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MCC-11-20-2547 (2)Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 790 NE 91ST ST 4, Miami Shores, FL 33138 1132060390040 Contacts RICARDO PADULA Owner ADVANCE AIR TECH CORP Contractor 790 91st 4, Miami Shores, FL 33138 IZMERT LABRADA Business: 3058965144 padulabox@icloud.com Business: 3057953414 Inspection Requests: I Description: INSTALL NEW A/C UNIT ? Valuation: $ 4,900.00 Ns 305-76 4949 TotalSq Feet: 720.00 Fees Amount Application Fee - Other $50.00 CCF $3.00 DBPR Fee $2.21 DCA Fee $2.00 Education Surcharge $1.00 Permit Fee $97.00 Scanning Fee $3.00 Technology Fee $3.68 Total: $161.89 Payments Date Paid Amt Paid Total Fees $161.89 Credit Card 02/17/2021 $161.89 Amount Due: $0.00 Building Department Copy 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. VIT: I ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws tios.4,nd 'nipe_-Fuibermore, I authorize the above named contractor to do the work stated. / Applicant / Contractor / Agent 17, 2021 Date Page 2 of 2 Miami Shores Village C 1-74'a V P'r3 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 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ® MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: 790 NE 91 st street apt.#4 BY., _ FBC 20 1_;:� Master Permit No. C- + ( _ (�C)_ 259 Sub Permit Norco_` f t ezo ' S ❑ REVISION ❑ EXTENSION RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade zip: 33138 Folio/Parcel#: Is the Building Historically Designated: Yes NO . Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): RICARDO PADULA Phone#: 3058965144 City 10178 COLLINS AVENUE APT# 207 MIAMI BEACH Tenant/Lessee Name: Email: State: FL Zip: 33154 Phone#: PADU LABOX@I CLOU D.COM CONTRACTOR: Company Name: Advance Air Tech, Corp Phone#: 305 747 5704 Address: 7480 SW 107 AVE # 4203 City: Miami State: FL Zip:33173 Qualifier Name: Izmert Labrada Phone#: 305 930 2426 State Certification or Registration #: CAC1818026 Certificate of Competency #: !� DESIGNER: Architect/Engineer: L LA U Qj a A , to -a' L Phone#: ?, 2 - Address: "� (U- t Z 3:71E257 City: J) 1'P/1) 5A/0-'&5State: e2 zip: 3 Value of Work for this Permit: $ 4900 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ® New ❑ Repair/Replace ❑ Demolition Description of Work: INSTALL NEW A/C UNIT Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 16 I �) (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 occu s sevenY7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved an a reinspition fee will be charged. c Signature Signature OWNER or The foregoing instrument was acknowledged before me this / 3 day of 0017 20 z O by "��� e 'A o T'� L-l", , who i-ers�nowpto me or who has produced identification and who did take an oath. NOTARY PUBLIC: "`%iltill �/� DENA CRUZ a�aP Notary Public -State of Florida =• *= Commission # GG 305462 Sign: Ac my Commission Exgires April 07, 2023 Pri Seal as CONTRACTOR The foregoing instrument was acknowledged before me this 1 day of ()G 7_06t f'_ 20 :7 0 by tr"AL j L4,,,jf'(tA 0,4 , who is personally known to me or who has produced 0 & as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Q12 V4 L'C C AA/l Zp f � 5' ..hAak"A Seal: *.r*::..**s*r*ss*�****s**ass*s***•****s********�s.s#**ss**:s*�sst APPROVED BY Plans Examiner •*s�s***#*s**y �r ; 41P :.a DOM vie Zoning (Revised02/24/2014) Structural Review Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL ' D REGUL�LION J"7 CAC1819345 I ED:06/23/2020 CERTIFIED AIRCON CONTR LABRADA, IZMER GREEN ENERG Signature LICW ED UNDER C PTER 489, FLORIDA STATUTES EXPIRATION DAT • AUGUST 31, 2022 I� STATE OF FLORIDA Y DEPARTMENT OF FINANCIAL SERVICES - DIVISION OF WORKERS' COMPENSATION _ CONSTRUCTION INDUSTRY EXEMPTION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW •�O�o wa>�• i EFFECTIVE DATE: 3/13/2019 EXPIRATION DATE: 3/12/2021 PERSON: IZMERT LABRADA EMAIL: ADV CEAIRTw1GM 1LCOrd 1 FEIN: 472316162 BUSINESS NAME AND ADDRESS: ADVANCE AIR TECH, CORP 7255 NW 68 ST UN 15 MIAMI, FL 33166 SCOPE OF BUSINESS OR TRADE: Heating. Venblatid, X, Conditomng and Re Igerahon Systems Inslallatipn, Service and Repair. Shop, yard S Florida i • i 1 ! yti ooa 0 Cd4btXP 06r,184M I i } Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7181778 RECEIPT NO. RENEWAL BUSINESS NAME/LOCATION 7462266 ADVANCE AIR TECH CORP 7480 SW 107TH AVE STE 203 MIAMI, FL 33173 EXPIRES SEPTEMBER 30, 2021 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED ADVANCE AIR TECH CORP 196 SPEC MECHANICAL BY TAX COLLECTOR C/O LABRADA IZMERT CONTRACTOR 82.50 10/05/2020 Worker(s) 1 CAC1818026 0204-21-000021 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 holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0, above must be displayed on all commercial vehicles - Miami -Dade Code Sec Ba-276. tt® For more information, visit www.miamidade.ggvAaxcollector CERTIFICAITVim. Y g,.. 4 IY 11 YSUNCE R/`"� DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MAT -TER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMAT!VEIL" OR NEGATIVELY A11END, 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 CONTACT NAME: MARTA ALONSO PHON Florida Bankers Insurance /°, No, Ex� (305)266-6493 FAX, No): (305)262-0679 6874 SW 8 St E-MAIL ADDRESS mike@floridabankersinsurance.com Miami, FL 33144 INSURED INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: INTERSTATE FIRE & CASUALTY COMPANY ADVANCE AIR TECH, CORP. INSURER C : 6010 SW 19th Street INSURER D : INSURER MIAMI FL 33155- INSURER F d RAt rS a:ERTIFICATF NUMBER: REVISION NUMBER' „- CERTIFY THA-i T- E", t' _.. ,. -AJE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ;,_'-ATE-. NOTWITHSTANDING -'N" F'IA "' r)NTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS RTIFICATE MAY BE ISSUED OR MAY S r","' = POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, _XCLUSIONS AND CONDITIONS OF SUCH PO „=c _; bpi_ "> , 8'_. J ED BY PAID CLAIMS. :vSR -ADDL SUBR -��: LICV EFF POLICY EXP _TR TYPE OF INSURANCE INSD VVVD POu.:. �;cn L I!AiDD/YYYY MM/DD/YYYY ; LIMITS X.. COMMERCIAL GENERAL LIABILITY _ _ EACH OCCURRENCE $ 1,000,000.00 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000•00 MED EXP (Any one person) $ 5,000.00 A Ir N N MXC07024075 12/20/2019 12/20/2020 PERSONAL & ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 X' POLICY II� JECOT LOC PRODUCTS - COMP/OPAGG $ 2,000,000.00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ ! AUTOS AUTOS PROPERTY DAMAGE Per accident $ r— NON -OWNED HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE'. $ -)ED RETENTION S _ - 'dVORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N, STATUTE ER -:NY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ �'. JFFICER/MEMBER EXCLUDED? N / A L j E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) yes. describe Under .DESCRIPTION OF OPERATIONS ce;lo✓v E.L. DISEASE -POLICY LIMIT $ i DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD I ! 101, Additionai Remarks ; cneduie, may be attached if more space is required) CAC1818026 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING Zoning 10050 NE 2ND AVENUE 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 `�► ©1988-2014 ACORD CORPORATION. All rights reserved. ORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 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 Exem 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. I . 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: y Owner State of Florida Countv of Miami -Dade The foregoing was acknowledge before me this Z:`% day of cc 20 2­ By J` �' �� ��'�p `,J t— /� who is persol51)�to me or has produced SEAL: as identification. DENA CRUZ Notary Public -State of Florida ='• Commission # GG 305462 <c My Commission Expires April 07, 2023 ADVANCE 41P TECH, CORP. 6010 SW 19th S reet MIAMI Date: d4/3lL% State of FLORIDA County of MIAMI DADE Before me this day personally appeared r'ZMSPC T L 2 vet who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 790 NE 915T UNIT 4 Co ryt actor Signature Sworn to (or affirmed) and surbscribed before me this �!<' day of S 20 "2" by =iz�� -r—t � C'— _kc!— p Notary PUM SUM a FWft Yawnaris Paz Me*rx*z MY Corny vum GG 88rM EXOM6 0WflW024 Personally know c/ OR Produced Identification "ype of Identification Produced Print, Type or Stamp Name of Notary STATE OF FLORIDA DEPARTMENT d1bo r OF U BUSINESS AND PROFESSIONAL RLATION CAC2828026 ISSUED: 06/12/2020 CERTIFIED AIR COND CONT'R LA@RADA, IZMERT ADVANCE AIR TECH, CORP Sivuftre LICENSED UNDER CHAPTER 489. FLORIDA STATUTES EXPIRATION DATE; AUGUST 32, 2022 Blom r 1 or da ORI m LK3D SE 00" r ` 40"L163-4 -188-0 *""'E ABRADA p@RT s7450 3W IOT AYE A 2Q t '% • WAN, FL 33577.2! r ow W291198t n+tr M werr QW2812M ,r*a&, NONE rwo WINE Saefaaan V � Spq MY1rrM*4 J��. d � Mer r�11,1r Gr,rM� ww w rt rY�wir � ny+.r M � Local Business Tax Receipt Miami -Dade County, State of Florida -rWS IS NOT A BILL - OO NOT FAY 7181778 BUSIN41aa NAMEMOCATION ADVANCE AIR TECH CORP 7480 SW 107TH AVE STE 203 MIAMI, FL 33173 OVYNt/t ADVANCE AIR TECH CORP CtO LABRADA IZMERT WNW* 1 Itsellf T NO. RENESMAL 7462268 EXPIRES SEPTEMBER 30, 2021 Meat hs 6"ays6 sI pwcs of busrnns a PunUanl tp County Cods Chepror 8A - ArL 9 9 10 WS WA, $SC. WIDE of OIISWStfs 196 SPEC MECt WIICAL CONTRACTOR CAC1818M PAYWNT IISCKMO BY TAX COLL[CTM 8250 10 05r2M 0204-21-000021 T11Y taaN sobw To McNM MM oodw popoW st Sao I"Sv@W= Tas. 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