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MC-16-2724 OCT 0 5 2016 •_ Building Department BY: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 ILA BUILDING Master Permit No. C PERMIT APPLICATION Sub Permit No. M C ICO " Z:q Z Q ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ® MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 925 NE 95 Street City: Miami Shores County: Miami Dade Zip: 33138 1-3206-014-3100 X Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): 925 NE 95, LLC Phone#: Address:600 NE 53rd Street Miami FI 33137 City: State: Zip: Tenant/Lessee Name: N/A Phone#:917.703.6010 Email: ivsucre@gmail.com CONTRACTOR:Company Name: v J€('`/ices :tLx c. Phone#: .os" qfl 9'704 4 Address: I LN 6 3 Sw 90 4-r.-: r City: M\ AMS State: �- Zip: 3 _ 3i -!9 S Qualifier Name: ��. IAWPO �j ��Z A Phone#: 30S y9 1 State Certification or Registration#: �i�C \g) `Z ,3 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: Square/Linear Footage of Work: Type of Work: ❑ Addition r❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 41d <VI a v`q c 0yt 4CN J 14 SeE P_ <O k ea�e 2 �,4 e; e M . N�.w o1,Ct LA,ef K. Specify color of color thru tile: Submittal Fee$ Permit Fee$ �� 11/ vCCF$ CO/CC$ Scanning Fee$ Radon Fee$, 5• qN DBPR$ S ©� Notary$ '-"- Technology Fee$_ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ cl-0401 S 15. 0,11, Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) 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. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this -A --t+ day of C;k CQ _ ,201� by A'Q�* day of ,20 U. , by i,6%nnc\c-) htt jb, E Pt ,who is personally known to A= who is personally known 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: Sign: Sign: Print: Print: Q\'c=A'S51YQ mMls�G-c� Seal: „� Seal: ,b- R�ardo Dominguez !},d'ly�,, Ricardo Dominguez ��-: Commission# FF958686 Zlw Commission #FF958686 _ Expires:February 8,2020 Expires:February 8,2020 •'�ipaP` Bonded thru Aaron Notary s::**:ss:**::* •s*�pnlhf�Af�o�1�N0�af�1*:*«::*:e*:::r:*�:*::*:::*:llY+l!k:::::*:::s**::s:*::***x*#:*:*::*s:� APPROVED BY Plans Examiner Zoning STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION i CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 GLARIA, ORLANDO A& L SERVICES INC 14463 SW 50 TER MIAMI FL 33175 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbequeDEPARTMENT OF BUSINESS AND restaurants, and they keep Florida's economy strong. ��.,,.=r PROFESSIONAL REGULATION Every day we work to improve the way we do business in order CAC1816233 ISSUED:- 06/20/2016 to serve you better. For information about our services, please to onto www.myfloridalicense.com. There you can find more CERTIFIED AIR COND CONTR information about our divisions and the regulations that impact GLARIA,ORLANDO you, subscribe to department newsletters and learn more about A&L SERVICES INC the Department's initiatives. Our mission at the Department is:License Efficiently, Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, �x CERTIFIED under the provisions of Ch520 FS. and congratulations on your new license! Piration date:AUG 31,zo,a Lts0620o000413 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD ; , , CAC1816233V = Y % The CLASS B AIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 0 IN] GLARIA, ORLANDO A& L SERVICES INC 14463 SW 50 TER MIAMI FL 33175= IRRUFn- ns/9nnois MSPLAYAS REQUIRED BY LAW SEQ# L1606200000413 V1112015 Report Viewer f •~4oe�s c�'',• JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION "CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW" CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 7/29/2015 EXPIRATION DATE: 728/2017 PERSON: GLARIA ORLANDO FEIN: 203586079 BUSINESS NAME AND ADDRESS: A&L SERVICES INC 14463 SW 50 TER MIAMI FL 33175 SCOPES OF BUSINESS OR TRADE: HEATING,VENTILATION, AIR-COND PlssLwt to Chow 440.05(14),FS..an ofica da cwporallanwho elects exemption tam Mit wmiaWy dr 6tg a cerOlc e ddectm Wr Ms se cbm rpt recmer on ltptar440.05(17,Fee�esdelecbonlabeexampL.apply Orly ne scope dan0amMs ddecttonabbe exempt.PtxstavY b Clrapler44005(13),FS.,Natces ddectonto lle exempt"cer0fsales deletion to beesxnpt sWl be u#ect iorewratonIt at ay tme star Me tfi g dMe rrdcecr ft l&umrce dthe cuNceb, to parson named on ft malice or cerM6eale rola W meets tera*remeras dtHs serdon for iss mceda oetificale Thedepertnes slag rewire a DFSF2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413.1609 https://apps8.Bofs.com/crreportviewer/reportViewer.aspx?data=kdvpginc9D703gHGTER6ePlKMZ%2fSz5bXKYBxkrekeESoPVylv4NPOPN42XeirDRGX\ N... 12 � RlJf �n poll ..q,� Miami hores Village Building Department �10Rt1Dp` 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tet: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers'compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: I. The officer owns at least 10 percent of the stock of the corporation,or in the case of an.LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project_In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Flo County of Miami-Dade The foregoing was acknowledge before me this _day of_OG�p a] ,20 kG By t 6L-DL`�r—�O who is personally known to me or has produced as identification. Notary: : do Dominguez Commissions 80 SEAL: Expires:February 8,2020 '�? Bonded thru Aaron Notary 009376 - Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL-DO NOT PAY 6442289 BUSINESS NAME/LOCATION tot A&L SERVICE INC RECEIPTEXPIRES 14463 SW 50TH TER RENEWAALL 6710785 SEPTEMBER 30, 2017 MIAMI FL 33175 Must be displayed at place of business Pursuant to County Code Chapter SA-Art.9&10 OWNER SEC.TYPE OF BUSINESS A&L SERVICE INC 196 SPEC MECHANICAL CONTRACTOR PAYMENT RECEIVED CAC1816233 BY TAX COLLECTOR Worker(s) 2 $75.00 07/19/2016 CHECK21-16-092449 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit,or a certification of the holder"s qualifications,to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO.above must be displayed on all commercial vehicles-Miami-Dade Code Sec Ba-276. For more information,visit www.miamidade aavkaxcollector w C!RFIER LICENSE CC4- " "F C-4460-640-83-'3109-0 k �.. :. DO m..�.•riA s50 SW 161ST PL A111111111k, Ask MIAMI.FL 33193-3419 DOB OB-29-1983 SEX. 4SSUED 09 0{_ f EJt�tREs OR-;?y-2�i9 T r, REST A f-NOORSE t'A ! REPLACEL' i''1',•?i;A �MIM pf•iellDtp f rMlehf M em xObi M}y tlet fNQyp�p b4 4r OR, t" h Miami Shores Village Building Department .... .....t" 10050 N.E.2nd Avenue �.. Miami Shores, Florida 33138 L4��6 *�oR[Dp Tel:(305)795.2204 Fax:(305)756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change-out must be on its own data sheet. Multiple units on single sheets are not acceptable. 925 N 95 Street Job Address(where the work is being done): 33138 City: Miami Shores Village County: Miami Dade Zip Code: ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means:YES[�j NO❑ ARHI Sheet Attached:YESX❑ NO❑ Contract Attached:YES ED UNIT BEING REPLACED DATA NEW UNIT F-4ESM MANUFACTURER E E NI (12,A 2-Ya-to 5P T71 AHU or PKG. UNIT MODEL# 9 44 a t VZ I S+-4 AIJ-A UkY_ ©4S —7 A--;z COND.UNIT MODEL# QA lb 4F ATI A)A to KW HEAT (� NOM TONS AHU bei CU LJO PKG 1)M.C.A AHU Q CU y0 PKG AHU CU LIS PKG 2)M.O.P AHU Q CU Aly PKG AHU2yo CU Zyo PKG 3)VOLTS AHU Z*CU24o PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES X NO YES NO REPLACING THERMOSTAT YES X NO YES NO NEW 4"CONCRETE SLAB YES X NO YES NO NEW ROOF STAND YES NO X YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity(Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit(208/240/480): 2 qQ 4. Size Disconnecting Means: I T Contractor's Company Name: 1A r V Cej- J— rn Phone: '305 Vg 1 State Certificateor g tion No. CAC (�( � Z3 Certificate of Competency No. Signature �:_ Date: t O lq er /G (Qualifi ' nature) A & L Service ' oS000 14463 SW 500'Terrace oe8a° Miami,Fl. 33175 (305)970-1538, (305)408-1235 LIC#: CAC 1816233 bate: 09/29/2016 Insurance#GL-0000012500-00 PROPOSAL Pro osal Submitted To: Work To Be Performed: Rodolfo-Vera. Ignacio Villanueva 925 NE 95 St. Miami Shores,Fl We hereby propose to furnish the materials and perform the labor necessary for the completion of: According to AC plans,the proposal is as follows: HVAC &relocation $9,600.00 Scope of work: Installed new 4 Ton 16 SEER. Installer 2 new exhaust fan, roof cap&wall cap, 16 return & supply and line of refrigeration The proposal includes materials,permits fee, labor, and taxes. Equipment and materials warranty will be according to each manufacturer's specifications. Contractor shall provide 1 year labor warranty. Payments: 40%down payment,40%rough and 20%final All material is guarantee to be specified, and the above work to be performed in accordance with the drawings and specifications submitted for the above work and completed in a substantial work like manner for the sum noted above. Any alterations of deviations from the above specifications involving extra cost, will be executed only upon written orders, and will become and extra charge over and above estimate. All eements contingent upon delays beyond our control. Acceptance of Proposal The above prices, specifications.and conditions are satisfactory and hereby accepted. You a authorized to do the work as specified.Payments will be made as outlined above.This proposal may be,with a y s if not a ted in 30r days DATE: 09/29/2016 SIGNATURE: SIGNATURE: This combination qualifies for a Federal Energy ru "' Efficiency Tax Credit when placed in service between Feb 17,2009 and Dec 31,2016. Certificate ®f Product Ratings AHRI Certified Reference Number: 7943535 Date: 10/4/2016 Product: Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number: RA1648AJ1 Indoor Unit Model Number: RH1T4821STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region:All(AK,AL,AR,AZ,CA,CO,CT,DC,DE, FL, GA,Hi,ID,IL, IA, IN,KS,KY, LA,MA,MD,ME, Ml,MN,MO,MS, MT,NC,ND, NE, NH, NJ,NM,NV,NY,OH,OK,OR, PA,RI,SC,SD,TN,TX, UT,VA,VT,WA,WV,Wl,WY, U.S.Territories) Region Note: Central air conditioners manufactured prior to January 1,2015,are eligible to be Installed in all regions until June 30,2016. Beginning July 1,2016,central air conditioners can only be installed in region(s)for which they meet the regional efficiency requirement. Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored; independent,third party testing: Cooling Capacity(Btuh): 45000 EER Rating(Cooling): 13.00 SEER Rating(Cooling): 16.00 IEER Rating(Cooling): Ratings followed by an asterisk(')indicate a voluntary cerate of previously published data;unless accompanied with a WAS,which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and confidential reference purposes The contents of this Certificate may not,in whole or in part,be reproduced;copied;disseminated; entered Into a computer database;or otherwise utilized,In any form or manner or by any means,except for the user's Individual, personal and confidential reference. AIR-CONDITIONING,HEATING. CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information for the model cited on this cortmcate can be verified at www.ahridlreetory.org,Click on"Verify Certifleate'link we indk iire twiter L er the AHRI Certified Reference Number and the date on which the certificate was issued, listed above,and the Certificate No.,which is fisted at bottom right.4 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: �a�2oos2ots32ossss &7VLI 61 MAX' 6V10 VU:4I:'G1 YM UTC Page 1 Of 1 ,ACOR, CERTIFICATE OF LIABILITY INSURANCE 0312112016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY Ti4E POLICIES BELLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the conificate holder Is an ADDITIONAL INSURED,the pollcypos)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of Ute policy,certain policies may require an endorsement.A Statement-on this Certificate does not confer rights to the certificste holder in lieu of such endorsoment(s). PRODUCER Yami♦e Adan Financial Insurance Brokers P , (305)441-9932 a. (305)441.8632 5805 Blue Lagoon Drive 11400 ADDRESS: mr9 es6fixokers.co n INSURERM AFFORDING COVERAGE NAM Miami FL 33126 ORMER A- United Speciaky insurance Campany 16870 INSURED jNSURER s: P essivs Insurance Cam an A&L Serview Inc INSURER c- Commerce;&Indusuy Ins Co 14463 SW 50 Tarr INSURER D- INSURER E" a Miami FL 33175 INSURER F: COVERAGES CERTIFICATE:NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT', TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TUE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIN6 IFORLTR TYPE OF INSURANCE INSDIM POLICY NUMBER PAMMOMM twituRmnUMITS X COMMERCIAL GENERAL LIABILITY N OCCURRENCE 3 1.000.000 CLAIMISAME 0 OCCUR p ,, 150.000 'Mee EXP cky arta erspn) S 5,000 A S111027A21727 01/06/2016 01/0612017 j PERSONA&&ADV INJURY S 1,000,400 GEN'LAGGREGATELIMiTAPPUESPER. GENERAL AGGREGATE I LOW,000 POLICY❑jg 11 OLoc PRODUCTS.COMPIOPAGG s 2,000000 OTHER I AUTOMOBR.E UABIUTY dINEa INGLE L S 1,000.000 Me x ANYAUM BODILY INJURY(Perpeman) S B AUTOS v AUTOSSCHEDULED 01960124-2 11/29/2015 11/29/2016 900ILY INJURY(Per=dded) S AlTT05 /� AUTOS NON-OWNED P PE AiMGE S HIREOAUTOS AUTOS S X UABRELLA UAa OCCUR EACH OCCURRENCE S 1.000.000 C EXCESS UAB CLAVAS MADE BE 022111565 1/11/2016 111112017 AGGREGATE 11.000.000 DED RETEN N S I WORKERSCOM?EINSATION 57AEg H• AND EMPLOYERS'LIABILITY ----— ANY PAOPRIETOWPARTNEWEXECUTNE Y{�NIA C.L.EACH ACC30ENT I OiFICERMIEMBER EXCLUDED? J (MandaTwy�NHI E.L.DiSEASc•EA EMPLOYEE S I YYeoq deaaibe un a OESCRIPTIOH OF OPERATIONS bd. I E.L.DISEASE•POLICY LIMiT 3 DESCRIPTION OF OPERATIONS I LOCATIONS I VFMCLES(ACORD 101.Addida"Ramwits Sahadule,aay be etteohad:f mere space is,ega rad) A& L SERVICES INC. ORLANDO GLARIA LIC. CAC1816233 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 Ave AUTHORIZED REPRESENTATIVE Miami Shores Village FL 33138 ONE= 01988a14 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The AGORD name and logo are registered marks of ACORD October 11th, 2016 State of Florida County of Miami Dade Before me this day personally appeared ORLANDO GLARIA who, being duly sworn, deposes and says: That he will be the only person working on the property located at 925 NE 95th Street Miami Shores FL 33138. Sworn to (or affirmed) and subscribed before me this t l qday oftoZ 20 lG , by Personally Known OR Produced Identification Type of Identification Produced Ricardo Dominguez _ Commission# FF9586M ?11 Expires:February 8,2020 ed thru Aaron Notary Print, Type or Stamp Name of Notary