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MC-12-2400 Inspection Worksheet Miami Shores Village L/ 10050 N.E.2nd Avenue Miami Shores, FL Q� Phone: (305)795-2204 Fax: (305)756-8972 ®- ` Inspection Number: INSP-195830 Permit Number: MC-12-12-2400 Scheduled Inspection Date: July 29,2013 Permit Type: Mechanical- Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: FLOYD GONZALES, ROBER IRWIN Work Classification: Addition/Alteration Job Address:68 NE 91 Street Miami Shores, FL 33138- Phone Number Parcel Number 1131010200020 Project <NONE> Contractor: MG EXCELLENCE SERVICE CORPORATION Phone: (786)247-7067 Building Department Comments Tie in duct for hood up to existing roof cap. Infractlo Passed Comments INSPECTOR COMMENTS False Zq Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-183211. must be metal duct Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 26,2013 For Inspections please call: (305)7624949 Page 25 of 33 Miami Shores Village DEG gl 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 No. M c- !Z- Zy®0 PERMIT APPLICATION Master Permit No. iRC,-I1 - 2-3 9 FBC 20 Permit Type:MECHANICAL �/•ee /�(' // OWNER-.Name(Fee Simple Titleholder): EL(M 19 C7VlV NZVe Phone#L3Q5 "51 Address: —a city: l State• M, zip: 3313!6 Tenant&zssee Name: Phone#: Email: JOB ADDRESS:_GA Jt City: Miami Shores County: Miami Dade zip: 331 7 Folio/Parcel#: 17�� O%Z-V Is the Building Historically Designated:Yes NO Y Flood zone: CONTRACTOR:Company Name: .Phonel( —q0&7 Address: 4110 lc( �f City: EUIL& State: Qualifier Name:_A41 t- 'r-'11 /' A 1 --- -_ _- Phone#r Ek) 00'V7 °qV�0 ,�^ T State Certification or Registrratioonnl#:Cj2CZ 1 1 6 t 6 7 Certificate of Competency#: Contact Phone#x/— �I� 1��6,D�, Email Address: DESIGNER:Architect/Engineer:AY►�fV 4�1� 4_k� )6 Phone# V.5 Ca -301E6 Value of Work for this Permit:$ • ` SquarelLlnear footage of Work:2—ft � • Type of Work: OAddress OAlteration ONew ORep.*/Replace ODemolition Description of Work: Submittal Fae$ :'®® Permit Fee$ O CCF$ CO/CC$ Scanning Fee$ 4 A o Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ �' y� 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 s ch posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Signature Owner or Agent ontrac g The fore oing instrument was acknowledged before me this � � The fo=instrument w s ackno led veal b ore me this day of 20 ,by -!) f� � day of 20 by , who is ersonall ,known to me or who has produced—f who is personally known to me or who has P Y produced_ t�uiuii+/tai As identification and` � gja h. as identification and who did take an oath. NOTARY PUBLIC: 6506 NOTARY PUBLIC: or SS!#Jwo�•'�u' Sign: - Sign: a Print: `�'•.'� Print: RM My Commission Expires: '>if, S/SI U0\ ��`` My Commission Ex ires: MY TiAPPROVED BY l laps Examiner 00a g Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) STAFF OF FLORIDA !? OF HIIS�SS Alm PRCBHBSIOIdAY+ giRd'DLATTON _ ($50) 487-1395 1940 No= mo] m "' SII�IC� Bt?ARD T BE a FL 31399-0783 GARCIA, NICE= N.G. E8ciffAim SERVICZS_ CORPORATION 4 ST 6T BTRH MIAMI FL 33147 Ir COli�re m V7 thfs wu bec na one Aft newly One rmft t Florldtans by the b1Aent of B M*m and Regu"ar. r I Our 8th —go fioam ardtects m yacht bmkwl.%flan troxere lo barbulus rte,ant!May keep FtaWs emmay abong. CAC1t31606 d1-I 127006129 Every day are wwk to Impurove the way we do bum In Gilt to serve you - � For Wx6milon Oo A our t rig,p tog OND Wvax. dense Mn. CSitT F Them you can idnd rrwne Ian abotd our dnifsfons�regu�orrs ttEat GgB ' ingmt ym%submdbe to departntent i and ism rem altad the '�. M.�a, �VI f 0R,PORAT, Department's�. - :,- •.. .. - . Our ndodad at to Depatbrant bg Uomm may.Regulate Fairly.We constantly ebt4s to serve you better on that rr can seive your custmam ' - Thank you for doh In Florida.ad m"ft abm an yff rumor llcenset 1e °° L°= 'age Pg. ate. Ost4AQB'31♦ 2S:L� ¢8Q20 62 DETACH HERE AC# 6243130. STATE.OF.FLORIDA #�I PAR OF- BUS s ADiD PROF> , SI� {RTLATION f ?NSTRCTCTIflB� iQBTRY LIC�T3 HOARD $E 1.12080201581 W. :R. .. .' •q• 0 02 2Q11 13,27006129 , ICAC18*161DOT- The CLASS .A AIR CONDITLO CO R�L-10 Named beldW IS CIMT11rIBD Uader,the proviaioas of Chapter '°TS iration dater AVG 31, 2014 0. =CztL30T BPIC$3 CQRVQ3tAE - e 2471 NW 67 STREW MIAMI FL 33147 RICK SCOTT KIST LATt1St?N wvzmqwoR FiEOWRED BY LAW SSCRLTARY f •GU►SS _ . $ -...Lot*, MCA sLS- mr G .M - ,FL - �� .�. ems tm z" 4T4Htl��ST. IY�UW88.D ►��y lv►-ART 9�W i 1 �iS Wr A Y RENEUAL 6$2'��"T 655395-3 f S CORD STATE+ C•ACIS16067 ��ELLENCE SERVICE 180 E 19 ST 33010 HIALEAN owim EXCELLENCE SERVICES CARP woof-RIS t� 0 EXCEL 1 CaNTRACTOR � 96 2 is 00 VjDs paWAM ib co AM non M = i p 6 EXCELLENCEIP +++� MI6UEL GARCIA 180 E 19 ST 33810 HIALEAH FL 091 -./2 000a ao z f..fi.,.fl.i3.,,.,,Ifti, ,.,f=flf►Ei,=idfi.,.it,i��j�» , M amp SM AMM 09-R-Z012 .M AMATEt STATE OF FL OPJDA CHWP44002KOFFAM VI:>SI OF FINANCIAL SERVICES aft COMMIE OF RECM 10 a [ RM Ram WOMEW RMYM LAW +� Ct1111S�RUC Tlt UMUSTRY EXENPnON Tlas ewtifia tw the hiffMaw lided ho elected to to ell *M Rands vhdM s' CORPROMM IM EFFECTME DATE: 61i"Ism EXPIRATON DATE 811M2M4 PeRSOM GARCIA MICHEL FEft 205=976 6t UMM KAME AND ADDRESS: Boy t w am MAIII FL =147 800M cw sumpass GRNWAM i- MOVING COMMMIR ft CE11173FZ® AC CONFROM B~ CeNrMSD Puna= CfJ"n%ACTOR 4- comrsep WeeMM Nauo a+U*w 40-GM4 f t,,.as WMW a a newwo aft atm moon Ms OR ass o,by MM a amino d•lama"aim Ms "911"90 40 rumw knal f:ar alma•whr ab clot ar. Poso sr a graM"LMM F.B..Sappoftow of atatiaa a a►*••alit- qM" atfa as Ka0 41 to boxima ar frill Uard N Aa aasM of daMn Q ba 0600L ftuM to avow aail"M FA.. d afoul" 4 is sump as agar4an d "saw to an oaaspt wn""Moo a Muslim R a<of tta ON m 111"d m aww or s1w lifiaai a d ft aawtaft a, prim anal as tie mum e aMdtrrts as boar mom Oa rs"knowb of as osoo far a4aa►of•aMONO, TM+tom afar arils a -mom a awp 6aa fn burs der.sonw s "is m amino M artf tb a0balM d 01 nab. MMUM OF QMM-M BE BMW MMM 011-1-i QI�.Si rf M 40-MB t PLEASE CUT OUT�TRE CARD BELOW AND RETAIN FOR FUTURE REFERENCE 8T1Ift:OF FLOAM'ER O& CANT O PsEts ffi 44R�(1� F.$,.as Offkw Of a wbo ��FQJa:tfOfl EI�tA�1e e f '� ear by h'�a of s ea L now ew M room er tetdw itlk olt ►ts f?ltPllmll'RCtii �: of/i�oi4 P +k illpel4, QPWA" H sue,. y I Fa. C°arrow at a to Mir FM x4mlem R>1m �of ebxdmi to for of � rarer or 1r� fled ars IN a E +e�dfi oaf of a 1s be stmt am R 311M R. a aw+dw after the aft of �W he MMM f m artFftlb� ft 1) -11 ato"l"l= ft raidte w a wsrCM W tee street:' of errs mom ter of a r SMM Q= OR TffAM i fol 111INaahrl eldl aaaas<e a aK1if mq fur %owe of Ilia: i- a a:- f aoa tdm Rr foes: the� of Olds a- ft Aoa<at+rc= •-9211 MM aka a fm 413.1e08 Ctff fw • Corry battens poltm an fa left fW Yaw r 'In IA�I9�A1E Of 9mmN TO 8E"MT avlan W-11 Dec. 18. 2012 3: 16PM FLORIDA BANKERS INSURANCE No- 0931 P.,�1/1— CERTIFICATE OF LIABILITY INSURANCE 12518112 PRODUCER FWda Bankws Inslsartce THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SW 8 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Miami,FL 33144 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone(305)266-6493 Fax (305)282-W9 INSURERS AFFORDING COVERAGE NAIC# wsURER A: FEDERATED NATIONAL.INSURANCE INSURED M.G.EXCELLENT SERVICES CORP. INSURER e: PROGRESSIVE INSURANCE 7221 NW 174 Terr Apt#102 INSURER C: HIALEAH,FL 33015 INSURER D: INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANYCONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS. RdSR ADUIL TYPE OF� POLICY NUPE lNBt POLICY EFFEC7NE E)MATIQN LIffIITS C ENERAL LIABILl" EACH OCCURRENCE 1,000.000.00 ©COMMERCIAL GENERAL LIABILmr GL 02/16112 02116113 PREMISES DAMAGETORENTED 100.000.00 OF CLAIMS MADE ® OCCUR MED EXP WW am ten) 55.000.00 A ❑ ❑ PERSONAL&ADV INJURY 1,000.000.00 ❑ GENERAL AGGREGATE 2,000.000.00 GEML AGGREGATE UMITAPPLIESPER PRODUCTS-COMMOPAGG 2,000.00000 ® POLICY❑PROJECT ❑ LOC AUTOMOBILE LL48U PTY COMBINED SINGE LIMIT ❑ ANYAUTo 01604850-0 05!14112 05/14/13 (Ea accident) ❑ ALL OWNED AUTOS BODILYINJURY 10000.00 B ❑ ® SCHEDULEDAUTOS (Person) ❑ wREDAUTOS BODILYWURY ❑ NON MWNED AUTOS (P--ddwd) 20000.00 ❑ FULL PIP PROPERTYDAMAt ) 10000.00 IF (Per-cident CARAOE LIABILITY AUTO ONLY-EAACCIDENT ❑ ❑ ANYAUTO OTHERTHAN EAACC ❑ AUTO ONLY: AGG EXCEGBRIMBRILLALMAM EACH OCCURRENCE ❑ ❑ OCCUR ❑ CLAIMS MADE AGGREGATE ❑ DEDUCTIBLE ❑ RETENTION S WORKERS COM PENGATION AND ❑ WC STATU ❑ pT� EMPLOYERS'LL48RM Y I ER ANY PROPRI ETOR I PARTNER 1 EXECUTIVE EJ_EACH ACCIDENT OFFICER/MEMBER EXCLUDED? If yes,descrmeunder El DISEASE-EA EMPLOYEE SPECIAL PROVISIONS below EJ_DISEASE-POLICY UMT OTHER DESCRIPTION OFOF ERATIONSILOCATIONSIVEHMMESIEXC LIONS ADDED BY ENDORBEMENT 1gpECIALPROVOONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRWW POLICES BE CANCELLED BEFORE THE EXPWAT10R DATE THEREOF,THE ISSUING INSURER WI L ENDEAVOR TO NAfl. MIAMI SHORES VILLAGE 30 DAYS V=TTE N NOTE TO THE CERTIFICATE Ham NAMED TO 10050 NE 2 AVE THE LEF T,BUT FAILURE TO Im 90 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF MY KffM UPON THE INSURER,ITS AWNTS OR REI REGEN rATIVES. MIAMI SHORES,FL 33138 AUTxORIZED REPIUMENTATIVE ACORD 25(2001108}QF 0 ACORD CORPORATION 1988