paint Booth Pool Piping Ventilation, Cost Air Handler, Tons Ductwork, Cost of Cap - Fixture Piping, Flammable Liquid Fountain Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Gas - Appliance Bath Fan - Vented, # Pump, Domestic Fireplaces, Number of Supply, AC Well Pressure Vessel Cap - Sewer PLUMBING TYPE A/C Condensate Q'I'Y. TY'I'E Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE: Soakage Pit Q'EY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 • ••• • C O 0 0 • • 0 • O 0 0 0 0 0 O 0 000 0 0 0 0 0 O 0 O 000 PERMIT APPLICATION • 0 0 • • •• o 0 0 • • • v i INSTRUCTIONS: Please indicate the typgvf wok bei perfotmed; and quantity(ies) in the space provided below. 0 000 RECEIVED AND REVIEWED BY: DATE: Miami Shores Village 10050 NE 2e4 Avenue Phone: 305 - 795 -2204 Printed: 1/21/2003 Applicant: VICTOR Owner: LEONI ®7p�p JOB ADDRE$S: 262 NE 98 Contractor CLIMA CONTROL Local Phone: 786 -412 -9099 Parcel It 1132060134170 Total Fees: MOO ? � Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 7/20/2003 Construction Value: $8,500.00 Work: INSTALLATION OF HVAC if there is no permit package accessible on the job -site for Inspectors to verify, there will be no inspections. Re- inspection fee Is $50.00, which must be paid In advance before calling for another Inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work Is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this pem'it Is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: V. Z/• ° (INSPECTOR) In consideration of the I « uan •= to me of this pe it, 1 agree to perform the with the plans, drawings, to is or specifications submitted to the proper myself, my. ag . . rvan ore !oyes. Signed: 7,4 . Contractors Address: PO BOX 170210 Mechanical Permit Permit Number: ME2003m5 Legal Description: MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 5 & E1/2 OF 8 BLK 31 LOT SIZE LEONI VICTOR ST Page 1 of 1 BY: red hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity of Miami Shores Village. in accepting this permit 1 assume responisibility for all work done by either Y y gill 112703 ..'(O MC801 04501 C i its' ��° Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Printed: 1/21 /2003 Applicant: VICTOR Owner: LEONI JOB ADDR,SS: 262 NE 98 Contractor eL4MA CONTROL Local Phone: 786 -412 -9099 Parcel # 1132060134170 Signed: (INSPECTOR) In consideration of the i uance to me of this pe it, I agree to perform the with the plans, drawings, $ate is or specificati• s submitted to the proper myself, my, ag - rvan or e loyes. Signed: Mechanical Permit Permit Number: ME2003 -5 LEONI VICTOR ST Contractor's Address: PO BOX 170210 Permit Status: Approved Permit Expiration: 7/20/2003 Construction Value: $8,500.00 Work: INSTALLATION OF HVAC Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 5 & E1/2 OF 6 BLK 31 LOT SIZE Total Fees: $fly is Total Receipts: $0.00 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. .rk r� uthori (Contractor Builde DV. BY: red hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either kIrtoril Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/22/2005 Applicant: VICTOR LEON! Owner: ALLISON JAY JOB ADDRESS: 262 NE 98 ST Contractor CLIMATE CONTROL, INC. Local Phone: 954- 385 -2291 Parcel # 1132060134170 Mechanical Permit Permit Number, 1IIIE2003 =5 Contractor's Address: P.O. BOX 266911 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 5 & E1/2 OF 6 BLK 31 LOT SIZE Fees: Description Amount FEE2003 -499 Building Fee $95.00 FEE2005 -12691 Renewal/Extension Fee Total Fees: $95.00 Total Fees: $95.00 Total Receipts: $95.00 Permit Status: CLOSED Permit Expiration: Work: INSTALLATION OF HVAC A6640 Construction Value: $8,500.00 Page 1 of 1 Signed: (INSPECTOR) 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 lAissune responisibility for all work done by either myself, my agent, servants or employes. - Signed: (Contractor or Builder) BY: