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MC-17-1144Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-297469 Permit Number: MC -4-17-1144 Scheduled Inspection Date: February 15, 2018 Inspector: Perez, JanPierre Owner: REVELO, JOANNA Job Address: 126 NW 100 Terrace Miami Shores, FL Project: <NONE> Contractor: REDLAND AIR INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1131010220270 Building Department Comments REPLACE OLD NC UNIT WITH NEW ONE 3 TON Infractio Passed Comments INSPECTOR COMMENTS Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments February 14, 2018 For Inspections please call: (305)162-4949 Page 37 of 38 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. MC -4-17-1144 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: APPROVED Issue Date: 81312017 Expiration: 01/30/2018 Parcel Number Applicant 126 NW 100 Terrace Miami Shores, FL 1131010220270 Block: Lot: JOANNA REVELO Owner Information Address Phone Cell JOANNA REVELO 126 NW 100 TERR MIAMI FL 33150-1210 Contractor(s) REDLAND AIR INC Phone CeII Phone Valuation: Total Sq Feet: $ 4,104.00 0 Tons: Additional Info: REPLACE OLD NC UNIT WITH NEW ONE 3 Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 2 Date Approved: : In Review Type of Work: REPLACE OLD A/C UNIT WITH NEW Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $3.00 $2.15 $2.15 $1.00 $143.64 $6.00 $4.00 $161.94 Pay Date Pay Type Invoice # MC -4-17-63812 04/26/2017 Credit Card 08/03/2017 Credit Card Amt Paid Amt Due $ 50.00 $ 111.94 $ 111.94 $ 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 constructio (DAVIT: certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating ing. uthermore, I autho - : above-named contractor to do the work stated. Sig ature:Owner / Applicant / Contractor / Agent Building Department Copy August 03, 2017 Date August 03, 2017 1 BUILDING PERMIT APPLICATION 0BUILDING E ELECTRIC ❑PLUMBING Xi MECHANICAL JOB ADDRESS: 126 NW 100 mSvcL.c >ov 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 0 ROOFING PUBLIC WORKS Terrace Master Permit No. Sub Permit No. REVISION 0 CHANGE OF CONTRACTOR RECEIVED APR 6 2017 BY: rCUA FBC 2014 5+11 Mc 11-41 44 EXTENSION RENEWAL 0 CANCELLATION 0 SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: 33150 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Joanna Revelo Address: 126 NW 100 Terrace Phone#: 305-754-2134 City: Miami Shores Tenant/Lessee Name: N/A Email: State: FL jerevelo a�ellsouth_net Phone#: Zip: 33150 CONTRACTOR: Company Name: IZ'e ? Address: 1> / qZ 5 / S (c, �t"✓,— Phone#: 3C?s— t -/S L! 3 L i2 City: "Wei ,' Qualifier Name: K. i CCtrit, 341" re e et State: f L Zip: 33/? 7--- Phone#: State Certification or Registration #: CAC. (7c,--4- % 1 ' Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of -Work -for- this .P.ermit::,$ 17/10l ! e7 Type of Work: ❑ Addition ❑ Description of Work: 12--C e i4 c e Alteration Square/Linear Footage of Work: ❑ New (,Ic= e.i.--. ® Repair/Replace ❑ Demolition ;411 r e„i one_ Specify colorof ,color thru tile: t t �,'., 1 r �_ � Gi ,.Permit Fee $ Submittal Fee $"•`J�'P+ � 1 ." .. a�yY�i F 1 C $:• CO/CC $• °`c • Scanning Fee $ Radon Fee $ DBPR 4-.:',.L.;;;._-, ' -,Notary,$ - - - 3 Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE$ l 1 1 .q y (Revised02/24/2014) 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 18 day of April , 20 17 , by FO6 J �� �7 O , who is ersonally know o me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Print: R 4461,4 led0 Seal: r ig011it SUSAN B. MARIAN a. ;;: MY COMMISSION # FF 226711 -.....- .„5,A310r Bonded Thru Notary Pt Underwriters I1 _ APPROVED BY ••cJ (Revised02/24/2014) Signature 1 The foregoing instrument was acknowledged before me this 25 day of p41 I , 20 l 1 , by 1 Ca rd o nreal who is personally known to CONTRACTOR me or who has produced L. - identification and who did take an oath. NOT Sig Print: Seal: LIC: as Plans Examiner LETICIA REYNERI CARLUCCI Notary Public - State of Florida Commission 1t GG 069738 My Comm. Expires Mar 15, 2021 Bonded through National Notary Assn. * *************** Zoning Structural Review Clerk 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): 12 u _ / 0 0. T r r City: Miami Shores Village County: Miami Dade Zip Code: 33/C-0 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'disco ec_ting•means: YES ❑ NO SI ARHI Sheet Attached: YES 0 NO ❑ Contract Attached: YES Egl UNIT BEING REPLACED DATA NEW UNIT G?vricf / Akre tin MANUFACTURER C\►M-e+r:cao. S .11etrc+i f g 4.11 A,,/ j: 03 & AHU or PKG. UNIT MODEL # TW nn t( i4QLy 2S y ( (Z. V L -- 034,,, -N 0.2— COND. UNIT MODEL # 4 A 7A 4 ca.3l _.S i 0ov A /v /rid KW HEAT (o r,./ 1 70 !'J NOM TONS 3 -To AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER REPLACING DUCTS YESCIZP gYESYES YES N REPLACING THERMOSTAT OMNO YES NO NEW 4"CONCRETE SLAB 'ESI NO YES ® NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX ® NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 2 Li 0 4. Size Disconnecting Means: Contractor's Company Name: itt' c) (Cain c t Phone: State Certificate or Registr ior�Noj C i' ?' Certificate of Competency No. Signature (Revised02/24/2014) (Qualifier's signature) Date: 1J/2 -0/i This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 8676068 Date: 4/21/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4A7A6036J1 Indoor Unit Model Number: TEM4A0C42S41+TDR Manufacturer: AMERICAN STANDARD Trade/Brand name: AMERICAN STANDARD ED APR 2017 fietA 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:.GOLD 16 • Manufacturer responsible for the rating of this system combination is AMERICAN STANDARD l a Rated as follows in accordance with AHRI Standard 210/240-2008 for UnitarTAir, Conditioning; and Air -Source Heat'Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored; independent, third party testing: ) I I I } :.1 Cooling Capacity (Btuh): EER Rating (Cooling): SEER'Rating (Cooling): IEER Rating (Cooling): 36400,1 4,, li { i C 3).. ''C4 i 14.00 —17.00— Ratings ' 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.ahridirectory.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.ahrldirectory.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 life better' 4 131372736249228895 RICK SCOTT, GOVERNOR IJt IHI:t'i Htt(t" KEN LAWSON, SECRETARY STATE"OF DEPARTMENT OEBUSINESS AND;PROFESSIONAbRE ULATION CONSTRUCTIO_ N` INDUSTRY.UCENSING BOARD '`+,NN,N,� ENSE NUMBER ..✓'"""" °� y a W +. a Ttie;CL'ASS'B.AIR,CONDITIONINGMCONTRAC�,TOR amed below '"� rUnder thep ovisions of Chapter 489"FS" ;'Expiration date: -AUG 31;.2018; y..`_ BARRERA; R'1NRICARDO REDL'AND'AIC 15192 SV1 A 56,.TERRACE: f MIAMI rit1'87" ISSUED: 07/10/2016 DISPLAY AS REQUIRED BY LAW SEQ # L1607100000945 004676 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 4332169 BUSINESS NAME/LOCATION REDLAND AIR INC 15192 SW 156 TERR MIAMI FL 33187 RECEIPT NO. RENEWAL 4520632 LBT EXPIRES SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER REDLAND AIR [NCI Worker(s) 1 t`h SEC. TYPE OF BUSINESS PAYMENT RECEIVED 196 SPEC MECHANICAL CONTRACTOR BY TAX COLLECTOR' CAC057896 05.00 07/12/2016 Pi ( r-) I ,CHECK21-16-084146 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, ense, permit, ora certification of the holder's qua ifications, to do business.t Holder mast comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. p TheRECEIPT ND.' above mum be disp eyed on all commercial vehicles t Miami -Dade Code Sec 8a276. For more information, visit www.miamidade.govltaxcollector 'AC pP CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 04/21/2017 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(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 All Motors Insurance 18071 S. Dixie Highway Miami, FL 33157 Phone (305) 255-2601 Fax (305) 253-5165 CONTACT Jorge Ortega NAME: g PHONE 255-2601 Ext): (305) 255-2601 (AAic No): (305) 253-5165 A DRESS: allmotorsfive@aol.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Ascendant Commercial Insurance Company 0 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 0 OCCUR INSURED Redland Air Inc 15192 SW 156 Ter Miami FL 33187- INSURER B 11/21/2016 INSURER C : $ 100,000.00 $ 5,000.00 INSURER D : INSURER E : $ 1,000,000.00 INSURER F : GENERAL AGGREGATE 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 HERE N 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 ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MMIDD/YYYYJ 11/21/2017 LIMITS EACH OCCURRENCE $ 1,000,000.00 A 0 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 0 OCCUR GL -50358-1 11/21/2016 DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) $ 100,000.00 $ 5,000.00 • PERSONAL &ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: 5 POLICY " PEC LOC GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS - COMP/OP AGG $ 1,000,000.00 • OTHER $ AUTOMOBILE LIABILITY II ANY AUTO ALL OWNED SCHEDULED • AUTOS = AUTOS NON -OWNED • HIRED AUTOS • AUTOS • • COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ . UMBRELLA LIAB • OCCUR • EXCESS LIAB • CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ • DED il RETENTION$ $ WORKERS COMPENSATION ANYEMPLOYERS' LIABILITY y / N ANY PROPRIETOR/PARTNER/EXECUTIVE- OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below m PER STATUTE no ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) AIR CONDITIONING SYSTEMS OR EQUIPMENT INSTALLATION AND REPAIR. CERTIFICATE HOLDER CANCELLATION I Miami Shores Village Bldg Dept 10050 N.E. 2 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 (2014/01) QF © 1988-2014 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: 12/4/2015 EXPIRATION DATE: 12/3/2017 PERSON: BARRERA RICARDO FEIN: 650895319 BUSINESS NAME AND ADDRESS: REDLAND AIR INC 15192 SW 156 TERR MIAMI FL 33187 SCOPES OF BUSINESS OR TRADE: HEATING, VENTILATION, AIR-COND 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 1 FV1 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' 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 fall -tune 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, parttime 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 ;211 day of 1✓ , 20 ISI By - $ — 4 k) t2 O who is p sonally known me or has produced Notary: SEAL: as identification. 0 -� sox: SUSAN B. MARIAN 2. • ' MY COMMISSION # FF226711 EXPIRES: May 4, 2019 dRf, b: Bonded Thru Notary Pubic Underwriters REDLANJD AUR INC July 25, 2017 State of Florida County of Miami -Dade Before me this day personally appeared Ricardo Barrera who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at 126 NW 100 Terr., Miami Shores, FL 33150. for Signature Sworn to (or affirmed) and subscribed before me this �� day of JULY 2017. Personally Know i— Or Produced Identification Type of Identification Produced Print, Type or Stamp Name of Nofary HILDA T PEREZ Notary Public - State of Florida •? My Comm. Expires Aug 23, 2017 qt ri: o- Commission • FF 043264 Natf :: Bonded Through and *lay Assn.