MC-15-2240 � �� Y � „fit-,�•;3a yr �, _ E
Miami Shores Village
10050 N.E.2nd Avenue NE
2
Miami Shores,FL 33138-0000 '
Phone: (305)795-2204 " , ffl
Expiration: 03/212016
Project Address Parcel Number Applicant
501 NE 96 Street 1132060171550
Miami Shores, FL 33138-2735 Block: Lot: RECAMIER2 LLC
Owner Information Address Phone Cell
RECAMIER2 LLC 1001 BRICKELL BAY Drive (305)333-7700
MIAMI FL 33131-
Contractor(s) Phone Cell Phone
REGOSA ENGINEERING SERVICES IN (786)262-2964 Valuation: $4,800.00
(786)344-8720
Total Sq Feet: 00
Tons: Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Final
Approved:In Review
Rough Duct
Comments: Date Approved::In Review Review Mechanical
Date Denied: Type of Work:REPLACE AHU DUCT 2 MINI SPLIT Underground
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.00 Invoice# MC-9-15-56929
DBPR Fee $5.87
DCA Fee $5.67 09/23/2015 Credit Card $356.34 $50.00
Education Surcharge $1,00 09/02/2015 Credit Card $50.00 $0.00
Permit Fee $378.00
Scanning Fee $9.00
Technology Fee $4.00
Total: $406.34
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 ce 0 that all the oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zonin ore,I erize the above-named contractor to do the work stated.
September 23,2015
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Applicant / Contractor / Agent ate
B Copy
September 23,2015 1