ME-03-78 PERMIT APPLICATION FOR NIIAMI SHORES VILLAG
10050 N.E.2nd Avenue-Miami Shores,Florida 33138-Phone:305-795-2204- Fag:3 - J
Dat eJob Address / £ Folio MAY 2 2003
Legal Description Historically Designated
bN06er/LesseelTeneth6a4� Mas Permit# .0-
\\owner's Address
ting Co. 6*we d— ss �310��
Qualifier ��y/� �/ �?� Z /.�, S Phone � 0
State# Ott y 0,5-6 7T q Municipal# Competency# Ins.Co.
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION.RE-INSPECTION FEE IS$50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
Permit Type (circle one): UH.DING ELECTRICAL PLUMBING MECHANICAL "ROOFING
r ORK DESCRIPTION: /
o v
Square Ft. Cost(value) Z�'�LaS
WARNING TO OWNER:YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY(IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH
YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above,and on the attached addendum(if applicable).I certify that
all work will be performed to meet the standards of all laws regulating construction in this jurisdiction.I understand that separate permits are required
for all disciplines.
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.Furthermore,I authorize the above named contractor to do the work stated.
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of owner an Co Iden Date S1 e9f Co ulor or erp uilder Date
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Notary as to Owner an - No ontractor r Pubdc_ �,F1ald�a
My Commission Exp' d ODy My Co ssion Expir s •,, ,
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FEES:PERMrt 'l RADON C.C.F 0 NOTARY BOND
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APPROVED: TOTAL DUE
Zoning QQ Building Electrical
Mechanical �tV � �'�'0.� Plumbing Structural Engineer
Miami Shores Village Mechanical Permit
10050 NE 2nd Avenue ..
Phone: 305-795-2204 Permit Number: -7 �
Rte`
Printed:11/16/2005 Page 1 of 1
Applicant: LATIN AMERICAN INVESTMENTS
Owner: INVESTMENTS LATIN AMERICAN
JOB ADDRESS: 9495 BISCAYNE Blvd.
Contractor CANE AIR CONDITIONING AND INSTALLATMtNfttoes Address: 7327 N. W. 8 STREET
Local Phone: 305-266-7800
Parcel# 1132050070010 Legal Description:
Fees: Description Amount
FEE2003-2706 Building Fee $160.00 Total Fees:$320.00
FEE2005-14603 Renewal/Extension Fee $160.00
Total Fees: $320.00 Total Receipts:$320.00
Permit Status: APPROVED Permit Expiration: 12/31/2006 Construction Value: $8,925.00
Work: INSTALLATION OF 2 SPLIT SYSTEM 3&4 TONS AND DUCTWORK
IAV 16 PAID
Signed: (INSPECTOR)
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 responisibility for all work
done by either myself,my agent,servants or employes.
Signed: (Contractor or Builder) BY: