MC-15-2397 Miami Shores Village
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10050 N.E.2nd Avenue NE � Sill Gi f1077 Kitchen Hood
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Miami Shores,FL 33138 0000 z
ae Phone: (305)79x2204
Iss„e�Date;93 Expiration: 03/26/2016
Project Address Parcel Number Applicant
652 NE 105 Street 1122310120140
Miami Shores, FL Block: Lot: KILUAN, INC
Owner Information Address Phone Cell
KILUAN, INC 652 NE 105 Street
MIAMI SHORES FL 33138-
150 SE 2 Avenue
MIAMI FL 33131-
Contractor(s) Phone Cell Phone Valuation: $ 1,600.00
ALOHA AIR CONDITION INC (954)772-0079 Total Sq Feet: 18
Tons: Available Inspections:
Additional Info:SUPPLY MAKE UP AIR FOR STOVE. Inspection Type:
Classification:Residential Final
Approved:In Review Rough
Comments: Date Approved::In Review Review Mechanical
Date Denied: Type of Work:
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# MC-9-15-57157
DBPR Fee $2'25 09/22/2015 Credit Card $50.00 $116.70
DCA Fee $2.25
Education Surcharge $0.40 09/30/2015 Credit Card $ 116.70 $0.00
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $166.70
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 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-na contractor to do the work stated.
September 30, 2015
Authorized Signature:Owner �tc7y Contractor / Agent Date
Building Departme
September 30,2015 1
Inspection Worksheet
Miami Shores Village C
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-243898 Permit Number: MC-9-15-2397
Scheduled Inspection Date: October 07,2015 Permit Type: Mechanical - Residential
Inspector: Perez,JanPierre
Inspection Type: Final
Owner: , Work Classification: Kitchen Hood
Job Address:652 NE 105 Street
Miami Shores, FL Phone Number
Parcel Number 1122310120140
Project: <NONE>
Contractor: ALOHA AIR CONDITION INC Phone: (954)772-0079
Building Department Comments
SUPPLY MAKE UP AIR FOR STOVE. Infractio Passed Comments
INSPECTOR COMMENTS False
l�
Inspector Comments
Passed 101
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 06,2015 For Inspections please call: (305)762-4949 Page 24 of 60
Miami Shores Village
Building Department SEP 2 2 2015
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 k�_'.___
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2® ID
BUILDING Master Permit No. RC1 5-833
PERMIT APPLICATION Sub Permit No. MQ-1 � G 9
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ® MECHANICAL Ej PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 652 NE 105 St.
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-2231-012-0140 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):A/L Z Gt U z? ,1 Phone#:ZO G l 3-6 71-7
3
Address:
City: State: Zip:
Tenant/Lessee Name: //�� Phone#:
Email: s Heid -�-5 � At)L-. c!t1/%A,–
CONTRACTOR:Company Name: Aloha A/C Phone#: 954-772-0079
Address: 4474 Weston Rd. #170
city: Davie State: Florida zip: 33331
Qualifier Name: James Barry Phone#: 954-772-0079
State Certification or Registration#: CAC-025379 Certificate of Competency M
DESIGNER:Architect/Engineer: MEP Engineers Bauhaus Engineering Phone#: 786-246-4651
Address: 1595 SW 154 Ct. City: Miami State: FI. zip: 33194
Value of Work for this Permit:$ 1,600.00 Square/Linear Footage of Work: 18 LIF
Type of Work: ❑ Addition ® Alteration1 E] New ❑ Repair/Replace ❑ Demolition
Description of Work: s-Ev&A /�{�/'� r- J c�
Specify color of color thru tile: t
Submittal Fee$ 150- o(5 Permit Fee$ ` ti� CCF$ CO/CC$
Scanning Fee$ _ _ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ tt
TOTAL FEE NOW DUE$ 1
(Revised02/24/2014)
Bonding Company's Name(if applicable) N/A
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable) N/A
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. 1 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 approved and a reinspection fee will be charged.
Marcp Bruui ( Director Kiluan, Inc) James Ba (Aloha A/C )
AS
`7
Signature Signature
OW R or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument
_,was
saacknowledged before me this
�—day of c5'��� 20 by day ofy'/ 20 by
/41RR.C%D anIS_L'i._L ,wh is personally know o who i ersonally know to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
) 14
Sign. L&1�" SigrfX Mw
Print: Print: el"
^ Seal: � TERRI L FLAHERTY
Seal +► !":Z.. TERRI L FLAHERTY f .AIA
MY COMMISSION#FF078781
MY COMMISSION#FF078761 ., EXPIRES January 28,2018
4.� oQ'.• EXPIRES January 28.2018
kc ibis r',xe&�c Ks �i `98�07�[`xx.< aa� +� K +�x� x� aae tao7 358.0183 I of
APPROVED BY A Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)