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MC-13-582r elotot/ Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 189093 Permit Number: MC -3 -13 -582 Scheduled Inspection Date: April 17, 2013 Inspector: Perez, JanPierre Owner: OREJANA, FERNANDO MONEDERO Job Address: 101 NE 105 Street Miami Shores, FL 33138- Project: <NONE> Contractor: BLUE BREEZE AIR CONDITIONING Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (786)329 -0222 Parcel Number 1121360050090 Phone: 305 -865 -1220 Building Department Comments EXACT CHANGE DUCT WORK Infractio Passed Comments INSPECTOR COMMENTS False \ 1 ( r 3 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- 187978. need to seal ceiling in closet April 16, 2013 For Inspections please call: (305)762 -4949 Page 19 of 32 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 201D Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): M- i t w C..Pc2 A- Phone #: (7 3g61 Ze Address: 101 NE los 51-1-zet _ City: (vi l � � State: t-� zi 31 38 Tenant/Lessee Name: Phone: 2 r� Permit No. Master Permit No. n 1 c is Email: / NE 40S eireel- JOB ADDRESS: City: Miami Shores Folio/Parcel#: Is the Building Historically Designated: Yes County: Miami Dade Zip: NO Flood Zone: CONTRACTOR: Company Name: Id e ' ° ' Hour Hour Aye Phone #: +(E 220 e �f Address: /tii� j . �1 1�+ it ..--� �r► /p "° 2.5Z City: i V) ri / state: Zi ' 1 ' X c. Qualifier Name: 1 v 1 a/ o Tom Phone#:(?eq 28Z G3s742 State Certification or Registration #: Ci (C� i f `'9 a9 Certificate of Com tenc #: Registration Pe Y / Contact Phone #: Email Address: i��i'I l s .7DfY'D�(C,00,2erAOc/129.(is Phone #: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ i Cz Square/I.inear Footage of Work: 1 1C Type of Work: Address °Alteration °New °Rep Description of Work: ,W- CArliPtAiG & wok is °Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ees* Submittal Fee $ Permit Fee $ 11 I CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1 2- 5" `I 0 4 3/a5 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement nz st be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absen �' of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this day of J+, 20 by f I ,)S P L'i$ ,- who i personally known to me or who has produced As identification and who did take an oath. pi% Notary Public State of Florida . EmOce Van Den Bergh ' My Commission EE 195262 Or Expires 05/02(2016 My Commission Expires: Signature Contr ,= tor The foregoing instrument was acknowledged before me thisa 2 day of , 20 (_, by 0 S7®r61 i)a. , who is . to me or who has produced as identification and who did take an oath. ersonally kn NOTARY PUBLIC: Sign: Print: My Commission Expir /................. *s * ** *+ ****** * *** * **v * * *e * * ** ** ** *** *e * * * ** APPROVED BY Z 3 s /13 Plans Examiner Structural Review (Revised 07 /10f07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk C t c Duct Work System 4- Notary Public State of Florida +� ° EmiIce Van Den Bergh My Commission EE 195282 ?ei po` Expires 05!! 2/2016 Living Room TV /Dining Job #: 108248 Performed by Matias for: Mercedes & Fernando Plaza 101 NE 105 Street Miami Shores, FL 33138 Co Existing Condenser Blue Breeze One Hour Air Condition... 655 NW 118th Street Miami, FL 33168 Phone: 305- 865 -1220 Fax: 305- 865 -7779 www.onehourair.com matias @bluebreezemiami.com Scale: 1 : 75 Page 1 Right -Suite Residential 6.0.110 RSR39400 2013 - Mar -20 22:30:29 Z: \BLUE BREEZE\Wrightsoft HVAC... • Duct System Summary Entire House Blue Breeze One Hour Air Conditioning & Heating Job: 108248 Date: 03/20/2013 By: Matias For: Mercedes & Fernando Plaza 101 NE 105 Street, Miami Shores, FL 33138 External static pressure Pressure losses Available static pressure Supply / return available pressure Lowest friction rate Actual air flow Total effective length (TEL) Heating 0.50 in H2O 0.42 in H2O 0.08 in H2O 0.07 / 0.01 in H2O 0.036 in /100ft 1153 cfm 225 ft Cooling 0.50 in H2O 0.42 in H2O 0.08 in H2O 0.07/0.01 in H2O 0.036 in /100ft 1153 cfm Name Design (Btuh) Htg (cfm) CIg (cfm) Design FR Diam (in) H x W (in) Duct Matl Actual Ln (ft) Ftg.Eqv Ln (ft) Trunk Living Room c 4296 127 142 0.085 8.0 Ox 0 VIFx 6.0 75.0 Room1 -A h 4021 206 178 0.085 8.0 Ox 0 VIFx 5.9 75.0 Room2 h 3745 192 151 0.074 8.0 Ox 0 VIFx 12.7 80.0 Bath h 430 22 9 0.079 4.0 Ox 0 VIFx 11.7 75.0 Closet -B c 1447 74 74 0.036 6.0 Ox 0 VIFx 33.2 160.0 st1 M.Bath h 715 37 7 0.037 4.0 Ox 0 VIFx 29.9 155.0 st1 Closet c 1447 74 74 0.036 6.0 Ox 0 VIFx 29.2 160.0 st1 M.Bedroom c 3658 70 121 0.044 8.0 Ox 0 VIFx 19.8 135.0 st1 Kitchen c 5237 148 173 0.046 10.0 Ox 0 VIFx 29.6 120.0 st1 TV /Dining -A c 6822 204 225 0.065 10.0 Ox 0 VIFx 16.0 90.0 st1 Name Trunk Type Htg (cfm) Clg (cfm) Design FR Veloc (fpm) Diam (in) H x W (in) Duct Material Trunk st1 Peak AVF 606 673 0.036 482 16.0 0 x 0 VinIFIx 20.0 nc Name Grill Size (in) Htg (cfm) CIg (cfm) TEL (ft) Design FR Veloc (fpm) Diam (in) H x W (in) Stud /Joist Opening (in) Duct Matl Trunk rb1 22x24 1153 1153 31.5 0.036 528 20.0 Ox 0 VIFx Bold/italic values have been manually overridden 'vv Ightsoft Right -Suite Residential 6.0.110 RSR39400 Z:\BLUE BREEZE\Wrightsoft HVAC1108248 Mercedes & Femando Plaza_Ductwork.rrp Calc = MJ8 Orienta 2013 - Mar -20 22:30:24 Page 1 X2`)8 Duct Work Systerr °e Notary • ublic State of Florida Emitoe Van Den Bergh P My Commission EE 195262 Expi,- s 05/02/2016 Kitchen 6x 74 c6 fm C}"4 "10 8x12 173 cfm 10" Living Room 12 x 8 142 cfm 8" 12" 225 cfm 10" Po, H m z c c TV /Diri z c- D s-; 0 10 x 8 206 cfm Existing Condenser 4" Room 1 Job #: 108248 Performed by Matias for: Mercedes & Femando Plaza 101 NE 105 Street Miami Shores, FL 33138 Blue Breeze One Hour Air Condition... 655 NW 118th Street Miami, FL 33168 Phone: 305- 865 -1220 Fax: 305- 865 -7779 www.onehourair.com matias @bluebreezemiami.com Scale: 1 : 75 Page 1 Right -Suite Residential 6.0.110 RSR39400 2013 - Mar -20 22:29:50 Z:\BLUE BREEZE \Wrightsoft HVAC... 1 Duct System Summary Entire House Blue Breeze One Hour Air Conditioning & Heating Job: 108248 Date: 03/20/2013 By: Matias For: Mercedes & Fernando Plaza 101 NE 105 Street, Miami Shores, FL 33138 External static pressure Pressure losses Available static pressure Supply / return available pressure Lowest friction rate Actual air flow Total effective length (TEL) Heating 0.50 in H2O 0.42 in H2O 0.08 in H2O 0.07 / 0.01 in H2O 0.036 in /100ft 1153 cfm 225 ft Cooling 0.50 in H2O 0.42 in H2O 0.08 in H2O 0.07 / 0.01 in H2O 0.036 in /100ft 1153 cfm Name Design (Btuh) Htg (cfm) CIg (cfm) Design FR Diam (in) H x W (in) Duct Matl Actual Ln (ft) Ftg.Eqv Ln (ft) Trunk Living Room c 4296 127 142 0.085 8.0 Ox 0 VIFx 6.0 75.0 Room1 -A h 4021 206 178 0.085 8.0 Ox 0 VIFx 5.9 75.0 Room2 h 3745 192 151 0.074 8.0 Ox 0 VIFx 12.7 80.0 Bath h 430 22 9 0.079 4.0 Ox 0 VIFx 11.7 75.0 Closet-8 c 1447 74 74 0.036 6.0 Ox 0 VIFx 33.2 160.0 st1 M.Bath h 715 37 7 0.037 4.0 Ox 0 VIFx 29.9 155.0 st1 Closet c 1447 74 74 0.036 6.0 Ox 0 VIFx 29.2 160.0 st1 M.Bedroom c 3658 70 121 0.044 8.0 Ox 0 VIFx 19.8 135.0 st1 Kitchen c 5237 148 173 0.046 10.0 Ox 0 VIFx 29.6 120.0 st1 N /Dining -A c 6822 204 225 0.065 10.0 Ox 0 VIFx 16.0 90.0 st1 ir Name Trunk Type Htg (cfm) CIg (cfm) Design FR Veloc (fpm) Diam (in) H x W (in) Duct Material Trunk st1 Peak AVF 606 673 0.036 482 16.0 0 x 0 VinIFIx 20.0 Name Grill Size (in) Htg (cfm) Clg (cfm) TEL (ft) Design FR Veloc , (fpm) Diam (in) H x W (in) Stud /Joist Opening (in) Duct Matl Trunk rb1 22x24 1153 1153 31.5 0.036 528 20.0 Ox 0 VIFx Bold/italic values have been manually overridden vvrIghtsoft Right -Suite Residential 6.0.110 RSR39400 #". Z:ABLUE BREEZE \Wrightsoft HVAC\108248 Mercedes & Femando Plaza_Ductwork.rrp Cale = MJ8 Oriente 2013 - Mar -20 22:29:38 Page 1 Ac•Rt, CERTIFICATE OF LIABILITY INSURANCE 41....----'-- DATE(MM/DD/YYYY) 3/18/2013 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 POUCIES 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 - Eastern Insurance Group, Inc. 9570 SW 107 Avenue Suite 104 Miami FL 33176 CONTACT David M. Lopez INC. Ertl: (305) 595 -3323 (FAAlt. No): (305) 595-7135 �REss,csr @easterninsurance.net INSURER(S) AFFORDING COVERAGE NAIC 0 INsuriA:CastlePoint Florida Insurance LIABILITY COMMERCIAL GENERAL UABIUTY INSURED E.C.A. Air Conditioning, Inc., DBA: Blue Breeze One Hour Air Conditioning and Heating 655 NW 118 Street Miami FL 33168 INSURER B : INSURERC: INSURERD: $ INSURERE: $ INSURER F : COVERAGES CERTIFICATE NUMBERMaster 12 -13 • 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. INSR TYPE OF INSURANCE ADD INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MMIDD/YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS -MADE OCCUR MED EXP (My one parson) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE UMIT APPLIES PER: 7 POLICY n PE Q n LOC PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS .-- _ _ SCHEDULED AUTOS NON-OWNED CO BINEDDtSINGLE UMIT (Ea $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per ardent) $ $ UMBRELLA UAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED 1 RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A WCP760919801 9/28/2012 9/28/2013 X I TORY LIMITS 1 I T ER E.L EACH ACCIDENT $ 100,000 E.L DISEASE - EA EMPLOYEE $ 100,000 E.L DISEASE - POUCY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CERTIFICATE HOLDER CANCELLATION Miami Shores Village 10 050 NE 2 Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. D2 AUTHORIZED REPRESENTATIVE David Lopez /ANA ACORD 25 (2010/05) 1NS025 r7mnrso © 1988-2010 ACORD CORPORATION. All rights reserved. This A(:nan names and Innn nova raniatarisrl marlrc of n(:AR(1 ® CERTIFICATE OF ■.w 1rF INSURANCE DATE 1AM lDd S1vV► r. e,w n ,..... 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the cartifiicat holder Is en ADDITIONAL INSURED, the poucy(ies) must be endorsed. If SUBROGATION IS AIVED, subject to the tarns and conditions of the policy, certain pellicles may require an oildorsament A statement on this certtcate does not confer rights to the certificate holder In Ilau of such endorsenlent(s). moauctR Greg Kaplan Suburban Associates, Inc 17071 W Dixie Highway North Miami Beach, FL 33180 MSUREa ECA Air Conditioning DBA Blue Breeze One Hour Air 655 NW 118 Street Miami FL 33168 3._ Greg Ka ■ Ian 768- 4548195 burbanassaoIBtesnot AX .954- 944 -1899 INSURERS) AFFORDING COVERAGE INSURER A; Atlantic Casual Insurance Co 1NSIURBRB: - INSURER 0; INSURER NAIL! (NEURER F: COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER 1 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE:I EXCLUSIONS AND COMMONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BERN REDUCED BY PAID CLAIMS ti 1 w.�LLA.U0 7YPEOFINSURANCE Bturr IOW. as L!ABIL11Y SAS -MADE � tSCCUR OATS L1Nrrp.PPU S PER` i?a ill Lac DPSCRIPnON of OPERADoNsr LOCATIONS t VSRICLE5 (A$cah ACORD 181, Addltfan', Reeled, Schedule. R more Marne Is reprised} sAUTOMOBILEIJABDJTY ANYAUTO WANED HIRED AIMS r-- SCHEDULED AUTOS �ONWF� UMBRELLA LIAE SXOESS LIAR OCCUR CLAIMS -MADE Da' RETENnuN8 WORKERS CORIPBNSATRIN AND EMPLOYERS' LIA L11Y Y 1 N ANy oFFlCEWAENEER E LJ (Mandatory in NH} 4amON F DPERATtONS b, L040001809-0 06122/12 05/22/13 CERTIFICATE HOLDER Miami Shores Village 10050 NE 2 nd Avenue Miami Shores, F133138 ACORD .25 120101051 D NAMED ABOVE FOR THE POLICY PERIOD 30CUMENT WITH RESPECT TO WHICH THIS 3 HEREIN IS SUBJECT TO ALL THE TERMS, urine EACHoccURRENCC 6 1,000,001 $ 100,000 $ 5,000 DANE oRE`R1EO s ° � LE�1SR""m ,t MEEEXP,(Myens laeraart PE:am& a ADV INJURr S 1,000,000 GENERAL AGGREGATE S 2,000,000 PRODUCTS- =MOP Acc $ 2,000,000 $ E s1Nel tsT RIODILY HJURY(Per pawn) $ BODILYINJURY Over e Ii 6 $ EACH OCCURRENCE $ AGGREGATE $ 6 I T ITal S I I.ER , E.I.. EACH ACOI $ ELOISEABE•EAENPLOYEE 6 EL DBEASE -POLICY Lt IT $ CANCEL LA ON SHOULD ANY OF DIE ABOVE ' ' [BED POLICIES BE CANCELLED BEFORE THE EXPIRATION DA OP, NOTICE WILL BE DELIVERED IN ACCORDANCE PROVISIONS. 7958-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Mic'Pc-Fs'iff.r113)C=T;I:-N-EA-,'A-aiS':7,41:i"E-4t- AC#_ 623 atitatTION 12072900173 - SEQ# The CLAD Named bei.0 E4TX Under the' prbviat Expira.tiOn -date: TORROZIA, BLUE DANNZIL 655 NW 1.1/Mrs, MIAMI • ' rtztz. • grt 4:006,104.!::,..; GOVSt�R LAWSON CRETARY Congratulations! With this ficense you become One of the nearlyttlemfilion Floridians licensed by the Departnent of Business and ProfeesiortarRegulation, Our professionals and businesses range from :=Oftects to yachtbrOerst from boxers to barbeque restaurants, and they keeq. Florida% PoOnOrnr— *Ong- ' -- Every day we work to irriprovethw we do business inet,"ciertb*Wo:Yeto befter For information abotft bur tervite%-- log onto mit* There you can find more iliforrnation atop OUr divisions* - impact you, subscribe to deparbiient newsletters and Department's initiatives. Our mission at the Deparbnentis: Lieense constantly strive to serve you better So thart yeteso se Thank you for doing business in Rorida, and con C# 2 3 2 s INESS AND. GULAT I ON . , 128011648 CONDITI ' . : 4RXX* oisions of Ch. 4439 ps L12.07.2900173 THIS IS NOT- A:BNI. 0241i FAY . 490006-5. • BUSINESS. NArifiEft4CA1" • • • 53.1c1,8 4 BLUE BREEZE :AIR.. coND/tIONINes 655 .NH.118 ST.' • . .-• r . - • FIRST-CLASS US. POSTAGE I PAID MIAMI, FL p, PERMIT NO. 231 33168 UNIN DADE COUNTY OWNER ., seffyipke Al35.C13NDITIONING INC Dim is aft6c A ZP,c&C MECHANICAL CONTRACTO T. IT DOES NOT PERAST THE "..., HOLDER TO VIOLATE ANY MISTING REGIULATORY OR ZONING LAWS OF THE COUNTY OR OWES. NOR - DOES IT EXEMPT THE . ,..., .■ n.,,,-, J HOLDER FROM ANY OTHER PERMIT OR uceNse BLUE DBE REQUIRED SY LAW. MSS IS NOT A COMMA/TON OR MATIAS -TO THE HOLDER'S QUALIFICA- TIONS. 655:411i i 14,IAMI FL-. PAYMENT RECEIVED 54W/SDADE comer TAX COLLECTOR: 08/06/2012 09011044D no887s;;„ ,-stE011$81404- Invoice Blue Breeze One Hour Air Conditioning & Heating 655 NW 118 ST. Miami FL 33168 305- 865 -1220 FAX: 305-865-7779 CAC 1813298 Account # 108248 Invoice # 314154 Date: 03/25/13 Page # 1 of 1 Mercedes Plaza 101 NE 105 St Miami Shores FL 33138 Service At: Mercedes Plaza 101 NE 10.5 St Miami Shores FL 33138 Service Date PO # Job 4 215654 Description Of Service Quantity Unit Price Extended Price Tx New Deluxe Duct Work "Octopuse Lay Out with Foster40 -20 1 $3,000.00 Mechanical Plans for Permits 1 $200.00 City Permits Fees by Home Owner 1 $0.00 Balance Due $3,000.00 $200.00 $0.00 53,200.00 I'crms: Due Upon Receipt Please pay from this Invoice. Thank You Please Detach and Return with Remittance Check Enclosed [ ] Method of Payment Master Card [ ] Visa [ ] AmExp [ ] Discover [ ] Acct 4 Exp Date Name on Card Signature Remit To: Blue Breeze One Hour Air Conditioning & Heating 655 NW 118th Street Miami FL33168 Amount Due Amount Paid Invoice # Date : 314154 03/25/13 Account # 108248 Plaza, Mercedes 53,200.00