MC-15-2468 (2) $ x
Miami Shores Village E
10050 . .2nd Avenue NE
c NE2INdra �atl l �io��tell v-4
Miami Shores,FL 33138-0000
� �'e
h Phone: (305)795-2204 ' '�`
Expiration: 04102/2016
'^
Project Address Parcel Number Applicant
1460 NE 101 Street 1132050240050
BAY CONSTRUCTION&DEVEL(
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
BAY CONSTRUCTION& 201 S BISCAYNE Boulevard (305)898-7882
-- — ----- — - MIAMI FL 33131-
201 S BISCAYNE Boulevard
MIAMI FL 33131-
Contractor(s) Phone Cell Phone Valuation: $ 5,000.00
ALISAEZ AIC INC
Total Sq Feet: 0
Tons:5 Available Inspections:
Additional Info:DUCTWORK A/C&EXHAUST FANS 5 TONS Inspection Type:
Classification:Residential Final
Approved:In Review Rough Duct
Comments: Date Approved::In Review Review Mechanical
Date Denied: Type of Work: Underground
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.00 Invoice# MC-9-15-57235
DBPR Fee $2.63
DCA Fee $2.63 10/05/2015 Check#: 1416 $ 197.26 $0.00
Education Surcharge $1.00
Permit Fee $175.00
Scanning Fee $9.00
Technology Fee $4.00
Total: $197.26
In consideration of the issnce to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in stri t conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assua responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,I MBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS A DAVIT: I cerci hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructio and zoning. F re uth ize tl ab ve-named contractor to do the work stated.
October 05,2015
Authotized Signatur :Owner / Applicant / Contractor / Agent Date
Building De artment Copy
October 05,2015 1