MC-14-1764 Permit NO. MC-8-14-1?64
`gtaORES�� Miami Shores Village Permit Type: Mechanical-Residential
10050 N.E.2nd Avenue NW ' Work Classification: New AIC System
Miami Shores, 33138-0000 Perill 't
Permit Status:APPROVED
Phone: (305)5)795-2204
f�ORit>p
issue Date:9/18/2015 Expiration: 03/16/2016
Project Address Parcel Number Applicant
10616 NW 2 Avenue 1121360020060
Miami Shores, FL 33150- Block: Lot: CRISTINA CRUZ ESCALONA
Owner Information Address Phone Cell
CRISTINA CRUZ ESCALONA 619 E CROSBY Avenue
EL PASO TX 79902-
619 E CROSBY Avenue
EL PASO TX 79902-
Contractor(s) Phone Cell Phone Valuation: $ 8,482.00
AAA MODERN AIR CONDITIONING, IN 954-921-4486
Total Sq Feet: 0
Tons:3 Available Inspections:
Additional Info:NEW A/C+DUCT. Inspection Type:
Classification:Residential Final
Approved:In Review Rough Duct
Comments: Date Approved: : In Review Underground
Date Denied: Type of Work:
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $5.40
Invoice# MC-8-14-52609
DBPR Fee $4.45
DCA Fee $4.45 08/12/2014 Credit Card $50.00 $279.17
Education Surcharge $1.80 09/18/2015 Credit Card $279.17 $0.00
Permit Fee $296.87
Scanning Fee $9.00
Technology Fee $7.20
Total: $329.17
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 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. Futhermore,I authorize the above-named contractor to_.dQ the work stated.
September 18, 2015
Authorized Signature:Owner / Applicant / Contractor / Age ate
Building Department Copy
September 18,2015 1
Miami Shores Village FAUG
IVED
Building Department 2 201410050 N.E_2nd Avenue.Miami Shores.Florida 33138
Tel: (345)795.2204 Fas:(305)756.8972
INSPECTION'S PHONE NUMBER: (:1(15)762.4949
FBC 24
BUILDING Permit No, MCS J._(4_-_i �
PERMITAPPLICATION Master Permit o'-10—
Permit Type: MECHANICAL
JOB ADDRESS: 10616NW 2nd Ave.
C'dy: \-fiair iShores county:111,1 �,.tia„ii bade Zir---33,138
1'oliolParcew:`11 21,36-0—UM6Q____.........__.._..__...................
.
Is the Building Historically Designated: Yes � NO Flood Zone:
OWNER: \Lame(Fee Simple Titlel,older). CT1St1Tla Cruz..:..E,S.c!Q>1�......��r(2.5.t.� Pllorie; :___9. 5=5-33_-..6.0.0.1.-111.1_
Ad,lrew... 619 _E. Crosby. Ave ___-
........ ... .... ..
citv. El Paso state. TX......__.........................__......................................................._ zip:_ 79902._,-_._._ -
-1'enanV'Les ee Name- Phone:
Email-
1I -a q 12 s L,0
COti'h ACTOR: Cc>,alla„y Name: I 1 l V_ ._ N 1'hc>,Yed.
_ _._.._._.. _ _ _..._...___ ._.. ._... ... 1111.-.. _ �__._.-
-
Adtlr .. , �� P __.
city - - g:sta1111 � _._ Zip: ........__„��
1111.
19
Qualifier Name: � �- _.._�._���-_. _1111 ___ __ Plionc�1.?.__!.._.._�_...1_►._�S__�”.
State Certification or Reeistration ii: �g[ Z 1111__Corti icate of Cbn,lieiel y i#:,___ 1111.. ___.....__....
µ_.._.... 1_111.............___ ......._..._...
contact Phone#: 1111 _Email Addres'�cc� ��..
DESIGNER: Architect/Engineer: Phone
Value of Work for thus Permit:S���,r�_______________, Square/Linear Footage of Work:
TyleofWork: OAddless ;Alteration *IeW UKep,irTzlalace .II)emolitior,
Description of work:
__..........._.._._...__.........._....._.._.____ -__-1111 _�V�,�-�....__.__.._._
............
...................
....
...........
.............. .............
Submittal Fre S_ _................_....Pernyit dee S_.__ �_�OI. �_ CCF l `+_.__.___............_......____......_._......... C:'C);C:C'
Scanning Fee S------- Radon Fee S _W 1111. DBPR s...._ _.....-...__.._..............Bond S-.1..'-----1.-.--.------
Notary
..._....______._._____-_._--___Notar 5 Training./Education Fee S Technology Fee S
Double Fee S __Structural Review S _-...— ........._.___.__�_.._......._
TOTAL FEE'NOW DUES
n\\,
Bonding Company's Name(if applicable) � _ _................. _
flowlins,Company's Address _
City....._.._____ _state___.._,._...._L._.__-_._........_........_..........._...-........._.. Zip --._.....-....__.
MoNgag;e Lender's Name(if applicable)_�..._._..Lv�/..!___ _......... _. —.
Mortoage i.encfer's Address
CityState._------ Lip--..._.._.............._.... ........................_. _ __
Application is hereby made-to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
con nneiced prior to the iSSuance of a permit and that all work tivill he perfitrmed to meet the standards of at] laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, Pt.-I;MBI'NG.SIGNS,
Wl:,' ,f.S, POOP S,FURNACES,BOILENS,HF-AThRS,TANKS and AIR CONDITIONERS,
OWNER'S AFFIDAVIT: i certify that all the foregoing information is accurate and that all work will he done in compliance with all
applicable laws regulating COTINtructiotr and:coning.
'WARNING TO OWNER: YOUR FAILURE TO RECORD ANOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IM13ROVEMENTS TO YOUR PROPER"ry. IF YOU INTEND TO OBTAIN
'FINANCING, CONSULT WII'H YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COi1/I:MENCEIIENT,"
Notice to Applicant: As u condition to the issuance of a budding permit with tin estimated value em-eedzng 2500, the applicant must
promise in good%lith that a copy of the notice of ee-m nencement artd Construction lien law brochure will be delivered to the per on
whose property is subject to attachment. Also, a certified eopy,of the recorded nonce ce of eornrrtenc:ernent ntu.st be posted at the.job site
fi,r the fast inspection which occurs semen (7) ilrtys after the bttiklbzi permit is ' .�ted. Influs absence of sttclt postednotice. the
inspet.ticnt will rot be approved and a rein 1wetion file will be charged.
1
Signature�� SignaUu 6
Owner or Af ent Contractor
The finegoing instrument wits acknowled-ed bel'e>re tyre this) 'Cute forcggoing instntment was acknowledged hefitre rne this
day of—0aTz _L&._,2t - by(2)Z1 _•.••.,_ . � .. , _. ,ty c ?t �
*�................
who is personally known to me or who has prOdUCed ............... _ who is personally known to rne or who has produced_'
As identification and who did take an oath. as identification and who did take:an hath_
NOTARY PUBLIC: NOTA 'PUBLIC:
S
Stam: . ......_..__...... , .
t'rint: __( 'G73..ft_lk ...................._....._.........__..................._.._..._._
My Commission Expires: r iib"'id-fi,F &T-V pUCUAy
da
LETICIA MORENO F My Comm.Expir blic State of F/ori
QN�o..t�aryPTuNic, �� d mnrission'#CMay 19 201
. . ...�:+;. a=:'s:::!!:.-'��2�MN+>�k is$ :f:K:;� 3;x:;c:#:t, ?:�:..s, z.:>:is z.�:<:;c:'<a<:F•�:a:d::::.>.:<` BOn.edZ C.4;�.:$�•f a,.s.:�.<.:::;:a:,:-�`5.:;:
Comm•Exp,10-2&1 ;� 4s
'....e ...........�......., \� Na 0°at Notary Assn.
At'I'KOVfl:? It Y E ans I; arniner, —_...__...............Zon6112l
Structural Review Clerk
(Revis'd 3/1er n t:)iRevi."I 07/1007)(Revik t 3/1150))
AAA MODERN A/R SALES - SERVICE - INSTALLATION1 INVOICE
901 PHIPPEN WAITERS RD. DANIA FL. 33004 web site www.aaamodernair.com
PHONE # 954-921-4486 FAX # 954-362-2369 e-mail accheckup@aaamodernair.com
BILL TO: I JOB LOCATION
Apollo Builders RECEIVED Apollo Builders
14240 Sw 17 St 10616 Nw 2 Ave
Davie FL 33331 AUG 12 2014 Miami Shores FL 33150
Home 954-445-5046 Work 954-445-5046 Work
INVOICE# 0001064838 CUST# 0040565 PAGE# DATE 5/8/2014
QUAN LISTED BELOW IS THE DESCRIPTION OF WORK AMOUNT
1.00 Estimator Name: Hans
1.00 NEW A/C&DUCT-BID IS BASED ON PLANS PROVIDED.
1.00 Tons-3- Seer_15.5_ KW Heat Strip_7_
1.00 Rheem Condenser Model#14AJM36A01
1.00 Rheem Air Handler Model#RHLLHM3617JA
1.00 Air Conditioning Unit Manufacturer's Warranty: 10 Year Parts 2 Year Labor 10 Year Compressor
10 Year Condenser Coil 10 Year Evaporator Coil
1.00 New Float Switch
1.00 New Programmable Thermostat
1.00 New 3/4&3/8 Refrigerant Lines
1.00 New Building Code Approved Pre-Fabricated Lightweight Concrete Slab
9.00 New Supply Ducts&Grills
2.00 New Jumper Ducts
1.00 New Condensate Pump_115_Volts
1.00 New Drain Line
1.00 New Air Handler Stand
1.00 All Air Conditioning Permit Fees&Load Calculations Included
1.00 Evacuate Refrigerant Lines
1.00 Hurricane Strapping Per Code
1.00 New Rubber Isolation Pads
1.00 Furnish& Install (2)50 CFM Bathroom Exhaust Fans With Exhaust Piping And Roofcaps. Bathroom Exhaust
Will Terminate In Roof.
1.00 All Necessary Roof Work/Roof Patching Is Not Included.
1.00 Electric Hook Up Is Not Included
1.00 Electric Permit Is Not Included
1.00 Test&Balance Report Not Included And Will Be Provided By Others.
1.00 TOTAL 8,482.00
1.00 FPL Rebate---------------------------------------------- -375.00
1.00 Customer Will Receive Rheem Instant Rebate -200.00
1.00 Payment Terms: ($1500.00) Due Upon Start Of Job($3012.00) Due Upon Rough Duct Inspection. ($1500.00)
FILTER SIZE X X INSTALLERS
A/H S. # C/U S. #
NOTE: PLEASE REFER TO BOTH SIDE OF THIS CONTRACT FOR ALL TERMS AND CONDITIONS. BY SIGNING THE FACE OF THIS
CONTRACT, PURCHASER ACKNOWLEDGES THAT PURCHASER HAS READ, UNDERSTANDS AND AGREES TO ABIDE BY THE TERMS AND
CONDITIONS OF THIS CONTRACT.
TERMS AND CONDITIONS:You are entitled to and exacted copy of the contract you signed. Unless otherwise specified above,all installation of
replacement and new A/C systems will be installed, hooking up to existing electrical wiring and breakers, refrigerant lines,drain lines,slabs, roof
stands and support brackets,air handler platform boxes,condensate pumps,smoke detector,fire dampers,thermostats, humidistat,duct work,
supply and return air grills. Due to your existing building constructions and South Florida's high humility and heat wave weather conditions,seller
can't guarantee any particular cooling temperature. It is recommended to set your thermostat at 78 degrees for maximum savings on electrical
usage.Temperature set below 78 degrees could result in your air conditioning system to run for extended length of time.
If it becomes necessary to take collection actions for any charges,THE CUSTOMER,shall be responsible for all court cost,collection cost,and
reasonable attorney?s fees incurred to collect any unpaid charges.
Customer Print Name Salesman Name
Customer Signature Date
** By Signing Here You Agree With The Terms & Conditions Above And On Reverse Side of This Contract
AAA MODERN AIR,INC EQUIPMENT SALE
ADDITIONAL TERMS AND CONDITIONS
1. Binding Effect.AAA Modem Air agrees to sell and Purchaser agrees to purchase the equipment from AAA Modem Air at the price set forth on the face hereof and subject
to the terms and conditions of this Contract.The Equipment delivered to the Purchaser remains the property of AAA Modem Air until the purchase price is paid in full.
2. Payment.The purchase price of the Equipment is payable upon execution of this Contract.Purchaser shall pay interest at the highest statutory rate permitted by law,from the
date due,on any payment which is delinquent by thirty(30)days or more.All credit arrangements between AAA Modem Air and Purchaser shall be in writing and payments
shall be due in accordance with same.Any amount due which is not timely paid shall incur a late charge/interest at the highest statutory interest permitted by law.
3. Equipment Warranties.The Equipment installed by AAA Modem Air shall be guaranteed solely by the manufacturer for a period of one(1)year from date of the installation
unless otherwise specified. AAA Modem Air does not warranty the equipment. The following items and their associated costs are not included in the manufacturer's
warranty on the equipment:(a)coil cleaning;(b)drain flushing;(c)air filter cleaning;and(d)existing electric breakers,fuses and wires;(e)refrigerant,[Freon R-22 or
"Puron"R-410aj.
4. Services Warranties.AAA Modern Air shall service the equipment for a period of one(1)year from the date of installation of the Equipment without cost to Purchaser(as
long as performed during normal business hours—Monday through Friday from 8:00am to 5:00pm EST).Under this service warranty,AAA Modem Air,after evaluation,
shall have the discretion to repair the equipment or provide replacement parts. AAA Modern Air warranty service does not include maintenance such as filter or fuse
replacement.AAA Modern Air warranties clogged drain lines for thirty(30)days.AAA Modern Air has weekend emergency service available:Saturday from 12:00 PM to
6:00 PM and Sunday from 9:00 AM to 6:00 PM.Additional cost may be required for weekend emergency service.
Purchaser is responsible to monitor drain lines after installation,to make sure that there are no water leaks coming from the air conditioning unit.AAA Modern Air is
not responsible for and does not warrant against damage from water intrusion and/or condensation to Purchaser's walls,floors,ceilings,carpeting or any building
materials work that might occur during the installation and/or use of the Equipment or and for any mold growth from water leaks from drain pan overflow and roof
leaks from mounted equipment. Further,AAA Modern Air is neither responsible for dust accumulation that may occur during the installation and/or use of the
Equipment and/or Duct system nor odors that might be expelled by the Equipment and/or duct system during its use.AAA Modern Air is not responsible for any
condensation or sweating problems that might occur to purchaser's existing ductwork and grills and any mold, mildew,or mold spores due to the sweating and
condensation of purchaser's existing duct system.
5. Power of Attorney.Purchaser agrees to grant AAA Modem Air a limited power of attomey to act as his/her agent for the sole purpose of securing all necessary paperwork to
obtain a permit to install the Equipment.
6. Force Majeure. If AAA Modern Air is delayed or prevented from performing any obligation hereunder due to causes or events beyond its control, including, without
limitation,any act of God,fire,riot,embargo,strike,legal action,accidents,transportation delays,present or future law or governmental order of regulation,such delay or
non-performance shall be excused during the pendency of such condition and the time for performance extended or rescheduled by AAA Modem Air.
7. Default.Purchaser shall be in default under this Contract upon the failure of Purchaser to observe or perform any of the Purchaser's agreement contained herein.In the event
of default by Purchaser,AAA Modem Air shall be entitled to collect from Purchaser all costs,fees and expenses incurred to enforce its rights hereunder,including,without
limitation,court costs,costs of arbitration,attorney's fees and costs and fees paid to other professionals or agencies.
8. Remedies.In the event Purchaser fails to pay any amount due and owing hereunder and/or fails to perform any obligation hereunder,AAA Modern Air shall have the right
to exercise one or more of the following remedies:(a)recover the balance of all amounts due hereunder including interest on all unpaid sums;(b)enter the premises where
the Equipment might be located and take possession of the Equipment and retain all prior payments as partial compensation for its use and depreciation;(c)incur collection
and legal expenses(including attorney's fees and costs)in exercising any of its rights and remedies upon default and/or(d)pursue any other remedy permitted by law.
9. Assignment.This Contract is freely assignable by AAA Modem Air.Purchaser may assign this Contract only with the written consent and permission of AAA Modem Air
and all obligations of Purchaser under this Contract shall bind its successors and assigns.
10. Other Services. This Contract does not cover maintenance service outside the warranty period provided for in Paragraph 4 above. Purchaser may elect to purchase
maintenance service with respect to the Equipment purchased from AAA Modem Air by entering into a separate maintenance Contract with AAA Modern Air.
11. Limitation of Liability.AAA Modern Air's liability for damages to Purchaser relating to or arising out of the performance or non-performance of the Equipment,or for any
cause whatsoever,and regardless of the form of the action,whether in contract or in tort including negligence,shall be limited to the total sale price stated herein for the
specific equipment that caused the damage or is the subject matter of or is directly related to the cause of the action.The forgoing limitation of liability will not apply to
claims for personal injury cased solely by AAA Modem Air's negligence.TO THE MAXIMUM EXTENT PERMITTED BY LAW,AAA MODERN AIR SHALL NOT BE
LIABLE TO PURCHASER OR ANY PERSON CLAIMING THROUGH OR AGAINST PURCHASER FOR ANY SPECIAL, INDIRECT OR CONSEQUENTIAL
DAMAGES(INCLUDING LOST PROFITS,REVENUES,BUSINESS OPPORTUNITIES OR INTERRUPTION OF BUSINESS)RESULTING FROM OR ARISING
OUT OF THE DELIVERY, INSTALLATION, OPERATION, PERFORMANCE OR USE OF THE EQUIPMENT (OR NON-PERFORMANCE, DELAY IN OR
FAILURE OF THE SAME),EVEN IF PURCHASER HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
12. Indemnification. Purchaser shall indemnify and hold AAA Modem Air(including its subsidiaries and related companies and its and their officers,directors,employees,
agents,and consultants)harmless from and against any and all losses,expenses and damages arising out of or incident to willful or negligent acts or omissions of Purchaser.
13. Severability.This Contract is intended to be performed in accordance with and only to the extent permitted by all applicable laws,ordinances,rules,and regulations of the
jurisdiction in which the parties do business.If any provision of this Contract or the application thereof to any person or circumstance shall,for any reason or to any extent,
be invalid or unenforceable,the remainder of the Contract and the application of such provision to other persons or circumstances shall not be affected thereby,but rather
shall be enforced to the greatest extent permitted by law.
14. No Payment Waiver.The acceptance of any payments after the specified due date thereof shall not constitute a waiver of purchaser's obligation to make future payments.
AAA Modem Air may apply any amounts paid by Purchaser pursuant to this Contract to any indebtedness owing by Purchaser to AAA Modern Air on account.
15. Entire Contract of Parties. This Contract contains the entire understanding of the parties with respect to the subject matter hereof, superseding all negotiations, prior
discussion and preliminary contracts or proposals made prior to the date hereof.Any modifications,change or amendment of this Contract shall be in writing and shall be
signed by an authorized representative of each party.
16. Headings.The article and section headings contained in this Contract are inserted for convenience only and shall not affect in any way the meaning or interpretation of the
contract.
17. Notices.All notices expect routine service and warranty requests under this Contract shall be in writing and shall be deemed to have been duly given and received on the
business day when personally delivered or transmitted successfully via facsimile to the intended recipient at the address or facsimile in this Contract.
18. Governing Law.This Contract shall be construed in accordance with the laws of the State of Florida and any proceeding arising between the parties in any manner pertaining
or related to this Contract shall,to the extent permitted by law,be held in Broward County,Florida.
19. The Purchaser shall be responsible for any change in such equipment,not caused by the seller's negligence,during period of installation and before payment in full.
20. The Purchaser agrees that the seller shall have the rights to file a mechanics lien for work and labor done and material fumished,and the contract shall not affect that right.
21. Upon default in payment as herein provided,the Seller may enter into premises unmolested and removed said equipment(which the parties agree shall remain personal
property notwithstanding that the equipment may be attached,set or affixed to real estate or improvement thereon)at the expense of the defaulting Purchaser.It is agreed that
damage to the real estate as is the necessary result of such removal shall be home by the Purchaser exclusively.
22. Permits.Purchaser agrees to provide a property survey if required by the building department in order to obtain a building permit.Purchaser agrees to coordinate with AAA
Modern Air for scheduling all permit inspections,and to be at job address to meet all building inspectors.Purchaser agrees the maximum dollar amount withheld for final
inspection shall be no larger than 10%ofjob cost and not exceeding$500.00.
23. Filters.Filters included in the contract will not be ordered unless contract is paid in full. Filter orders can take up to two weeks to process. Filters will be delivered to
purchaser's home address unless otherwise stated in contract.
NOTE: PLEASE REFER TO BOTH SIDES OF THIS CONTRACT FOR ALL TERMS AND CONDITIONS. BY SIGNING THE FACE OF THIS CONTRACT,
PURCHASER ACKNOWLEDGES THAT PURCHASER HAS READ,UNDERSTANDS AND AGREES TO ABIDE BY THE TERMS AND CONDITIONS OF THE
CONTRACT.
. AAA MODERN A/R SALES - SERVICE - INSTALLATION1 INVOICE
901 PHIPPEN WAITERS RD. DANIA FL. 33004 web site www.aaamodernair.com
PHONE # 954-921-4486 FAX # 954-362-2369 e-mail accheckup@aaamodernair.com
BILL TO: I JOB LOCATION
Apollo Builders Apollo Builders
14240 Sw 17 St 10616 Nw 2 Ave
Davie FL 33331 Miami Shores FL 33150
Home 954-445-5046 Work Home 954-445-5046 Work
INVOICE# 0001064838 CUST# 0040565 PAGE# Page 2 DATE 5/8/2014
QUAN LISTED BELOW IS THE DESCRIPTION OF WORK AMOUNT
Due Upon Equipment Installation. ($1500.00) Due Upon Installation Of Grills And Equipment Start Up. ($395)
Due Upon Final Inspection.
TOTAL $7,907.00
PAID Check 1270 $1,500.00
BALANCE $6,407.00
FILTER SIZE X X INSTALLERS
A/H S. # C/U S. #
NOTE: PLEASE REFER TO BOTH SIDE OF THIS CONTRACT FOR ALL TERMS AND CONDITIONS. BY SIGNING THE FACE OF THIS
CONTRACT, PURCHASER ACKNOWLEDGES THAT PURCHASER HAS READ, UNDERSTANDS AND AGREES TO ABIDE BY THE TERMS AND
CONDITIONS OF THIS CONTRACT.
TERMS AND CONDITIONS:You are entitled to and exacted copy of the contract you signed. Unless otherwise specified above,all installation of
replacement and new A/C systems will be installed, hooking up to existing electrical wiring and breakers, refrigerant lines,drain lines,slabs, roof
stands and support brackets,air handler platform boxes,condensate pumps,smoke detector,fire dampers,thermostats, humidistat,duct work,
supply and return air grills.Due to your existing building constructions and South Florida's high humility and heat wave weather conditions,seller
can't guarantee any particular cooling temperature. It is recommended to set your thermostat at 78 degrees for maximum savings on electrical
usage.Temperature set below 78 degrees could result in your air conditioning system to run for extended length of time.
If it becomes necessary to take collection actions for any charges,THE CUSTOMER,shall be responsible for all court cost,collection cost,and
reasonable attorney?s fees incurred to collect any unpaid charges.
Customer Print Name kNEw t
0 a Salesman Name Ahz&
Customer Signature Ar Date
** By Signing Here You Agree With The Terms & Conditions Above And On Reverse Side f This Contract
AAA MODERN AIR,INC EQUIPMENT SALE
ADDITIONAL TERMS AND CONDITIONS
1. Binding Effect.AAA Modem Air agrees to sell and Purchaser agrees to purchase the equipment from AAA Modem Air at the price set forth on the face hereof and subject
to the terms and conditions of this Contract.The Equipment delivered to the Purchaser remains the property of AAA Modem Air until the purchase price is paid in full.
2. Payment.The purchase price of the Equipment is payable upon execution of this Contract.Purchaser shall pay interest at the highest statutory rate permitted bylaw,from the
date due,on any payment which is delinquent by thirty(30)days or more.All credit arrangements between AAA Modem Air and Purchaser shall be in writing and payments
shall be due in accordance with same.Any amount due which is not timely paid shall incur a late charge/interest at the highest statutory interest permitted by law.
3. Equipment Warranties.The Equipment installed by AAA Modem Air shall be guaranteed solely by the manufacturer for a period of one(1)year from date of the installation
unless otherwise specified. AAA Modem Air does not warranty the equipment. The following items and their associated costs are not included in the manufacturer's
warranty on the equipment: (a)coil cleaning;(b)drain flushing;(c)air filter cleaning,and(d)existing electric breakers,fuses and wires;(e)refrigerant,[Freon R-22 or
"Puron"R410aj.
4. Services Warranties.AAA Modern Air shall service the equipment for a period of one(1)year from the date of installation of the Equipment without cost to Purchaser(as
long as performed during normal business hours—Monday through Friday from 8:00am to 5:00pm EST).Under this service warranty,AAA Modem Air,after evaluation,
shall have the discretion to repair the equipment or provide replacement parts. AAA Modern Air warranty service does not include maintenance such as filter or fuse
replacement.AAA Modern Air warranties clogged drain lines for thirty(30)days.AAA Modern Air has weekend emergency service available:Saturday from 12:00 PM to
6:00 PM and Sunday from 9:00 AM to 6:00 PM.Additional cost may be required for weekend emergency service.
Purchaser is responsible to monitor drain lines after installation,to make sure that there are no water leaks coming from the air conditioning unit.AAA Modern Air is
not responsible for and does not warrant against damage from water intrusion and/or condensation to Purchaser's walls, floors,ceilings,carpeting or any building
materials work that might occur during the installation and/or use of the Equipment or and for any mold growth from water leaks from drain pan overflow and roof
leaks from mounted equipment. Further,AAA Modern Air is neither responsible for dust accumulation that may occur during the installation and/or use of the
Equipment and/or Duct system nor odors that might be expelled by the Equipment and/or duct system during its use.AAA Modern Air is not responsible for any
condensation or sweating problems that might occur to purchaser's existing ductwork and grills and any mold, mildew, or mold spores due to the sweating and
condensation of purchaser's existing duct system.
5. Power of Attorney.Purchaser agrees to grant AAA Modern Air a limited power of attorney to act as his/her agent for the sole purpose of securing all necessary paperwork to
obtain a permit to install the Equipment.
6. Force Majeure. If AAA Modern Air is delayed or prevented from performing any obligation hereunder due to causes or events beyond its control, including, without
limitation,any act of God,fire,riot,embargo,strike,legal action,accidents,transportation delays,present or future law or governmental order of regulation,such delay or
non-performance shall be excused during the pendency of such condition and the time for performance extended or rescheduled by AAA Modern Air.
7. Default.Purchaser shall be in default under this Contract upon the failure of Purchaser to observe or perform any of the Purchaser's agreement contained herein.In the event
of default by Purchaser,AAA Modem Air shall be entitled to collect from Purchaser all costs,fees and expenses incurred to enforce its rights hereunder,including,without
limitation,court costs,costs of arbitration,attorney's fees and costs and fees paid to other professionals or agencies.
8. Remedies.In the event Purchaser fails to pay any amount due and owing hereunder and/or fails to perform any obligation hereunder,AAA Modem Air shall have the right
to exercise one or more of the following remedies:(a)recover the balance of all amounts due hereunder including interest on all unpaid sums;(b)enter the premises where
the Equipment might be located and take possession of the Equipment and retain all prior payments as partial compensation for its use and depreciation;(c)incur collection
and legal expenses(including attorney's fees and costs)in exercising any of its rights and remedies upon default and/or(d)pursue any other remedy permitted by law.
9. Assignment.This Contract is freely assignable by AAA Modem Air.Purchaser may assign this Contract only with the written consent and permission of AAA Modem Air
and all obligations of Purchaser under this Contract shall bind its successors and assigns.
10. Other Services. This Contract does not cover maintenance service outside the warranty period provided for in Paragraph 4 above. Purchaser may elect to purchase
maintenance service with respect to the Equipment purchased from AAA Modem Air by entering into a separate maintenance Contract with AAA Modern Air.
11. Limitation of Liability.AAA Modem Air's liability for damages to Purchaser relating to or arising out of the performance or non-performance of the Equipment,or for any
cause whatsoever,and regardless of the form of the action,whether in contract or in tort including negligence,shall be limited to the total sale price stated herein for the
specific equipment that caused the damage or is the subject matter of or is directly related to the cause of the action.The forgoing limitation of liability will not apply to
claims for personal injury cased solely by AAA Modem Air's negligence.TO THE MAXIMUM EXTENT PERMITTED BY LAW,AAA MODERN AIR SHALL NOT BE
LIABLE TO PURCHASER OR ANY PERSON CLAIMING THROUGH OR AGAINST PURCHASER FOR ANY SPECIAL, INDIRECT OR CONSEQUENTIAL
DAMAGES(INCLUDING LOST PROFITS, REVENUES, BUSINESS OPPORTUNITIES OR INTERRUPTION OF BUSINESS)RESULTING FROM OR ARISING
OUT OF THE DELIVERY, INSTALLATION, OPERATION, PERFORMANCE OR USE OF THE EQUIPMENT (OR NON-PERFORMANCE, DELAY IN OR
FAILURE OF THE SAME),EVEN IF PURCHASER HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
12. Indemnification.Purchaser shall indemnify and hold AAA Modem Air(including its subsidiaries and related companies and its and their officers,directors,employees,
agents,and consultants)harmless from and against any and all losses,expenses and damages arising out of or incident to willful or negligent acts or omissions of Purchaser.
13. Severability.This Contract is intended to be performed in accordance with and only to the extent permitted by all applicable laws,ordinances,rules,and regulations of the
jurisdiction in which the parties do business.If any provision of this Contract or the application thereof to any person or circumstance shall,for any reason or to any extent,
be invalid or unenforceable,the remainder of the Contract and the application of such provision to other persons or circumstances shall not be affected thereby,but rather
shall be enforced to the greatest extent permitted by law.
14. No Payment Waiver.The acceptance of any payments after the specified due date thereof shall not constitute a waiver of purchaser's obligation to make future payments.
AAA Modem Air may apply any amounts paid by Purchaser pursuant to this Contract to any indebtedness owing by Purchaser to AAA Modem Air on account.
15. Entire Contract of Parties. This Contract contains the entire understanding of the parties with respect to the subject matter hereof, superseding all negotiations, prior
discussion and preliminary contracts or proposals made prior to the date hereof.Any modifications,change or amendment of this Contract shall be in writing and shall be
signed by an authorized representative of each party.
16. Headings.The article and section headings contained in this Contract are inserted for convenience only and shall not affect in any way the meaning or interpretation of the
contract.
17. Notices.All notices expect routine service and warranty requests under this Contract shall be in writing and shall be deemed to have been duly given and received on the
business day when personally delivered or transmitted successfully via facsimile to the intended recipient at the address or facsimile in this Contract.
18. Governing Law,This Contract shall be construed in accordance with the laws of the State of Florida and any proceeding arising between the parties in any manner pertaining
or related to this Contract shall,to the extent permitted by law,be held in Broward County,Florida.
19. The Purchaser shall be responsible for any change in such equipment,not caused by the seller's negligence,during period of installation and before payment in full.
20. The Purchaser agrees that the seller shall have the rights to file a mechanics lien for work and labor done and material furnished,and the contract shall not affect that right.
21. Upon default in payment as herein provided,the Seller may enter into premises unmolested and removed said equipment(which the parties agree shall remain personal
property notwithstanding that the equipment may be attached,set or affixed to real estate or improvement thereon)at the expense of the defaulting Purchaser.It is agreed that
damage to the real estate as is the necessary result of such removal shall be home by the Purchaser exclusively.
22. Permits.Purchaser agrees to provide a property survey if required by the building department in order to obtain a building permit.Purchaser agrees to coordinate with AAA
Modem Air for scheduling all permit inspections,and to be at job address to meet all building inspectors.Purchaser agrees the maximum dollar amount withheld for final
inspection shall be no larger than 10%ofjob cost and not exceeding$500.00.
23. Filters. Filters included in the contract will not be ordered unless contract is paid in full. Filter orders can take up to two weeks to process. Filters will be delivered to
purchaser's home address unless otherwise stated in contract.
NOTE: PLEASE REFER TO BOTH SIDES OF THIS CONTRACT FOR ALL TERMS AND CONDITIONS. BY SIGNING THE FACE OF THIS CONTRACT,
PURCHASER ACKNOWLEDGES THAT PURCHASER HAS READ,UNDERSTANDS AND AGREES TO ABIDE BY THE TERMS AND CONDITIONS OF THE
CONTRACT.
,Sep. 4. 2015 9: 23AM No. 1142 P. 1
r
XUMODE-01 VSCHIAVO
,a►coRo- CERTIFICATE OF LIABILITY INSURANCE DATE F
9/4/2 D'YYY„'
9/4/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER_
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and renditions of the policy,certain policies may require an endorsement. A statement on thi9 certificate does not confer rights to the
certificate holder In Ileu of such endorsement(s).
PRODUCER CONTACT
NAME: LOCI B. Gleason
Collinsworth,Alter,Lambert,LLC PHONE 561)776-9001 q�Na: (661 427-6730
23 Eganfuskee Street
Suite 102
Jupiter,FL 33477 ADDRESS.
INSURER($)AFFORDING COVERAGE NAICO
INSURER A:Amerisure Insurance Co 19488
INSURED
INSURER e
AAA Modem Air Conditianing,Inc. INSURERC:
901 Phlppen Walters Road INSURERD:
Dania,FL 33004 INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 ANO CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BRYN REDUCED BY PAID CLAIMS.
IN$LTR TYPE OF NV$URANGEPOLICY NUMBER (MM/091122M
MPb 0D E MM/DDltYYY L1Nn5
A X COMUERCIAL GIINERAL UABILITY EACH OCCURRENCE 9 1,0()0,000
CLAIMS-MADE X❑OCCUR L20674640501 01/26/2016 01/26/2016
Y XCU 8:Contractual PIRGIVIISES Ea geewei)eel $ 100,00
MED EXP(Any tma person) $ 5,00
X Broad Form Prop.Dam PERSONAL dADVINJURY S 1,000,00
OEWLAOGREOATEUMITAPPLIESPER: GEWRALAGGREGATE S 2,000,00
POLICY JECT ❑LOC PRODUCTS-COMPIOPAGG f 2,000,000
OTHER: S
AUTOMOBILEUABIUTY aam ED5INGLEUMIT $ 1,0()0,00()
A X AW AUTO CAL20674620501 01/26/2016 01/26/2016 BODILY INJURY(Par pers ) s
ALL OWNED AUTOS AUTOSS� BODILY INJURY(PereccKWI) 9
X HIREDAUTOS X NOAUT$�D s
PIP Coverage $ 10,00
UMBRELLA LIAR OCCUR EACH OCCURRENCE S
EXCESS LIAR HCOJI0844ADE AWREGATE S
DED I I RETENTIONS S
WORKERS COMPENSATION X STATUTE T"AND EMPLOYERS'UABIUTY
A ANY PR OPRIETORPARTNERExEQUTIvE YIN 020814350301 03101/2015 03/01/2016 EL EACH ACCIDENT S 1,000,00
OPFICQR/Ml MWR EXCUJDE07 NIA
Ijy�y� �e� mbe�er E.LDISEASE-RAEMPLOYE 1 1,000,00
DE6CRIPTION Of OPERATIONS blow E.L DISEASE-POLICY UMIT - 1,000,00
DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remaffts Schad^maybe sttaa ed If mole space is mq%drad)
Certificate holder is named as additional Insured including products and completed operations for general liability per CG7048 and auto liability when
required by written Contract. General Liability is primary and non contributory for the additional insureds when required.by written contract par C07048.
Waiver of subrogation applies to general('iability and auto liability when required by written contract Cancellation per policy terms and conditions.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF TME ABGVE VV*CRIHED POLICIES BE CANQAI-LEO BEFORE
Miami Shores Village Hall THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
10050 Northeast 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS.
Miami Shares,FL 33138
AUTHORIZED REPRESENTATIVE
�0 a I
®1988-2014 ACORD CORPORATION. All rights marved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
-v> o � ��
Sep. 4. 2015. 9: 23AM No. 1142 P. 2
St-ATE'O•F FLORIDA
LEPARMENT OF BUSINESS`AND PROFESSIONAL REGULATION
' CONSTRUCTION INDUSTRY LICENSING BOARD •(850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE.' N FL 32399-0783
DI FLORIA;SALVATORE
AAA MODERN AIR CONDITIONING iNC
901 PMPPEN wA l-ERS ROAD
DANIA BEACH FL 33004
Congaatvlafons! Wrth this license you become one of the nearly _ _ -•one million Floridians licensed by the Department of Business and
Professional Regula8on. Our professionals and businesses Fango STATE'OF FLORIDA'
frorrr amh'Ftects to yacht brokers,from boxers to barbeque restaurants, I DEPARTMENT,OF BUSINESS AND
and they keep Florida's economy strong. tPROFESS101�1'AL,REGUlA710N
Every day wa wodcto improve the way we do business in order to !' CAC1813234 = :ISSUED: 08/19/2014
serve you better. For information about our services,please log onto
www_mytIo4dalicense_com_ There you can find more information CERTIFIED A{R.EODIb�ONl R•.. ' .
about our divisions and the regulations that impact you,subscribe ; D1 PEORIA,
to department newsletters and learn more about the Department's �-
inidatives_ �. AAAMODERNAIR OND,17,10 I, IG INC
Our mission atthe Department is:License Efficiently,Regulate Fairly_
We constantlystin eto serve you better so that you can serve your
Customers. Tnatkl ygij for civrng-busin9S5 in FlorTda, ' is Girt'r�r=��� v�d�r enc v�Y»�en� of 01%-689 r=s.
and congratulations on your new license! ; eptUon data_AUG31.2M9 L7A09190DOQB64
DETACH HERE
RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF IBUSLNESS AND PROFESSIONAL REGULATION
CONSTRLCTIO,N INDUSTRY.LICENSING BOARD
o,C1813234
:
The CLASS S A1R'CONDITIONING CONTRACTOR l ,
fNamed below 19-CER-1-119E0
ry �'�
Under the provisions of Chapter 489 FS_
Expiration date: AUG 31,2016
Dl FLORt-k SALVATORE
AAA MODERN AIR COND17-1710N1NG INC
Sol PHIPPPr=N WAITERS ROAD -
DAN1A BFACH FL33004 - Q
- SF-Cl# L1408190003W4
($SUED: DISPLAYAS RE4IUIRE0 BY LAW
Sep. 4. 2015 9: 23AM No. 1142 P. 3
BROW,4RD COUNTY LOCAL BUSINESS W RE'CEIP �' -
115 S.Andrews Ave., Rm.A-100, Ft Lauderdale, FL $3301-1$95—954-831-4000
VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015
Business ame:� MODgRN AIR CONDITIONING Receipt#: T212�TG%Axtt 'X'ION CON'(
Business Type:(CZ.ASS B A/C CoYrRACTOR)
Owner Name:SAF,v�tLx09E F nxxzoRIA
Business Location_901 QHIPPEN RD Business Opened:07/15/1993
DANIA BPPState/Co[my/CertlReg:CAC1B13234
Ficemption Code:
Business Phone:921-44a6
booms seats Employees nliarhines Professionals
z
` + For Vefiding Business only
Number o!Machines: vending Type:
TAXAmount Transfer Fee NSF Fee
Penalty Prior Years Collection Cost Tot!2!7
id
27.00 0.00 0.00 0_CO 0.00
0.00 .00
i
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
• �i
THIS BECOMES A TAX RECEIPT This tax is levied forthe privilege of doing business within Broward County and is
non-regulatory in nature_You must meet all County and/or Municipality planning
WHEN VALIDATED and zoning requirements.This Business Tax Receipt must be transferred when
the business is sold, business name has changed or you have moved the
business location.This receipt does not indicate that the business is legal or that
R is in compliance with State or local laws and regulations.
Mailing Address:
S•AZ.VATORE F DTFLOkTA• '
901 PRTPXw RD Race t #138-i3-00008982
DAXIA, FL 33004 Paid 07/IS/2014 27.00
i
i
• 2014 _ 2015 i