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MC-11-2292Permit Number: MC -12 -11 -2292 J Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP- 167623 Inspection Date: February 15, 2012 Inspector: Perez, JanPierre Owner: DAVIES, JOHN Job Address: 1041 NE 94 Street Miami Shores, FL Project: <NONE> Contractor: BRIGHTON AIR CONDITIONING INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050120080 Phone: (954)977 -5095 Building Department Comments BATHROOM REPLACEMENT OF EXHAUST FAN V--e -2--V I5 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until February 15, 2012 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 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 2001 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): Miami Country Day School, Inc. Phone#: (305) 206 -1761 )13, 0- ,:T25Wr { DEC 1 2 N, it IJ Permit No. M C Master Permit No. CC -9-11 -1738 Address: 601 NE 107th Street City: Miami State: Florida zip: 33238 Tenant/Lessee Name: Miami Country Day School Head Master Residence Phone#: (305) 2064761 Finail: cabanm @miamicountryday.org JOB ADDRESS: 1041 NE 94th Street City: Miami Shores County: Miami Dade zip: 33138 Folio/Parcel#: 11- 3205 - 012 -0080 Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: Brighton Air Conditioning, Inc. Phone#: (954) 977-5095 Address: 1901 North Power Line Road City: Pompano Beach Qualifier Name: Peter Jack Sullivan State: Florida zip: 33069 Phone#: (9.4) 977 -5095 State Certification or Registration #: CAC1813413 Certificate of Competency #: Contact Phone#: (954) 275-6019 Email Address: Pete @brightonair.com DESIGNER: Architect/Engineer: JDC Architect, Inc. Phone#: (305) 2854343 Value of Work for this Permit: $ 400.00 Square/Linear Footage of Work: 36 SF Type of Work: ❑Address ❑Alteration ❑New 2epair/Replace Description of Work: bathroom replacement of exhaust fan. ❑Demolition .**** ee0 x *e *�x�n *�e��+��* :a� *�a * *a� *\ *�x�+�a. * * *e�s�a�x+�ro+�s� *�e �x�x *w+x * *+u�►a�ees�� :.t� *ass *roc. * *x�a� Submittal Fee $ Permit Fee $ 45 V CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ( !) ! • 10 \AIN Bonding Company's Name (if applicable) N/A Bonding Company's Address N/A City State Zip Mortgage Lender's Name (if applicable) N/A Mortgage Lender's Address N/A 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 FT .CTRICAL 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 co ' must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In - of posted notice, the inspection will not be approved and a reinspection fee will be charged ry T. Butts Owner or Agent The foregoing instrument was acknowledged before me day of ,20 / /,by A , who is personally known to me or who has produced As identification and who did take an oath. yA'9tA * j EE 028432 Z EXPIRES * Sep.22. 2014 r e My Commission Expires: September 22, 2014 ���'' %%%%% "jute % %% � NOTARY PUBLIC: Sign: P Posadas Signature Peter Jack Sullivan Contractor The foregoing instrument was acknowledged before me this /� day of �GaV% , 20 , by gdz. /Ayy who is personally known to me or who has produced as identification and who did . ******** * * * * * * * * * * * * * * *** * *** * * * * * ** * ** * * * ** APPROVED BY NOTARY PUBLIC: ' Z i tg wen ' 'rw �E102 RE i - ` oy r�:�SePEX$101 . :.1, ;. ' � nnu���`' My Commission Expires: September 22, 20'f� Ida ***0000*** * *** *** X** * * * * ***** * *** ***** *ear ****** ** * **a *** Plan Examiner Zoning Structural Review (Revised 07 /10/07)(Revised 06/10/20O9)(Revised 3/15/09) Clerk ,4 "' • .■ ■.■ -■- -.■ Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. x COPY OF QUALIFIER'S STATE LIC CARD B. x COPY OF LOCAL BUSINESS TAX RECEIPT C. x COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. x COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: Brighton Air Conditioning. Inc. BUSINESS ADDRESS: 1901 North Power Line Road CITY Pompano Beach STATE Florida ZIP CODE 33069 BUSINESS PHONE: ( 954 ) 977 -5095 FAX NUMBER ( 954 ) 978 -6748 CELL PHONE ( 954 ) 275 - 6019 QUALIFIER'S NAME: Peter Jack Sullivan QUALIFIER'S LIC NUMBER: CACI 813413 E -MAIL ADDRESS (IF APPLICABLE): _pete @brightonair.com Created on 3119109 BY MLDV 1 RV 3126109 MLDV DRIVER LICENSE CLASS E S415 -670 -68-361-0 PETER JACK SULLIVAN 1513 SE 7 ST -1 ` T9t Operation of a air sat*$esonstties canes to any Mast rewired by law. BATCH ;f 3'U] r 115 S. Andrews Ave,, Rm. A-100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2011 THROUGH SEPTEMBER 30, 2012 DBA: Business Name: BRIGHTON AIR CONDITIONING INC Owner Name: PETER JACK SULLIVAN Business Location: 1901 N POWERLINE RD POMPANO BEACH Business Phone: 954-977-5095 Rooms Seats Employees 10 Receipt #:183 -1591 ! Business Type • HEATING /AIRCONDITION CO '(CLASS A AIR CONDITIONIN Business Opened:05 /08/2006 I S tate/CountylCert/Re9:CAC1813413 Exemption Code :NONEXEMPT Machines Professionals For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and Is non- regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business Is legal or that it is in compliance with State or local laws and regulations. Mailing Address: BRIGHTON AIR CONDITIONING INC 1901 N POWERLINE RD POMPANO BEACH, FL 33069 2011 - 2012 Receipt #05A -10- 00009858 Paid 08/04/2011 27.00 CTR 3'11.10117. ',S. zo.7.1.-Js- ZULT. zoa.--;37:1X.Iszz:„:2=7.,m,..zor7 —30C, „E' TfOSI a "2017 S- -20E1 ;BC/C.:,x. 0 C.3 :70 111 pompano rAbeach. Florida's Warmest Welcome OWNER BRIGHTOWAIR,CONDITIONING INC. City of Pompano Beach 'Business Tax Receipt 2011-2012 ACCOUNT NO. 4416373 BUSINESS NAME BR:ICH:ION Al F caorrioNING it\ic LOCATION • - 1901 N POWER INE RD CLASSIFICATION CONTRACTOR •A/C (CL A OR B) BRIGHTON _AIR CONDITIONING INC 1.901 - N POWERLINE ROAD FOR-PATRICK W/PATRICK D/PETER POMPANO BEACH FL 33069 REGISTRATION NO. 12 --00052132 NEW RENEWAL x DATE ISSUED 9 / 0 / 1 1 REGISTRATION FEE DEUNQUENT CHG. TRANSFER FEE TOTAL AMOUNT PAID 1•21.35 .00 00 121.55 EFFECTIVE DATE EXPIRATION DATE OCTOBER 1 SEPTEMBER 30 1 1 BUSINESSES MUST CONSPICUOUSLY DISPLAY THIS BUSINESS TAX RECEIPT TO PUBUC VIEW. AT BUSINESS LOCATION CONTRACTORS MUST MAINTAIN ON FILE CURRENT UCENSING AND INSURANCE 12 NOTICE: A NEW APPUCATION MUST BE FILED IF THE BUSINESS NAME, OWNERSHIP OR ADDRESS IS CHANGED, THE ISSUANCE OF A BUSINESS TAX RECEIPT SHALL NOT BE DEEMED A WAIVER OF ANY PROVISION OF THE CITY CODE NOR SHALL THE ISSUANCE OF A BUSINESS TAX RECEIPT BE CONSTRUED TO BE A JUDGEMENT OF THE CITY AS TO THE COMPETENCE OF THE APPUCANT TO TRANSACT BUSINESS. EL7E1,313. 2:01--,7:MCAL;;;„Farlrd 3-5.Z2.01.1:1W". r I DA'DE COUNTY 2071' LOCAL BUSINESS TA RECEIPT OL3.ECTOR MIAMI-DADE COUNTY STAB FLAGLER ST "Y EXPIRES SEPT. 3Q,; > MUST BE DISPLAYE_ RAT`S PURSUANT TO COUNTY CODE ' THIS IS NOT A BILL — DO NOT PAY . 583596 -3 RENEWAL BUSINESS NAME / LOCATION RECEIPT NO.; 60870-1 BRIGHTON AIR CONDITIONING INC STATEB''CAC1813413 DOING BUS IN DADE CO FIR. IRST - CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 OWNER BRIGHTON of AIR CONDITIONING INC Sec. Type Business 0146A C MECHANICAL CONTRACTOR 6USwESS TAX IT DOES NOT PERECEIPT. RMIT Y AN HOLDER TO VIOLATE ANY EOISINNU REGULATORY OR ZONING LAWS OF THE COUNTY OR CITTEB. NOR DOES IT EXEMPT THE HOLIER FROM ANY OTHER PERMIT OR LICENSE ` REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALWICA- PAYMENT RECEIVED COUNTY TAX 08/03/2011 09010061001 000075.00 SEE OTHER SIDE DO NOT FORWARD BRIGHTON AIR CONDITIONING INC PETER JACK SULLIVAN QUALIFIER 1901 N POWERLINE RD POMPANO BEACH FL 33069 1„ii, „ii,ii,,,,ii„ i,i,,,,,ii i,lii i$ii,,,,,,i1S01