MC-17-641Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
P •
ermit
Permit NO. MC -3-17-641
Permit Type: Mechanical - Residential
Work Classification: A/C Replacement
Permit Status: APPROVED
Issue Date: 3/30/2017
Expiration: 09/26/2017
Parcel Number
Applicant
67 NW 92 Street
Miami Shores, FL
1131010170140
Block: Lot:
VERO HOMES LLC
Owner Information
Address
Phone
Cell
VERO HOMES LLC
701 BRIECKELL AVE
MIAMI FL 33131-
(305)902-4660
701 BRIECKELL AVE
MIAMI FL 33131-
Contractor(s) Phone
INFINITY CONSTRUCTION SERVICES. (786)443-9590
Cell Phone
Valuation:
Total Sq Feet:
$ 600.00
0
Tons:
Additional Info: install duct
Classification: Residential
Approved: In Review
Comments:
Date Denied:
Scanning: 1
Date Approved: : In Review
Type of Work: install duct
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 -3-17-63253
03/09/2017 Check #: 120
03/30/2017 Credit Card
Amt Paid Amt Due
$ 50.00 $ 109.10
$ 109.10 $ 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, p ORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing informa
construction and zoning. Futhermore, I authorize the above-na
curate and that all
rk will be done in compliance with all applicable laws regulating
tractor to do t r ork stated.
Authorized Signature: Owner / Applicant / dCo ctor / Agent
Building Department Copy
March 30, 2017
Date
March 30, 2017 1
BUILDING
PERMIT APPLICATION
❑ BUILDING 0 ELECTRIC
❑ PLUMBING 11,,MECHANICAL
JOB ADDRESS:
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
RECETVED
MAR 0 9 2017
BY:
(2\C lFBCII6 2(014 ,{
Master Permit No. - 114-3
Sub Permit No. '" t C 1 T- 64 1
s
❑ ROOFING 0 REVISION
0PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
� -74- Z„d 5f
❑ EXTENSION 0 RENEWAL
0 CANCELLATION ❑ SHOP
DRAWINGS
City: Miami Shores County: Miami Dade
Zip: 3 3 15 0
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type:
Flood Zone:
OWNER: Name (Fee Simple Titleholder): VV v -c HO Me -5 LL C
Address:
BFE: FFE:
Phone#: 3 05- TVA- - MFl 0
Oriel -Ke 1\ cx\re sui /02o
City: Piiafil
Tenant/Lessee N me:
Email:
State: F
CONTRACTOR: Company Name: / - )�
1
Address: 4 f/ 5 [/ 9 to ,`.k
City: IVl,(_State: FL- Zip: .---S / 6
Qualifier Name: Y1A(D A V v Qfi-N��-` (� Phone#:�) V(1- r3 9S / O
State Certification or Registration #: C C C 0 1 (. 7 7S- Certificate of Competency #:
Zip: '3'313 1
Phone#:
C_o
�i2 Phone#: (7 )- T” q 3 9S'/v
DESIGNER: Architect/Engineer:
Address:
Value of Work for this Permit: $ tQ 0 0
Type of Work: ❑ Addition ❑ Alteration
�--- (‘S k c
Phone#:
City: State: Zip:
Square/Linear Footage of Work:
Description of Work:
❑ New
Of4\pS
❑ Repair/Replace„ ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ 5octid Permit Fee $ O 00
Scanning Fee $
Technology Fee $
Structural Reviews $
CCF $ CO/CC $
Radon Fee $ DBPR $ Notary $
Training/Education Fee $ - Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $
100.
v
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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day ofCIL(Y 1 , 20 , by
(kOr asQ * , who is personally known to
me or who has produced
as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: z.A.••;¢� ,,, Joann Florian
Q. r% Commission # FF990707
Expires: May 9, 2020
************4,0 ....
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
7 day of , , 20 1) , by
AAn; n; 0 J.11 VGl ga , who is personally known to
me or who has produced
as
identification and who did take an o t \ RAUL NAVARRO
°4n N1Y COMMISSION #FF972714
EXPIRES: MAR 20, 2020
detl rhrough 1st State Insurance
NOTARY PUBLIC:
Sign:
00Y1 /1 + t c?li C con Print:
APPROVED BY
(Revised02/24/2014)
Seal:
**&Wed Art Aare,Notar�y*******************************************************************3 i
Plans Examiner
Structural Review
Zoning
Clerk
INFINITY CONSTRUCTION SERVICES INC.
License# CFC 1428288 AND CAC #1816795
4156 SW 96 Ave
Miami, FI 33165
Date: March, 07 2017
State of Florida
County:
Before me this day personally appeared4-tItyj
deposes and says:
who being duly,
That he will be the only person working on the project located at:
67 oil) cu,57
Sworn to (or affirmed) and subscribed before me this 01
By 1 1
c),U (7) lUq u
day of -0.4(1) 1'")
Personally Know
Or Produce Identification
Type of Identification Produced
Print Type or Stamp name of Notary
005234
Local Business Tax Receipt
Miami-Dad.3 County, State of Florida
-THIS IS NOT A BILL - DO NOT PAY
6987813
BUSINESS NAt1AE!LOCATION RECEIPT NO.
INFINITY CONSTRUCTION SERVICES INC RENEWAL
4156 SW 96 AVE 7263353
MIAMI FL 33165
LBT
EXPIRES
SEPTEMBER 30, 2017
Must be displayed at place of business
Pursuant to County Code
Chapter 8A - Art. 9 & 10
OWNER SEC. TYPE OF BUSINESS
INFINITY CONSTRUCTION SERVICE5 INC 196 SPEC fvMECHANICAL CONTRACTOR
C/O ANTONIO LUVARA CAC1816796
Worker(s) 1
PAYMENT RECEIVED
BY TAX COLLECTOR
575.00 09/12/2016
ECHECK-16-176516
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license,
permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Bade Cade Sec 8a-276.
For mare information, visit svww,minmidade.govhaxoolle5t4l
ACORD CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YY)
NOV16,2016
PRODUCER
Florida Insurance Agency of Miami
P.O. Box 441340
Miami, FI. 33144
P; 305-445-9100
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURER AFFORDING COVERAGE
NAICS #
INSURED
Infinity Construction Services Inc
4156 sw 96 ave
Miami FI 33155
INSURER A: United Spec Co
12537
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
coverages
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT-
WITHSTANDING 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 TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
ADOL
INSR
TYPE OF INSURANCE
POLICY NUMBER
EFFECTIVE
(MM/DD/YY)
EXPIRATION
(MM/DD/YY)
LIMITS
A
GENERAL LIABILITY
GENERAL
MADE
LIABILITY
OCCUR
PER:
S 111003 B 19227-1
10/9/2016
10/9/2017
EACH OCCURRENCE
$1,000,000
x
COMMERCIAL
DAMAGE 10 REN I EU
PREMISES(Ea occurrence)
5100,000
CLAIMS
x
MED EXP (any one person)
55,000
PERSONAL & ADV INJURY
51,000,000
GENERAL AGGREGATE
52,000,000
GEN'L
AGGREGATE LIMIT APPLIES
POLICY nPROJECilLOC
PRODUCTS-COMP/OP AGG
52,000,000
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
5
—
LbOUILY INJURY
(Per Person)
5
—
—
BODILY INJURY
(Per Accident)
$
PRUPtR 1 Y UAMAGt
(Per Accident)
$
_
GAkAGE
LIAbILI 1 Y
ANY AUTO
ALL OWNED AUTOS
AU 1 U UNLY-LA ACGIUbN 15
—
AUTO
ONLY AGG 5
EXC'b
S UMBRLLA
OCURR
DEDUCTIBLE
RETENSION
LIABILI
1 Y
CLAIMS MADE
EACH OCCURRENCE
AGGREGATE
5
5
5
WURKERbUQMPENSAI
EMPLOYERS
ANY PROPIERTOR/PARTNER/EXECUTIVE
OFFICER/MEMBER
if yes describe
SPECIAL
ION AND
LIABILITY
EXCLUDED ?
under
PROVISIONS below
WC51A1U-
TORY LIMITS
UiI-1
ER
EL EACH ACGIUE I
EL UISEASE-EA EMPLOYEE
EL UISEASE-POLICY UMI 1
01 HER
DESCRIPTION OF OPERATIONS / LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS:
Mechanical License # CAC1816795
x
CERTIFICATE HOLDER 1 ADD'L INSURED
Miami Shores Village
Building Department
10050 NE 2nd Avenue
miami Shores, FI 33138
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURED, ITS AGENT OR
AUTHORIZED REPRESENTATIVE
Tony Zoghbi
ACORD 25 (2001/08)
ORD CORPORATION 1988