MC-18-2437gKOREy
FC0Rla
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
10007 NE 4 Avenue
Miami Shores, FL
Information
JOHN & CRISTINA BUTLER
Permit NO. MC -9-1$-2437
er
itPermit Type: Mechanical - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date. 9/13/2018 1 Expiration: 03/12/2019
Parcel Number
1132060170490
Block: Lot:
10007 NE 4 Avenue
MIAMI SHORES FL 33138-
500 NE 102 Street
MIAMI SHORES FL 33138 -
Contractors) Phone Cell Phone
CHALEX COOL AIR OF MIAMI, CORP (786)367-4184
Additional Info: NEW DUCTWORK, LINES 2 SPLITS 1 MINI
Classification: Residential
Approved: In Review
Comments: Date Approved:: In Review
Date Denied: Type of Work:
Scanning: 1
Fees Due Amount
CCF 21.00
DBPR Fee 18.30
DCA Fee 12.20
Education Surcharge 7.00
Permit Fee 1,220.31
Scanning Fee 3.00
Technology Fee 28.00
Total: 1,309.81
Applicant
JOHN & CRISTINA BUTLER
Cell
Valuation: $ 34,866.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC -9-18-68871
09/13/2018 Check #: 1677 $ 1,309.81 $ 0.00
Avaname Ins
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 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 cont(Vator tq Ao thLe work stated.
ptember 13, 2018
Authorized Signature: Owner / Applicant / Contractor / Date
Building Department Copy
September 13, 2018 1
Miami Shores Village ME
Building Department EP I tm
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 -t
FBC 20
BUILDING Master Permit No. Q.C. Ill - lq8 L
PERMIT APPLICATION Sub Permit No. 10— 243
BUILDING ELECTRIC ROOFING REVISION EXTENSION RENEWAL
PLUMBING KMECHANICAL PUBLIC WORKS CHANGE OF []CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: (D D 01 q" IW 1: Ktcr"'. jm)
City" Miami Shores County: Miami Dade Zip: 3 3135
Folio/Parcel#:(' 3o?o& - " OtA Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: OAAU Flood Zone: 1v BFE: FFE: k
OWNER: Name (Fee Simple Titleholder): (-V-t$Vkrcq bu r Phone#: io'5) `
Address _` =4 N ... "l -*
A
t'7lNc 2
City:" State: Zip: -3 S$
Tenant/Lessee Name: Phone#:
Email: C1 A -t (6q//(Y)O',
CONTRACTOR: Company Name: U11' g W ktc t A K"t Phone#: %15% ",3(07' L11 84
Address: L ( N LO -T tE Pry
City: 94,&0A State: r Zip: 391 bb
Qualifier Name: /dirle h* LQ 9--e k e S Phone#: INN - 3 (7 - Q ) $ 4
State Certification or Registration #: LM c- I ZS DS Z_ Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ .1 ` j i5 G ( Square/Linear Footage of Work:
Type of Work: Addition Alteration New Repair/Replace Demolition
Description of Work: 1.`C`o otl(L- I u * e5 - Z S?I1 k 1 'nt S P 1,
Specify color of color thru the:
Submittal Fee $ Permit Fee $ t 17T 3 I CCF $ CO/CC $
Scanning Fee $ Radon Fee $ 2-' DBPR 0 J ' 3' Notary $
Technology Fee $ Training/Education Fee $
Structural Reviews $
Revised02/24/2014)
Double Fee $
Bond $
TOTAL FEE NOW DUE $
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 of b approve a d a rel spection fee will be charged.
Signatur Signature V— 0,J4 r A 1-4
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of - 20 by
5 A G I G n who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: r)
Seal:
Y I1( '•,
FnKr.
APP
Revised02/24/2014)
CATHERINE A. DUFFIN
Notary Public - Stay of Florida
as
The foregoing instrument was acknowledged before me this
day of / 20 by
who ' personally know ' to
me or who has produced
identification and who
dZ*'
th. .IAN PIERRE
LJLMYCOMMISSION
NOTARY P LIC: IRES- Dene•
Sign:
Print:
Seal:
s###*#*ss#s#s*#*s#######**##*s***###**#***#s#s######*#***#s***
Plans Examiner
Structural Review
Zoning
Clerk
RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY
d
Florida
bpr
STATE OF FLORIDA
DEPARTMENT OF BUSINES&ANO.',PROFESSIONAL REGULATION
CONSTRUCT'I"""s". tN G BOARDn4
A.
NIC E -EITHEMECHA ,pAAt-, GRONT . .... N-15 UNDER THE
9. F R-MAKSTATUTESAPROVISrdift§
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AAN[E
EXPIRATfO'N O'AT U,00 -§T 31, 2020
Always verify licenses online at MyFloridaLicense.com
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.
i°°3G68
Local Business Tax Receipt
Miami—Dade County, State of Florida
THIS IS NOT A BILL - DO NOT PAY
5449533
BUSINESS NAMEILOCATION
CHALEX COOL AIR OF MIAMI CORP
5511 NW 74TH AVE
MIAMI FL 33166
OWNER
CHALET( COOL AIR OF MIAMI CORP
RECEIPT NO. EXPIRES
RENEWAL SEPTEMBER 30, 2019
5689469 Must be displayed at place of business
Pursuant to County Code
i Chapter 8A -Art. 9 & 10
SEC. TYPE OF BUSINESS
196 SPEC MECHANICAL CONTRACTOR
04M001041
PAYMENT RECEIVED
BY TAX COLLECTOR
82.50-07/-18/2018-
Worker(s) 1 CHECK21-=18-071415.
This Local Business Tax Receipt only confirms payment of the local Business Tax. The Receipt is not a license,
permit, or a certification of the holders qualifications, to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec I8-276.
For more information, visit www.miamidede.govAoxcollector
moi :ptI7
e
Local Business Tax Receipt
Miami—Dade County, State of Florida
THIS IS NOT A BILL - DO NOT PAY
7198154 LB T.
BUSINESS NAMEMOCATION RECEIPT NO. EXPIRES
CHALEX COOL AIR OF MIAMI CORP RENEWAL SEPTEMBER 30, 20195511NW74THAVE7480570
Must be displayed at place of business
MIAMI FL 33166 Pursuant to County Code
Chapter 8A - Art. 9 & 10
OWNER SEC. TYPE OF BUSINESS
CRALEX COOL AIR OF MIAMI CORP 196 GENERAL MECHANICAL CONTRACTO AYMENT RECEIVED
C/O REYES ALEXANDER CMC1250525 Y TAX COLLECTOR
875.00 07/30/2018
Worker(s) 1 CHECK21-18-075648
This Local Business Tax Receipt only confines payment of the Local Business Tax. The Receipt is not a license,
permit, or a certification of the holdei squalifications, to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT NO. above mist be displayed on all commercial vehicles- Miami -Dade Code Sec 6s-276.
For more information, visit www.mismidade.govftaxcoilector
Nuuust/31/201$1 F X No. P.00i//0111
A " CERTIFICATE 03/3111OFLIABILITYINSURANCE
DATE
11 /
22013018YYY)
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 thocortificattr holder is an ADDITIONAL INSURED, the pollcy(tes) must be endorSod, ff SUBROGATION IS WAIVED, subject to
tits terms anU conditions of the policy, certain policies may require an endorsement. A statement on this centllcate does not confer rights to vie
certificate holder In lieu of such endorsement(s).
PRODUCER
CONTACT
Jordan Insurance Agency Inc 11 PHONElttY ) 305 279-2121 305 271-2110
etC,.ea.E(.wCyAla C )
7750 SW 117 Ave, Suite 204 E-MAIL
caraZordenina.net
Miami, FL 33133 _ INSURr<R(S)AFFORDING COVERAGE MAIC 0,
Phone 305) 271-2121 Fax305 271-2110 INSURE • UNITED STATES LABILITY INSURANCE CO.
INSURED INSURE 0: ASSOCIATED INDUSTRIES INS CO.
Chalex Cool Air of Miami, Corp INSURER C ; PROGRESSIVE i
5801 NW 77 AVE #10 INSURER 0
MIAMI, FL 33166- (305) 225-0353 wA!rf3ER E
CnvPRAr_PS I'VOYIPH'ATF NUMRFR• REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE= FOR rHE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY GONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUCJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INTRSRL TYPE OF INSURANCE
ADD U0
POLICY NUMOER AIM/
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pY/YYYY i AIM/ 10 Y Y LIMITS )
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GENERAL LIABILITY
Q COMMERCIAL GENERAL LIABILITY
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jF.L. DISEASE -:A EMPLOYell S 1,000,000.00
E.LDISEASE- POLIGYLU.tITI i
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I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additlanol RcaRrkz Schedule, it more apace Is required)
A/C REPAIRS & INSTALLATION
MECHANICAL CONTRACTOR
TE
Miami Shores Village
Building Department
10050 N.E. 2nd Ave
Miami Shores FL 33138
CANCELLATION
SHOULD ANY OF
THE EXPIRATION
ACCORDANCE
AUTHORIZED REP ES
DESCRIBt:D POLICIES eC CANCELLED BEFORE
EDF, NOTICE WILL BE DELIVERED IN
1 8- 10 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) QF i AWRD name and logo are registered marks of ACORD