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MC-17-1850
Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Permit-NO::mC-7-47-1 °5o Permit Type: Mechanical'- Residential Wprk Classiticatio.'Additiatli/Alteration Pennit.Status: APPROVED Expiration: 01/21/2018 Applicant 251 NE 98 Street Miami Shores, FL 33138- Owner Information Address 1132060134410 Block: Lot: we mita§ 700 E DANIA BEACH Boulevard DANIA FL 33004- 700 E DANIA BEACH Boulevard DANIA FL 33004- Contractor(s) Phone A.P EXPRESS A/C AND REFRIGERATI (786)252-7224 Cell Phone 1 Tons: 3 Additional Info: INSTALL NEW 3 TON UNIT AND DUCT Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: PANPER LLC Phone Cell Valuation: Total Sq Feet: $ 2,900.00 0 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.80 $2.00 $2.00 $0.60 $101.50 $3.00 $2.40 $113.30 Pay Date Pay Type Invoice # MC-7-17-64626 07/25/2017 Credit Card 07/19/2017 Credit Card Amt Paid Amt Due $ 63.3C $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Rough Duct Review Mechanical Underground 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 myz:e!f, r:; :: nts, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING ^rd S4A/!MMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing in ation is accurate and that all work vvil! be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I auth�-„ji.:ve-named contractor to do the work stated. July 25, 2017 Authorized Signat •1 / Applicant / Contractor / Agent Building Department Copy Date July 25, 2017 1 BUILDING PERMIT APPLICATION ❑ BUILDING ❑ PLUMBING 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 ❑ ELECTRIC ❑ ROOFING 111 MECHANICAL ❑PUBLIC WORKS RECETV JUJ. 19 ? 17 FBC 20 Master Permit No. 12_C 16 - 2_ Sub Permit No. MO.A-lt:./bo ❑ REVISION ❑ EXTENSION El RENEWAL JOB ADDRESS: 2 ✓v q S L City: Folio/Parcel#: ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Miami Shores County: f1 10 Miami Dade Zip: Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: DOWNER: Name (Fee Simple LAddreP Gity:i r'Al/`C %- V' Tenant/Lessee Name: Email: Titleholder): /(2Zrl f2'ec ( l c �}Gt� --Stater i J ct BFE: NO FFE: FPhone#:-4-g6 _:j2- -42-43 ;Zip 3 00'4 Phone#: CONTRACTOR: Company Name: f7 P p z= 56 411w ' Phone#: �v z S 2 '2 Z17/ Address: City: // State: Qualifier Name: /9 `y.-LL d/> I dk i.g State Certification or Registration #: �d ✓ 4" 6 tJ Certificate of Competency #: Zip: 3 3W‘ . Phone#: 9(f b Z Z2'V 083906 DESIGNER: Architect/Engineer: Phone#: Address:~ " ;s _ Gty State: f er2ski !s" &,,, yC..•,, "I 1 ,i:1 -a ,, Valueof Work for this Permit $r fs i Z 7 o Q Square/Linear Footage of Work:r Type of Work i i Additions ' ❑_ J),Alteratiionn ❑ Nev)r M „ [] Repair%Replace Description of W9j,k: "p f �v/ L c Zip: Demolition Specify color of color thru tile: Submittal Fee $ ICP Permit Fee $ { Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 1 Bonding Company's Name (if applicable) Bonding Company's Address City Vt3I 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 theissuance 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 .`sence of such posted notice, the inspection will not be approved and a reinspec • fee will be charged. Signature The foregoing instrument was acknow edged before me this day of Jcs. ,20 by biJrw 1'I a I, r•. , who is personally known to me or who has produced identification and who NOTARY PUBLIC: as i4°L oaiMARTIN G TORRISI MY COMMISSION P FF964004 E'(P ebnrary 23.2020 NS«vka.mm Sign: Print: P,Arl j + fL L 5 Seal: Signature ONTRACTOR The foregoing instrument was acknowledged before me this o 1 1 day of ��s 7. , 20 1 , by e_aJ� 0QckS-2., who is personally known to �1/I M me or who has produced identification and who di NOTARY PUBLIC: Sign: Print: W Seal: th. MARTIN G TORRISI is MY COMMISSION 0 FF964004 EXPIRES February 23.2020 401a3 ftondallota7Sondco.00m APPROVED BY lanslExaminer Structural Review Zoning Clerk (Revised02/24/2014) 1-0DiN6 LA. e WC OWP`3 SAS, POWER OF ATTORNEY The undersigned hereby authorizes Mr. Bruno Halimi to act as my representative in regard to the property located at 251 NE 98th Street, Miami Shores, Florida 33138. David PcreK Owner Sworn to and signed before me. this 21 day of Miami. Florida USA Maitre Jacques BERAT, NoteIre Associe dune SCP, Titulalre d'un office notarial 51, rue Bugeaud 69006 LYON Certifte veritable la slgaataaa de appo®6e cktessu ,2017 Notary Public, State of Florida. ) Fad@ rPserh'ee atm wtzriti. C67npetente5 mna tlettmr le panf*Mrt ,tK a =tali* e: pas.-xrte . nxbenntr: ar,_..c.t Zve"ere ,Tx�"tghec++_• f Am::vY Vetrerre r'poriCttta '.=+: aCattliS LA! ram colaktItfcP'6 aiw trerc :. tc.' 3u6G=lady: Foie tr twwar f r (owl camengrr c t.wrePJt-io aioalc s:Wordlt esiilna ,tag to area = treat+«aria Opataatatotta sir Crnegte terrttrnef aro mai, a'.s' s- -C t Vdt;7tt^I rwbe,4Or.t axta'rtt eoteta mprtegMr Ce NI' -:Ten CO!Ibent un v7Snpn u cpmient4'e prendre spin, et en 4e ne pee k plicr, to pertarer, t'e:poser e-trim:: Ou i une hombre: eseeLShot. PASSEPORT REPUBUQUE FRANc.A1SE ::v ce F P.:... ,.. ,.... r•.,.�+> t e';:: Win,-..� FRA 14DW8892 u_'ettrrt,: 02 12 2024 P<FRAPE RES«DAVID<MAU ICE«««««««««< 14DL088922 FRA7009068M2412023<««««««04 i\Q attilc ClikUK 14DL08892 4 Upiori 13(kropeenne t-e,re..ccivt ;0,7,7cr e*c e Republique fraticaise I fry,ces,:: < cOtivi:k r9.435-iriFai.ifFor„otma 1 Pthicrrr - --• ' - Passeport '75 ...4e-PF:CUS 72S,A,^CrAf _ 1,-,";_4;ift• s - • v • • • V • • .:* :••• .• • 'en' ..° oe. .0kOk.A €30) CR' WJ-A a r t v 1 11 RICK SCO I I, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD AC 1816768 The CLASS BAIR CONDITIONING CONTRACTC Named below IS CERTIFIED Under the provisions of Chapter 489: FS. Expiration date: AUG 31, 2018 PIEDRA, AHMED A.P. EXPRESS AIR CONDTIONING AND REFRIGERATION INC 8010W23AV UNIT 5 HIALEAH FL 3301.6 ISSUED: 07/05/2016 DISPLAY AS REQUIRED BY LAW SEQ L1607050000608 Local Business Tax Receipt Miami Dade County, State of Florida HIS IS NOT A BILL — DO NO-7 6810361 BUSINESS NAME/LOCATION RECEIPT INCI A P EXPRESS AIR CONDITIONING & RE IGERATICJN3E361EWAL 8010 W 23 AVEUNIT 5 HIALEAH FL 33016 7083900 OWNER A P EXPRESS AIR CONDITIONING AND RPE CIO AHMED PIEDRA PRES W©rket(s) 1 GAC18t6 EXPIRES SEPTE1t1 BER 30, 2017 must hs tifs phlycl , (;,v o . ;' 3sua€ t to Courtr'y Cod Chapter SA— Art .9S: )0 PAYMENT RECEIVED BY TAX COLLECTOR $45.00 08/17/2016 CHECK21-16-113631 iness Tax Receipt only confirms payment ai the local Business Tax. The Receipt is nut a license, rtilication trt the holder s qualifications, to do business. Holder mast comply with any governmental rental regulatory laws and requirements which appl to the business, The RECE1pT NO. above must he displayed on all commercial vehicles— Miami -Made Code Sec 80-276. For more information, visit i gmisixteggperapf AL CONTRACTOR ACORD 1411r.r'' CERTIFICATE OF LIABILITY INSURANCE DATE(MM!DDIYYYY) 07/18/2017 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 poiicy(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 Accurate 8300 West Flagier Suite 114 Miami, FL 33144 Phone (305)226-8727 INSURED Fax (305)226-8767 AP Express Air Conditioning and Refrigeration Inc 6051 NW 198 Terrace Hialeah COVERAGES FL 33015- CERTIFICATE NUMBER: CONTACT NAME: Lucia Estrella PHONE — — 1[VcNo. Em). (305)226-8727 (FAN� _- (305)226-8767 ADDAIL RESS: Iuciaestrella@bellsoulh.net y - INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Covington Specialty Insurance Company INSURERB:Progressive Express Insurance Company INSURER c : Rockhill Insurance Company INSURER o - Ascendant Insurance Company INSURER E _ — — -- --- .—...— INSURER F : 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 A -1_ B C IADDLSUBR TYPE OF INSURANCE— I'NS yyyP 1 I Y ; Y ! I Y 1 Y ! ! —T—POLICY NUMBER _ _ VBA534687-00 — 02606580-1 I POLICY EFF POLICY EXP i (MM/DDrYYYY) I IMM/DDIYYYY).__ I i 1 1 05/07/2017 05/07/2018 I 1 ; i i i I i 08/06/2016 08/06/2017 LIMITS _j _____,____ 0 COMMERCIAL GENERAL LIABILITY 1 EACH OCCURRENCE ____ S 1_000,000.00 - tt DAMAGE TO RENTED PREMISE-S-(Ea_occurrence) 1$ 100,000.00 ❑ CLAIMS -MADE OCCUR MEO EXP (Any one person) 1.$ 10,000.00 El PERSONAL & AOV INJURY i $ 1,000,000.00 IGIEN7'L AGGREGATE LIMIT APPLIES PER: I '��POLICY • Jge7 • LOC GENERAL AGGREGATE ; S 2,000,000.00 PRODUCTS - COMP/OP AGG I S 2,000,000.00 ! S ill OTHER AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ AUTOS NEO Q AUTOSULEO NON - El HIRED AUTOS AUTOSOWNED UMBRELLA LIAB Q OCCUR ❑ EXCESS LIAB CLAIMS -MADE COMBINED SINGLE LIMB JEa accident ; $ 100,000.00 BODILY INJURY (Per person) I $ BODILY INJURY (Per acatlenly $ PROPERTY DAMAGE (Per accident) i $ RXSLWGR004069-00 03/27/2017 103/27/2018 I EACH OCCURRENCE I $ 1,000,000.00 AGGREGATE j $ 1,000,000.00 _ 0 OEO El RETENTIONS D WORKERS COMPENSATION I AND EMPLOYERS' LIABILITY Y / N , 1 ANY PROPRIETORlPARTNER/EXECUTIV -..'_]iI N / A OFFICER/MEMBER EXCLUDED? Y (Mandatory In NH) ---j ' If yes, describe under � DESCRIPTION OF OPERATIONS below WC 64363 4 1, • 01/08/2017 01/08/2018 i ■ PER ❑ OT I E.L. EACH ACCIDENT 1 $ 500,000.00 E.L. DISEASE - EA EMPLOYEE $ 500,000.00 E.L. DISEASE - POLICY LIMIT j $ 500,000.00 i I I I i ' DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) MECHANICAL CONTRACTOR #CAC1816768 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 ACORD 25 (2014/01) QF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH T E POLICY PROVISIONS. AUTHORIZED REPRESE Lucia Estrella 1 ©1 ORPORAT(ON. All rights reserved. The ACORD name and logo are registered marks of ACORD