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
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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
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: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
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