Loading...
MC-15-348 � D TIiit Peri ni4 N MC-Z-1534$ `y RE Miami h Miami Shores Village Z �tt 1 yPCr IVlet�an al 3 s + rltiai t� 10050 N.E.2nd Avenuett �tSj3ra>4vr� mt tion , Miami Shores FL 33138-0000 , ,. ' errr;It� at :APP �fkE© Phone: (305)795-2204 fLORIDp` ' 4!9/ 1- Expiration: 10/06/2015 Project Address Parcel Number Applicant 685 GRAND CONCOURSE 1132060172180 Miami Shores, FL 33138 Block: Lot: JAMES HURLEY Owner Information Address Phone Cell JAMES HURLEY 685 GRAND CONC I MIAMI SHORES FL 33138 Contractor(s) Phone Cell Phone LValuation: $ 1,500.00 AIR SYSTEMS A/C LLC (786)208-3484 Feet: 0 Tons: Available Inspections: Additional Info:3 EXISTING FANS AND DUCT WORK/DIFFU Inspection Type: Classification:Residential Final Approved: In Review Rough Duct Comments: Date Approved: : In Review Underground Date Denied: Type of Work: Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee Invoice# MC-2-15-54518 $2.25 04/09/2015 Credit Card $ 160.70 $0.00 DCA Fee $2.25 Education Surcharge $0.40 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $160.70 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 rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. thermore,I authorize the above-named contractor to do the work stated. WV April 09, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy April 09, 2015 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 ,, BUILDING Master Permit No. �Glo j 3 19 PERMIT APPLICATION Sub Permit No. M C 1!3—31Z,q ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL E]PUBLIC WORKS XCHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: (6%5 Mab- 0—cm` xs:e 22 City: Miami Shores r,C�ounty: Miami Dade Zip: Folio/Parcel#: 'i ,(�10 41}— DW Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: rName(Fee Simple Titleholder): " ' Phone#: Address: t4 Q--Y'1ias)A QN—csDD=o� i ' City: State: Zip: Tenant/Lessee Name: Phone#: Email: / CONTRACTOR:Company Name: r f s'js tt--'s t1 � LLC Phone#:_-3 0�r �� Address: '7 6 7 k 1t)/,J t-33 Sr City: A L O CI(A State: Zip:_ 3 0 S Qualifier Name: !%()v &117ZGz(/,e z Phone#: State Certification or Registration#: (2,6 CD 0 iij Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:060 Square/Linear Footage of Work: .fes d i�� Type of Work: ❑ Addition �D Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work:-i "��� - - 1` U Specify color of color thru tile: ',cy Submittal Fee$ Permit Fee$ Lv2> CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$_ Bond$ TOTAL FEE NOW DUE$ I (Revised02/24/2014) 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS,HEATERS,TANKS,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 appy ved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrumerit was acknowledged before me this GP day of 20 15 by day of61 20 JS by who is personally known to who is personally known to me or who has produced ��- �'„1 as me or o has produced � �l �� as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: - - g Si ''AA AA Print: GL Print: IM Seal: '" ` NA Seal: E* ;BECA 624 M.PASTRANA COMMISSION#EE872624 17 iPIRES:Fdxuary 07,2017 APPROVED BY tans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department r 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 F 7 M5 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 B F C 2010 Z BUILDING Master Permit No.#' . - ly- � Jb PERMIT APPLICATI Sub Permit No.mC- I�-3148 ❑BUILDING ❑ ELECTRIC ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ro MECHANICAL ❑PUBLIC RKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP rr CONTRACTOR DRAWINGS JOB ADDRESS: Ak� Cep"jv ccei"CO ves E- City: 11 Miami Shores County: Miami Dade Zip: Folio/Parcel#:T� c1� ' Q( j Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): al Tt)i2 Phone#: o— O�� Address_",_ City: Ilv�s&� � & - C� :3113 State: � Zip: Tenant/Lessee Name: Phone#: Email: AA� CONTRACTOR:Company Name: ��� f-1 CL Sa� ©v.�l Phone#: Address: 1\D t tJE, City: State: L Zip: Qualifier Name: Phone#: (03675 State Certification or Registration#: ^CAC- y8 I b% yR Certificate of Competency#: ( DESIGNER:Architect/Engineer: \ iG 64 44 Phone#: Address: City: State: Zip: Value of Work for this Permit:$�C � "' Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ,,���� rr''❑ New \ ❑ Repair/Replace ❑ Demolition Description of Work: 1 3) ex jW--ST rlT7�fS� S 'T .ue`7t Specify color of color thru tile: 1 Submittal Fee$ Permit Fee$ 1 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (66 •90 (Revised02/24/2014) � w 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,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 osted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such sted notice, the inspection will not be approved nd a reinspection fee will be charged. i Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument w_as/acknowledged before me this The foregoing instrument was acknowledged before me this day of C? 20 , by n!2(o day of _+c,�tt ( 20 by who is personally known to _ 1 O ,�J1UI 1�2 w o is ersonall known o me or who has producedme or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sig . Print: Notary Public State of Florida Print: ? Joanna M Feliciano Seal: U P my Commission FF 082753 Seal: REBECA M.PASTRANA 9?of F`o�' Expires 01/12/2018 MY COMMISSION#EE872624 EA'PIREs.February 07,2017 E*,V �s�n APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)