MC-16-191 Permit NO. C-1-1 C-191
`S 0R Miami Shores village Penn•••it Type: Mechanical-Residential
ut
10050 N.E.2nd Avenue NW ' Work Classification: New A/C System
Miami Shores,FL 33138-0000 PerlilPermit Status:APPROVED
Phone: (305)795-2204
E,yp �9
FLORIDA
issue Date: 1/2612016Expiration: 07/24/2016
Project Address Parcel Number Applicant
13 NW 108 Street 1121360110310
Miami Shores, FL 33168-4311 Block: Lot: READ HOLDINGS LLC
Owner Information Address Phone Cell
READ HOLDINGS LLC 3850 BIRD Road
MIAMI FL 33146-
3850 BIRD Road
MIAMI FL 33146-
Contractor(s) Phone Cell Phone Valuation: $ 4,000.00
MIAMI MECHANICAL CONTRACTORS (786)402-4457
Total Sq Feet: 0
Tons: Available Inspections:
Additional Info:NEW A/C Inspection Type:
Classification:Residential Final
Approved:In Review Rough Duct
Comments: Date Approved: : In Review Review Mechanical
Date Denied: Type of Work: Underground
Scanning: 1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $2.40
Invoice# MC-1-16-58431
DBPR Fee $2.10
DCA Fee $2 10 01/26/2016 Credit Card $ 103.60 $50.00
Education Surcharge $0.80 01/25/2016 Credit Card $50.00 $0.00
Permit Fee $140.00
Scanning Fee $3.00
Technology Fee $3.20
Total: $153.60
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 do either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL, Win
RS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing inrate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the aboctor to do the work stated.
January 26, 2016
Authorized Signature:Owner / Applicant / / Agent Date
Building Department Copy
January 26, 2016 1
't
Miami Shores Village
• JA 2 5 2016
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138iY.
Tel:(305)795-2204 Fax:(305)756-8972 �(
INSPECTION LINE PHONE NUMBER:(305)762-4949 \�
FBC 20
BUILDING Master Permit No. C;-19225
PERMIT APPLICATION sub Permit No. (tel -�C=-``19
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING7MECHANICAL [:]PUBLICWORKS CHANGE OF ❑ CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 13 ow { O O S-I
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address: 10) 49-w- ( air
.city:.&a,#,- State: Zip: 3�
T�
Tenant/Lessee Name: &A• Phone#:
Email:
CONTRACTOR:Company Name: 1"I�`�� k4Z ^
(6 -CzJ (0-6'e-C. / -nS Phone#: -?Yv Y 5 7
Address: SOS G011i.-j /� _ /off r
City: W�� �Gr`-- State: /Zip: 331 `41D
Qualifier Name: k r• Phone#( G Z —1 ?
State Certification or Registration#: Certificate of Competency#: 12►`(O 000 2S
DESIGNER:Architect/Engineer:—. kA-n/ 1¢&' •^J Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ ,030 `W\\ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$ SO I Permit Fee$ Y v CCF$� �Iy CO/CC$
Scanning Fee$ �J CA� Radon Fee$ ( DBPR$cj . Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ O ��
(Revised02/24/2014)
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. I 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.
Signatu1.r Signatur
�'OW R'or AGENT CONTRACTOR
7
The foregoing instrument was acknowled d before me this The foregoing instrument was acknowledged before me this
day of TCc h V G 4 ,20 I by da< of 20 �by
!Za-la-e 4 Z,who is personally known to who is personally known to
me or who has produced )� rl v'e-Y 1—ic,e n S Q as me or who has produced as
identification and who did take an oath. identification and who did take an oat
NOTARY PUBLIC: NOTARY BLIC:
� �
Sign: � �" Sign: '"�
Print: ✓n e.-, (/v �4 Za• Print:
Seal: PERLA M.GARCIA
Seal: "°e'
SUNEN AZ0 :?°. Notary Public-State o1 Florida
My Comm.Expires Jan 7,2018
MY COMMISSION 1 EE 20V
EXPIRES:AAAI t4,2017 =, .c
Put�IkunrNn+�iun -;.E �A.• Commission I FF07Nti2
ndld 111tU Notary o„�o� �,.�
###ii# ii##tiiii##i#i##
APPROVED BY PI nlaminer Zoning
I
Structural Review Clerk
(Revised02/24/2014)
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Local Busi n%s Tax fbcei pt
Miami-Dade County, State of Rorida
-THIS IS NOT A BILL-DO NOT PAY
LBT
1 6960422
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BUSINESS NAM E/LOCATION RECEIPT NO. EXPIRES 9
MIAMI MECHANICAL RENEWAL SEPTEMBER 30, 2016
I CONTRACTORSINC
5005 COLLINS AVE#1018 7236011 Must be displayed at place of business I
MIAMI BCH, FL 33140 Pursuant to County Code I
Chapter 8A-Art.9 8 10
OWNER SEC.TYPE OF BUSINESS { PAYM ENT RECEIVED
MIAMI MECHANICAL CONTRACTORS 196 ' SPEC MECHANICAL BY TAX COLLECTOR
INC CONTRACTOR 45.00 09!3012015 -
Worker(s) 1 12M000023 s ` 0235-15-6660 �+
This Local Business Tax Receipt only con-,ms payment of the Locai Business Tax.The fieCeipt is not a license,
perrnit,or a certi^cation of the holder's cW i^caticrs,to d6 business.Holder crust comply with any governmental
f
prn=regtiatarylawsandreglrirernentswhichapplymthebairless ;
The F�BFr NQ above mat be displ eyed on all ccffvwcial Petrides-Miani-Dade Code Sec Ba-276.
MLAI- l Farmoreinfwrt abor%,isitwww.miamdade.godkwcdiedar
4 Municipal Contractors Tax Receipt
Miami—Dade County, State of FloridaMC
' -THIS IS NOTA BILL-DO NOT PAY
E
CC NO: 12M000023 !
BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES
MIAMI MECHANICAL CONTRACTORS INC SEPTEMBER 30 2016
5005 COLLINS AVE#1018 ! t
MIAMI BCH,FL 33140 7473235
t
Pursuant to County Code
Sec 10-24 i
OWNER TYPE OF BUSINESS
MIAMI MECHANICAL CONTRACTORS SPECIALTY MECHANICAL PAYMENT RECEIVED'
CT
BY TAX COLLECTOR
INC;' CONTRACTOR 175.00 09/30/2015
i 0235-15,-006660
t
This receipt is not valid in the following Municipalities:Aventure,Doral,Hialeah,Key Biscayne,
f Miami Gardens,Miami Lakes,Palmetto Bay,Pinecrest,Sunny Isles Beach,Town of Cutler Bay.
M ' For more information,visit rtwvwv miamidade.govRaxcollector} I
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
wo 1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
BATISTA, JOSE F
MIAMI MECHANICAL CONTRACTORS INC
5005 COLLINS AVE#1018
MIAMI BEACH FL 33140
Congratulations! With this license you become one of the nearly - -- - - - -------- - -
one million Floridians licensed by the Department of Business and ! E
Professional Regulation. Our professionals and businesses range STATE OF FLORIDA l
from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND
and they keep Florida's economy strong. PROFESSIONAL REGULATION
Every day we work to improve the way we do business in order to ! RA0042908 :* -ISSUED', 09/15/2015
serve you better. For information about our services,please log onto
www.myfloridalicense.com. There you can find more information REG AIR CONDITIONING CONTRACTOR
about our divisions and the regulations that impact you, subscribe BATISTA,JOSE,
to department newsletters and learn more about the Department's MIAMI MECHANICALCONTRAGTORS INC
initiatives. � t
(INDIVIDUAL MUStME`ffT AL'L LOCAL
Our mission at the Department is:License Efficiently,Regulate Fairly. LICENSING REQUI0ffMENTS=PRIOR
We constantly strive to serve you better so that you can serve your TO"CONTRACTING(NANY AREA)
customers. Thank you for doing business in Florida, HAS REGISTERED under the provisions of Ch.489 FS.
and congratulations on your new license! Expired«,nate:AUG 31,2017 L1509150001673
DETACH HERE
RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD " r .
RA0042908
The CLASS AAIR CONDITIONING CONTRACTOR., `;,. •�
Named below HAS REGISTERED �> .
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2017 "
` (INDIVIDUAL MUST MEETALL LOCAL,LICENSING
REQUIREMENTS PRIOR TO-CbNTRACTING IN ANY AREA)
01
'BATISTA, JOSE F
ZMIAMI MECHANICAL COQ RACTQRSUWC -
r 5005 COLLINSAVE1#1018- - -�. -- --- -- ,4�, - • ^- =-.. :t.'_
-; MIAMI"BEACH] ,0L 3M40 - �' T - •
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mQi mn• namr%mn•ia ni.cm AV AC RFrm nPi r1 Ry i AW SEO# L1509150001673
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A�Rte' CERTIFICATE OF LIABILITY INSURANCE DAT1/15/21/1512WYYYY)
016
PItOPUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
BATISTA INS INC. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
4159 E 4TH AVE CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
HIALEAH FL 33010 COVERAGE AFFORDED BY THE POLICIES BELOW.
JOSE F.BATISTA(305)685-0524 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A UNDERWRITER OF LLOYDS OF LONDON
MIAMI MECHANICAL CONTRACTORS INC INSURER B: PROGRESSIVE
5005 COLLINS AVE#1018 INSURER C:
MIAMI BEACH,FL 33140 INSURER D:
INSURER E: norGUARD INSURANCE COMPANY 31470
COVERAGES
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 THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NSR ADD' POLICY EFFECTIVE POLICY EXPIRATION
LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE MMID DATE MMID LIMITS
A ® GENERAL LIABILITY LCYGYF 09/19/2015 09/19/2016 EACH OCCURENCE _ $1,000,000.00
COMMERICAL GENERAL LIABILITY DAMAGE TO RENTED
PREMISES Ea occurrence) $100,000.00
❑❑CLAIMS MADE E OCCUR MED EXP(Any one person) $5,000.00
PERSONAL&ADV INJURY $1,000,000.00
GENERAL AGGREGATE $2,000,000.00
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1,000,000.00
E POLICY[:]PROJECT❑LOC
AUTOMOBILE LIABILITY 47226408 10/30/2015 10/30/2016 COMBINED SINGLE LIMIT
B E $1,000,000.00
E ANY AUTO (Each Occurrence)
❑ALL OWNED AUTOS BODILY INJURY $10,000.00
❑SCHEDULED AUTOS (Per Pe—)
❑HIRED AUTOS BODILY INJURY
❑ NON-OWNEDAUTOS (Per accident) $
❑ PROPERTY DAMAGE $
(Per accident)
❑ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
❑ANY AUTO OTHER THAN EA ACC $
❑ AUTO ONLY: AGG $
❑ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $t
❑OCCUR ❑CLAIMS MADE AGGREGATE $
❑ DEDUCTIBLE $
❑ RETENTION $
B EWORKERS COMPENSATION ANDMIWC688521 03/20/2015 03/20/2016 ® WC STATU- ❑OTH-
EMPLOYERS'LIABILITY TORY LIMITS ER
ANY PROPRIETOR/PARTNER/EXECU- E.L.EACH ACCIDENT $500,000.00
TIVE OFFICER/MEMBER EXCLUDED?
If yes,describe under E.L.DISEASE-EA EMPLOYEE $500,000.00
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000.00
❑ OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CMC: 12M000023
CERTIFICATE HOLDER CANCELLATION
IAMSHORES VILLAGE BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MIAMI IA SHO d Avenue, EXPIRATION DATE THEREOF,THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO
I005MIAMI SHORES,FL 33138 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT
Tel:(305)795-2204 Fax:(305)756-8972 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
INSURER,ITS G NTS OR REPRESENTATIVES.
AUTHORP-ED ENTATN
00,
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ACORD 26(2001108) 0 ACORD CORPORATION 1988