MC-15-2411 3w3 1
Y
OR
Miami Shores Village
� 3
10050 N.E.2nd Avenue NE
a r plla+ ��
Miami Shores,FL 33138 0000
Phone: (305)795-2204
us Dai1 Expiration: 04/11/2016
3U
w.
Project Address Parcel Number Applicant
1201 NE 101 Street 1132060171470
Miami Shores, FL 33138-2608 Block: Lot: MICHAEL JOSPEH NUNZIATA
Owner Information Address Phone Cell
MICHAEL JOSPEH NUNZIATA 1201 NE 101 Street (352)682-8303
MIAMI SHORES FL 33138-
1201 NE 101 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 5,000.00
ENGINEERED AIR LLC (954)974-7277
_.. ......... _ .__._.. .. _. _.,... Total Sq Feet: 0
Tons: Available Inspections:
Additional Info:NEW A/C UNITS Inspection Type:
Classification:Residential
Final
Approved:In Review Review Mechanical
Comments: Date Approved::In Review Review Mechanical
Date Denied: Type of Work:
Scanning:1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.00
DBPR Fee Invoice# MC-9-15-57171
$2.63 10/14/2015 Check*298 $ 191.26 $0.00
DCA Fee $2.63
Education Surcharge $1.00
Permit Fee $175.00
Scanning Fee $3.00
Technology Fee $4.00
Total: $191.26
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 AFFIDAV . I ce ' that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction a oning. F ermore,I authorize the above-named contractor to do the work stated.
October 14,2015
z atur / Applicant / Contractor / Agent Date
Building Department Copy
October 14,2015 1