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MC-11-2051Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 166306 Permit Number: MC -11 -11 -2051 Scheduled Inspection Date: May 02, 2012 Inspector: Perez, JanPierre Owner: TIERNAY, NANCY Job Address: 1226 NE 93 Street Miami Shores, FL 33138- Project: <NONE> Contractor: POWER AIR LLC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132050270170 Phone: (786)486 -3291 Building Department Comments DISCONNECT OLD LEAKING COPPER LINESET. INSTALL NEW C•.' SET SUCTIO INE WEST SIDE OF H 4 INSULATED Teo EW CONDENSING UI WflpCATION ON _ VD V1 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments May 01, 2012 For Inspections please call: (305)762 -4949 Page 4 of 25 B .14 DING PERMIT APPLICATION FBC 20 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 RECEIVED Nov 04 2011 BY Permit No. CJ I '— O 1 Master Permit No. Permit Type: MECHANICAL FF'DEP►� ' OWNER: Name (Fee Simple Titleholder): T Q /A/✓Cy/ � V//GER�9 /J��Q� hone#: Address: /a a G NC 73/) ..7Ad Fe; r City: 'PAM/ / $'H/oR. RCS' State: Flog/04 Zip: 32 kr 8' Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: /°2 a C /4/F 73 `.1 -rri'�E i City: Miami Shores County: Miami Dade Folio/Parcel #: o s 0 a ? - 0 / 7 0 zip: 31/38 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: POW6/ dig LGL Phone #: 30 ?G/ 00x3 9a/ 1►af !7a s' /e'er Address: City: /V R01 MIN/ 8644' State: F`40/47A Qualifier Name: £,f&co £6?V Zip: 33/6.X- Phone#: State Certification or Registration #: C,4C /P /VZ cs Certificate of Competency #: Contact Phone #: 7 IG V$-t 3a 90 Email Address: potVgrairrAP4e4%dw Q/7. C , DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 7$ Square/Linear Footage of Work: Type of Work: DAddress OAlteration New .C1R €pa /Replace C1Demolition Description of Work: D / S c o , / fi b c 7 01'0 C 4 - . ‹ ) G -' s 7 -771,4,r0,94.6- /Yew esP -R CiM/tis°E .Sw ®f✓ Cr /i1<.rir " ' Al / , .coAr -P6v.1 ry C OP► 14— - rr -r/OE f /4mE. * * * * * *****+x+ + x +x************* *** * * * * ** * ** Fees* ************* * * * * * *** * * * * *** x******** * * * * ** Permit Fee $ t 0 ' ( CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Submittal Fee $ Scanning Fee $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 cornrnencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved ar ' a reinspection a ill be charged. Signat Owner or The foregoing instrument was acknowledged before me this ki day of who isperso me or who has produced F 1. 1)C. t �� °1 �� 1�rification and who did take an oath. NOT •I by f' e erg CC) I b S , • v _ _ 1 ,,4V PV,,i MARIANA C. LEMUS Sign: a°�y,,y* °`1• Note Public - State of Florida Print: '3 My Comm. Expires Dec 11, 2012 `?'1, r ,ittf Commission t DO 841836 o d "r `sit ° %‘ Bed Through National Notary My Commission Es 0 y Assn. 1 . -- _ _ Signature Contractor The foregoing instrument was acknowledged before me this :r day of fi®Ve^11 'ef-, 20 ((by ®r.& lei, who is personall known to me or who has produced as identification and who did take an NOTARY PUBLIC: Sign: Print: 0.51X91 My Commission Expires: TO - Zg L® **** **** *** * * * * * * * * * * * *, * * * * ** * ** . x, *** **** nix *** ** ** ** * * * * ******* * ** * * * ** * * * * *,x * * ****** * * *** * *** *,x APPROVED BY 11! Alf Plans Examiner Structural Review (Revised 07 /10 /07)(Reviscd 06/10 /2009)(Revised 3/15/09) Zoning Clerk Power Air LLC Power Air LLC 901 NE 172 Street North Miami Beach, FL 33162 (786)486 -3291 sales@powerairac.com ADDRESS Mr. & Mrs. Federico Bianchi 1226 NE 93rd St Miami Shores, FL 33138 Estimate DATE ;estiimate 10/31/2011 1657 Rate EXP. DATE 11/30/2011 Date Service Activity Quantity Rate Amount 10/31/2011 A/C Received call with complaint of insufficient cooling from A/C system and that the home was extremely uncomfortable. We checked the system and found the system to be short of refrigerant. We leak checked the air handler unit, the condensing unit and refrigerant piping for leaks. Found leaks in the refrigerant lines. Refrigerant piping needs to be replaced with new lines. Pump system down and remove all remaining refrigerant from piping and air handler. We will run new refrigerant piping to condensing unit. We will run the new refrigerant lines to your preffered location. Wheel existing condensing unit to other location and mount. Condensing unit will be mounted and secured to concrete. New refrigerant lineset will be run to condensing unit. Suction line will be insulated from Air handler unit to condensing unit. Lines will be brazed to suction and liquid line connections at existing condensing unit. New liquid line filter drier will be installed on exterior to help remove any contaminants such as moisture. System will be evacuated and prepped for charging with refrigerant with vacuum pump. Vacuum pump will be connected and run to bring system down to proper micron level. Once evacuated, we will recharge system with refrigerant and run system. Includes injection of Acid -away acid neutralizing agent into system as well. 1 1,275.00 1,275.00 Thank you for giving us the chance to assess your needs. TOTAL $1,275.00 best quality service possible. Ask us about our Preventive Maintenance Agree,.• Accepted By: CERTIFICATE OF LIABILITY INSURANCE I DATE asksomm 111312011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy (les) must be endorsed. If SUBROGATION IS WAI1iED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsement(s). PRODUCER FRANKCRUM INSURANCE AGENCY, INC. 100 S. MISSOURI AVE. CLEARWATER FL 33766 CONTACT NAME PROSE w5, Ta, EiG SMALL ADDREBB7 1- 800 -271 -1020 x4500 IFAX UPS. NON 727 - 797 -0704 INSURER A: INSURE' NSURERAS) AFFORDING COVERAGE RAMO FRANK WINSTON CRUM INSURANCE. INC. 11600 INSURED FrenkCrum 1- 800 -277 -1820 100 S MISSOURI AVENUE CLEARWATER FL 33768 INSURER e: INSURER C: INSURER D: INSURER E: INSURER F: NUMBER: COVERAGES L.P. eer,wa, c Iua„ ..n. THIS IS TO CERTIFY THAT 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 RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MIR LTR TYPEOFINSURANCE IADDL SUER POL16YRUMRER POLICY EPP ) POLICY EXP (MENDMYYYY) LIMITS GENERAL LIHBI.RY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ PTO RENTED PREMISES (Ea oaflBnaal $ MED EXP IAm ono peluou) $ ICIAIMS-MADE OCCUR INJURY $ PERSONAL &ADV GENERAL AGGREGATE S 8 PRODUCTS - COMP/CP AGG GENL AGGREGATE PER: �LOC UST APPLIES - $ POLICY I IPIOXET AUTOMOBILE LIABILIT ( ANY AUTO ALL (AWNED AUTOS HIRED AUTOS SCHEDULES NON. NON AWNED AUTOS _ aoh�NEC SINGLE LAST (Ea aardden0 $ BODILY INJURY (Per pawn) $ BODILY INJURY (Par accident) $ PROPERLY DANAGE PERT ret) (Per $ UMERELIALVAS EXCESS LIAR OCCUR evata -MADE EACH OCCURRENCE S AGGREGATE $ _ $ DEO RETENTIONS A WORKERS EMPLOTERBF ANY PROPRETORIPARTNEILEXECUTIVE OFFICER/MEMBER (NaedaaryM Eyes. describe DEBORIPT1ON.Cf CDMPENBIATION AND WHTWTY y EXCLUDED? II NH) seeder OPERATIONS Weir rim _ WRIC201100000 1N12011 • 11912092 WOSTATU 0TH - N TORY UMTrB ER E.L.FACHAOCIDENT $1,000,000 F�L DISEASE -FA EMPLOYEE S1,000,000 $1,000,000 El. DISEASE - POUOYUNIT DESCRIPTION EFFECTIVE REPORTING OF OPERATIONS 1 LOCATIONS I VEHICLES (ANesb ACORD 9Dt,AddII1o®I Remarks Saned�a, E =reap= = Hs mqubad) 03/28/2008, COVERAGE IS FOR 100% OF THE EMPLOYEE$ OF FRANKCRUM LEASED TO POWER AIR LLG (CLIENT) FOR WHOM THE CLIENT IS HOURS TO FRANKCRUAII. COVERAGE IS NOT EXTENDED TO STATUTORY EMPLOYEES. CERTIFICATE HOLDER MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVENUE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHCRMED'REPRESENTATNL „_ POWERAIR'LLC II it The ACORD mans end logo Uro registered marks of ACORD 01I1138.2010 ACORD CORPORATION. All rights reserved. 99373 ACCAR ° CERTIFICATE OF LIABILITY INSURANCE °"TE IMMEIWYT"n 11/03/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the polity(Ies) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require en endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endoreement(e). PRODUCER Florida Bankers Insurance 7278 SW 8 Street Miami, FL 33144 Phone 305 266 -6493 INSURED Power Air Llc. 901 NE 172 St North Miami Beach, FL 33162- COVERAGES ax (305)262 -0879 CONTACT NAME: MARTA ALONSO r_EzO (305)286-8493 marta@floriclabankersineurance.com INSURER(S)AFFORDING COVERAGE ADDRESS: [. Nor. (305)282 -0879 NAIL S (786) 486-3291 CERTIFICATE NUMBER: INSURER A: ALTERRA EXCESS & SURPLUS INSURANCE CO. INSURER B INSURER C : INSURER D : _ INSURER E : INSURER F : REVISION NUMBER: THIS IS TO CERTIFY THAT 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 RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO AU. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR A TYPE OF INSURANCE ADDLSUBR INSR SAND POLICY NUMBER POLICY DIY I 03/1W2011 (P�p EXP 03/10/2012 LIMITS EACH OCCURRENCE $ 1,000,000.00 GENERAL LIABILITY ►n COMMERCIAL GENERAL LIABILITY ■ ❑ CLAIMS -MADE W OCCUR ❑ DED $500 BIPD MA)C011801003271 PREMISE S (RENTED PREMISES (go occurrence) $A 100,000.00 $ 5,000.00 MED EXP (b one ran PERSONAL & ADV INJURY $ 1,000,000.00 • GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLES PER © POLICY ❑ ,P a ❑ LOC PRODUCTS - COMPIOP AGG $ 1,000,000.00 $ AUTOMOBILE LIABILITY • ANY AUTO E AUTOS ALL OWNED SCHEDULED 11 HIRED AUTOS ❑ AUTOS • • iAMBIDttINGLE LIMIT $ BODILY INJURY (Per peramr) $ BODILY INJURY (Per accident) $ ppppERTYpAMpGE rPer Mw111 $ $ ❑ UMBRELLALIISB ❑ OCCUR • EXCESS LAB • CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ • DED • RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRETORIPARTNERIEX€CUTNE N I A • TWOS M1U- • EOTRH- EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) • E DISEASE - EA EMPLOYE $ If mss, describe uncle DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LMIr $ DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES (Anse► ACORD 101, Additional Remarks Schedule, It more space Is required) CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2 AVE MIAMI SHORES, FL. 33138 I ACORD 25 (2010105) OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DETACH HERE BATCH NUMBER aits :.Ned. Y4e1'bw: IS 1 CERTiFI Under to Yprova•s ons s:. Expirati�n date: AUG 3 MIAMI -DAD COUNTY 2011 LOCAL BUSINESS TAX RECEIPT 2012 TAX COLLECTOR MIAMI -DADE COUNTY - STATE OF FLORIDA 140 W. FLAGLER ST. EXPIRES SEPT. 30, 2012 FLOOR L MUST BE DISPLAYED AT PLACE OF BUSINESS MIAMI F 33130 PURSUANTTa 0 C CHAPTERS ART 10 54435�8 -55 q q BUlc�w AI LLCL oN 901 SE 172 ST 33162 UNIN DADE COUNTY THIS IS NOT A BILL °IFOLER AIR LLC seallfgell9EtTECHANICAL CONTRACTOR THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS j NOT A CERTIFICATION OF THE HOLDER'S OUALIFlCA• TONS. PAYMENT REOEIYED ``MIAMI.DADE COUNTY T. COLLECTOR: 60010000466 1 000075.00 DO NOT PArr RENEWAL STATEWCW`14245 WORKER /S 1 FIRST-CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 568332 -2 SEE OTHER SIDE DO NOT FORWARD POWER AIR LLC BRUCE LEN PRES 901 NE 172 ST NORTH MIAMI BEACH FL 33162 III11I1 III , 1111111►1111 I IIL►►III►III I IIP,I %1r Rs