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MC-06-2882 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 138268 Permit Number: MC -11 -06 -2882 Scheduled Inspection Date: March 18, 2010 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: JONES, WILLIAM Work Classification: Repair Job Address: 379 NE 94 Street Miami Shores, FL Phone Number Parcel Number 113206013613 Project: <NONE> Contractor: SERVICE EXPERTS LLC Phone: 305 - 264 -2020 Building Department Comments CHANGE OF TWO A/C SYSTEMS / lo Inspector Comments Passed 91 Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 17, 2010 For Inspections please call: (305)762 -4949 Page 18 of 20 I a_ Miami Shores Village�'�` Building Department KAR 1 2010 10050 N.E.2nd Aven ie, Miami Shores, Florida 33138 Tel: (305) 795. 204 Fax: (305) 756.8972 BUILDING Permit PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: MECHANICAL Owner's Name (Fee Simple Titleholder) # Owner's Address 3 City 14446 51'o&zj S to Zip r 3 Tenant/Lessee Name N Phone # Email Job Address (where the work is being done) 1 7q & qq City Miami Shores Villagg County Miami -Dade Zip FOLIO / PARCEL # ( r to Is Building Historically Designated YES J10 Flood Zone Contractor's Company Name - CQe C. A * Phone # 3 ' 2 T ' 2 Contractor's Address j U) rr�- City Statg L _— Zip — 3 3 19 2- Qualifier Name v Phone # 3 6 5 ' )- - 0 State Certificate or Registration � NAo�.L 4ZEertificate of Competency No. Contact Phone 3 �" T E �'® mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ®Addition ❑Alteration E]New ❑ Repair/Replace El Demolition Describe Work: G U-0 Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side i Bonding Company's Name (if applicable) Bonding Company's Address City State Zip r . Egage Lendeq, Na. e applicable) � a , Vic ilgage 4e00er' Ad e-s 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. W. 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. ' � c Signature Signature Owner o gent Contractor The foregoing instrument was acknowledged before me this -o— The foregoi .� by instrument was acknowledged before m of � day � f P�r>w J ° day o 4 Y who is personally'known ee or has produc �,+ L who is p rs ally known to me r who has produced -� 7�• o • i4 As identi �catron an who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: °, NOTARY P Ll ° 0 Pft JESSICAA008TA * MY COMMISSION I DD U4414 Sign: °t EXPIRES: May 13, 2013 SE VIM Sign: Print: Print: AT Paw. ,re W%A iMeTA My Commission Expires: My Commission► S* WCOMMISSION0DIM14 EXPIRES: May 13, 2013 q��� °` dThru Bum N� Sew APPLICATION APPROVED BY Plans Examiner Zoning Engineer Clerk checked (Revised 07 110107) Ac'®Rn` CERTIFICATE OF LIABILITY INSURAMCg °� V912010 PRODS LOCKTON COMPANIES, LLC -N DALLAS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 717 N. HARWOOD, L3#27 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DALLAS TX 75201 HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 214-969-M ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Snvice Eaperle LLC aka SVE of Miami ONRH* R A: ACE American Insurance Comatay 22667 1317819 1521 NW 84th CL INSURER B Indarquity Insurance Co ofNor(h America 43575 Dural FL 33172 INSURER C: Everest National lasmance 222M 110120 INSURER D: INSUI?ER E COVERAGES LENUM Ll TIC au7iW19�R m CR DECER76=7EHOLO A. 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 SUB.IECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRE TYPEOFWSURANCE POLICYNUMBER " CY P 1nM LINITTS GENERAL LVUMM I = OCC RRENCE 1000 000 A X COMMIErtC1ALCiENL3tALL1A�LITY HDOG24933180 7ID2009 7/1/2(110 PREM� R $ 1,000,000 CLAIMS MADE a OCCUR MED EXP A ow pmw $ Excluded PERSONAL BAINPLIURY $ 1,000,0011 GENERAL AGGREGATE $ 3,000,000 GENL AGGREGATE UNT APPLES PER PRODUCTS- C OMPIOP AGG $ Excluded X POLICY JECT I ILOC AUTOMOBILE LIABIUn A X ANYAUTO ISAR0858025A 7/1/2009 7/1/2010 COM&N ®SINGLEUMff $ 2'004'000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (P -P—n) $ ,�OII L X HIRED AUTOS a BODILy pkg Y $ X NON -OMdED AUTOS PROPERTY DA (P- accident) MIAGE $ 300c= GARAGE UANUTY AUTOONLY -EA ACCIDENT' $ )DCKXXXX ANY AUTO NOT AFFLICABLE OTHER THAN EA ACC $ )Ix AUTO ONLY' AGO $ XI's EXCESS r U611StEL1 A LIA&UTY EWM OCCURRENCE $ 5.0 00.000 C X OCCUR F CLAIMS MADE 71G7000121091 7/1/2009 7/1/2010 AGGREGATE $ 5.000 UIMBRELLA $ )DOCK 70C DEDUCTIBLE El FORM $ RETENTION $ $ X)OCK = WORIERSCOBIPEIIS -ION WCSTATU E B AND EMKOYERV LIABILITY y / N WLRC45701049 (AOS) 7/1/2009 7/1/2010 X ARM • ANY PROPRIETORIPARTNEIVE7E0LITNE WLRC45701050 (AZ, CA) 7/1/2009 7/1/3110 E I EACH Auer $ 1,000 000 • in mq EXCLUDED? SCFC45701062 (WI) 7/1/2009 71112010 EL DISEASE EA EMPLOYEE $ 1,000 Itpyea� desdlDaur�r SPECIAL PR(AlIS1oNS t ebw EL DISEASE - POUCY LIMIT $ 4000,000 A I OTHER BDOG24933192 7 /IrIM 7/1/2010 HeaL0ccuramvLimrt$3,000,000 Genial LiabiMy Aggregate Limit $10,000,000 ahx /camp.Op -.) DESCRIPTION OF OPERATIONS I LOCATIONS I VENICIM I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 107/4601 SWULDANYOFTHEABOVEDESCRMEDPOLKZ813ECAKCELLEDBEFOREIMEXPRA790M Village of Miami Shores DATE THEREOF, THE isstmis owuFm WB.L B+tDEAVOR TO MAO. 30 DAYS WRITTEN Mechanical Div. Build dt Zoning NOTICE TO TTRECERTFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL 10050 NE 2nd Avenue Miami IMPOSE NO OBLIGATION OR UaBO.IT1f OF ANY ImCD UPON THE INSURER ITS AGENTS OR Miami Shores FL 33138 R®RE89trATIVES, AUTHORIZED RI THE ACORD 26 (2009101) C 1988-2009 ACORD CORPORATION. All d" reserved. The ACORD rmw and logo are registered marks of ACORD Fa I MWOM fIft &,W a I% eyedramcoat'LEFID . MIAMI -DAD TAX COLLE 140 W. FLA 1st FLOOR MIAMI, FL 3: 44262 BUSINESS N, SERVI 1521 33172. OWNER SERVIG Sec. Type of B 196 SP.E..' THIS IS ONLY A i BUSINESS TAX RECEIPT DOES NOT PERMIT. <: HOLDER TO VIOLATE'NMY. ZONINO LAWS THE DO NOT FORWARD COUNTY OR CITIES. NOR. :DOES IT EXEMPT THE ..HOLDER FROM ANY OTHERS PERMIT OR LICENSE " REQUIRED BY LAW. THIS IS'I NOT A CE TION SERVICE EXPERTS LlC RTIFICA AF, THE HOLDER'S QUAUFI,,, JIM MI SHLER PRES 3 ' 1521 NW 89 CT MIAMI A REC EIV ED NTYTAX DORAL FL 33172 ti COLLECTOR: 09/25 090102 0, 0000M 1 „ 11►►,11,►► 111111► 11► 1► 41 ►i ►{11111111 ► ►►la ill � I SEE OTHER SIDE AC# f + 1 r•) s€I "(.' iC cl ':i DEAR ESSIONAL REGULATION `d R L ENSING BOARD SEQ# L080729010$2 0 7. 29 2008 086000581 CA 18 il-kl :2 The. c A B <..,� s T R t R ! a be sw 'S Yr thp. pis e€,<':h E3Epiratiou d i;'t4 'AUG 3�;' 20. CREVIS'(3N I:;s.;�' .• ;°, SERVICE HR f L 2.05 • S .WXAM:AtD ":fit �•� -- MELBOURNE ,, ,m:{• FL F M C3ARL CSIS'�' i� , `( CEC7CK DRAGO C dVTOI`t`t INTERIM SECRETARY r, f .:.• IRM� Y LAW s CFN: 20100169676 BOOK 27213 PAGE 790 DATE:03115P2010 09:41:17 AM DEED DOG 5,550.00 HARVEY RUVIN, CLERK OF COURT, MIA -DADE CTY Prepared by and return to: Halzli and Associates 1111 Lincoln Road Suite 4011 Miami Reach, FL 33139 (3615) 5_48 - 1765 File No.: 10 -0007 WARRANTY DEED 'this indenture made on March ?Z , 2010, by Robert G. Ilawk, a single man � u�AA whose Address !S: S Lt1 Si+ sr. . M Wl �NpgrS VoL 33i- hereinafter called "Grantor", to William J. hoses whose address is: 379 N.E. 94th Street , Minted, FL, 33133 hereinafter called "Grantee ": (Which term3 "Grantor' and "Grantee" shall include singular or plural, corporation or individual, and either sex, and shall inchide heirs, legal representatives, successors and assigns of the same) Witnesseth, that Grantor, for in consideration of the sum of'1'en Dollars, ($10.00) and other valuable consideration, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto Grantee, all that certain land situate in Miami-Dade County, Florida, to-wit: Lots 15,16 and 17 inclusive, of Block 45, of AN AMENDED PLAT OF MIAMI SHORTS SECTION NO. 1 according to the plat thereof, as recorded in Plat Book 10, Page 70, of the Public Records of Miami -Dade County, Florida. Parcel Identification Number: t 1- 32116 - 013 -6130 Subject to all reservations, covenants, conditions, restrictions and easements of record and to all applicable zoning ordinances and/or restrictions imposed by governmental authorities, if any. Together with all the tenements, hereditanients and appurtenances thereto belonging or in any way appertaining. To Have and to Hold, the same in fee, simple forever. And Grantor hereby covenants with said Grantee that Grantor is lawfully seized of said land in fee simple; that Grantor has good right and lawful authority to sell and convey said land; that Grantor hereby fully warrants the title to said land and will defend t:ie same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except taxes accruing subsequent to January i "., 2U 1 ti. 1:1. rA nr?tii)- Warrmnly Individut Ian By Spouse Rev. March 8, 3010 Pagel 02 File No IA000i ��`i` GFN: 20100169676 BOOK 27213 PAGE 791 In Witness Whereof, Grantor has hereunto set their hand(s) and seal(s) the day and year first above written. Robert G. tialivk �S e� seulct Stu't�r:liverer7irlrnernrvsetvcn r _ Wi Sign i� Witness Signature Print Na ne: _ C2 1 f -' Print Name: State of Florida: County of Miami -Dade: Sworn To, Subscribed and Acknowledged before 'me on 3 qe; -s=--nse U by Robert G. Hawk who isiare persona liy known to m e or who has/have produ d iced a valid ri as Notary Public Z it 1fP iL D Printed Name of Notary My Commission Expires: W ^u Notary Public State of florfda tr � Mack D 8alzti +�fj� mo My Commftm DD678768 `QF6La E>pW" OF 2840' 1 f 1 Fl. FA :7F.j)- W,trranry Individual Juir By Spouse Rev. Mmh8, 2010 Page - of- I Fit--Nn.: 10A007 I r NOV Miami Sh res Village 3 o Zoos Building 'Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.22 4 Fax: (305) 756.8972 BUILDING c* Permit No. 4� PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) be r K Phone # Ow 3 ner ddress l N City Qh-1 Si�YQ $ate L" Zip TenantlLessee Name Phone # Job Address (where the work is being done) 3r19 OF— 9 City Miami Shores Village County . Miami -Dade Zip FOLIO / PARCEL # - 320 • O 0 0 Is Building Historically Designated YES N Contractor's Company Name SGrVI Ce. Phone # 3o S ' 4 •ZO 7- Contractor's Address 5 21 X) k) ♦ 2. City State ^ Zip 3 3 I ,/ Qualifier Name NN 1 �J ev j 5 iv' j Phone # 3 0 S ' 2 (0 4 • 10 Z State Certificate or Registration No. � j f �' Tw Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 3 3 2— Square / Linear Footage Of Work: Type of Work: Addition Alteration New (�, Repair/Replace ❑ Demolition Describe Work: C D '! a L A S. t L nf, 47- A 4 Q 3 0 PA - 51 P 4 .0 13 b v6A -S A 13 - 0 48 2.30 El �A C 1-3 (v 0 - X30 i Submittal Fee $ Permit Fee $ j,00 CCF $ C) - 40 CO /CC Notary $ Training/Education Fee $ - Technology Fee $ •CO Scanning $ Radon $ D BR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 4 ( 19 - -A See Reverse side -� a. 1 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, PLi_ MBDIG, 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 $2500, the applicant must promise in good faith that copy of the notice of commencement and construction lien law brochure will be delivered to the person _ whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posied ai the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspec 'on fee will be charged. c Signature Signature Owner or Agelt Contractor The foreg in instrument was acknowledged before me this 3 The forego' trument was [[ac,,��knowle�dge�d' before i this day of.h 20 ? by P b e r'-� f4 at 1 )1� day of . 20 0 ` 9by �n+lVi 5 C � '�t;S me who is personally known � 2:- r roduce ��. � wlo h p . who is p nally kno a or who has produced As idetification and who did take an oath. as identification and who did take an oath. NOT PUBLIC: NOT LIC: � PUg�� JESSICA RAMOS ' ' * MY COMMISSION # DD 415483 oa► ;PU SICA RAMOS * MISSION # DD 415483 Sign: EXPIRES: May 13, 20� MY cOM Sign: 2009 P� t ArEOFF�� OF� �° BomledThruBudg9tNo�YServi�e My Commission Expires: My Commission Expires: An�r4eY4rY4esY4eY9r$ e3rats' t�YaYs F9rde�4e4eNtrYoYY*& aYsYY# 4eaYF4eYnY9eYicsB t9e4r9e* 9e9e��t9eY3eY1kY9e9eYYte9e9r9riraYs k4rY�a ae�4r4eArsY9e& 3esFSes Uie3e9e9ritr9esYSaYY 'ra:4s>tix�4stiF �: APPLICATION APPROVED BY: 11 �' Plans Examiner Engineer Zoning (Revised 02/08/06) ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL ITEM UNIT FEE ITEM MIT FEE ITEM !T FEE BATH TUB SWITCH OUTLETS SPACE HEATERS 'ZO BIDET LIGHT OUTLETS CENTRAL HEAT ©ISHWASi1ER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN AKIVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP NOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEWORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER-NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4" TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING 305499 -1630 - FAX: 305- SM1635 1521 N.W. 89th Ct Doral, FL 33172 Pro oral /Agreement CACi (�I�Isa AH - Customer Nme L/a - • fz- pate Street !?*"q Iva, -yo - , - f • Street City, State, Zip friar a . re City, no. Zip t Phone Phone et for your home T rdance �i the co dit�rs and s nder warranty (stated below} Seroiq products or n i equip - me pecilit�tiorrs set tbrth in this proposal. N9W EQUIPMENT Air QondNorrbrg - Sloe M.W j 6yns A _ seer / fL * Air Handler - shoe Kw Motel a OH 0 Package Una - Sias Model KW Sew' O Hot Water Recanq Unit Q Hth Eftlenq Mena F41er O U.V. Desttoyer CI Adis inewetol 0 Air Cleanser C3 Dynaft Air Rter DUCTWORK/AIR DISTRIBUTION Cy New &** GdWs) end associated ductwork O Duct g mad r ftft g O New Return GM9(s) and - sociaad duclwak Cl New Air Handler plenums C] Complese soppy ak inenk ay8fem wflh ON nrqutred INN NA O 13aWroe & distributer eyaWn for W401, wmperaerrr•. end relplm d„�wak O pmd meeft Wei appftfflon CI Now ducf(s) **W Cans OF grilhN � i 6 S Aj,ekt��Bs[f PIPING t7ipd�taed r�iigerard Nees w91 em allex Inablion tr � t DAraftctu ral eoaerior eddgm Nns erclosu e dratrh pan a nd lived swibolr 0 drain ct3ms'shipm oorerec= ___ - •• i Clean a d* g condensate drahr a aim Ad 54X I ( '�-- r' a • . INSTALLATION ��r�� U JL.ysf F� csir•.rllr�+ S M wok done In aooadwoe w9h &M codes a' Ownpisis � � � use of omp 2 m9 t � work performed in a rrao and marmt�x by d axis" "Offem flan p Class 1 Cert>fled Techn Million g slwcic edbeorbers 0 Ruslivool Pre et conemle slab O Otter Ci la rw fo r to n4 log * °� c?•4 ELECTRICAL/CONTROLS � ,4'r OMercuryJrtlagr011c flue funmlon =&V drsmwdat ®V ®H C] t.rwwvoliage control w O Proms drern odat 0 Hard slarl Idt O NON eN�oo�r herbed dew r (s) with disc urea C] De hurt 1i�j� Tttemtosto job owidull and cameos ad taxes ` �flrrre D�aj/ Q Comfort Central 0 Irk row Amp, electric service and panel "no r D HorteyweN Round O E 1 di9oatrtect C3 A H U. O Cot t. GUARANTEES / I Zi2„a .(► ••rti jj:. oneyr� yr O bar yr 0 one yr O 1] ton yr O ate yr ;fire yr ❑ ton yr O one yr 0 five yr C1 ton yr unit Ch am yr O that yr O ten yr U one yr O ff as yr O ton yr comm mm a arm yr O fltra yr tdoth,r4a L . 73 . TOTAL INVESTMENT t6 C1 VISA O MC C] AMEX Epokst on Datm: LESS CREDRS 0 other— DOWN PAYMENT Credit Card If: 134ANCE ON OW@1 ON , , d3 . campm Approval — App Z •. -._.. Data Date PLEASE PRESS HARD WHEN WRITING White - Customer copy • Yellow -Accounting Dept. Copy • Pink - Production Dept copy NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION GF14 - 200 rRI PERMIT NO. TAX FOLIO NO. ] k 320 (#• W 3 - G i :a o OR Sk 25101 Ps 3214; Ups) RECORDED 11/1612006 10:12:44 HARVEY RUIVIN► CLERK OF COURT STATE OF FLORIDA: MIAMI -•DADE COUNTYr FLORIDA COUNTY OF MIAMI -DADE: LAST PAGE THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of pr perty and street/address: taAv�t 3 V-W 2. Description of improvement: c, s �•�'e.�.�t g 3.Owner(s) name and address: 4 - GNU 3 N � —��`� wl�►'� � Yr�s fit- 33t 3� � Interest in property: Name and address of fee simple titleholder: 4. Contr nt' =am and a ddress: V1 CR. Y' 52.1 Nw 5. Surety: (Payment bond required by owner from cont,04, E�° '_ ' f „ ' Name and address: '�, .. Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon hom no ther documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a diffe nt a is specified] Signat re of Owner Print Owner's Name � -1"-F 7{t Prepared by V - Ramk7S Sworn to and subscribed b fore me this day of NOV , 2090 SI?e6 Cp , —�tI �,Q,y► -.�c Address: ��JZ� gq Q Notary Public AI MY �L -3 ( T- ;z * * 41�41W .Print Notary's Name . My commission expires: Miami Shores Village 10050 N.E. 2nd Avenue also Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -0972 R Permit Permit Status: APPROVED Issue Date: 12/5/2006 Expires: 06/03/2007 Permit Number: MC -11 -06 -2882 Owner's Name: MARGARET ANNIS one: Permit Type: Mechanical - Residential Parcel M 1132060136130 Work Classification: Repair Block: Lot: Job Address: 379 94 Street NE Section: PB: Miami Shores Village, FL Contractor(s) Phone Primary Contractor Total Square Feet: 0 SERVICE EXPERTS LLC 305 - 2642020 Yes Total Valuation: $ 13,332.00 Re uired Ins ctions Additional Information Final Tons: MECHANICAL Additional Info: Classification: Residential 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. Fees Due Amount Invoice Number Amt Due Amt Paid CCF $8.40 MC -12 -06- 26921 $492.47 Education Surcharge $2.80 Total: Permit Fee - Additions /Alterations $466.62 Scanning Fee $3.00 JAN 2 9 PAID Technology Fee $11.65 usaTotal: $492.47 (� Building Department File Copy NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER WA4� GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Applicant Signature