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MC-04-209Mechanical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: MC2004 -209 Printed: 12/13 /2004 Applicant: MICHAEL STOCK Owner: JOB ADDRESS: 268 NE 102 ST Contractor AFFORDABLE AIR & HEAT Local Phone: 305 -940 -0777 Parcel # 1132060134720 Signed: Contractor's Address: 515 N. E. 190 St. Page 1 of 1 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 3 & 4 BLK 35 LOT Fees: Description Amount FEE2004 -12497 Building Fee $175.00 FEE2004 -12498 CCF $3.00 FEE2004 -12499 Training and Education Fee $1.00 FEE2004 -12500 Technology Fee $4.38 FEE2004 -12501 Submittal Fee ($50.00) Total Fees: $133.38 Total Fees: $133.38 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 6/5/2005 Construction Value: $5,000.00 Work: REPLACE AN 3 TON AND A 2 1/2 TON SPLIT SYSTEAM W/ 8 KW HEAT (INSPECTOR) JAN 11 PAID 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. Signed: (Contractor or Builder) BY: Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12/13 /2004 Applicant: MICHAEL Owner: JOB ADDRESS: 268 NE 102 Contractor AFFORDABLE AIR & HEAT Local Phone: 305 - 940 -0777 Parcel # 1132060134720 Mechanical Permit Permit Number: MC2004 -209 STOCK ST Contractor's Address: 515 N. E. 190 St. Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 3 & 4 Fees: FEE2004 -12497 FEE2004 -12498 FEE2004 -12499 FEE2004 -12500 FEE2004 -12501 Description Building Fee CCF Training and Education Fee Technology Fee Submittal Fee Total Fees: Amount $175.00 $3.00 $1.00 $4.38 ($50.00) $133.38 Total Fees: $133.38 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 6/5/2005 Construction Value: $5,000.00 Work: REPLACE AN 3 TON AND A 2 1/2 TON SPLIT SYSTEAM W/ 8 KW HEAT Page 1 of 1 JAN 11 PAID Signed: (INSPECTOR) In consideration of the issuance to me of this permit, 1 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. Signed: (Contractor or Builder) BY: BLK 35 LOT ECFJVED DEC 0 7 2O! PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder)M1,0 ►, 1 Phone #O &7• r7 - 521 0 Owner's Address 2(o6 ■1e \OZ City fiNglutPn 91(10 (e3State Tenant/Lessee Name Job Address (where the work is being done) City Miami Shores Village Is Building Historically Designated YES NO )C Contractor's Company Name ��,_,�►, �� ' t�l f,� Contractor's Address 5 ** lctn � ^ City nfk, t. State Qualifie Stake C e r t i fi c a t e or Registration No. oak-604g L [ 1 le Architect/Engineer's Name (if applicable) .r Phone # $ Value of Work For this Permit wr Type of Wprk: DAdciitioi Describe Work: Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ratioir t, v■31 County Miami -Dade Also { Permit No.1 1 V4 -- l Master Permit No. zip Phone # STh Phone # c.-c - e757 - 5Z1 Zip Certificate of Competency No. Square Footage Of Work: • :New ❑ ,Repair/Replace y DI Demolition Submittal F,e�ep$.J � Permit Fee $ Notary $ e Training/Education Fee $ / Technology Fee $ 3r. Scanning $ Radon $ Zoning .. Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address / f City State Zip Mortgage Lender 's (if applicable) Mortgage Lender's Address State City 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. Owner or Agent The foregoing instrument was acknowledged before me this day of te, Nat by 'tilt e.Ake. 1 S}OG1C. who is orally 1n to me or who has produced As identification and who did take an oath. NOT Sign: Print: My Commission E „> r'� ► D1 r * * * * * * * * * * * * * * * * * * *** * * * ** * � Fl M �8�¢ * * * **r ** * * ** ** ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 Signature ontractor The foregoing instrument was acknowledged before me this day of , 2ICA by .0mrti who NOTARY P Sign: Print: My °Commission ru : ►' SS E1N Y 'a' * * a * * * * * * * * * ** ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ) Plans Examiner Engineer Zoning * to. me or who has produced as identification and who did take an oath. ,�na' f� l�gl; f0D j * * * *t * * ** * * * * * * * * * * ** * .a isN�i�4 � * * * ** %3-4, sieroal 01/04/2005 13:35 3056548152 AFFORDABLE NOTICE OF COMMENCEMENT A RECORDED COPY MUST DE POSTED ON THE .10B SITE AT TIME OF FIRST INSPECTION PERMIT NO.__ TAX FOLIO NO.//..'� -, l ,,. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 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: / 5 3 4'/ t 6 3 y I r 2. DescriptIo:z of improvement: Nstrel C e ai g I 3.Owner(s) name and. address: _ ' d . f o t. J e ,e J� 80(‘) i ft-,7 i..& rJ . E. 1 . t'Yl t �� 11^ y Interest in property Name and ac dross of fee simple titleholder: 4 Contractor's name and address: 19 F 6. Lender's name and address: , ' ► r �F.� , �,_. _ .- 5. Surety: (Payment bond required by own fro cERTI;-Y Lhi- ° di (E f Name and address: at i omE,ss my hand ar Rt\ /Eb 3y • Amount of bond $ we 7. Persons within the state of Florida designated by Owner upon whom not/ provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the iaenor'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 yea from the date of recording unless a dlfferent •, a la S • = cif/ � 1§natu N. ',mar Print Owner's Name Sworn to and stub Notary Public_ Print Notary's Na My commissior 123.01 -$2 PAGE 4 8702 reina '111111111,0"F el Vargas Commission#DD231984 Expires: Jul 13,2007 , .^ Bonded Thru Atlantic Bonding Co., Inc C FN 2005R0C)7 4080 OR Bk 22989 Ps 4689; (1as) RECORDED 01/11/2005 12:26:27 HARVEY RUVIU, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE i3 and County Caws IDI1IIfINUIt{UIIIIIIHUIUt1111 ther documents may be served as Prepared b4 cii' t\ C ) - F F. ddress: , k I A