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MC-03-22-594Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1245 NE 96TH ST, Miami Shores, FL 33138 Contacts Permit NO.: MC-03-22-594 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: Approved Issue Date:03/23/2022 Expiration: 09/23/2022 Parcel Number 1132060143780 CURTIS BRODSKY Owner TROPICAL AIRE AND HEAT Contractor 1245 NE 96 ST, MIAMI SHORES, FL 33138 CESAR GOMEZ crbrodsky@aol.com 357 CORYDON DR, MIAMI SPRINGS, FL 33166 Business: 3058821037 _. Description: replacement of existing multiplit unit 3 ton Valuation: $ 8,654.00 Inspection Re estsk heat pump c/o (2) indoor units @ 18k ii I I -- Total Sq Feet: 0.00 '" : j 1 +�_ Fees Amount Application Fee - Other $50.00 CCF $5.40 DBPR Fee $4.54 DCA Fee $3.03 Education Surcharge $1.80 Permit Fee $252.89 Scanning Fee $9.00 Technology Fee $7.57 Total: $334.23 Building Department Copy Payments Date Paid Amt Paid Total Fees $334.23 Credit Card 03/23/2022 $284.23 Credit Card 03/04/2022 $50.00 Amount Due: $0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonipl. Fythermore, I authorize the above named contractor to do the work stated. �? -2�j 2Z Authorized Signature: Owner '�,/ Applicant,�Contractor / Agent Date March 23, 2022 Page 2 of 2 BUILDI G PERMIT APPLICATION Miami Shores Village Building Department (~ 04 022 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 L - Tel: (305)795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762.4949 FBC 20 Master Permit No. W ­0 3 -El 5`,`-( Sub Permit ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING NMECHANICAL ❑PUBLIC WORKS []CHANGE OF ❑ CANCELLATION ❑ SHOP p �7 CONTRACTOR DRAWINGS JOB ADDRESS: 12.45 NkF- 1 6 ST' City: Miami Shores County: Miami Dade Zip: 33 L IS Occupancy Type: Load: OWNER: Name (Fee Simple the Building Historically Designated: Yes NO Construction Type: Flood Zone: Rlxo k Address: SAMM ALS_ AEioya i BFE: FFE: City: State: Zip: Tenant/Lessee Name: Phone#: Email: C.Y` oMc4 S �<i (DA-UL. • Cow, CONTRACTOR: Company Name: Tftol?l CAL- AtKL' Atot) 14a2Az I-f'jC, Phone#: 3U5-$g2,-LCJ3� Address: -351 Cx01?-(I>om "---12tya City: m4bmi State: PL zip: 331610 Qualifier Name: \zcMGZ Phone#: 3os-F92 /03 State Certification or Registration #: C,A C-�S Certificate of Competency #: _ �03� 8 DESIGNER: Architect/Engineer: Phone#: Address: City: Value of Work for this Permit: $ ���os4- Square/LinearFF000tage of Work: Type of Work: 1-1Addition ❑ Alteration ❑ EP New Repair/Replace M ❑ Demolition Description of Work: (Z1�1'LA «M�1"C- OF aXI�5U KL C9 MOLT- FP'117-cJ A/ AT" 3 <t)P-4 �' M 1� Lj V (2) I NDooM Lj"T S @ ! 6/ boo 131-0„ ESP Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee Structural Reviews $ Radon Fee $ Training/Education Fee $ CCF $ CO/Cc $ DBPR $ Notary $ Double Fee $ 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 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 _� li�� 16�-r � OWNER or AGENT The foregoing instrument was �acknowledged before me this l day of 20 I2L by L7� 5 3(L-CXY��`who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Signature (V-,� _p)//// E / CONTRACTOR The` foregoing instrument was acknowledged before me this " day of 20 2-5l by "�L GCk-17., ho is personally known to me or who has produced as identification and who did take an oath. NnTARV w im Ir. Sign: Sign: Print: - - -=March Print: .�,�.�..:: :. �.��rGr°Not arc'`i, 77 Seal: �+ . 0477 Seal: a'/Poprc2024 4U�eters APPROVED BY nNVPlans Examiner Zoning I Structural Review Clerk (Revised02/24/2014) r N I,,C'-EA IVED 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 done): I Z45 tie 9G� SJ72�(' City: Miami Shores Village County: Miami Dade zip Code: 3 3 3 8 ...•�' ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID C6AItRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVAMPM •^ ••••�• A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS• •"• ;,,,,; AHRI DATA SHEET REQUIRED •�� •••�� Change disconnecting means: YES❑ NO i'J' ARHI Sheet Attached: YES KT NO ❑ Contract Attached* IfES .... UNIT BEING REPLACED DATA NEW UNI1, ... ITS U MANUFACTURER 1_5x 1 t t N .. Z. AHU or PKG. UNIT MODEL # 4..IN (' A COND. UNIT MODEL # .a 3C,�o t3N.5 KW HEAT 36 000 9ru,I �N 5 NOM TONS 3 -to Ns AHU.I CU 25PKG 1)M.C.A AHU.3ZCU;23APKG AHU a I CU 30 PKG 2) M.O.P AHU .318CU ,Z95PKG AHU 2.3oCU,Z,3'OPKG 3)VOLTS AHU 23oCUZSO PKG PKG UNIT / / PKG UNIT EER/SEER R-2, 1%•% YES REPLACING DUCTS YES N0) E NO REPLACING THERMOSTAT NO YE NO NEW 4"CONCRETE SLAB YES NO YES NEW ROOF STAND YES YES 0 NEW RETURN PLENUM BOX YES 0 1. Minimum Circuit Ampacity (Wire Size) -A# L D 2. Maximum Overcurrent Protection (Fuse/Breaker Size) 3. Voltage of Circuit (208/240/480): 3o AMC S 4. Size Disconnecting Means: puLL--plSCor'Imo��"— SEC, �IS�KHEGT `L`✓AMP Contractor's Company Name: lApekC.Pd_ FIRE 4Nb OIMr —FNC, Phone: 3P"7'cgi3,2'/D,3% State Certificate or Registration No. C_A v C-o S `7 0► 31b Certificate of Competency No. Signature & _.2/111 Firs Date: o3L�d�2o22 (Qualifier's signature) (Revised02/24/2014) TROPICAL AIRE AND NEAT, INC. 351 CORYDON DRIVE MIAMI SPRINGS, FL 33166 TEL 305-682-1031 EMAIL: AIREHEATPHOTMAILCOM STATE LICENSED AND INSURED CAC051938 GILL TO: - Curtis Brodsky crbrodsky@aol.com 1245 NE 96th Street Miami Shores, FI 33138 ESTIMATE NUMBER EI63 `"� DATE: MARCH 04, 2022 SHIP TO. Curtis Brodsky crbrodsky@aol.com 1245 NE 96th Street Miami Shores, FI 33138 TERMS WORK ORDER DESCRIPTION NET 10 MULTI -SPLIT REPLACEM DESCRIPTION QUANTITY PRICE •....• AMO.UKT Disconnect existing Multi -Split 2.00 ....W.00 •„••; 374;0,0, Provide and replace multi -split AC system 4-2 Condensing Unit with 2-18,000 1.00 �6,432Aa BTUH ..4.. ��•432.00 Provide refrigerant lines in accordance with manufacturer's 1.00 ........ .... W.00 .... .. . 659.= recommendations. ..'..' '„• .... Provide concrete pad, house keeping pad for CU 1.00 :, *:T;8.00 158.Od V. Labor 1.00 : 1.sp0.00 00 • ••� 1,500.QQ Permit Fees and Inspections are not included with this price, Owner to 1.00 0.00 : '..' 0.00 provide 5.00% discount (455.50) $8,664.50 TOTAL WHEN ORDERING EQUIPMENT AND MATERIALS, PLEASE ALLOW 2 WEEKS MINIMUM FOR DELIVERY AND PLEASE CALL US TO PROPERLY SCHEDULE YOUR SERVICE CALL AND OR INSTALLATION OF EQUIPMENT. THANK YOU, CESAR GOMEZ 305-882-1031 Certificate of Product Ratings AHRI Certified Reference Number: 201851579 Date: 09-23-2021 Model Status: Active AHRI Type: HMSV-A-CB (Multi -Split Heat Pump) Outdoor Unit Brand Name: DAIKIN Outdoor Unit Model Number: 4MXS36RMVJU Indoor Type : Non -Ducted Indoor Units Rated as follows in accordance with the latest edition of AHRI 2101240 with Addendum 1, 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 (95F) : 36000 . EER (95F) ; 9.20 ITY • • • •' SEER: 17.70 •••;•• High Heat (47F):36000 '••' " •• ••••• Low Heat(17F): 22000 COPY .... .. ••:.• HSPF: 12.20 •• �• •• ••••' Sold in7;. USA, Canada •.:- •- •• •••.. t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced.'Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still $ elling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown alono with the previous (i.e. WAS) ratino. 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 far damages of any kind arising out of the use or performance of the producl(s), 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.ahrldIreotory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, personal and 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, Arm� OEM 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.ahrldlrectofy.org, click on `Verity Certificate" link we make life beLb, ^ 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. ©2021 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132769103684796084 Job Name: Tag# �A/K/N Submittal Data Sheet I FTXS18LVJU 1.5-Ton Wall Mounted Indoor Unit Complete warranty details available from your local dealer or at www.daikincomfort.com. To receive the 12-Year Parts Limited Warranty, online registration must be completed within 60 days of installation. Online registration is not required in California or Quebec. If product is installed in a commercial application, limited warranty period is 5 years. Electrical *208/230v ` Cooling Heating' Running Current (Rated) (A) 32/.30* 32/.30*" Power Consumption (Rated) (W) 38/38* 38/38* Indoor Specifications Airflow Rate (cfm) " Cooling Heating H M HP399 583 484 625L SLL85 360na7 Sound(dBA) �46/41/33/�3 45/40/35/32.� H/M/L/SL Dimensions (H x W x D) (in) i8 x 41-5/16 x 9-3/4 Weight(Lbs) Nominal Capacity :u/hr) 18,000 *See Outdoor Unit for Rated Capacities ,. „' , '„• , Piping• Liquid (in) 1/4 Gas (in) 1/2 Drain (in) 5/8 Optional Accessories QA/K/ , Daikin North America LLC 5151 San Felipe, Suite 500 Houston, Tx 77056 (Daikin's products are subject to continuous improvements. Daikin reserves the right to modify product design, specifications and information in this data sheet without notice and without incurring any obligations) Submittal Revision Date: October 2021 Page 1 of 2 cu H"', cu M c O E J Co /ram V/ x 1 LL LEA BOTTOM+ . .... . . .... .... . ...... . ... . ..... . • • ••• • • • • ••• THE MARK (-)SHOWS PIPING DIRECTION • • • • • • • • • VA.l" (INDOOR) • REAR 41-5/16(1050M) • RIGHT INCLUDING } SIGNAL TRANSMITTER 2-5/16(58mm) 11/16 {18mm) Woo❑ E m m n WIRELESS REMOTE CONTROLLER (ARC452A21) • • • . 6.1IW 2 m (260mm • ��. . :6flN•• • • • • • ••• •• FIXING BLOCK (INSIDE) m WITH LI GROUND TERMINAL (INSIDE) INTELLIGENT EYE SENSOR OPERATION LAMP TIMER LAMP INTELLIGENT EYE LAMP GAS PIPE 4,1/2 (g12.7.) CUT INDOOR UNIT ON/OFF (THE LENGTH OF PIPE OUTSIDE SWITCH THE UNIT: ABOUT 163/4 (400mm)) ROOM TEMP. 7HERMISTOR LIQUID PIPE 0114 (g6.4mm) OUT (THE LENGTH OF PIPE OUTSIDE (INSIDE) THE UNIT: ABOUT 18-1/8 (460mm)) DEL NAME PLATE E BLADE ANGLES �edl UP/DOWN (AUTOMATIC) ai COOLING, DRY HEATING FAN E , u 15° 75° 25°30'/t�p 75° 70° 70" RIGHT/LEFT(AUTOMATIC) �xp, DRAIN HOSE (CONNECTING PART O.D. 0&6 (g16mm) THE HOSE LENGTH OF OUTSIDE THE UNIT: ABOUT 18S116 (465mm)) HOLE FOR EMBEDDED WALL HOLE q -1/8 (480mm) HOLE 43-1/8480m STANDARD LOCATIONS OF WALL HOLES Q 3D074024A m 2 Job Name: Tag# I VDAIKIN Submittal Data Sheet 4MXS36RMVJUA 4 Port, 3-Ton Outdoor Heat Pump VaMFIV PV r Complete warranty details available from your local dealer or at www.dalkincomfort.com. To receive the 12-Year Parts Limited Warranty, online registration must be completed within 60 days of installation. Online registration is not required in California or Quebec. If product is installed in a commercial application, limited warranty period is 5 years. . Outdoor Specifications I Compressor Hermetically Sealed Swing Type Refrigerant R-410A Factory Charge (Lbs) 6.17 Refrigerant Oil PVE(FVCSOK) Airflow Rate (cfm) Cooling; Heating H 2,613 H 2,351 M 2,440 M 2,210 ` L 1,727 L 1,119 Sound PressuLevel (dBA) re 54 / 56 Dimensions (H x W x D) (in) 28-15/16 x 34-1/4 x 12-5/8 Weight (Lbs) 139 Fffiripncv SEER EER HSPF COP Non -Ducted 17.7 9.2 12.2 3.89 Ducted 14 7.9 8.2 4.27 Mixed 15.85 8.55 10.2 4.08 Performance Rated —�— 3F,000 _...+_. Operating Range (_ 14"F-.15°F- _ Rated Cooling Conditions: inaov 80"F Odi 67 F WB Outdoor: 95°F Dd/i5`F WB'"'�' Heatinq(3tu,hr) I Rated '.. 36,000 Operating Range 5"F - 6C°F� ! Rated Heating Conditions: Indoor: 70°F DB/buF WB " " °OutBoor. 47'f QQB/v3-F WB Electrical 208/60/1 230/60/1 System MCA 23.9 23.9 System MFA 25 25 Compressor RLA 17.5 17.5 Outdoor fan motor FLA .42 .42 Outdoor fan motor W 122 122 WA: Max. ruse amps MLA: Min. circuit amps (A) FLA: Full load amps (A) RLA: Rated load amps (A) W: Fan motor rated output (W) Piping Liquid (in) Y x 4 Gas (in) 3/8 x 1, X x 2, 5/8 x 1 Drain (in) 11/16 Max. System Piping Length (ft) 230 Max. Interunit Piping Length (ft) 82 Max. Height Difference -IDU to ODU (it) 49.25 Max. Height Difference -IDU to IDU (ft) 24.625 Chargeless (ft) 131.6 Additional Charge of Refrigerant (oz/ft) .21 Daikin North America LLC 5151 San Felipe, Suite 500 Houston, TX 77056 (Daikin's products are subject to continuous improvements. Daikin reserves the right to modify product design, specifications and information in this data sheet without notice and without incurring any obligations) Submittal Revision Date: May 2020 Page 1 of 9 4MXS36RMVJUA Dimensional Data VOA /KIIW y y u D a a z T 0 y 2-3/8 (60) 2- 8 (60) 2-114 28-15;1 U N Ol =0 O� N m T a 0ffl z m d• •• 0 N ^ C Z p o c m a NORM wOyv Mg A'9 RA.mMy p9 g'ns qz m Pi09T� AUp g 2 01 .� m� V FZ L n O M M F T m V z4_ z z i z33 i p_z 0 v a �a A m 13-3/4 350 3.15/16 (100) 3.15/i6 (100) 13-3/4(350) c m a z @ y Q � 0 13-314(350) 3-15116 (100) 12-11/18 (322) • m u•• Daikin North America LLC 5151 San Felipe, Suite 500 Houston, TX 77056 (Daikin's products are subject to continuous improvements. Daikin reserves the right to modify product design, specifications and information in this data sheet without notice and without incurring any obligations) Submittal Revision Date: May 2020 Page 2 of 9 Optional Accessories JDA/KIN Included Part Number I Description DADA-WI3-3 Mouniine Bracket KEI-1063A4B Drain Pan I-leater 2/3/4MXS & 213MXL KPW063B4 Air Adusuncnt Grille `KKG063A42 Back protection wire net -_ - --- KKG063A43 Side piotecLion wire net KPS063A41 Snow hood intake side late KPS063A44 Snow hood intake rear late) KPS063A47 Snow hood outlet .... ...... ...... .. .. ...... .. .. . .. ...... Daikin North America LLC 5151 San Felipe, Suite 500 Houston, TX 77056 (Daikin's products are subject to continuous improvements, Daikin reserves the right to modify product design, specifications and information in this data sheet without notice and without incurring any obligations) Submittal Revision Date: May 2020 Page 3 of 9 4MXS36RMVJUA Capacity Tables DA Non- Ducted, 60 Hz, 208-230V Cooling Capacity. of each indoor unit Combination of indoor Each Capacity Total Indoor Unit Capacity unit A room B room C room D room Rating (min ^ max) 07 7.60 - - - 7.60 6.80-8.40 8.80 8.80 8.30 ' 9.70 09 9.80 - - - 9.80 6.90-10.80 11.30 - 11.30 11.20`12.50 12 13.00 - - - 13.00 7.00-14.40 15.00 15.00 11.10-16.70 15 16.30 - - - 16.30 8.20 ` 18.00 18.80 18.80 10.50-20.80 18 19.50 - - - 19.50 8.20 ^ 21.60 22.50 - 22.50 10.50-25.00 24 26.00 - - - 26.00 1 8.60-28.80 27.00 27.00 10.30-34.40 07+07 7.60 7.60 - - 15.20 8.20`16.80 8.75 8.75 17.50 10.40" 9 07+09 7.69 9.61 - - 17.30 8.30; 9. 8.89 11.11 20.00 10.30' 2?n 07+12 7.49 13.11 - - 20.60 • • 0 8.30 �22.80 8.47 14.83 23.30 .... • . 10.2 ` 07+15 6.90 17.00 - - 23.80 9.30 ^ 26 40 7.29 18.21 25.50 9.80 - 31. 0 07+18 6.70 20.10 - - 26.80 9.3(L-MT)5 6.95 20.95 27.80 • • • • 9.70" 36" 07+24 6.99 24.81 - - 31.80• • • 9. 7.10 25.20 32.30 • • 9.60-39M. 09+09 9.75 9.75 - - 19.50 8.3 - 21. 11.25 11.25 22.50 • 10.20`2100 09+12 9.50 13.30 - - 22.80• 0 8.40'+25.20 10.33 14.47 24.80, 10.1 - 09+15 8.67 17.33 - - 26.00• • • 9.30`28.80 9.00 18.00 27.00 9.7 09+18 8.38 20.12 - - 28.50 9.38-31-30 8.62 20.68 29.30 9.70-37.30 09+24 8.72 24.78 - - 33.50 9.60`35.80 8.80 25.00 33.80 9.60-41.10 12+12 13.00 13.00 - - 26.00 8.50 - 28.80 13.50 13.50 27.00 10.00-34.40 12+15 11.74 16.76 - - 28.50 9.40-31.50 12.06 17.24 29.30 9.60-37.30 12+18 11.42 19.58 - - 31.00 9.40-33.60 11.61 19.89 31.50 9.60-39.20 12+24 11.89 24.11 - - 36.00 9.70-38.00 11.89 24.11 36.00 9,50`43.00 15+15 15.50 15.50 - - 31.00 10.00-33.60 15.75 15.75 31.50 9.30-39.20 15+18 15.23 18.27 - - 33.50 10.00-35.80 15.36 18.44 33.80 9.30-41.10 15+24 14.88 21.12 - - 36.00 1 10.20`38.00 14.88 21.12 36.00 9.20-43.00 18+18 18.00 18.00 - - 36.00 10.00`38.00 18.00 1 18.00 36.00 9.30 ^ 43.00 18+24 16.49 19.51 - - 36.00 10.20 - 38.00 16.49 19.51 36.00 9.20`43.00 24+24 1&00 18.00 - - 36.00 10.30 - 38.00 18.00 18.00 - 36.00 8.60-36.50 07+07+07 7.60 7.60 7.60 - 22.80 9.20-25.20 8.27 8.27 8.27 24.80 9.60-29.70 07+07+09 7.66 7.66 9.58 - 24.90 9.30 ^ 27.60 8.09 8.09 10.12 2630 9.60`32.90 07+07+12 7.39 7.39 12.92 - 27.70 9.40 - 30.70 7.60 7.60 13.30 28.50 9.50'-36.fi0 07+07+15 6.71 6.71 16.78 - 30.20 10.00 - 32.90 6.84 6.84 17.10 30.80 9.20-38.50 07+07+18 6.54 6.54 19.62 # - 32.70 10.00`35.10 6.60 6.60 19.So 33.00 9.20-40.50 07+07+24 6.49 6.49 23.02 - 36.00 10.20-38.00 6.49 6.49 23.03 36.00 9.20-43.00 Daikin North America LLC 5151 San Felipe, Suite 500 Houston, TX 77056 (Daidn's products are subject to continuous improvements. Daikin reserves the right to modify product design, specifications and information in this data sheet without notice and without incurring any obligations( Submittal Revision Date: May 2020 Page 4 of 9 4MXS66RMVJUA Capacity Tables Da/KIN Combination of indoor Cooling Capacity of each_indoor unt Each Capacity Total Indoor Unit Capacity unit A room B room C room D room Rating (min - max) 07+09+09 7.66 9.57 9.57 - 26.80 9.40-30.00 7.93 9.93 9.93 27.80 9.50-36.00 07+09+12 7.33 9.16 12.81 - 29.30 9.40`32.20 7.50 9.38 13.13 30.00 9.50-37.90 07+09+15 6.69 8.37 16.74 - 31.90 1 10.00 - 34.40 6.80 8.50 17.00 32.30 1 9.2039.80 07+09+18 6.53 8.17 19.60 - 34.30 10.00"36.50 6.57 8.21 19.71 34.50 9.20`41.70 07+09+24 6.21 7.76 22.03 - 36.00 10.20"38.00 6.21 7.76 22.03 36.00 9.10`43.00 07+12+12 7.07 1237 12.37 1 - 31.80 9.50 - 34.40 7.19 12.56 12.56 32.30 9.40 - 39.80 07+12+15 6.53 11.43 16.33 - 34.30 10.00 ^ 36.50 6.57 11.50 16.42 34.50 9.20-41.70 07+12+18 6.26 10.96 18.78 - 36.00 10.1 .db 6.26 10.96 18.78 36.000 • 9.20'•48!OB 07+12+24 .71 10.00 20.29 - 36.00 • • 10.20 ^ 38. .71 10.00 20.29 36.00 9.10"4300- 07+15+15 .01 15.00 15.00 - 36.00 • 10.40" ISM .99 15.00 15.00 36.00 9.00'4300 07+15+18 .54 P5.14 13.85 16.61 - 36.00 • • • • 10.40.38t00 34 13.85 16.62 36.00 . • • • 9. 07+18+18 15.43 15.43 - 36.00 10. 38.00 .14 15.43 15.43 36.00 • • 9.00^48.0D• �09+ .509.50 9.50 - 2850 9.4 -3145D .77 9.77 9.77 29.30• ..... 9.50 - 37#30 09+09+12 9.12 9.12 .77 - 31.00. • 9.5 "33. 9.26 9.26 .97 - 31.50 9.4 "392 09+09+15 8.38 US .75 - 33.50• • • 10. "3 . 8.45 8.45 .89 - 33.80 09+09+18 8.18 8.18 .65 - 36.00 10.10`3&00 8.18 8.18.63 E21.13 36.00 9.20-43.00 09+09+24 7.44 7.44 - 36.00 10.20"38.00 7.44 7.44 .11 36.00 9.10-43.00 09+12+12 8.82 12.34.34 - 33.50 9.50^35.80 8.88 12.45.45 33.80 9.40-41.10 09+12+15 8.18 11.45 16.36 - 36.00 10.10-38.00 8.18 11.45 16.36 36.00 9.10-43.00 09+12+18 7.50 10.50 18.00 - 36.00 10.10"38.00 T50 10.50 18.00 36.00 9.10-43.00 09+12+24 6.87 9.62 19.51 - 36.00 10.20`38.00 6.87 9.62 19.51 36.00 9.10-43.00 09+15+15 7.20 14.40 14.40 - 36.00 10.40`38.00 7.20 14.40 14.40 36.00 9.00-43.00 09+15+18 6.67 13.33 16.00 - 36.00 10.40-38.00 6.67 13.33 16.00 36.00 9.00 - 43.00 09+15+24 6.16 12.33 17.51 - 36.00 10.40-38.00 6.16 12.33 17.51 36.00 9.00 - 43.00 09+18+18 6.21 14.90 14.90 - 36.00 10.40"38.00 6.22 14.90 14.90 36.00 9.00-43.00 12+12+12 12.00 12.00 12.00 - 36.00 9.60-38.00 12A0 12.00 12.00 36.00 9.30-43.00 12+12+15 10.50 10.50 15.01 - 36.00 30.30"38.00 10.50 10.50 15.00 36.00 9.10`43.00 12+12+18 9.69 9.69 16.62 - 36.00 10.10-38.00 9.69 9.69 16.62 36.00 9.10 - 43.00 12+12+24 8.94 8.94 18.13 - 36.00 10.10-38.00 8.94 8.94 18.13 36.00 9.00"43.00 12+15+15 9.33 13.33 13.33 - 36.00 10.40`38.00 9.33 13.33 13.33 36.00 9.00"43.00 12+15+18 8.69 12.41 14.90 - 36.00 10.40"39.00 8.69 12.41 14.90 36.00 9.00-43.00 12+18+18 8.13 13.94 13.94 - 36.00 10.40`38.00 8.13 13.94 13.94 36.00 9.00-43.00 15+15+15 12.00 12.00 12.00 - 36.00 10.40`38.00 12.00 12.00 12.00 36.00 1 9.00 - 43.00 Daikin North America LLC 5151 San Felipe, Suite 500 Houston, T% 77056 (Daikin's products are subject to continuous improvements. Daikin reserves the right to modify product design, specifications and information in this data sheet without notice and without incurring any obligations) Submittal Revision Date: May 2020 Page 5 of 9 4MXS36RMVJUA Capacity Tables DAMIN Combination of indoor Cooling Capacity of each indoor uni Each Capacity Total Indoor Unit Capacity j unit A room B room C room D room Rating (min"max) 15+15+18 11.25 11.25 13.50 - 36.00 10.40-38.00 11.25 11.25 13.50 36.00 9.00`43.00 07+07+07+07 7.33 7.33 7.33 7.33 29.30 10.00`32.20 7.50 7.50 7.50 7.50 30.00 9.20`37.90 07+07+07+09 7.29 7.29 7.29 9.12 31.00 10.00-33.60 7.41 7.41 7.41 9.27 31.50 9.10-39.20 07+07+07+12 7.05 7.05 7.05 12.34 33.50 10.00"35.80 7.12 7.12 7.12 12.45 33.80 9.10-41.10 07+07+07+15 6.55 6.55 6.55 16.36 36.00 10.40 ^ 38.00 6.55 6.55 6.55 16.35 36.00 9.00-43.00 07+07+07+18 6.00 6.00 6.00 18.00 36.00 10.40-38600 6.00 6.00 6.00 18.01 36.00 9.00-43.00 07+07+07+24 5.50 5.50 5.50 19.51 36.00 10.40`38.00 5.50 5.50 5.50 19.52 36.00 9.00-43.00 07+07+09+09 7.27 7.27 9.08 9.08 32.70 10.00"35.10 7.33 7.33 9.17 9.17 33.00 9.10`40.50 07+07+09+12 7.04 7.04 8.80 12.32 35.20 10.10 - 7 7.06 7.06 8.93 12.35 35.30 9.10, 42.40• 07+07+09+15 6.26 6.26 7.83 15.65 36.00• 10.40 6.26 6.26 7.83 15.66 36.00 •• • 9.00'+43.00• 07+07+09+18 5.76 5.76 7.19 17.28 36.00...... 10. 5.76 5.76 7.20 17.29 36.00 9.00"4300 07+07+09+24 5.29 5.29 6.61 18.79 36.00 10.40 ^' 38.OD 5.29 5.29 6.61 18.79 36.00 9. 07+07+12+12 6.55 6.55 11.45 11.45 36.00 ... 10.10 • S8.80 6.55 6.55 11.45 11.45 36.00• • • • • 9.10'x43.00 07+07+12+15 5.76 5.76 10.07 14.40 36.00 • 10. -S 5.76 5.76 10.08 14.41 36,00 9.00"43.00 07+07+12+18 5.33 5.33 9.33 16.00 36.00. 10.40"3 .00 5.33 5.33 9.33 16.00 36.00• • 9. + 3.00 07+07+15+15 5.14 5.14 12.86 12.86 36.00• 10. 5.14 5.14 12.86 12.86 36. • 0 9. `43. 07+07+15+18 4.80 4.80 12.00 14.40 36.00 10.40 "88. 4.80 4.90 12.00 14.40 36.00 9.05`4VI) 07+09+09+09 7.23 9.03 9.03 9.03 34.30 30.10"36.50 7.27 9.08 9.08 9.08 34.50 9.10`41.70 07+09+09+12 6.87 8.57 8.57 12.00 36.00 30.30`38.00 6.86 8.57 8.57 12.00 36.00 9.10`43.00 07+09+09+15 6.00 7.50 7.50 15.00 36.00 10.40 - 38.00 6.00 7.50 7.50 15.00 36.00 9.00-43.00 07+09+09+18 5.54 6.92 6.92 16.62 36.00 10.40`38.00 5.54 6.92 6.92 16.63 36.00 9.00`43.00 07+09+12+12 6.26 7.93 10.97 10.96 36.00 10.10-38.00 6.26 7.83 10.96 1 10.96 36.00 9.00-43.00 07+09+12+15 5.54 6.92 9.69 13.85 36.00 10.40"38.00 5.54 6.92 9.69 13.85 36.00 9.00`43.00 07+09+12+18 5.14 6.43 9.00 15.43 36.00 10.40`38.00 5.14 6.43 9.00 15.43 36.00 9.00-43.00 07+09+15+15 4.97 6.21 12.42 12.41 36.00 10.40`38.00 4.97 6.21 12.42 12.41 36.00 9.00-43.00 07+12+12+12 5.75 30.08 10.08 10.08 36.00 10.20-38.00 5.77 10.08 10.08 10.08 36.00 9.00-43.00 07+12+12+15 5.14 9.00 9.00 12.86 36.00 10.40`38.00 5.14 9.00 9.00 12.86 36.00 9.00-43.00 9.00 9.00 9.00 1 9.00 36.00 10.10 ^ 38.00 +09 9.00 9.00 9.00 1 9.00 36.00 9.10-43.00 09+09+09+12 8.18 8.18 8.18 11.45 36.00 10.10-38.00 8.18 8.18 8.18 11.45 36.00 9.00`43.00 09+09+09+15 7.20 7.20 7.20 14.40 36.00 10.40 ^ 38.00 7.20 7.20 7.20 14.40 36.00 9.00`43.00 09+09+09+18 6.67 6.67 6.67 16.00 36.00 10.40"38.00 6.67 6.67 6.67 16.01 36.00 9.00-43.00 D9+09+12+12 7.50 7.50 10.50 10.50 36.00 10.20-38.00 7.50 7.50 10.50 10.50 36.00 9.00-43.00 09+09+12+15 6.67 6.67 9.34 13.33 36.00 10.40`38.00 6.67 6.67 9.33 13.34 36.00 1 9.00-43.00 Daikin North America LLC 5151 San Felipe, Suite 500 Houston, TX 77056 (Daidn's products are subject to continuous improvements. Daikin reserves the right to modify product design, specifications and information in this data sheet without notice and without incurring any obligations) Submittal Revision Date: May 2020 Page 6 of 9 IF 4MXS36RMVJUA Capacity Tables OVDAIKIN Combination of indoor Cooling Capacity of each indoor unj Each Capacity Total Indoor Unit Capacity unit A room B room C room D room Rating (min' max) 09+09+12+18 6.21 6.21 8.70 14.90 36.00 10.40-38.00 6.21 6.21 8.70 14.90 36.00 9.00-43.00 09+09+15+15 6.00 6.00 12.00 12.00 36.00 10.40-38.00 6.00 6.00 12.00 12.00 36.00 9.00^42.95 09+12+12+12 6.93 9.69 9.69 9.69 36.00 10.20"38,00 6.91 9.69 9.69 9.69 36.00 9.00'-43.00 09+12+12+15 6.21 8.69 8.69 12.41 36.00 10.40"38.00 6.21 8.69 8.69 12.41 36.DO 9.00- 43.00 12+12+12+12 9.00 9•00 9•00 9.00 36.00 10.20-38.00 9.00 9.00 9.00 9.00 1 36.00 1 9.00-43.00 ••• ••••.• a ••••:• •••• •••• • • Daikin North America LLC 51515an Felipe, Suite 500 Houston, TX 77056 (Daikin's products are subject to continuous improvements. Dalkin reserves the right to modify product design, specifications and information in this data sheet without notice and without incurring any obligations) Submittal Revision Date: May 2020 Page 7 of 9 4MXS36RMVJUA Capacity Tables P rDAMIN Ducted, 60 Hz, 208-230V Combination of indoor Each Capacity Total Indoor Unit Capacity unit A room B room C room D room Rating (min'" max) 09 9.40 - - - 9.40 6.70-9.40 10.70 - 10.70 10.60-12.50 12 12.50 - - - 12.50 6.70 ^ 12.50 14.30 - 14.30 11.60 -16.70 15 15.60 - - - 15.60 7.50 -15.60 17.00 - 17.00 11.20 - 20.80 18 18.80 - - - 18.80 7.50 ` 18.80 19.70 - - 19.70 11.20-25.00 24 25.00 - - - 25.00 7.80-25.00 25.00 - 25.00 11.10-29.70 09+09 9.40 9.40 - - 18.80 1 8.10-18.80 11.05 11.05 22.10 10.80-25.00 09+12 9.12 12.78 - - 21.90 8.10 ^ 21.90 9.29 13.00 22.30 10.80 - 27.30 09+15 8.33 16.67 - - 25.00 8.70- 8.33 16.67 25.00 10.58-30.80- 09+18 7.79 18.71 - - 26.50• • • 8.70-2. 7.79 18.71 26.50 " 30.5 •3 00• 09+24 7.68 21.82 - - 29.50 ...... 8.90"•3UQ. 7.68 21.82 29.50 10.40 - 36.00 12+12 12.50 12.50 - - 25.00 8.10-25.00 15.90 15.90 31.80. 10.NmIfft 12+15 10.91 15.59 - - 26.50 .... 8.70' XV8 10.91 15.59 26.50•..... 10.502;32. 12+18 10.32 17.68 - - 28.00 • • 8.7 -11 10.32 17.68 28.00 10.50.. 34.00 12+24 10.24 20.76 - - 31. 8.90"3 .00 10.24 20.76 31.00• • 10. 0 38.80 15+15 14.00 14.00 - - 28.00• 9.2 9.00 14.00 14.00 28A0' 30. ^' 34. 15+18 13.41 16.09 - - 29.50 9.28^31.00• 13.41 16.09 29.50 10.2b-39.00 15+24 12.93 18.37 - - 31.30 9.40- 33.30 12.93 18.37 31.30 10.10"38.00 18+18 15.50 15.50 - - 31.00 9.20-33.00 15.50 15.50 31.00 10.20 - 38.00 18+24 14.52 17.18 - - 31.70 9.40-33.50 14.43 17.07 31.50 10.30-38.00 24+24 16.15 16.15 - - 32.30 9.50"34.00 16.00 16.00 32.00 9.50`35.60 09+09+09 8.83 8.83 8.83 - 26.50 9.10`27.00 8.83 8.93 8.93 26M 10.10-32.00 09+09+12 8.24 8.24 11.53 - 28.00 9.10 - 29.00 8.24 8.24 11.52 28.00 10.10`34.00 09+09+15 7.38 7.38 14.75 - 29.50 9.60`31.00 7.38 7.38 14.75 29.50 9.90-36.00 09+09+18 7.05 7.05 16.92 - 31.00 9.60-33.00 7.05 7.05 16.91 31.00 9.90`38.00 09+09+24 6.55 6.55 18.61 - 31.70 9.70-33.50 6.51 6.51 18.48 31.50 9,80-38.00 09+12+12 7.76 10.87 10.87 - 29.50 9.10-31.00 7.77 10.87 10.87 29.50 10.10"36.00 09+12+15 7.05 9.86 14.09 - 31.00 9.60 ^ 33.00 7.05 9.86 14.09 31.00 9.90-38.00 09+12+18 6.52 9.13 - 31.30 9.60-33.30 6.52 9.13 31.30 9.90`38.00 09+12+24 6.11 8.55 - 32.00 9.70`33.80 6.07 8.50 31.80 9.80`38.00 09+15+15 6.26 12.52 - 31.30 9.90-33.30 6.26 12.52 31.30 9.70-38.00 09+15+18 5.87 11.74 M14.09 - 31.70 9.90`33.50 5.93 11.670 31.50 9.70-38.00 09+15+24 5.53 11.061 - 32.30 10.00"34.005.48 10.966 32.00 9.60-38.00 09+18+18 5.52 13.244 - 32.00 9.90-33.80 5.48 13.166 31.80 9.70^38.00 Daikin North America LLC 5151 San Felipe, Suite 500 Houston, T% 77056 (Daikin's products are subject to continuous improvements. Daikin reserves the right to modify product design, specifications and information in this data sheet without notice and without incurring any obligations) Submittal Revision Date: May 2020 Page 9 of 9 4MXsa6RMVJUA Capacity Tables PVDA Combination of indoor Each Capacity Total Indoor Unit Capacity unit A room B room C room D room Rating (min ^ max) 12+12+12 10.33 10.33 10.33 - 31.00 9.10- 33.00 10.33 10.33 10.33 31.00 10.10^ 38.00 12+12+15 9.13 9.13 13.04 - 31.30 9.60-33.30 9.13 9.13 13.04 31.30 9.90-38.00 12+12+18 8.53 8.53 14.62 - 31.70 9.60`33.50 8.48 8.48 14.55 31.50 9.90- 38.00 12+12+24 8.02 8.02 16.25 - 32.30 9.60 - 34.00 7.94 7.94 16.10 32.00 9.60 ` 38.00 12+15+15 8.21 11.74 11,74 - 31.70 9.90'33.50 8.17 11.67 11.67 31.50 9.70- 38.00 12+15+18 7.72 11.03 13.24 1 - 32.00 9.90`33.80 7.68 10.97 13.16 31.80 9.70`38.00 12+18+18 T28 12.50 12.50 - 32.30 9.90 ^ 34.00 T22 12.39 12.39 32.00 9.70-38.00 15+15+15 10.67 10.67 10.67 - 32.00 10.10 ^ 33.80 10.60 10.60 10.60 31.80 9.50-38.00 15+15+18 10.09 10.09 12.10 - 32.30 50.10`34.00 10.00 10.00 11.99 32.00 9.50-38.00 7.75 7.75 7.75 7.75 31.00 9.90 ^ 32.98. 7.75 7.75 7.75 7.75 31. 9.60.39.60 09+09+09+12 7.11 7.11 7.11 9.96 31.30 •• • 9.90W33.30. 7.11 7.11 7.11 1 9.97 31.3Q, ... 9. 09+09+09+15 6.34 6.34 6.34 12.68 31.70 _ _ _ 31.50 10.10"33.50 6.30 6.30 6.30 12.60 9.40^ .GO 09+09+09+18 5.93 5.93 5.93 14.22 32. 10. 0"'35. 5.89 5.89 5.89 14.12 31.80 9. ar 09+09+12+12 6.60 6.60 9.25 9.25 31.70,._ 31.50 9.2p-33.50 6.56 6.56 9.19 9.19 9.60`88.00, 09+09+12+15 5.93 5.93 8.29 11.85 32.06 10. - . 0 5.89 5.89 8.24 11.78 31.8C ""' 9.40" 3100 09+09+12+18 5.57 5.57 7.79 13.37 32.3(A 10.S0i'34490 5.52 S.52 7.71 13.24 32. 9. " 09+09+15+15 5.38 5.38 10.77 1 10.77 32.3L+ • • 10.30"34.00 5.33 5.33 10.67 10.67 32.00 9. 09+12+12+12 6.16 8.62 8.62 8.62 32.00 9.90- 39.80 6.12 8.56 8.56 8.56 31.90 9.60`38.00 09+12+12+15 5.57 7.80 7.80 11.14 32.30 10.10` 34.00 5.52 7.72 7.72 11.03 32.00 9.40 " 38.00 12+12+12+12 8.08 8.08 8.08 8.08 32.30 9.90`34.00 8.00 8.00 8.00 8.00 32.00 9.60" 38.00 Daikin North America LLC 51515an Felipe, Suite 500 Houston, Tx 77056 (Daikin's products are subject to continuous improvements. Daikin reserves the right to modify product design, specifications and information in this data sheet without notice and without incurring any obligations) Submittal Revision Date: May 2020 Page 9 of 9 �T"E S`� �T �- T JIMMY PATRONIS CHIEF FINANCIAL 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: 3/17/2022 PERSON: CESAR A GOMEZ FEIN: 650924054 BUSINESS NAME AND ADDRESS: TROPICAL AIRE AND HEAT. INC. 357 CORYDON DRIVE MIAMI. FL 33166 SCOPE OF BUSINESS OR TRADE: Heating, Ventilation, Air - Conditioning and Refrigeration Systems Installation, Service and Repair, Shop, Yard 8 Drivers EXPIRATION DATE: 3/16/2024 EMAIL: AIREHEAT@HOTMAIL.COM IMPORTANT: Pursuant to subsection 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 subsection 440.05(12), F.S., certificates of election to be exempt issued under subsection (3) shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to subsection 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 E01504796 QUESTIONS? (850) 413-1609 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' Comaensation Insurance Exemotion 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: l . 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: Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this 2Z—day of , 20,-bL . By ���� 4.�fL-`��S `� who is personally known to me or has produced as identification. Notary: SEAL: AP &C Heat Licensed and htsurcd State Lic # CAC057938 Tropical Aire and Heat Inc. 357 Coq,don Orive %han6 Springs Ft, 33166 Office: 305 882 1037 Pas: 305 456 1061 Gmail: aire6cat(c.Dliomiail.com Date: State of fl l DIN Countyof KWk - DDl - Before me this day personally appeared 5." QJ0MEZ- who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: I ZIE) NE H612:1 STY431�-1' Mirt41 SHg2&5 3 313b Contractor Signature Sworn to (or affirmed) and subscribed before me this (19 day of M4f41 202Z, by C<Sar A-. Gc>mp..I_. Personally know OR Produced Identificationlq�V Type of Identificati [acFus& Notary Public State of Flonoa Sandra Duarte M Commission GG 278770 Pri pe or Stam F oin Tropical Aire & Heat, Inc