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MC-14-2707 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-225041 Permit Number: MC-12-14-2707 Scheduled Inspection Date:August 10,2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: CEPERO, ROBERTO Work Classification: Addition/Alteration Job Address:50 NE 91 Street Miami Shores, FL 33138- Phone Number Parcel Number 1131010200030 Project: <NONE> Contractor: FERGUSON MARINE SERVICES AIR CONDITIONING&REFF Phone: (305)233-5336 Building Department Comments REPLACE A/C UNIT ADDING DUCT WORK Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed n Failed . t Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 09,2016 For Inspections please call: (305)762-4949 Page 2 of 34 • i iami Shores Village CrTN7pr:) ilding Department MAR 0 2015 50 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 1� BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ESI/REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ;/MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP p r� CONTRACTOR DRAWINGS JOB ADDRESS: 5z iy I S City: Miami Shores County: Miami Dade zip 3 13 Q Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: - Construction Type:( Flood Zone: BFE: FFE: q OWNER:Name(Fee Simple Titleholder):_ _fti�6� � `- f�,,g�g Phone#: 9L Z3�/ Address•5'-j fl1,�. oil rlEgat City: M; C,, ;' FhJrej State: P C _ Zip: 33 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: �� �J�� �7'�' � a Phone#: Address: S�S' S z--/ ,� q City: /?P1 4 State: / Zip: ��✓�J Qualifier Name: qWfi-j Z�� Phone#: -77j--7 3 7--4 State Certification or Registration#: C' ey ld IS 0-70 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: J- Address: City State: Zip: tc Value of Work forthisPermit:$ 500 Square/Linear Footage of Work: 2r-j T'. Type of Work: u Addition / Alteration /® ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: filu G Specify color of color thru tile: �-- Submittal Fee$ Permit Fee$ t CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ` (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. 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 ap ro ed and a reinspection fee will be charged. Signature Signature 401J6. OWNER or AGENT CONTRACTOR The foregoing instrument wasacknowledgedbefore me this The foreg - instrument was acknowledged Tbefore me this day of Accu ,20 ,� ,by day of ��� 20 l ,by 1?09 f ATo CC bO�JL� ,who is personally known to c�..+ � ��' yy � ,who is personally known to me or who has produced as me or who has produced as identification and take an oath. identification and who did take an oath. C.PARRISH NOTARY PUBLIC: `� MY COMMISSION*EE153394 NOTARY PUBLIC: o`"tt,6'6C.PARRISH EXPIRES:DEC 14,2015 s MY COMMISSION#►EE153394 Son*through tst She la UM" /� EXPIRES:DEC 14,2015 Sign: Sig i Ban&I fteugh t st ate Imume Print: Gi r i S Print: Ol,r/—I b LA Seal: Seal: �ix�sx�a��+ear:�*�►*aa*�*a**reeses*��sxa*ss�s*s r�w*+raa *x���*a�:xs+�axe�ss�**+�a*x�x*aaex�srsx*�,�xx���mxxxwxx APPROVED BY I PlI Exa finer Zoning Structural Review Clerk (Revised02/24/2014) ':; =<,"ri �`oi' Y+.2E� i"-s yet. y'roc - {"r�•f'�i s' ',F,.K�'� ,� �a.�",.<•- ��C�,�- "'iZ"`f`�lsw.a•'`�`�"'-'%�by��,ta'•",-_'�r'7 -".� 't�-�s��-?�X��•h�'�7C-T,.. _ - s :mss -. -�..-1�` �i;�' �;_.. ..�,.�JY�_-h,�.• _ =I r-, me Wrl oil fill =. ti -- v. «, _ - mom �- WgT _ l._.;,�• _ , - _ _ - _ =ice:,`.�•-�-`-- :.-�'za:�`' � - - c - tti 4 - o i`a,�, - �- _ .. - - ':x"c�� -...vim �''-�:•;."..t:.1 .,zy:. :1�'P- �,. o�� { :-. 5' �X ae = - .kms f_ IMF C i _ r _ �^ c, - "�t • F- s.,., � �.-'tea-�^.- • _ _,». � �.:, - _-�`--=�?:•� z� -- - _ _ =NDN_ .1 's saw )jam- MINE =_;..��`��:: moi" ":�'^.�•�;,G...�•-: :� ro`x,.-.=�� -p`:f•i - •r: r ��y -.may s-.z��-..�..- _-•�, �•-� __ - y r.c - - ti-�e�-�vra• ACbR' CERTIFICATE OF LIABILITY INSURANCE 1%ziiMI2o16 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 poUcy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: PETE SANTISTEBAN THE SOLUTION INSURANCE SVCS INC PHHQ (305 595-6216 10855 SW 72nd St, Ste 7 L ac No:(305)595-6947 Miami, FL 33173 ADDRESS:solutioninsuranc@bellsouth.net A231800 INSUMMM) AFPoRLIWG COVEWeE Naca INSURER A:ATLANTIC CASUALTY INSURANCE COMANY INSURED MERLO BROTHERS CONSTRUCTION, INC INSURER B: 11104 SW 127TH COURT INSURER C: MIAMI, FL 33186 INSURER D: jcml032@aol.com 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 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. UR I ILTR TYPE OF INSURANCE s e D two POLICY NUMBERD M D LIMITS X( COM ERCtAL GENERAL,LtAsam EACH OCCURRENCE Is 1 0.00 000 CLA9N5 MADE ®OCCUR UA To REITED PREMISES Me occurran.1 I$ 100,000 MED EXP(Any one person} $ 51000 AL040001949-3 1/07/2016 01/07/2017 pERSONALt:ADVINIURY $ 1,000,000 GEN L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY[xi ECT ❑X LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: AUTOMOBILE LIABILfIY ANYAUTO Ea acxldent Is ALL OWNEDSCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS BODILY INJURY(Per acclder ) $ HIRED AUTOS NON-OWNED it AUTOS Per cedant Is UMBRELLA LtA6 OCCUR Is EXCESS LIAB EACH OCCURRENCE $ DED I I RETENTIDNS CLAIMS-MADE AGGREGATE $ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRiETCWPARTNBRtEXECUTNE B OFFICERIMgMBER EXCLUDEf3? ❑NIA E.L.EACH ACCIDENT $ (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Rama"Schedule,may be attached If more space Is required) OPERATIONS ARE THAT OF GENERAL CONTRACTOR / LICENSE # CGC 1510874 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING DEPARTMENT SHOULD ANY OF DESCRIBED POLICIES BE CANCELLED BEFORE THE 10050 NE 2ND AVENUE ACCORDA CCEPIRPAT1 E UCYPROVISIONS.E WILL 8E DELIVERED IN MIAMI SHORES,FL 33138 AUTHORIZED REPRESENTAT ACORD259&-2T1 3 t2013/04 TORDhe ACORD name and 1090 are registered marks of ACORD CORPORATION. All rights reserved. Miami Shores Village Building Department DEC 11 2814 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 BUILDING Master Permit No. C.- PERMIT APPLICATION Sub Permit No. ' 2— 70 7 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING CHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP r f 4 CONTRACTOR DRAWINGS JOB ADDRESS: J 0 N. £. rl I � Q 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: q OWNER:Name(Fee Simple Titleholder): /Z1 Phone#: 3V -'D0 / Address':,,TO N z 9! r4r de City: W cr.; f)'Nery! State: FL Zip: 3 3 3 8 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: (a�5 L Ar) 1vf �2b,V oro Phone#: -� 7 75— 3 �Z, Address: �S �' / 9 7 F City: State, ° Zip: Qualifier Name: � 04, �� fl o Phone#: 33 ZIF State Certification or Registration#: !�� ®� 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 ❑ Alteration t ❑ New, epair/Replace F-1Demolition Description of Work: 6�`/ Specify color of color thru tile: Submittal Fee$ Permit Feef$ ° CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) O A%j 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 appy ved and a reinspection fee will be charged. Signature Signature IA44A OWNER or AGENT CONTRACT R The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before, 'me this day of�E 2 20 IL—J by J 1day of 4 u°�u '5+ 20 ''6 by who is,gersonally known to j k (C °�® '� ,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: &G1,,.�"— Print: Print: Qr n Seal: C.PARRISH Seal: �'` +s• MY COMMISSION#EE153394 EXPfRES:DEC 14,2015 ►�� C.PARRISH Bonded through tst Sero IffiUme + MY COMMISSION#EE153384 � e Bonded thfough 19t Site Insurance APPROVED BY � Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) I A I C Ur rLUKIUA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 FERGUSON, JAMES MICHAEL FERGUSON MARINE SERVICES AIR CONDITIONING&REFRIGERA- TION LL 21515 SW 97 COURT CUTLER BAY FL 33189 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 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 CAC1815070 ISSUED: 08/10/2014 serve you better. For information about our services,please log onto www.myfloridalleense.com. There you can find more information CERTIFIED AIR COND CONTR about our divisions and the regulations that impact you,subscribe FERGUSON,JAMES MICHAEL to department newsletters and learn more about the Department's FERGUSON MARINE SERVICES AIR CONDI Initiatives. Our mission at the Department is:License Efficiently,Regulate Fairly. We constant) strive to serve you better so that you can serve your customers. lank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new license! ExptMban d2to.AUG 31.2016 L140610=1634 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD ,. CAC1815070 � The CLASS B AIR CONDITIONING CONTRACTOR Named below IS CERTIFIEDsy {�f�' � Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 0� Uj FERGUSON, JAMES MICHAEL . FERGUSON MARINE SERVICESAIR CONDITIONING$REFRI'GERATION LL 9233 SW 182ND ST MIAMI FL 33157 CERTIFICATE OF LIABILITY INSURANCEDATE1 MID 4 YY) 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 Om1RER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,.AND THE CERTIFICATE HOLDER IMPORTANT: B the cetfBk:ste holder Is an ADDITIONAL.INSURED,the policy(Les)must be endorsed. U SUBROGATION IS WAIVED,subject to the terms and coniWons of the policy?,cettaln pales may require an endorsement A statement an this eettflcate does not cahfer r1911ts to the corticate holder in Rehr of such endorswnerd(s} PRODUCER ACT MO MAWREGOR All American Insulhl m m015)2330865 No (305)235.8Eir16 9038 SW 152Nd St 15 IIUOTES(�f(IAfOINSURANCE.COM Miami,.FL 33157 INSUREMARIORDINSCOVERAGE Nm* Phone 2334M Fox 305)235-8M6 tHsuRER A: WESTERN WORLD INSURANCE COMPANY INSURED INSURER : AM TRUST NORTH AMERICA Ferguson Marine Services,A(r CorKMkm ng&Refrigeration,LLC INSURER C: 21515 SW 97th Court INSURER D: Miami,FL 33189 rJW)2335338 INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER. REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW RINE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITI-ISTANDING ANY RECMIREMENT,TERM OR¢ONDMON OF ANY CONTRACT OR OTHER DOUAIENT 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.LBMHTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF DL4URANCE I POLICY Nt1MBEIt EFF LAY EXP LIMITS Ghat.LWBILnY EACH OCCURRENCE $ 1000,000.0() ® C OMMERC CAL GEAf 3tAL LIABILITY DAMAGE MISE O, o "' $ 100,000.00 A C] ❑ CX .AIMSMADE ® OCCUR JDEQE-0 MED EXP cm penin $ 5,000.00 ❑ 02/27[2014 02/27/2095 PERSONAL&ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000 000.00 GEML AGGREGATE LWT APPLIES Pat PRODUCTS-COMPFOP AGG $ 1,000,000.00 ❑POLICY ❑ PRO- ❑ LOC $ AUTOMOBILE LIABILffY acaf SiMGLE Lwr ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ ALL u OWNED ❑ p�� BODILY INJURY(Per $ ❑ HIRED AUTOS ❑ AU OS® GE $ 11 . ❑ $ ❑ UMBRELLA LIAR ❑OCCUR EACH OCCURRENCE _ $ ❑ EXCESS LIAR CLAIMS-MADE AGGREGATE $ OED $ WORKERS CONISATION VMC 3IATU- OTkI- AND EMPLOYERS LIABILITY Y I N ANY PROPRIEraRIPARTNERIEXECUTI149 2475733 E.L.FSI ACMIRIT $ 100,000.00 B OFACERnIa �EXCLUDED? NIA 0301=4 03101M95 (M In N El E.L.DISEASE-FA EMPLOYE $ 5M,000.00 under OF OPERATIONS belaw EL D -POLICY LIMIT $ 1x,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEJi1CLES{Attach ACORD 101,Add#latat ReMaft s ole,If more space 18 Mqubad) STATE CERTIFIED MECHANICAL CONTRACTOR. LICENSE 0 CAC1815070 THE PARTY LISTED BELOW IS RECOGNIZED AS CERTIFICATE HOLDER. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES BUILDING&ZONING THE EXPIRATION DATE THEREOF,NOTICE WILL BE DEED IN 10050 NE 2 AVE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES,FL pUn{ORIZED 19""ACORD RATION. All rights reserved. ACORD 26(2010/05)OF The ACORD name and . are registered rmks of ACORD 001426 Local Business Tax Receipt Miami—Dade County, State of Florida THIS IS NOT A BILL-00 NOT PAY 3217858 � LBT -) BUSINESS NAMEILOCATION RECEIPT NO. EXPIRES FERGUSON MARINE SERVICES AIR CONDITIONING oEMOMEON LSEPTEM13ER 30, 2015 21515 SW 97 CT 3352515 Must be displayed at place of business CUTLER BAY FL 33189 Pursuant to County Code Chapter BA-Art.9 8$10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED FERGUSON MARINE SVCS A/C&REFRIG 196 SPEC MECHANICAL CONTRACTOR BY TAX COLLECTOR Worker(s) 1 CAC1815070 $45.00 09/04/2014 FPPU05-14-015449 This Local Business Tau Receipt only confirms Payment of the Local Business Tax The Receipt is not a license, noe�governmeentor a �al regulatory lam aceflon of the nd requirements which apply m e business.to do business.Holder must complywith any governmental or The RECEIPT NIX above must be displayed an aR commercial vehicles-Miami-Dade Code Sec as-W For morn irdormation,visit www.mlamldade. _;