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MC-13-1920Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-197868 Permit Number: MC -8-13-1920 Scheduled Inspection Date: June 11, 2014 Permit TYPe: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: OREJANA, FERNANDO MONEDERO Work Classification: Addition/Alteration Job Address: 101 NE 105 Street Miami Shores, FL 33138- Phone Number (786)329-0222 Parcel Number 1121360050090 Project: <NONE> Contractor: DADE SUPER COOL AIR CONDITIONING Phone: (305)233-3915 Building Department Comments INSTALL AC UNIT IN GARAGE Infractio Passed Comments INSPECTOR COMMENTS False V Inspector Comments Passed Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can he scheduled until re -inspection fee is paid. June 10, 2014 For Inspections please call: (305)762-4949 Page 2 of 32 Miami Shores Village RECEIVED, Building Department NOV 18 2013 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 13y: r Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20 l C-) BUILDING Permit No. MCA 3 l 197-0 70 PERMIT APPLICATION Master Permit No. fx,I 3 -1`) ) 1�5 Permit Type: MECHANICAL JOB ADDRESS: I (JI NE I U5 'Sn C C + City: Miami Shores County: Miami Dade Zip: -7> Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 4 (A; A J OC Phone#: W City: �e -/� ill d � � "Z � State: �L� 1 i Zip: � r Tenant1essee Name: Phone#: Email: _ ru, (� �� ky--- VL A �; i ' � V � � � , _ c • CONTRACTOR: Company Name: ID(A-f- Y C®UI M C n I ti (. Phone#: 3(j5- 235- 3q W Address: 1 310 5 SVV 14-9 a , # 13 City: MI (Ah'1State: Zip: ) Qualifier Name: SUja LA Phone#: ' 23&- 39 1 s - State Certification or Registration #: R W 45.3 b-) Certificate of Competency #: 0000 141416 Contact Phone#: &3_5105 Email Address: ,5U I e.S Pd0bPSJ 1e rQC Ql CLC • i:C►-� DESIGNER: Architect/Engineer: Value of Work for this Permit: $ 2,1 C1 (A-) . U U Square/Linear Footage of Work: Type of Work: OAddress DAlteration ONew ORepair/Replace ODemolition Description of Work: I i°1 I 1 (`Q`0 LY) V m 1'b 1 ipi �- wrdfmc r and 2 I:Gn Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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: 1 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 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 1 day of N OJ '20 1 '3 , by who is personally known to me or who has produced V--( r� As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires APPROVED BY Signature Contractor The foregoing instrument was acknowledged before me this 12 - day 2 - day of QV ° 201 3 , by _ftJ In o sua, who is pq Lonally,kjo_ato me or who has produced identification and who did take an oath. PUBLIC: Structural Review Clerk Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) eti 5 �t 5°, Gds Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH 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 EXEMPTION) 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. V 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 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: 0� C S(A P -C r G d 01 j Cj I BUSINESS ADDRESS: 13��� s� 1 CAVI 419 CITY IG iy\I STATE ZIP CODE BUSINESS PHONE: .2.2--391 FAX NUMBER ( 1 233' 0f4-�c CELLPHONE( QUALIFIER'S NAME: AhiQ hl y1Q TIG U QUALIFIER'S LIC NUMBER: b 000 1414 E-MAIL ADDRESS (IF APPLICABLE): �(A leS @dad C qpef cool cl C' • C C)r°y-\ Created on 3119109 BY MLDV I RV 3126109 MLDV GQVEKNUK U15iYLAT A:r Ktvulmr-u o r L-rlvv iI ACORD CERTIFICATE OF LIABILITY INSURANCE oftrvmay*Ym 11/12/13 PRODUCER 727-938-5582 LION INSURANCE COMPANY 2739 U.S. HIGHWAY 19 N. HOLIDAY, FL 34691 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED DADE SUPER COOL AIR CONDITIONING 13606 SW 149 AVE, #13 MIAMI, FL 33196 INSURERS AFFORDING COVERAGE NAIC # INSURER A: LION INSURANCE COMPANY 11075 INSURER B: INSURER C: INSURER D: INSURER E: Area THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PRETAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ENCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. um POLICYEPPEOTNE DATE PMXYExPRATION DATE tR AWLWM TYPE OF INSURANCE POLICY NUMBER flAAKIDD/YYl LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED $ ❑ COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS MADE ❑ OCCUR PREMISES me ocaarertce) $ MED EXP (Any one persm) $ ❑ PERSONAL & ADV INJURY $ ❑ GENERAL AGGREGATE $ GENIAGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOPAGG $ ❑ POLICY ❑ PRO -]ELT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ❑ ANY AUTO MA acdclerm $ SODILY INJURY $ ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS (Per P—) $ BODILY INJURY $ ❑ HMW AUTOS ❑ NON OWNED AUTOS ( acrd -M $ PROPERTY DAMAGE $ ❑ ❑ (Peracmem $ GARAGE LL40U Y AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC $ ❑ ANY AUTO ❑ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE AGGREGATE ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION INDRIKERS COMPENSATION AND ❑ WC STATU- ❑✓ OTHER EMPLOYERS' LIABILITY WC 71949 01/01/13 01/01/14 TORY LIMITS EJ_ EACH ACCIDENT $1,000,000.00 ANY PROPRIETEWAATNERMXEC nWr $1,000,000.00 OFMCER/MEMSER EXCLUDED? F -L DISEASE- EA EMPLOYEE $1,000,000.00 If yea, describe order special PmvlslmB below EL DISEASE- POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Fireiine Restoration Lion Insurance Company Is A.M. Best Company rated A- (Excellent). AMB # 12616 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2 AVENUE MIAMI SHORES, FL 33138 ACCORD 25 (2001/08) LID ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUM INSURER WILL ENDEAVOR TO MAIL 30 DAYSwRITTEN IE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL ;E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACCORD CORPORATION 1988 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PRETAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ENCLUSIONS AND CONDITIONS OF SUCH ACORD CERTIFICATE OF LIABILITY INSURANCE 11/12/13 PRODUCER POLICY NUMBER Quality Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 8724 SW 72 Street ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Miami, FL 33173 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Phone (305)N&9191 Fax (305)595-9192 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED INSURERS AFFORDING COVERAGE NAIC # INSURER A: Ascendant Commerical Insurance DADE SUPER COOL AIR CONDITIONING INSURER B: 136M SW 149 AVE, #13 INSURER C: MIAMI, FL 33198 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PRETAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ENCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. M LTR ACM MW TYPE OF INSURANCE POLICY NUMBER PoMEFFeomre DATE aN 0 )movomm PaM= uu ams LIMITS GENERAL UABILITy EACH OCCURRENCE 1100010W DAMAGE To RENTED ❑ COMMERCIAL GENERAL LIABILITY GL -42976-0 09/22/13 09/22/14 ❑ ❑ CLAMS MADE Q OCCUR PREMISES (Ea aeaa e=) 100, 0 MED EXP (Any Dm person) 5Ao° ❑ B/I DED $500 PERSONAL& ADV INJURY 110081000 Q PID DED $500 GENERAL AGGREGATE 2,000,0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO 2,000,008 E POLICY ❑ PRO -]ECT ❑ LOC AUTOMOBILE LIABILITY FIRE DAMAGE LIMIT COMBINED SINGLE LIMIT ❑ ANY AUTO ❑ ALL OWNED AUTOS Ma aodden9 ❑ SCHEDULED AUTOS BODILY INJURY ❑ HIRED AUTOS (Per person) BODILY INJURY ❑ NON OWNED AUTOS ❑ (Por went) PROPERTY DAMAGE (Per aooldwM ❑ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ❑ ANY AUTO OTHER THAN EA ACC AUTO ONLY. AGG ❑ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE El O=R El CLAIMS MADE AGGREGATE ❑ DEDUCTIBLE ❑ RETENTION WORIUM COMPENSATION AND ❑ WC STATU. ❑ OTHER EMPLOYERS' LIABILITY TORY LIMITS ANY PROPMETERPARTNERfEXECUM(E E.L. EACH ACCIDENT OFFICERMEMBER EXCLUDED? E.L. DISEASE- EA EMPLOYEE H yes, descift under SPECIAL EL DISEASE - POLICY LIMIT PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ATE HOLDER GA MI -LAI IVn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MIAMI SHORES VILLAGE BUILDING DEPARTMENT DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL N- DAYSWRITTEN 10050 NE 2 AVENUE MIAMI SHORES, FL 33138 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO BO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY I4ND UPON THE INSURER, ITS AGENTS OR ACCORD 25 (2001/08) ACCORD CORPORATION 1938 ' Miami Shores Village X1'4. 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 Permit Type: MECHANICAL JOB ADDRESS: 1 U k /V �i I ®5 S FBC 20L C) Permit No. C 1 Master Permit No. City: Miami Shores County: Miami Dade Zip: 5 1 Folio/Parcel#. Is the Building Historically Dated: Yes OWNER: Name (Fee Simple City: Mi a r"SkC? S Tenant/L.essee Name: Email: e irt�!tand A® e) NO W Zone: - �2 SS - State: f::7L zip: 331 3?a CONTRACTOR: Company Name: lTl i16 f -i-� �a Sosrl Phone#. Address: City: !V\, Qualifier Name: Urn TA'rce � zip: 3 3- 19 Z State Certification or Registration#: `- -1 V \ C, Contact Phone#: Email Address: of Competency #: DESIGNER: Architect/Engineer Phone#: Value of Work for this Permit: $�5a Square/Linear Footage of Work: Type of Work: DAddress Alteration s ONew ORepair/Replace Description of Work: Submittal Fee $SCO° Permit Fee $ �t� JU CCF $ CO/CC $ el Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ODemolition Konding Company's Name (if applicable) _ Bonding Company's Address City State Mortgage Lender's Name (if applicable) �)J f.,11 C> Mortgage Lender's Address City Zip 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 constriction 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 AWROVEMENTS 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) drays 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 A n SSignature _ Owner or Agent Contractor The foregoing instrument was acknowledged before me thisZ—_')- day � day of &LQ 20.f 3, by rUA00,–Ac) klane eG1�, who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: APPROVED BY IUTARY PUBLIC SiAiE OF FLORIDA Canxn# EE219343 The foregoing instrument was acknowledged before me this day of Z3AA,20�,by who is personally known to me or who has produced ) Plans Examiner identification and who did take an oath. NOTARY PUBLIC: Sign: � *fit.� PrintVT My Commission Expires: k kJ I L, , Z v :3 Zoning Structural Review Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. B. C. D. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: . �T I� ' 12-3 BUSINESS ADDRESS: -7U Tear2 CITY ),cA-11 STATE f ZIP CODE BUSINESS PHONE: ( 7A 1 : �l 6f) l L, FAX NUMBI CELL PHONE ('1(4 ) /324' QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER:- id— f2-4 ®lle 4 U E-MAIL ADDRESS (IF APPLICABLE): k i Q. s 0 6�ett& Created on 3119109 BY MLDV 1 RV 3126109 MLDV 1()-5 'e q i ct -wL 1 62/07/2013 16:41 95487443 AIR5TROM PAK 01/01 F os ABY LSIm10xs now (9301 467-1395 194 N0 'H sinal OW TSLL0�8SSi8 !L 39399-0793 To== SO�ImB ASD Rif= LLQ xwn 9W 24T8 ST n 33325 convadlow Wai ods Immo you bow, e one of We OR m81m wN e11 toyaw bl• 1 ~ a.1 ,�•1 ba11 N m bel6egns nabtiallerds, n1d 1 RO1i1m's eo�ro11�► �� i 1.1000 7 E�t�rweworkmd�wth.�f►we�etnadlrmar�aey�, 3•^ -IK 3 RorNdortebontaueenrtoeB,vkaab9arM��wt.oan. A • . +• •a :^ ; Ti1m you 6a�1 � aiaa YdomnBon ahold 6ordh 01e 1En3 � e blgaat aubeol�e m nea�ste0els end besrtl mors at�ad tloe *w 1lft$%" et ft kt Li0a11la ODflli%1�y !�e b �w you bNbr se 01Dt �! 6Ora ym� dIs10R1ds. h; '4 � . .? � •� e► � 1. ' a you �rdokq blainees h Fulda. 611 y01R aew S f' 0 L DUAM lM MMSU06A202776 a �httyg DBPR - TORRES, JUAN; Doing Business As: AIR SOLUTIONS AND REPAIRS LLC, Certified Mechanical Contractor Licensee Details Licensee Information Name: TORRES, JUAN (Primary Name) AIR SOLUTIONS AND REPAIRS LLC (DBA Name) Main Address: 13675 SW 24TH ST DAVIE Florida 33325 County: BROWARD License Mailing: a , , LicenseLocation : License Information License Type: Certified Mechanical Contractor Rank: Cert Mechanical License Number: CMC1250166 Status: Current,Ac Live Licensure Date: 06/16/2011 Expires: 08/31/2014 Special Qualifications Qualification Effective Construction Business 06/16/2011 8/23/13 7:27 AM 7.26.54 AM 812312013 1940 North Monroe Street. Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida Is an AA/EEO employer. Copyright 2007-2010 State of Florida. Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released In response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chanter 455 page to determine if you are affected by this change. https://www.myfioridalicense.com/UcenseDetall.asp7SID=&W=A790671413882C9AAEE46E2697FII)D9E Page 1 of 1 EFFECTIVE DATE 09/22/2011 PES A ENCION FE111: 264245309 BUSH SS NAM AND AD>M5: AIR SOL.UMIN5 Aim REPAIRS LLC 14BU SY BO TERN IHAMI FL 33126 SCOPES OF MISMESS OR TRADE 1- C:iD TMED NECHAKCAL CDMrRACTD EXPMATION DATE: 091211=3 IVAN J Paces oo 440. 0141 F.S.. a Mice d a cstrst+dloa Mo eteaa f stab tewee tender m ewe awls CkW - ft— to lite 44UN .S. d elbM Oft dm" m to ca l d r dadw �a 16� +ars d tb tmdssa or trsM asw a tIs d d to �>_• g adr eiiain dee docam to be � stat! be sajea m m - a e, m tkestat k 44a ORM Fla :Quem d dMim m !e, aaea al woken d oe 0aft a kser aee d dh amts la i dna enotm . no Oft d th now al a e ire d tie de ptewe o� a dee or a and a tie cmakm to am rte d ads statm. eLed rasois a coafto st my date tv tad" of Oe tem DWC-252 CSIT1FO:ATE OF MOM TO BE EIIE m WMM 07-11 QUEMIN (8503 413 -IM PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE SCOPE OF MISINIMS OR VAM IM>KMTANT 0 Pwsm to CWM 44UN14L F -S, an off1m of o mpwgm alto L mtakr $t sdt aw dot r � ►f fit: of irAV D dus H Pert m MVM 440MI13, F.S, UnWm" of datm to be ezeavt- w* tar wilt to mm of ft iws am ar vah bwae E dw aortae of ehtc(mt to he empt E Pmt to Ck*W 44MIS, FS, Naku of eWdm to be GUM sd cwdfkM of deftn to be axwp *aq be VAIM10 rovocat o if. at say tune otter ft fMq of the t ea ar dte minae of fie fmL ft ;a mmw m the ale or cwofim no bw on of ft seeft for Isumn of a eotf mL The e( wbwatt shag rev** a G"fka w or thea for Mwe of Oe Wsm asrted an 3d endsecda to mit ft of ft K i7 MUMM M 413-10 s CORY bo#M POftlOn On the job, keep uppgr portico for Vow rncwd . Oft -262 cterfait OF.wtm TO BE on" REvw 01-11 s��' .