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MC-10-807fr Inspection Number: INSP - 142825 Scheduled Inspection Date: June 10, 2010 Permit Type: Mechanical - Residential Inspection Type: Final Owner: PANTIN, MARGARET AND RAMON Work Classification: A/C Replacement Job Address: 10001 NE 1 Avenue Miami Shores, FL 33138- Inspector: Perez, JanPierre Project: <NONE> Contractor: PENGUIN AIR CONDITIONING CORP Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Phone Number Permit Number: MC -5 -10 -807 Parcel Number 1132060132030 Phone: (305)893 -3055 4 1 iplo Passed \mm Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 09, 2010 For Inspections please call: (305)762 - 4949 Page 7 of 17 Protect Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 10001 NE 1 Avenue Miami Shores, FL 33138- 1132060132030 Block: Lot: MARGARET AND RAMON PANTI MARGARET AND RAMON PANTIN 515 W 50 Street MIAMI BEACH FL 33140- Contractor(s) Phone Cell Phone PENGUIN AIR CONDITIONING CORP (305)893 - 3055 Tons: 5 Additional Info: AC REPACEMENT Classification: Residential Approved: In Review Comments: Date Denied: Date Approved:: In Review Type of Work: MECHANICAL Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $3.00 $1.00 $173.25 $3.00 $4.00 $184.25 Address 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. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy ?ttr if NO. Yi Mechanical - Resider , �tasslct A Replaceml! "..•Pet tt tus. APPRO issue Date 511212010 Expiration: 1/108 /2010 Parcel Number Phone Pay Date Pay Type Amt Paid Amt Due Invoice # MC -5-10 -37840 05/13/2010 Check #: 7779 $ 134.25 $ 50.00 05/10/2010 Check #: 7780 $ 50.00 $ 0.00 Applicant May 13, 2010 Date Cell Valuation: Total Sq Feet: $ 4,950.00 0 Available Inspections: Inspection Type: Final May 13, 2010 1 • • • • • • • • • • • • y pice S;oo IM) • POOL. �- 155x3o' ' 4' 4. Ro / 710 • 1i 9' • r cow e �. 0 9 .. /4.70' Z- 5TO.Ey G� •1d R ,6s7.0awce /Loo' as • ti 7S0 wIp EMERGENCY GENERATOR PAD =-'4' X 8' X 4" CONCRETE PAD WITH 3 REBAR 8" O.C. EACH WAY NCRETE 3800 PSI IN ZS DAYS, SMOOTH FINIS EMERGENCY GENERATOR TO BE ANCHORED TO PAD USING 4- 818" X 3" CONCRETE WEDGE ANCHORS EXISTING ER! MAIN DISCONNECT ET >TRANSFER C SWITCH io.o' 1 51i31)0 gobI N City ' Miami Shores Village FOLIO / PARCEL # Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ['Addition a D b Woi 4— ` (1-4- e. i Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL NW2 f P2 T Owner's Name (Fee Simple Titleholder) F `� 11- PA- / L N Job Address (where the work is being done) 45 AFj 0 (ie./ Contractor's Company Name P i U 1 t A ['Alteration County Miami -Dade Zip 3 j Ft 7S Submittal Fee $ �® „ 0 Permit Fee $ Notary $ Scanning $ 3.00 Radon $ Double Fee $ Contractor's Address #1(2-2)(1 I K/ City N iU ( 6441, t State Qualifier Name Ef , . r ' S L ile State Certificate or Registration No. C . 4 Contact Phone 30 LS c1 3 -90 5 E-ma ***************************************F Training/Education Fee $ Violation date: DPBR $ b 1 .00 Phone # Zip 3 313 Total Fee Now Due $ Bond $ it MAY 1 7010 Permit No. CIO Master Permit No. Owner's Address TWO / f Y . & , j 5� A tle City Zl S(' State (- Tenant/Lessee Name Phone # 3 O 5 3 23 -32..44 Email l0f((�� #J©5 o J Is Building Historically Designated YES NO ✓ Flood Zone Zip .3 /G/ Phone # 3 ¶ - 'i?` 9 Certificate of Competency No. / t r il MofrG nl tr )41- 0/TeRp- * Co Phone # Square / Linear Footage Of Work: New [cRe air/Replace ❑ Demolition 0 ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ 3.00 CO /CC $ Technology Fee $ 4 -00 !Nis See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 day of laG-A , 20%t , by rV\ x y(e. L- "%vrli'\ who is personally known to me or who has produced d■n L■C4al\S,e -( Cl • As identification and who did take an oath. NOTARY PUBLIC: Sign: L Print: Cc.4lo:0 FSa\ ; My Commission Expires: tact (2.13 APPROVED BY We (Revised 07 /10 /07)(Revised 06/10/2009) Notary Public State of Florida Labib Baltagi My Commission 0D799559 cs f; kxnwes 08/29/2012 itt /V Plans Examiner Engineer Signature Contractor The foregoing instrument was acknowledged before me this „574 day of who is personal lf known to me or who has produced as identification and who did take an oath. OTARY PUBLIC: My Commissi 20 f�, by ,s � i,1/ My Com : 29.2013 . .�.;i.:�,•' Ip � b om •” 6949193 Zoning Clerk checked ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE pa p g PRODUCER Advanced Ins. Underwriters 3250 N. 29th Ave Hollywood, FL 33020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC 0 INSIJREO Penguin Air Conditioning Corp. 14230 West Dixie Highway North Miami, FL 33161 LNSURERA: Granada Insurance Company INSURER B: Florida Citrus Business & Ind. _ INSURERO Phoenix Insurance Company _ INSURER D: INSURER E: RAGES CERTIFICATE HOLDER • Miami Shores Village 10050 NE 2nd Avenue Miami Shores, FL 33138 ACORD 26 (2009101) 1 of 2 #S8347721M622848 CANCELLATION C 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. AGGREGATE LIMITSSHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. GENERAL LIABILI TY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR X PD Ded:500 GEM. AGGREGATE LIMITAP PUES PER: POLICY f floc AUTOMOBILE UABILITY X ANY AUTO X X X TYPE OF INSURANCE ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car GARAGE LIABILITY R ANY AUTO EXCESS 1U MORELLA LIABILITY OCCUR ® CLAIMS MADE DEDUCTIBLE RETENTION $ WORMERS COMPENSATION AND EMPLOYERS' uABILITY ANY PROPRIETORPARTNER/EXECUTVE AF M R EXCLUDED? Oyes, Bee be under SPECIAL PROVISIONS bacM OLICY EXPIRATION 01/08/2011 POLICY NUMBER 0185FL00005630 BA2002N8309SEL 10638517 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS POLICY EFFECTIVE 01/08/2010 02!17/2010 02/17/2011 o// 04/01/2011 UNITS EACH OCCURRENCE $1,000,000 $ 50, 000 $1,000 DAMAGE TO RENTED PRPklagR ('t nra+,rrnnes1 MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGO COMBINED SINGLE LIMIT (Es 0ctldenl) BODILY INJURY (Per person) BODILY INJURY (Per =tent) PROPERTY DAMAGE (Par ®cadent) AUTO ONLY - EAACCIDENT OTHER THAN AUTO ONLY: EAACC AGO 04/0112010 EACH OCCURRENCE AGGREGATE X I TORRYi1MI 1 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - PCLICY LIMIT $1,000,000 $2,000.000 $2,000,000 $500,000 $ $ $ $ $ $ $ $100,000 $100,000 $500,000 10 Days for Non - Payment SHOULD ANY OF THE ABOVE DESCRIBED] POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _AL, DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO MALL IMPOSE NO OBLIGATION OR LABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 64 4 LAW ,4 - ,,4 1 : , ....,.... 1 es 1986 -2009 AC 1 D CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD PKG SEE OTHER SIDE DO NOT FORWARD PENGUIN AIR CONDITIONING CORP. ELI R FISCHER 14230 W DIXIE HWY N MIAMI FL 33161 1 1 11 11 ,, AddJJraA,a11.1hII I H Hi21 DO NOT FORWARD PENGUIN AIR CONDITIONING CORP ELI R FISCHER PRES 14230 W DIXIE HWY MIAMI FL 33161 i „ 11,,,11,,,J1,11,,,,,11, L1,I,1,,,11„ BATCH NUMBER HUCK DRIL RIM SECRETA :ENEWAL NOTICE 2009-10 048899-9 1111111117 NO. .OF RECEIPTS srATF/cc. 44 v 040 , 444N-Rell A invitfiNtglik%**. , k eioNvo".6 4A1,4-4, COUNTY 30.00 SEE alvegss svve pott PENGUIN AIR CONDONING CORP " 4618818€ Eu R RSCHER 881 - 14230 W 0%18 Mtf‘f Owner/Corporation PENGUIN AIR CONDITIONING CORP Mantliddem Phone (305)893-9055 • _ . 1423 33161 Pay online - www.miamidadegovitaxcollector Current Year 2010 —County-Vet& Tax Beacon Council - Economic Dev Unincorporated Area Tax OCTOBER 10% 82.50 NOVEMBER 15% 86.25 DECEMBER 20% 90.00 JANUARY 25% 93.75 FEBRUARY 25% + $100 193.75 June 30, 2009 MIAM Uninc. Miami Dade 214'RETAIL SALES INVS$Sgtdit 45399 10 MIK° EQUIPMENT '� "� y ' QTY. TONS SEASONAL S.E.E.R. MAKE MODEL # SERIAL # PACKAGE UNIT aj PHONE ( �,.F WORK PHONE CELL FAX pe r , CITY STATE AND ZIP CODE CONDENSING UNITS BILLING OR TENANT INFORMATION r 4 a ; AIR HANDLER i1 j HEATERS K.W. PURCHASER A C y - 1:4_. '� "� y ' ' � DATE tr 3 A , ill P,F START-UP ARCHITECT Po P.O. # STREET J v' * � aj PHONE ( �,.F WORK PHONE CELL FAX pe r , CITY STATE AND ZIP CODE BILLING OR TENANT INFORMATION STATE CC #CA- CO25435 COUNTY CC #11051 COOLING - HEATING ENERGY / SPECIALIST AiR CONDITIONING AND HEATING EQUIPMENT: • Installation of equipment Drain System Refrigerant piping 5 minute Time Delay Relay Install ducts outlets and retums Structural supports for equipment Auxiliary drain pan Crane Service Copper coils Other Other C6MMENTS 5,, I P en9uin Air Conditioning, Inc. firopotiat & Zttteptanue ❑ New Installation THIS PROPOSAL INCLUDES YES ❑ . ❑ ■ PAYMENT TO BE MADE AS FOLLOWS: 1.0 Upon Acceptance $ 2.0 . Delivery of Equipment 3. ❑ Other $ 4.0' Upon Completion $ AU material is guaranteed to be as specified. All work Is to be completed In a workmanlike manner according to standard practices. Any alteratiort or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tomado and other necessary Insurance. Our workers are fully covered by Worker's Compensation insurance. Standard Service Hours: 9:00 A.M. to 5:00 P.M. Monday through Friday. (� 4 Authorized Signature ❑ Replacement 305 - 893 -9055 14230 West Dixie Highway North Miami, FL 33161 Fax: 305 -893 -9058 ❑ Repairs YES Thermostat wiring ❑ Power wiring from panel to equipment Thermostat installation ❑ Cool❑ Heat Cutting patching holes for pipes, ducts, etc Duct transition Connections to existing system Pitch pans and or roof supports Start up and balancing equipment Slab or lintels [1-yr. Guaranty on Parts & Labor yr Manufacturer's Warranty on Compressor TOTAL $ Note: This proposal may be withdrawn by us if not accepted within days. ZtCCCpt znce of Propociar - The above priCes, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signature Date of Acceptance: Please sign and return top copy with check. Any changes from above agreement, resulting in additional labor or material, will result in and additional charge agreed upon by both parties. Signature Ereared by and return to ALAN J. MARCUS Attorney at Law ALAN J. MARCUS, P.A. 20803 Biscayne Boulevard Suite 301 Aventura, FL 33180 305 -937 -1800 File No.: A3696-09GN This Warranty Deed made this 28th day of April, 2010 between CELMAR ROSEN, a single woman whose post office address is 515 West 50th Street, Miami Beach, FL 33140 grantor, and RAMON LEON and MARGARET PANTIN, husband and wife whose post office address is 10001 NE 1st Avenue, Miami Shores, FL 33138 grantee: Parcel Identification Number. 11- 3206 -013.2030 11 CFN 201080312405 OR Bk 27279 Pes 0802 — 803; (2oes) RECORDED 05 /10/2010 15 248:15 DEED DOC TAX 2,154.00 HARVEY RUVINr CLERIC OF COURT MIAMI —DADE COUNTY, FLORIDA (Space Above This Line For Recording Data) Warranty Deed (Whenever used herein the terms 'grantor" and °grantee' include all the parties to this Instrument and the heirs, legal representatives, and assigns of individuals, and the successors and assigns of corporations, trusts and trustees) WITNESSETH, that said grantor, for and in consideration of the sum of TEN AND NO /100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, Tying and being in Miami -Dade County Florida to-wit: Lots 15 and 16, less the East 10 feet thereof, in Block 15, of MIAMI SHORES AMENDED SECTION ONE, according to the Plat thereof, as recorded In Plat Book 10, at Page 70, of the Public Records of Miami - Dade County, Florida. TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD, the same in fee simple forever. AND the grantor hereby covenants with said grantee that the grantor is lawfully seized of said and in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said Iand.and will defend the same against the lawful claims of all persons whomsoever and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2009. Book27279 /Page802 CFN #20100312405 Page 1 of 2 IN WITNESS WHEREOF, grantor has hereunto set grantor's hand and seal the day and year first above written. Signed, sealed and delivered in our presence: State of Florida County of Miami -Dade The foregoing instrument was acknowledged before me this 28th day of April, 2010 by CELMAR ROSEN, who [•] is personally known or [X] has produced a driver's license as identification. [Notary Seal] NOTARY PrRLIC•STATE OF FLORIDA "ti Arise R. Weinstein } .s E..j .ires: MAY 13, 2011 BONDED TURD ATLANTIC DOMINO CO., INC. cOw..aeJ Notary Public Printed Name: My Commission Expires: OR BK 27279 PG 4803 LAST PAGE Book27279 /Page803 CFN #20100312405 Page 2 of 2