MC-08-1881 (o ' s
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Miami Shores Village
10050 N.E. 2nd Avenue i 7
Miami Shores, FL 33138 -0000
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r
Phone: (305)795 -2204
r Expiration: 06107/2010
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Project Address Parcel Number Applicant
45 103 Street 1121360131110
Miami Shores, FL 33138- Block: Lot: DUBY AVILA
Owner Information Address Phone Cell
DUBY AVILA 1111 CENTRAL Avenue 7861399 -4621 <°
KISSIMMEE FL 34741-
-"_
Contractor(s) Phone Cell Phone Valuation: $ 2,400.00
ARR AIR CONDITIONING
Total Sq Feet: 0
Tons: 4 TONS For Inspections please call:
Additional Info: A/C REPLACEMENT
(305)762 -4949
Classification: Residential Available Inspections:
Approved: In Review Inspection Type:
Comments: Date Approved:: In Review Ventilation
Date Denied: Type of Work: Final
Rough
Hood
Rough Duct
Smoke Test
Duct Detector Test
Fees Due Amount Invoice # Total Amt Paid Amt Due
CCF $1.60 MC -12 -09 -36610 $ 315.80 $ 315.80 $ 0.00
Education Surcharge $0.60
Permit Fee - Additions/Alterations $154.00
Scanning Fee $3.00
Technology Fee $2.40
Work without Permit Fee $
Total: $315.80
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated.
January 11, 2010
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
January 11, 2010 1
Miami Shores Village
Building Department
>0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING Permit No. �CJ
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type Mechanical
Owner's Name (Fee Simple Titleholder) 004 AV % IrA Phone # IoIO� O
Owner's Address \% %% V C.tLrA r0a Qc je.
City �t.�i g�S i e-A �yC ,G State `F ` Zip
Tenant/Lessee Name Phone #
E -MAIL: 1
Job Address (where the work is being done) '^1 U W \03 t' A ('3
City Miami Shores Village County Miami -Dade Zip
FOLIO 1 PARCEL # ►\2 % 60 t 3t \ ► O
Is Building Historically Designated YES NO
Contractor's Company Name A9,44, A L` , Phone #
Contractor's Address 7: W Q"1 c5 r
city oxe-.G�t'A State t Zip
Qualifier Name A mona
State Certificate or Registration No. GASC.. \,$ ® ` DS A Certificate o Competency No. �►� `AICI ► "
E -MAIL: 1L,Cy�Q►]c•�cSiryU �"F+�t��, \t�J\nn . �1edC ® �G� � _5
Architect/Engineer's Name (if applicable) Phone !#
Value of Work For this Permit $ C30 Square 1 Linear Footage Of Work:
Type of Work: ❑Addition ElAlteration ONew Repair/Replace ❑ Demolition
Describe Work:
�n, LA
Submittal Fee $ Permit Fee $ 1 CCF $ I • vv�� ^
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ ee Now Due $
See Reverse side -+ <�v
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09
1011912000 21:58 3058881580 ARRAS CORPORATION PAGE 0110,90
ftndurg Company'0NaanE (if spplicable)
Bondiffg CompWs Address ZIP
city swr
Wrtpp lAftdCe5Nt'tt>1 (if appl able)
Mortgi p LevcW s Address �
City
Application is hereby made to obtain it peM* to do the W0* and h1sWiatioos as indibsmd. I 3' tt no work or installation bas
comrnbnce6 prior to the im mm of a permit and VW all wank Witt be patmed to mod the stfdards of all Ina rogwaft
cor►srltuc don in this jurisciictiotf. I rmdwAw d that a separate permit must be smmd fOr BLWMCAL WORK. PLUMBING, !U GN%
WELLS, PC7=,'FI7kl<1At 'i, BCPCGBRS, H$A'1 ERS, TANKS and AIR CONi MOM , LTC.....
OWM)s S AFMAVIT. I wdfy that all ft Jbm8 irlg inferuvW0n is w=06 wo tbg atl work vM ba cites in eampliwm with 911
appticabie caws �S wommion and wninS.
- WAi?.WG TU OWNM YOUR yA'nXn TO R=RD A NOTICE OF COMMENCiEN W MAY RWWLT IN YOUR
pAy
WNSULT WY QU i Mn 4 TO NR, ox�BUM INC YOUR NOTME OF
Natlsti to dppliciantr As a avxdHon to the is0092 Of 4 boil pct If with an estllnatsd "114 'W'* $'251;( the OXlicam tryst
pvmkse in good fault that a cup of the natice 4 commencrosm asd cai�4A►W010x NO law bracfw will he >«3 t o the PM 46 M
rghosa prr terry is stshji ct w atiaiehmeict ,41sa, a r�rt ed copy it} tfs tx�carded nvtir:e of cottfinen� » ref fie pasleci at ft job site
for she jbw mrpwion which toeu - M drys• after fife lurft ng permit is ftwed In aW of stick pared txtrtica, dw
Inspactioft w1a rd be eprovgd arid a reiWactionfea wiff be choMed
SiSttattixe� ' 3i —
O� r Amt
The for egoing lash mr+errt was aekutpwiedged before rae this LO The it -sfrur = was acktiowl C14fGf the thfs Za
dayof , 20c4,1'y �4 l�b�l Aui \O�_ dRY .� -- �2D
who is p 1}y' istfgwn is me or w1f41uis pflnd d� _ who i5 personally knom to HISS by Who has prbtlnce4
As id 9a identif sat3brl and wha
1411' COMf4IISSI0N # DD643660 NOTAX LIC; ` � My AMS ON DD64�
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f�fr9xt�rete�, 4art��, r�Ieslrt�aie, S9rhkaSes�Ieve�i ,k4+,�k�a�e�aenwsa►�e* rew, era *.�es9,t6wsst�,��e4,t,r��r, taxi ,ak,sx,>:,tlss#,4�,�Hsairra
A,PPLICATfCJN APPROVED BY: P1SnI in�t
Zoning
ttwism NMI
l 'd �SCS 'ON '0 'A 'P[ !AV Agn0 WdSB :1l 8001 '01 '100
ARRAS AIR CONDITIONING
291 W. 27 Street
Hialeah, Florida 33010
Tel. 305.888.8184 ♦ Fax 305.888.1980
arrascorp @arrasac.com ♦ www.arrasac.com
Proposal Submitted To: Duv' Avila Date: 10 /13/09
Address: Phone:
Fax:
Project Name: Avila Residence Phone:
Address: 45 NW 103 Street Fax.
Reference: MC10
Architect: Phone:
Scope of Work:
1. Replace one Ruud UANIC048JAZ/UHLL- HM4821JA 4 ton„ 14 SEER split system
2. Permit
3. Permit exWZ ing
TOTAL: $ 4,400.00
Exclusions: Unless specifically stated above, kitchen hoods, test & balance, demolition, wiring of smoke detectors, low
voltage wiring, structural supports and/or structural load calculations (for rooftop units, M any), fire stopping,
netratio and of penetrations not included.
Proposal based upon dmwing(s) M -1 through i14 =n/a on puns wed da . Any materials or products (and/or hdw associated with these)
that are not included in said IMiM are not included in
W e Propose bereby to famish material and labor- oompiere in accordance with above specifications, for the sum of Four
Thousand Four Hundred Dollars $ 44WA0 .
Payment to be made as follows: Momhly draws for percentage of work completed bated upon pmdd mined Schedule of
Values.
All materrat is gammnteed to be as wed. AR wank to be completed in a Authorized
workmanlf'ke manner according to standard ptctices. Any atteralum or Sigrtatare:
devmfion from above � involving , ousts vA be exew� only
upon written ondas, and wffl become an extra charge over and above the
estimate. All agreements - mmsent upon &&es, wa or delays beyow our Note: This proposal may � bewiM&draw"n by us if not
control. ow= to carry ft tetra& ant o&w nx=sary m m = Our acCegted within 30 days.
workers are fidly covered by work s Compensation hnimance
Acceptance of Proposal _ The above prt", signature.
specifications and conditions are satis&ckwy and ate hereby ac oepted. You ace
authorized to do ft work as specified. Payment will be mate as mall ed above.
Bate of Acce farce:
Please review, ftq where indicated, and return by facsimile to: 305.888.81 5
Of Rovida—
D OW =£ —
Arras Air Conditioning
Jan.11. 2010 11:46AM ABS INSURANCE LLC 3057157227 No.6483 P. 1
ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDlYYYY)
01111/2009
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
A.B.S. Insurance Consultants ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
11402 N W 41st Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 213
Miami FL 33178 INSURERS AFFORDING COVERAGE NAIC #
INSURED Arras Corp. wsupgpA. American Vehicle Ins Co.
dba Arras Air Conditioning INSURER B:
291 West 27th Street R R G:
Hialeah FL 33010 INSURER 0:
I
COVERAGES NSURER E:
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 R58PECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PCRTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TIERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
M DD' POLICY EFFECTIVE_ POLICY EXPIRAT N TYPE OF INSURAUft POLICY NUMBER LIMITS
GENERAL UA131LITY EACH OCCURRENCE 1 000 OOO
A X MERCIALGPNERALLIABILITY GL- 0504001471 -00 5 -12 -2008 05 -1Z 2010 DAMaoET ERENTED 100,000
CLAIMS MADE rx OCCUR MED VP (Any one eraw 6 O00
PERSONAL a ADV INJURY t1,000
GENERAL A RE s 2,000 000
ftlsil AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPJOP AGG s2.00O
X POLICY f I PRO 1 p
AUTOMOBILE LIABILITY
COMBINEO SINGLE LIMIT $
ANYAUTO (Es aoddenp
ALL OWNED AUTOS
ROD IL fffan) Y
sCHEOULEDAUTOS $
(Per parson)
HIReD AUTOS
910DILY INJURY $
NON.OWNEO AUTOS (Peracadeng
PROPERTY DAMAGE E
(Persoaden0
GARAGELUV3111TY AUTO ONLY• EAACCIOEN T $
ANY AUTO
OTHER THAN EAACC
AUTO ONLY: AOO
El(CESSfUMBRELLALIABHITY EACH OCCURRENCE f
OCCUR CLAIMS MADE AGGneOATE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND OTH-
EMPLOYERS! LIABILITY
ANY PROPRIETORMARTNERIEXECUTM E.L. EACH ACCIDENT
OFFICERIMEMBER EXCLUDED?
I( yes, deeodbe under E. DISFASE - EA EMPLOYEE
SPECIAL PROVISIONS below
OTHER E.L. DGSEASE . POLICY LIMIT E
DESCRIPTION OF OPERATIONS I LOCATIONS / VEH(CLBB — EXCLUSIONS ADDED BY ENDORSEMENT I SIDMIAL FROVIlMoNe
305- 796 -2204 F - ,954- 885 -6555
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OP THEABOVE DESCRBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Miami Shores DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
10060 NE 2nd Ave. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO $HALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
Miami Shores, 33138 REPRESENTATIVES.
AtITHORQED REPRESENTATIVE <DA>
ACORD 25 (2001109) •
0 ACORD CORPORATION 1998
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -98389 Permit Number: MC -10 -08 -1881
Scheduled Inspection Date: January 14, 2010 Permit Type: Mechanical - Residential
Inspector: Perez, JanPlerre
Inspection Type: Final
Owner: "ILA, DUBY Work Classification: A/C Replacement
Job Address: 45 NW 103 Street
Miami Shores, FL 33138- Phone Number 7861399.4621
Parcel Number 1121360131110
Project: <NONE>
Contractor: ARRAS AIR CONDITIONING
Building Department Comments
REPLACE 4 TON UNIT
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
January 13, 2010 For Inspections please call: (305)7624949 Page 31 of 31