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MC-10-1602Inspection Number: INSP- 150981 Permit Number: MC -9 -10 -1602 Scheduled Inspection Date: October 21, 2010 Inspector: Perez, JanPierre Owner: HORNBROOK, HELEN Job Address: 125 NE 94 Street Miami Shores, FL Project: <NONE> Contractor: C&R AIR CONDITIONING CO Building Department Comments October 20, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060132880 Phone: 305 -685 -6394 REPLACE 5 TONS A/H AND CONDENSING Passed �1 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 4 of 21 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 125 NE 94 Street Miami Shores, FL 1132060132880 Block: Lot: HELEN HORNBROOK 1 Owner Information HELEN HORNBROOK 125 NE 94 ST MIAMI SHORES FL 33138 -2821 1 Contractor(s) Phone Cell Phone C &R AIR CONDITIONING CO 305 -685 -6394 (954)680-4494 Tons: 5 Additional Info: AM & COND. REPLACEMENT Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: MECHANICAL Fees Due CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $7.20 $2.40 $392.88 $3.00 $9.60 $415.08 Address Parcel Number 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 Taws 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 Phone Pay Date Pay Type Invoice # MC -9-10 -38875 09/08/2010 Credit Card 09/10/2010 Credit Card Amt Paid Amt Due $ 50.00 $ 365.08 $ 365.08 $ 0.00 Applicant September 10, 2010 Date Cell Available Inspections: Inspection Type: Final September 10, 2010 1 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL Type of Work: Describe Work: 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 Job Address (where the work is being done) 1 E y aT City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES Structural Review. $ Total Fee Now Due $ Owner's Name (Fee Simple Titleholder) Phone # 3OS 7S6 71 "/S Permit No. ly I`JIO .002- Master Permit No. Owner's Address 1 D,. Al E 9 4 41— Cityin iQrn I SkOr Cs State j' 1. Zip 33 i 0 3 Tenant/Lessee Name Phone # Email Zip .3313' NO Flood Zone MGME� 0 8 2010 BY: Phone # 46 Lj Contractor's Company Name C / t R ft ;r C 0 r, C' . Co Contractor's Address �j 0 7. !v 1l./ 167 Jr C. - LI City in 1 q kr i State F 1. Zip .7 3 0/ S Qualifier Name 0 b-e rt T , C I P 74 - r Phone # .]0 4 3 9 L( State Certificate or Registration No. CAC 0 6 4 f 4 Certificate of Competency No. 0 4 g 8'09. - 3 Contact Phone E -mail Cq ,1 d & AC C ©nO0tr1 p /I O L o C O Architect/Engineer's Name (if app �bje s � Phone # lik 1 ` � !� e ® 8 Value of Work For this Permit $ Square / Linear Foota a Of Work: New [Repair/Replace 111 Demolition ['Alteration „ A/N + **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** s **** - ********* * * * * * * * ** * * * * * * * * ** * * * * * * * ** * ** Submittal Fee $ Permit Fee $ b € 1 CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: See Reverse side - V `' 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 ontractor The foregoing instrument was acknowledged before me this g The foregoing instrument was acknowledged before me this y day of Se T , 20 10, by , day of S_ t , 20 10 , by who personally known me or who has produced who Asdentification and who did take an oath. NOTARY PUBLIC: Ln"". • • 2419 ra r ; .4 Bwded int, . >,c 40V Sign: Print: My Commission Ex . ires: """• ROBERT J. CHRY u= Cimm # 00 tiatiAidar APPROVED BY Owner or Agent (Revised 07 /10 /07)(Revised 06/10/2009) 4 j4) Ib Engineer to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Zoning Clerk checked UNIT BEING REPLACED - Irvin DATA NEW UNIT E. MANUFACTURER y r 0 w 1416 0 AHU or PKG. UNIT MODEL # C2. H 060 'T I P OG O COND. UNIT MODEL # /A V 1O 10 KW HEAT i 0 S` NOM TONS S AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU 60 CU GO PKG AHU CU PKG 3) VOLTS 230 AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER 3 , o 1 I X. ° YES NO rucchou..ci YES NO REPLACING DUCTS YES NO REPLACING THERMOSTAT CYES ' NO YES NO NEW 4 "CONCRETE SLAB YES + •`> YES NO NEW ROOF STAND YES (jam YES NO NEW RETURN PLENUM BOX YES N •. -' City: Miami Shores Village County: Miami Dade State Certificate or Registration N. Signature AIR CONDITIONING REPLACEMENT DATA Change Disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YE s gnature only) 60 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): 1®1 S NE 9 4 ' Zip Code: ,I 0 6- 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 ALL BMITALS ARI (AHRI) DATA SHEET REQUIRED NO ❑ Contract Attached: YES 1. Minimum Circuit Ampacity (Wire Size): 0 6 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 3. Voltage of Circuit (208/240/480): L i 0 4. Size Disconnecting Means: 60 Contractor's Company Name: C- t R I r CO rd C0 C- 0 a 6 Loq Certificate of Competency N. Date: Q ° 7 Phone: J s C f,1, . 6 3 q C.( © Li g GUVKA4itS 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POUCY NUMBER DATE 1 MIDDD/YY) POUCY EXPIRATION DATE ( D! YY) OMITS ' LTR INSRD A LIABILITY GL00060852 9/1/2010 EACH OCCURRENCE $ 1,000,000 GENERAL X GENERAL LIABILITY 9/1 /2011 PREM18ES PREMISES (Ea $ 100,000 COMMERCIAL 'CLAIMS MADE X OCCUR MED (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: X I POLICY f 128,, I ( I LOC AUTOMOBILE — LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per Parson) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY 1 ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY — 1 OCCUR 1 1 CLAIMS MADE - - EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ A ,, 55728 1 8/31/2010 8/31/2011 1M1TS I X 1 TORY 1 [ ` ER WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERJEXECUTNE OFFICER/MEMBER EXCLUDED? If yes, describe under below E.L EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE 1,000,000 $ E.L. DISEASE - POLICY LIMIT $ 1,000,000 SPECIAL PROVISIONS OTHER rIl - -1 DESCRIPTION OF OPERATI ONS ILOCATIONSNEHICLES/EXCLUSIONS ADDED BY EMDORSEU.EOITISPECIALPROVISIONS I DATE (MMIDD1YYYY) s/ITMIo ACQRD CERTIFICATE OF LIABILITY INSURANCE PRODUCER (305) 714 -4400 FAX: (305) 714 -4401 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BROWN &BROWN INSURANCE -HHA DIVISION HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P B 2500 NW 79th Avenue Suite# 101 Miami FL 33122 INSURED C & R Air Conditioning Company 6073 NW 167 Street, C -4 Miami Gardens FL 33015 INSURERS AFFORDING COVERAGE INSURER A FCCI Insurance Company INSURER B: INSURER C: INSURER 0: INSURER E: NAIC # CERTIFICATE HOLDER VILLAGE OF MIAMI SHORES CITY HALL 10050 NE 2 AVENUE MIAMI SHORES, FL 33138 ACORD 25 (2001108) I M Cn 96 ',Ina, na-, CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE H INSURANCE GROUP /JV1 © ACORD CORPORATION 1981 Page 1 of EITAN PEER, individually and derivatively on behalf of Smoking Everywhere, Inc., v. Plaintiff, SMOKING EVERYWHERE, INC., a Florida corporation and ELICKO TAIEB, individually, Defendants. FTL 107,489,239v1 IN THE CIRCUIT COURT OF THE SEVENTEENTH JUDICIAL CIRCUIT IN AND FOR BROWARD COUNTY, FLORIDA CASE NO. CACE 09- 037294 (21) NOTICE OF HEARING (Special Set) PLEASE TAKE NOTICE that the undersigned is hereby noticing the following motion for hearing before the Honorable Cheryl J. Aleman, Judge of the above - styled Court, in Room 990, at the Broward County Courthouse, 201 S.E. 6' Street, Fort Lauderdale, Florida on a.m. / p.m., or as soon thereafter as the same can be heard, the following. DEFENDANTS' MOTION TO VACATE ORDER DATED OCTOBER 23, 2009 ON OCTOBER 19, 2009 MOTION FOR CONTEMPT / MOTION FOR SANCTIONS I hereby certify that (A) I have made a good faith attempt to resolve this matter prior to my noticing this motion for hearing; and (B) the issues before the Court may be heard and resolved by the Court in ten (10) minutes. Respectfully submitted, GREENBERG TRAURIG, P.A. Attorneys for Defendants 401 East Las Olas Boulevard, Suite 2000 Fort Lauderdale, FL 33301 Telephone: (954) 765 -0500 Facsimile: (954) 765 -1477 ROTHCHILD Florida Bar No. 040596 JUSTIN ANGELO Florida Bar No. 820741 at CUSTOMER 'TAW 1 We hereby propose to: Furnish, install and service the equipment and materials listed below with the conditions and specifications detailed below. e - doo NEW EQUIPMENT System #1 $- 11, `oga J• FPL Rebate (instant) - 1 2. g .C• ® r Total Before Rebate /Tax credit . $ 9 9 4 O . ° Dealer Rebate Ci Or K I A4+61.11.1. rtoeCte o I 0 O. m''' Tax Credit ,, 490.* b Your Investment $ 1 C� Manufacturer Li 0 f rk L L i 0 ." ►; ' czH ®60 M V20 Condensing Unit Model # Air Handler Model # Package Unit Model # Refrigerant Heating KW Btuh S.E.E.R. Warranty .% PURCHASER JOB NOTES CandRa Company C &R Air Conditioning Co. 6073 NW 167 Street Suite C-4 Miami Gardens, FL 33015 -4330 aol.com DADE: 305-685-6394 BROWARD: 954-680-4494 www.CandRac.com PHONE NUMBERS DATE . , HOME WORK CELL Email: R ylo I Ca, 000 17. 1 13 Parts 10 Yr. Compressor LL Yr. 1 Year Labor Er Thermostat S D PD [ Auxiliary Drain Pan ❑ Package Unit Change -out U Existing Reconnection [ Reconnect to Existing System ❑ New Electric ❑ ❑ $ 3oS- 7S9 5090 TOTAL INVESTMENT FPL/DEALER REBATE YOUR INVESTMENT PERMIT FEE NOT INCLUDED $ LI' 1 U. °C) n 1 DATE % l g/) VALID FOR 2 ' E ' S System #2 $- System #3 $- Parts Yr. Compressor Yr. Parts Yr. Compressor _ Yr. 1 Year Labor 1 Year Labor ❑ Ref. Line cover ❑ UNDER CONSTRUCTION EXISTING STRUCTURE ❑ Condensate Line ❑ Fire Dampers ❑ Condensing Unit Stand Air Handler Stand 1 f loat Switch ❑ Concrete Slab ❑ Other ❑ UV Light DUCT SYSTEM ELECTRIC SYSTEM FREON LINES P" $ ��1 S •� f / (Z-SC REPRESENTATIVE ❑ Existing Reconnection 7 a 3 t1 [Ref. lines + ft. A qualified air conditioning expert will start and test the system and explain its operation. This proposal is good for a two week period from date of proposal and at that time is subject to review. Title to the system shall remain in us until all sums due us have been fully paid. In the event the purchaser fails to comply with any of the requirements of this contract and such default results in litigation, the Purchaser agrees to pay reasonable attomey's fees and all court costs and expenses incident to such litigation. Delinquent payments shall bear 1.5% per month interest from due date until paid. All work is to be performed during our regular work hours unless otherwise specified. This contract contains all agreements. Neither party shall be bound by any representation, warranties nor agreements, oral nor written not herein contained. This proposal shall become a contract when accepted by you and approved in writing by our duly authorized corporate officer. We agree to furnish and install the above described labor and materials on the terms indicated below for System # 50% DEPOSIT $ k .2O. 50% DUE WHEN ®a READY TO OPERATE $ — 1 2 % • ti ..� , 1 �1 Crec,. _ �i e Mv_Y e '�� 10 ; � (4114. 0! I e s f r + Certificate of PrOduct Ratings AHRI Cortland Reference Number: 3016555 Dale: 8/12/2009 Product Split System: Air-Coaled Condensing Unit. CDS vnlb Bower Outdoor UMt Model Number: CZN0001 1 Manufar: YORK, UNITARY PRODUCTS GROUP Indoor UM Model Number: IUR Manufacturer: ASPEN MANUFACTURE Trade/Brand names ASPEN Manufacturer responsible for the rating of this system comblnalon is ASPEN MAIIUFACTURING Rated in accordance with AHRI Standard 2101240-21M6 for U Equipment and 1 milked m ded by the Air.Con otnintg• Ms.9ng, � ' r the following product performing* ratings: Cooing Capacity (gy): 00000 EER Rating (Cooing): 13.00 SEER Rating (Cooling): 17.00 A • Mowing d Ming Indicates a voluntary penile d psNawly published deer, unless ■cwranrraa+isd Brier s WAS sttri011 iindaohI en imoM,eliarlr rer d, • This combbudon for a Federal Energy E �when placed In service between Feb 17, 2002 end Dec 31, 3010. DISCUUMER wMYtld9aw guarantees 9114 Y�ilq!nf9 DO I�spcnsbiett tar. AHRI does not endorser one product(s) listed an ells Certrtaab and esebso lip 4 oRY kind 100111 010 011110 d ea► pOOduaK�. a the podud(e) filed en ibis Cerliiwte.AHRI scores* omens alr WRY 1Or dammras Td use or PinfDfinarICe unathorized albaraean d data Sated on Ibis Cattftaats. Certified Minos odd **tor models Wad in the diiedwy al weavohridiadonlr.or9• TERMS b V AND CdNO =Men lo This Cc,1 so ony be used for Individual, personal and cq h entlal reference pu a. n'e This Conrioi and its aotm lo i d, In V P 1i D� he entered into a eoanprAar *Mabee% or olhen+i.s ofltisd, in any bra contras d Mats OatYiwle mind, in wlvaAfi ax in 9�. be eaptOeaead;aaptad•, dariswiwlod: or manner or by soy means, except for the user's ardividual. personal and conlIdeINat referent*. The Alr-Concettaning. Hoot and � loan 101 I tee medal dieedd on Oda as deaare ors be sealed at woe e.shAArvabyo'g. c on tin 4et.i an Institute 'Vert, certificate" link and enter the ANRI Oediliied Reference Number and one date on which one aoNticete wad hawed, valid! is Soled above. end the Gerellice s No.. %ouch le Wed below. 2009 Air- CondIbning, Heating, and Refrigeration institute CERTIFICATE NO.: 1289158533615774W COMMONWEALTH LAND TITLE INSURANCE COMPANY c/o William R. Clayton, Esq. Greenberg Traurig P.A. 401 East Las Olas Boulevard Suite 2000 Ft Lauderdale, FL 33301