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MC-08-1636BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Miami Shores Village Building Department 1005,1•N.E.2nd Avenue, Miami Shores, .Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CEBVED 2008 Owner's Name (Fee Simple Titleholder) ,4/44)/ V' . Phone # Owner's Address _z/e/ /� 1 27 0 City State Zip Tenant/Lessee Name E- MAIL: Contractor's Company Name. Value of Work For this Permit $ Type of Work: ['Addition Describe Work: Submittal Fee $ er Permit Fee $ Notary $ . OD Training /Education Fee $ Q4 Scanning $3. Radon $ DPBR $ Bond $ Structural Review. $ /30,0e f' / 0 6 Job Address (where the work is being done) City . Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # /l , —Z /36 — 66B ®... ©® Is Building Historically Designated YES NO X S o`,' e //.- ,0ki� /° Phone # Contractor's Address 566 / W 70 AtK Vt.' City (bit. /e4.j State /2..- Zip c j ®/z Qualifier Name ,4./J/ &D /)r✓'4 /' Phone # .(®S) 52c zigg State Certificate or Registration No. C4 G p S 90 Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicablg) 060 Pi # 1 0 ['Alteration [New ***** xiexxxxxx**wwxxxotxtr***x3rxxxx xaYx e6 ,wxx xxxx****xoYxa'exxx*Ic ******xaFxa'cxxxxxxxx A 2 4 MIAMI SHORES VILLAGE CCF$ Double Fee $ Permit No. v ft2) aster Permit Ni Phone # Square / Linear Footage Of Work: Total Fee Now Due $ Repair /Replace ❑ Demolition Technology Fee $ CO /C C 3.16 Zoning $ In . See 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. l 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. .1 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: l 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 ^ti �- - - - % mi ed value promise in good faith that a copy of the notice of con2mencement and cor{at with an estimated exceeding $2500, the applicant must $2500, the e erson whose property is subject to attachment. Also, a certified copy of the recgCo coon lien law brochure will be delivered to the person app icant must for the first inspection which occurs seven (7) days after the building decor value exceeding ded notice . •mmen g permit is 'sued. In the abse; must be posted at the job site inspection will not be approv' • = • a reinspection fee will be charged rf posted notice, the A I g in o is personally k own t PUBLIC: e e ,i Signature The fo day o w NOT Sign: goi Print: My Commission Expires: *** * * * * * ** * * * * *** ** * *xx* (Revised 02/08/06) ner or Agent trument w ac nowledged 2at/O,by L APPLICATION APPROVED BY: fo me or who has produced ntification and who did take an oath. S Sign: > ignature Contractor Thlhe foregoing instrument was acknowled ed before me this rla v of te 5 y ,2o41 b sonally known to me or who has produced as identification and who did take an oath. NOTARY PUB t A? ; ?�s� BARBARA EsTE91EZ MY COMMISS m I DD 426821 EXP : May B .,009 6d� OQ 0.nnA:.P. ., u.. SBNices Print: My C. ission Expires: xxr w ww * * ** * * * * * * *** * * * * ** ** * * * Plans Examiner Engineer Zoning Project Address 138 NW 106 Street 1121360080040 Miami Shores, FL 33150- Block: Lot: Owner InformatiQr! Address Phone CeII YVEL ARMAND Contractor(s) US MECHANICAL SERVICE INC Phone (305)525 -2618 CeII Phone Tons: Additional Info: Classification: Residential Approved: In Review Comments: Date Denied: Date Approved: : In Review Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Building Department Copy Wednesday, September 17, 2008 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores , FL 33138 -0000 Phone: (305)795 -2204 Amount $1.80 $0.60 $5.00 $140.00 $3.00 $3.50 $153.90 Total s SEP 2 4 Mt U,2-115 MIAMI SHORES V L: AGE Stat Expiration: 02102120€ 9 Parcel Number 214 N JUNGLE Road (407)427 -1657 GENEVA FL 32732 $ 0.00 Payment Type : P Authorized Signature : Owner / Applicant / Contractor / Agent Amt Paid I Amt Due $ 0.00 $ 0.00 Applicant Valuation: Total Sq Feet: YVEL ARMAND September 17, 2008 Date $ 3,000.00 Available Inspections: 0 Inspection Type : Rough Duct Rough Smoke Test Smoke DetTest Final Hood Ventilation 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 . 1 ue:id. PM Kimley -Horn & Associat September 10, 2008 To 4 ,z,iju WAr Ref: New installation 138 N.W. 706 Miami Shore U.S. MECHANICAL 5661 WEST 10 AVE MIAMI, FL 33012 Lk CACO56290 Goodman 3 ton 13 seer Installation and supply , electricrty not included One year of labor and 10 years of parts included an the quote. Total Contracted: Draw # 1 Rough in Draw* 2 Final: $ 2,800.00 $ 1,800.00 $ 1,000.00 We appreciated you giving us a change to bid on this job sincerely. • Respectfully. Raul Gonzalez t 990126SS0E 990126SSOE OW ON ERMIT PROCESS #: 1t Og -16Z6 JBMITTAL DATE: t,ttIOt LERK: 1i nktCA OTE: Rc .08 PERMIT MIA 1 TSHORES VILLAGE BLDG EPT 10050 NE 2" AVE - MIAMI SHORES, FL 33138 PHONE (305) 795.2204; FAX (305) 755-8972 WW W.MIAMISHORESVILLAGE.COM MUST BRING BACK THIS TICKET TO PICK UP YOUR RTirs80 80 It daS esT :oT 80 ST deS