MC-04-142Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/6/2004
Applicant: FREDERICO LLAMOSAS
Owner: LLAMOSAS FREDERICO
JOB ADDRESS: 243 NE 103 ST
Contractor ARCO TEMP A/C
Local Phone: 305 -253 -2726
Parcel # 1121360130410
Mechanical Permit
Permit Number: MC2004 -142
Contractor's Address: 8600 N. W. 64 ST. #1
Page 1 of 1
Legal Description: 36 53 41 31 52 42 MIAMI SHORES SEC 5 PB 10-47 LOT 17 & E1/2 OF LOT 16 BLK
Fees: Description Amount
FEE2004 -7965 Building Fee $100.00
FEE2004 -7966 CCF $1.20
FEE2004 -7967 Training and Education Fee $0.40
FEE2004 -7968 Technology Fee $2.50
Total Fees: $104.10
Total Fees: $1Q�.10
Total Recei • ts: $0.00
0
Permit Status: APPROVED Permit Expiration: 1/30/2005 Construction Value: $2,000.00
Work: REPLACE 4 TON SPLIT CENTRAL A/C
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 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: 8/6/2004
Applicant: FREDERICO LLAMOSAS
Owner: LLAMOSAS FREDERICO
JOB ADDRESS: 243 NE 103 ST
Contractor ARCO TEMP A/C
Local Phone: 305 - 253 -2726
Parcel # 1121360130410
Mechanical Permit
Permit Number: MC2004 -142
Contractor's Address: 8600 N. W. 64 ST. #1
Legal Description: 36 53 41 31 52 42 MIAMI SHORES SEC 5 PB 10-47 LOT 17 & E1/2 OF LOT 16 BLK
Fees: Description Amount
FEE2004 -7965 Building Fee $100.00
FEE2004 -7966 CCF $1.20
FEE2004 -7967 Training and Education Fee $0.40
FEE2004 -7968 Technology Fee $2.50
Total Fees: $104.10
Total Fees: $1
Total Receipts: $0.00
Sy ,)o
Permit Status: APPROVED Permit Expiration: 1/30/2005 Construction Value: $2,000.00
Work: REPLACE 4 TON SPLIT CENTRAL A/C
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 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: 8/6/2004
Applicant: FREDERICO LLAMOSAS
Owner: LLAMOSAS FREDERICO
JOB ADDRESS: 243 NE 103 ST
Contractor ARCO TEMP A/C
Local Phone: 305 - 253 -2726
Parcel # 1121360130410
Signed: (INSPECTOR)
Mechanical Permit
Permit Number: MC2004 -142
Contractor's Address: 8600 N. W. 64 ST. #1
Permit Status: APPROVED Permit Expiration: 1/30/2005 Construction Value: $2,000.00
Work: REPLACE 4 TON SPLIT CENTRAL A/C
Page 1 of 1
Legal Description: 36 53 41 31 52 42 MIAMI SHORES SEC 5 PB 10-47 LOT 17 & E1/2 OF LOT 16 BLK
Fees: Description Amount
FEE2004 -7965 Building Fee $100.00
FEE2004 -7966 CCF $1.20
FEE2004 -7967 Training and Education Fee $0.40
FEE2004 -7968 Technology Fee $2.50
Total Fees: $104.10
Total Fees. $p4.1
Total Receipts: $0.00
0
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:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 -785 -2204
Printed: 8/6 /2004
Applicant: FREDERICO LLAMOSAS
Owner: LLAMOSAS FREDERICO
JOB ADDRESS: 243 NE 103 ST
Contractor ARCO TEMP AIC
Local Phone: 305 - 253 -2726
Parcel # 1121360130410
Mechanical Permit
Permit Number: MC2004 -142
Contractor's Address: 8600 N. W. 64 ST. #1
Legal Description: 36 53 41 31 52 42 MIAMI SHORES SEC 5 PB 10 LOT 17 & E1/2 OF LOT 16 BLK
Fees: Description Amount
FEE2004 -7965 Building Fee $100.00
FEE2004 -7966 CCF $1.20
FEE2004 -7987 Training and Education Fee $0.40
FEE2004 -7968 Technology Fee $2.50
Total Fees: $104.10
Total Fees $p4
Total Receipts: $00
Permit Status: APPROVED Permit Expiration: 1/30/2005 Construction Value: $2,000.00
Work: REPLACE 4 TON SPLIT CENTRAL A/C
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 I assume responislbllity 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: 8/6/2004
Permit Number: MC2004 -142
Applicant: FREDERICO LLAMOSAS
Owner: LLAMOSAS FREDERICO
JOB ADDRESS: 243 NE 103 ST
Contractor ARCO TEMP A/C
Local Phone: 305 - 253 -2726
Parcel # 1121360130410
Signed: (INSPECTOR)
Mechanical Permit
Contractor's Address: 8600 N. W. 64 ST. #1
Permit Status: APPROVED Permit Expiration: 1/30/2005 Construction Value: $2,000.00
Work: REPLACE 4 TON SPLIT CENTRAL NC
Page 1 of 1
Legal Description: 36 53 41 31 52 42 MIAMI SHORES SEC 5 PB 10-47 LOT 17 & E1/2 OF LOT 16 BLK
Fees: Description Amount
FEE2004 - 7965 Building Fee $100.00
FEE2004 - 7966 CCF $1.20
FEE2004 -7967 Training and Education Fee $0.40
FEE2004 -7968 Technology Fee $2.50
Total Fees: $104.10
Total Fees: $104.10
Total Receipts: X0.00
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:
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ADDRESS
CONTRACTOR
DISPLAY THIS CARD ON FRONT OF JOB
MIAMI SHORES VILLAGE
BUILDING PERMIT
PERMIT # M C oql .. OWNER 4 � DS
PERMIT TYPE !fl eeh.
3 N. E. 103 St.
I t'CoTet.ip t}m I C,/.
DATEQ /6 /O
"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 ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
WORK MUST BE COMPLETED PRIOR TO REQUESTING INSPECTIONS
24 HOUR NOTICE FOR ALL INSPECTIONS
STRUCTURAL
Footing ,-
Slab
Tie Beam
Rake Beam
2nd FIB Columns
2nd Floor Tie Beam
Floor Sheeting
SS
Store Front
NO INSPECTION WILL BE MADE UNLESS PERMIT CARD IS DISPLAYED
AND APPROVED PLANS ARE READILY AVAILABLE
INSPECTION RECORD
Work is allowed
Monday through Saturday
7:p0 A.M. to 6:00 P.M.
No work is allowed on
Sundays or Holidays
DATE
PLUMBING
INSPE
Ground R
Top Out
Flo
3rd Pioo
Condensate
Drainfield
pre
Septic
Sewer
Water Sery
.'P Tank
Gas Roug
as Final
Irrigation
interceptor
Pressure Test
Fire Sprinkler
Pool Pipin
DATE
MECHANICAL
Equipment Anc
uum ' Pipe
ci Ppression T+
INSPECTION
ndgr NC Pipe
b condensate
dough Duct
Rough Pipe
Gust Fan
I�etecto
Ventilation
pr essure Test
FINAL
ELECTRICAL
Temporary Pole
Footer Ground
FOR INSPECTIONS CALL 305 - 795 -2204
INSPECTION REQUESTS ARE ACCEPTED DURING THE
HOURS OF 8:30 AM TO 3:30 PM FOR INSPECTIONS
THE FOLLOWING BUSINESS DAY.
CERTIFICATE OF OCCUPANCY MUST BE SECURED BEFORE THIS
BUILDING CAN BE USED FOR ANY PURPOSE
DO NOT REMOVE THIS CARD BEFORE COMPLETION
OFFICE PHONE NUMBER: 305 - 795 -2204
b x. ✓AYA wia. %f.�.'
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
L 0/C1) /4" Phone #
Owner's Address 4 , 3
Owner's Name (Fee Simple Titleholder)
City
Qualifier
City ieir9r
Tenant/Lessee Name
Contractor's Address
State
State Certificate or Registration No. (.5
$ Value of Work For this Permit 4 c Q00 `
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305 795.2204 Fax: (305) 756.8972
REcEP V ED
Electrical Plumbing
aster Permit No.
zip %33J3Z
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES NO
Contractor's Company Name prgeD -Temp
3000 M I) 6 57
A
State
County Miami -Dade
Phone #
Phone #
Permit No.1 C®t� � ' ( I'D"
Zip
Zip (6
Roofing
X 27�
Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration ['New . Repair/Replace ❑ Demolition
Describe Wok:
e rc-E Lim
a ir\ -
Submittal Fee $C • n V Permit Fee $
Total Fee Now Due $ , ) 0
(Continued on opposite side)
* * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
( I ll
Notary $ Training/Education Fee $
Scanning $ Radon $ Zoning
Code Enforcement $ Structural Plan Review. $
CCF$ 1, o � O CO /CC
Technology Fee $ . S 0
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 As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law u ill be delivered to the person
whose proper is subject to attachment. Also, a certified copy of the recorded notice of - ommencement ust be posted at the job site
for the fir ins ion h occurs seven (7) days after the building permit is issu d In the absen, e of h posted notice, the
inspection ll no e a ed and a i inspection fee will be charged.
Chc 05/13/03
My Commission Expires:
* * * * * * * * * * * * ** * * * ** ***
APPLICATION APPROVED BY:
SUSANNE HERNANDEZ
EXPIRES: MAY 30, 2005
Bonded byte State Insurance
The foregoing instrum u t was acknowledged before me this
day of 2d$ , by c_eckecluo
who is personally known to me or who has produced L522.-
a5.3 (PD.' 10 As identification and who did take an oath.
NOT ' Y PUBLIC:
Sign: � y ! tjka..Akt 1i(3
Print: Susanne_ V e r-
0
is personally known
W tor ontractor
Signature
*********** t**************************************** * * * ** * *** * * * * * * * * * * * * * * * * * * * ***
t was acknowledged before me tbis3 O`
20�;by cRO Cd 0 r1(1.�
• me or who has produced
as identification and who did take an oath.
The foregoing
day of A3
NOTARY P
Sign:
Print: SO ne...
*** * * * * * *** * ** * ** * * * * * * * ** * * * * ****
'e? 4c q..
My Commission Expir:
SU8ANIF
ofir ` im M MISSION #DD30246
EXPI 'Y30,2005
Bonded by 1st State Insure
Plans Examiner
Engineer
Zoning