Loading...
MC-13-2301 I Miami Shores Village Building Department OCT 0 9 2013 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 r. Tel: (305)795.2204 Fax:(305)756.8972 , INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 BUILDING Permit No. PERIVHT APPLICATION Master Permit No. Permit Type: MECHANICAL JOB ADDRESS: 12a 6 /Ve 93'-I City: Miami Shores County: Miami Dade Zip: leg Folio/Parcel#: — 3Q05-- OQ 7 — 01-70 Is the Building Historically Designated:Yes NO Flood Zone: OWNER Name(Fee Simple Titleholder): VALE0)A A IVARDECWAIF r6 A'A' .0hone#: 3®.' 1/'9V Address: City: MlA f4► j;w4 tZ a r State: FL- Zip: 3?I?$ Tenant/Lessee Name: Phone#: Email: CONTRACT OR:Company Name: poWelz 4t LL C, Phone#: 78C t/96 .7 a 9/ ® Address: /O l /VZ- /7a s r City: ® M /0111.�}enyi I A G 11r State: F 1- Zip: 3/6 Qualifier Name: [5 r ar, 1-4,.) Phone#: We C!86 .7'27/ State Certification or Registration#: C A G /F1 e/2 q r Certificate of Competency#: Contact Phone#: Email Address: /�ol^�e r 4 r�+P/q ,'1 �1' o o►'o DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ '7 c q7 e oa Square/Linear Footage of Work: Type of Work: ❑Address DAlteration ONew l�Repair/Replace ODemolition Description of Work: jgem* .e -c xi°sj.irr4 *7oA ,gle new s 7- 4/C 3f el" Submittal Fee$ I Permit Fee$ IjAt CCF$ DU CO/CC$ Scanning Fee$ q- OD Radon Fee$ I Ll DBPR$ a L/ B//ond$ Notary$ Training/Education Fee$ Technology Fee$ ¢-'I Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ o 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) d s after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee 'll a charged. Signature Signature Owner or Agent 40 Contractor The foregoing instrument was acknowledged before me this 09 f fi~ The foregoing instrument was acknowledged before me this day of &tl&C,20 1,3,by V el,+ 164&�F4C Pt -, day of ®r-'I r*-O/,20!�by 9(e-(Ac who is personally known to me or who has produced who is RaEna known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: r e�� �t_ Sign: 0 ,-A Print: !.-+�-�r�gf t6T° ® Print: of Florida .. — Y- osson WON My Commission Expires: •������,,, CLAUDIA MOROTE My Commission Exp' �` My Commission EE038440 �.tpyar r e'% ? ®! Expires 10128/2014 •io 4�: Notary Public-State of Florida _ .• My Comm.Expires Sep 19,2017 S. ommiIsssion#t FF 055880 '•�au• � �• APPROVED BY It Plans Examiner zoning Structural Review Clerk Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) s✓l� RX t Miami Shores Village 199' °'O" Building Department 10050 N.E.2nd Avenue oR 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): /o`?Q 4 AAA 93 SWe-O' City: Miami Shores Village County: Miami Dade Zip Code: 3 31 g 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 7ARHI RI)DATA SHEET REQUIRED Change Disconnecting means:YES ❑ NO Sheet Attached:YES NO❑ Contract Attached:YES 9 9 UNIT BEING REPLACED DATA NEW UNIT �rleq/ MANUFACTURER AHU or PKG.UNIT MODEL# 7T G®�/oo®A COND.UNIT MODEL# KW HEAT ?o NOM TONS AHU CU 3 Or PKG 1y14 1 M.C.A AHU CU PKG AHU CU do PKG 2 M.O.P AHU CU PKG AHU CUB ®PKG 3 VOLTS AHU ®CU Z . PKG PKG UNIT / / PKG UNIT EER/SEER YES 0 REPLACING DUCTS YES YES NO REPLACING THERMOSTAT YES YES NO NEW 4°CONCRETE SLAB 0 YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES Ll 1. Minimum Circuit Ampacity(Wire Size): 97 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 60 3. Voltage of Circuit(208/2401480): a y® /1o/� 4. Size Disconnecting Means: Contractor's Company Name: Pole,- 4ife- Phone: '7e6 W 2,P& State Certificate or Registration N. Certificate of Competency N. Signature Date: /® � (Qualifier's signature only) Power Air LLC Power Air LLC Estimate ' 901 NE 172 Street North Miami Beach,FL 33162 , (786)486-3291 10/08/2013 1806 i sales@powerairac.com 11/08/2013 Mrs.Valeria Nardeccia Mr.Federico Bianchi 1226 NE 93rd St Miami Shores,FL 10/08/2013 A/C 5 Ton Change-out: 1 4,695.00 4,695.00 Remove existing 5 Ton system from premises.Install new 5 Ton 15.0 SEER Rheem system in existing location.Air handler will be mounted with new auxilliary drain pan and connected up to existing electrical,refrigerant piping,and condensation drain line.New condensation overflow safety switches will be installed on system as well as secondary pan. Condensing unit will be mounted on concrete pad and tied down in place.Condensing unit will be connected up to existing electrical and refrigerant piping. 10/08/2013 Terms Terms will be 35%upon signing of estimate,35%upon 1 0.00 0.00 delivery of equipment, and 30%upon completion of install. Continue to the next page Page 2 of 2 10/08/2013 Please Note This estimate is valid for 30 days.This estimate is for 1 0.00 0.00 completing the work as described above.It is based upon our evaluation as it is seen and does not include any labor or materials should any unforeseen circumstances arise.An extra fee will be charged if any other work that we are not bidding on,in any way interferes with or delays our progress.Any additional work needed due to contractors not contracted with us will be charged for accordingly.Customer agrees that all parts,supplies and units remain the property of * Power Air ILLC,until payment is received in full from customer for work quoted on,and can be removed from customers premises if customer fails to make full payment.These prices do not include any permit fees, heat load calculations unless otherwise stated elsewhere in this estimate. This estimate becomes a valid contract with the signatures of both parties.Payment of deposit,and acceptance and clearing of deposit constitutes full acceptance of contract. Customer Power Air Date Air Thank you for giving us the chance to assess your needs. Our prices are based upon the best quality parts and supplies available,and the best quality service possible. Ask us about our Preventive Maintenance Agreements Accepted By Accepted Date • a f. Local Business Tax Receipt Miami—Dade County, State ofi Florida —THIS IS*NOT A SILL—DO,NOT PAY LBT . 1� 5443585 BUSINESS NAMEILOCATION 919CEIPT NO. EXPIRES POWtR, AIR LLC RENEWAL SEPTEMBER 30, 2014; r 901 NE 172 ST i 56831322 Must be displayed at place of business MIAMI FL 33162. Pursuant to County Code Chapter 8A—Art.9&10 y O"ER`, SEC.TYPE OP BUSINESS PAYMENT RECEIVE' I:---POWER AIR LLC 196 SPtC MECHANICAL CONTRACTOR I3Y TAX COLLECTOi� CAC1814245 Worker(s) 1 $75.00,07/11/2013 ?XHS1 413-024465 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, permit or a certification of the holders qualifications.to do bush?ess.Holder must-comply with any gevernmeetaf or hoop a fnmental regulatory,laws aod'requirempftts which apply,to the business. The R ECEIPT N0.above mast b61 displayed e on all commercial vehi6las—Miami—Dade a sec so-V6. � it III _ Eor more i�onnatioo,vrs r DETACH HERE e• o o^ ■ • ■ o• M11111417M ■ AC7 6177368'1 7 7 STATE OF ROMA,: { f DEPARTMENT OF `BU3.INESS AND PRdFE89T'ONAL REGULATION CONSTRUCTION IN LICENSING, -BOARD SEQ#L12062800551 i LICENSE NBR 706/28/20121118213' 657' . CAC1814'245. c; '` �', •, The CLASS A AIR CONDITIONING Ct��7'3'RAC'Z' k` Named below IS CERTIFIED Unifier the provisions Of , Expiration date: AUG 31, 2014, ,,� <<e jl q�M •t 5 il}y t j LEN, BRUCE i POWER AIR LLCST. ' + i 901 NE 172ND f NORTH MIAMI BEACH FL 33162-1-2'- 0 RICK SCOTT KEN LAWSON 4 GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW �- CERTIFICATE OF LIABILITY INSURANCE DATE 8/2013, cc�® 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 endorsemen s. CONTACT PRODUCER NAME: , wo Na M. 1-800-277-1620 x4800 N., 727-797-0704 FRANKCRUM INSURANCE AGENCY,INC. ADDRESS: 100 S.MISSOURI AVE. INSURER(S) AFFORDING COVERAGE NAIC# CLEARWATER FL 33756 INSURERA: FRANK WINSTON CRUM INSURANCE CO. 11600 INSURED INSURER B: _ INSURER C: FrankCrum 1-800-277-1620 INSURER D., 100 S MISSOURI AVENUE INSURER E7. CLEARWATER FL 33756 INSURER R COVERAGES CERTIFICATE NUMBER: 232186 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERT D 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. a18R TYPE OF INSURANCE ADDL SUSR POLICY NUMBER POLICY EFF Policy Mw LIMITS LTR INN WVD @7MN)DIYWY) (MMIDDIYYYI) GENERALLIABWW EACH OCCURRENCE $ DAMAGE TO RENTE COMMERCIAL GENERAL LIABILITY PREMISES(Ea oactsrerroe) $ CLAIMS-MADE =OCCUR MED EXP(Arrt we person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-GOMPIOP AGG $ POLICY PROJECT LOC $ COAAB 8IN MR AUTOMOBILE LIABILITY erlrltle $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per aoohlert) AUTOS AUTOS $ NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS R�a0ddB°I) $ $ NUMBRELLAUAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEC) RETENTION S $ A WORKERS COMPENSATION AND WC201300000 11112013 11112014 X -LAIdITs X 11 EMPLOYERS'LJASI ITY yyMN ' ANY PROPRIETORIPARTNERIEXECUTIVE -YM— E.L EACH ACCIDENT $1,000,000 OFFICEWMEMBER EXCLUDED? U WA (Mamla6ary In NH) E.L.DISEASE-FA EMPLOYEE $1000000 If yea,deaorrbe under DESCRIPTION OF OPERATIONS b*w E.L DISEASE-POLICY LIMIT $1000000 i i DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(AUmb ACORD 501,AddMonai Remarks Schedule,U more space B required) EFFECTIVE 03/28/2008,COVERAGE IS FOR 100%OF THE EMPLOYEES OF FRANKCRUM LEASED TO DOWER AIR LLC(CLIENT)FOR WHOM THE CLIENT IS REPORTING HOURS TO FRANKCRUM.COVERAGE IS NOT EXTENDED TO STATUTORY EMPLOYEES. i CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village Building Department 10050 NE 2nd Ave. AUTHORIZED REPRESENTATIVE Miami Shores,FL 33138 fed".rte i ®198a-2010 ACORD CORPORATION. All rights reserved. � ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD ACC>R CERTIFICATE OF LIABILITY INSURANCE DATE IYYYY) 100/08!/08/13 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 pollcy(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 CONTACT NAME: MARTA ALONSO Florida Bankers Insurance alco No E : (305)266-6493 AA No): (305)262-0679 7278 SW 8 Street ADDRESS: marta @floridabankersinsurance.com Miami,FL 33144 INSURER(S)AFFORDING COVERAGE NAIC# Phone (305)266-6493 Fax (305)262-0679 INSURER A: MESA UNDERWRITERS INSURANCE CO. INSURED INSURER B Power Air LIC. INSURER C: 901 NE 172 St INSURER D: North Miami Beach,FL 33162- (786)486-3291 INSURER E: INSURER F I 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. INSR TYPE OF INSURANCE ADDL BR POLICY EFF POLICY EXP LOHITS LTR INSR WV0 POLICY NUMBER MMIDD MM/DD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 DA AGE 0 RENTED © COMMERCIAL GENERAL LIABILITY PREM SET Ea occurrence) $ 100,000.00 ❑ f—] CLAIMS-MADE 0 N N OCCUR SCO061003001020 MED ExP(Any one person) $ 5,000.00 A ❑ DED$500 BI/PD 03/10/2013 03/10/2014 PERSONAL&ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GENL AGGREGATE LIMIT APPLES PEP: PRODUCTS-COMP/OPAGG $ 1,000,000.00 © POLICY [] PRO- ❑ LOC $ AUTOMOBILE LIABILITY COMBINnED SINGLE LIMIT Ea accidet ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ AA��NED ❑ SSCHEESDULED BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY AMAGE $ ❑ ❑ AUTOS PT accdent ❑ ❑ $ ❑ UMBRELLA LIAR ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION $ WORKERS COMPENSATION ❑WC STATUS ❑OTH- AND EMPLOYERS'LUIBILITY YIN Y ANY PROPRIETOR/PARTNERfEXECUTIVE E.L.EACH ACCIDENT $ OFRCERIMEMBER EXCLUDED? NIA (Mandatary In NH) ❑ E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BUILDING DEPT THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2 AVE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES,FL 33138 AUTHORIZED REPRESENTATIVE @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105)QF The ACORD name and logo are registered marks of ACORD Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-200870 Permit Number: MC-10-13-2301 Scheduled Inspection Date: November 06, 2013 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: TIERNAY, NANCY Work Classification: A/C Replacement Job Address: 1226 NE 93 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132050270170 Project: <NONE> Contractor: POWER AIR LLC Phone: (786)486-3291 Building Department Comments REMOVE AND REPLACE EXISTING 5 TON UNIT Infractio Passed comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 05,2013 For Inspections please call: (305)762-4949 Page 20 of 34