Loading...
MC-17-2821 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. MC -2-17-282 Permit Type: Mechanical - Residential Work Classification: NC Replacement Pennit Status: APPROVED Issue Date: 2123/2017 Expiration: 08/22/2017 Parcel Number Applicant 75 NE 92 Street Miami Shores, FL 33138- 1132060130270 Block: Lot: JARED ZECH Owner Information Address Phone Cell JARED ZECH 75 NE 92 Street MIAMI FL 33138- (347)899-6579 Contractor(s) Phone CeII Phone ARTIC BREEZE AIR CONDITIONING C (305)485-4085 Valuation: Total Sq Feet: $ 2,440.00 0 Tons: Additional Info: REPLACE DUCT IN 1ST FLOOR 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 Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $1.80 $2.25 $2.25 $0.60 $5.00 $150.00 $3.00 $2.40 $167.30 Pay Date Pay Type Invoice # MC -2-17-62814 02/23/2017 Credit Card 02/02/2017 Credit Card Amt Paid Amt Due $ 117.30 $ 50.00 $ 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 construction .a . ing. ermore, I authorize the above-named contractor to do the work stated. February 23, 2017 Authorized Signa ure: Owner / Applicant / Contractor / Agent Building Department Copy Date February 23, 2017 1 • • BUILDING PERMIT APPLICATION El BUILDING ❑ ELECTRIC 0 PLUMBING JOB ADDRESS: MECHANICAL 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 ❑ ROOFING ❑PUBLIC WORKS City: Miami Shores Master Permit No. Sub Permit No. FBC 20115 AIA 4.0 /c --33Z4 r1')G1 7-28x2. O REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS r%16 v County: Miami Dade Zip: Folio/Parcel#: Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder): Address: City: ��1a�' l�Gj� P State: l�"J Tenant/Lessee Name: Email: Construction Type: Is the Building Historically Designated: Yes NO 2,6 Flood Zone: BFE: FFE: Phone#: 399 ,P5 'S 9 CJ ,67 Pi( '5ZSP J2-»eZ • "fig/ -� CONTRACTOR: Company Name: 4k C 4 7ZAPQ Address: 2T 5t -el S Zip: 2e Phone#: J9,t44/444")-7 ,/ ✓� Phone#: Yr5 7 City: Z.Axal 1/t//7/44/ State: Zip: 33) 2 y Qualifier Name: 0 Z.,/ ✓ 5 2- Phone#: 9 fS, 3 ?_G j)rj State Certification or Registration #: (// Y / /5G)O 5/ Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: 0 Addition Description of Work: � ❑ Alteration ❑ New / Ei Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ sp '°3 Permit Fee $ 1 C �9(�� D v " CCF $ a • S� CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ • 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. The foregoing instrument was acknowledged before me this day of I IS ,20 11 , by iu'' ,,MM +Z�,, SS1A �r'1 , who is personally known to me or who has produced _ .__ V � identification and who did take an oath. NOTARY PUBUC: Sign: Print: Seal: as Signature CONTRACTOR The foregoing instrument was acknowledged before me this 2 day of / b , 20 / ? , by �! c.44,4 e/v-/ r, s e y who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: , NCarlos Mendez isCommission 1 FF964581 Ar , 2028 P�aE ti ExpiresApil,••;B0�n21. Nei , ********************s*******.i*********s**s***************************************iii****************.****** APPROVED BY <\V I ` 1/12 Pllans Examiner Zoning Structural Review (Revised02/24/2014) Clerk I STATE OF FLORIDA 'DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 RODRIGUEZ, RICARDO JR ARTIC BREEZE AIR CONDITIONING CORP 9971 SW 4 STREET MIAMI FL 33174 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range 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 leam 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 STATE OF FLORIDA DEPARTMENT OF BUSINESS PROFS S O NAL REGULATION AND CAC1815884 ISSUED:- 06/19/2016 CERTIFIED AIR COND CONTR RODRIGUEZ, RICARDO JR ARTIC BREEZE AIR CONDITIONING CORP IS CERTIFIED. under.the provisions of Ch 489 FS. Expiration date . AUG 31. 2018 L1606190000729 DETACH HERE KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT ULATION CONSTRUCTION INDUSTRY LICENSING BOARD The CLASSAAIR CONDITIONING CONTRACTOR • Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 RODRIGUEZ, RICARDO JRA. _r ARTIC BREEZE AIR CONDITIbNING CORP 9971 SW 4 STREET MIAMI :FL33 A' ISSUED: 06/19/2016 W • tnom- V 4 • DISPLAY AS REQUIRED BY LAW SEQ # L1606190000729 b10169 Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 6258297 BUSINESS NAME/LOCATION RECEIPT NO. ARTIC BREEZE AIR CONDITIONING CORP RENEWAL 9971 SW 4 ST 6522883 MIAMI FL 33174 OWNER ARTIC BREEZE AIR CONDITIONING Worker(s) 1 LBT EXPIRES SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10': SEC. TYPE OF BUSINESS 196 SPEC MECHANICAL CONTRACTOR CAC1815884 PAYMENT RECEIVE[ BY TAX COLLECTO $75.00 07/14/2016 CHECK21-1:6-086417 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a Iicens permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governme or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles zi } %Dade Code Sec Sa-21 yr, For more information, visit Ac-coQhe 4%.,... -----.CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 02/01/17 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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Occidental Insurance 11400 W. Flagler St. #111E Miami, FL 33174 Phone (305)221-9859 Fax (305)221-6464 CONTACT NAME: Occidental Insurance PHONE FAX a(' Nn Fut) (305) 221-9859 (ac. No): (305) 221-6464 - DRESS: occidentalinsure@bellsouth.net PRODUCER CUSTOMFR ID #• INSURER(S) AFFORDING COVERAGE 'NAIC # INSURED Artic Breeze Air Conditioning Corp 9971 SW 4th ST Miami, FL 33174 305-220-9126 INSURER A: Granada Insurance Co. 0185FL00008993 INSURER B : 05/06/2017 INSURER C : $ 1,000,000 INSURER D : $ 100,000 INSURER E $ 5,000 INSURER F : $ 1,000,000 E CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY)- POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL LIABILITY m COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE ❑ OCCUR ❑ N 0185FL00008993 05/06/2015 05/06/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE PREM SESO(Ea occu REND $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PRO- JECT ❑ LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ❑(Ea ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON -OWNED AUTOS ❑ COMBINED SINGLE LIMIT accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DEDUCTIBLE ❑ RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N N / A I J TORY I TU- ❑ ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Mecanicai Contractor: CAC1 815884 CERTIFICATE HOLDER CANCELLATION Miami Shore Village Building Department 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 (2009/09) QF © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are 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: 6/10/2015 EXPIRATION DATE 6/9/2017 PERSON: RODRIGUEZ RICARDO FEIN: 262522087 BUSINESS NAME AND ADDRESS: ARTIC BREEZE AIR CONDITIONING CORP 9971 SW 4 ST MIAMI FL 33174 SCOPES OF BUSINESS OR TRADE: HEATING, VENTILATION, AIR-COND Yaxsuatrt 10 Mama 410.05(14), F.S.. ran officer ate corporation Oa elects exemption from this chapter by Ming a (=Matta d election under this section "my. rpm recover venom, ar oorrpensavort imu oils a i fsr. Parlament to Chapter 440.05(12). F.S.. Carddoattes or election to be exempt... appy only W 1 n the scope of the business or Pads Med on Om noticed &Millon to be exerrp . Pursuant to Chapter 440.05(13). F.8.. Notices of weaion ID be exempt WO CerteCeleill at efaotbrt 10 be sump * snM be sub)sd b revocation 1. et any time after the thing d the notice or the Fluence d MS anateate the parson named an the MMa or eareikale no longer meat the requirements of tits section for Issuance of a arNticate. The department shall make a DFS-F2-DVMC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413.1609 Artic Breeze Air Conditioning Corp Lic # AC 1815884 9971 SW 4th St, Miami FL 33174 02/01/2017 State of Florida County of Miami Dade Before me this day personally appeared Ricardo Rodriguez who, being duly sworn, deposes and says: That he will be the only person working on the project located at 75 NE 92nd St. Miami Shores. FL 33138. Sworn to (or affirmed) and subscribed before me this day of A,Z, 2017, by a171, 42 Printed N Signature Personally know OR Produced Identification Type of Identification Produced Carlos Mendez %Commission 0 FF984561 s xs Expires: April 21. 2020 s �`r Bonded duo Aaron Notify/ pmt er `— Z F� 2/ Print, Type or Stamp of Notary Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 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 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 Depai I.ment 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 ay-labor;-part=time empluyees ui subcunli actors for -your project. The-contractor-has-providedan--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 foregoing was acknowledge before me this day of , 20 By who is personally known to me or has produced as identification. Notary: SEAL: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 January 3, 2017 Permit No: RC16-3326 Mechanical Critique — Jan Pierre Perez 12/15/2016 Hood more than 400 cfm must have makeup air not 800. Engineer Response: Please verify that hood not exceeding 800 cfm are acceptable under new exception (b) introduced in FBC Residential Mechanical. No gravity vent appliances on this project. M1503.4 Makeup air required. Exhaust hood systems capable of exhausting in excess of 400 cubic feet per minute (0.19 m3/s) shall be provided with makeup air at a rate approximately equal to the exhaust air rate. Such makeup air systems shall be equipped with a means of closure and shall be automatically controlled to start and operate simultaneously with the exhaust system. Exception: In a single-family dwelling, make-up air is not required for range hood exhaust systems capable of exhausting: (a) Four hundred cubic feet per minute or Tess; or (b) More than 400 cubic feet per minute but no more than 800 cubic feet per minute if there are no gravity vent appliances within the conditioned living space of the structure Edwin Cerna, PE 01-04-2017 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re -submittal drawings.