MC-10-1189Project Address
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
Contractor(s)
ARCON A/C INC.
Phone
305 -642 -1614
CeII Phone
Fees Due
CCF
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$4.20
$1.40
$245.00
$3.00
$5.60
$259.20
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Address
Parcel Number
10300 N MIAMI Avenue
Miami Shores, FL 33150 -1254
1121360131020
Block: Lot:
MIKE SCHMIDT
1
Phone
MIKE SCHMIDT
P.O. BOX 11438
FT. LAUDERDALE FL 33339-
(305)299 -1255
1
Tons:
Additional Info: AFTER THE FACT
Classification: Residential
Approved: In Review
Comments:
Date Denied:
Scanning: 1
Date Approved: : In Review
Type of Work: MECHANICAL
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC -6 -10 -38299
07/08/2010 Check #: 7709 $ 259.20 $ 0.00
July 08, 2010
Date
Expiration: 12/27 /2010
Applicant
CeII
Valuation:
Total Sq Feet:
$ 7,000.00
0
1
Available Inspections:
Inspection Type:
Final
1
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.
July 08, 2010 1
Inspection Number: INSP - 147194
Scheduled Inspection Date: July 13, 2010
Inspector: Perez, JanPierre
Owner: SCHMIDT, MIKE
Job Address: 10300 N MIAMI Avenue
Miami Shores, FL 33150 -1254
Project: <NONE>
Contractor: ARCON AIC INC.
Building Department Comments
July 12, 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 Number: MC -6 -10 -1189
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number (305)299 -1255
Parcel Number 1121360131020
Phone: 305 -642 -1614
CHANGE OUT OF EXISTING A/C SYSTEM ITH EQUAL
COOLING CAPACITY SYSTEM, BUT MUCH GREATER
ENERGY EFFICIENCY.
') o
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 10 of 17
��d+
74A- g ‘s -zz
1
71� Fkl?t14
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder))
Owner's Address IN /
City /O . /" 'd State
Tenant/Lessee Name N/A—
Architect/Engineer's Name (if applicable) A) Phone #
7
Value of Work For this Permit $ /`'' Square / Linear Footage Of Work:
Miami Shores Village
Building Department
/0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
['Alteration
❑New
DPBR $
Double Fee $
Total Fee Now Due $
IVECZIIVIER
JUN 2 B 2019 VI
BY:
Permit No. r C 1 0 11 g
Master Permit No.
Sc k Phone # �° g'9 ? a55
/�.. Zip /50
Phone #
Job Address (where the work is being done) 1 03 00 N. 4_l' I Q,)9 4'e.
City Miami Shores Village County Miami -Dade Zip ' / t
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name 412--C .oN 4c.— MC Phone # 506- ) 2 /j/ •
Contractor's Address 7.:10 C1nl e `° Aire".
Cit r'7 ®� % state f L. Zip 1, 0/
Qualifier Name k /emc C J Phone # 2,Z) y 5 2 / 21 � p.�,
State Certificate or Registration No. e Ce rtificate of Competency No, l ,� * Tay ' (00 iJ"l' K•r'r 1
I air/Replace ❑ Demolition
Type of Work: ❑Addition
Describe Work:
***************F � �r w, " , �r a �r�r//r�, , , , ��r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�rar�r�r
Submittal Fee $ Permit Fee $ a 4 toe CCF $ "1' Z® CO /CC
Notary $ Training/Education Fee $ I 40 Technology Fee $ 5 (00
Scanning $ 5' en Radon $
Bond $ Code Enforcement $
Structural Review. $
Zoning $
.20
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 A14} 'DAVIT: 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 certi:ed copy of the recorded notice of co< <. . 'ncement must be posted site
for the first inspection which occurs seven (7) days after the building permit is issue' h a,sfe of s; - �h %sted notice,'' he
inspection will not be approved and a reinspection fee will be charged.
( /4L. Signature D� /� /v(� TC/, Signature
Owner or Agent
The foregoing instrument was ackn
day of
who is
NOTARY PUBLIC:
Sign:
Print:
My Commissio Expires:
****************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
(Revised 07/10/07)
2 d ay of 20 ® by
who is p
L
F
e me this . The foregoing instrument was ac
ed before me this
as l'4
onally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:1�. yV►
/ � .�.'�i E•ld'�uli�¢' F iS1�
My Commis o .. �
*** **a****** *r *** *,r,r,r*, ***
v
fans Examiner
Engineer
Zoning
SEE OTHER
DO NOT FORWARD
ARCON AC INC
JORGE CRESPO PRES
7880 W 20 AVE 835
HIALEAH FL 33016
jrr /�tter�ilti;�
r +
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERID» INDIOATED. 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 1S SUBJECT TO ALL THE TERM&, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
ADWL
n loa
TYPE OF INSURANCE
POLICY NUMBER
g ��
pip I MWpD]Yyj"
LL ppAp�T�
DAtt QI1k1AD/YYfOT N
LIMITS
INSURER S.
GENERAL LIABILITY
GL# 092332
09/15/09
09/15/10
EACH OCCURRENCE
$ 1,000,000
g
CONMERCIAI GENERAL UASILITY
v le
PR WEB (E Qmil
S 50.000
1 CIAIMSMADE ❑ OCCUR
MEOEXP(AnYeaPelson)
$ 1. 000 000
P17RSONAL&AWINJURY
,
a 1,000,000
3 2.000.000
GENERAL AGGREGATE
COWL AGGREGATE LIMMI PLIES PER:
I PoUCY I 1 PFCT 1 LOD
PRODUCTS - COMP/OP AEB
II 1, 000. 000
AUTOMOBLLELIABULITY
_
--
ANYAUTO
ALLOWNEDAUTO$
SCHEDULED AUTOS
HIRED AUTOS
NON•OWNEDAUTOB
E S EW) IN6LE LIMIT
S
BODILYINJURY
(Per moon)
B
BODILYINJURY
(Peraddenp
3
PROPERTY DAMAGE
(Maddens
$
GARAGE LIABILOY
1 ANYAUTO
AUTO ONLY. EA ACCIDENT
$
OTHER THAN EAAG�
$
AUTOONLY AGO
$
EXCESS/UMBRELLA LIABLLITY
OCCUR CI CL AMSMA B
EACH OCCURRENCE
5
AGGREGATE
5
3
DEDUCTIBLE
RETENTION $
$
14410 1 1°I'
$
WORIERSCOII�ENBATIONAND
EMPLOYERS'tJMIUIY
ANY PSCPIERTOIRIPAATt1ERMEEOUTIVs
OPPICERUIMIU MUM
tpI:daritl tOONB w
—
@L EACH ACCIDENT
$
EL DISEASE - EA EMPLOYEE
$
EL DISEASE- POLICY LIMIT
3
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDOWMENT J SPEC IALPROMSIONS
CERTIFICATE HOLDER CANCELLATION
MIAMI SHORES VILLAGE
10050 NE 2ND AVE
CITY OF MIAI SHORES, FL 33138
305-756 -8972
I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, &UT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTA
��nN CERTIFICATE OF LIABILITY INSURANCE
7/7 0
PRODUCER
ADVANTAGE INSURANCE OF Al48RICA
4520 NW 7th St
Miami, FL 33126
(305) 649 -5566
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#
INSURED ARCON A.C. INC .
7880 WEST 20 AVENUE UNIT# 35
HIALEAH, FL 33036
INSURER k ATLANTIC CASUALTY
INSURER S.
INSURER C.
INSURER D:
INSURER E
07107/2010 10:00 ADVANTAGE INSURANCE OF AMERICA
(FAX)3056495559
P.0011001
ACOHD RATI0N1488
P.O. Number
Terms
Due Date
Due on receipt
8/24/2010
Description
Rate
Serviced
Amount
- BRING UP TO CODE COMPLIANCE EXISTING
2,300.00
2,300.00
INSTALLATION OF AIR CONDITIONING UNIT
INSTALLED BY THIRD PARTY CONTACTED BY
HOMEOWNER.
- PULL PERMIT, WALK - THROUGH INSPECTION,
DELIVERY OF CERTIFICATE OF INSPECTION
APPROVAL BY CITY OF MIAMI SHORES.
•
Total S2,300.00
Payments!Credits $0.00
Balance Due $2,300.00
Jul 08 2010 10:40AM ARCON AC INC
Aron
Air Conditioning
Lic * CACO48042
Bill To
MIKE SCHMIDT
10300 NORTH MIAMI AVE
MIAMI SHORES, FL 33150
7880 W 20 AVE # 35
HIALEAH, FL 33016
OFFICE: 305 - 512 -4111
FAX: 305-512-4080
305- 512 -4080 page 2
Invoice
Date
6/24/2010
Invoice #
2854
WE ACCEPT ALL MAJOR
CREDIT CARDS
Jul 08 2010 10:40AM ARCON AC INC
7880 WEST 20TH AVE, #35
HIALEAH, FL 33016
OFFICE: 305 - 512 -4111
FAX: 305 - 512 -4080
E -MAIL: ARCONACINC @BELLSOUTH.NET
FAX:
PHONE:
SUBJECT:
COMMENTS:
67,4,74-
ARGON AC INC
FAX
FROM:
FAX:
PHONE:
DATE:
305 - 512 -4080 page 1
305 - 512 -4080
305 -512 -4111