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MC-18-2166RES rMiami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 F[ORIDA Permit No. MC-8-18-2166 Permit Type. Mechanical - Commercial Perl"11 ' Work Classification: A/C Replacement Permit Status: APPROVED Issue Date: 8/2012€I18 1 Expiration: 02/16/2019 Project Address Parcel Number Applicant 645 NE 92 Street Number: 16-D 1132060430150 Miami Shores, FL Block: Lot: RAFAEL L JR RODRIGUEZ Owner Information Address Phone Cell RAFAEL L JR RODRIGUEZ 645 NE 92 Street (305)992-5475 MIAMI SHORES FL 33138- 645 NE 92 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone JDC A/C SERVICE & REPAIR CORP (786)201-3802 nal Info: A/C UNIT SAME LOCATION REPLACE (CHA cation: Commercial ed: In Review Date Denied: Scannina: 1 Fees Due Amount CCF $2.40 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee $102.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $115.40 Valuation: $ 3,400.00 Total Sq Feet: 795 Date Approved:: In Review Type of Work: A/C UNIT SAME LOCATION REPLAC Pay Date Pay Type Amt Paid Amt Due Invoice # MC-8-18-68552 08/15/2018 Credit Card $ 50.00 $ 65.40 08/20/2018 Credit Card $ 65.40 $ 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 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. Futhermore, I authorize the above -named contractor to do the work stated. �(oo C' ',�P `/V9 "�6) August 20, 2018 Kuthorized Signature: Owner / Applica t / Contractor / Agent Date Building Department Copy August 20, 2018 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-310353 Scheduled Inspection Date: August 30, 2018 Inspector: Perez, JanPierre Owner: RODRIGUEZ, RAFAEL L JR Job Address: 645 NE 92 Street 16-D Miami Shores, FL Project: <NONE> Contractor: JDC A/C SERVICE & REPAIR CORP Permit Number: MC-8-18-2166 Permit Type: Mechanical - Commercial Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 5unaing uepartment comments A/C UNIT SAME LOCATION REPLACE (CHANGE OUT) Infractio INSPECTOR COMMENTS Q3 Inspector Comments Passed Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. 1132060430150 Phone: (786)201-3802 August 29, 2018 For Inspections please call: (305)762-4949 Page 20 of 40 BUILDING PERMIT APPLICATION ❑ BUILDING PLUMBING JOB ADDRESS: Folio/Parcel#:_ Occupancy Type: Miami Shores Village Building Department �:A 15 �2018 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 200 b Master Permit No. 1" 1.C- - u -) � "ZI � Sub Permit No._ ❑ ELE TRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION MECHANICAL ❑PUBLIC WORKS CHANGE OF i CONTRACTOR OWNER: Name (Fee S Address: City: u -� Tenant/Lessee Name: Email: C. ❑ RENEWAL CANCELLATION ❑ SHOP DRAWINGS �QIs the Building Historically Designated: Yes n Type: Flood Zone: BFE: _ NO FFE: one#:(��� Zip: L) i LE F14j e P, CONTRACTOR: Company Name: F-, Q 0 Address: 0 -C Phone#t_ / l .---f-SOd City: - A- State: Zip: � L Qualifier Name: � Phone#: 0� — ^ State Certification or Registration #: G- -�aertificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ o " Square/Linear Foota a of Work: Type of Work: ❑ Addition Alteration New Repair eplace ❑Demolition Description of Work: i /' Specify color of color thru tile: (D*-2— Submittal Fee $ So E2) j Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 1 5 day of ALMO 20 1 S by Q t ,i, who is personally known to me or who has produced lA , vt f )s Life olsR as identification and who did take an oath. NOTARY PUBLIC: Sign: Print:!5L4 Signature CONTR R The foregoing instrument was acknowledged beforemethis 115 `�r(day of s 20 i O , by FIfJ(Cti1d(i (�C1t'Yt�y who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 7— Seal. GINASAENZ Seal: .�`;�:�41, GINASAENZ * * MY COMMISSION # FF IV36 * * MY COMMISSION # FF IWO EXPIRES: April 10, 2019 EXPIRES: April 10, 2019 a ��`O Bonded Thru Budget Notry Sariros '+rEa ��� Bonded Thru Badger Notary salt ********************************** ****** **************************************************************** APPROVED BY Plans Examiner Zoning Au E,- V I' — Structural Review Clerk (Revised02/24/2014) 8/15/2018 Property Search Application - Miami -Dade County PROPFRUY APPRAISER OFFICE OF T .: �. Summary Report Property Information Folio: 11-3206-043-0150 Property Address: 645 NE 92 ST UNIT: 16D Miami Shores, FL 33138-2956 Owner RAFAEL L RODRIGUEZ JR Mailing Address 645 NE 92 ST # 16 D MIAMI, FL 33138 USA PA Primary Zone 3000 MULTI -FAMILY - GENERAL Primary Land Use 0407 RESIDENTIAL - TOTAL VALUE : CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 0/0/0 Floors 0 Living Units 0 Actual Area Sq.Ft Living Area 795 Sq.Ft Adjusted Area 795 Sq.Ft Lot Size 0 Sq.Ft Year Built 1949 Assessment Information Year 2018 2017 2016 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value $99,733 $111,936 $111,936 Assessed Value $99,733 $111,9361 $111,936 Benefits Information Benefit Type 2018 2017 2016 Homestead Exemption $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description SHORES PLAZA WEST CONDO UNIT 16D-2ND FLOOR BLDG 1 UNDIV .03690% INT IN COMMON ELEMENTS CLERKS FILE 73R-213196��� Generated On: 8/15/2018 Taxable Value Information 2018' 2017 2016 County Exemption Value $50,000 $50,000 $0 Taxable Value $49,733 $61,936 $111,936 School Board Exemption Value $25,000 $25,0 00 $0 Taxable Value $74,733 $86,936 $111,936 City Exemption Value 1 $50,000 $50,000 $0 Taxable Value $49,733 $61,936 $111,936 Regional Exemption Value $50,000 $50,000 $0 Taxable Value $49,733 $61,936 $111,936 Sales Information Previous Price O Book- Qualification Description Sale e Page Financial inst or "In Lieu of Forclosure" 11/16/2016 $153,000 30332-4371 stated Financial inst or "in Lieu of Forclosure" 01/27/2015 $0 29481-3327 stated 04/01/2006 $152,000 24489-0618 Sales which are qualified 11/01/2005 $125,000 23967-3625 Sales which are qualified The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: Miami shores Village 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 full-time 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, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: '(F?-z, Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this �A) day of Av_ , 20_j_1!3L. By ll'tf:�i to �� ► �1 J IL . who is personally known to me or has produced t Vf_i'S uQ 1"R as identification. Notary: SPAY oue SEAL: _. eV GMA mainm # c MY COMMISSION 0 FF 190735 EXPIRES: April 10, 2019 Bonded Thru Budget Notary SeMm JDC AC SERVICE and REPAIR CORP 9802 NW. 80 Ave Bay # 13 Hialeah Gardens, Florida 33016 Phone: 786-201-3802 Fax: 786-502-2697 Date: August 13, 2018 State of Florida County of Miami -Dade Before me this day personally appeared 4 U who, being duly sworn, Deposes and says: That he or she will be the only person working on he project located at: Contractor Signature Sworn to (or affirmed) and subscribed before me this Aay of 20IT, Personally know Or Produced I dentification Type of Identification Produced �►�� oue GINA SAENZ MY COMMISSION # FF 19= * EXPIRES: April 2019 11'+rp0F,7dl#� jBWW Thru Budget Notary Serdm Print, Type or Stamp Name of Notary JDC AC Service and Repair Corp. 9802 NW. 80 Ave. Bay # 13 Hialeah Gardens, Florida 33016 Phone: 786-201-3802 Fax: 305-502-2697 ACOR 7 0 CERTIFICATE OF LIABILITY INSURANCE DATE(MWDWYYYY) 8/13/2018 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 have ADDITIONAL INSURED provisions or 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 ri hts to the certificate holder In lieu of such endorsemen s . PRODUCER Construction Pros Insurance LLC PO Box 186 San Antonio FL 33576 CONTANAME: Edward Collins PHONE 800-685-0027 (AIXC. . 813-659-5480 '""AIL .office@constructionprosi*ns.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:WesCO Insurance Company 25011 INSURED GOMEZR0001 INSURER B : INSURERC: JDC A/C Service & Repair Corp 7385 W 16 Ave. Hialeah FL 33014 INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 2032591359 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, ILTRR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDY EFF MM/DD EXP LIMITS A X COMMERCIAL GENERAL LIABILITY WPP1450766-02 4/4/2018 4/4/2019 EACH OCCURRENCE $1,000,000 CLAIMS -MADE ❑X OCCUR DAMAGES( ENTED PREM PREMISES Ea occurrence) $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 52,000,000 POLICY ❑ PRO JECT ❑ LOC PRODUCTS -COMP/OP AGG $2,000,000 $ OTHER: AUTOMOBILE LIABILITY EDSINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE$ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE I I ER E.L. EACH ACCIDENT _ $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addttlonal Remarks Schedule, may be attached if more space is required) Florida Certified Mechanical Contractor per License CMC1250553. Please review named insured's policies referenced in this document for complete list of all applicable coverages, limits, endorsements, exclusions, deductibles, and their respective terms and conditions. let -N 112 Lei —If tt 7; Lei 01 N R eiGli Lei a 1111 W_11I Lei Miami Shores Village BLDG DEPT 10050 NE 2ND AVE MIAMMI 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 4t__ //011_� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 010967 Local Business Tax Receipt Miami -Dade County, State of"Florlda -THIS IS NOT A BILL - DO NOT PAY 7202963 BUSINESS NAMEILOCATION RECEIPT NO. JDC A/C SERVICE & REPAIR CORP RENEWAL 9802 NW 80 AVE 13 7485782 HIALEAH GARDENS FL 33016 LBT EXPIRES SEPTEMBER 30, 2019 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS JDC A/c SERVICE & REPAIR CORP 196 GENERAL MECHANICAL CONTRACTOCAYMENT RECEIVED C/O JORGE DE CASTRO, PRIES CMC1250553 Y TAX COLLECTOR Worker(s845.00 07/05/2018 CHECK21-18-056113 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license 4 permit orn.certificationof,tha holder's qualifications, to do business: Holder must comply with any governmental ' or nongoveinmenta[regoTatory laws and requirements which apply'to the business. - The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec Ba-276. For more information, visit WN miamidade govhaxcollector Shores Plaza West Condo P.O. Box 530428 Miami Shores, Fla. 33153-0428 (305) 772-7169 August 15, 2018 Mr. Rafael Rodriguez 645 N.E. 92❑d Street, Apt. 16D Miami Shores, Florida 33138 Dear Mr. Rodriguez, This letter serves as permission from the Shores Plaza West Condominium, Inc. Board of Directors for you to install new A/C in unit apartment 16D as well as the concrete slab. As you know, our condominium Rules and Regulations require such approval. Please share this letter with the Village of Miami Shores in order to meet their requirements. The Board does require that the A/C contractor be a licensed contractor and obtain the necessary building permits from the Village. The work must be done during weekdays between the hours of 8:00 AM to 6:00 PM. Sincerely, Albert Mora, President Shores Plaza West Condominium Association, Inc. RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY a b STATE OF FLORIDA DEPARTMENT OF BUSIN S- ; PROFESSIONAL REGULATION CONSTRU ti r : ,� , G BOARD THE MECHANI -I ALTO. J-I, L�1 IS �C - D UNDER THE C PROVIS OF - T f14$ T . r UTES Ills- 9, , 0. E _ r � E � �.L 33 Lf S r `' B`R- r� 3 EXPIRATI Il h f •` . CJ W 3192020 Always verify licenses online at MyFloridaLicense.com a •o Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. 0•Con Wg'C�" JIMMY PATRONIS CHIEF FINANICAL 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: 8/5/2018 PERSON: ROLANDO GOMEZ JR FEIN: 475531520 BUSINESS NAME AND ADDRESS: JDC A/C SERVICE & REPAIR CORP 7385 W 16 AVE HIALEAH, FL 33014 SCOPE OF BUSINESS OR TRADE; Heating, Ventilation, Air - Conditioning and Refrigeration Systems Installation, Service and Repair, Shop, Yard & Drivers EXPIRATION DATE: 8/4/2020 EMAIL: ROLIG42@GMAIL.COM IMPORTANT: 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 certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 8/15/2018 Detail by Entity Name Degartmerrt of Statr; /Division of Camoratians / Search Records / Detail By Docqaif _2nt Number / Detail by Entity Name Florida Not For Profit Corporation SHORES PLAZA WEST CONDOMINIUM, INC. Filing Information Document Number 726431 FEI/EIN Number 59-1570223 Date Filed 05/17/1973 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 02/14/2011 Principal Address 637 N.E. 92ND ST 9C MIAMI SHORES, FL 33138 Changed: 03/02/2016 Mailing Address 637 N.E. 92ND ST 9C MIAMI SHORES, FL 33138 Changed: 03/02/2016 Registered Aaent Name & Address Gomez, Marco A 637 NE 92nd St 9C Miami, FL 33138 Name Changed: 03/20/2018 Address Changed: 03/20/2018 Officer/Director Detail Name & Address Title Treasurer GOMEZ, MARCO http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetai I?i nqui rytype=EntityName&directionType=Initial&searchN ameOrder=SH OR ESPLAZAW ... 1/3 8/15/2018 OJ/ IN.C. yLrlu 01. H(Jl. 9C MIAMI SHORES, FL 33138 Title D VELEZ, CRISTINA 2121 BAYSHORE DR. 1413 MIAMI, FL 33137 Title D FRANCISCO, CAROL 637 N.E. 92 ST 10C MIAMI, FL 33138 Title President Mora, Albert 645 NE 92nd St 14D Miami Shores, FL 33138 Title VP Salmon, Colin 637 NE 92nd St 11C miami, FL 33138 Title Secretary Giusti, Mariella 689 N.E 92nd St. 12G, FL 33138 Annual Reports Report Year Filed Date 2016 03/02/2016 2017 02/01 /2017 2018 03/20/2018 Document Imaaes 03/20/2018 -- ANNUAL REPORT 2/01/2017 - ANNUAL REPORT c;L2(201s -- ANNUAL REPORT 02/11/2015 -- ANNUAL_ REPORT 01/3V2014 -- ANNUAL REPORT 03,12912013 -ANNUAL REPORT 04/12/2012 -- ANNUAL REPORT 02,•'14/2011 -- REINSTATEMENT View image in PDF format View image in PDF format _....._......... .......... ___.._ . �...-..-__. . View image in PDF fomiat i -..._..._....................... _._..... --....... _............... _.._......... , View image in PDF fomiat jI.... ........... ....._.__........................---.....__..............._.......... View image in PDF fonmat i View image in PDF format View image in PDF fonmat View image in PDF fonmat Detail by Entity Name http://search.sunbiz.org/Inquiry/C orporati onSearchISearchResultDetai I?i nqui rytype= Enti tyN am e&di recti onType= lniti al &searchN am eOrder=SH OR ESPLAZAW ... 2/3 V Au 1 2018 AIR CONDITIONING REPLACEMENT DATA Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 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 City: Miami Shores Village County: Miami Dade _,ts4. 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 7NO UBMITALS HRI DATA SHEET REQUIRED Change disconnecting means: YES El NO ARHI Sheet Attached: YES ❑ Contract Attached: YES 1. 2 UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER �j AHU or PKG. UNIT MODEL # 5C_j�a COND. UNIT MODEL # KW HEAT NOM TONS AHU CO 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 YES NO REPLACING DUCTS YES NO YES N REPLACING THERMOSTAT YES NO YES NEW 4"CONCRETE SLAB YES NO YES N 0 NEW ROOF STAND S N YES N NEW RETURN PLENUM BOX YES N Minimum Circuit Ampacity (Wire Size): Maximum Overcurrent Protection (Fuse/Breaker SizQe)': •�- 3. Voltage of Circuit (208/240/480): —.IfZ� 4. Size Disconnecting Means: � () 4 Contractor's Company Name: State Certificate or Registration No. CL I l�� _ eitificate of Competency No. Signature Date: (Quaiifler's sig tore (Revised02/24/2014) - This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certific=,mte of Product Ratungs AHRI Certified Reference Number: 7019633 Date: 08-13-2018 Model Status: Discontinued AHRI Type: RCU A -CB Series: COMFORT SERIES PURON AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24ABC624A"30 Indoor Unit Model Number (Evaporator and/or Air Handler) : FX4DNF025L 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. The manufacturer of this CARRIER product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 23400 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 tModels with "Discontinued' Model Status are those that an AHRI certification Program Participant no longer produces AND is no longer selling or offering for sale. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS) ratina. 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(sl 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 Q> 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. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahFidirectory.org, dick on `Verify Certificate" link we make life better - 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 CERTIFICATE NO.: f317I36657319318600 ©2018Air-Conditioning, Heating, and Refrigeration Institute COMMERCIAL & RESIDENTIAL 2281 W 53 PL Installation • Sales • Service Hialeah, FL 33016 CMC 1250553 _Q JDC A/C English: 786.201.3802 SERVICE AND REPAIR CORP Espanol: 786.201.3810 100% FINANCING Fax: 786.631.5777 LADate: 08/13/2018�jbi,VSj CONTRACT]Technician: AA.JF Customer: RAFAEL RODRIGUEZ JR. Home Phone: 305-992-5475 Bus. Phone: Address: 645 NE 92 ST. # 16 D City: MIAMI SHORES State: FL Zip: 33138 SYSTEM EQUIPMENT AND TYPE OF MATERIAL USED: NEW AC SYSTEM CARRIER 2 TONS 16 SEERS HEATER INCLUDED. MATERIALS: FILTER, METAL STAND, FLOAT SWITCH, CONCRETE SLAB 36 X 36, TIE DOWNS, LOCK CAPS FOR INSPECTION AND TIE DOWNS. EQUIPMENT, MATERIALS, PERMIT AND LABOR INCLUDED ON JOB TOTAL PRICE. WARRANTY: 1 YR. ON LABOR BY THE COMPANY. 10 YRS. ON COMPRESSOR AND PARTS BY THE MANUFACTURER. We,,...! D C AIC 5EN. CORP. propose to furnish, install and service under warranty (stated on reverse side) ncaz,ng and/or air conditioning products and related equipment Job Price $ 3,400.00 for you in accordance with the conditions and specifications set forth in this proposal. TeX $ UNIT: SUPPLIES: SEER: Rebate $ JOB TOTAL $ 3,400.00 ❑ KITCHEN ❑ DINING ROOM ❑ RETURN ❑ BATHROOM ❑ FLORIDA ROOM ❑ WATER PUMP ❑ LIVING ROOM ❑ BEDROOM ❑ ADDITION ❑ FAMILY ROOM ❑ DEN ❑ Purchaser Seller Local Permits and Licenses Equipment Foundation Wiring from Building Panel to Unit Wiring of Control System . New Electrical Service Drain Lines Refrigerant Lines Cutting Holes Bathroom Exhaust Others Purchaser Seller 1 NOTE: THE JOB TOTAL PRICE IN THE AMOUNT OF $3,400.00 IS DUE UPON WOf i, POMPLETION. * * MY COMMISSION # FF IWO p -,,,:,.-EXPIRES: April 10, 2019 �l a�d°6adMThru8WgdNog"nkd u rrrer r Amnnr crucnr it c We will be ready to begin installation a roxi ately by: UPON PERMIT APPROVAL Contract Expiration Date: Purchaser Acceptance: ___ Date: X Seller Approval: JORGE DE CASTRO Installation Date: Salesperson: Phone: 786-201-3802 Wt IMPORTANT WbRKMANSHIP: Our work will be performed in the highest workmanlike manner and comply with existing governing codes and regulate -ns. WARRANT) 1. JDC A/C sERVICEANDREPARcoRP warrants that for one year from date of installation all products and equipment wilt be free from defects in material and workmanship - except the air conditioning system compressor which is so warranted for years by the manufacturer. Copies of warranties are provided upon installation of equipment. 2. We warrant for a per -3d of one year from date of installation that material and labor famished by us will be free from defects. 3. Under this warranty, JDC WC SERVICEMO WAR CORP has fhe option to repair the equipment or provide replacement parts. 4. THE WARRANTIES AND LIABILITIES SET FORTH ABOVE ARE IN LIEU OF ALL OTHER WARRANTIES AND LIABILITIES, EXPRESSED OR IMPLIED, IN LAW OR IN FACT, INCLUDING IMPLIED WARRANTIES OF MERCHANT ABILITY AND FITNESS FOR PARTICULAR USE. SERVICE 1. Service under these warranties will be provided by JDC A/C SERVICEAND REmR CORP during Monday to Friday from 8:30 am to 5:00 pm. 2. Warranty does not include routine maintenance, such as filter or fuse replacement. Neither drainage cleaning GENERAL 1. During installation, we shall take all reasonable precautions to protect persons and avoid damage to property. The owner shall protect any valuable object or items or remove them from working area 2. THE SERVICING COMPANY WILL NOT BE HELD LIABLE FOR LOSS OR DAMAGE consequential or direct, arising from the operation or failure of the equipment or its controls, or for work done on or for material or labor delays. Deposits not refundable. 3. It shall be at the discretion of the Servicing Company and its technician to repair or replace defective parts, materials, or units, whenever is necessary. Nuisance calls beyond the scope of this agreement will be charged at our normal service rates. 4. Any alteration or deviation from the proposed specifications and conditions involving extra cost of material or labor will only be executed upon written orders for same, and will become an extra charge over the sum mentioned in this contract All agreement must be made in writing. 5. Title to the equipment and other materials will remain with us until all sums due us have been paid. 6. If payment as set forth herein are not made when due, you will be liable for all costs of collection, including reasonable attorney's fees. 7. Once the equipment has been delivered at the job site, it is the owner's responsibility or the general contractor to care for them. 8. We JDC WC SERVICEAND REPAIRCORP ARE NOT responsible for any, water damage, wall painting, any framing, any wall paper covering, any equipment delay, or any other inconvenience other than that, of the mechanical failure. 9. JDC WC SSWEAND REPAiRCORP can stop all work if payment as set forth herein are not made when due. 10. JDC WC SERVICE AND REPAIRCORP CAN DO and have the option to pick-up any parts, equipment, units, etc., if payment as set forth herein are not made when due, from any and all properties, where such equipment, units and parts exist. 11. The air conditioning energy efficiency ratio may be affected by interchanging of components from different manufacturing system designed to maintain inside temperature at 75°F (at 91 'F outside air temperature). 12- BUYERS RIGHT TO CANCEL- This is a home solicitation sale, and if you do not want the goods or services, you may cancel this agreement by mailing a notice to the seller. This notice must be postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement, the seller may keep all or part of any cash down payment, not to exceed the lesser of 5 percent of the cash price or $50. 13. It is understood that this proposal sets forth the entire agreement between the parties. 14. During installation no one shall be close to working area to avoid any kind of personal injury. 15. 100% UPON COMPLETION. IF WITHIN 30 DAYS CUSTOMER DON? PAY, A 10% SERVICE CHARGE WILL BE ADDED TO THE TOTAL AMOUNT.