MC-13-2221IF— . A C, 13 — e942 l
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 207136 Permit Number: MC -10 -13 -2221
Scheduled Inspection Date: February 19, 2014 Permit Type: Mechanical - Residential
Inspector: Perez, JanPierre
Owner: CONSOLO, ROBERTO AND FREDI
Job Address: 366 NE 93 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: B&K CONTRACTOR SERVICES INC
comments
RELOCATION OF 3 A/C VENTS
Inspection Type. Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060136320
Phone: (305)989 -2363
INSPECTOR COMMENTS False
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid
February 18, 2014 For Inspections please call: (305)762 -4949 Page 37 of 53
Inspector Comments
Passed
Failed
Correction
Needed
❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid
February 18, 2014 For Inspections please call: (305)762 -4949 Page 37 of 53
Miami Shores Village
Building Department
10050 NE.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 20
Permit Type: MECHANICAL
� D
OCT 01 2013
Permit No. —KC i -.� =�& I )•
Master Permit No. C , I a — d62jq -
OWNER:- Name (Fee Simple Titleholder)- Phona., Scj�
i -�3LE:�
Address: -
City: State:
Tenant)ietsft Name. —zip
Email:
JOB ADDRESS:
City: Miami Shores County: Miami Dade
Zip: -E % F
Folio/PamIt.
Is the Building Historically Designated: Yes NO Flood Zone:
C ONTRA CTO R: Company Name: 0 t 2- -1-21, 7 Y I r� Y k I L Phon e#
QS-,
Address:
City: - S 17-1— -- —zip:
Qualifier Name: ]_'Fpot —[
—Phone#- '2 2-SC— 7--
StiaeC6rdfl6tioiiorlkeiiitmtion#- 15t,:A-V� —Certificate of Competency
Contact Phonet. OL Sct
_Email Address:
D9SlGNft.J Aichitect/Engineer. Phonet.
Valued Work for this Permit:$ 1000"' --Square/LJnear Footage of Work:
Type of Work UAddress UAlteration UNew ., ClItepair/Replace 13Demolition
-Descriptlowd Work —Qe I o ca4o 0' 6-f 3 A I C- vi ep=s
----------------
57
'Lz -CCF $
Submittal Fee $ '5Q '(Y) Permit Fee CO /CC $
Scanning Pee $ Radon Fee $ DBPR $ Bond
Notary Training/Education Fee $ Technology Fee $
DouVe Fie $ ---$tmdwml Review $
TOTAL FEE NOW DUE
%0 V
3
e a
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
♦ h
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 ferst 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.,
Owner or Agent
The foregoing instrument was ack--nowledgend before mje� this/
day of -K—+ 200, by
who is personally known to me or who has produced
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Signature
Contractor .
The foregoing instrument was ad wowledged before me this �
day of Ste'- 20 j�,, by
who is personally known to me or who has prodt4ce-d,
LL11 Xt&®e -4 as identification and who did take an oath.
Structural Review
(Revised 07 /10/07)(Revised 06/10t2009)Revised 3/15/09)
NOTARY P LIC:
Sip: .-
Print: CZO-Z�
My Commission
EX7 ` :E8 May 2S, 2015
Zoning
Clerk
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399 -0783
GOMEZ LEONARDO
B &K C6NTRACTOR SERVICES INC
2821 WEST T 76TH STREET FL033018
Congratulations! With this license you became one of the nearly one million
Floridians licensed by the Departrnent of Business and Professional Regulation.
Our professionals and businesses range from architects to yaat brokers, from
boxers to barque restauranth, and they keep Fkuida'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�alicense.com.
There you can find more information about our divisions the regulations that
Impact you, subscribe to department newsletters and learn more about the f
Department's initiatives.
Our mission at the Department is: Ucense 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
A #.6120$04
DIVA
DETACH HERE
is CERTIFIED under the provisims of Ch.489 FS-
I Wpiratim date, AUG 31 2014 M2050701253
STATE OF FLORIDA
4Yrumm Aw 72TTt'd7"ATT ao, ikw7s T�Cfnrara�� nvtikr
4UXbI F €U TXUK.' ANAUSTRY LICENS
L CENSR'NBR ,
KEN LAWSON
SECRETARY
I
i
i
j
i
,f
Report Viewer
Page 1 of 1
https:llapps8. fldfs. com/ crreportviewerlreportViewer.aspx ?data.= kdvpginc9D7Q3gH6TER6... 9/25/2013
CMCATE OF 8=0FJ TO N EXERT FROM FLORIDA W011KEFIS COMPNNSAflON LAMA/
ONSTRUCTION INDUSTRY EXEMPTION
his certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
FFECTIVE DATE, 10105120H
'ERSON: GOMEZ
E11" 260185603
IUSINESS NAME AND ADDRESS:
I & K CONTRACTOR SERVICES INC
!821 V 96 ST #202
iIALEAK FL 33018
COPES OF BUSINESS OR TRADE
I- AIR CONDITIONING CONTRACTOR
EXPIRATION DATE 10/04/2013
2- CERTIFIED GENERAL CONTRACTOR
V=ARrt Personal to Mapter 440 05110 F.S., ea officer of a corporation wfre elesfs exemptiw from 05 chapter by fntag a cerWk a of election andar 05
uties may ad recover besetfta or compossaffou andet tbta chapter. Personal to Omp or 440.061121 F.S.. cerufic tes of election to ire eaemp... apply ady witldp tine
mpe of the bowess or trNo It" on the .Dries of elee"on to be exempt. Pmaomd to Maw 441 0600, F.S., Notions of election to be exeMP and cal f cafes of
ecdoo to be exempt stall be subject to revoeadoo ff. of my time after the Ming of to odke or the i omance of me eermicam the peraea named an to nmia or
atffiato co longer meats the requrcoients of this secdoo for tssance of a artMcate. The department shall revoke a certNiate st my time for failure of tbo, par=
good an tat artMeaze to mot me nnaireaaam of tds setdmL QUESTIONS? (850) 413 -1609
•252 CERTIFICATE OF ELECTION TO BE EXE IFT REVISED 01 -11
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
OPE OF WJSINESS OR TRADE
AIR CONDniom G CONTRACTOR 2- CERTiFO GBOM CONTRACTOR
IMPORTANT
F Pursuant to Cipter 440.06(14), F.L. an officer of a corporation 16
0 elects exemption from this &0ter by filing a certificate of elactticn
1- under tMs section may not recover benefits or compensation underr this
D ch�ter.
Pursuant to C 440.05(12), F.&, Certificates of election to beg
H exempt- apply unlyy within the scope of the business or trade lis °ted on
E the notice of election to be exempt 3
i
E Fursuind to Chi 440.115(13), F.S., Notices of election to be exempt
entl certificates of election to be exempt shall be subject to rem�cation
if, at any time after the filing of the notice or tine issue of (the
certificate, the person named on the notice or certificate no longfir meats
ttte requirements of this section for issuirm of a certificam tote
depiattrumt shall revoke a certificate at any time for failure of to
person maned on the certificate to meet the roluirements of this
secftL
[I"Tida.': :wI�
QUESTIONS? (850) 41
* Carry bottom portion on the job, keep upper portion for your recordiL
252 CERTIFICATE OF ELECTION TO BE EXWT REVISED 01 -11
I
Local Business Tax Receipt
Miami -Dada County, State of Florida
-INS IS NOT A BILL -DO NOT PAY
71627
BUSI NESS NAKWAACATtON
8 & K COMRCTOR SERNfCES INC
2821 W 76 ST $202
HIA", FL 33018
IE11wI "° EXPIRES
NEWBUSINESS SEPTEMBER 30, 2014
7440027 Must be displayed at place of business
Pursuant to County Code
Chapter SA - AR: 8 & 10
SEC. TYPE OF BUSINESS PAYMtfbtT RECEIVED
OVJMR
S && KK CONIRCTOR SERVKES INC 196 SPEC MEC ANICAL BY TAX COLLECTOR
C/O LEONARDO GOMEZ PRES CONTRACTOR
4$,00 10/25/2013
wcdv(s) i CACi816914 0228-14-000614
This Local Ba lsess Tax Receipt only coa§m painest of tiro Local BasitaasTax.The Reteln is test a license,
permit, or a ew0cadoo of the holder's gaaG&atioas to do hasisess. Folder mast wmph with any 8overameami
or teong�erameatai rogalataq latais and regniremeatsvrhhde apps N flee ham:
The RECEIPT N0. above otast he deployed on ae eommereW vehicles -Warm -Dade Cale See: 8*47&
For mom wermaden,v sh eroaw miaattiiddade gta .olloctor
1012512013 12.09
1
CERTIFICATE OF LIABILITY INSURANCE 1O)M 3
THIS CERTIMATE IS DIED 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(Sh AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER
OVQRTANT: ff#m cart boNw is an ADDITIONAL OBWIM Ilia poky mist be endorsed ff=9 OGATIDN IN WAMW. stdtjeatto
#to mas and condone of ft pogW, cet►poWn mayregtlbe an mtdorsoment. A smemetoon vft ewe does nta mftrr%ft to the
rrML�; a IITI .r-r A:
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 REOUREMENT. 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.
LIleTB
LTR T
TYPE OF I
I1�it P
PAY 1d L
EAGi SCE $ 1,000.000.00
PREMISES Ea Gomm— $
$ 100.000.00
A ❑
® COMMERCIAL GENERAL LMLIiY P
N N
N P
GL- 0504006758 -02 d
d2/112D13 0
02/11RU14 M
MED E� (Any orw person) $
$ 5.000.(X!
PERSONAL s ADV [NAM $
$ 1,000.000.00
❑ G
GENERAL AGGREGATE $
$ 2.000.000.00
0134 AGGREGATE LMT APPLIES PER. P
PRODUCTS- COWOP AGG $
$ 2.000.000.00
$
AUTOMOBILE LIABILRY (
COMBED S94GLE LMT
$
❑ ANY AUTO B
BODILY WARY (Per person) $
$
❑ ALL OWNEDAUTOS B
BODILY KJURY (Per s=dwC $
$
❑ MIE ULEDALUTOS P
PROPERTY DAMAGE $
$
$
❑ t!AlBRP LLA LIAB ❑ OCCUR E
EIMKx I E $
$
AGGREGATE $
$
❑ DEDUCTME $
$
NIA E
n WC YYM OTH-
$
E.L. EACHACCIDFM $
$
E.L. DISEASE - EA EMPLOYE $
$
El_ DMEASE - POLICY LIMIT $
$
DEUMMM OF O ERATIONS l LOCATIO+IS I VEHICLES (Anad►ACORD =. Adde wW R ks Se q Vmm apnea b re**ed1
SHOULD MY OF THE ABOVE DESCRUIED POLICIES BE CANCELLED BEFORE
THE EXPRATM DATH THEREOF.IMOTICB IAB.L W DELIVERED IN
MIAMI SHORES VILLAGE ACCORDANCE WITH THE POLICY PROVISION&
10050 NE 2 AVE
MIAMI SHORES, FL 33138 AUrt(OUM REInIESENTAMWE
1305-514-M 1171
ACORD 25 (2001110) AF The ACORD tune and logo are registered marks of ACORD
ACORD 25 (2001110) AF The ACORD tune and logo are registered marks of ACORD
3
JEFF ATWATER
CHEF FINANCIAL OFFICER
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW *
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual Gsted glow has elected W be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 10/4/2013 EXPIRATION DATE: 10/4/2015
PERSON: GOMEZ LEONARDO
FEIN: 260185643
BUSINESS NAME AND ADDRESS:
B & K CONTRACTOR SERVICES INC
2821 W 76 ST #202
HIALEAH
FL 33018
SCOPES OF BUSINESS OR TRADE:
LICENSED GENERAL HEATING, VENTILATION,
CONTRACTOR AIR -COND
Pursuant to Chapter 440.05(14), F.S., an officer of a c orporetion who elects exemption from this chapter by fM a certificate of election under this section may
not recover banaft or compensation under this chapter. Pursuant to Chapter 440.05(12). F.S., Certificates of elecow to be exempt.. apply only vAM the scope
of the busbiess or trade RsW on the notice of elecdco to be exempt Pursimt to Chapter 440.W13). F.S.. Notices of election to be exempt and cartillcates, of
electlon to be ex shall be =*Jed to revocallm f at any time afterfle fib of the notice or the issuance of the , the person nwned on the nadm or
cw9cate no longer meets the requirenoft of this section for franca of a cartiftele. The department shall revoke a certificate at any am for ban of the
person rra med on the ate to meet the requiremimls of this setdon.
DFS- F2 -DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS? (850)113 -1609