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MC-09-963Permit Number: MC -6 -09 -963 j Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 154050 Inspection Date: February 14, 2011 Inspector: Perez, JanPierre Owner: MARKARIAN, DAVID & SOLIMAR Job Address: 1201 NE 100 Street Miami Shores, FL 33138 -2603 Project <NONE> Contractor: ARCON A/C INC. Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number 305 - 756 -3634 Parcel Number 1132050090630 Phone: 305 -842 -1614 Building Department Comments March 18, 2011 For Inspections please call: (305)762 -4949 Page 1 of 1 (1167 U V Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 133256. not ready needs to pull permit for new mini split unit not on permit jpp THIS PERMIT IS FOR A EXHAUST FAN ONLY NEED A PERMIT FOR MINI SPLIT INSTALL AND FOR THE TWO NC ON THE SIDE OF THE HOUSE, NEED PLANS & PERMIT ON SITE FOR NEXT INSP 2/14/11 JPP MI Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until March 18, 2011 For Inspections please call: (305)762 -4949 Page 1 of 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 1- z aJ Permit No. PI j , C -6-0 / 3 —� ? Master Permit No. l� Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) Phone # Owner's Address la', 0 ( 10E 1 00 31 City M• S L -S State F L Zip _331 38 Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) )c 2 0/ /% 1: / d v lJ City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 11 -✓ ?.O 5 000 630 Zip Is Building Historically Designated YES NO Contractor's Company Name 41• C o /v AK /WC . Contractor's Address —1€a gO (` 2 O - A.V E . City 1+ 11 -Lt A 4— State f L Qualifier Name (201.—A- O N AL-0- Z Phone # 306 t 2- 41 Zip 3/ -2 O (10 ,p Phone # C 3 D S) 58Z.- 2180 o State Certificate or Registration No. CAC- Certificate of Competency No. E -MAIL: C1 S s l Z. l Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Type of Work: ❑ Describe Work: Square / Linear Footage Of Work: on ❑Alteration ❑New, ❑ Repair/Replace ❑ Demolition 4c-13 ***a **** * * * * *, *************** * *** *, *** Fees * * *, * * *, *, * * **** ** , *, , , ************* ****** Submittal Fee $ Notary $ Scanning $ Radon $ Permit Fee $ CCF $ CO /CC Training/Education Fee $ Technology Fee $ DPBR $ Zoning $ Bond $ Code Enforcement $ Structural Review. $ Double Fee $ Total Fee Now Due $ / 50-00 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the jot site for the first inspection which occurs seven (7) days after the building permit is issue In tfze absepc f suc posted noti the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Contractor/ The foregoing instrument was acknow1 ed before me this a '71 day of !/ec- ,2010 by / 6-rt. G (4_1, who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 02/08/06) Dec 07 2010 10:45AM 305- 512 -4080 page 1 ARP? 11 AC,INC 7880 WEST 20T" AVE, #35 HIALEAH, FL 33016 OFFICE: 305 -512 -4111 FAX: 305 -512 -4080 E -MAIL: ARCONACINC ©SELLSOUTH.NET TO: J✓/ I', Uwn1- FAX Z (' .. 75b — 7Z SUB)ECr: COM°MEKTS: /zose-- 6. AphygovAtif e/a& FROM: FAX: Y PHONE: DATE: 305- 512 -4080 305 -512 -4111 Dec 07 2010 10:45AM 1210612010 11:31 ADVANTAGE DANCE OF AMERICA 305- 512 -4080 IF pO5649 page 2 P.001/001 maxim A-CPED0 CERTIFICATE OF LIABILITY INSURANCE �►,. ,,, ADVANTAGE =NSOSANCE of a a*TCA IFI "` is ISSUED A$ A OF IN N OtAY AND cQ� No RhGM% UPON o 4320 NW 7th Bt *DUN . THIS C6RiIFIC #TB . NOT AIWA B 8 OR ASTER TP¢ cav lAOE AFFORDSO BY TKa PCIMEL50.0W. Miami, EL 33126 COV ARCON A.C. INC. 7980 WEST 20 AVENUE WRIT* 35 = =ALIAS, EL 33016 a POLIOESOP 141046 Atm MAY p I • TRW FOUCEMASO tCWlKAle£ , .::: ERTO OF AIRY:. INSURERS AFFORDING COVBRAOS tigx,rAtinc Cat3AL nv *WWI. P: b! It THE "SUMO. MOM Affifir TREPOLPT PEA PC VOWED, NOWWM41/#16310 PA COARISIONAIERERAt C1AM8WIC/ ma MNIRINIATI f Los AVTvwosIeUANUIT WAVER MMMWWWwum tA uAar rrY * oacum D ouuslsuAu 1111 o�ucT.Aa ,. .1 A���AI�7¢�IlIS1@ L040001441 05/13/10 09/15/11 AR 9 4 50.000. " attaze 1 1400.000 mm!cokumAkutt _ * 1.000.000, oe�ve s1, ADG .0 TE D. 2.000 P rC#3 or$00 ^ R 1.000400 {Nana% OOM.Y1ltpA kY s O i • QTRY.t,i1Al4 it f mew gm= ' Aoo� • 1 O' INVIRAMONSAOrAmomaivintletas r®cciusiti 6ACDOOovawbOis /VIVA. ASR CONDI/ZONING Ce`RTIPI TB:: vnitaan alma tzwivoicts woma**t j. cio k wtmma�aul of 10000.. ) '2ND AVE ous YR/40 ; X 168}1b4:N4 1 NII41.ie AYOV; I DAY. mimeo MUNI SNORES >i`L 33238 Nowt YOTSIEERAYIROATE MoU R WARR To'hatitekluromulaa To 0o so sou WOO 004.011NA ON ea ura tv army ow upo Tottoomok ITS MENDS all sas ACQIRD!/CDT/"°` rEF1TAT911@: • "s" 00153CRATION 15 m a► bp m n. 305- 512 -4080 F CC CD It 0 0 0 N N 0 0 CD Ca Dec 07 2010 10:48AM 305- 512 -4080 page 4 see anima am DO ROT FORWARD ARCON AC INC JORGE CRESPQ PRES 1880 W 20 AVE *35 HIAEEAH FL 33016 LA„sOAHIALii.".111.s ,a, „AJ1a.3,1444 Dec 07 2010 10:50AM ALEX SINK STATE OF FLORIDA CHH32 FINANCIAL OFFiCeR DEPARTMENT OF FINANCIAL SERVICES' DIVISION OF WORKERS" COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed' below has elected to be exempt from Florida Workers' Compensation law. 305- 512 -4080 04-19-2010 page 5 EFFECTIVE DATE: PERSON: FEIN: 04/1912010 CRESPO 850813205 BUSINESS NAME AND 'ADDRESS: ARCON AC INC 7680 M 20Th AVENUE #38 HIALEAH FL 33018 SCOPES OF BUSINESS OR TRADE: 1- AIR CONDITIONING EXPIRATION DATE: 04/18/2012 JORGE * IMPORTANT: Pursuant to C0epte, 440 , e0(14), F.S.. to Officer of a corporation who ends exemption trim obis ebonies .by looses a certificate et efeetfoo Weiler tOls satafea may not recent beaetfts. or •catapeni:etsea osier Chia. R4aptet, Pursuant Is Chapter 440,115(12), F.S., .Certificates of election to 'be exempt... apply only aiiiiia the scope of the basteeet or trails fietet an. the aetj o al atomics to he exempt ParswM 10 Cbspfer 44e.05tra, F.S., Notice$ of ela+ct(en' 111 441 "WO. 44.cO,(l&ate$ 01 election to be exempt WW1 be subiFet to•.revoc4104 ff.'at: FOP 'tHpe titter the Ming of the antics er the Weslaco et the certificate, lie •Ramos sa0ted on 111a.notice or certificate me longer twit tae retwslreaeente At Oft seettar•ter.losumiea of a cart:fiesta. The department stall revoke a certified at sty title for ftitlee tit the bertha mead as the certificate to steel the regntr@areats' of this &settee. OWC -25-2 CERTIFICATE OF ELECTION TO BE EXEMPT REVISES) 09 -06 QUESTIONS? 0501 413-1601 PLEASE CUT OUT TffE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE :OPFwIItA .:OO t� circa t s iv NIPT PROM FLORIDA weft ilot>t w EFFECTIVE 04/1912010 EXPIRATION DATE: PERSON: 5JORGE 'RUM FEIN: 850813205 BUSINESS NAME AND ADDRESS: ARGON AC INC 9880 W 20TH AVENUE 535 HIALEAH, FL 33016 SCOPE OF BUSINESS OR TRADE 1- AMR OONOFTICNiNG 04/18/2012 IMPORTANT Pursuant to Chapter '440.0511'4 FS.. en officer of o' cargo otlon who Q' elects exemption from this. oWtar' by iUleg • cer*itica* of 4tertian 1- under this section may net recover benefits or compensation ender this D chapter. Pursuant to Cti ter 440..06112), F.S., Certificates t:f eelection to. be AH exempt.. apply' only within the scope of the business or trade listed on the notice of election to be exempt E Ferment to Chapter 440.U113). F.S. 'Notions of election t0 be exempt and cel:tif cettie .of election to be exempt shalt he .sablecto revoculae It et. any time after .the filing of the 'notice or 1110 issuance. el the certificate; the parson maned on the notice er Certitkilite top longer meets the remiirernents of-this section' far. 124'o0e''of e certificate. The department shalt revske a certificate 'ad WV. tbtle for 'Whew of the person named on the certificate to meet the requirements of this section. QUESTIONS? 1851 413 -1.809 CUT HERE • Carry bottom portion on the ' job, keep upper portion for your records. NC-252 CERTIFICATE OF ELECTION ' TO BE EXEMPT REVISED 0.9-06 Protect Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Expiration: 1211212009 Parcel Number 1201 100 Street 1132050090630 Miami Shores, FL 33138 -2603 Block: Lot: Owner Information Applicant DAVID & SOLIMAR MARKARIAN .......................hone ...... ...... Cell ................. DAVID & SOLIMAR MARKARIAN 1201 100 Street 305 - 756 -3634 MIAMI SHORES FL 33138 -2603 Contractor(s) ARCON A/C INC. Phone 305 - 642 -1614 Cell Phone Valuation: $ 300.00 Total Sq Feet: 180 Tons: Additional Info: INT. REMODEL Classification: Residential Approved: In Review Comments: Date Denied: Date Approved:: In Review Type of Work: exhaust fan Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $150.00 $3.00 $3.75 $157.55 Invoice # MC-6 -09 -35100 Check #: 8422 Total Amt Paid Amt Due $ 157.55 $ 157.55 $ 0.00 For Inspections please call: (306)762 -4949 Available Inspections: Inspection Type: Ventilation Underground Rough Final Hood Rough Duct 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. June 16, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date June 16, 2009 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING! PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) Permit No. Master Permit No. Re--40 ?-% I' Lron•Lter • Phone # Owner's Address )-01 QN, D . p5T ! [D® -3.11 7`i • City Y'Uam i € crC6 State zip '6 Tenant/Lessee Name Phone # E -MAIL: ,AI Job Address (where the work is being done) . LPL 1 !V E 100 shreert City Miami Shores Village County Miami -Dade Zip 33 I ve) FOLIO /PARCEL # t - 52,[5. -( f -O(. 3D Is Building Historically Designated YES NO Contractor's Company Name PtOfl A /0 „Um . Phone # Contractor's Address 7f?)Q t 6r ookrn 1 - -e ms. City t I 1i%'+'C�t" n- • StateRDfl ctc • Zip '5 D 1 (. Qualifier Name 'kb P Q Mcl tel. GOn2a (e-e-• Phone # C3� � 2--9- [Q State Certificate or Registration No. AC 0 Ov`C , Certificate of Competency No. 4 P Y E -MAIL: Architect /Engineer's Name (if applicable) e101 O C-b 81111 Z4 hone f, r; Value of Work For this Permit $ gbo Square / Wear Footage C�t`Work: Type of Work: ❑Addition Alteration ❑New ❑ Repair /Replace ❑ Demolition Describe Work: ('a e4y/ / n**********+t*4e****** * ** c****x dr*****n *** pe eSic4e*l�Y ****ic�F�Y�tx�F+k�lr******** Fok�4*** *x�Fir********** Submittal Fee $ 4 Permit Fee $ I50G OD CCF $ b 40 CO /CC Notary $ Training /Education Fee $ 0• Technology Fee $ 3./5 • Scanning $ 300 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ ! uble Fee $ Structural Review. $ ' ot� a Now Due $ I 5'•5� • JUN 16 2009 MIAMI SHORES VILLAGE 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. l 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) after the building permit is issued. In the absence of such posted notice, t e inspection w- ill not be approved and a reinspection f e will be charged Signature Owner or Agent The foregoing instrument was acknowledged before me this day of MC , 20v1 „by who is personal NOTARY P Sign: Print: r who has produced enf ficg R MiakAS ke MY COMMISSION # DD4163g8 EXPIRES: JUN 20, 2009 B'nded through 1st State Insurance 00w-n-ein s My Commission Expires: oath. Signature Contractor �^ The foregoing instrument was acknowledged before me this "l J day of r rCi , 200I, by rine,n 4:woe: who is personally known to me or who has produced identification and who did take an oath. °s:'' CARMEN ASLAN BLIC�•� "•• ° NO Sig Print: I ,.f N fe i% �X .rl i * .3% * MY COMMISSION # DD sue = u�! %, EXPIRES: June 20, 2013 . os, *" Bonded Dm Burr &buy Services My Commission Expires: **** 4d:******** : +4*************aYxxxxxxxxxxxxx xxxxaxxxxx a xxstx taw* tcw**xx &trx*** aYxxxxxxx****acx $ xx****xiede****xxxat APPLICATION APPROVED BY: (Revised-02/08 /06) w Plans Examiner Engineer Zoning