Loading...
MC-16-1237Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 (k). c I6-15oo Inspection Number: INSP-270299 Permit Number: MC -5-16-1237 Scheduled Inspection Date: November 02, 2016 Inspector: Perez, JanPierre Owner: DAMMRICH, DANIEL & MARYANNE Job Address: 1223 NE 102 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: CAPITAL AIR INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132050250140 Phone: (954)797-0029 Building Department Comments NC REPLACEMENT. 4 TONS SPLIT Infractio Passed Comments INSPECTOR COMMENTS False R7N, \\/):\),li Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP-258433. missing lock caps November 01, 2016 For Inspections please call: (305)762-4949 Page 51 of 51 Protect Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number C 2 7 apical to ldentlal »Replacement Expiration: 12/06/2016 Applicant 1223 NE 102 Street Miami Shores, FL 33138- 1132050250140 Block: Lot: DANIEL & MARYANNE DAMMRII Owner Information Address Phone CeII DANIEL & MARYANNE DAMMRICH 1223 NE 102 Street MIAMI SHORES FL 33138- 1223 NE 102 Street MIAMI SHORES FL 33138- Contractor(s) CAPITAL AIR INC Phone Cell Phone (954)797-0029 (954)962-6315 Valuation: Total Sq Feet: $ 3,585.00 0 Tons: 4 Additional Info: NC REPLACEMENT. 4 TONS SPLIT Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 3 Date Approved: : In Review Type of Work: Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $2.40 $2.00 $2.00 $0.80 $125.48 $9.00 $3.20 $144.88 Pay Date Pay Type Amt Paid Amt Due Invoice # MC -5-16-59703 06/09/2016 Credit Card $ 94.88 $ 50.00 05/09/2016 Check #: 66648 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Review Mechanical 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 const cti the ore, I authorize the above-named contractor to do the work stated. u horized ure: Owner / Applicant / Contractor / Agent Building Department Copy June 09, 2016 Date June 09, 2016 1 BUILDING PERMIT APPLICATION BUILDING ELECTRIC p ROOFING ❑ REVISION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION UNE PHONE NUMBER: (305) 7624949 Master Permit No. 5414 FBC 20 44 MG Ho -1237" Sub Permit No. ❑ EXTENSION ❑ RENEWAL 0 CANCELLATION 0 SHOP DRAWINGS [I PLUMBING © MECHANICAL ['PUBLIC WORKS ❑ CHANGE OF CONTRACTOR JOB ADDRESS: 1223 NE 102 ST City; Miami Shores County: Folio/Parcel:11-3205-025-0140 Occupancy Type: Load: Construction Type: SFR Flood Zone: OWNER: Name (Fee Simple Titleholder):Phone*: DANIEL & MARYANNE Phone*: 36s 7(\ - \r Q9 Miami Dade Zip: Is the Building Historically Designated: Yes NO BFE: FFE: Address: 1223 NE 102 STREET Cm,. MIAMI SHORES State: FL Tenant/Lessee Name: Email: CONTRACTOR: Company Name: CAPITAL AIR, INC. Address: 2951 SIMMS STREET city: HOLLYWOOD Zip: 33138 Phone#: Phone#: 954-792-4942 State: FL Qualifier Name: PETER CALLAHAN Zip: 33020 Phone#: 954-792-4942 State Certification or Registration #: CAC058746 DESIGNER: Archltect/Engineer. Address: City: State: Zip: Certificate of Competency #: Phone#: Value of Work for this Permit $ 3,585.00 Type of Work ❑ Addition 0 Alteration Description of Work: NC REPLACEMENT Square/Linear Footage of Work ❑ New © Repair/Replace ❑ Demolition Specify color of color thru tile: I Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ 1-141qg cas (Revised02/24/2014) CO/CC $ Notary $ Double Fee $ Bond $ r� TOTAL FEE NOW DUE $ r , 1 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: 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 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 prope subject to attachment Also, a certified copy of the recorded notice of commencement must be posted at the Job site for the first ins ich occurs seven (7) days after the building permit is issue he absence of such posted notice, the inspection will not be approve a and a reinspection fee will be charged. -fi" 0 NER or AGENT The foregoing instrume . was acknowledged before me this d yof LtA ,20 1 , by I'M Mip9 who is personally known to 3 me or who has produced t►L' o2 — s identification and who did take an oath. \\\ lin" a C ; -Q Identification and who did take an oath. NOTARY PUBLIC: \���\Q.P;,E ('••.;�44, NOTARY P 6%0MSS1041 Ca ober 26. cc- : . Signatu CONTRACTOR The foregoing instrument was acknowledged before me this (PM day of r.‘'\A1 , 20 PETER CALLAHAN wh , by to me or who has produced as Sign:(_.Q.e Prime—TIT.-;t1 Seal: Y o •�oQ' c�• Z A�. . �Qv, VA Si �1„,7� flEE 846727 APPROVED BY 01 ieevisedo2/24/24► • "Pat: .9 • ••• �d <90�dedthN .” •Qfai: 'dele II 7e STA°O411 \\���a ,o4e • is n ro .. * `,; ,o CONSUELO RIZZI-HARPER MY COMMISSION #FF070613 >FoF�Q` EXPIRES December 8. 2017 140 (4o7) ass 0153 FloridallotaServi e. *sem***** Plans Examiner Structural Review Zoning Clerk r A Air conditioning -Heat Pumps We Sell We Install We Service PURCHASER PURCHASER'S ADDRESS SELLER'S PROPOSAL CAPITAL AIR CONDITIONING- 2951 ONDITIONING2951 Simms Street Hollywood, FL 33020 (954) 792-4942 Fax: (954) 797-0029 GL INN 1223 NE 102 ST MIAMI SHORES PHONE Air conditioning -Heat pumps Broward Palm Beach Dade N E AIR CONDITIONING REPLACEMENT — REMOVg AND DISPOSE OF THE EXISTING NC SYSTEM COMPLETE INSTALLATION OF ONE NEW CARRIER 4 TON SPLIT SYSTEM 16 SEER INSTALL ONE NEW HONEYWELL THERMOSTAT . HEATER AND FLOAT SWITCH CONNECT TO THE EXISTING FREON LINES . DUCTWORK PJID ELECTRICAL TEN YEAR PARTS AND ONE YEAR LABOR WARRANTY TOTAI PR ICF S37 5 00 - FPI RFRATF 5150 00 = S35115.00 Supply Grilles Return Grilles We propose to furnish materials and/or Payments to be made as follows: Labor specified above in consideration of the Following Sums: Labor and/or Materials $ Less Trade -In Allowance $.... Q % Non refundable Deposit with order (Received by ) $.............. % Pymt Installation of Ref. & Drain Lines S... % Pymt. Rough In of Duct Work % Pymt Delivery of Outdoor Equipment % Pymt. Balance when Installation is complete $ . Sales Price $... L..... $ + PERMIT - Add for Options ---- -.. *Installation complete means when dm system is capable of operation es determined by Sella, regardless of the availability of electrical power. General The seller agrees to assign to the Purchaser an nes warranties, WHICH SHALL HE R4 LEIU OF ALL OTHER WARRANTIES EXPRESSED OR nvMPLIES. INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY AND FrrNESS, WHICH ARE HERE EXCLUDED. The Purchaser agrees that title to the equipment shall remain with the Senor men all mania have Wen paid; and In (he event of delimit that the seller may reps or nsplcvin the equipment without notice to the Pardhaser, mai In the event of a replevin talion, the Purchaser waives a prenmfnry haring. The Sonar shun not be held responsible for delays in delivery mar completilm of the wink for such delays as arused by ads anthers, strikes, dots, war, mammies, inclement weather, malty, as other contingencies beyond the Sellas tmdroL All risk ()floss or donne to the emdpmerd, aerials, and/or work shun be home to the Purchaser; and Purchaser shall arorre an Wit, work, and mderlstshn an amount equal to the sales pride against lire, that casually and windstorm. Purchaser rises Seiler from any iiebititl, loss, damages, as expenses as a cansequenee of tate system malfunctioning. The Purchaser, ifa tart ofa landlord, warrants to the seller Maths bas approval Toa the leaded Ibr this installation, and that all oftha Sellers mechanical egtdpmcnt does not become pan of the reeky and may be freely repossessed whiting fano the Inediord should replevin maim beam=' y. Alt d&iiagmenpayments shall beer intoest of eighteen percent per aanun, The Purchaser shall pay an Attorneys' fees Incurred by the seller by enforcing this =tract, together with cost and any Attorneys' &es on appeal. LIMITED WARRANTIES: Seller do not guamake or oftbr ti wanly on any parts or equipment.Itis ends std Ilat an parts and equipment used tare provided by the meneket er raid miry be nut ant to a fila nwdtedr wmrmtiy by tIm end Seller r+ no tespo 'bility for defec$s army kind on said parts and Seller docs wautant ata nary labor far a period orf 1 Tara: cls n mtplelbuar of iasmnstfan. Sold labor will 3m y dining Seller's normal working bows, and, if Purchases request emergency aeroiae outside nmol winking hales, there wail berm additional cue Warranty work specifically occluded from this limited warranty is replacing blown fuses, resetting circuit bunks s, mincing lamed out disconnects, improper setter of thermostat, ebaaging tutees, any cans fin service not directly related to mechanical =Ammo fights nod named assinteaanee outlined in Ill owners mannaL Proposal Date 3 -15 -16 Effective Until PURCHASERS—SELLERS ACCEPTANCE UWE hnnve read the proposal, have received an exact copy, and accept the proposal this sub' ec)to the previsitms and conditions above; personally guaranteed by: by an authorized officer oftha sena Personal Guarantee Salesmen Accepted day of 20%% uthorized Signature for Seller Officer of Corp. DEPARTMENT UP tUSIbit* puma., CONSTRUCTION INDUSTRY LICENSING BOARD The CLASS B AIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 CALLAHAN, PETER mici-a.gL.. CAPITAL AIR INC 17111 SW 64TH COURT.. FT LAUDERDALE .;--33 . , • . - • • . • . • ISSUED: 07/21/2014 DISPLAY AS REQUIRED BY LAW -1,4.'"--"s' • SEQ # L1407210000668 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 6 ,4 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2015 THROUGH SEPTEMBER 30,2016 ING2/A ,_T RCOND I T ION CONTRACTR DBA: Receipt #:) CAPITAL AIR INC Business Name: Business Type: (A/C LTD 15 TONS CONTR ) Owner Name: PETER M CALLAHAN Business Location: 2 9 5 1 SIMMS STREET FT LAUDERDALE Business Phone: 954-792-4942 Business Opened:05/13/1985 State/County/Cert/Reg:CAC 0 5 8 746 Exemption Code: Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount 27 . 00 Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 0 . 00 0.00 0 . 00 0 . 00 0.00 29 . 70 2015/2016 LOCAL BUSINESS TAX RECEIPT Business Name: CAPITAL MR, INC. DBA Business Location: 2951 SIMMS ST A Business Category: SERVICE/UCENSED BUSINESS Classification: Contractor/Air Conditioning Tax Basis: 5-25 WORKERS Account Registration #: B9050579-2016 Expiration Date: 9/30/2016 Tax Paid: $316.00 CAPITA 0 OP ID: LN ACOREY CERTIFICATE OF LIABILITY INSURANCE 44....-----' DATE(MM/DD/YYYY) 05/06/2016 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(les) 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 BROWN & BROWN OF FLORIDA INC 14900 NW 79th Court Suite#200 Miami Lakes, FL 33016-5869 Matthew Seese CONTACT Marc D. Jacobson PHONE FAX No): 305-714-4401 xt): 305-364-7800 (A/C. No. Ext):-MAIL E-MAILADDRESS: mjacobson@hbains.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :AmeriSUre Insurance Company 19488 INSURED Capital Air, Inc. dba Capital Air Conditioning 2951-2953 Simms Street Hollywood, FL 33020 INSURER a :Amerisure Mutual Insurance Co 23396 INSURER C :Commerce and Industry Ins Co 19410 INSURER D : $ 1,000,000 INSURER E : 100,000 INSURER F : • 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY GL206442006 09/16/2015 09/16/2016 EACH OCCURRENCE $ 1,000,000 NTED PRA M SES (EaGE TO occurrence)$ 100,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE POLICY OTHER: X LIMIT APPLIES FlRia. PER: LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE X X UABILrrY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS N AONUTOS-0W NED CA206442106 09/16/2015 09/16/2016 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ c X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE 6E014626622 09/16/2015 09/16/2016 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ DED X RETENT ON $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N N / A WC2080287 01/01/2016 01/01/2017 X PER UTE 011 ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) A/C Contractor = CAC058746 ER CANCELLATION I MIAMIS2 Miami Shores Village Bid Dept 9 9 p 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEDREPRESENTATIVE Brown and Brown of Florida, Inc. ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD