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RC-11-1509P Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 163428 Permit Number: RC -8 -11 -1509 Scheduled Inspection Date: June 07, 2013 Inspector: Rodriguez, Jorge Owner: PEGG, JOHN Job Address: 333 NE 103 Street Miami Shores, FL 33138 -2432 Project <NONE> Contractor: RED HOT SOLAR ENERGY Permit Type: Residential Construction Inspection Type: Final Roof Work Classification: Solar Phone Number Parcel Number 1121360130250 Phone: (561)790 -6685 Building Department Comments INSTALL SOLAR PANEL ROOF ATTACHMENT Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 07, 2013 For Inspections please call: (305)762 -4949 Page 1 of 24 RECEIVED AUG 17 2011 BY: e9L -� JC-1 --ALL MLDIN� 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: f305) 762.4949 RECEIVED AUG 17 2011 5Y: Master Permit 11. Q�� RECEIVI ;1 AUG 17 2011 EY: Permit No. 12471 1 -t5-0(1 Permit Type: BUILDING. /ROOFING OWNER: Name (Fee Simple Titleholder): _.11 6 l /-e1 j Phone #:.3D. "619rVS Address: 33 3 )4,46 /0 3 ,s j-C e'i' City: m,4 »,/ SAVe es State: &O/Z-fo rf Zip: 33 32 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 3733 AE- /03 ire e/ City: Miami Shores County: Miami Dade Zip: 33,3 6 Folio/Parcel #: 41/—.4 (3 ° Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: ,t -e /7y °ije/l f ?C Phone#: ge 0.--7969 -6p485-- Address: 400 Se°/ 6 a d% tg/qe/e /ir■ City: Z n1ch ems. State: 1� Zip: 333470 Qualifier Name: C JkrJeS .44. Q,ttnd2i' Phone#: 57a/-29e -6 6 State Certification or Registration #: CA./CO /7749/ 0 Certificate of Competency #: Contact Phone #: ' PI" 7%2 r ee 6 g.r. Email Address: 54 <2.-5 r-A.. e e t.Dl.C-49,77 DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ A Ot Square/Linear Footage of Work: Type of Work: UAddition UAlteration Description of Work: , e �� 7 1LP ,_ / s ._ - W . 1, _ .f .,' fIIrs . i New ORepair/Replace UDemolition * * * * * * * * ******+ + x+ x*****x:*********+a+x***** Fees**** *****+ x***** ********* ****x:**:x********x:*** a� Permit Fee $ 6040 0 CCF $ CO /CC $ Submittal Fee $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Technology 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 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. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this a 3' A The foregoing day of ,201±,by hn • who 1 onall know Contractor instrument was acknowledged before me this , 20 , by �� IkS -teed L to me or who has produced who is. ersonally known t: e or who has produced As identification and who did take an oath. NOTARY PUBLIC-STATI OF FLORIDA •'" Donna Julian 1 =; Commission # EE038512 Expires: OCT, 31, 2014 ED THRD ATLANTIC BONDING CO;, INC. NOTARY PUBLIC: Sign: Print: `b oh y7 A-- -L 1 Z I ,4* My Commission Expires: as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC -STATE OF FLORIDA My Commission Expires: Donna L. Julian Commission # EE038512 ,,,��{,p,.•• '• ' Expires: OCT. 31, 2014 �S�ksk�ksk�ksk* �ksk�k�k�k�ks kdsskdask�k�ksksksksk�k**** �k�S�ks ksk�k: k* sksk�k�ksRSk* �k�k�k�k�k**** sksk�a�a�ksia �k�kA�s kakslssk�ks��k�SSksk�k�k�k *�k�k�k ***A sR�k II=k�k? * ** * ** APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk Permit No. Parcel I.D. # No. , 1/ Z i -/ 3 4 £7S:0 NOTICE OF COMMENCEMENT State of FLORIDA County of RECEIVED 17 2011 The undersigned hereby gives notice that improvement wilI be made to certain real property, In accordance with Chapter 713, Florida Statutes,the following information is provided in this • Notice of Commencement., 1. Description of Property: (legal description of the property): Yv14, 4 Shores S.C. 6Theg /o-4/7 L0-7451104-e7 f34; s/a •e. ioo.000 )(1.7-5 or aQcpa / ?oo a 4/ or P.35 • /8/3 O6o5 OC) 2. General Description of improvment: 3vnp)Q eACIVIZe, € + u, I WCtlel Pea y1 eJ 3. Owner Information: a. Name and address: -r- , b. Interest in property: SIMPLE FEE / PROPERTY OWNER c. Name and address of fee simple titleholder (if other than Owner): 4.a& b. Contractor: aYK, p A-1 f . r,c 111111111111111111111111111 1111111111111111 CFN 201 1R04s a7 x.92 OR Irk 27729 Ps 4186; (1Ps) RECORDED 06/22/2011 11:28 :28 HARVEY RUVItir CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST' PAGE 333 Ar /V3 Cf,/ frip.i i/ S4orePSe )3/38 9'7 pct(' /oc e .) Coral S #'r /e7,5,/ 350-1/ 5. Surety #QUA a. Name and Address: b. Phone#: c. Amount of bond: 6a. Lender: (name and address) NIA .b. Lender's phone number: 7a. Persons within the State of Florida Designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: (name and address) NIA b. Phone numbers of designated persons 8a. In addition to himself or herself, Owner designates NIA of to receive a copy of Lienor's Notice as provided in Section 713.13 (1)(b) Florida Statutes. b. Phone number ofperson or entity designated by owner: 9. Expiration date of notice afcommencement (the expiration date is 1 year from the date of recording unless a dif- ` ferent date is specified) WARNING TO OWNER :ANY PAYMENTS MADE BY THE OWNER AFTERTHE EXPIRATION OF THE NOTICE OF COM- MENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 71 3.13, FLORI- DA STATUTES, AND CAN RESULT 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. Verifi on pursuant to Section 92.525, Florida Statutes, Under penalties of perjury, I declare that I have read the • 8ing a1. that the fa stated in it are true to the best of my knowledge and belief. , J, toi\t, of Property Own -• ! Pcyj Printed Nante of the Above Signer /Owner: -,.J O4!!�1 NOTARY OFSIGNEWOVITNER ABOVE: • State of 494/'.4 . County of The foregoing instrument was acknowledged before me this /7') day of :3Gld7 e .. .1/ (year), by Crb*/ 9} (name of person) as . .. . (type of authority,.e.g. officer, trustee, attomey�' fact) for . . (name of party on behalf of whom instrument was executed). Personally Known OR•Produced.I.D Type of: T�,..b 1 L,. abawt (Signature of Notary Pu ` State of / /C/ .- /k,4 ___ Printed Name ofNotary A• D/(/A/A -1. T%/G' W— Verification pursuant to Section 92.525, Florida Statutes: Under penalti of perjury, I declare that I have read the foregoing and that f�� • In it are e to the best of my knowledge and belief. IGNA ! ' & TITLE OF SIGNING iVE N.O.c. • Seal or Stamp of Notary: STAG r A: ;jai, l '! 'r 9.. Digits via to p .*? s NOTARY PL'13LEr•ST,•ITE OF FLORIDA f `-;E p - si,-V .A , ,•. l,� ` 41J .D a. County Ckuit D.C. ". .., Donna L. Julia. Commission # EEO S Expires: oCT. 31, 2 Bosses eA'nuTICBO unva03.. 09/20/2012 08:18 5617906685 " ■ • RED HOT SOLAR PAGE 01 AC# 6292500 T4-i:S DOCUMENT NASA COLORED BACKGROUND - M1CRQP11INTING LINEMARK''' PATENTED PAPER STATE OF FLORIDA DEPARTMENT OF BUSINESS AMD PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#142052202945 E :LTC NUMBL.R. 011 0 4 11MCW ibe WEAR ENBRGY SPECIALTY coNTnamon sawed below IS CERTIFIED mider tbe provisions of Chapter 489 . Iftpiration date: AUG 31, 2014 COMWEDT, CHARLES A MID ROT SOLAR ENERGY INC If 0__” ALAN BLACK BLVD LC= HATO:UM FL 33470 RICK SCOT't GOVERNOR S.REQUIRED.f3Y.. LAW . 11111111111•11M NA M. GANNON P.O. Box Kt53, West Palm Beach, EL 33402-3353 "Zr, TV,phist"fiAlfwm Zarcrlig" vvvAv.taxocillectorpbc,cont Tel: (551) 355-2272 - 5'4E56 :.:NTRACTOR OWNER onurarr cum-Es cENIIFICATIONN GINO004910 KEN LAWSON SECRETARY **LOCATED AT 16059 ALAN BLACK BLVD E LOXAHATCHEE, FL 33470-3752 pEo.EtNT DATE PAID MO PA/0 U12.855033 • 09/05112 1 $27.50 1 ■■••••■•,,Iimwaikt 141.6.144140oxisimov 1 • al.: ,,rty when receipted by the Tax Collector's Office, B1 - 149 HOT SOLAR ENERGY INC HOT SOLAR ENERGY INC €•"2-39 E ALAN SLACK BLVD ZAAHATCHEE, FL 33470-3752 tr-C--eroz,p F (ovse 6ILIU 540008961 STATE OF FLORIDA PALM BEACH COUNTY 2012/2013 LOCAL BUSINESS TAX RECEIPT LBTR Number: 198902145 EXPIRES: SEPTEMBER 30. 2013 This receipt does not constitute a franchise, gigreernent, permission of authority to perform the services or operate the business described herein when a franchise, agreement or other county commission, state or federal permission of authority Is required by county, state of federal law. , • • 7;;74416i;leii;r is required by county, . VT7Wirqi JUN3 0 2Q11 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 A.-co-t1 -1(L'/ Solar Installation Requirements Check type of Solar System to be installed: Solar Thermal ❑ Solar Electrical ❑ Solar Hybrid Required inspections: Required Inspections: Required Inspections: PLumbing Solar Final Electrical Solar Rough Electrical Solar Rough Electrical Solar Final Electrical Solar Final Electrical Solar Final Structural Solar Final Structural Solar' Final PLumbing Solar Final Structural Solar Final Owner Notification: Installation of roof mounted photovoltaic or solar support systems typically require roof system Penetrations to allow attachment to the structure which may create additional long -term roof system maintenance requirements and/or jeopardize roof system manufacturer's warranties. Roof mounted solar systems generally required removal and reinstallation of solar panels /arrays in order to perform routine roof system maintenance, repair or replacement. I hereby acknowledge that I have read and understand the above notification on this day of i ,20 I1 . Print owner name Owner signature Property address 3 Ai /0 3 Si- , Miami Shores, FL Permit # Y1')C. -° l l - 1 14- ( Notary stamp Print Notary Name 1n1� L�JIQl NOTARY PUBLIC -STATE OF FLORIDA * °"*"% Donna L. Julian Commission # EE058512 %,,,, ",, / Expires: OCT. 31, 2014 BONDED.ThRU ATLANTIC BONDING CO., INC. 08/22/2011 09:32 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES 11001 * * * * * * ** * * * * * * * * * * * ** * ** TX REPORT * ** * * * * * * * * * * * * * * * * * * * ** TRANSMISSION OK TX /RX NO 1690 RECIPIENT ADDRESS +18884911869 DESTINATION ID ST. TIME 08/22 09:31 TIME USE 00'27 PAGES SENT 1 RESULT OK 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. MC -6 -11 -1141 Issue Date: Not Issued Expires:Not Issued Folio Number:1121360130250 Owner's Name: JOHN PEGG ANDREA GILL Job Address: 333 103 Street Miami Shores, FL 33138 -2432 Owner's Phone: Total Square Feet: Total Job Valuation: 0 $ 7,700.00 Contractor(s) Phone Primary Contractor MANCO AIR INC. 305/409 -7719 Yes Planning and Zoning Criteria and Comments Tons: 4 Classification: Residential Additional Info: AH AND COND WITH SOLAR Approved: No I r C,9-tip Permit No: 11 -1509 Job Name: August 19, 2011 Miami Shores Viiiage 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 1) The roof permit must be by a licensed roofing contractor. If the master permit is pulled by a licensed solar contractor then he may do the roof penetrations but if the master permit is a trade contractor then a licensed roofing contractor is required. Fl Statute 489 rule 61 G4- 15.021 NOTE: The Notice of Commencement is for the wrong property and all licenseand insurance information is needed for Red Hot Solar Energy. 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 he 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 Permit No: 11 -1509 Job Name: August 19, 2011 11l l iami Shores Village 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 1) The roof permit must be by a licensed roofing contractor. If the master permit is pulled by a licensed solar contractor then he may do the roof penetrations but if the master permit is a trade contractor then a licensed roofing contractor is required. NOTE: The Notice of Commencement is for the wrong property. Plan review is not complete, when all items above are corrected, we will doa 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 SUBMITTAL DATE: ADDRESS: NAME: RESUBMITAL DATES: 111111 11111 11111 11111 11111 11111 11111 1111 1111 NOTICE OF COMMENCEMENT OR Bk 28515 Ps 3156; ps A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION RECORDED 03/05/2013 10:58t57 HARVEY RIJVIHe CLERK OF COURT MIAPII -DADE COUNTYe FLORIDA PERMIT NO. MC-6-11 -1141 /RF -8-11 -1509 TAX FOLIO NO. 1121380130250 LAST PAGE STATE OF FLORIDA COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street I address: MIAMI SHORES SEC 5 PB 10-47 LOTS 16 & 17 BLK 118 LOT SIZE 100JXm X 123 OR 19833 -2257 07 2001 1 OR 20912- 027512 2002 4 OR 28261 -1834 071211 333 NE 103rd Street, Miami Shores, FL 33138 2. Description of improvement: Complete Changeout of Central Air Conditioning system with Solar Panel Owner(s) name and address: John M Pegg, 333 NE 103rd Street, Miami Shores, FL 33138 Interest in property: loin Owner Name and address of fee simple titleholder John M Pegg, 333 NE 103rd Stmt, Miami Shores, FL 33138 4. Contractor's name and address: Marco Air, 197 NW 104 Ave, Coral Springs, FL 33071 rc ' ;'! • A 5. Surety: (Payment bond required by owner from contractor, if any Name and Address: None Amount of bond $ WITNESS my hand 6. Lender's name and address: None HARVEY RUVIN, CLERK of 7. Persons within the state of Florida designated by Owner upon whom notices or other provided by Section 713.13(1)(a)7., Florida Statutes. Name and Address: John M Pegg ay be served as 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(1)(b), Florida Statutes. Name and Address: None 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) 26 •201 Signature of 4 - "�^er (� Print Owner's Name --1;14/ /44, Peon Sworn to and subscribed before me thi Notary Public: Print Notary's Nam My commission expires: Prepared by 20k3 CLAUDIA V. CUBILLOS Notary Public - State of Florida • c My Comm Expires Sep 23, 2015 Commission # EE 128810 ,, OF ,\ . Bonded Through National Notary Assn. From:Jane Swink FaxID: Page 2 of 2 Date:2/26/2013 01:01 PM Page:2 of 2 REDHO -1 OP ID: SW 'e"�- "r'''- CERTIFICATE OF LIABILITY INSURANCE DATE 02/26 /DD/YYYY) 02!26/2013 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 Phone:800- 538 -0487 Atlantic Pacific Insurance -PSG Fax: 561 -626 -3153 11382 Prosperity Farms Rd #123 Palm Beach Gardens, FL 33410 Lois L. Hanlon FELT PHONE FAX rot/ NIL, Ext(: (A/C, No): E-MAIL INSURERS) AFFORDING COVERAGE NAIC 1 INSURER A : Scottsdale Insurance Company 41297 INSURED Red Hot Solar Energy, Inc. C/o Charles Grundt 16059 Alan Black Blvd E. Loxahatchee, FL 33470 INSURERS: CPS1677285 INSURER C : 12/02/2013 INSURER D: $ 1,000,000 INSURER E : $ 100,000 INSURER F : • RGYho1VPI PlUM15G11: 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, ryryEXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTggRR TYPE OF INSURANCE NINI SI_ VWDD POLICY NUMBER (MPOLICY M /YWY) (MPOLICY EXP LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABIUTY CPS1677285 12/02/2012 12/02/2013 EACH OCCURRENCE $ 1,000,000 PREMISES E occurrDence) $ 100,000 CLAIMS MADE 1 X !OCCUR MED EXP (Any one person) • $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY n jECT fl LOC PRODUCTS- COMP /OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS HIRED AUTOS - _ SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LWB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE WC TORY LIMIT LIMIT ER S ER OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Re: Permit RE -8 -11 -1509 CERTIFI[_ATF I.IAI r D CANCELLATION MIAMISH Miami Shores Village 10050 N.E. 2 Avenue Miami, 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) @ 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Iode (E A DM of Marano Ah Inc. s® 197 NW 104th Ave . Coral Springs, FL 33071 P14: 800-383-9822 FX: 888 -491 -1869 License #: CAC058505 • www.FloridaSolarAC.com EMAIL CB @FloridaSolarAC.com ilimomwmfri la JUN 2 3 2011 BY: - -- Contractor: Manco Air, Inc. D /B /A Florida Solar AC DBPR License: CAC058505 Contact: Michael Manno 305 -409 -7719 Engineer: John D. Buerosse PE #: 0050867 Contact: 954 - 633 -4692 PERMIT APPLICATION Miami Shores, Florida Air Conditioning Change Out with Solar Panel Customer: Pegg, John Address: 333 NE 103rd St City: Miami, Shores State: - -- FL Zi _ Zip: 33138 33 Phone: 305- 428 • , _..� _, ,:gl4adu ■i;� g /���r' Parcel ID: 11 -2136 mm+ % I IIIIIII �'C tet z 0 (2 Id- 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 \ ( 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): 333 /(W /03 City: Miami Shores Village County: Miami Dade Tip Code: 33/32 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 `f'" ARHI Sheet Attached: YES NO ❑ Contract Attached: YES 1. 2. 3. 4. UNIT BEING REPLACED PP AHU d ® CU 16 PKG AHU 0 CU `PKG AHUOCCUh30 PKG KG UNIT / / YES NO DATA NEW UNIT AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT 14'11 li#P OYjrob MAW ?vic 3 )bogsJ,4 Is IA) NOM TONS 1) M.C.A AHU 40 CU L( PKG 2) M.O.P 3) VOLTS AHU'O CU4$ PKG AHU PKG KG UNIT / / EERISEER / C REPLACING DUCTS YES (0 YES NO REPLACING THERMOSTAT YES` NO YES NO NEW 4°CONCRETE SLAB YES NO NEW ROOF STAND YES NO NEW RETURN PLENUM BOX Minimum Circuit Ampacity (Wire Size): YES NO YES NO .v1 YES NOA/ Maximum Overcurrent Protection (Fuse/Breaker Size): Voltage of Circuit (208/240/480): �® Size Disconnecting Means: is ifs Contractor's Company Name: State Certificate or Regis N Signature gIIG ®�t�'� J� 9 Phone: '� �3ast� '14 .I41►.1► /L signature Certificate of Competency N. Date: 67,7/1/ FlorIdo SoIarAC 4 A DM of Mmico 4LC Inc. Florida Solar AC A Division of Monco Air, Inc. 197 NW 104th Ave. Coral Springs, FL 33071 Toll Free: 800- 383 -9822 State Certified: CAC058505 Licensed • Bonded • insured Email: cb @floridasolarac.com Fax: 888- 491 -1869 www.FlaridaSolarAC.com Name: Address: J2"4 lQ `T 3.33 Lie /03 sf Date: City. ❑ Phone: /(/f rAwr r S o /I.p s State: 7"L Zip: 30,5"- cid t-©9 L%5 ❑ Cell: 33/3ff 30,5 91 a0 $ t Email: Source: l3 Solar NC (Includes Soler Panel): Q"Split System ❑ Package Unit ❑ Solar Hot Water. ❑ 80 Gallon Tank ❑ 120 Gallon Tank ❑ Air Conditioner: 0 Split System ❑ Package Unit 0 MFG: /1'AiU Special instructions: S�9 f'�lv v /L'�vs 1e (( C( % ,.c/ �a% C 9(t fi Si S /. /Q' 4,1, /ha— � , �W 11417°C. /160.6 r . f) ?„_. Pf c. A k few-: . , O/v Apo- Deposit Paid By: ❑ Check # 0 Credit Card: ❑ Visa ❑ MasterCard ❑ Discover ❑ American Express Card # Exp.: / CW: ❑ Balance Paid Upon Completion ❑ Balance To Be Financed Account #: Proposed Terms: y b/d $ 7711 pt Rebate Rebate Sub -Total Permit Sales Tax Total $7700 Deposit Balance Due Upon Completion Florida Solar AC agrees to furnish materials and/or labor as specified, unless noted above. Where applicable, we will prepare and apply for all permits. When the permit is ready, we will contact you and schedule your installation. At your convenience, the equipment will be delivered to your location prior to installation. Once Installation is complete you will be required to sign a completion certificate and pay any additional balances due. All Warrantees will be given to you prior to our departure and It Is your responsibility to ensure they are processed and sent out In a timely fashion. The undersigned hereby acknowledges that they have read, understand and agree to the terms & conditions listed here and agree to be bound by this agreement in Its entirety. Buyer Signature: y Buyer Sign Representa Date: 6-/r--/1 Date: Date: a - 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 Cert ified Reference Number: 3610060 Date: 3/3/2011 Product: Split System: Heat Pump with Remote Outdoor Unit -Air- Source Outdoor Unit Model Number: SSZ160481A* Indoor Unit Model Number: CHPF4860D6D * +MBVC2000**- 1A * +TXV Manufacturer GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Manufacturer responsible for the rating of this system combination Is GOODMAN MANUFACTURING CO., LP. 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): 47000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 Heating Capacity(Btuh) @ 47 F: 46000 Region IV HSPF Rating (Heating): 9.50 Heating Capacity(Btuh) © 17 F: 34000 * 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) lei on this Certlflcate and makes no representations, warranties or guarantees as to, and asshanes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or perronrance 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 proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, In whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, hi any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The khfonnaton for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certlfied Reference Number and the date on which the certificate was issued, which is listed above, and the CertMcate No, which is listed below A P ®N -'Air- Conditioning, Healing, and Refrigeration Institute ©2010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO..: 129436717029624724 • MI • NM • • MI NM I • • NM • • NM • Solar Collector Attachment I Solar AC Collector 74.4" x 79.95" 2 (two) 1/2" copper pipe connections ►► located on each side of the solar collector. 79.95" 5.5" (Approx.) ]h" x ]h" x W' aluminum "U" channel "Collector to Beam Bracket". Collector Mounting Beam - 1A" x 1YZ" x by 76" long Aluminum Angle. 4 (four) mounting Bolts per. collector- 2 (two) shown. Optional 11h" x 1i4" x W' Aluminum Angle Extension leg. w x 1J "x %" aluminum "U" channel "Collector to Beam Bracket". Bolt collector to beam bracket using 3/8 "x2" SS hex bolt w/ nylock nut. Collector Mounting Beam -1'/z" x 1i4" x by 76" long Aluminum Angle. 3/8" x 3/4" SS' bolt w /nylock nut. Mounting Bracket (See "Bracket Mounting" detail pg.4) 3/8" x 3/4" SS bolt w/nylock nut. Roofing Shingles or ,,,•„��Waterproof Membrane. Plywood substrate. Tile roof - cut out tile as shown. All with expanding foam. Barrel tile. — •••• ;;:. Flat tile. - -0. ;;;....• ••`�� Lag bolt - screwed into center of truss or rafter w/ 1/4" pilot hole. Roof Truss or Rafter rosse 0050867 750 . Sample Road Bldg. 3, Suite 220 Pompano Beach, FL 33084 -858852 Lag bolt - screwed into center of truss or rafter w/ 1/4" pilot hole. FLAT OR SLOPED ROOF TILE, MEMBRANE OR SHINGLE Date: March 30, 2011 Not to Scale Revision: 02 -11 Purpose: Illustrate Bracket Assembly & Collector Attachment. Drawing No.: 1 of 5 Wind load calculations meet FBC 2007 and ASCE7 -05 requirements for roof surface between 0° and 45° Slope. Page 1 Collector to Beam Bracket, 'X "x13 "x' /a ".Bolt to Collector Mounting Beam using 3/8 "x 3/4" SS Hex bolts with Nylock Nut. Mounting Bracket (See "Bracket Mounting Detail ", pg.4) J.♦ Bracket Mounting Assembly Detail Front Bracket Mounting (Front View) 76" 68.5" Collector to Beam Bracket, 134" 1% "x3% ".Bolt to Collector Mounting Beam using 3 /8 "x 3/4" SS Hex bolts with Nylock Nut. L4 10.25" 4.3 Hex Bolts, 3/8" x 3/4" SS, with Nylock Nut Hex Lag Screw, 3/8" x 4" SS 48" Rear Bracket Mounting (Front View) 76" 68.5" — !.+. io.25 "4.1 t— Mounting Bracket (See "Bracket Mounting Detail ", pg.4) MAY Hex Bolts, 3/8" x 3/4" SS, with Nylock Nut Joh) Alr 12 Buerosse F • . ( = P.E. 0050867. 750 E. Sample Road Bldg. 3, Suite 220 Pompano Beach, FL 33064 954-633-4692 +.10.25 "+, 2011 Hex Lag Screw, 3/8" x 4" SS 48„ - 1o.z5 "..v Collector Mounting Beam, 134"x13i"xja„ Aluminum Angle Collector Mounting Beam, 114" x 1 %z" x''h" Aluminum Angle Elevation Legs, 1%"x1M "x %s" Aluminum Angle Various Lengths Not to Scale Purpose: Illustrate Bracket Mounting , Fiat or Sloped Roof Date: March 30, 2011 Revision: 02 -11 Drawing No.: 2 of 5 Wind Toad calculations meet FBC 2007 and ASCE7 -05 requirements for roof surface between 0° and 45° Slope. Page 12 Wind Load Calculations Front Bracket Mounting (Front View) 4 m Rear Bracket Mounting (Front View) Wind Load Calculations: In accordance with FBC 2007 and ASCE7 -05 V= 150 mph, 1 =1.0, z =30ft For exposure "C", Kz = 0.98 Kzt = 1.0, Kd = 0.90 ASCE7 -05 Par. 6.5.15.1 Factor =1.9 qh= 96.5 Ibjftz For Panel to Roof, A =9.3 ft2, G =0.85, Cf =1.3 F = ghAG Cf= 995 Ibs Overturning Moment =13,927 in -Ibs Resisting Moment = 6,120 in -Ibs Anchor Load = 54.2 Ibs (tension) = 248.8 Ibs (shear) = 254.6 Ibs (combined) 10% "l Max. Not to Scale Purpose: Demonstrate Collector Durabili Date: March 30, 2011 Revision: 02 -11 Drawing No.: 3 of 5 Wind load calculations meet FBC 2007 and ASCE7 -05 requirements for roof surface between 0° and 45° Slope. P.E. 0050867 750 E. Sample Road Bldg. 3, Suite 220 Pompano Beach, FL 33064 964 - 6334692 Page 13 Bracket (Side View) 1" Thick Composite Block Bracket Mounting Detail i Hex Lag Screw, 3/8" x 4" SS (Stainless Steel) Bracket (Front View) Neoprene Waterproof Sealant 2" x 4" Truss or Rafter 2011 Buerosse P.E. 0050867 750 Sample Road Bldg. 3, Suite 220 Pompano Beach, FL 33084 954-63 Plywood Sheathing Roof Shingles f- or Waterproof Membrane Cj (Flat Roof) Date: March 30, 2011 Not to Scale Purpose: Method Used to Attach Bracket to Roof Truss. Wind load calculations meet FBC 2007 and ASCE7 -05 requirements for roof surface between 0° and 45° Slope. Revision: 02 -11 Drawing No.: 4 of 5 Page 14 If Tile roof — cut out tile to accommodate Flashing & fill opening with expanding foam. Barrel or Flat Tile Roofing Shingles or Waterproof Membrane. Pipe Flashing Detail Copper Pipe Adapter / Reducer (Fits over Pipe Flashing). Continuous 1/2" Soft Copper Pipe Attaches to Solar Collector and slides down through Copper Pipe Adapter. Factory Welded Joint Secure Metal Flashing to Sheathing with 4 (four) #8 screws. Metal Flashing. (If Tile roof — cut out tile to accommodate Flashing & fill opening with expanding foam.) r r4-- Barrel or Flat Tile Plywood Sheathing Drill 7/8" Hole Through Roof 2"x4 "Truss Pipe Insulation, 1/2" Wall Continuous 1/2" Soft Copper Pipe runs through attic to AC Condenser. 1 .r: 2011 F •': P.E.0050867 750 E. Sample Road Bldg. 3, Suite 220 Pompano Beach, FL 33064 954 - 633 -4692 Neoprene Sealant Not to Scale Purpose: Method Used to Seal Roof Pipe Penetration Wind Toad calculations meet FBC 2007 and ASCE7 -05 requirements for roof surface between 0° and 45° Slope. Date: March 30, 2011 Revision: 02 -11 Drawing No.: 5 of 5 Page (5 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Solar Assisted Air Conditioning System & Solar Collector Placement Diagram 111111111111111111111111 MOM 1111111111111RIMIIMIM 11111111111 • NM 1101111111111111111 MI • NM NM IMMII ■ ■ Nom Immminumm ummul tommum ilmommtmomm milmommumm ummium MMIIIIIIIIIIMM11111101111111111 11111111111M 1111111111111111111111 1111111111111111111111111111 stanammum summonammum ROOF SPECIFICATION: Barrel Tile, Single Story LEGEND: MOM i AContractor: ,' '� `' z— Manco Air, Inc. d /b /a Florida Solar AC 4314 NW 120th Ave Coral Springs, FL 33065 305 - 409 -7719 cb @floridasolarac.com State License #: CAC058505 Customer: John Pegg 333 NE 103rd St Miami Shores, FL 33138 305 - 428 -0945 e • E Gl q 4O afMancoA/r, Inc- Solar Collector / Heat Exchanger NOTE: Solar Collector can be bypassed and removed by a licensed contractor in the event the customer needs to replace or repair their roof. The Air Conditioner will operate as a conventional A/C System. Rev. 3/31/11 How It Works The Solar Assisted Air Conditioning System The Solar Air Conditioning system is a system that utilizes the sun as a heat source to assist the energy needed to drive the cooling process of a typical air conditioning system which in turn reduces the electrical consumption required to run the compressor. Compressor /Condenser Air Handler Compressor Compressor Inlet Outlet Suction tine Co m pressor SC/13r Caltector Discharge Line 2 CONDENSER Warm Air In Cool } Evaporator Supply Air Blower Out Condenser, Fan Ambient (Outside Air) In Liquid Line —) Eva por at or Metering 4 Device The Solar Air Conditioning System is similar to a regular air conditioning system in that the refrigeration takes place by evaporating liquid with a very low boiling point. In both cases, when a liquid evaporates or boils, it takes some heat away with it, and can continue to do so either until the liquid is all boiled, or until everything has become so cold that the sub -zero boiling point has been reached. The difference between the two is how the gas is changed back into a liquid so that it may be used again. A regular air conditioning system uses a compressor in the outdoor condenser unit to increase the pressure on the gas, forcing it to become a liquid again through the use of the condenser coil. The change of state of the refrigerant, starts to take place approximately 2 /3rd's of the way down the condenser. Dryer The Solar Air Conditioning System uses a different method. It uses the solar heat from the sun to superheat the refrigerant as it passes through the solar panel which enables the refrigerant to begin changing state at the top 2/3rd's of the outdoor condenser coil. By using this method it reduces the superheat of compression required to achieve the cooling process in the conventional air conditioning systems as well as utilizing more of the condenser cooling face of the coil. The compressor now "crawls" rather than "runs" and uses significantly less electricity to deliver a more efficient and less costly result. The conventional air conditioning system is only able to change a portion of the gas into a liquid state so as when the refrigerant enters into the metering device it is a saturated vapor. The Solar Air Conditioning process allows more of the refrigerant to change state back into a liquid faster as well as allowing the transformation of more liquid into the metering device. The more liquid, the colder the temperature of the refrigerant coming into your home, the less energy and money it takes to cool your home. Warm Air Out Solar'Jac I P 2 & 1 P24 Solar Panel Series Features: The 24 Tube Panel is a high - performing evacuated tube collector that is manufactured to be used for domestic hot water, space heating, adsorption chilling and solar cooling /heating. Technological breakthroughs have allowed for a more efficient and stronger performing evacuated tube collector when compared to flat plate panels at a comparable price. • High - performance twin -glass tubes, proprietary designed heat pipe and three layer absorption coating (ALN /ALN- SS /CU) ensures excellent performance. • High quality and durable materials provide for 20 -25 years of efficient energy collection. Tubes are made from borosilicate glass that is tempered for strength. Impact resistant to Hail less than or below 25mm • High efficient selective absorption coating and vacuum heat insulation technology ensure the tubes get higher heat output in cloudy weather, windy conditions, and moist areas, especially in winter. • Rapid conductivity of heat starts transferring energy very quickly, within two minutes. • Extremely efficient heat transfer from our oxygen free copper heat pipe to our all copper header. Heat pipe condenser is dipped in chrome to prevent oxidation of copper. • Heat pipe is manufactured in a clean room environment to minimize containments and provide greater efficiency. • Quick installation with fast turn screw thread tube fittings and modular construction facilitates easy installation. Can be installed by one person. • Appropriate for many applications such as DHW, solar radiant, space heating and solar cooling. • Limited 10 year warranty No. of Tubes Gross Area Absorber Area Total Dimensions Gross Weight ft2 /m2 ft2 /m2 W (in /mm) H (in /mm) D (in /mm) Lbs /kg 12 Tube 12 21.2/1.97 10.32/.96 39.25/997 77.95/1980 6.14/156 99/45 24 Tube 24 40.25/3.74 20.64/1.92 74.4/1890 77.95/1980 6.14/156 194/88 AM €: Pik AN SOLAR .w:Eat:r SC;� E1r • Distributed by: FLORIDASOLAR 4314 NW 120th Ave Coral Springs, FL 33065 Ph: (800) 383 -9822 Fax: (888) 491 -1869 www.FloridaSolarAC.com 1890 SOLAR COLLECTOR CERTIFICATION AND RATING CERTIFIED SOLAR COLLECTOR SUPPLIER: Gear Solar 1861 South Highway 14 Greer, SC 29650 USA MODEL: Sotarpac TP24 COLLECTOR TYPE: GEAR Solar Tubular SRCC 0G -100 CERTIFICATION#: 2009091A COLLECTOR THERMAL PERFORMANCE RATING Megajoules Per Panel Per Day Thousands of BTU Per Panel Per Day CATEGORY (Ti-Ta) CLEAR DAY MILDLY CLOUDY CLOUDY DAY CATEGORY (Ti -Ta) CLEAR DAY MILDLY CLOUDY CLOUDY DAY A ( -5 °C) 34.3 26.0 17.7 A (-9 °F) 32.5 24.6 16.7 B (5 °C) 32.2 23.9 15.5 B (9 °F) 30.5 22.6 14.7 0 (20 °C) 28.7 20.5 12.2 C (36 °F) 27.2 19.4 11.6 0 (50 °C) 21.8 13.5 5.8 D (90 °F) E (144 °F) 20.6 13.0 12.8 6.2 5.5 0.4 E (80 °C) 13.8 6.5 0.4 A- Pool Heating (Warm Climate) B- Pool Heating (Cool Climate) C- Water Heating (Warm C imate) D- Water Heating (Cool Climate) E- Air Conditioning COLLECTOR SPECIFICATIONS Gross Area: Dry Weight Test Pressure: Original Certification Date: 18-AUG-10 3.570 m2 77.0 kg 1103. KPa COLLECTOR MATERIALS Frame: Cover (Outer): Cover (Inner): 38.43 ft2 170. lb 160. psig Aluminum Borosilicate Glass Absorber Material: Tube - Copper / Plate - Aluminum Absorber Coating: Selective TECHNICAL INFORMATION Net Aperature 2.42 26.08 Area: m2 ft2 Fluid Capacity: liter 0.4 gal Pressure Drop Flow LIP mils gpm Pa in H2O 20.00 0.32 59.95 0.24 50.00 0.79 311.6 1.3 80.00 1.27 757.12 3.04 Insulation Side: Insulation Beek: Efficiency Equation [NOTE: Based on gross area and (P)=11-Ta] Y INTERCEPT S I UNITS: q= 0.371 - 1.48770 (P)II -0.00724 (P)2H 0.375 I P UNITS: ri= 0.371 -0.26206 (P)II -0.00071 (P)2fl 0.376 Incident Angle Modifier [(S)=1icos9 -1, 0 °<0 60°j K&taua =1 1.363 (S) -0.942 (S)2 K&taua =1 0.38 (S) Linear Fit REMARKS: Model Tested: Test Fluid: 2009091A Water Rock Wool, Vacuum Rock Wool SLOPE -1.922 Wine. °C -0.339 Btu/hr.ftt.°F Test Flow Rate: 20.0 ml Is.m2 0.0295 gpm/It2 December, 2010 Certification must be renewed annually, For current status contact SOLAR RATING & CERTIFICATION CORPORATION c/o FSEC a 1679 Cleartake Road a Cocoa, FL 32922 • (321) 638-1537 o Fax (321) 638 -1010 1 1 1 1 1 1 1 1 1 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 MANCO, MICHAEL JOHN MANCO AIR INC 197 NW 104 AVENUE CORAL SPRINGS FL 33071 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! MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 2010 LOCAL BUSINESS TAX RECEIPT 2011 MIAMI -DADE COUNTY - STATE OF FLORIDA EXPIRES SEPT. 30, 2011 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 THIS tS NOT A BILL — 0O NOT PAY 450436-2 RENEWAL BUSINESS NAME/ LOCATION RECEIPT NO. 470260-2 STATE# CAC058505 MANCO AIR INC 13785 NW 7 AVE 33168 NORTH MIAMI OWNER MANCO AIR INC Sec. Type of Business EMPLOYEE /S This 1, g,,b3A S.,VICE BUSINESS 1 BUSINESS TAX RECEIPT. IT NOT A CONTRACTORS RECEIPT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY OR ZONING LnQWS OF THE DO NOT FORWARD COUNTY OA cmES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED SY LAW. THIS is NOT A CERTIFICATION OF THE HOLDER`S QUALIFICA- TIONS. PAYMENT RECEIVED c0 MIAWDADE COUNTY TAX uammft 10/05/2010 02250017001 000049.50 SEE OTHER SIDE MANCO AIR .INC MICHAEL MANNO PRES 197 NW 104 AVE CORAL SPRINGS FL 33071 1�Ril »s�IM� RRMi ,.#tsRILh I.�U11i SM�� MItiIti+s+�6.6�11 ALEX SINK CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION 05 -10 -2010 * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW 'I CONSTRUCTION INDUSTRY EXEMPTION 1 This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 05/10/2010 PERSON: MANNO FEIN: 651041543 BUSINESS NAME AND ADDRESS: MANGO AIR INC 197 NW 104TH AVE POMPANO BEACH FL 33071 'i SCOPES OF BUSINESS OR TRADE: 1- A/V INSTALLATION /REPAIR 1 1, 1 1 1 1 1 1 1 1 EXPIRATION DATE: 05/09/2012 MICHAEL _�- ---- -_ «,q7V ,4th` IMPORTANT: Pursuant to Chapter 440 . 05{14). F.S.. an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursoant to Chapter 440.05(121, F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on Ole notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 UUESTIONS7 (850} 413 -1609 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 .CORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DWYYYY) 6/20/2011 PRODUCER (305) 470 -8500 FAX: (305) 470 -0111 Dopazo and Associates 3900 NW 79th Ave Suite 700 Miami FL 33166 INSURED Manco Air Inc 197 NW 104th AVE Coral Springs COVERAGES FL 33071 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER k Cypress Property & Casualty NAIC 5 10953 INSURER B: INSURER C: INSURER 0: INSURER E: THE ANY MAY POLICIES. LLTR POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T141S CERTIFICATE MAY BE ISSUED OR PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OISUCH AGGREGATE UMTTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POUCY NUMBER �y� CA DF�I NI pp p� nCYM y►/pPPV TPA a 11MH78 A GENERAL UABIUTY r;71 COMMERCIAL GENERAL. UABBLTY 008353 -01 9/23/2010 9/23/2011 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES ) $ 100,000 $ 5,000 $ 1,000,000 1 I CLAIMS MADE X OCCUR MED EXP (any one ate) I PERSONAL & ADV INJURY GENERAL AGGREGATE $ 1,000,000 $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP OP AGG X POLICY JTEC LOC AUTOMOMLE UABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS 1 I HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea ABM) $ BODILY INJURY (P ) BODILY INJURY (Per accident) $ (Per accident) DAMAGE $ 1 I GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ # OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS 1 UMBRELLA UAMLRY EACH OCCURRENCE $ OCCUR 7 CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ $ AND EMPLOYERS' ANY PROPRIETOR/P� (Mandatory S!'ECMAL Y / N T`� EXCLUDED? j j � LIIMIITTS 1._ E.L EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ In NH) PROVISIONS below EL DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Air conditioning installation and repair. CERTIFICATE HOLDER CANCELLATION (561) 741 -0911 Miami Shores Village 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULDANY OF THEABOVE DESCRIBED POLHIES BE CANCELLED BEFORE THE EXPIRATWN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TCI THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAE.URE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE M Dopazo CPIA/MAD Th. ArvIon Hen.. e..,l I,...,. arr. rows1 ,«......+ ACORD 25 (2009101) INCfl9S mr.nn,x 01988-2009 s ACORD CORPORATION. All rights reserved. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NS P- 161283 Permit Number: MC -6 -11 -1141 Scheduled Inspection Date: April 08, 2013 Inspector: Perez, JanPierre Owner: PEGG, JOHN Job Address: 333 NE 103 Street Miami Shores, FL 33138 -2432 Project: <NONE> Contractor: MANCO AIR INC. Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1121360130250 Phone: 305/409 -7719 Building Department Comments COMPLETE AC CHANGE OUT WITH SOLAR PANEL Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 05, 2013 For Inspections please call: (305)762 -4949 Page 1 of 42 Mar 05 13 12:17p Red Hot Solar Energy,Inc. kir-e ,0 c.e_. 0 fe-7. W--/I-/cb9 561 - 790 -6685 pi 09 -27 -2012 JEFF ATWATER • STATE OF FLORIDA CHOW FINANCIAL CFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE 10/30/2012 EXPIRATION DATE: 10/30/2014 PERSON: GRUNDT CHARLES A FEIN: 200436649 BUSINESS NAME AND .ADDRESS: RED HDT SOLAR ENERGY INC 18069 E. ALAN BLACK BLVD. LDXAHATCHEE FL 33470 SCOPES OF BUSINESS OR TRADE 1- PLUMBING NOG AND DRIVERS * * rMP0RTANT: Pursuant to Chapter 440 . 05(14} F.S., an officer of a•corporation. who elects exemption from ibis chapter by filing a certificate of election under this section may not recover benefits or compeasatioa under Ibis chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt.„ apply only militia the scope *at the nosiness or trade fisted OR the notice of election to be excerpt. Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation fi, at any time alter the filing of the notice or the issuance of the certificate, the person named on the notice or certificate ao tenger meets the requirements et titis section for issuance o1 a certificate. The department shall revoke a certificate at any time for failure of the person named on the crrtillcnte In meet the requirements el this section. OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISE] 01-11 QUESTIONS? (85t1} 413 -16119 elm 03/05/2013 12:28 9545849454 ALLINONEINSURANCE PAGE 01/01 ACORD. CERTIFICATE OF LIABILITY INSURANCE PRODUCER ALL IN OI45 INSURANCE - DAVIE 6795 0TIRLING ROAD DAVIE, FL 33314 Phone:(954)584.3000 Fax:(954)584 -9454 INSURSb MANCO AZR, INC dba FLORIDA SOLAR A/C 4314 NW 120TH AVE CORAL SPRINGS, FL 33065 Phone:(954)525 -6664 ' COVERAGE DATE (IMMIDD/YY) 03/05/13 THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHT UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE: AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING -COVERAGE INSURER A: QBE Specialty Insurance Company INSURER B: INSURER c, INSURER b: INSURER E: ICIES OF INSURANCE LISTE s = • HAV 8 EN ISSUED TO `b I • ED NAMED ABOVE FOR THE PO ' • • D INDICATED. NOTHWITHSTANDING 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. AGGREGATE LIMITS SHOWN MAY HAVE BERN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE POLIOY NL1U A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MAbb 0 OCCUR GEM. AGGREGATE LIMIT APPLIES PER: POLICY fl PROJECT n LOC AUTOMOBILE UAEILFIf ANY AUTO ALL OwNEO AUTOS SCHEDULED AUTOS HIRFr7 AUTOS NON -OWNED AUTOS GARAGE LIABILITY 1 ANY AUTO POLICY F.FFECTUVE DATE (MM?DUIYY) POLICY EXPIRATION DATE (MM!OW ) UWTS 5CL0002634 10/10/2012 10/10/2013 EACH OCCURAN E UAMA( IVI'NEbg15Et UMIT(Any One =memo) ennce) MED EXP(Any one person) PERSONAL AND ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG $ 1,00 ,000 $ 100,000 $ 5,000 = 1,000,000 $ 2,000,000 $ 2,000,000 EXCESSLIABILIY ] OCCUR ❑ CLAIMS MADE DEDLFCTIELA RETENTION WORKERS COMPENSATION AND EMPLOYERS UABILITY (OTHER =MIMED SINGLE LIMIT (ea xdasti) BODMLY INJURY (Per mean) BODILY INJURY (Per =RIBS) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGG EACH OCCURANCE AGGREGATE S S S S DESCRIPTION OF OPEF4ATION S/L.00ATIONSNEHICLESIEXCLUSWONS ADDED BY ENDROUSMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER AbLxnoHALINSURED:INSUREDLETTER( _JWC STATUTORY I��I LIMITS I I OTHER E.L. EACH ACCIDENT F.t .DISEASE -EA EMPLOYEE E.LDISEASE- POLICY UNIT S NCBLLATION Miami Shores Village 10050 NE 2nd AVE Miami Shores, FL 33138 Faxed to: 305- 756 -8972 • SHouLn ANY OF THE EE �P UEXPIRAT ATTHEREOF, TH E ISSUING INSURER WILL ENDEAVOR TO MAS, J&DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO 50 SO SHALL IMPOSE NO OELSCATION ON LIARIutr OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVR A-i4e'2 ACCORD 2C-$ (7/97) ACORD CORPORATION 1988 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. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG. DEPT) D. 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: f'1c.tc-i Ir' (c. BUSINESS ADDRESS: 1°17 /ILA KW e . CITY . STATE re_ ZIP CODE 33 07 / BUSINESS PHONE: (q61-1) 56-4-(3 as -o FAX NUMBER ( 0B%,) / P3h9 CELL PHONE 61 )5 3a.c0 QUALIFIER'S NAME: f%ljellet'/ 1•912, QUALIFIER'S LIC NUMBER: ('C! OS5O E -MA1L ADDRESS (IF APPLICABLE): c? 6e) ,cc or°1do, Sca /� rte. corn Created on 3119109 BY MLDV 1 RV 3126109 ML DV A0 D C CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 6/20/2011 PRODUCER (305) 470 -8500 FAX: (305) 470 -0111 Dopazo and Associates 3900 NW 79th Ave Suite 700 Miami FL 33166 INSURED THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # Mango Air Inc 197 NW 104th AVE Coral Springs COVERAGES FL 33071 INSURER it Cypress Property & Casualty 10953 INSURER BI INSURER C: INSURER D: INSURER E: 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 CONDMONS OISUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR ,.. TYPE OF INSURANCE POLICY NUMBER E�yE DATE 1 171YYY1f1 ppL�y y DA?E 1 /DDR ? GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 0$7.1008353 –o1 9/23/2010 9/23/2011 EACH OCCURRENCE $ 1,000,000 $ 100,000 X DAMAGE TO RENTED P ) A CLAIMS MADE X OCCUR MED EXP (Any one perm) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GERI. AGGREGATE LIMIT APPLIES Pet PRODUCTS - COMP/OP AGG $ 1,000,000 X POLICYC LOC AUTOMOBILELIAIBLITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY ) _ —I L- — BODILY INJURY (Per acciden ) (Per Pam 1 1 GARAGE UABILIiY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN ACC $ AUTO ONLY: AGG $ ! EXCESS! UMBRELLA UAEUJTY EACH OCCURRENCE $ I OCCUR ! CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ $ WORKERS AND EMPLOYERS'UABIU Y TY / N ANY PROPRIETORAPARTNERIEECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) IT yes, describe ender SPECIAL PROVISIONS below T UMITS _LEA_ EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ EL DISEASE - POUCY LIMIT $ OTHER DESIMPTION OF OPERATIONS/ LOCATIONS / VEHICLE$ / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Air conditioning installation and repair. CERTIFICATE HOLDER CANCELLATION (561) 741-0911 Miami Shores Village 10050 NE tad Avenue Miami Shores, FL 33138 SHOULD ANY OF TNEABOVE DESCRIBED POLICIES BE CANCEULED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL. ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOVER NAMED TO ME LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.175 AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTAwvE M Dopazo CPXA /MAD ACORD 25 (2009101) Hagne I;',n lon+ n, ®1988-2009 ACORD CORPORATION. All rights reserved. That APADf9 neusnn ®,aA l..su. ewe ro,wla pwww,l .ww.4o w6 APAO11 05 -10 -2010 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 05/10/2010 PERSON: MANNO FEIN: 651041543 BUSINESS NAME AND ADDRESS: MANCD AIR INC 197 NW 104TH AVE POMPANO BEACH FL 33071 SCOPES OF BUSINESS OR TRADE: 1- A/V INSTALLATION /REPAIR EXPIRATION DATE: 05/09/2012 MICHAEL .74;)^. IMPORTANT: Pursuant to Chapter 440 . 05(141. F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to he exempt... apply only witbin the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(131, F.S., Notices of election to be exempt and certificates of election to be exempt shell be subject to revocation if, at any time alter the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 QUESTIONS? {850} 413 -1609 MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 2010 LOCAL BUSINESS TAX RECEIPT 2011 MIAMI -DADE COUNTY - STATE OF FLORIDA EXPIRES SEPT. 30, 2011 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 TMIS lS NOT A BILL - DO NOT PAY 450436 -2 RENEWAL BUSINESS NAME/ LOCATION RECEIPT NO. 470260 -2 STATE# CAC058505 MANCO AIR INC 13785 NW 7 AVE 33168 NORTH MIAMI OWNER MANCO AIR INC Sect Bs EMPLOYEE /S g,b3A S ff,IVICE BUSINESS 1 • BUSINESS TAX RECEIPT. R NOT A CONTRACTORS RECEIPT DOES NOT PERUIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR ODES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR UCENSE REQUIRED SY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEVED MIAN14IADE COUNTY TAX COLLECTOR: 10/05/2010 02250017001 000049.50 DO NOT FORWARD MANCO AIR .INC MICHAEL MANNO PRES 197 NW 104 AVE CORAL SPRINGS FL 33071 h1111t1 1ltI1111141, htt F[lt111tt llttiititt 11/ ltlkt 4i 66111 SEE OTHER SIDE - -� - - -- ^�� ^- ^ - -�- - -�- U,.(24=f4i �f� -ta-c2 ottO Trtfe-L Len aQ STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 MANNO, MICHAEL JOHN MANCO AIR INC 197 NW 104 AVENUE CORAL SPRINGS FL 33071 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! (.091, _y iami Shores Village Building Department 10050 N.E.2nd Avenue, Nand Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1 23 w...— [9 10 CA A o? INSPECTION'S PHONE NUMBER: (305) 762.4949 d/ Permit No. tylC ` 1._ t t Master Permit No. JON 20 tep ILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): bfr Phone#: 3C75--e7 R - 0 9 Address: 333 ,Ai g" 103 5/-reel- City: Jei;97/ 5hores State: „r--6 Zip: 33 /3 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 0 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: (1- am, -6)/3 ° O SQ Is the Building Historically Designated: Yes ' NO � lo Zone: � u a CONTRACTOR: Company Name: _ 22anro Av. C. Phone#: Q5 /55 &ZSo Address: / 97 N /0( ., j,e . City: A Ya/ Y923 ‹ State: A:),/ e. Zip: 3 307/ Qualifier Name: MirCiVel Mt1409/90 Phone•#: 9,5V-567-k- .C-0 Certificate State Certification or Registration #: t LS S Certificate of Competency #: 1 6 Contact Phone#: • S L c® Rmail Address: j� �i®,� r� /C�t®�� -� ° e-00,7) DESIGNER: Architect/Engineer: Phone#: w P� / Value of Work for this Permit: $ 'y `° Square/Linear Footage of Work: Type of Work: OAddress p� LlAlteration ONew air/Re place / Description of Work: m / ./eJ� - ail /. / / t r 16 x'e/ CUDemolition i Submittal Fee $ Permit Fee $ a l 1 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ No Training/Education Fee $ Technology 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 FJ.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 notice approved and a reinspection fee will be charged. Signatur of- /.J Owner or Agent The foregoing instrument was acknowledged before me this f day of ne__ , 201 ., by T®h, /`e jj who is personally known to me or who has produced > L . As identification and who did take an oath. NOTARY PUBLIC: Sign: tC.:421-4.4i1/4-- Print: 'pm-iA L • IA % 41, r My Commission Expires: NOTARY PUBLIC -STATE OF FLORIDA ,•- Donna L. Julian ;Commission # EROS 12 ,N*Ns***,k,R*** Ask, k+ i ,*+F,k,D***sP+,A*,RAe.04,k' '' h ' sga�aSR j sue' B ED APPROVED BY 4ES !/ 0., INC. Signature tractor �e�, The foregoing instrument was acknowledged before me this , / 1 ' day of aTe P7 e , 20 1 % , by /il fc.h4 d Azinno, who i sonally kno me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Sign: Print: ,c)\ bOhv) i4 L u My Commission ExpirMTARY PLBLICSTATE OF FLORIDA ,,, Donna L. Julian 1 Comnmission # EEi a:; 12 Expires: OCT. .. 2014 ��' 1kMil Si oR Zoning Clerk