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MC-15-1991Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Type. hantRes de tt�iai ssiftcation: AdditionlAiteratiort Permit Status: APPROVED Parcel Number 4/201 952 NE 91 Terrace Miami Shores, FL 1132060030130 Block: Lot: Expiration: 05/02/2016 Applicant MICHAEL MOLINA Owner Information MICHAEL MOLINA Address 952 NE 91 Terrace MIAMI SHORES FL 33138- 952 NE 91 Terrace MIAMI SHORES FL 33138- Contractor(s) JOHN T MECHANICAL INC Phone (954)895-5308 Cell Phone Phone Cell (305)672-7131 (786)554-6017 Valuation: Total Sq Feet: Tons: Additional Info: INSTALL EXHAUST FAN AND DUCT WORK I 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 $0.60 $2.25 $2.25 $0.20 $150.00 $3.00 $0.80 $159.10 Pay Date Pay Type Invoice # MC -8-15-56643 08/07/2015 Credit Card 11/04/2015 Credit Card Amt Paid Amt Due $ 50.00 $ 109.10 $ 109.10 $ 0.00 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 AFFIDAVIT: I ce fy hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction bove-named contractor to do the work stated. nature: Owner %/ Applicant ` Contractor / Agent Building Departme November 04, 2015 November 04, 2015 Date 1 V c k s- I 189 Inspection Number: IN Scheduled Inspecti Inspector: Perez, J Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL P - 305)795-2204 Fax: (305)756-8972 Owner: MOLIN Job Address: 952 NE 91 Terrace Miami Shores, FL Project: <NONE> Contractor: JOHN T MECHANICAL INC Permit Number: MC -8-15-1991 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number (305)672-7131 Parcel Number 1132060030130 Phone: (954)895-5308 Building Department Comments INSTALL EXHAUST FAN AND DUCT WORK IN GUEST BATHROOM Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 19, 2016 For Inspections please call: (305)762-4949 Page 1 of 42 .. 1 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 AUG 0 2015 FBC201't Master Permit No.' RC — )9E9 Sub Permit No. 1 "" lC ` 1 91 ❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ PLUMBING MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CCONTRACTOR DRAWINGS JOB ADDRESS: T5A Ali* Tixr. City: Miami Shores County: Miami Dade Folio/Parcel#: Is the Building Historically Designated: Yes NO Zip: 3313€ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): M 1 Jc9. - B (1 it.A.- Phone#: ( , 7r4—w Q /7 Address: g5A. I3E gj. 7.,QC — City: VD.AA L Shiraz State: FL Zip: 3313Q Tenant/Lessee Name: Phone#: Email: 1,Alaa .(M,p(liltv� • & Ha,k D. Cnv CONTRACTOR: Company Name: 30rik.) Address: POI aW $ ST City: 9 State: Zip: .�g3o ' Qualifier Name: i� s Yi Nr•P1K1/40-. Phone#: LV - Sir- VVc 111-A" Phone#: c,5 q State Certification or Registration #: CIVIC !d`F (SS8, Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ �300 Square/Linear Footage of Work:fa ,,,,,,,„_ Type of Work:' < ❑. EV Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: I1LL.:,`2:j("He4.U^3-i Saab Atm U k}C1- 0. C IN C�,1/4sST y -Vey taA Specify color of color thru tile: Submittal Fee $ Permit Fee $ I�tt CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ 1 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. 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. Signature OWN R or AGENT The foregoing instrument was acknowledged before me this , 20 l -r , by IIl1J_ J , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: !s" day of Sign: Print: Seal: D / .40%. ANDRE J. DEPAGN'!r:R MY COMMISSION # FF245654 • EXPIRES June 30, 2019 **********MARTMaP3'QrAi3,****stpwtecialvesparisicitr***** ** APPROVED BY (Revised02/24/2014) Qb\\4)\, Signature CONTRACTOR The foregoing instrument was acknowledged before me this 277 day of f 1y , 20 J 3. , by Yb WI.)77 Nei Nt✓ , who is personally known to me or who has produced ,Prarxisf'r Le-'�z — as identification and who did tdak4...112-oakh— — — — - ROBERT CALDWELL NOTARY PUBLIC: Sign: Print: / 31.4 C__ G — Seal: Notary Public - State of Florida Commission # FF 231075 My Comm. Expires May 17, 2019 3 r d+i,d !Notion National Notary Assn. ***************************************************** Plans Examiner Zoning Structural Review Clerk t_l,,ENSE `:UMRFR STATE OF FLORMA .�, rrly-agrnzemmkrftwwwwDEPA OF BUSINESS AND PROFESSIONA1. REGULATE CONSTRUCTION INDUSTRY LICENSING BOARD The MECHANICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 TINNING, JOHN JAMES JOHN T MECHANICAL INC - 3208 NW 34Th COURT LAUDERDALE LAKES FL 33309 ISSUED: 09Ru712014 DISPLAY AS REQUIRED BY LAW SEgII 11.4 0-070003326 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301.1895 — 954431.4000 VALID OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2016 Rea& Business Name: JOHN T MECHANICAL INC pt #118 g �OT� 1 TYPES CONTRACTOR Outlines. Type. Owner Name: JOHN JAMES TINNIN0 Business Location: 801 NW 57 ST PT LAUDERDALE Business Phone: a54 -e95-5308 Rooms Seams Employees 3 (CERT MECHANICAL CONTRACTOR) Business Opensd:o9/iaa/aooa State/County/CertIRsp: CMC 12 4 9 5 8 8 Exemption Cods: Maachines Professionals Number of Machines: T9x Amount 27,00 Trantiier Fee 0.00 or end 1117, NSP Fee 0.00 Penalty 0.00 V!ndlnLType: Prior Years 0.00 Collection Cast 0.00 Total Wald 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax Is levied far the privilege of doing business within Broward County and Is non -regulatory In nature. You must meet all County andbr Municipality planning WHEN VAUDATID and zoning requirements, This Business Tex Receipt must be transferred when the business le sOtd, business name has changed or you have moved the business location. This receipt dose not Indicate that the business is legal or that it is in compliance With State or loos) laws and regulations. Miffing Address: JOHN JAMES TxNNMNO 3208 NW 34 CT LAUDERDALE LAKES, FL 33309 2014 .2015 Receipt #308-13-00003667 Paid 09/23/2014 27.00 08/06/2015 10:51 9545812999 AC "L.....:,--- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDryYYYI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.ITHIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE: A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, he policy(ies) must be endorsed. If SUBROGATION 13 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 ACE UND GRP PLTN PAGE 01/01 Ace Underwriting Group Customer Service Center 6305 West Braward Blvd. Plantation FL 33317 INSURED John T Mechanical 3208 NW 34 Ct Lauderdale Lakes fl 33309 COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMMEDNABOVEgFOR THE POLICY PERIOD REVISIOER: 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. TYPE OF INSURANCE ADDi. - POLICY NU6reER PO EFP EXP 151 COMMERCIAL GENERAL LIABILITY � • • �Y +� � NUD • OWNS -MADE OCCUR IIII� MED ExI:i (Any one person) DAMAGE TO RENTED PREMISES (Es ccurren7 EACH OCCURRENCE S 1,000,000 GEN'LAGGREGATE UMITAPPMES PES 151 POLICY ❑ JECT 0 LOCGENERAL AGGREGATE 111 OTHER: PRODUCTS - COMP/OP AGG IsAUTOM081LE LIABIj,ny li■ muANY AUTO . ■ ALL Q1NN I III c°Anle' Ace Underwritin Group PHONE 202 934-584-0 ADDRESS: service@underwrltlnq.com . Nob 954-581-2999 INSURE1 AFFORDING COVERAGE INSURERA: Capacity Insurance NAIL 1l INSURER U INSURER C 32930 INSURER D : INSURER E : NSURER F CLM01001979E 05!02/22015 06/02/2016 AUTOS EO ■ SCHEDULED 111 AUTOS WIRED AUTOS AUTOS ED 4UT03 Ill OCCUR ■CLAIMSMgpE DED - RE)ENTfoN $ RKERSCOMPENSATION D MPLOYERS' LIABILITYY / N Y PROPRIETOR/PARTNER/EXSCUTIVE FIO R/10EMBER EXCLUDED, nndatary In NH) DESCRIPTION under describe 0 OPERATIONS hes* UMBRELLA LIAS EXCESS LIAO DEscRIPTION OF OPERATIONS / LOCATIONS /VEHICLES � lot, Additren4I Remade Schedule, may be attached space le reuelnua HVAC Installation Service Repairs 100,000 5,000 1,000,000 2,000,000 1,000,000 EACH OCCURRENCE AGGREGATE E.L. DISEASE - EA EMPLOYE = S E.L, DISEASE . POLICY LIMIT S CERTIFICATE HOLDER Miami Shores Village Hall 10050 Northeast 2nd Ave Miami Shores, Florida 33138 305-756-8972 (fax) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORI2Bp REPRESENTAT►V ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD RD CORPORATION. All righreserved. Produced using Ponta Bess Wab software. w„„,FofnaEOee.Oom: 4lmnrro,n:u., P rhtka,t, ,. sna-sna-gas. PLEASE CUT OUT CARO BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY EXEMPTION • VIAMLECTION TO BE UMW FROM FLOM* WONNIIRC COLVIMMIATION LAW EFFOSTME OAT& 3/244014 PERSOM MOM JOHN ▪ 2OMOM170 MOMOUION OAT& 309 BUSINESS NAM AND ADDRESS: JOHN T MECHANICAL INC 3208 NW.. WWI COURT LAUDERDALE FL 33309 SCOPES OF BUSINESS OR TRA F 0 D H E R E --- Ptasitant to Chapter 440.05(14), F.S„ an otNcar of a caftwegan who elects aseroption ttom tills chapter by Sing a ceMScate of election ander this section may net reamer benefits or compensalion under ties chapter. Pursuant to ChopIor440.08(12) Oefillicates.otetectlen to . be exempt- aplyonlywithin the scope of Pus business or trade gated en the Wee detection to be exempt. Pasmatt te Chapter440.05(13), F.S., Notices of election to be arenst and certificates of election to be exenitt shag be salsa to revocatbn It, at any time after Oie SRI of the Mice or the knows of the metlibide. the Pelson rimed en the netts or certificate no longer meets the requirements of this sen for issuance ole sertitloate. The department shag revoke umlaute at any time for failure rite serum named MI the catitleste to meet the requirements of Ws seotbn, flACHfNERY OR U1PMENT ERECT* DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO �E EXEMPT REVISED 07-12 QUESTIONS? (860)413-1809 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: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of 2. The officer is listed as an officer of the corporation in the records of the Florida 3. The corporation is registered and listed as active with the Florida Department of 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. an LLC, a statement attesting to the minimum 10 percent ownership; Department of State, Division of Corporations; and State, Division of Corporations. 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 Florida County of Miami -Dade The foregoing was acknowledge before me this 7 day of , 20 /,5T By //44i fl who is personally known to me or has produced � (. (.1 C It F7TSSa-`170 Ra—O) as identification. Notary: SEAL: lily /Pat -tiro - LINDA D. MAURO -Notary Public - State of Florida • fi My Comm. Expires May 14, 2017 Commission # FF 001078 Bonded Through National Notary Assn. Notice to Owner Workers' Com p Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ensation 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: 1. 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: State of Florida County of Miami -Dade The fore oing was acknowle ge before me this _j_i_ day of fj ,it,C, ( (5-j— , 201 . By(:�'tGc'{// 0 /f"ckwho is personally , gicfifM produced 6 p y���S+ � e� SIGN .q�� �� C):vno1pfly ya ,c•• r 1 • F21�y 4§:) �p . :isas,,ss►s�`� as identification. John T Mechanical 801NW57St Fort Lauderdale, FI. 33309 954-895-5308 Date: State of 5te,-1,611,1-) County of LI/it-U-44— Before me this day personally appeared deposes and says: That he or she will be the only person working on the project located at: Q5a N E 9/ sr jc e21c L 0110 n1 i` S'M res Sworn to (or affirmed) and subscribed before me this 7 day of by Personally know OR Produced Identification 1/ Type of Identification Produced D r . L-1_ �5-ca - (4 70 - - i y9- -o Print, Type or Stamp Name of Notary LINDA D. MAURO Notary Public - State of Florida My Comm. Expires May 14, 2017 Commission # FF 001078 Bonded Through National Notary Assn. who, being duly sworn, oL� 2016 details - Business Tax Account JOHN T MECHANICAL INC - TaxSys - Broward ... Page 1 of 1 Records, Taxes & Treasury Div. Home Search Reports Shopping Cart ATTENTION TAXPAYERS: Please be advised of the NON-REFUNDABLE processing fees for credit and debit card transactions. Credit cards are charged 2.55% of the amount charged ($2.00 minimum fee). Domestic Visa Consumer Check cards will be assessed a fee of $3.95 per transaction if you select 'Debit Card'. Thank you. 2015 Annual Tax Bills will be mailed prior to November 1, 2015, and will also become available on this website November 1st for viewing, printing or online payment. Tax bills are mailed to the current mailing address of the property, as listed on the Property Appraiser website www.bcpa.net . We recommend that everyone verify their current mailing address listed for their property at www.bcpa.net — and immediately report any mailing address change by using the link at the bottom of your property record for reporting errors. 2016 Detads ss Tai A OHN T MECHANICAL NC Business Tax Account #49081 Account details Account history r 2016 2015 2014 2013 .., 2005 PAID PAID PAID PAID PAID Account number: 49081 Business start date: 09/28/2005 Business address: JOHN T MECHANICAL INC 801 NW 57 ST FORT LAUDERDALE, FL 33309 Physical business location: FT LAUDERDALE Receipts And Occupations Owner(s): JOHN JAMES TINNING 3208 NW 34 CT LAUDERDALE LAKES, FL 33309 Mailing address: JOHN JAMES TINNING 3208 NW 34 CT LAUDERDALE LAKES, FL 33309 Q''''; Print account application (PDF) ©;. Print exemption application (PDF) Receipt 189-5052 CONTRACTORS ALL OTHER TYPES CONTRACTOR Additional documentation required: CMC1249558 State Certification OR Broward Cert. of Comp. (each year) PAID 2015-10-20 $29.70 10/01/2015-09/30/2016 Units: 3 Receipt #10B-15-00000333 https://www.broward.county-taxes.com/public/business_tax/accounts/49081 11/3/2015