ME-03-98 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-196607 Permit Number: ME2003-98
Scheduled Inspection Date:August 07,2013 Permit Type: Imported Permit
Inspector: Perez,JanPlerre Inspection Type: Final
Owner: IMPORT,IMPORT Work Classification: <NONF->
Job Address:551 NE 93 Street
Miami Shores, FL 33138-
Phone Number
Parcel Number 1132060141010
Project: <NONE>
Contractor: DANART A/C&REFRIGERATION COMPANY
Building Department Comments
EXACT CHANGEOUT OF 4TON18KW A/C Infractio Passed Comments
INSPECTOR COMMENTS False
CHANGE OF CONTRACTOR AND PERMIT RENEWED ON
7/29/13
I
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 06,2013 For Inspections please call: (305)762-4949 Page 22 of 39
I
t.�
Miami Shores village
Building Department JUL 2 6 2013
90050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(3057 762.4949
FBC 20
B DING 'Permit No. °- fr
PERMIT APPLICATION Master Permit No.
Permit Type: MECHANICAL
JOB ADDRESS: 551 N.E.93 Street
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#:
11-3208-0141010
Is the Building Historically Designated:Yes NO X Flood Zone: NO
OWNER:Name(Fee Simple Titleholder): GEORGE JOHN CRAVERO pie#:305-757-2897
Address:551 N.E.93 Street
City: Miami Shores Ste. Florida zip: 33138
TenandLessee Name: N/A Phone#:N/A
Bmail: gjcrav @yahoo.com
CONTRACTOR:Company Nam: , g:W A-1 C 7t Phone#: ,35:1 E —0--5 q q 7 7
Address: 144 C. S C g lab --Jr i 0,9
..1
City: � State: L Zip:
Qualifier Name: H Or I"en 1(t?t:j 4cai Phone#: .9 7G0 Z
State Certification or Registration#:L'a c C E71 9 S Certificate of Competency#: C-A C TT
Contact Phone#: �f C� 3 Z t V 4 Email Address: AAW !=?, 'J z, C C,
DESIGNER:Architect(Engineei. Phone#•
Value of Work for this Permit:$ S d 0 Sgaare/I3near Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New epair/Replace ❑Demolitio
Description of Work: O Y_ t.--3
Submittal Fee$ Permit Fee$ W.00 CCF$ CO/CC$
Scanning Fee$ 60 Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
Bonding Cokpany's Name(if applicable) N/A
Bond�ug Company's Address N/A
City State Tap
Mortgage Lender's Name(if applicable) N/A
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is is the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature S'
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this l The foregoing instrument was acknowledged before me this--2
day of ,20 4&,by (Vector C44✓,e PO day of U V-t 20 a,by IT t j0AeJ A- A :«A
who is Personally known to me or who has produced who is personally known to me or who has produced � t .17
identification and who take an oath. ����uuim►igp�fication and who did take an oath.
NOTARY P �\
QA
Sign: 41 _oo
Print: s
My ammission Expires: My� ssion
RUTH A.SYDASH ►►nn►�n
JAY COMMISSION#00988017
VIM J31 t+oi.te`e•otsa
—IZIEZ Zoning
Structural Review Clerk
Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
.•• p�.� Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Mani Shores, Florida 33138
Tel:(305) 795.2204
Fax:(305)756.8972
CONTRACTORS' REGISTRATION FORM
ALL CONTRACTORS MUST PROVIDE COMES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS
SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE VIM 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 E)(CERPTION)
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 33130
�sr��rs.�®�rris�ir��rfiir■r�®is�u�rf���srur�ua�ss�iussr�s�r■®�r®rs®�rsusss������rrrr�
COMPLETE CONTRACTOR'S INFORMATION
BUSINESS NAME: C3►ngl& C �.
BUSINESS ADDREESS:jy'resT ce`� ��� TM
r
STATE /`� �- 7IP CODE 3 31
BUSINESS RHONE: '-) FAX NUMBER Q c2 314 q-7 tO
CELL PRONE ) QUALIFIER'S NAME: x1'0\ A 1 cod-�
QUALIFIER'S LIC NUMBER:
E-MAIL ADDRESS(I F APPLICABLE):BL E): n%5Xrr 0k � ���� �9?�'- c �
Created on 3/19/09 SY MLDV/RV 326109 GOLDV
07/15/2013 12:20 FAX 9417231440 @0001/0001
"�' ° CERTIFICATE OF LIABILITY INSURANCE F7/10/20[MMM 3
THIS CER TIFICATE 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 INSUREI"), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: U the certificalB,holder is an ADDITIONAL INSURED,the pollcy(tes)must be endorsed. N SUBROGATION IS WANED,subject to
the terms and conditions Of the pol(cq,certain policies may require an endorsement. A statement on this carttflcat a does not confer rights to the
certificate holder in lieu of such endomeme s.
PROMXWR CONTACT Tiffanie Ellin
Heritage Insurance Sez rices . (941)723-1400 (941)723-1440
PO Box 1508 1 tiffaai.e@heritagefla.can
AFFORDING COVERAGE NAR:O
Palmetto FL 34220 MURERAAcoi.dent Insurance Co 1573
INSI)REn B
DAATART AIR CONDITIONING AND REFRXGMMTION INSURER C:
14365 B.W. 120st INSURER D,
Suite 5103 R:
Miami FL 33186 RER F:
COVERAGES CERTIFICATE NUMBER:2012-2013 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. N07WTHSTANMNG ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VWTH 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 SHOM MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IT TYPE OF INSURAINNE POLICY EFF LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,0001
IF COMMERCIAL GENERAL LIABILITY
1L CiAIM"ADE ®OCCUR RR 0005106 00 /24/201 /24/2013 tSES Wm nmaeeneal, $ 100,0001
a ED EXP Ian mre ere": $ 5,00
PERSONAL aAyv KR RY $ 1,000,00
GENERALA GA-m $ 2,000,000
QE.n AGGREGATE LIMFrAPPLWS PER: PRowicTS-ooMPw Am a 2,000 000
X POLM:Y P LOC $
AUTOMOBILE LUMLm
(EnomkIMV)
ANYAUTO BODILYBLAIRY(PerpM" S
GCHEDUM
auras AUTOS B�ILY BYtPer amp $
HIRED AUTOS AUTOS $
4
$
UMBRELLA LUIS I
OCaR knlxi LK:t:(RfHtM:t $ [ .
E%CESBLUUI CLAyW;S.MAOE AG+GREGATE S
RETENTIONS $
WORKERS COMPENSATION
ANDEMPLOMWLIABILITY YIN STA MER
ANY PROPR MR E L.EACH ACCWENT $ {
t In EndwEOt NIA F
E L DISEASE-EA EMPLOYEE a
R ONO
OPERATIONG below w E.L.DISEASE-POLICY LIMIT, S
DU MFFWN OF OPERAYMM I LOCATIONSI VEHL%M(Alt O ACORD 101.A nal R Sa mMft B more apace Ia
B
CF-RTIFICATE HOLDER CANCFI 1 AT(ON
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE f
THE E)MRATM DATE THEREOF, NOTICE VOU BE DELIVERED IN
Miami Shores Village ACCORDANCE VATH THE POLICY PROVISIONS.
Building Department
10050 NB 2 Ave AOTHOMMREPRESENTA7IVE
Miami Shores Villag, FL 33138
�Etv:l Clerments/Alawa
ACORD 26(2098105) ®9908-2010 ACORD CORPORATION. All rkft reserved.
INStt25( ooh of The ACORD name and Wao are realstered nmrlm of ACORD
unenw:1aac+sys 14ALJAIVAKAU
ACORD. CERTIFICATE OF LIABILITY INSURANCE DATEPMMDh-YM
515/2013
THIS CERTIFICATE 0 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO MONTS 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(1es)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
BBBT-Oswald Trlppe and Company .954 389.1289 No;866.802-8684
2200 N Commerce Pkwy,Ste 204 NO
Weston,Fl. 33326
' 954 389-1289 AFFORDWG COVERAGE NAIC#
INSU MA;Associated Industries Ins Compa 23140
misLAtED INSURERS:
Danart AC and Refrigeration Co INSURER c.
PO Box 165236 INSU�D:
Miami,Fl. 33116
INSURER E:
W F:
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 CONTRACTOR 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.
TYPE OF INSURANCE POLICY NUMBER LIMITS
GENERAL LLN30 TY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY D $
CLAIMS-MADE 1:1 OCCUR MED EXP one $
PERSONAL&ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $
POLICY P LOC $
AUTOMOBILE LIABILITY COMB SIN UM
eQ W
ANYAUTO BODILY INJURY(Per pamcn) $
AUTOS AUTOS SCHEDULED BODILY INJURY(Peraccidwd) $
HIRED AUTOS AO ED PROPERTY DAMAGE $
$
UMBRELLA n LJAB HCLAMS-MAE OCCUR EACH OCCURRENCE $
EXCESS LIAR AGGREGATE $
DED I I RETE ON $
A KM COMPENSATION
AND EMPLOYERS'LIABILITY AWC1076195 IOM M012 10i28/201 WCSTATU- OTH-
ANY PROPRIETORIPARTNEW6XECUTNE YIN
E.L.EACH ACCIDENT $1,000.000
OFFICERMIEMBEREXCLUDED? FN /A
(Mmbetcry In NH) E.L.DISEASE-EA EMPLOYEE $1,000 O00
K dea�e undor
DESCRIPTION OF OPERATIONS belwv EL DISEASE-POLICY LIMIT $1 000 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Rornazlm ScWule,H more space M Ieguhad)
FICATE HOLDER CANCELLATION
Miami Shores Village Building SHOULD AroY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Dept ACCORDANCE WITH THE POLICY PROVISIONS.
10050 NE 2nd Avenue
Miami Shores,Fl. 33138 AUTHORRED REPRESIWAIWE
®1986.2010 ACORD CORPORATION.Ali rights reserved.
ACORD 25(2010 111115) --1 of 1 The ACORD name and logo are registered marks of ACORD
FIRST-CLASS
U.S.POSTAGE
PAID
Nil MIAMI,FL
PERMIT NO.231
THIS IS NOT BILL DO NOT PAY DUPLICATE
355534-0 RECEIPT NO. 371555-5
13USINESS NAME/LOCATION
j DANART A C & REFRIGERATION CO STATE# CAC057i95
14365 SW 120 ST 103
33186 UNIN DADE COUNTY
OWNER
DANART A C s REFRIGERATION CO WORKER/S
Sec.Type of Business
196 SPAL EC MECHANICAL CONTRACTOR 1
THE W3 ONLY A LOC
e1181NE88 TAX
THE RECEIP7'.1
DOER NOT PERMIT
HOLDER TO VIOLATE ANY
Exlff= OR
WONG LAWS OFD THE DO NOT FORWARD
COUNTY OR CIiff.B. NOR
_ DOER R EXEMPT THE
LDER FROM ANY OTHER
PE
PERRWT OR UCEPDE
REQUIRED WLAI TM�� DANART A C & REFRIGERATION CO
NOT A k ME HOLDERS QUAL CA ARMANDO ALCURIA JR PRE
PO BOX 165236
1 PeDAApsYereprr AJ NTYTAx MIAMI FL 33116
t COLLECTOR:
07/12/2012
09010121001 9
000000.00
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I
JLL-22-2013 12:06 FROM: T0:3052344780 P.1/1
Miami shores Village
Building Department
Miami Shore$. Florida 33138
Tel: (305)7M.2204
Free: (3W) 755.8972
CHANGE OF CONTRACTOR/ARCHITECT -
Owner's ilJame(Fee St le Tit HMO:-7.-,eft of aPAY"a Phone#: & g73-067._z
Owner's Address: 5"S*z
.�I r •li .�r•��
Ckyy:/Ni dmi -Owo&&F.� state: E:LrQ zP Cade:331 a 4P
;bb Addrw(0f where wwk is done): 616- 9 S r-A;
City: -Miami Shores_.. State:_Ftodde Zp Code: _--w M
4090tcr's Company Name:. Phone#: , '7o Z IC
Address: � C It
City: . State:_ r L Zi Code:
Qua br's Name: eA- r-r'� ...t.� Uc.Number.
Arctthed Engineer of Record Name. I Phone#:
Address: IT
City: State: Zip Code:
Oribe Work:
a-tJ
I hereby certify that the work has been abandoned and/or the rontractarlarchked Is
unable or unwilling to complete the contract. I hold the Building Official and the
Miami Shares harmless for all legal involvement.
Suture
WA* orma over rm�t
The forqaing t was aZ6wW* The fa ng in +mss emometal fare(M �
this day of 20& tht day of eQ M/►�'" 1
is to r aced who ap knoam to or who has p ft*d )
� p
�.�+� � arrir.nr�QIYWIUII{iOU as�•
�,,y� 3F oi%aa
•`�`!7 fir. 0 23 2p15 ��r •
Pssp. V. UBILLOS
- co 5`0 oia�`I NOW
ate at Florida
'ems MY Coca°i�our�hNa`�o� $e®j: '. ; ^ My Comm Expires Sep 23.2015
a _ � .z
00 9 adedj� "sJ;• °oc Commission#EE 128810
ry Assn.
Bonded Through National Nota
SEARS HOLDINGS
Leslie Stem
Law Department
Sears Holdings Mianagement Corporation
3333 Beverly Road,Mailstop B6-360 A
Hoffman Estates,IL 60179
8472862054
Fax:847.2862282
Email:leslie-4mn rshc.com
July 22, 2013
Village of Miami Shores
10050 Northeast 2nd Avenue
Miami Shores, Florida 33138
Re: Mr. George Kable (Homeowner)
551 NE 93RD ST
MIAMI SHORES, FL 33138-2843
MIAMI-DADE COUNTY
To Whom It May Concern:
Please be advised that Sears, Roebuck and Co. has authorized Danart A/C tt
Refrigeration Company to renew Mr. George Kable's permit at the above captioned
address.
sincerely,
Leslie Stern