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MC-17-26001 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. MC -11-17-2600 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: APPROVED Issue Date: 11/612017 Expiration: 05/05/2018 Parcel Number Applicant 8831 NE 4 Avenue Road Miami Shores, FL 1132060460600 Block: Lot: MARTHA ALLEN Owner Information Address Phone Cell MARTHA ALLEN 8831 NE 4 AVE RD MIAMI SHORES FL 33138-3178 (305)757-0179 Contractor(s) C&R AIR CONDITIONING CO Phone Cell Phone 305-685-6394 (954)680-4494 Valuation: Total Sq Feet: $ 4,275.00 0 Tons: 2 1/2 Additional Info: EXACT REPLACEMENT OF 2 1/2 TON SPLI Classification: Residential Approved: In Review Comments: Date Denied: Type of Work: EXACT REPLACEMENT OF 2 1/2 TOls Scanning: 3 Date Approved: : In Review Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $3.00 $2.24 $2.00 $1.00 $149.63 $9.00 $4.00 $170.87 Pay Date Pay Type Invoice # MC -11-17-65521 11/01/2017 Credit Card 11/06/2017 Credit Card Amt Paid Amt Due $ 50.00 $ 120.87 $ 120.87 $ 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 ELECTRIC L, PLUMBIN , MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNER construct the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating orize the above-named contractor to do the work stated. Authorized Sig'' re: Owner / Applicant / Contractor / Agent Building Department Copy November 06, 2017 Date November 06, 2017 1 30S -Le 39,-I r V 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 Master Permit No. Sub Permit No. RECEIVED 6,47 Afl- io ILA f�IC r+-7_Co00 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP O CONTRACTOR E JOB ADDRESS: O o 3 i '74h Ave I� DRAWINGS City: Miami Shores County: Miami Dade Zip: S3 (2 Folio/Parcel#: Is the Building Historically Designated: Yes NO ✓ Construction Type: Flood Zone: BFE: FFE: Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder): Address: Lj A v t City: Moir, Phone#: 30T.71096.2 1 State: �P. Zip: ZZ 13? Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: C + R A s : C_0 1^a Address: 6 0 7.3 N w 16 ST C- City: ` (tiv State: ;;:c Co Phone#: 3O 4- 6 gN3?y Zip: 3 3 0 ts Qualifier Name: 4\3 b e i _. Cv.► T / 4 Phone#: `Z, 0S 6 8 C'6 State Certification or Registration #: C A (. 0 26 1 �f Certificate of Competency #: ' 0 2. z . DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ —T a1 ,\-. Square/Linear Foo age of Work: Type of Work: ❑ Addition _�}- ❑ Alteration n New Description of Work: ���:G;�C�I Repair/Replace ❑ Demolition raft.a•..nx ranc•"wl.�.�aw-l..M.ti�M .w + or. ^.. M w... Specify color of color thru tile: ' :.F Submittal Feel$ �...wM Permit Fee $ \ �)CCF $ ._ ..._ ''CO/CC Scanning Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Radon Fee $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ Training/Education Fee $ 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 /7 / a 7-N. OWNER or AGENT The foregoing instrumentt�e-C��was acknowledged before me this t/ 3 1 /day of C -e4 , 20 (- , by // 00 /7 , who is ersonally know to me or who/has produced M ct r' h c A I (er..h as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Seal: ?,0s'ri%'••. JANET KRANZ rpt Commission # FF 197298 os Expires May 9, 2019 ;;l ; ;o,, 5.rod. d Tlvu Troy Fain Insurance 8043/57019 ************************* ** ******************************#******************************************** APPROVED BY V11/ [1:is Examiner Zoning Signature CONTRACTOR The foregoing instrument was acknowledged before me this day ofof^O( (�(JV'Cn , 20 1 7 t �1 Ck4c1' who me or who has produced 1� identification and who did take an oath. NOTARY PUBLIC: by Sign: Print: as Ark, JANET KRANZ ,4'.....:-.,f Commission # FF 197298 •:a Expires May 9, 2019 �P �•.t pd''rv,•` Bonded Ttw Troy Fain Insurance 800-385-7019 (Revised02/24/2014) Structural Review Clerk P" • Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): g g 3 1 Lit ‘714k V e_ City: Miami Shores Village County: Miami Dade Zip Code: ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO n ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ,4JNIT BSING REPLACED DATA NEW UNIT UVC. MANUFACTURER (..)V C! 41-t U Q C -( J 6 6 AHU or PKG. UNIT MODEL # P a( u Rrnc O Jo3'AC- COND. UNIT MODEL # RAILt'W S- KW HEAT Sr - a. S NOM TONS 2 .S AHU CU PKG 1) M.C.A AHU CU n PKG AHU CU PKG 2) M.O.P AHU 3 U ..PKG AHU CU PKG 3) VOLTS c{Q 1 e H AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER I (j . O YES NO REPLACING DUCTS YES <2b YES NO REPLACING THERMOSTAT (" ) NO YES NO NEW 4"CONCRETE SLAB YES 0 YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES JO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208r480): 4. Size Disconnecting Means: Contractor's Company Name: Ct f& A r rc\. CO State Certifica ()264/Li Certificate of Competency No. 4* to �' SCohc� Jo tt�� Phone: 20s- 68S-6394 Signature (Revised02/24/2014) Nees ¶ ature) Date: 10 - 31- 11 .•..:::.:: Mt, 11114200 • . ... • . • •. .. . •• . •• • .• • • . •.. •. • • . • •• • • • MIAMI-DADE COUNTY • •• • • • • • • • • • •• • • •• 11805 SW 26 Street, Room 208 • • • • • • • RYANVECONOMICRESOURCES (RER) Miami, Florida 33175-2474 RATION DIVISION T (786) 315-2590 F (786) 315-2599 PTAJTCJ f HOAR) • • • • www.mlamldade.Qov/economy . • Rhe � al s o RECEIVED 560sS. ire I, Ford m t 7� 1 SCOP : i 0 is bei issued under thea applicable rules and regulations governing the use of rr s t r construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Mechanical Unit Steel and Aluminum Tie -Down Clips for Grade and Rooftop Applications APPROVAL DOCUMENT: Drawing No. 15-2543GA, titled "Wind Load Certification of Mechanical Unit Cabinetry and SteeVAluminum Tie -Down Clips: At Grade and Roof Mounted Applications", sheets 1 through 7 of 7, dated 05/14/2015, revised on 11/20/2015, prepared by Engineering Express, signed and sealed by Frank L. Bennardo, P.E., bearing the Miami -Dade County Product Control approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Section. MISSILE IMPACT RATING: None LABELING:. Each unit shall bear a permanent label with the manufacturer's name or logo, city, state, modeUseries, and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of arty product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of this page 1 and evidence page E-1, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. MIAMI.. • 1 E COU APPROVED NOA No. 15-0903.08 Expiration Date: February 25, 2021 Approval Date: February 25, 2016 Page 1 RHEEM SALES COMPANY, INC. WIND LOAD CERTIFICATION OF MECHANICAL UNIT CABINETRY AND STEEL TIE -DOWN CLIPS: ROOF MOUNTED APPLICATI G. UNIT �\ - ' U04 �C vN1DTH 75',/ LENGTH 24.70' FMMK BERNARDO, P.E. PE46549 APPROVED DESIGN CRITERIA. •. BIOTECH �O 65 ' APPROVED DESIGN � CRITERIA: EXPLODED VIEW* 10411111111111 Q3S11'311'4301M1N)- z` 4U IMMIA GLEE LENGTHMMMRED mum PERPENDIILART PERPENDICULAR FR TO SUPPORTING FRAME ATTACHANOLEZ TO FRAME %4TH (1)44461140140079 van' WASHER a NUT AT THE INTERFACE BETWEEN ANGLE AND FRAME (TOTAL OF (4) BOLTS Wal BEI/SED) UNIT HEIGHT 31' MAX EE DETAIL W 200 PSF WIND L6 0.313 1101E SEE °ETM 4N iffiLD rrNAL )IN1 100 PSF UPLIFT WIND LOAD (CONCURRENT) f FRONT ISO / BACK ISO 10'PRHN .%PRAX1—> ATTACH ANGLES TO FRAME,ANN MVO T1RUBOLTS, M. • 1 • VF MOUNTGEMPe.ObED VIE e).r• N..5 FRONT ISOATRIC • • • MESF+40METRICa ARE N D �t • DAGNALMOTICAL PURPOSE9021V, 1�*f�F]I U1NTS LISTED REM:_ MAY VARY N APPEARN0CE •• •• ••••1c "Ger, • CpSR0. Bar • • • • • • • • •••• • • • • • SUPPORT FRAME (BY OTHERS). TSP. 8200' CENTER 730' SUPPORT ANGLE 711'1)('a0111.O- 407MAX) LONG BIM) ALUWMUMANOLE CENTERED ABOUT SUPPORT FRAME, M. • 0.11T TYPE CLFIRNICE HOLE OR SHOT 0.1(470' 10.00' REFERENCE DESIGN NOTES: SITE-SPECIFIC PRESSURE REQUIREMENTS AS OETEAMINED IN ACCORDANCE W FTN 451:E 7-10 AND CHAPTER 16 OF TIE FLORIDA DURDU4G CODE SHALL BE LESS THAN OR EQUAL TO THE DESIGN PRESSURE CAPACITY VALUES LISTED HEREIN FOR ANY ASSEMBLY AS SHOWN. DESIGN PRESSURE REQUIREMENTS SHALL BE DETERMINED BY A REGISTERED DESIGN PROFESSIONAL ON A )0B -SPECIFIC BASIS IN ACCORDANCE WFTI THE GOVERNING CODE. HO SMS PER CDP, M. MTS. ELEVATION 0 -�I ME -0.308' V 11:014C— TIE-DOWNLIP AIV AN TECH CLP MGA (0.0r)ASTM AS61M00 NSI STEEL (CU1D10). MMAN T66810T0 RRCUT°TM • K-4 THEW BOLT MID( V/,S11ER a NUT FAQ • • • 1.200 • AI•MNUM ANGLER. • • • 213111X1 a 30'0110)-401MAX) LONG (LUQ ALUMINUM ANGLE CENTEREO ABOUT SUPPORT FRAME, M. CORNER POST • • SUPPORT FRAME (BY \_27fld('538(8681)-40'(W)O LONG • • OTHERS) BROWN (LL/0 AL10008M ANGLE CENTERED • • FOR CLARTT,M. NWT SUPPORT FRANC 717. COTIE -DOWN CLIP ATTACHMENTS 1 MTS. ELEVATIONS TIE -DOWN CLIP OFFSETS: N CI I _ DIM. 1 ^p CUP OFFSET DIMENSION SHALL l f 'w..`_ _ RT MEW FROMTH[55(b8' )LY FRAME (BY OTHERS), TIP. DIM. 1 DIM. 2 DIM. 3 DIM. 4 4.50' MAX OFFSET PROM DATUM FACE 24.50' MIN OFFSET FROM DATUM FACE 25.25 MIN OFFSET FROM DATUM FACE 13' MAX OFFSET FROM DATUM FAQ' APPLICABLE MODELS; RA1315, RA1324, RA1330, RA1338, RA1342, RA1418, RA1424, RA7430, RA1018, RP1418, RP1424, RP1430, 04'1518, 001418, RP1524, R01424 00X TIE -DOWN CLIP LAYOUT 3/4'0 THRU BOLT WTI WASHERS a MT FASTENING ANGLE TO SUPPORTING FRAME. N.T.S. NOTE. UNIT SHALL BE CENTERED ABOUT I E 20' RAIL TO RAIL SUPPORTING FRAME (BY OTHERS) KLAN GENERAL NOTES: 1. THIS SYSTEM HAS BEEN DESIGNED AND SHALL BE FABRICATED IN ACCORDANCE WITH THE REQUIREMENTS OF THE FLORIDA OURDING CODE FIFTH EDITION (2014). THIS SYSTEM MAY BE USED WITHIN AND OUTSIDE THE HIGH VELOCITY HURRICANE ZONE. THIS DESIGN IS NOT INTENDED TO CERTIFY IMPACT RESISTANCE OF THE MECHANICAL UNIT CABINETRY. 2. NO 33-1/3% INCREASE IN ALLOW ABLE STRESS HAS BEEN USED 1E1 THE DESIGN OF T1415 SYST114. 3. DESIGN l CERTIFICATION OF THE UNIT CABINETRY IS APPROVEATHROUGH TEST REPORT 40323.01-15 BY AMERICAN TEST LAB OF SOUTH FLORIDA_ 4. ALL DIMENSIONS AND THF MINIMUM WEIGHT (120 LB MINIMUM) OF MECHANICAL UNIT SHALL CONFORM TO LIMITATIONS STATE° HEREM. ALL MECHANICAL SPECIFICATIONS (CLEAR SPACE, TONNAGE, ETC.) SHALL BE AS PER MANUFACTURER RECOMMENDATIONS AND ARE THE EXPRESS RESPONSIBILITY OF THE CONTRACTOR. 5. ALL SHEET METAL SCREWS USED TO FASTEN CLIPS TO MECHANICAL. UNITS SHALL BE 410 (14 MIN THREADS PER INCH) GRADE 5 STEEL OR EQUIVALENT ONLY. BOLTS USED TO FASTEN ALUMINUM ANGLES TO SUPPORTING FRAME (BY OTHERS) SMALL BE AST0 F593 410 STAINLESS STEEL OR EQUIVALENT AND SHALL UTILIZE SAE GRADE WASHERS B NUTS. PROVIDE (5) PITCHES 14114DPAN PAST THE TREAD MANE FOR SHEET METAL SCREWS. ALL FASTENERS STALL HAVE APPROPRIATE CORROSION PROTECTION TO PREVENT ELECTROLYSES. ALL FASTENER CONNECTIONS TO ALUMINUM SHALL PROVIDE 24DIAMETER EDGE DISTANCE. 6. ALUMINUM ANGLES SPECIFIED HEREIN SHALL BE 6061 -TR ALUMINUM ONLY. 7. CONNECTIONS TO THE SUPPORTING FRAME (BY 01)4ERS) CONSIDER A FRAME MEMBER THAT 15 6061-T6 MIN ALUMINUM W TTH A MINIMUM 0.094' THICK FLANGE AT ATTACHMENT POINT. PERFORMANCE OF THE RAIL ASA STRUCTURAL ME144EA TO SUPPORTIVE UNIT ASSEMBLY SHALL BE PER SEPNATE CERTIFICATION. B. THE CONTRACTOR I5 RESPONSIBLE TO INSULATE ALL MEMBERS FROM DISSIMILAR ARTERIALS TO PREVENT ELECTROLYSIS. 9. ELECTRICAL GROUND, WHEN REQUIRED, TO BE DESIGNED & INSTALLED BY OTHERS. 10. 1HE ADEQUACY OF ANY EXISTING STRUCTURE TO WTHSAIID SUPERIMPOSED LOADS SHALL BE VEMFIED BY THE ONSITE DESIGN PROFESSIONAL ANO IS NOT INCLUDED IN THIS CERTIFICATION.EKCEPT AS EXPRESSLY PROVIDED HEREIN, NO ADDITIONAL CERTIFICATIONS OR AFFIRMATIONS ARE INTENDED. 11. THE SYSTEM DETAILED HEREIN IS GENERIC AMO DOB NOT PROVIDE INFORMATION ATION FOR A SPECIFIC 5TE. FOR SITE CONDITIONS DIFFERENT FROM THE CONDITIONS DETAILED HEREIN, A UCEN5ED ENGINEER OR REGISTERED ARCHITECT SHALL PREPARE 514. SPECIFIC DOCUMENTS FOR USE IN COMIUNCIION WITH11-115 DOCUMENT. I T. WATER -TIGHTNESS Of EXISTING HOST SUBSTRATE SHALL EE THE FULL RESPONSIBILITY Of THE INSTALLING CONTNICTOIL CONTRACTOR SHALL ENSURE THAT ANY REMOVED OR ALTERED WATERPROOFING MEMBRANE IS RESTORED AFTER FABRICATION AND INSTALLATION Of STRUCTURE PROPOSED HEREIN. THIS ENGINEER SHALL NOT BE RESPONSIBLE FOR ANY WA1E040IDFING OR LEAKAGE ISSUES WMROM MAY OCCUR A5 WATER-T1GNTNESS SHALL BE THE FULL RESPONSIBILITY 0V THE INSTALLING CONTRACTOR. lit COPFNdT II W B L ISIINI 10PL 15-2564RE •CAUi N.1.8. 1 C31' TALLUNIT Oct 31 17 01:27p C & R Air Conditioning Co • • • • • • •• . • • •• ••I.• • • ••, •• • • •• • • • 305 685 6395 p.1 111 11-11120. 1 CERTIFIED' vx:..ar is -ecto..org • ••• • • • 1 • • • • •• • • •• •- • • • • • •• • • • • • • • 1 • • • •This combination qualities fora Federal Energy • • • Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. • Certificate ofprocluOdatings .. AHRI Certified Reference Number: 2493033 :: • • ; Date 4 0!31!2017 •• • • • • • ••• •• Product Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1430AJ1 Indoor Unit Model Number: RBHP-21 Manufacturer: RHEEM SALES COMPANY, INC. _ TradelBrand name: RHEEM; RUUD Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN. MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. 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): . EER Rating (Cooling): SEER Rating (Cooling): IEER Rating (Cooling): 29800 13.00 16.00 • Rafinm fotowed by at asterisk 1•) indicate a voluntary rerate of previously published dell. unless accompanied with a WAS. which Macaws an involuntary rerale. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and nukes no representations, warranties or guarantees as to, and assumes no responsibility for. Me p,oduet(s) listed on this Certificate. MRS expressly disclaims all liability for damages et any hind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are vaid aaly for models and configurations listed in the directory at wmw.ahridkectory.org. TERMS AND CONDITIONS This Certificate'and its contents are Proprietary products ef AHRL This Cerdticate shall only be tised for Individual, personal and confidential reference ptrposes.The contents of this Certificate may not, In whole or In part, be reproduced; copied; disseminated; entered Into a computer database; or otherMse utUlzed. In am form or manner or by any means, except far the user's Individual, personal and confidential reference. CERTIFICATE VERIFICATION The infomafton for the model cited on this certificate can be verified at www.abrithrectory.org, click on "Verify Certificate' fink and enter the ARM Certified Referents Number and the date on wtilch the cert ficate was Issued, 11.''1 AriM sa. Ale -CONDITIONING, II EATING. & REFRIGERATION INSTITUTE vie nuke life better" which Is listed above, and the Certificate No.. which is fisted at bottom right. 02014 Air -Conditioning, Heating, and Refrigeration Institute 1 CERTIFICATE NO.: 131539450131549723 1 1 A� D — CERTIFICATE OP L•LA3I• •L1•TY11NS�1'tANCE ,. •. •• ••y DATE(MM/DD/YYYY) 8/29/2016 THIS CERTIFICATE IS ISSUED •AS A -MATTER OF INFORMATION - NLY.AND CONFEIS Nq RIGHTS UPON THE CERTIFICATE HOLDER: •CHIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY 'AMEND, EXtEcID aft 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. . . ,• ' .f ` ` .4 IMPORTANT: If the certificate holder is -an ADDITIONAL IN64JRE11,'the poQlay(ks$ must be endorsed. If. SUBROGATION' IS WAIVED, subject to. the terms and conditions of the policy, certain policies may re9uirt an ends rse(peDt. A sjatemtnt on this certificate' does not confer rights to the certificate holder in lieu of such endorsement(s). • ... .... • ... ••• ' w- ; PRODUCER ' t•I II Gil, Garden, Avetrani Insurance'Group ° •• (•,, 10689 N. Rendall Drive - .' .• ` Suite 208 ' t '' ' • I • • Miami FL 33176 •� •�• NAMEACT MargY 2uniga • , e: w Pai•"Iioyrx�: (3p5�630-4777 jnlc,No►: (305)279-3022 r • , M L•.azt• I. aC�ggaig.Com - ..sq • • . - '�NS'Up R(S) AFFORDING COVERAGE '` ' • '-i NAIC # ' INSURER A :FCCI Insurance CO . COMMERCIAL GENERAL LIABILRYEACH INSURED a C & -R Air Conditioning Company 6073 NW 167th Street Suite' C-4 Miami Gardens FL 33015 INSURER B : . - l‘. ' 1 INSURER C : ' I r ' 9/1/2017 " INSURERD: $ 1,000,000 INSURER E : INSURER F : ) -• X COVERAGES CERTIFICATE NUMBER:CL1682908978 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. i . INSR LTR r TYPE OF INSURANCE ADDL DASD SUBR,, WVD POUCY NUMBER " POUCY EFF (MM/DDIYYYY) *POLICY EXP (MMIDDIYYYY) ' •' 1 ° LIMITS Ih 1 N A X COMMERCIAL GENERAL LIABILRYEACH ACCORDANCE WITH THE POLICY PROVISIONS. ' ' - ' • I ' Y • , . # + GL00181971-2 ' ' I' },.1 ` 9/1/2016 I ' 9/1/2017 " OCCURRENCE _ $ 1,000,000 CLAIMS -MADE X OCCUR ,, DAMAGE TO RENTED- PREMISES (Ea occurrence) $ I 100 , 000 a. I MED EXP (Any one person) $ ; • 5,000 - , ,. ••..... PERSONAL &ADV INJURY $ 1,000,000 GEN'L .X AGGREGATE POLICY OTHER: LIMIT APPLIES JECOT- 't t PER: LOC V GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 'Employment Practices Liability $ . . " ' 100,000 AUTOMOBILE LIABIUTYCOMBINED ANY AUTO ALL OWNED AUTOS HIRED AUTOS v' I I (' 7 ' . '+' SCHEDULED AUTOS NON -OWNED AUTOS , r • s $ . , , 1 i r I ,r SINGLE LIMIT (Ea accident) - $ BODILY INJURY (Per person) $.... , BODILY INJURY (Per accident) $ , PROPERTY DAMAGE (Per accident) $ • I ,- L. $ t UMBRELLA LIAR EXCESS UAB OCCUR CLAIMS -MADE .. EACH OCCURRENCE $ AGGREGATE $ I I. DED RETENT ON $ $ A 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 001WC15A74008 8/31/2016 • ' _ 8/31/2017 PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $'100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) .. 1 . 1 CERTIFICATE HOLDER CANCELLATION i •- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Miramar ' THE EXPIRATION DATE THEREOF, NOTICE WILL BE . DELIVERED IN ' 6700 Miramar Parkway ACCORDANCE WITH THE POLICY PROVISIONS. Miramar,' FL 33023 AUTHORIZED REPRESENTATIVE a .i a. t,1-.,' f, 1 ,r.. - , ,. ••..... Ernie Sariol/MARGY — -"te- ACORD 25 (2014/01) 1NS025 /7m4nn © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD