MC-13-1948i
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-198039
Scheduled Inspection Date: December 10, 2014
Inspector: Perez, JanPierre
Owner: CURZON, ANDREW
Job Address: 10050 NE 12 Avenue
Miami Shores, FL
Permit Number: MC -8-13-1948
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number
1132050190370
Project: <NONE>
Contractor: S&K AIR SERVICE Phone: (305)710-2654
Building Department Comments
REMOVE AND REPLACE WITH NEW EXHAUST FAN Infractio Passed Comments
OVER OVEN INSTALL BATHROOM EXHAUST FAN INSPECTOR COMMENTS False
Inspector Comments
Passed MI
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
December 09, 2014 For Inspections please call: (305)762-4949 Page 1 of 43
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 APPLICATION
FBC 20
Permit Type: MECHANICAL
OWNER: Name (Fee Simple Titleholder):,
Address:
City: k
Tenanth..esseo Name: ----��
Email: e r o0 - 0, . rD U 55
M
Permit No. K 13 I —I � S
Master Permit No.�Sk 3 _119 Z
3
State:_ zip;
�t='Ti��"•�
JOB ADDRESS:
City: Miami Shores County: Miami Dade
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: S i
Address: �O
City: ' c�iU Q State:
Qualifier Name: M2NLQ Ur, -S
State Certification or Registration #: CA(2- fid, 2
Contact Phone* -' Email Address:
DESIGNER: ArchitectlEngineer:
lU
Of Competency #:
Phone#:�—i0
Value of Work for this Permit: $ 4yD > ®c-�:) SquarelLinar Foo a of Work:
Type of Work: OAddress OAlteration ONew /'air/Replace
Desaftflon of Work: 12V r A nVe- 42 5k- 0 P - A
/i Vl en -1 /a4 .. /')k/0V'1
ODemolition
ev;-r
Submittal Fa $ Permit Fee $ r,Uy CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Educ atiou Fa $ Technology Fee $
Doable Fee $ Structural Review $
TOTAL FEE NOW DUE $ '1__1 /�
Bonding Company's Name (if applicable)
Bonding Company's Address
City State A 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 theab ce of such posted notice, the
inspection will not be approved and a reinspection fee will be charged �"
Owner or Agent
Contractor
The foregoing instrument was acknowledged be me this ZIL The foregoing instrument was acknowledged before me thisd3
day of A
920 0 by f hlT22C�c c> day of f 20 4-'�, by id l�-�yheC�U�S
Who is perso ly known to me or who has produced who is person me or who has produced
RAAXAA identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print -e Print:
M Commission. ;Darr P �ry Public State of Florida
Y ExP \, Diane Sdmairtz My Commission E
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Expires 05108/2018 ✓/
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Diane Schwartz
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DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L12072300684
.. - LICENSE NBR
07/2 /20121120037790 CAC058735
The CLASS B AIR CONDITIONING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2014
MARQUES, PAULO JORGE
S & K AIR SERVICES, INC
18001 N. BAY RD#506
NORTH MIAMI BEACH FL 33160
RICK SCOTT
GOVERNOR
11
DISPLAY AS REQUIRED BY LAW
REN LAWSON
SECRETARY
MIAMI-DADE COUNTY 2012 LOCAL BUSINESS TAX RECEIPT 2013 FIRST-CLASS f
TAX COLLECTOR MIAMI-DADE COUNTY - STATE OF FLORIDA U.S. POSTAGE
140 W. FLAGLER ST. EXPIRES SEPT. 30, 2013 PAID
1st FLOOR MUST BE DISPLAYED AT PLACE OF BUSINESS MIAMI, FL
MIAMI, FL 33130 PURSUANT TO COUNTY CODE CHAPTER SA - ART. 9 & 10 PERMIT NO. 231
THIS IS NOT A BILL — DO NOT PAY
481243-5
BUSINESS NAME / LOCATION
S & K AIR SERVICES INC
18001 N BAY RD
33160 SUNNY ISLES BEACH
OWNER
S & K AIR SERVICES INC
Sec. Type of Business
IM IS M16A W MECHANICAL CONTRACTOR
WW,Mss TAX RECEIPT. IT
DOES NOT PERMIT THE
HOLDER TO VIOLATE ANY
EXISTING REGULATORY OR
RENEWAL
RECEIPT NO. 502325-4
STATE# CAC058735
506
WORKER/S
1
zONM LAMS OF THE DO NOT FORWARD
COUNTY OR CRIES. NOR
DOES R EXEMPT THE
HOLDER FROM ANY OTHER
PERMIT OR LICENSE
og�DRn caiTINIONN o S & K AIR SERVICES INC
THE HOLDER'S OuaLIFlra-
Wows. PAUL MARQUES PRES
18001 N BAY RD #506
PAYMENT RECEIVED MIAMI FL 33160
MIAW-DADE COUNTY TAX
COLLECTOR:
07/13/2012
60050000329
000045.00
SEE OTHER SIDE
ol
Id
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a
JEFF ATWATER
CHIEF FINANCIAL OFFICER
�-�&ham
STATE F FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
07-10-2012
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 07/09/2012
PERSON: MARQUES
FEIN: 651133182
BUSINESS NAME AND ADDRESS:
S & K AIR SERVICES INC
18001 N. BAY RD. #506
SUNNY ISLES FL 33160
SCOPES OF BUSINESS OR TRADE:
1— HEATING, VENTILATION, AIR—GOND
EXPIRATION DATE: 07/09/2014
PAULO i
IMPORTANT. Pursuant to Chapter 440. 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this
section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the
scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of
election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or
certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person
named on the certificate to meet the requirements of this section.
OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 QUESTIONS? (850) 413-1609