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MC-17-1638Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Mechanic= t+ idd itis lass tion AddAlt tti0l ?ee ti Status: APt t Et Parcel Number Expiration: 12/26/2017 Applicant 274 NW 93 Street Miami Shores, FL 33138- 1131010331120 Block: Lot: EAGLE RIVER HOMES LLLP Owner Information Address Phone CeII EAGLE RIVER HOMES LLLP PO BOX 3598 HALLANDALE FL 33008- (305)300-8902 PO BOX 3598 HALLANDALE FL 33008- Contractor(s) Phone TEST AND BALANCE AIR CONDITION (305)218-1798 CeII Phone Valuation: Total Sq Feet: $ 9,000.00 0 Tons: Additional Info: EXACT CHANGE OUT OF EXISTING UNIT 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 $5.40 $4.73 $4.73 $1.80 $315.00 $9.00 $7.20 $347.86 Pay Date Pay Type Invoice # MC -6-17-64379 06/29/2017 Check #: 3237 06/22/2017 Credit Card Amt Paid Amt Due $ 297.86 $ 50.00 $ 50.00 $ 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 AFFIDAVI at all the forego r • .rmation is accurate and that all work will be done in compliance with all applicable laws regulating constructi• • • zoning. hermore, l authorize the above- med contractor to do the work stated. June 29, 2017 Author 2 d Signature: Owner / Applicant / Contractor / Agent Build' 'g Department Copy Date June 29, 2017 1 • 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 Ott FBC 20 0 BUILDING Master Permit Noel —1i5- -30 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC 0 ROOFING \ ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Wcor �l City Miami Shores County: Miami Dade ql �� Zip: � Folio/Parcel#: 11--1O 1-533— lJ 1 I D Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Up 1 Flood Zone: BFE: FFE: OWNER: - -'e (F-_- Simple Titleholder): Address: /D,/r 5�� City: �; �� u�Or`, 1 ln Tenant/Lessee ame: V ct &) Email: ) ' 1t 00 )I 5 �L Phone#: 0194-7+914-144- I 149 CONTRACTOR: Company Name: Address: X555.+nJiJ LD City: Qualifier Name: 40 State: V{ Zip: '330 uV %e4 pState: State Certification or Registration #: CNC- 1\6^ I34 -t0 Phone#: (&tW1Lyone#: 7 - 35l---CR-6 Zip: .3';)/44 Phone#: Certificate of Competency #: DESIGNER: Architect/Engineer: _ Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 900 Square/Linear Footage of Work: Type of Work: ❑ Adslition .Altterraation,.❑� jNew EJ Repair/Replace El Demolition Description of Work: WOO, Q I Qfl — V �''f —ra V AKmcy con v CJI o�4r f l etC`Qin4- b-7_,P11-8 Specify color of color thru tile: Submittal Fee $ Permit Scanning Fee $ - don Fee $ Technology Fee $ Training/Education Fee Double Fee $ Structural Reviews $ Bond $ G g TOTAL FEE NOW DUE $ ? ` DBP CO/CC $ Notary $ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City ate Mortgage Lender's Name (if, . plicable) Mortgage Lender's ' ress City State Zip 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 wlll 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 OWNER or AGENT The foreg ing instrument Signature s ack owledged before me this The forego nday of ti0 i i 20 1} , by 1211( • / /r , who is personally known to me or who has produced as identification and wh e • id take an oath. NOTARY PUBLIC: Sign: Print: Seal: MY OMMISSION #FF991944 EXPIRES: MAY 12, 2020 Bonded through 1st State Insurance CONTRACTOR g instrument wledged before me this 20 1�- .by rsonally known to m or who has produced PC- as identification and who NOTARY PUBLIC: Sign: Print. Seal: id take an oath. COMMISSION #FF991944 EXPIRES: MAY 12, 2020 Bonded through 1st State Insurance ertak- sssssssssssssssssss ssssssssssssss s�s%sssfs�s slsss*******ssisssss*******S******sssssrsr/sstsss*s»yssss****** v APPROVED BY b � 4 PI s Examiner Zoning (Revised02/24/2014) Structural Review Clerk Eagle River Homes LLLP PO Box 3597 Hallandale, FL 33008 GARP Construction Group Inc Attn.: Fernando Jr Arias 7530 SW 36 St Miami, FL 33155 7014 1820 0001 8817 4369 m m 0 omma Er o`wp 4 �q kft (RFNkg 1 a 43i. 4- erl C. cj P•J ^•.I PJ EAGLE RIVER HOMES LLLP PO Box 3597, Hallandale, FL 33008 April 3, 2017 CERTIFIED MAIL GARP Construction Group Inc. Attn.: Fernando Jr Arias, President 7530 SW 36 St Miami, FL 33155 Re: Termination of Services, Permit No. MC -11-15-2948 Property Address: 274 NW 93 St, Miami Shores, FL 33138 This letter serves as notification of the termination of GARP Construction Group Inc.'s services associated with the mechanical work at 274 NW 93 St, Miami Shores, FL 33138, Permit No. MC -11-15-2948, effective April 1, 2017. Vice President, Eagle RHGP Inc. General Partner for Eagle River Homes LLLP Detail by Entity Name http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDet... Detail by Entity Name Florida Profit Corporation GARP CONSTRUCTION GROUP INC Filing Information Document Number P11000097871 FEUEIN Number 45-3809986 Date Filed 11/10/2011 Effective Date 11/08/2011 State FL Status ACTIVE Principal Address 7530 SW 36 ST MIAMI, FL 33155 Mailing Address 7530 SW 36 ST MIAMI, FL 33155 Registered Agent Name & Address ARIAS, FERNANDO JR 7530 SW 38ST MIAMI, FL 33155 Name Changed: 02/28/2014 Officer/Director Detail Name & Address Title P ARIAS, FERNANDO JR 7530 SW 38ST MIAMI, FL 33155 Title VP PEREZ, JAVIER A 7530 SW 36 ST MIAMI, FL 33155 Title Officer Ronnie , Arias 7530 SW 36 ST MIAMI, FL 33155 Annual Reports Report Year Filed Date 2015 07/10/2015 2016 03/17/2016 2017 01/08/2017 Document images A1/08/2017 — ANNUAL REPORT' View image in PDF format 43/17/2016 — ANNUAL REPORT' View Image in PDF format n-...ninn.e A.M. ie‘ nennn+! .41^4.k. :........•• i.. nne s........i 2 of 3 4/3/2017 10:24 AM Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tei: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit ` j , Owner's Name (Fee ;R de Holder): Owner' Address Ar A. - City: .f Job Address (Of where work is being done): ; 1 Ill Lk "cd City: Miami Shores ''' State:_Florida_ Contractor's Company Name: Address City: Qualifier's Name : Zip Code: L,ic. Number: Architect/ Engineer of Record Name; Phone #: Address: City: hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless of all legal involvement. The foregoing instru this,( day, Signature Contractor or Architect The foregoing instrument was aknowledged before me this day of , 20 by who is personally known to me or who has produced as inden#Sotion. Is p Y onaiiy known to me or who has produced n • as indentification. 40� Sign: 41:10,. o Seal: _ MAYERSI FERNANDEZ MY COMMISSION #FF991944 EXPIRES: MAY 12, 2020 Bonded through 1st State Insurance Notary Public: Sim: Seal: ACCORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 06/15/2017 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 have ADDITIONAL INSURED provisions or 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 Pinnacle Insurance Group Inc. 950 SW 57th Ave APT 102 WEST MIAMI FL 33144 CONTACT NAME: Marcia Alvarez Fax (ANN EoN, (305) 8549898 (A/C, No): (305) 8549899 ADD 83; pinnacleins@comcast.net INSURER(S) AFFORDING COVERAGE NAIC 0 INSURERA: GRANADA INSURANCE COMPANY COMMERCIAL GENERAL LIABILITY INSURED Test and Balance Air Conditioning, Corp. 8355 W Flagler ST 164 Miami FL 33144 INSURER B : AMTRUST NORTH AMERICA 0185FL00073109 INSURER C : 07/29/2017 INSURER D : $ INSURER E : $ INSURER F : FICATE 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 INSR LTR!NM TYPE OF INSURANCE ADOL SUBR WW1 POUCY NUMBER POUCY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMBS A X COMMERCIAL GENERAL LIABILITY 0185FL00073109 07/29/2016 07/29/2017 EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES JECT PER LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENT ON $ B WORKERS COMPENSATION AND EMPLOYERS' UA IUTY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ndescribe under DESCRIPTION OF OPERATIONS below Y / N N / A AWC1061397 04/01/2017 04/01 /2018 X PERSTATUTE OTH- 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 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace la required) CAC1815710 Air Conditioning Services ANCELLATION Miami Shores Village 10050 NE 2nd Ave 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2018/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ENGINEERING SUBMITTALS WINDLOAD CERTIFICATION September 08, 2015 (Rev'd 11-2-15) CODE FBC 2014 / ASCE7-10 WIND SPEED: 200 mph, 3 sec gust EXPOSURE: "D" CATEGORY II INTERNAL PRESSURE COEFF: 0.00 JOB: GOODMAN MANUFACTURING SPLIT SYSTEM CONDENSING UNITS GROUPS 1, 2, 3 & 4 (WORST CASE) PAUL WELCH INC. Mechanical Electrical Civil Engineering 1984 S.W. Biltmore St. Suite #114 Port Saint Lucie, FL 34984 Phone (772) 785-9888 pwelchnc@aol.com Paul Welch, P.E. Fla Reg No. 29945 NOV 0 2 201b PAUL WELCH INC. Mechanical Electrical Civil Engineering 1984 S.W. Biltmore St. Suite #114 Port Saint Lucie, FL 34984 Phone (772) 785-9888 JOB: GROUP 1, 2, 3, & 4 UNITS (WORST CASE) September 08, 2015 (Rev'd 11-2-15) L = 35.5 (in) W = 35.5 (in) W2 = 17.75 (in) H == 41.5 (in) H/2 = 20.75 (in) Wt = 240 (Ib) concrete = 2000 psi minimum WIND (V) = 200 mph 3 sec. Exposure = D UNITS MOUNTED AT GRADE LEVEL Equation (29.3-1) ASCE 7 qh = 0.002561<z Kzt Kd V2 (Ib / ft2) E M = 0 qh = 0.00256 (1.31) (1.0) (0.90)( 200 )2 (Ib/ft2) + 20.8 (in) X 1358.69 (Ib) = 28192.82 (in Ib) qh= 120.7 (Ib / ft2) + 17.8 (in) X 528.30 (Ib) = 9377.268 (in Ib) Equation (29.5-2) ASCE 7 Fh = qh (GCr) Af (Ib) - 17.8 (in) X 240 (Ib) = 4260 (in Ib) Fh = 120.7 (1.1) ( 10) (lb) Diffrence = 33310.09 (in Ib) 1/4" TC X 1 3/4" embed / 2000psi conc = 508 (Ib) ( 2 ) 1/4" TC's Fh = 1358.69 (Ib) Equation (29.5-3) ASCE 7 1016 (Ib) Fv = qh (GCr) Af (Ib) 35.5 (in) X 1016 (Ib) = 36068 (in Ib) Fv = 120.7 (1.0) ( 8.8 ) (Ib) 36068 (in Ib) > 33310.09 (in Ib) Fv = 1056.59 (Ib) THEREFORE CURB FASTENING OK NOTE: ATTACHMENT SHALL BE WITH ONE (1) - 1/4"x 1-3/4" TAPCON EACH CORNER OF UNIT BASE OR SHALL BE WITH ONE (1) -ABK 20 BRACKET EACH SIDE OF UNIT WITH TWO (2) 1/4"x 1-3/4" TAPCONS EACH BRACKET. Paul Welch, P.E. Fla Reg No. 29945 NOV 0 2 2015 PAUL WELCH INC. MECHANICAL ELECTRICAL CIVIL ENGINEERING 1984 S.W. BILTMORE ST. SUITE *114 Pour SAINT LUCIE, FL 34984 (772) 785-9888 PRELCHJNC@AO .COM PAUL WELCH, P.E. FLA LIC NO. 29945 CHECK UNIT INTEGRITY: UNITS No's 1, 2, 3 & 4 (WORST CASE) # 10 in shear on sides #10 in tension Front & back 355/2 NOTE: GROUP 1 UMTS — 20 6A CHASSIS BASE& TOP GROUP2 UNITS — 19 GA CHASSIS BASE& TOP GROUP3 UNITS — 18 GA CHASSIS BASE& TOP GROUP4 UNITS — 20 GA CHASSIS BASE& TOP ALL UNITS WITH # 10 SMS M = i t/2) = 28,178.V Per Side = M/2 = mar* b< = 4(d1/2r)2 = de = 38.52. 1482 Iy = 4(d2/2)2 = 100 J=Ix+Iy=1582 r = 21" V1=M/2(r)=1878 J V2=T/2=1016/2=5088 Vreq'd = W12+VZ2 = 5416 V allow = 842# 842# a 541 manwommar wissitiTV OK NOV 0 2 2015 UNIT GROUPS NOTE: GObDMAN MFG. MAICES VARIOUS SIZES OF SPLIT SYSTEM AIC CONDENSER + UNITS AND HEAT PUMPS. THESE UNITS ARE ALSO LABELED UNDER THE: "AMANA", "DAIKIN" & "GMC" BRAND NAMES. THE CALCULA :` ARE BASED ON THE VARIOUS CHASSIS SIZES AND ARE GROUPED TOGETHER PER THE FOLLOWING TABLE: FLORIDA UNti` DIMENSIONS ANO IA' ISS IT citsos SIZE. TAIL 1 Length Width Min Height Max Height Min Weight Max Weight GROUP NO'S 26 26 27.5 34.75 124 261 GROUP 1 29 29 28.5 39.67 171 - 308 GROUP 2 35.5 35.5 34.25 41.5 240 308 GROUP 3 235 235 27.5 35 120 - 140 GROUP 4 02/26/2008 12:54 15616160569 ABK-2O ANCHOR BRACKET KIT INSTRUCTIONS PIONEER METALS WPB PAGE 82/06 Goodman Manufacturing Company, LP. @ 2007 2550 North Loop West, Suite 400, Houston, TX 77092 www.goodmanmfg.Com -or- www.amana-hac.com P/N:10-329 Date: May 2007 Description This anchor bracket is for use with Goodman and Amana con- densers and heat pumps The anchor bracket can be installed without accessing the Inside of the unit. Consult the product specifications applicable to your model'. WARNING 111011 VOLTAGE: DsCONNEcT ALL POWER BEFORE MIMING ON IaSTAWN4 Tim UNIT. MULTIPLE POWER SOURCES CRAY Be PRS. FAILURE TO Do SO NAY CAUSE PROPERTY DAMAGE. PERSONAL INJURY OR DEATH. Kit Contents • Installation Instruttions x 5 • Anchor Bracket x 20 Installation Instructions 1. Disconnect all electrical power. 2. Insert an anchor bracket in each of the four (4) slots on the underside of the basepan, one on each side. NOTE: These slots are the same slots utirrzed by the hold down bracket during shipment. 3. When the anchor bracket is engaged in the slots, pull the bracket outwards and swing down to lock the bracket in place. INSTALL BRACKET THRU SLOT IN BASE. PULL OUTWARDS AND OWING DOWN TO LOCK. USE Or TAPCONO TYPE CONCRETE SCREWS TO SECURE. 4. Attach the anchor brackets to the pad. using either Yr &meter Tapcorl°' concrete screws or similar self -tapping coneretescrews. The minimum screw length should be 1 V. 71Noecrevvi are required for each bracket. Follow maautacterer's Instructions for Mstaliing screws. 5. Reconnect the electri :al power. ATTENTION INSTALLING PERSONNEL As a professional Installer you have an obligation to know the product better than the customer. This includes all safety precautions and related items. Prior to actual installation, thoroughly familiarize yourself with this Instruction Manual. Pay spacial attention to all safety warnings. Often during installation or repair it Is possible to place yourself in a position which is more hazardous than when the unit is in operation. Remember, it is your responsibility to install the product safely and to know it well enough to be able to Instruct a customer in its safe use. Safety is a matter of common sense...a matter of thinking before acting. Most dealers have a list of specific good safety practices...follow them. The precautions listed in this Installation Manual are intended as supplemental to existing practices. However, If there is a direct conflict between existing practices and the content of this manual, the precautions listed here take precedence. 'NOTE: Please contact your distributor or our website for the applicable product specifications referred to in this manual. Ce ificate of Product atings AHRI Certified Reference Number: 8242072 Date: 3/24/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX140481K* Indoor Unit Model Number: ASPT59C14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. Series name: GSX14 Manufacturer responsible for the rating of this system combination Is GOODMAN MANUFACTURING CO., LP. Rated as follows In accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 45500 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): " Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridlrectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, In whole or in part, be reproduced; copied; disseminated; entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridlrectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. ©2014 AIr-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: AIR-CONDITIONING, HEATING & REFRIGERATION INSTITUTE we make lite better' 131348570505159072 >#i. ;tom - ertifi ate r ctv tin S AHRI Certified Reference Number: 8242072 Date: 3/24/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX140481K* Indoor Unit Model Number: ASPT59C14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, iD, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible to be installed aregionseircentralrequirement. conditioners only be instailed in region(s)for which they meet heegional efficiency 2016, Series name: GSX14 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. and HRated as eat Pump follows Equipment anaccordance s bject to verrilfition Standard grating accuracy by Ar HRI-sponsored, independent, third Air -Source party testing: Cooling Capacity (Btuh): 45500 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): Ratings followed by an asterisk (1 indicate a voluntary rerate of previously published data, unless accompanied with a WAS. which Indicates an involuntary rerate. AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, DISCLAIMER the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations fisted in the directory at www.ahridirectory.erg. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or In part, be reproduced; copied; disseminated: entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahrldlrectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which is listed above. and the Certificate No., which is listed at bottom right.CERTIFICATE NO.: ©2014 Air -Conditioning, Heating, and Refrigeration Institute AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE we make life better.. 131348570505159072 r• uct . tin s AHRI Certified Reference Number: 8242072 Date: 3/24/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX140481K* Indoor Unit Model Number: ASPT59C14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN Region: All (AK, AL, AR, AZ, CA, CO, CT, DC DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, Nei, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Ceeenngtral air conditioners manufactured prior to January 1, 2015, are eligible to be ican only inall ilnstalled in region(s) foions until June r which they 2016. i meet the July egional efficiency reqair uirement. Series name: GSX14 Manufacturer responsible for the rating of this system combination Is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and AlrSource Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 45500 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.00 IEER Rating (Cooling): Ratings followed by an asterisk (') indicate a voluntary rerate or previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s). or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahrldirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, In whole or in part, be reproduced; copied; disseminated: entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahrldlreetory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which is listed above, and the Certificate No., which Is listed at bottom right. CERTIFICATE NO.: 02014 Air -Conditioning, Heating, and Refrigeration Institute AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE Hie make tire better"' 131348570505159072 FS 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 WO 2 3 alb FBC 20 \0 BUILDING Master Permit No. RC11530 PERMIT APPLICATION Sub Permit Norn. �) ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION 0RENEWAL 0PLUMBING ❑■ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 274 NW 93 ST Miami FL 33150 Citv: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3101-033-1120 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: Phone#: (786)443-2320 OWNER: Name (Fee Simple Titleholder): EAGLE RIVER HOMES LLLP Address: PO BOX City: HALLANDALE State: FL Tenant/Lessee Name: N/A Email: N/A Zip: 33008 Phone#: N/A CONTRACTOR: Company Name: GARP CONSTRUCTION GROUP INC cPhonet (305)602-0400 Address: 2357 W 80 ST BAY 4 city: Hialeah State: FI Qualifier Name: Javier Perez State Certification or Registration #: CAC1817062 DESIGNER: Architect/Engineer: N/A zip: 33016 Phone#: (305)602-0400 Certificate of Competency #: Phone#: N/A Address: N/A City: NIAState: N/A Zip: N/A Value of Work for this Permit: $ 9,000.00 N; Square/Linear Footage of Work: 1,600.00 Type of Work: ❑ Addition El Alteration Description of Work: DUCTS AND NEW UNIT 0.14vv ❑ Repair/Replace 0 Demolition Specify color of color thru tile: rr��1 Submittal Fee $ ��" c 9-� Permit Fee $ ` 5 , OL) CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ _ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ III TOTAL FEE NOW DUE $ 0909 • v (Revised02/24/2014) Bonding Company's Name (if applicable) N/A Bonding Company's Address N/A city N/A State N/A Zip N/A Mortgage Lender's Name (if applicable) N/A Mortgage Lender's Address N/A city N/A State N/A Zip N/A 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 OWNER or AGE T Thome foregoing instrument was ackno ledged before me this C) day of R--) , 20 by 0Z.,c41e®Co.S(>a L, who is personally known to me or who has produced Di'21;az.L-lCL k) L as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Signature CON " CTOR The foregoing inst ment wa%� acknowledgeddgbefore me this LSO day of ,S-F(:1t'lj/'el� ,20 1.5 ,by r - ,.©d e's �w�ace , who is i rsonally known t me or who has produced as identification and who did take an oath. NOTARY PUBLIC: rALINA CARVAJAL MY COMMISSION # EE860269 . ' EXPIRES: Deceauber 25, 2016 S'. rint: Seal: FERNAIIQO ARIAS JR r ,I Notary Public • State N Flotq My Comm. Expires May 19.2018 Commission I FF 105782 *ale N�k****** Plan Examiner APPROVED BY (Revised02/24/2014) Zoning Structural Review Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 PEREZ, JAVIER A GARP CONSTRUCTION GROUP INC 7530 SW 36 ST MIAMI FL 33155 Congratulationsi 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 from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn 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 license! RICK SCOTT, GOVERNOR LICENSE NUMBER CAC1817062 DETACH HERE STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CAC1817062 ._ SUED; :. 06/11/2014 CERTIFIED AIR CONE) CONT PEREZ, JAVIERA GARP CONSTRUCTION GROUP INC,; 1S CERTIFIED under the provisions of Ch.489_FS.. L1406110000750 Expiration data : AUG31, 2016 KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 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 PEREZ, JAVIER A GARP CONSTRUCTION', 7530 SW 36 ST MIAMI FL 3315 City of Hialeah Business Tax Receipt Mayor Carlos Hernandez No: 236116-39 Amount: $ 200.00 The person, firm or corp. listed here has paid the business tax required to engage in or operate the business specified subject to the regulations and restrictions of the City of Hialeah, Florida 2015-16 Owner: FERNANDO ARIAS & JAVIER PEREZ. Type of Bzisiness: New Multifamily Housing Cons true t ion ( except Operative Builders) GARP CONSTRUCTION GROUP INC 7530 SW 36 ST MIAMI, FL 33155 Validating No.: 0000 Business Location: 2357 W 80 ST 4 Expires September 30, 2016 Accwor CERTIFICATE OF LIABILITY INSURANCE DATE(MMJDD/Yyyy) 10/20/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 'PHIS 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 b0 endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certiflcato holder in Ilea of such endorsement(a). PRODUCER CONTACT Jvs Insurance Agency 9600 SW 8th St, Suite 27 Miami. FL 33174 Phone (305) 552-5250 INSURED GARP CONSTRUCTION GROUP, INC. 7530 SW 36 St Miami, FL 33174 Fax (305)552-5292 (305) 506-5068 NAME; (LIANA CASTANEDA rArc PHONE E„ t); (305)552-5250 11. _ADDRESS,; ILIQJVSINS,COM INSURER($) AFFORDWG COVERAGE ( No k (305)552-5292 NAC e INSURER A : ESSEX INSURANCE COMPANY INSURER B INSURER C INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS QF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, SSR 'TYPE OF INSURANCE AD0LSUER POLICY EFF POLICY EXP NSR WVq POUCY NUMBER IMM/DD/YYYY) (heli Oryyyy) OMITS GENERAL LIABILITY ▪ COMMERCIAL GENERAL LIAsany ❑ ❑ CLAIMS -MADE G[] OCCUR n ❑ GENE. AGGREGATE LIMIT APPLIES PER ❑ POLICY I J PRO- 1:1 Loc JECT N 0020986 AUTOMOBILE LIABILITY ❑ ANY AUTO ALL OWNED SCHEDULED U AUTOS ❑ AUTOS ❑ HIRED AUTOS ❑ AUNON-OWNED ❑ UAABREWt LIAR ❑ OCCUR ❑ ExCESS LVAD ❑ CLAIMS -MADE OED I-] RETENTION$ WORKERS COMPENSATION AND EMPLOYERS• LIABILITY Y/ N ANY PROPRIETOFUPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mwndatory In NH) Ifyee escribe OPERATIONS DESaRiPT)dON OF OPERATIONS below NIA 04/1012015 04/10/2016 EACH OCCURRENFE DAMAGE TO RENTED PREMISES fFe occurrence) S 1.000,000.00 $ 900,000.00 PIED EAP (Any one person) $ 5,000.00 PERSONAL & AoV INJURY $ 1,000,000.00 GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS - COMP/OP AGO $ 1,000,000.00 $ (E7MBM I}ANGLE LNNR BODILY INJURY (Per person) a BODILY INJURY (Per accident a PROPERTY DAMAGE (Per accident}__ $ IESCRIPTION OF OPERATIONS 1 LOCATIONS! VEHICLES (Math ACORD 1o1, Additions Remarks Schedule, If more space Is required) IECHANICAL CONTRACTOR #CAC1817062 :ERTIFICATE HOLDER MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 CORD 25 (2010105) QF CANCELLATION EACH OCCURRENCE AGGREGATE $ ri TORY II R E EACH ACCIDENT EL DISEASE - EA EMPLOYEE EL DISEASE - POLICY LIMIT a SHOULD ANY OF ABOVE • SCRIBED - • U • S BE CANCELLED BEFORE THE EXP( TION • 'THQRE • N • + CE WILL = E DELIVERED IN ACCO NCE +E P • LI PR. VISI ' N8. 1 I_..d ti II 01 The AC 0 0 As. , 4 0 O TION. All rights reserved. D name.an logo are registered marks of ACORD P11 iami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Com • ensation Insurance Exem • tion 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. County of Miami -Dade The foregoing was acknowledge before me this0\14day of 6-t, b' 20 By ( UtfJZ 2 OL who is personally known to me or has produced i- ttqw Ll C . _ as identification. Notary: SEAL: "..L ALINA CARVAJ L MY COMMISSION # EE560269 EXPIRES: December 25, 2016 GARP CONSTRUCTION GROUP INC. Mechanical Contractor Cell: (305) 602-0400 CAC1817062 Date: State of Florida County of Miami Dade Before me this day personally appeared, Javier Perez who, deposes and says: That he or she will be the only person working in that project located at 274 NW 93 Street, Miami, Florida 33150 Sworn to and subscribe before me this5day of 40( efr'2f) 2015, by Personally know Produced Identification ARIAS JR • State of Florida omm. Expires May 18, 2018 Commission 0 FF 108782 ACORD DATE (MM/DDIYYYT) 05/02/16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLIJER, 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. CERTIFICATE OF LIABILITY INSURANCE IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the poilcy()es) must be endorsed. If SUBROGATION 1S WAIVED, subject to the terms and conditions of the policy, Certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemem(s), IPRODUCER " ---- -- Jvs Insurance Agency 9600 SW 8th St, Suite 27 Miami. Fl. 33174 Phone_ (305) 552-5250 _ Fax (305) 552-5292_• INSURED — —.— GARP CONSTRUCTION GROUP. INC. 7530 SW 36 St ulauaEga_-- Miami, FL 33174 ' COA CTILIANA CASTAN E DA PONEEal_); (305)552.5250 rADDRLESS • ILI.JVSINS COM — INSURER($) AFFORDING COVERAGE I NAIC A INSURER A I_ ESSEX INSURANCE COMPANY FAX NC): (305)552-5292 LINSimER.B: IN$URPJt C : (305) 506-5068 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INSURER E THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TQ THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT, 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. LTR TYPE 4F INSURANCE ADDLSUBR� POLICY EFF POLICY EXP _. [INSIa tY•VD POUCY NUMBER .(UMiDD!YYYY) (MYmDM'YYjw—_. LINTS EACH OCCURRENCE $ 1,000,000.00 ® COMMERCIAL GENERAL LIABILITY DAMAGE Tp RENTED 0 0 CLAIMS.k1ADE W OCCUR P ES (Ea rr) N N 0020984 MED EXP (Any one person} $ 5,000,00 GENERAL LIABILITY $ 100,000.00 E PERSONAL It ADV INJURY $ 100,000.00 I GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS • COMP/OP AGG $ 1,000,000.00 04/10/2016 04/10/2017 GEM- AGGREGATE LIMIT APPLIES PER: 0 POLICY I_3 JECT ❑ LOC AUTOMOBILE LIABLITY 1-1ANY AUTO I . 1—.I AUTOS OWNED L I AUTOS ` ❑ HIRED AUTOS LI AU OSWNEO L0._ 0 U UMBRELLA Luta n OCCUR I I ❑ EXCESS LIAB I .I CLAIM5-MAOE ._ fl DED ,U RETEN minims . ims COMPENSATION 1 AND EMPLOYERS' LIABILITY Y i N i ANY PROPRIETORJPARTNER/EXECU7IvE . OFFICERJMEMBER EXCLUDED?, N 1 A I i (Mandatory in NH) I ...I I I If yea, dettribe under • DESCRIPTION OF DPERATIONS WOW DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHICLES (Attach ACORD 101. Addluonal Rama ks Schadld,, If more apace is required) MECHANICAL CONTRACTOR CERTIFICATE HOLDER MIAMI SHORES VILLAGE 6UILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 ACORD 25 (2010/05) QF CANCELLATION SHOULD ANY OF THE EXPIRATION ACCORDANCE COMBINED SINGLE LIMIT (Ea exment) BODILY INJURY (Per person) $ $ BODILY INJURY (Pet accident PROPERTY DAMAGE (Per agcld,nt) EACH OCCURRENCE AGGREGATE $ b $ $ fl WCTORYSTLIMiTATU.S_. OTH- 1 ER_ E,L. EACH ACCIDENT 3 E.L. DISEASE . EA EMPLOYES $ EL DISEASE - POLICY LIMIT $ POLICIES BE CANCELLED BEFORE WILL BE DELIVERED IN NS, RATION. All rights reserved. re registered marks of ACORD JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 3/18/2016 EXPIRATION DATE: 3/18/2018 PERSON: PEREZ ARIAS JAVIER A FEIN: 453809986 BUSINESS NAME AND ADDRESS: GARP CONSTRUCTION GROUP INC 7530 SW 36 ST MIAMI FL 33155 SCOPES OF BUSINESS OR TRADE: HEATING, VENTILATION, AIR-COND ( s Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609