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RC-11-2008Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 177214 Permit Number: RC -10 -11 -2008 Scheduled Inspection Date: August 13, 2012 Inspector: Bruhn, Norman Owner: FULTON TRS, JOSEPH Job Address: 61 NE 108 Street Miami Shores, FL 33161- Project: <NONE> Contractor: CLAUSING BUILDERS INC Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1121360110460 Phone: (305)546 -2016 Building Department Comments INTERIOR RENOVATION OF 3 BATHROOMS, KITCHEN LAUNDRY ROOM & FLOORING Inspector Comments Passe c-- Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. August 10, 2012 For Inspections please call: (305)762 -4949 Page 35 of 48 03/01/2012 INSP- 166021 Insulation Not ready. NB 02/27/2012 INSP- 166020 Framing 02/27/2012 INSP- 170275 Miscellaneous CANCELLED BY STEVE 01/01/2999 INSP- 170319 Miscellaneous DENIED CANCELLED CANCELLED NONE CREATED AS REINSPECTION FOR INSP- 170275. CANCELLED BY STEVE 02/28/2012 INSP- 170366 Framing DENIED CREATED AS REINSPECTION FOR INSP- 166020. Provide energy calculations as required at review. Garage work is not part of this permit, provide a permit for work in garage. MEP inspections must be complete. NB 03/01/2012 INSP- 170579 Framing DENIED Norman Bruhn Norman Bruhn 3/1/2012 2/27/2012 Norman Bruhn 2/24 /2012 Norman Bruhn Norman Bruhn Norman Bruhn Not Complete 2/29/2012 3/1/2012 CREATED AS REINSPECTION FOR INSP- 170366. CREATED AS REINSPECTION FOR INSP- 166020. Provide energy calculations as required at review. Garage work is not part of this permit, provide a permit for work in garage. MEP inspections must be complete. NB All ok except- provide energy calculations and garage work is not part of this permit. NB 01/01/2999 INSP- 170596 Insulation NONE Norman Bruhn CREATED AS REINSPECTION FOR INSP- 166021. Not ready. NB 01/01/2999 INSP- 170595 Framing NONE Norman Bruhn Not Complete Not Complete CREATED AS REINSPECTION FOR INSP- 170579. CREATED AS REINSPECTION FOR INSP- 170366. CREATED AS REINSPECTION FOR INSP- 166020. Provide energy calculations as required at review. Garage work is not part of this permit, provide a permit for work in garage. MEP inspections must be complete. NB All ok except- provide energy calculations and garage work is not part of this permit. NB Thursday, March 1, 2012 Page 2 of 2 Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Project: <NONE> Owner: JOSEPH FULTON TRS Phone: Job Address: 61 108 Street Miami Shores, FL 33161- Parcel: 1121360110460 Block: Lot: Scheduled lnsp # Inspection Type 01/01/2999 INSP- 166027 Declaration of Use Inspection Status NONE 01/01/2999 INSP- 166024 Final PE Certification NONE 01/01/2999 INSP- 166026 Shutter Final NONE 01/01/2999 INSP- 166019 Window Door NONE A44....hw...wL Inspector Date Completed Default Inspector Not Complete Default Inspector Not Complete Default Inspector Not Complete Default Inspector Not Complete 01/01/2999 INSP- 166017 Tie Beam NONE Default Inspector Not Complete 01/01/2999 INSP- 166014 Slab NONE Default Inspector Not Complete 01/01/2999 INSP- 166015 Termite Letter NONE Default Inspector Not Complete 01/01/2999 INSP- 166022 Drywall Screw NONE Default Inspector Not Complete 01/01/2999 INSP - 166025 Shutter Attachment NONE Default Inspector Not Complete 01/01/2999 INSP- 166018 Window and Door Buck NONE Default Inspector Not Complete 01/01/2999 INSP- 166023 Ceiling Grid NONE Default Inspector Not Complete 01/01/2999 INSP- 166016 Fill Cells Columns NONE Default Inspector Not Complete Thursday, March 1, 2012 Page 1 of 2 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE �B POSTED ON THE JOB SITE AT TiME OF FIRST .INSPECTI la! ON PERMIT NO. J l`jAX fOUO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and inac cordance with Chapter 713, Florida Statutes, the following information Is provided in this Notice of Commencement. 1. Legal description of property and street/address: 11111111111111111111111111111111111111111 1111 CFN 2012R0053739 OR Bic 27973 Fs 2266; 'Ups) RECORDED} 01/25/2012 11:13:35 HARVEY RUVIN, CLERK OF COURT flIANF DARE COUNTY, FLORIDA LAST PAGE Space above reserved for use of recording office 2. Description of improvement: 3. Owner(s) name and address: Interest -In property: Name and address of fee simple titleholder .4. Contractor's name, address and phone number. . Cep1i LD F...tiiN 6114E tai t4% €st- rn aMt sI "F„ •w i.F1e FL �>3rs. &h -3 FL 3316/ -33/6/ u )•t 5. Surety: (Payment bond required by owner from contractor, If any) Name, address and phone number. Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1X7., Florida Statutes, Name, address and phone number 8. •In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as- provided in Section 713.13(1Xb), Florida Statutes. Name, address and phone number: 9. Expiration date of this Notice of Commencement (the expiration date Is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNER; ANY PAYMENTS MADE BY THE OWNER AFfER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESI,ILT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE. RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN. ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s)of Owner(s) Prepared By Print Name Titie/Office STATE OF FLORIDA COUNTY OF MIAMI - The r :.. in h By , • ivid y, or CI - Personally Iviown, or or Ownnetjs)'Authorized Of/Director/Partner/Manager Prepared By Print Name Title/Office ADE before me this .t4 day. for Produced the Howfng typeof Itlentitl Signature of Notary Public: Print Name: (SEAL) ; C • I Under pe that the Signatur By t late that D have read the foregoing and true, to the best of my knowledge and 1I!P 20_; 2.1i'd.4iiti;7514, f° 51till al ITIVIWIIMPZIII or Owne cer/Director/P 128.01-62 sc?" n fwLTo E CI AUDIA V. CUBILLOS • Notary Public - StattoteorMn My Comm. Expires Sep 23.2015 CWnmIsl .# lof EE 128610 " Bout T h Now:! Noialmn. By STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY that this as a true copy of the JAN :anginal filed in�thi_s office On day Of A D 20 . • Seat. } ndCountyCourts D.C. WITNESS HA Zyl 41,-1 ftk — Ci-tieLtS ul i1\ 1® it --X0 BUILDING PERMIT APPLICATION 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 Permit No. PThC-- I Master Permit No. FBC 20 RECEIVED OCT 312011 BY: Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): 54 1 Phone#: / .,%® Address: / ,4* fog City: It 4 4', e State: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: ei / 4, City: Miami Shores County: Miami Dade 3T FoliolParcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: / 7f /ids Address 51 bi4.4 City: State: Qualifier Name: 41 (iS goiesAv State Certification or Registration #: e&e6i Sir4S7Pi Contact Phone#:itt, DESIGNER: Architect/Engineer: Sc Ae /litarh4.47 Phone#:_ ®d Zip: ,' e Phone#: Certificate of Competency #: Phone#: - T® hear Email Address: Value of Work for this Permit: $ Type of Work: ❑Addition EKteration Description of Work: Square/Linear Footage of Work: ❑New ❑Repair/Replace ❑Demolition **********: n******s+ ******* ** ************Fee s******************************************** Submittal Fee $ - Mme' ID Permit Fee $ tc Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ 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 commencement 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 appro ed and a reinspection fee will be charged. Signature. - Or Pe— Owner or Agent The foregoing instrument was acknowledged before me this (71g day of , 20 ., by r0e-f r who ' .'personally known to me o who has produced As identification and Contractor The foregoing instrument was acknowledged before me this 3 1 day of 'O , 20 �� , by ce Ct 4"e who i ersonal ewno me or who has produced ? ®ii9F FLORIDA as identification and who did take an oath. Claiming ::E099825 NOTARY PUBLIC: •J(�•'•. 05, 2015 T. gi tutu My Commission Expires: ri.4/ APPROVED BY (...)....j Tic Bu.\DING (o, i is FLORIDA Sign* kf11t0pher D. Cla Print: Itpires: on , 0 20 $ My Commission Expires: iiaV M'4MTIc eoIIDno; came /t2'- /OL Plans Examiner Structural Review (Revised 07110/07)(Revised 06 /10/2009)(Revised 3115/09) 0310612012 NOTARY PUBLIC Commission # DD765901../ ' �' Zoning Clerk 012-- (iI "'I'U1 LA • Permit No: 11 -2008 Job Name: November 9, 2011 Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 The plans must be signed and sealed by an architect or engineer licensed in the state of Florida. )/Corrections must be made for Zoning. Br Sheet A -0.0 has notes that are not legible. ) energy calculations. / 0 Identify all interior bearing walls on plans and include a ceiling framing plan for existing nd new. Provide details of new ceiling framing. Plans show 2x6 joists spanning in excess of 25'. There must be interior bearing walls. Provide an interior bearing and non - bearing wall detail. 7) The minimum wall insulation is R-5. The plans show R 2.5. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new evised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Folio Number:1121360110460 Owner's Name: JOSEPH FULTON TRS Job Address: 61 108 Street Miami Shores, FL 33161- Owner's Phone: Total Square Feet: 1800 Total Job Valuation: $ 35,000.00 Contractor(s) CLAUSING BUILDERS INC Phone (305)546 -2016 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 1/13/2012 : Yes Comments: NEW A/C NOT PERMITTED WITHIN 10 FEET OF SIDE LOT LINE UNLESS REPLACEMENT OF EXISTING A/C. 12/21/11 A/C STILL IN SIDE YARD SETBACK AND NOT PERMITTED. 1/13/12 NEW PLAN OK Permit No: 11 -2008 Job Name: November 9, 2011 Miami Shores Vivage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet Provide all permit applications prior to any further reviews. Corrections must be made for Mechanical and Zoning. —3) Sheets A1.1 at�nd AO.Ohave notes that are not legible. 44). Provide energy calculations. —m.o.. /Z.5' ,.5) Identify all interior bearing walls on plans and include a ceiling framing plan for existing /and new. Provide details of new ceiling framing. �'j The scale on the plans is incorrect or the dimensions provided are incorrect. Dimension Lthe rooms. Provide an interior bearing and non - bearing wall detail. 5,...,#,A3) Plans must show insulation requirements. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. RC -10 -11 -2008 Issue Date: Not Issued Permit Type: Residential Construction Work Classification. Alteration Expires:Not Issued Folio Number:1121360110460 Owner's Name: JOSEPH FULTON TRS Job Address: 61 108 Street Miami Shores, FL 33161- Owner's Phone: Total Square Feet: 1800 Total Job Valuation: $ 35,000.00 Contractor(s) CLAUSING BUILDERS INC Phone (305)546 -2016 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 10/31/2011 Comments: NEW A/C NOT PERMITTED WITHIN 10 FEET OF SIDE LOT LINE UNLESS REPLACEMENT OF EXISTING NC. 12/21/11 A/C STILL IN SIDE YARD SETBACK AND NOT PERMITTED. 1 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. RC -10 -11 -2008 Issue Date: Not Issued 6? 9 tn31.; Expires:Not Issued Folio Number:1121360110460 Owner's Name: JOSEPH FULTON TRS Job Address: 61 108 Street Miami Shores, FL 33161- Owner's Phone: Total Square Feet: 1800 Total Job Valuation: $ 35,000.00 Contractors} CLAUSING BUILDERS INC Phone (305)546 -2016 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 10/31/2011 Comments: NEW A/C NOT PERMITTED WITHIN 10 FEET OF SIDE LOT LINE UNLESS REPLACEMENT OF EXISTING NC. Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: 1 cG DATE: J\ \IV V 1 0 Is e/ Y cis 4 ' iazi zt., ii•tIntractor ❑ Owner er) MAO COTIGI-vOYE Col 4e 1 From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: 1 PERMIT CLERK INITIAL: oft Fulton Residence HVAC Load Calculations. for HVACRE II.A oAD$ Prepared By: Wednesday, October 19, 2011 Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D. Project Report Project Title: Project Date: Fulton Residence 10/19/11 Ailk Reference City: Miami, Florida Building Orientation: Front door faces North Daily Temperature Range: Low Latitude: 25 Degrees Elevation: 7 ft. Altitude Factor: 1.000 Elevation Sensible Adj. Factor: 1.000 Elevation Total Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Outdoor Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hunm ReiHumm Dry Bulb Difference Winter: 40 37.52 8096 n/a 70 n/a Summer: 92 78 5496 5096 75 58 Total Building Supply CFM: 1.540 Square ft. of Room Area 1,968 Volume (ft3) of Cond. Space 19.680 Total Heating Required Including Ventilation Air: Total Sensible Gain: Total Latent Gain: Total Cooling Required Including Ventilation Air: Aar CFM Per Square ft.: Square ft. Per Ton: 0.783 531 • '''411112•111000 33,315 Btuh 33,872 Btuh 10,623 Btuh 44,495 Btuh 33.315 MBH 76 % 24 % 3.71 Tons (Based On Sensible + Latent Rhvac is an ACCA approved Ma ual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent Ioads. 8\FULTON RES|OENCE.rhv Wednesday, October 19, 2011, 9:53 PM System 1 Room Load Summary TAVVISOMPVe.r". --Zone1 1 Ground System 1 total 1,968 Mar 33,315 433 0-0 33,872 10,623 1,540 1,540 1,968 33,315 433 33,872 10,623 1,540 1,540 Ler 104:4111:1•11"c3;". Pftig404411.1* IIK70=6ASIMITIho Net Required: 3.71 76% / 24% 33,872 10,623 44,495 Type: Model: Indoor Model: Brand: Efficiency: Sound: Capacity: Sensible Capacity: Latent Capacity: AMegf Heating System Electric Resistance 0% 0 Btuh n/a n/a Cooling System Standard Air Conditioner 0 SEER 0 Btuh 0 Btuh 0 Btuh C:\Elite\Rhyac 8\FULTON RESIDENCE.rhv Wednesday, October 19, 2011, 9:53 PM Jul 23 12 05:55p INTERNATIONAL 305 - 824 -8577 p.2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ,qcvf Inspection Number: INSP- 167781 Scheduled Inspection Date: July 23, 2012 Inspector: Hernandez, Rafael Owner. FULTON TRS, JOSEPH Job Address: 61 NE 108 Street Miami Shores, FL 33161- Project: <NONE> Contractor: JC PLUMBING SERVICES, INC Permit Number. PL -12 -11 -2307 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360110460 Phone: 305 -796 -4663 Building Department Comments RENOVATE THREE BATHROOMS AND KITCHEN Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Frn t}L July 20, 2012 For Inspections please call: (305)762 -4949 Page 2 of 43 25 01 12 10:42 1 I MIAM ADE COUN'T'Y TAX LAGLER ST. let FLOOR MIAMI, FL 33130 532116 -I BU:.INCSS NANNE / LOGATIOU J C PLUMBXt#G SERVICES INC 33100 CITYIOFPAVENTURA OWNER J C PLUMBING SERVICES INC Sec. Type of ETUrinDflI; YHIG is �11,46A PLUMBING CONTRACTOR tfy 51NErA TAX f[CL.II.T. >T UOL'i Tai PINNY nit. TEA nt It TO YRN,AT! ANY ro..rLVtt l4',W.A1rtoy Ott TnNING I.A.V .A trot ('.CUINIY MI MILL !pail HUI fiCrtrfRlo ANY OTHriw Pf il4tir Cit WAIT ' fit•uorlrt1 IT DY LAW r Orr NOT A crriTRlCAu KIN Le roc UOLni q•g t}UAi,ti IGrn IONS. 2011 LOCAL BUSINESS TAX RECEIPT 2012 MIAMI -DADE COUNTY. STATE OF FLORIDA EXPIRES SEPT. 30. 2012 MUST OE DISPLAYED Al PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER OA • ART, 9 et 10 1. 1 1 1 1 A I uLI ••• )O HOT PM' RENEWAL =GEIPT NQ. 555066-4 501 STATE# CFCI426227 Mf i Pnnl c L11 TY 'All �t1U.CCTOui 09010013001 000045.00 SEE OTHER SIDI: MST-GLASS U.S. POSTAGE PAID MIAMI, FL. PERMIT NO. 231 WORKER /S 1 DD NOT FORWARD J C PLUMOINO SERVYCES INC JUAN CARLOS LEON PRES 3500 MYSTIC POINTE DR #501 AVENTURA FL 33180 h altrilf, Ia► halrltl llt1/tTrIIt11aJIiI tam.dpn p.1 25 01 12 10:42 r ACif L. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION -INDUSTRY LICENSING-BOARD S tt#LtOD716fl08B4 DATE BATCH NUMBER 07 16 2010 108001336 LICENSE NBR CFC1426227- The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2012 LEON, JUAN CARLOS J C PLUMBING SERVICES INC . 3500 MYSTIC POINTE DR, #501 AVENTURA FT, 33180 CHARLIE CRIST CHARLIE LIEM GOVERNOR DISPLAY AS REQUIRED BY LAW • INTERIM SECRETARY- 25 01 12 10:42 113 JCPLU -1 OP l : CE ,nom ,Rrc-.), CERTIFICATE OF LIABILITY INSURANCE DATEIIEdOBANYY1 12105/'11 THIS CERTIFICATE. IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE C =ERTIFICATE HOLDER. THIS CERTIFICATE GOES 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 1$Stl1N1 INSURERS }, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: II the certificate holder is an ADDITIONAL INSURED, the Iroilcy(ies) must be endorsed, If SUBROGATION the terms and condition at tho policy, cersisln policios may require an endorsement. A statement on this teRiflce to certificate hoklor In lieu Of such endorsement s . IS WAIVED. subject to does not GoMor rights to the 1'RODLIGER 305-666 -5636 Wilson, Washburn and Forster Suite 300 366-777 8 10301 South DIXIe Highway PineCrest, FL 3315b Philip S. Yemen -, _ —... _rINSURERA • INSURED JC Plumbing Services, inc, 3600 Mysitc Pointe Dr, 501 Aventure. FL 33180 _CON T _ • —• FA CA/C240).: 305-862.71'8 — - .. .... _. __ NAIL I - , 23140 -• ,— _tom k • 305- rA6-6636 — —.. ^ s.kaw. eeKificates@wwfins.cvm �DDRE�s: - - _ MISISRFIRRAFFORDDIG GDYERAG :Associated Industries Ins., INSURER B _ _.,• . -._ -• - -. IINSURE1RE ._._ . __.— ._ • INSURER E ._ —. _ ._._ .. COVERAGES CERTIFICATE NUMBER REVISION NUMBER: THIS IS TO CERTIFY TSlA1 THE POLICIES OF INSuRANCI_ LISTED BELOW HAVE EUI;tN ISSUED TO THE INSURED HALVED ABOVE INDICCO. NOTVNTH&,TANcING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONIH/t.CT UK OTHE -R DOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PEN1'AJN. THE INSURANCE ArFORDED BY THE. POLICIES DESCRIBED HEREIN IS EXCLUSIONS AND CONDITIONS OF SUCH POLtCILS LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . _._ ... -- -- - - -. .—.. 'ADM .�•- . Fr)H THE; POLICY PLRIOia WTH RESPECT TO WHICH Tlii.; I`5UBJCCT 1-o ALL THE TERMS. ►N,SR EWA-- LT.R TVV �; OF I►4ssllsiA!iCE JiIGY-E'rf— poi 4'T1EzP y ( AV Pni•It Y N{rMBFH ENIM+AOWYYY) p wA'CuivyYY) .. __.. — LIlAi1�` - GENERAL LLOBIUTY • LACY OCCL'RFir CCk1MCR.I.L O f LiAin Iry "'D: MXIE TO MINTED i 1 ..._ 'Itr,!AI_CS„-B ste..Z.-rt:rt..J L . .J G!'1VIM!..MJU71 — tJr;f:Ul^t • , • I^t-ED VIP (M:y Oct 5 ' — ".. '... —• • _. ,5 — ._ 0, raur ..m ,.. .1 ,5. INJURY I - '' _� — rcAT!'. S_.. i —' _" • Af:C. S ._- • _.. — _ —. . —_ !FNSONAt E. .� • I • GENERAL/1C,r" Qt Ni. AGf�10:1.1• 1-L, LIMEY !•PFLII•?; T•LR 1 rr,Ury fir!- `IlODL'CT.. C�SiP;CP - AUTOL1OBILE LIABILITY I I I ea./mum. :) ,:1 R)UIYV.UR�;!gr,n^n1t � — 'LLVYAtD SCF•ISULFI7 L. , Nlrow AUTO!, UOcIL✓INJURT NON.OSA•v D _ ' IciREvAtlrf}S • . AUTO!: • . : PItUI'FNTY'IMIIAGC .LL ...Mt 1 $ (Per aLC►*xtf r .. TT" . _.. . ,,... $ W ! UMpRF•LLA LUAD • OCCUR . —. ; EACH°, NI•FNCt EXCESS LIAO t:1 AIft11K-M$ nJ- -j $ S -i • $ • — ArA:ALGAYI 1 DCD j 111:11 NIMINS — 1 WORKERS COMPENSATION 1hG:iZAttY. AND ItttPLOYCRS' LIABILI1Y Y lit TORS' l;uri A ANT s uoav:�r OR/PAR ;tuk�,;x;:C:,;T;vL AWC10T0204 12/14111 12114/12 F. L EACH CtC!'N' I!Ra1'+diAorylnNHNt ? kCL t.tU? 0:NlA 1 1 r • C L DISEASE - • vas. 9eSYttxfw+Ct. CI >.r.It1PTf N N. OK IIONS N.'na tfr!s• ....— LP, 1 _ S . s.9.Q0 _ — EA EGiPLOrt c a 100,OOl _De_I • vOLICY t :TAT _.. 5U.i} - r. S r)15°ASI • • , • DESCRIPTION OF OPERATIONS/ LOCATIONS! VEHICLES (Attach ACORD 10I. Addltlo.wt RatavMta Schedule, If nitre amide Is required) CERTIFICATE HOLDER cANGELLAT1QN Miami Shores Village Hail 10050 NE 2nd Avenue Miami Shores, Florida 33135 SHOULD ANY OF ThE ABOVE DESCRIBED PIXIES THE EXPIRATION PATE YEieRE0F, NOTICE ACCORDANCE W1114 THE POLICY PROVISIO S. �I BE CANCELLED BEFORE WILL BE DELIVERED IN AUTHORIZED REPRESENTATIVE ACORD 25 (201[45) ffi 1988 •2010 ACORD CORPO TION, Ail rights reserved. The ACORD narne and logo are registered marks at ACORD 25 01 12 10:43 •�'�--- ›RI:Y, CERTIFICATE OF LIABILITY INSURANCE rius CERTtFIGATC IS 15St1E0 A5 A MATTER OF INFORMAT!ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. f TH Sp' CERTIFICATE DOES NDTAFFJRh'ATIVELY OR NEGATIVELY CERTIFICATE THIS CERTIFICATE ESO AF R INSURANCE ATIV AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DOES NOT TE HOLDER, A CONTRACT BETWEEN THE ISSUING INSrJREt�(Sj. AUTHORIZED BELOW. TH1S OR PA OF S AND THE Ct S N01 CE N T TUT, IMPORTANT: fr me CC narcatc holder IS an ADDITIONAL INSURED, the IIc the IPfRhS arn! cundn10n:. o! the polity, certain � Y(les) rnUSt be t+rydflrs,•tl• If SUBROGATION IS WAIVED, •subJ rt to • pollclrc may ►t+rluJre an endorsement. A statement on inn. certificate e1tNs= not r or)fa► nrjl�t5 to the t o IF11 n and C1 in tiro tit such ?e polity, e t in p PR(XIUCF.R — -- — — p.4 f -• :.1I.'SA Rt:ii:3 111:'113 W. Until J'IrQhvn't Ari it:L'r.t. FL 33104 PiwjY' (395)I..4.13 -:?6CO Fax (305p32.66N CONTACT NAMr• r•1.OrYr �. r • ,� . ( . 4y tdit i . j:J3• - 2GI�C. AA t +raA1l '- ••• -- .• -. • t4nf �ti'+1:'!31 -: teC.'�i • AGS�►rr r,: tartr.11.1Y4.Ll1ctu li.con% 'Ysti lEk {s) A,fpfInINO C vERAGr INSURER A • .e.taIIYJ.ail el)rrin1QrC•L (ugairdltg.. .lepl {IRiblrll�'.tQfVllr•yIre INfiLIHFI ri 2`:G() J.'1y:,IU: Pont Jr,::. ^, f NtiUNI r. Avr•nlura, t I 1NS3E4m U :iv��1J- (,IBS) 51-i:02 iNiUHt:FtE • COVERAGES CERTIFICATE NUMBER: t'rr =�rh F— — rHI:; Iv 1'0 :.Lh E'1!'Y ? I LAT TI IT POLicll'S Of. .NtIUl•!JU;CE, LISTED /CLOW 1 IAVL• ETI f_Pj I:;;UL;C] TO I HE IN;,URG:) NAJ:tEI33VtB0� o - n ! Pr.: ICY PL E;IOD iMDICA J 1 r) NOT:0.I' ter• :TANDINt.'. ANY REO:JIRMIIENT• T;.I.m Cdr CCINDIT IC)N OC ANY CON I rtACT nit DTI OOL::J,� IENT WIT I i RESPL 11 CLRTIFICArr-MAY i)r I�LiUFO Olt MAY PI. RTAMN, THE INSURANCE AI r L ExCI a ;IONS ANt) C;?NC/ rICN:3 cr SUCH POLICIE- *r 1 AIMS *!:1 IQiNN MA OLU nY THL EDUCCD, DLSAID�CI MERLIN I::;U[fJECl' t rya TO v -(ICI t i HI, NSA. HANK' BECN f7EpuCCD BY PAID C[ Ad.Y:� THE 11 RNA^,. sYPrOr c1r.nRAhtr • PCt•i:v r:•.r ANL SUER • P[ILCY YLMI R CENrP,1 LlAfl y 'hVmr_orryy Y; 1fdMi U0t YYYV ) 4 ✓ .. . •: '• Iv te,, •... NA_ :•:1 .:: I1 ' CLA; :e•. t•TA•. •• • .e :'Jrti l (I1CV ! I•st'••' At TOh1OUIL: LIA@I_I:y .11.Y AUTO • ht1 :) . I1llil .) vl. At1/(1 . UMORCLLA I.JA CI11. Iii W{rthest YIS COMPCNSATIoN Ar.D EAR OYF Pre Lt.:I]IL IYY y:k • rr."11: /1 rrrLl It !'r::: t•.•:r (:•� f-•.1.brq.itory m NN) 1• .. -. .•,^.. • }• •,•••1•••r 1•4 /A glti.Z460 o'1�S�oi CI10612012 ∎- :W;PTI N Ai Qla:rATloNt. i LUC,At:QNS t VEMICt hA •,attach ACORD 1 nt, Add,tior.ar R•1,r4•10. ych■,+nc, d mote sp..t•• ,•. n•con•nV) ERTIFICATE HOLDER - Miami Shores Village Hall 10050 NE 2nd Avenue Miami Shores, Rorida 33138 CORD 26 (2070106) OF CAkELLATION 1•• -' riJ4r• • 0 h ••.. U,• NBIC C Lee. rt. • DOD 0. x0 Oa r..•; 3CO3CC0 00 .3...30.000.00 htite:Pe 30C.000 EC 300,000 LIZ r:')tIILY IN t., +Y rJp• I. • 1 A. i C.r::j �lrtitl NC! ,• •• 1,L LAC:IIM:::In :14r l : I::!:rA :! .- ^L!: ''VI! • SHOULD ANY OF THE ABQVE DESCR18ED POLICIES DE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. HOrIGE WILL DC IyELIvEREO TN ACCORDANCE wITx THE POLICY PR6V7JSIOt�g, At)TH014LFr) RI_s•HCSFtq'iATgk .... . _ Ilnda imam! h•I 1988. ACORD CORPORATION. All rights reserve&. The AC D name anel Ingo arc re IStcercd marks of ACORD 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 Permit No.17 I i Master Permit No.J \1 --EOM BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder);, Address: o // zee. c.V- City: / % a i J/ o '/ ' State: Tenant/Lessee Name: Emai e JOB ADDRESS: 6) Are /, City: Miami Shores / County: // Folio/Parcel #: .- 2�. b °' /�,�� , iii, Is the Iluilding Historically Designated: Yes g 4 Miami Dade NO ✓ Flood Zone: /fie CONTRACTOR: Company Name: 3-0-- Phone #:. % �j.• 6 1' 7 Address: 3A nyl4I Po1` atr'W'6dn City: /t/r/Y1 �'W State: Zip: 331 re) Phone#: Qualifier Name: 436aq ee2f„/L :e. State Certification or Registration #: ere '—/906?0, Certificate of Competency Contact Phone #: 2.51, " iP ' d Email Address: 114-179, J�, �� DESIGNER: Arehitect/Engineer: ° ' Phone#: Square/Linear Footage of Work: •i Value of Work for this Permit: $ Type of Work: ❑Address LL Alteration °New °Repair/Replace ` °Demolition, Description of Work: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ ** * * * * * * * * ** *** * * * * * ** * * *** CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ q 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 FI FCTRICAL 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) days after the building permit is issued. In the absence of such posted notice, the inspection will not be ap i roved a ' a reinspection fee will be charged er or Agent The foregoing ins u ' - nt was acknowledged before me this day of bee , 20 1.1_, by g" who Nally kno me or who has produced ,.,,m..... ___ As identification and who did take an oath. ATE OF FLORIDA v'aerD. NOT =<_.;'" '� r, a Claus' =union # EE099825 '.'" " . O5, 2015 •: <a�as u "NORM CO3INC, Sign: Print: My Commission ICp4 ontracto The foregoing instrument was acknowl- • :ed before me this day of g4C{r1411'20 /1, by . 40 who isersonally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: MARIA E MY COMMISSION #D EXPIRES: MARI a SSi Bonded through 1st State Insurance ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY / IZ -lb- I( MANIA E VELALl1UtL my COMIC 1:SSIO J #DD862986 c ^ }� Rt; MAR 14, 2013 % cf ° , 8000 r,r,r■t?r. ,s State Insurance ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 �zC -it- 2oa� Inspection Number: INSP- 170327 Permit Number: EL -2 -12 -317 Scheduled Inspection Date: July 23, 2012 Inspector: Devaney, Michael Owner: FULTON TRS, JOSEPH Job Address: 61 NE 108 Street Miami Shores, FL 33161- Project: <NONE> Contractor: ALL YEAR ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360110460 Phone: (954)566 -4644 Building Department Comments LOW VOLTAGE ELECTRICAL WORK Passed 1 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments July 20, 2012 For Inspections please call: (305)762 -4949 Page 6 of 43 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 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): Address: 61 NE 108 STREET JOSEPH FULTON Permit No. Master Permit No. '7yi._ ' k�61 FEB 2,gL o2 BYe e� -s - -- Phone #: 305 - 905 -7188 City: MIAMI SHORES State: FL Zip: 33161 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 61 NE 108 STREET City: Miami Shores County: Miami Dade zip: 33161 Folio/Parcel #: 11-2136 - 011- 0460 Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: ALL YEAR ELECTRIC Phone #: 954-566-4644 Address: 6781 W SUNRISE BLVD City: MIAMI SHORES State: FL Qualifier Name: RANDY MILLER State Certification or Registration #: 08 E 0 0 0 413 Certificate of Competency #: Contact Phone #: 954 - 566 -4644 Email Address: PERMITS @AYCAIR. COM DESIGNER: Architect/Engineer: Phone#: zip: 33161 Phone#: 954- 566 -4644 Value of Work for this Permit: $ -00 Square/Linear Footage of Work: Type of Work: Address DAlteration C New ORepair/Replace Demolition Description of Work: SPEAKER WIRE IN FAMILY ROOM Submittal Fee $ Permit Fee $ /t" 7tei' d) CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ✓ • Bonding Company's Name (if applicable) N/A Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N/A 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 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 and a reinspection fee will be charged Owner or ' _ent The fore :o g instrument was acknowledged befo e me this day of I , 201 , by Wa nip, � 1 , who is personally known to me or who has produced As identification and who did take an oath. Sign. Print: My Commission xpires. erg :,rate Signature #1-(dee, C actor The foregoing instrument was acknowledged before me this day of i ! .� 20�`'Z, by /�1 y / a who is personally known to me or who has produced as identification and who did take an oath. *** * * *a * ** * * *** ** * *******,t,t _ �t** ** ************ * * * * * * *** * * * * * * ** * * * *a* * * ** ** ** APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 MILLER, RANDY E ALL YEAR ELECTRIC INC 6781 W SUNRISE BLVD PLANTATION FL 33313 Congratulations) With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Departments initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE (850) 487 -1395 QUALIFYING TRADE(S) 0001 ELECTRICAL Charles Danger P.E. Secretary of the Board Miayd -Dade County retains a MIAMhDADE r CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY 08E000413 ALL YEAR ELECTRIC INC D B A • MILLER RANDY EUGENE Is certified under the provisions of Chapter 10 of Miami -Dade Coun . Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 RC- Il-Loo8 Inspection Number: INSP - 174157 Permit Number: EL -12 -11 -2308 Scheduled Inspection Date: July 23, 2012 Inspector: Devaney, Michael Owner: FULTON TRS, JOSEPH Job Address: 61 NE 108 Street Miami Shores, FL 33161- Project: <NONE> Contractor: ALL YEAR ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360110460 Phone: (954)566 -4644 Building Department Comments ALL ELECTRICAL WORK UPGRADE FOR 5 TON SPLIT SYSTEM CHANGE OUT AND REPLACEMENT OF DUCTWORK Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 167789. Low voltage and alarm permits to be final first. garage door opener to be G. F. I. protected. At least one fixture installed at each exit . 4, re-e " July 20, 2012 For Inspections please call: (305)762 -4949 Page 16 of 43 OCCA Miami Shores Village 506' 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 20 Permit Type: Electrical /�' , OWNER: Name (Fee Simple Titleholder): f se�D1i �' v l4�'11 Phone #: 30S- �/ 9 �— 7/��- Permit No. Master Permit No. Address: /l " _ /O City: ,/%i, ...na Tenant/Lessee Name: Phone#: Email: State: Zip: 3/l JOB ADDRESS: ‘../ ff7 City: Miami Shores County: Miami Dade Folio/Parcel #: // 02 / c76 -- mil/ Is the Building Historically Designated: Yes NO Flood Zone: /t4 Zip: 33/11 CONTRACTOR: Company Name: ,%l// �r"i /���'2�_ Phone#: `*:‘,Vy/ Address:, 7 e7" vv S1%7,^,r v ' City: �,��� J76. ,, .)."'"1 State: P7 Zip: , 7. a, 2/� Qualifier Name: r% ..s,, 17 ..-°— Phone#: �,�� sz -f -rd r°,/ State Certification or Registration �,o2 00 0 / a.--Q e 3 Certificate of Competency #: '`Al /= /V Email Address: U 09,-2, . `T .? y c' . V . r n 4/1/4_ Contact Phone#: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ /f ,f5Z Square/Linear Footage of Work: a C):9- Type of Work: OAddress OAlteration ONew air/Replace Description of Work: U'l ODemolition x*********** * *** ** x **+ * ** *way * *** ***x ***Fees**x *** *a****a **** *** **** **** **** **** ******** Submittal Fee $ Permit Fee $ ' 9 3-; `5 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 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 F.T.F.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 commencement 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 ap ved and a reinspection fee will be charged. wner or Agent The foregoing instrument was acknowledged before me this /3 day of A cG , 20 I( , by lie- who i orally know to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Si Print: My Commission Expires: Signature ,Z* Contractor The foregoing instrument was acknowledged before me this day of �t L , 20 ,4, by Pay who i personally kno to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: My Commission Expires ***** *** *a*+x**** * * ** ******** **** *** ********** ******* *wax *** * *** ** **u•******* 2& (/ `QC- Plans Examiner Structural Review (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk ioaays uomiorr TosTeroays lances. 6781 W. Sunrise Boulevard, Plantation, FL 33313 Phone: (954) 566-4644 Fax: (954) 667-1290 wermallyearcoolingandheating.com .Est. 1973 with over 150,000 PURCHASER'S NAME Joe FI-4...ra ADDRESS • .. .. E - M A I L WI o t l i ( at caul . HOME PHONE 30S) - • • REFERRED BY . . . .1 WOULD LMETO RiCEIVE NEVA ufbinkOrsOriiiittimormatkperismassAniNd s'" st••-• • • INDOOR AIR IMPROVEMENT ILM1111 nmiii _lei co 1 IIVItU C NI' 3487:-. •2-/q,zom CONTRACT We herebysubmIt suet ffications for o Indoor Air Quality .s.. ,21. Other teigcMicii-z-- 1AII:Yeartiolina4111 fOrnish ail parts, labor and eqUIPitteit neciiisaiy to facilitate the 'service checked above In accordance with the conditions .and.specifftudiona in.this.contract. Dies Jut fta0d*.•000164111111Pidti Fiass stated. • O Duct Cleaning & Sanitlzintf#6_,__2/etitsft •• • fact Systems' E:1HIghilualityAlrfilter ..‘ Locafton • •-' • • D UVUght • . • ;. DHlghauafltyAirclaaner Lncatlon :• • 0 Moat/blew Supply Duct(s) Modify/New Return Duct(s) • 0 New Return Air Grill, Size RETURN & SUPPLY DISTRIBUTION O New Supply .GrM, Size x Qty. O. . • •• • • • • .• • • • •• • • .• • Seal Up Leaks Iq Ducts# • • • x atY El Modifications of 0SUPPIY Return DftetumAlrPlemim NEW EQUIPMENT WIRING 0 Spilt System O Package Unit Heat Pump • . Straight Coul Horizontal ApplIcatton /2 Other 1 2 3 MAKE O Electric Heat o Heat Recoyery Unit •0 # of Systerts • :0 VortivaiApplication:', • -:.- .•••• MODEL SEER •• • DPJrHandlerBmakerWlreslze .••• • • CI Use Existing Brealcer 0 Rapiaca Breaker. „ . :•• •: _ Use,Existing Breaker Ils Replace Breaker ▪ New Brerdcer El Brand Provided by Mithii Otani • '"Disdanicciat .• . . . „ . . „ Electrical 'to Code ' OTHER ▪ KuidllaryHttat SafehiSwitch'. . - • Type or Thermostat - SpecItyType LI Weidner ReslitaritVlbritioriOsulatirirs-Pads • • • ,E1§•Ye.ariEicksilded fr.„ 0 10..Y.WPOMdeilVigrantti CONDENSATION & COOPER PIPING El Condensate Drain Hook-IJp ". . Prtfniiiy:...;:i 0 SatIndOry 0 New Condensate Pump D AnidairyDrain Pan' 0 Refrigerant Copper Liquid:Lbie, Shia • RefrigaantOOPper Soctioit Lida with insiftatibit Sitio .-',••‘ !?!0400ii,c#PPOri cov4r., OTHER o Liabillftes and Worlonen's Comp for a Smoke' DObittir ••: • • • with Usti% Codes o hilountag Hardware of Stand fork Handler 0 Extend Slab . . 0 .New Slab El Hurricane Code Strapping •• 1• O straps **EltCrill113/60iiiititt WARRANTIES 1 Year Warranty by AA Year manufacturer's wannity on equipment unless htherOdeastatiiil • •• • :; • • • ••• • piwildral by Baer In !wind ts Moiday tough Stain INVESTMENT BREAKDOWN Subtotal Pennft Utility Rebate Man. Rebate 014-- * is *740c.1AJ " ..s . Manufacturer's Warrentles. . • • , • OCompressar • 'Yearrii ••••••••• •!n: El Labor Yeaff; CI Condenser lairs • El Parts '.• • YAM 0 Brit, " *leafs ...‘ • • • .•• $ $ $ $ $ klac Credits $ Tidal Inarmenerds $ Extended Warrant $ Nance Due $ . $ mama Any tram:lag must Im armour 24 burs prior to *Aug any viaric • . Balance Due bladed:km Upon Complotran of lab. DETAILS OF WORK PERFORMED ..stArtetAkerat:;''..:•9z-x- S •.' Vann artsaimint :El cask-. [rank' :"OCC -1" ` num= . . . . . -;?-1/z/244,,, . ..• • :,' AA Year Coding Ftepresadaliva Staab= Daft Cuatamar tapaehue Unease .raca5a189,e4c�18nex,Uta711,aaraca41, ER011120113 Data SEE RINSE FOR1HUMAND =DIME 01/25/2012 19:01 9546671290 ALL YEAR COOLING PAGE 02/02 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 954- 831-4000 VALID OCTOBER 1, 2011 THROUGH SEPTEMBER 30,1012 Receipt #:. Btspness Name: ALL YEAR ELECTRIC INC CxtSCAL /ALARMS /CQNTRAc7ea s (ELECTRIC/A10 Owner Name: RANDY E WILLest Business Location: 6781 W St:TNR1S8 BLVD PLANTATION RuSiness Phone: 954 - 566 -4644 Rooms Tex Amount Scats Number of Machines: Transfer Fee NSF Fee 0.00 0.00 BUsinese Opened:10/03/1996 State /County /Cert/Reg.NOUO 903 Exemption Code. employees 4 For veedlno Elusions only 27.0D Machines Vending Typn: Penalty Prior Years Collection Cast 0.00 • 0.00 0.00 Professionals Total Pald 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS 'THIS BPCOMES 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: RANDY E MILLER 6781 W SUNRISE RIND PLANTATION, P'X, 33313 2011 - 2012 Receipt: #03A -:t0- 00011590 Paid 08/11/2013. 27.00 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 MILLER, RANDY E ALL YEAR ELECTRIC INC 6781 W SUNRISE BLVD PLANTATION FL 33313 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE (850) 487 -1395 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 I(' --�� -' Inspection Number: INSP - 176376 Permit Number: MC -12 -11 -2309 Scheduled Inspection Date: August 08, 2012 Inspector: Perez, JanPierre Owner: FULTON TRS, JOSEPH Job Address: 61 NE 108 Street Miami Shores, FL 33161- Project: <NONE> Contractor: ALL YEAR COOLING AND HEATING Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1121360110460 Phone: (954)566 -4644 Building Department Comments REPLACE CENTRAL A/C SYSTEM 5 TON SPLIT SYSTEM OF EXISTING DUCTWORK l tz Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 173306. CREATED AS REINSPECTION FOR INSP- 172274. CREATED AS REINSPECTION FOR INSP- 167791. pending kitchen hood & secure c/u jpp c/u ok pending kitchen hood jpp must use 26ga metal duct for hood jpp August 07, 2012 For Inspections please call: (305)762 -4949 Page 16 of 33 Miami Shores Village Building Department /0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. w I Al 2N,CR Master Permit No. 11 WO? BUILDING PERMIT APPLICATION FBC 2004 DEC 4 am L BY: ___________o_ao�oomm Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) 0 7 .5-9,1A Phone # 5's— 7/8-6' / city State Owner's Address Tenant/Lessee Name Zip Phone # E -MAIL: e? ra > /- j d C „eV') i ✓4 /� Y`> Job Address (where the work is being done) / /or City Miami Shores Village County Miami -Dade Zip 3 '74 FOLIO / PARCEL # /i — 69 / S °^ d -- ®9- 6 6 Is Building Historically Designated YES NO Contractor's Company Name ALL YEAR COOLING & HEATING Contractor's Address 6781 W. SUNRISE BLVD Phone # 954 -566 -4644 City PLANTATION State FL Qualifier Name GRETA B. SMITH State Certificate or Registration No. CAC058160 E -MAIL: pemits@aycair.com Architect/Engineer's Name (if applicable) N/A Value of Work For this Permit $ ezi Zip 33313 Phone # 954 -566 -4644 Certificate of Competency No. CMC511 Phone # Square / Linear Footage Of Work: r Type of Work: DAddition ['Alteration ['New Describe Work: REPLACE CENTRAL NC �.n [Repair/Replace D Demolition * err**** * * * *,t**** *,t+r* t,r*, * ** * ** ***** * rp ees1►'l��'`*****, * *,r********a *** * ** * ** * *** *,r **** *** Submittal Fee $ Permit Fee $ ti Notary $ Training/Education Fee $ Scanning $ Bond $ Radon $ DPBR $ CCF $ CO /CC Technology Fee $ Zoning $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -+ Bonding Company's Name (if applicable) N/A Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N/A 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 cm 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) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and reinspection fee will be charged. Signature The foregoing ins er or Agent t was acknowledged before me this 13 day of Dp,. , 20 I I , by 3-A, 16,217, who ersonally kno to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Si Print My Commission Expires: * ** ** r******** ** ** *** * ** APPLICATION APPROVED BY: (Revised 02/08/06) VI Contractor The foregoing instrument was acknowledged before me this J1 day of Lei , 20 1) , by d - who ► ersonally known me or who has produced as identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Miami Shores village Building Department 10050 /V.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): e(o/ 45:71-)-e City: Miami Shores Village County: Miami Dade Zip Code: 3 3/4 f ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES NO ❑ ARHI Sheet Attached: YES NO 0 Contract Attached: YES 0 UNIT BEING REPLACED DATA NEW UNIT ,_. r MANUFACTURER 6 .- 9 AHU or PKG. UNIT MODEL # / ,3 �� 6, 6ie .' , . COND. UNIT, MODEL # .7 6"2:7 Cea KW HEAT Ze9 .3_ NOM TONS S • AHU S?. CU s73, PKG 1 M.C.A AHU 3 CU 573 PKG AHU 6' ®CU PKG 2 M.O.P AHU CU PKG AHU,23o CU a. ; PKG 3 VOLTS AHU, ,. CU ,13z) PKG PKG UNIT / 1 EER/SEER . 76 .ri% REPLACING DUCTS 7i► NO 4(*11) REPLACING THERMOSTAT NO YES - NEW 4"CONCRETE SLAB YES +i• YES �r� NEW ROOF STAND YES 41. YES -00,... NEW RETURN PLENUM BOX t ' NO Minimum Circuit Ampacity (Wire Size): Maximum Overcurrent Protection (Fuse/Breaker Size): . Voltage of Circuit (208/240/480): e% 242 . Size Disconnecting Means: :ontractor's Company Name: i / Phone: tate Certificate or Registration N. 6 /f C> Certificate of Competency N. /-..(-4f C .wt' ►ignature (Qualifier's signature on Date: 49-���r www,ahridtrectory.org This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. Certificate of Product Ratings AHRI Certified Reference Number: 3930724 Date: 12/6/2011 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR5061E1 Indoor Unit Model Number: 4TEE3F66A1 Manufacturer: TRANE Trade/Brand name: XR15 Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 210/240 -2008 for Unitary Air - Conditioning and Air - Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored, independent, third party testing: Cooling Capacity (Btuh): 57000 Eh. Rating..(Cooling) 13.00 Rating (Cooling): 16.00 ' Ratings followed by an asterisk (') Indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an Involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) Died on this Certificate. AHRI expressly disclaln s all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprletery products of AHRL Thy Certificate shall only be used for Individual, personal and confidential reference purposes. The contents of this Certlflcate may not, in whole or in part, be reproduced; copied; disseminated; entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahrldI ectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certfcate was Issued, which is listed above, and the Certificate No., which is listed below. Air- Conditioning, Heating, v ` and Refrigeration institute ©2011 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129676807871828871 This form m sheet. Multip Job Add :Ity: Miam Miami Shores village Building Department 10050 N. E 2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC accompany ALL air conditioning replacement permit applications. Each unit change -out must be an its own data units on single sheets are not acceptable. (where the work is being donee 4/ /)£ « $ hores Village County: Miami Dade Zip Code: 3 3 /4' / CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS ARI (AHRI) DATA SHEET REQUIRED necting means: YES g <-10 ❑ ARHI Sheet Attached: YES NO Q Contract Attached: YES 0 Minimum rcuit Ampacity (Wire Size): Maximum =gin ercurrent Protection (FuselBreaker Size): Voltage of �� �� ircuit (208/240/480): d3--0 Size D • ll netting Means: retractor's mpany Name: 4"/ 47,43-71 Phhone: TSY • ate Certlflca t- ?'r Registration N. �� � o � � Certificate o Competency N. /_.'i42 G .S`l / ignature ��.r - -.� (Qualifier's signature onl 11 Date: /9�l/�'i 11 NIT BEING REPLACED DATA NEW UNIT z -,- MANUFACTURER t'r_ , AHU or PKG. UNIT MODEL # ,- .3 ‘:, ..4,i9 o_ COND. UNIT, MODEL # 4.7-T, ' 5 �� /© KW HEAT lJ • ill 5 NOM TONS • AHU ';'':# COE s b PKG 1) M.C.A AHU' CU Sy PKG AHU ::aoCU 6 , PKG o CU a3i, PKG 2) M.O.P 3) VOLTS AHU67) CU PKG AHU,,/,30 CU „7., PKG PKG IT / / PKG UNIT / 1 f / EER/SEER • YES ! {I i -. REPLACING DUCTS NO YES ;;' •:[•' REPLACING THERMOSTAT NO YES *III ,, = NEW4�CONCRETE SLAB YES +�.'+'! . YES Iii !'r` NEW ROOF STAND YES YES lj; .,• •• NEW RETURN PLENUM BOX NO Minimum rcuit Ampacity (Wire Size): Maximum =gin ercurrent Protection (FuselBreaker Size): Voltage of �� �� ircuit (208/240/480): d3--0 Size D • ll netting Means: retractor's mpany Name: 4"/ 47,43-71 Phhone: TSY • ate Certlflca t- ?'r Registration N. �� � o � � Certificate o Competency N. /_.'i42 G .S`l / ignature ��.r - -.� (Qualifier's signature onl 11 Date: /9�l/�'i T p ww,wa,ahridirertory.org This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. ertificate of Product Ratin • s RI Certified Reference Number: 3930724 Date: 12/6/2011 oduct: Split System: Air - Cooled Condensing Unit, Coil with Blower tdoor Unit Model Number: 4TTR5061E1 oor Unit Model Number: 4TEE3F66A1 nufacturer: TRANE de/Brand name: XR15 nufacturer responsible for the rating of this system combination is TRANE ted as follows in accordance with AHRI Standard 210/240 -2008 for Unitary Air - Conditioning and Air - Source at Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored, independent, third rty testing: Cooling Capacity (Btuh): E. R..Rating..( Cooling) :... SEER Rating (Cooling):. 57000 1..3,00.._ 16.00 RE, s followed by an asterisk (1 Indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DIS LAIMER ! it not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the , uct(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the u orized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridIrectory.org. TE !, 8 AND CONDITIONS cafe and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The ,. of this Certificate may not, In whole or In tart, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any fo r ranner or by any means, except for the user's individual, personal and confidential reference. CE iiG FICATE VERIFICATION The on for the model cited on this certificate can be verified at wwwahridhectary org, 1� Air - Conditioning, Heating, c "Verify Certificate" Zink and enter the AHRI Certified Reference Number and the date on Imo and Refrigeration Institute whi I the certificate was Issued, which Is listed above, and the Certificate No., which is fisted below. 04,011 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129676807871828871 Today's Comfort. Yesterday's Prices. 11 Vriifi 6781 W. Sunrise Boulevard; Plantation; FL 33313 Phone: (954) 566-4644 Fax (954) 667-1290 ■'COOLING'. , ESL 1973 with Over150,000 installations' El CONTRACT ESTIMATE PmwsP's *mg . . . . . . , . . . . '• • -** CTIY/ST 44 I. Sg Lit . uL Pc. 0-C9 r-t1 ..• HOME PX.FERREP. . . . . . . . . . . . . . CI make kW) fsENENEWS uilio4oFFErwsmi Wilionaiarsisisiiiirkiseseekr'* — N° 3 67 8 Meter* submft specifications for: 0 Equipment installation: o Indoor Air Quality El Other egAlluipearinentOtiOnecessmyling WM funtIabto touted liartatkiilabservicaor and checked above In accordance with the conditions !and spodflestiase listed bitIlla.contract. Does Set loplude:electrical:Oppro4.0* stated. INDOOR AIR IMPROVEMENT o Dtiet claiming EtnETitongt., Dun.t systanisi vEliggtesauantylur. tncallan • .! !iv (Amt.:- ....ff:tv vv. i„ • • typo irollifo.chiaricr .„. RETURN & SUPPLY DISTRIBUTION El MOWN/ Y. SuPpl D.uct(s). o , MOONew Return Duct(s) CI New Return Alt Size • . D.N Supply cid% „... 0.Sial Up Leaks In.Dticts - • • • (Hy. • El Modifications of El SuPply Return El &sank Pienurn Qty. NEW EQUIPMENT WIRING A spat : - ka SactrieHeat •-•-';•0-Alr Hans tiler treaketWini Sivi H .• • • ;', •. • ••,: T • - u New Breilie :• fl staiiieani: . .• a.j•-• • :••• ,• • • • El Horizontal Application • ;Vertical Applicant:tn • • :EILIse:Bdsting Breaker' • I:1 Other - New Breaker ••••• ... : . ..• . MAKE MODEL SEER MEM 1111Mailli • • • .Ctreikk3i ; • :::f.kalaff.tit;,•cocir*4_ 1-4iiit"11 ?•*, , • • • ... - ri Provided fleot�o Replace Breaker • AU Year Malkin OTHER "'Eilettn$BectrIcat "1' to dada. " 60.15,44440:•-r,44444.1.?....":-It9,:,,v,ille:;:41,[r7.5.X4:129,1t,ii41..5.Fir;•• • COrklf,tReeta, ..."1:1141evi.COndepeete.Runip:'.: . • ss. • KType of Thermostat - Spestry Type 'SO • ..ZWeldher Resletaittifihnittri; IsalattanPads 01.1*Year t Visit Maintenance Agrearrient.' • : ' .1:15.yeariExtendett Warranty.. I:119.y* Bctended.Wasantt, CONDENSATION & COOPER PIPING . . , • • • -1: Bilhilieranf*Per Uquld Une, Slze • ... • • • • • seiant CapperRuctIah With latulatiok OTHER O kid Warkment Comp ter Our WarkPeriormed Exlethni Codas Hardware et Stand furAtr. Handler Hurrlaane Cade Slanging loaShIlas • • .121 Crane/Bente Lift " ' • • ,...• Q Extend „ zErNew.Slab ,•• • . Lebtulteeded. It WARRANTIES i year Werra*. byAll Yeer.Cecilisfen vie* P.eflormed, and manutantitrert.warranty an equipmentigge,ea Othoimilse:st*4 • Labor plead hy sellarInthlapadtbd Madly through Sod* INVESTMENT BREAKDOWN $ . . Parmlt $ Utility Rebate $ / °OS- $ $ Man. Rebate $--.$ $ Mien Credits $ $ $ lista' Invaidmente $ • Extended Wanenty $ $ $ Balance Due $ Any , , ■ .. be attenged 2411ms Oar to starling enywork, ■ ,..., i. ,. Completion of Jab. IOW; • . • r• utacturert Warranties ::„ • . • Compressar..:111.-Yeare•i; Laborl—Years CoridenserYears *'' Parts:.--aq—Years Evap: Oak. * 10. Years DETAILS OF WORK PERFORMED • t•s-tz•e. AI cloq.e Geer—: 1 90_1 * c - V S , t•-•.5 011"Z 1—.s LA.. 11: 20n° c-t1 oai,;:.z•3 • *tm • • • flcc:1 DFInanaa : • • fbattnmerSlanalon Dais Client#: 89031 ALLYE ACOR D,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1/03/2012 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 WAIVED, 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 lieu of such endorsement(s). PRODUCER Advanced Insurance Underwriters 3250 N. 29th Ave Hollywood, Hollywood, FL 33020 CONTACT PHONE FAX 954 963 -6666 (A/C, No): 9549641438 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Alterra Excess & Surplus Insure 33189 INSURED All Year Cooling & Heating Inc 6781 W Sunrise Blvd Fort Lauderdale, FL 33312 INSURER B : Technology Insurance Company 42376 INSURER C : Scottsdale Insurance Company 41297 INSURER D $1,000,000 INSURER E : $300,000 INSURER F : CLAIMS -MADE COVERAGES CERTIFICATE NUMBER: 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR SUBR POLICY NUMBER POLICY EFF (MM/DDtYYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY x x 557368 2,500 $10,000 12/31 /2011 12/31 /2012 $1,000,000 EEAACCHp�OCTC�URRENCE PREMISES (ERa Earrence) $300,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 X BI/PD Dedt PERSONAL & ADV INJURY $1,000,000 GEN'L 7 Water AGGREGATE POLICY Damage X LIMIT APPLIES JEC Dedt PER: LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below Y / N N N / A 560358 01/01/2012 01/01/2013 X WCSTATU- TORY LIMITS 241-1- ER E.L. EACH ACCIDENT $1 ,000,000 E.L. DISEASE - EA EMPLOYEE $1 ,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 C Property 557487 12/31/2011 12/31/2012 see descriptions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) **Named insured** All Year Cooling & Heating Inc, Tom Tom Realty Holdings, Inc. All Year Electric Inc. GENERAL LIABILITY: If required by written construction contract, Certificate holder is additionally insured, Blanket waiver of subrogation applies. This insurance is primary and non - contributory. Aggregate applies per project/location subject to a $10,000,000 annual aggregate. Products and completed operations are included. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Miami Shores Village 10050 N. E. 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) 1 of 2 #S819252/M818973 RP e © 1988-2010 AC RD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CFA STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 SMITH, GRETA B ALL YEAR COOLING & HEATING INC 6781 W SUNRISE BLVD PLANTATION FL 33313 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE SLAT = of FLORIDA AC# .513282 DE'•PA TMET ,.OP BUSINESS ..AND q:i(NA , REGUL T,TON 1,070.11232 R MIN INC IS CERTIFIED under the provisions of ch.489 8i 4341a.iflii pir;AUG #.3•i4 20:12 L10092702263 The C%AS Named belzaw Under e: `P?3v .. Expiration date.: SMITH,' GRETA 6 SUNRISE HL P " AT TON