MC-16-2294Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Per t/t N .
Perr» t Type, Me
Work Cta cation
Pem
Parcel Number
6-2294
Teal -i Residential
Addition/Alteration
State: APPROVED'",
Expiration: 10/23/2017
Applicant
10565 NE 2 Court
Miami Shores, FL
1122310130590
Block: Lot:
YORNET AND SAMUEL COMER!
Owner Information
Address
YORNET AND SAMUEL COMERFORD 10565 NE 2 Court
MIAMI SHORES FL 33138-
10565 NE 2 Court
MIAMI SHORES FL 33138-
Contractor(s)
JMEC CONSTRUCTION, LLC
Phone Cell Phone
(954)410-4695
Phone
(305)751-7467
Valuation:
Total Sq Feet:
Tons:
Additional Info: HVAC PER PLAN
Classification: Residential
Approved: In Review
Comments:
Date Denied:
Scanning: 1
Date Approved: : In Review
Type of Work:
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$4.80
$4.20
$4.20
$1.60
$280.00
$3.00
$6.40
$304.20
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC -8-16-60989
04/26/2017 Check #: 1637 $ 304.20 $ 0.00
Cell
$ 8,000.00
545
Available Inspections:
Inspection Type:
Final
Rough Duct
Review Mechanical
Underground
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 AFF
constructio
II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
I authorize the above-named contractor to do the work stated.
thorized Signa ure: Owner / Applicant / Contractor / Agent
Building Department Copy
April 26, 2017
Date
April 26, 2017
1
@o/5
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Honda 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
BUILDING master Permit No.12-sCle, — `64-12'
PERMIT APPLICATION sub permit No. fY\ G ((o - 1L-1
❑BUILDING ❑ ELECTRIC o ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
['PLUMBING ® MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
,
JOB ADDRESS: O 6 f p `j -t------t-----$ er--x-
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):
Address: l 0-5
kJ
Phone#:
City: k S (i1-« 1f State: 1 Zip: 13 3'
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Sansone Air Conditioning
Phone#: 954-428-8919
Address: 590 Goolsby Blvd
city: Deerfield Beach State: Florida zip: 33442
Qualifier Name: Scott Sansone
Phone#: 954-428-8919
State Certification or Registration #: CMC1249260 , Certificate of Competency #:
DESIQNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for th en%Itt: $ &&"-ri Square/Linear Footage of Worle: +5
0 Demolition
Type of Work: Addition 0 Alteration El New ❑ Repair/Replace
Demotion of work: HVAC PER PLAN
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ 9‘� e✓ T CCF$$ -'' 9b cc/ccs 0
Scanning Fee $ g' Crl. Radon Fee $ 4-1. ' zu DBPR $ —1 • 20 Notary $
Technology Fee $ e - q 0 Training/Education Fee $ (. GO Double Fee $ -�e'r
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 3 O T • 20
(RevisedO2/24/2014)
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 mate to obtain a permit to do the work. and installations as indicated. 1 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: 1 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 estim
promise In good faith that a copy of the notice of commencement and construction
whose property is subject to attachment. Also, a certified copy of the recorded notic
for the first inspection which occurs seven (7) days after the building permit Is 1
inspection wig not be approved and a reinspection fee will be charged.
Signature
The foregoi
OW I' or AGENT
strument was acknowledged before me this
t{(-42 ,by
p rsonally known to
Signature
value exceeding $2500, the applicant must
law brochure will be delivered to the person
commencement must be posted of the Job site
d. In the absence of such posted notice, the
The foregoing instru
1 O day of
0,911,1
CONTRACTOR
acknowledged before me this
20 t- , by
personally known itp
r who has produced as me or who has p oduced as
identification and who did take an oath.
40.04:.0 MY tON1u11SSIO FF 188027
EXPIRES; M h 16, 2019
4.,,,00 Bonded lhru Budget Notary Senioes
identification and who did take an oath.
****************##*******#** *******a* *#*s*.** .*** R#** *
******
#*#****************####*****####*4044******#
I
APPROVED BY n Examiner Zoning
(Revtsed02f24/2014)
Structural Review Clerk
01/2112002 23:55 9544281405 SANSONE PAGE 03103
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
.GONSTRUGTION-INID tiST'RY-LICENSING-BOrARQ "„""� .'...._.4850j..487 4395
1940 NORTH MONROE STREET
TALLAHASSEE , FL 32399-0783
SANSONE, SCOTT JOHN
SANSONE AIR CONDITIONING
4570 GLENWOOD DRIVE
COCONUT CREEK FL 33086
Congratulations! kWh 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
from architects to yacht brokers. from boxers to barbeque restaurants,
and they keep Florida's economy strong.
Every day we work to improve tha way we do business in order to
serve you better. For Information about our services, please log onto
wwwanyfioridalicense.com. Thera you can •find more information
about our divisions and the regulations that impact you, subscribe
to department newsletters and team more about 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,
and congratulations on your new licenser
DETACH HERE
•
a•
trar
RICK SCOT!', GOVERNOR KEN LAWSON, SECRETARY
�•
.. :: sTA,TE,OF"I�I:QRIbp ..,.. ' `'......;•;:.:,:....:::,::::::':.' ~ _.: _• .
• ---...:•-,-,:----,;----...-._.--:•:;::::'::::".`--!„-- ▪ ' r,m 0171. – Y\1`-. - . 'ii,1VI�'1•�,1, f'" lIbir..'�6IAV'�0 S. 4 R. 4 ..
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Cf°;Nif, NUMBER
—I ECF ANI AV.00
N jxt eso 7S..
:rte ` : 01' 001
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ISSUED: 07!0312014 DISPLAY AS REQUIRED BY LAW
7":..
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SEQ # L1407030001187
r;.
01/21/2002 23:55 9544281405
SANSONE
PAGE 02/03
BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S. Andrews Ave., Rrn. A-100. Ft. Lauderdale, FL 33301-1895 — 954-831-4000
VALID OCTOBER 1, 2015 THROUGH SEPTEMBER 30, 2016
DBA:
Business Name: SANSONE AIR CONDITIONING
Owlet Name: SCOTT J SANSONE/QUAL
Business Locatlon:590 G00,.533: BLVD
DEERFI1;17,D BEACH
Business Phone: 954-428-8919
Rooms
Seater
Employees
75
4,4
ReceiptitinT- G/14IItCONDZTION CO
Business Type: tECFlANTxCAI, CONTRACTOR)
Business Opened:12/11/2003
State&County!Cert1Reg:Cwc 124 92 60
Exernptlon Code:
Mechinos
Professionals
Number of Mach Ines.
For Vending gush oily
Tax Amount
Transfer Fee
NSF Fae
Penalty
.1n1u.1%, I rh.W
Prior Yams
collection Coat
Total Paid
3.50.00
0.00
0.00
0.00
0.000.00
J
150.00
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied for the privilege Of tieing business within &award County and is
nen-regulatory in nature. You must meet ail County and/or Municipality planning
WHEN YAUDATER and zoning requirements. This Business Tax Receipt must be trsnsferned whe
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
it is in compliance with State or local levet and regulations.
Malting Address:
SCOTT J SAN9oNE/QOAL
590 GOOLSBY BLVD
DEERFIELD BEACH, FT. 33442
2015 -2016
Re eipt •01A-14-40005837
paid 08/06/2015 150.00
R
01/21/2002 9544281405 SANSONE PAGE 01/03
cri
cYTh ‘ V
ACO O®
CERTIFICATE OF LIABILITY INSURANCE
F—OmvammwrImlo
12/28/2015
1 THIS CERTIFICATE IS ISSUED AS A MATTE:k 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 poticy(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 endorsemank(�s .
PRODUCER
Frank R. )'un, X c.
1314 Salt Atlantic B1vd.
P. O. Hoz 1927
Pompano Beach PL 330E1
INSURED
Sansone ILC
DBA Sansone Air Conditioning
590 Goolsby B1vd.
Deerfield Beach
COVERAGES
CONTACT
NAME:
tPHHONE (954) 943-5050
E-MAIL
I(Alc.No) 19541942-6310
INSURER(5) AFFORDING COVERAGE
lasuneRAINational Trust Xun Co
INSURERS FCCI xnsurance Co
NAIC
20141
Rasp/totee Bridgefield nutp1oyera Ina Co
INSURER D :
INSURER E
10178
10701
FL 33442 _ INSURERF:
CERTIFICATE NUMB 015-2016 No EDiwT
THIS IS TO CERTIFY THAT THE POUCIES
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,
CERTIFICATE MAY SE ISSUED OR MAY
EXCLUSIONS AND CONDITIONS OF SUCH
OF
PERTAIN,
POLICIES
IN
INSURANCE
VIND
LISTED BELOW HAVE BEEN ISSUED TO
TERM OR CONDITION OF ANY CONTRACT
THE INSURANCE AFFORDED BY THE POLICIES
LIMITS SHOWN MAY HAVE BEEN REDUCED BY
THE INSURED
OR OTHER
DESCRIBED
PAID CLAIMS,
POLICY EXP
NAMED ABOVE FOR
DOCUMENT WITH RESPECT
HEREIN 15 SUBJECT
Lams
THE POLICY PERIOD
TO WHICH THIS
TQ ALL THE TERMS,
LTR
TYPE OF INSURANCE
POLICY NUMBER
INPQ pp EFF
A
7C
COMMERCIAL GENERAL LIABILITY
4:L0016161 3
12/1/2015
12/1/2016
EACH OCCURRENCE
$ 1,000,000
_
CLAIMS -MADE
2 OCCUR
r5FEN D
PREMISES (Fs o0wrre1l�_
IAED EXP (Arty One 136n6m)
5 100,000
$ 5, 000
—.
GEN'L
PERSONAL& ADV INJURY
$ 1,000,000
AGGREGATE OMIT
APPLIES PER
L LOC
GENERAL AGGREGATE
5 2,000,000
POLICY 2 ERg
PRODUCTS - COMP/OP AGG
$ 2,000,000
OTHER
EmisdormEemlit
$ 1,000,000
$
AUTOMOBILE
LIABILITY
ANY AUTO
AUTOS�E9
AO
HIRED AUTOS
COMP 1,00D
AUTO ED
NON.OINNED
AUTOS
COLL 1000
010017402 6
12/1/20x5
12/1/2016
[. eUU NGLELIdIT
3 1,000,000
2
BODILY INJURY (Per pr r an)
5
.
7[
8
BODILY INJURY (Per acclOarit)
3
R
tOtQANdAGE
2
R
$
H
2
UMBRELLA LIAR
EXCESS LAB
OCCUR
CLAIMS -MADE
00 0011725 6
12/1/2015
x2/1/2016
OCCURRENCE
$ 5,000,00D.
$ 5,000,000
I
AGGREGATE
AGGREGATE
DED A RETENTIONS
10.000
_
C
WORKERS COMPENSATION
ANo EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERJEXECUTNE
OFFICER/MEMBER EXCLUDED?
(I�Myyevers�lamory I NN)
under
DESCRIPTION OF PERATIONS
Y I N
N!A
0830 54159
1/1/2015
1/1/2017
�.
8 14TATUTB I ERH
EL EACH ACCIDENT $ 1,000,000
belowa
E.L. DISEASE • EA EMPLOYEE $ 1,000,000
..
L E.L.EDISEASE -POLICY LIMIT $ 1e 000 000
,
'ASCRIPTION OF OPERAT 'OMS / LOCATIONS / VEHICLES (d CORD 101, Ammons' ROMP:8 Seeedule. may bE attached It mare sone 1s required)
RE: MECBANtCAL CONTRACTOR LICENSE # CNC1249260
LLATION
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
i
ACORD 25 (2014/01)
INSD25 mufti
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AVTHORLZED REPRESENTATIVE
Dirk DeJong/RD
®1988.2014 ACORD CORPORATION. All rights reserved -
Th e
eserved_The ACORD name and logo are registered marks of ACORD