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MC-12-2334Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-182740 Permit Number: MC -12-12-2334 Scheduled Inspection Date: September 30, 2013 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: GARCIA, JOHN Work Classification: Addition/Alteration Job Address: 169 NW 104 Street Miami Shores, FL Project: <NONE> Contractor: QUAMEC CORP tsunaing uepanment comments Phone Number Parcel Number 1121360131370 MECHANICAL WORK FOR GARAGE CONVERSION AND Infractio Passed Comments INTERIOR REMODEL I INSPECTOR COMMENTS False September 27, 2013 For Inspections please call: (305)762-4949 Page 2 of 30 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 27, 2013 For Inspections please call: (305)762-4949 Page 2 of 30 Miami Shores Village 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. �✓ �./ _a (- PERMIT APPLICATION Master Permit No.- v� FBC 20 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): J-6 6 /VvO A Phone#: 3r) Y 73 3 • 49- 7 Address: 16CI A)60`` I �f -c,-T.City: d r ADZ 1 a.Y&r S State: R_4,0A Zip: -3 3 / Y Tenant/Lessee Name: Phone#: '— Email: 'rtJi� ,E-Ir�NTAA,✓t� Sl cif ' Gam/% JOB ADDRESS: r `� / A)0 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Q 1412 Me C Phone#: Address: City: `ffiak� State: PL_ Zip: ✓.50 1 0 Qualifier Name: E2�1 G o � _ Phone#: State Certification or Registration #: Certificate of Competency #: Contact Phone#:'l 1(0-1'+3 01 Ls - Email Address: DESIGNER: Architect/Engineer: LA -S V-V-ld J f Ain/a,?% j A S- Phone#: 7,0, G -2,3 6 51 0 Value of Work for this Permit: $ : 5,-,000. Square/Linear Footage of Work: Type of Work: OAddress OAlteration DNew ORepair/Replace ODemolition Description of Work: A16 Submittal Fee $ Permit Fee $, 6 CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ 1 Ci a , 10 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: 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 IMPROVEMEVNS O YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, T WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINGOTICE OF COMMENCEMENT." Notice to Applicant Asa coedit' n to the issuance of a building permit with an estimated value,exceeding $2500, the applicant must promise in good fait that a co , of the notice of commencement and construction lien law brochure will be delivered to the person whose property is ubject tled0a clzment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspe t' whccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection wi o be ap ond a reinspection fee will be charged. L/ u 7,: e or Agent The fore goin instrumeas acknowledged before me this 23 day of NOV , 20 I by Sa&VO M'%� , who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: 6�� Sign: (� Print: C J t°" 01ARY My Commission Expires _ e APPROVED BY MJ "'KY PUBLIC !STATE OF FLORIDA Comm# EE135383 Expires 1013L2nin (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Signature Contractor The foregoing instrument was acknowledged before me this day of 0 , 20 (? , by F44 C, :IOD Gf% who is personally known to me or who has produced as identification and who did take an oath. 1 � E aminer Structural Review NOTARY PUBLIC: 1 Sign: vtn Y C= tMINb10E%�*9! Florida •_ ly Comm. Expires Dec 17, 2012 Commission # DD 846353 ".,,,T"ough National Notary Assn. Zoning Clerk Miami Shores Village Building Department 10050 N. E.2nd Avenue 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): City: Miami Shores Village County: Miami Dade Zip Code: 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 ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/2401480): 4. Size Disconnecting Means: Contractor's Company Name: ali.Ql.i &k C, • Phone: -3(K''g24 UD 3 State Certificate or Registratiop N. MC I ,-),` g425 Certificate of Competency N. Signature Date: 1111q L2VI?r-- *0 signature only) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS AHU CU PKG 1 M.C.A AHU CU PKG AHU CU PKG 2 M.O.P AHU CU PKG AHU CU PKG 3 VOLTS AHU CU PKG PKG UNIT / I PKG UNIT I l EERISEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/2401480): 4. Size Disconnecting Means: Contractor's Company Name: ali.Ql.i &k C, • Phone: -3(K''g24 UD 3 State Certificate or Registratiop N. MC I ,-),` g425 Certificate of Competency N. Signature Date: 1111q L2VI?r-- *0 signature only) TTnry CERTIFICATE OF LIABILITY INSURANCE 8045 11 -TE 21-2©12 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 CERTIFICATEOF 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(ies) must be endorsed. If SUBROGATIONIS 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), FROCIM111 AUTOMATIC DATA PROCESSING INS AGCY 250717 P: () - F: () - PO BOX 33015 COWACT NAME: PHONE o (FAAX No MAI ADDRESS, INSURER(S) AFFORDING COVERAGE NAIC A SAN ANTONIO TX 78265 INSURER A: 'Twin City Fire Ins Co MELV ED INSURER 8: INSURER C: QUAMEC CORP 3474 W 84TH ST UNIT 109 INSURER : COMMERCIAL GENERAL UABIUTV H IALEAH FL 33018 INSURER E, INSURER 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 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 SULIECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITSSHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. !ATR TYPE OF (A6LWAl1t�CEMR wvn POUCY APk6?1Fl.R 7a -Z _ 1 --'' L@t<A/TS GEA5 AL LG4SWV EACH OCCURRENCE B _ PREMISES (Ea occurronco 6 COMMERCIAL GENERAL UABIUTV CLAIMS MADE ❑ OCCUR HIED EXP (Any ono pman) 9 CEl PERSONAL & ADV INJURY 6 GENERAL AGGREGATE 9 GAT GEWL AGGRUMrr S PER: PRODUCTS COMKOP AGG is B PRO POLICY JEci LOC AU7 MYIOME LL4RWV COMBINED SINGLE LIMIT � (Ea acddoM BODILY INJURY (Por porson) B ANY AUTO BODILY INJURY (Por accldom) B ALL OWNED — SCHEDULED AUTOS _ AUTOS HIRED AUTOS NON OWNED —1 El DAMAGE (Por acddorrU — AUTOS 6 LL4B OCCUR EACH OCCURRENCE B AGGREGATE B EXCESS LL46 CLAIMS MADE C DE I RETENTION § 6 A w0wM cG PpENSAT1Cw AA® EAMOYERS' LMW1TY ANY PROPRIETOR[PARTNER[EXECUTIVE Y. N OFFICERtMEMBEREXCLUDED? (Al9nab W hr ASMI '�� L 7G 1, EG RY1492 03/22%201 03/22!2013 X I WC STATU OTH flR3 E IT RV LIMIT EJ- EACH ACCIDENT s 1-0 00 00 0 E.L DISEASE EA EMPLOYEE 8 1 0 0 0 0 0 0 If DESCRIPTION OF OPERATIONS bdotr E.L DISEASE POLICY LIMIT B 1 r 0 0 0 r 0 0 0 Ll LJ DESCWTMOFCIFM4T1OP&ILOCATA7=1NNfflCLESrAnwhAC0107OM,Adffl*iwRwwftSdmdrda,9mnm spa= &faw&sw Those usual to the Insured's Operations. CFRTIFICALTF I-ILN n;:R CANCFI I ATION r, 1 RBB -201 O AL;UKiJ UUKI-UMA I TUN. All ngnts reservea. ACORD 25 (2010/05) The ACORD dame and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Miami Shore Village DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHCRIZ D AEPMSEWATME 10050 NE 2ND AVE MIAMI SHORES, FL 33138 7a -Z _ 1 --'' r, 1 RBB -201 O AL;UKiJ UUKI-UMA I TUN. All ngnts reservea. ACORD 25 (2010/05) The ACORD dame and logo are registered marks of ACORD 11/19/2012 11:10 03192 P.001 /001 CERTIFICATE OF LIABILITY INSURANCE DATES THIS CERTICATE 131SSM AS A MATTER OF WOMTM ONLY AND CONFERS NO IWKM UPON THE CERTFICATE HOLDER T= CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGAMELY AMEND. EXTEND OR ALTER THE CMERAGE APFORCIED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTMffE A CONTRACT BETWEEN THE UMIN q B Sh ABED REPRESEIITTATA OR PRODUCM AND THE +CERTIMATE Ht R. WORTANT: If the mytificale holder Is an AMGNAI. mLgt= the pWIL- k s) must he eralmsed. 9 SLMRO3d►TION 19 WANB• a to the tattm arta aoM ejons omm Poncy, certain wall g gray mgWM AR OUlomement. A A on th9s Gertillicale does not corder rights to e* eertiflosts holder In Nen of such mol. PRODUCER Kpkmffw=Agmq 2562 SMI 87th AVO Muni, FL 331$5 Phare 7.8966 tD QUAMEC CORP. W4 W 84 STREER t# 109 HIALEAH,FL 33018 A 8 Fax MMM A: ASCENDANt COMMERCIAL WSURP c at s: ASaeatM 661� G lwltie, b" U�1111111111111 4 4K N DEM PttON OP OPt3ifa't1 MI LOOAT I VENN XE$ ~ ACM 101. Adm Romer echWvl , N moo spm Is m0rsd) CERTIFICATE HOLZM MIAMI SHORE VILLAGE 10050 NE 2 ND AVE MWX SHORES, Fl. =35 ACORD 2S (zeoSW) CV SWRIDANYOFTHRADMI THE IGMATIMI DATETHM ACCORIMME WITH THE PO! IAL PWIFJ��C`"Lwr Em ® C0VORATIOlL Mrighbmsmve& Tito ACORD tine logo are fe&4efed marks ofACORD • .�' I "� ,F4 • I - _«- '�• a tt... [+=1 Vc.-iljor r zo I i-zlr !=!l 7; _•' 'f a: `p`,r■ J I�: ar t irl '� � -n.r' �-; - •- «s..r: ,•. • re- • � • <�' r-r.r .a "1�.'+• ♦ i� s r _ to Ir •r -l. >.. •, tr•i -� ,.+I �.. 5��� 'r r• �■ 7) !< ;.ti „ _ �11,r � • t. � rials- l�y�c11 i►. �i�„�P:�1��11! :. -1a �•T�T.Ca 11.1 tF:1 t't - J OCCUR s t {a■ s• ......:: .: __. 1.1.1 .y y GEWL AGGRMATE LIW APPLES �•:�r �1. I' -•-rt !!-► f1n i1 amxw 13 AW AUTO 1= as.r al c•a'i 1.. - WMAUTOS J109OWN9DAUTOS II, 4 4K N DEM PttON OP OPt3ifa't1 MI LOOAT I VENN XE$ ~ ACM 101. Adm Romer echWvl , N moo spm Is m0rsd) CERTIFICATE HOLZM MIAMI SHORE VILLAGE 10050 NE 2 ND AVE MWX SHORES, Fl. =35 ACORD 2S (zeoSW) CV SWRIDANYOFTHRADMI THE IGMATIMI DATETHM ACCORIMME WITH THE PO! IAL PWIFJ��C`"Lwr Em ® C0VORATIOlL Mrighbmsmve& Tito ACORD tine logo are fe&4efed marks ofACORD STATE OF FLORIDA DEPARTMENT OF BUSIN33SS AND PROFESSIONAL REGULATION CONSTRUCTION` INDUSTRY Llcmsiw BOARD (850) 487r1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 RODRIGUEZ, ERIC QUAMEC CORP 3474 W 84TH ST #109 #109 HIALEAH FL 33018 Congratulations! 'Aft this license you become one of the nearly one million Floridians licensed by the Departnient of Business and Professional Regulation. Our professionals and businesses range from architects lo yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. -A-4-S 3 AC3 & #--,-. 12 12flosg4tig CMC1249973.. Every day we work to improve the way we do business in order to serve You better. I'd For information about our services, please tog onto www.nrjflorldallcensecorn. C 0, N'T CTOR There you can find more irdormation about our divisions and the regulations that Impact you, subwbe to departmeTA newdeffm and learn more about theGO OUAMC-�� Departmeas initiatives. Our mission at the lDepartment is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. - N3& X4$9 FS CEarXVJ3MD ' Thank you for doing business in Florida, and congratulations on your new license[ 3pj2802655 7 DETACH FLORIDA. AE:OF ST, T - m wrm Am wif% TilmAtwaa+ T. 1kVw-M S ELICENSE SEC# L3.2082802655 CO KEN LAWSON SECRETARY .LIS BMW �LEPAYLLAW THIS M A - DO NOT PAY REKEi AL BUSPIM NAM JLAC 7M RSTNO. 672760-7 QUA@EC CORP STATER CMC1249973 3474 W 84 ST 109 33018 HIALEAH OWNER QUANEC CORP Ser- 196 of PECHANICAL CONTRACTOR �IORKf2/S 00 NOT FORWARD sr A C& sir QUAMEC CORP ow ERIC RODRIQUEZ PRES 3474 H 84 ST 8109 W,,,.,ix HIALEAH PL 33018 012 0901 034000 1}41lit�DIIDDDD!!#iittDD#2lDli[tltD!!$1i43ilf}! 000045.00 129 SEE OTHER SIDE d t e • City of Hialeah 24 2Q13 FESC �usmess Taz Receipt .Mayor Carlos Hernandez ®City ofMale& 201243 FSCBusiness Tag Receipt �. Mayor Carlos HemwW= 645904-4 BUS#NM NAME i LOCATION QUAMEC CORP 3474 W 84 ST 33018 HIALEAH OWNER QUANEC CORP iviumiumGm AMMMMMMYTAX 09/18/2012 09010340001 000045.00 BEE OTHER SIDE THIS $S NOT A BU e DO NOT PAPP RENEWAL "NO. 672760-7 STATES CMC1249973 109 WORKER/S MECHANICAL CONTRACTOR 2 DO NOT FORWARD QUAMEC CORP ERIC RODRIQUEZ FRES 3474 W 84 ST 8109 H$jg]IALEA#H FL 33018}j �ttliltf��tE�ttltfEE�f!!�!lltt�it�Jttt�El�f}�tftlDlt�tt�t!}It� 129 oSTATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRYLICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 RODRIGUEZ, ERIC QUANEC CORP 3474 W 84TH ST #109 #109 HIALEAH FL 33018 (850) 487-1395 Congratulationsl Florid s lk by tthe a Department of Business and Professional Reg Our nals and businesses rangetom archftects to yacht tuckers, from boxers to barbeque restaurants, and they keep Florida's economy strong. (mc 1249971:--, '2 128059499 Every day we work to improve the way we do business in order to serve you better. me N 2-7 For mformation about our services, please 4 onto divisions, and the regulations that There you can find more ir&ffnatlori about cur impact you subscribe to department newslefters and loam more about Me A 'n Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We -409 constantly strive to serve you better so that you can serve your customers.IS �r iia sio pl� Thank you for doing business in Florida, and congrabAillons on your now license' �J. DETACH HERE #109 SECRETARY XEN LAWSON 0OV RRNOR; DISPLAY AS REQUIRED BY LAW ami S ores Building Dept.USPOSTAGE )050 N � 2nd Ave iamli S 'ores, FL 33138 $00.33 First -Class Matted06/10/2013 � From 3. Ism 032A0-061800478 Current Owner 11300 NE 2 Avenue Suite: Fine Arts Quad INIiami Shores, FL 33138-0000- ernj : it N,umber. MC -12-12-2397 emiit Type: Mec� xpiration Date: 01 IXIE 133 DC 1 00 Ofi/ig , /1.3 i )ate !of c e IRE -T- URN TO :–�c-,EVDEA 'NO 'SU C-44 Njj.AH-ER ease c 5ntact the UNABLE TO FORWARD k