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MC-18-264 Permit No. MC-2-18-264 �et!O1s L,� Miami Shores Village Permit Type:Mechanical-Residential 10050 N.E.2nd ANW r. � venue Perlill't Work Classification:A/C Replacement ' Miami Shores,FL 33138-0000 Permit Status:APPROVE[? Phone: (305)795-2204 FL RtDp' lssueDste:6/201201'8 Expiration: 12J17/2018 Project Address Parcel Number Applicant 29 NW 99 Street 1131010180520 Miami Shores, FL 33150- Block: Lot: QUICK EQUITY BUILDER INC Owner Information Address Phone Cell QUICK EQUITY BUILDER INC 29 NW 99 Street (954)605-7880 i MIAMI SHORES FL 33138- 29 NW 99 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,700.00 MIAMI MECHANICAL CONTRACTORS (786)402-4457 Total Sq Feet. 0 Tons:3.5 Available Inspections: Additional Info:EXACT CHANGE OUT OF A/C UNIT Inspection Type: Classification:Residential Final Approved: In Review Review Mechanical Comments: Date Approved: :In Review Date Denied: Type of Work: Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# MC-2-18-66310 DBPR Fee $2.00 DCA Fee $2.00 02/01/2018 Check#: 1598 $50.00 $67.80 Education Surcharge $0.60 06/20/2018 Credit Card $67.80 $0.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $117.80 F 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 ceA that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning4.Tr e,I authorize the above-named contractor to do the work stated. June 20, 2018 Authorized Sigh re:Owner / Applicant / Contractor / Agent Date Building Department Copy June 20,2018 1 Miami Shores e R Villa E-C D g , BB= 22018r Building Department f . FIB j 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 iY:! Tel:(305)795-2204 Fax:(305)756-8972 - INSPECTION LINE PHONE NUMBER:(305)762-4949 - - _. FBC12014, BUILDING __ Maste'r Permit No. 97 ��• - PERMIT APPLICATION sub Permit No. ❑BUILDING' ❑ ELECTRIC f7� ROOFING ' ❑ REVISION" ❑ EXTENSION ,' ❑RENEWAL- ❑PLUMBING (MECHANICAL [:]PUBLIC WORKS ID CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR i DRAWINGS.,, JOBADDRESS: Z� City:. Miami Shores r County: . Miami Dade a ,,Zip:43?,56 Folio/Parcel#: '"I 1--.-3 iy 1.•-L!1;YK:- Z S�cr T 4r.,i Is the Building'Histbrically Designated 'Yes'. ,` (NO Occupancy Type: i Load: s'` "Construction Type: ._` Flood Zone: " i. Z BFE: _"'4 '-'+ FFE: ydM OWNER^Name•(F-e Simple Tit "-I er q j Vi4l�,x.N�CI� 4Phone#: �� Sy("-- Y.7�Pr Address:' Q� 'Y—K_ c iJ► v•'+'e�-c,-� r�t " i s�,, , _ , . City: yj 3 .� n-� �rd �Y State: 1.<�J-�r /L' Tenant/Lessee Name: Phone#: +c1� Email: CONTRACTOR:Company Name:_ Tar�.i 1 c- i�, C n6-466u Phone g11P Address: Co(j,�, City: State: µ � Zi'p: � ( i. ji... Qualifier Name: fb/"C_ ><t'�� Phone#:\� State Certification or Registration#: M 0600 23 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: 1 Value of Work for this Permit:$' -ill' u1 i Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New LXI Repair/Replace ❑ Demolition , pe?,crilpti0Tof Work:w /4 t f\, +i!:A.n VM--,illi - ,_. -. -.1•',' _ .w .,.:.q; +- i•,ru..sa.:r a..,.•...7.nn o.:. .�,'_:" .r .. ... +1 4 C':F Y c.`• ✓U!a ftA,•t 3I fA ! -,i. ^lidt Specify color of color thru,tyle 1= ►i1 _. ^� � h 1 M tl �' f TT 1 Csj CI Submittal Fee$. `,— -J Permit Fee$ r G *CCF$ ! Scanning Fee$ Radon Fee$ DBPR$ � Q Notary$ Technology Fee$ _ Training/Education Feef'$ Double Fee$ Structural Reviews$ Bond$ —7 - TOTAL FEE NOW DUE$ I O (Revised02/24/2014) r Bonding Company's Name(if applicable) Bonding Company's Address _..City _ _.. _ State Zip Mortgage Lender's Name(if applicable) f'< Mortgage Lender's Address V r Fi City s E -State;.. N Zip 3 s I'�): Application is herebV'made`to'obtan a permit to do the work and installations as indicated. I certify that no work or installation has commenced,priorto-the issuance_of,;a,permit and that all work will be performed to'meet the standards of all law's 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'iaw brochure will be delivered to the person whose propertyis 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 nbf be approved and a reinspection fee will be charged. Signa - `Signature �_�/_1_/_0 "` "" " "' ' - OWNER or AGENT " _ CO RACTOR` The'foreg ing instrument was acknowledged before me this` The for oing instrument wa"s ackndwledged before this day of .__.. 20/.c� .by 7 day of �l 20 by. who is personally known to who is personally known to me or has-produced as me or who has produced as identification and who did take an oath. "" identification and who did take an oath. + NOTARY BLIC: pq NOTARY?,"LIC: - Sign: CL-_. c -_ �-�-�� Sign: f y • Print: yj�se-ln - Gam( CG> i' '.4 Print:- K►° ., PERLA M.GARCIA Seal: - iso :PERIAM.GARCIA Seal MYCOMMISSION#GG142111 ,. MY COMMISSION#GG 142111 -EXPIRES:January 7,2022 4 EXPIRES:January 7,2022 saThru piAiIk U b "^ "%f,OOP F�Q�••BonW Thru Notary PWic Untimnliers " APPROVED_BT_ Pl�ns�miner Zoning Structural Review Clerk (Revised02/24/2014) I I� 4 t r t -- ---�-_ _.—•_—-� y..�.. .:�....a_..moi. Local Business Tax Ibcei pt Miami-Dade County, State of Florida -THIS IS NOT A BILL-DO NOT PAY 6960422 \ILBT BUSINESS.NAME/LOCATION RECEIPT NO. EXPIRES ' MIAMI MECHANICAL RENEWAL SEPTEMBER 30, 2018 CONTRACTORS`INC 7236011 5005 COLLINS AVE#1018 Must.t a displayed at place of business Pursuant to County Code MIAMI BEACH, FL 33140 Chapter 8A-Art.9& 10 OWNER P, SEC. TYPE OF BUSINESS pAY ECEIVED''°i't MIAMI'MECHANICALCONTRACTORS 1g6 SPEC MECHANICAL BY TAX COLLECTOR ZINC 1 A r tF CONTRACTOR E '¢ t o (/rI.IFGRF A r.APr..IA PRF52 f f 1145:00 09/28/2017 Worker(s) A E I 1 12M000023 ' E � ! � 02�0-17-005245 This Local Busi nese Tax Fbceipt crd y con^rms payment of the Local Business Tax.The Receipt is rat a I icense, t perrrit,or a cerci"cation of the holder's qual i^cations,to do Busi riesi.Holder m st corrpl y with anj9overnrrental� , ornorgmkinnner6l regulatory laws and re4uirementiwhich applyto.the business: 1 } The3PfN0aboverrust�iedisplayedonailrcortrrerdalvehides-Miami-DadeCbde Sec 8a-276 y I ® MIAMFDADE ,---.-� �,. r For more information.visim twwwarridadegov/taxcdlector I LJ 1 ' I L C ` I k � 4 t1 aF T STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 BATISTA, JOSE F MIAMI MECHANICAL CONTRACTORS INC 5005 COLLINS AVE#1018 MIAMI BEACH FL 33140 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 STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque & DEPARTMENT OF.'BUSINESS AND restaurants,and they keep Florida's economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order RA0042908 .''ISSUED: "09/21/2017 to serve you better. For information about our services,please log onto www.myfloedalicense.com. There you can find more REG AIR CONDITIONING CONTRACTOR information about our divisions and the regulations that impact BATISTA;JOSE'F.-.,- you,subscribe to department newsletters and learn more about MIAMI MECHANICAL CONTRACTORS INC the Department's initiatives. (INDIVIDUAL MUST MEETALL"LOCAL Our mission at the Department is:License Efficiently,Regulate LICENSING REQUIREMENTS PRIOR Fairly.We constantly strive to serve you better so that you can TO CONTRACTING'IN ANY AREA) serve your,customers. Thank you for doing business in Florida, HAS REGISTERED under the provisions of Ch.489 FS. and congratulations on your new license! Expiration date:AUG 31,2019 L17MI0001619 DETACH HERE RICK SCOTT,GOVERNOR JONATHAN ZACHEM,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD4- ��. RA0042908 4I T .?tar The CLASS AAIR CONDITIONING CONTRACTOR �. Named below HAS REGISTERED }tK } . Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2019 (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) BATISTA, JOSE F . U MIAMI MECHANICAL CONTRACTORS INC 5005 COLLINS AVE#1018 MIAMI BEACH F03140 fir ; ISSUED: 09/2112017 DISPLAY AS REQUIRED BY LAW SECT# L1709210001619 Municipal Contractor's Tax Receipt Miami—Dade County, State of Florida —THIS IS NOT A BILL—DO NOT PAY M C CC NO: 12M000023 BUSINESSNAME/LOCATION RECEIPT NO. EXPIRES MIAMI MECHANICAL CONTRACTORS INC SEPTEMBER 30 2018 5005 COLLINS AVE#1018 7519538 MIAMI BEACH,FL 33140 Pursuant to County Code Sec 10-24 OWNER TYPE OF BUSINESS MIAMI MECHANICAL CONTRACTORS SPECIALTY MECHANICAL PAYMENT RECEIVED INC CONTRACTOR BY TAX COLLECTOR 175.00 10/17/2017 C/0 JESSE A GARCIA,PRES CREDITCARD-18-00268? This receipt is not valid in the following Municipalities:Aventura,Doral,Hialeah,Key Biscayne, Miami Gardens,Miami lakes,Palmetto Bay,Pinecrest,Sunny Isles Beach,Town of Cutler Bey. MIMI®A.=j For more information,visit www.mismidade.govhaxcollector A ® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 2/1/2018 IS 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 NAME: .lose F. BaStlsta BATISTA INS INC. PHONE E>n: (305)685-0524 AIC No): 4159 E.4TH AVE ADDRESS: HIALEAH,FL 33010 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: UNDERWRITER OF LLOYDS OF LONDON INSURED INSURER B: PROGRESSIVE MIAMI MECHANICAL CONTRACTORS INSURER C: 5005 COLLINS AVE#1018, INSURER D: MIAMI BEACH, FL 33140 INSURER E: norGUARD INSURANCE COMPANY 31470 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 CONTRACTOR 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 OF INSURANCE IND= POLICY NUMBER MMID MM/D LIMIT'S X COMMERCIAL GENERAL LIABILITY X X 09/19/201 09/19/2018 EACH OCCURRENCE $ 1,000,000.00 NKHBE-U PREMISES(Ea occurrence)occurrence— $ 100,000.00 CLAIMS-MADE ®OCCUR MED EXP(Any one arson $ 5,000.00 PERSONAL&ADV INJURY $ 1.000,000.00 GEN-LAGGREGATELIMIT APPLIES PER: GENERAL AGGREGATE E 2,000,000.00 POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 1,000,000.00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT y 1,000,000.00 ANY AUTO. 02885159-0 02/22/2017 02/22/2018 e10.000.00 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X NON-OWNED DAMAGE X HIRED AUTOS $ AUTOS Per accident E UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LU18 CLAIMS-MADE AGGREGATE E DED I RETENTIONS $ WORKERS COMPENSATION 3/20/ PER OTH- ND EMPLOYERS'LIABILITY YIN M IWC810697 2017 03/20/2018 STAT TE ER ANY FFICER/ EMBERIETORBXC UDED ECUTIVE ❑NIA X E.L.EACH ACCIDENT s 500,000.00 Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000.00 fyes,describe under ESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) Certificate holder is listed as additional insured CAC #152M000023 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVE, MIAMI SHORES, FL 33138 AUTHORIZED REPRESENTATIVE 305-795-2204 Gal 1 �� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD `5t!o I p Miami Shores Village Building Department 10050 N.E:2nd Avenue Miami Shores, Florida 33138 ,�e Tel: (305)795.2204 ORib Fax:(305)756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC i 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): 201 /Ui&� f? f� City: Miami Shores Village County: Miami Dade Zip Code: 3315D 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❑ ARHI Sheet Attached:YES ❑ NO ❑ Contract Attached: Sk, UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER C���`{ Ca.-►^�Y� AHU or PKG. UNIT MODEL# COND.UNIT MODEL# ff 4bN'F a$4 o& KW HEAT NOM TONS AHU CU PKG 1)M.C.A AHU CU PKG AHU CU PKG 2)M.O.P AHU CU PKG AHU CU PKG 3)VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER /ItS:G1-1` . YES NO REPLACING DUCTS yks YES NO REPLACING THERMOSTAT lIE752 N YES NO NEW 4"CONCRETE SLAB YES YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES 0 1. Minimum Circuit Ampacity(Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit(208/240/480): 4. Size Disconnecting Means: _ Contractor's Company Name:14 l ai'.►i MPhone:('A!L<) `e 0 s'1 State Certificate orRegistr tion No. Certificate of Competency No. Signature Date: Zllz2ole Aualifieks signature) (Revised02/24/2014) t ESTIMATE Quick Equity Builder Inc ®(I IRMI HIECHROUL 29 Nw 99 street CONTRACTOR$- Miami Shores, FI (305)546-4961 Miami Mechanical Contractors Inc 7914 Harbour island Dr. #102C Estimate# 000077 North Bay Village, FI 33141 Date 08/30/2017 Phone:(786)402-4457 Email:jesse@miamimechanicalinc.com Fax:(305)397-1728 Web: miamimechanicalinc.com Description Total Installation of 3.5 ton 14 seer Carrier equipment $2,700.00 Cond mod:CA14NA042 A/H mod:FX4DNF042T00 10 Year Manufacturer Warranty(Registration Required) 1 Year labor Warranty By Miami Mechanical Contractors $0.00 Subtotal $2,700.00 Total $2,700.00 Signed on:02/01/2018 Quick Equity Builder Inc Page 1 of 1 https://client.joistapp.com/estimates/96241893ec5O65a9bccb710f 2/l/18,1:36 PM Page 2 of 2