Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
MC-14-2250
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: Inspection Number: INSP-221549 Permit Number: MC -10-14-2250 Scheduled Inspection Date: November 10, 2014 Permit Type: Mechanical - Commercial Inspector: Perez, JanPierre Owner: PROPERTIES LLC, SHORE SQUARE Job Address: 9007-9029 BISCAYNE Boulevard 9007 Miami Shores, FL 33138 - Project: <NONE> Contractor: BEST AIR SOLUTIONS Building Department Comments Inspection Type: Final Work Classification: Addition/Alteration Phone Number (305)779-8040 Parcel Number 1132060110070 Phone: (786)251-5463 NEW HVAC THERMOSTATS INSPECTOR N - EC INSPECTOR COMMENTS False November 07, 2014 For Inspections please call: (305)762-4949 Page 14 of 35 Inspector_ Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. November 07, 2014 For Inspections please call: (305)762-4949 Page 14 of 35 Miami Shores Village Building Department 10050 N.Elnd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING OCT 14 2014 FBC 20 �O Master Permit No p�n I q1— zd!L Sub Permit No. - % LI7— 2.50 ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING OMECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION [:]SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 100 a 61 se -- P iy City: Miami Shores County: Miami Dade Zip: Folia/Parr: I (- 3 (30& ` Dr' (-6070 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER Name (Fee Simple 81 - City: ri • L R IY1 In State: Zip: 3.3101 w Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: aes k Air 5, LL k, 4. < Phone#: 2zG — Address: ei r *1 ► o a- chy: State: ZIp: 311 3 a. Qualifier Name: 'mo o / "^e7, Phone#: S —^.Q, State Certification or Registration#: G A L 03..%-3f)3 Certificate of Competency #: DESIGNER: Architect/Engineer: 4 :5 45! � AeJ Phone#: 3o 5,-- 3-00— -00—Address: Address:3t-f3a C a rr,c/%, rv! Clty: Delr State: L Zip: Value of Work for this Permit: $ ,&@M o (a Square/Linear Footage of Work: Type of Work: ❑ Addition p ' Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 61 e✓ 'rI VZ- L 4-4fl- 3 Q5 Specify color of color thru We: Submittal Fee $ ) Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Tralning/Educatlon Fee $ Structural Reviews $ CCF $ CO/CC $ DBPR $ Notary $ Doubh: Fee $ Bora! $ TOTAL FEE NOW DUE $ (Rev1sed02/24/=4) 0 Bonding Company's Name (if applicable) Bonding Company's Address M State I 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 $250111, the applicant must promise In good faith that a copy of the notice of commencement and construction lien low 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 fl►st 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. Signature____ OWNER or AGENT The foregoing instrument was acknowledged before me this 7 0) day of 20 / Y . by C 4, who Is dawn to Signature , 0 t"-� ;Z,/ 44RACTOR The foregoing Instrument was admowiedged before me this '2- 1 day of Q oA, ZAr" . 20 b b . by ()-'Vet F.o.-e y , who Is personally known to me or who has produced as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: %P �'r 5' lkc, s (Rev1wd02/24/2014) Identification and who did take an oath. NOTARY PUBLIC: i dans Examiner as Zoning Structural Review Clerk Miami Shores Village Building Department 10050 N.E,2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fay (305) 756.8972 CONTRACTORS' REG)STRATI 3H IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. --i—COPY OF QUALIFIER'S STATE LICENCES 8. _. COPY OF LOCAL BUSINESS TAX RECEIPT C. �- COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) IF CONTRACTOR HAS A MIAMI QADE COUNTY CERTIFICATE OF COMPETENCY. A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER S. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder. MIAMI SHORES VILLAGE BLDG DEPT 10050 HE 2ND AVE MIAMI SHORES, FL 33138 CeMcaft must specify the din of operations or con or Ii cenee fwmlmr. ruwawaaau�aawcarurrraarr.r.aur.urwwrur.rrrrurarraaawwawwwawwsawwar.wraaaRw'rw�a:�arrr•sewrrrr BUSINESS NAME: ef BUSINESS ADDRESS: 'aSP 10 N' -M 4 L &4- CITY P cr-- I STATE L ZIP 31LL BUSING PHONE: / --_ FAX NUMBER(___) CELL PHONE (_ _._ QUALIFIER'S NAME.- O m n l c) QUALIFIER'S LIC NU R: C A C., 0 1 '*�)'1- 9 '� - 0 Man i } I1 '.I i i E iia h r.� t SAND T X - LAKTMIOMN.. ��NN A� CERTIFICATE OF LIABILITY INSURANCE DATE /YYYIn 100/08//08114 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS -CEgTIFIGATE 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 polioy(les) 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 Acceptance Insurance Services 6887 S.W. 40th St. NAMCONTAE:CT Rene E.Ssmayoa PHONE (305)740-0515 Fax No): (305)740-0518 -MAIL rene@accepatnceinsservices.com INSURERS) AFFORDING COVERAGE NAIL P Miami, FL 33155 Phone (305)740-0515 Fax (305)740-0518 INSURER A : Scottsdale Insurance Company 41297 INSURED INSURER 0: INSURER C : Nautilus Insurance Company 17370 I&M Corporation dba Best Air Solutions INSURER D: Ascendant Commercial Insurance 13683 10237 NW 9 St Cir #102 GENERAL AGGREGATE $ 2,000,000.00 MIAMI, FL 33172- INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 11MVIOSvn nUmocri: 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD I UBR POLICY NUMBER POLICY EFF MM/D 09/18/2014 POLICY EXP MMID LIMITS A GENERAL LIABILnY Q COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE d❑ OCCUR ❑ N N KCHWI-D 09/18/2015 EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED 100,000.00 PREMISES Ea occurrence)$ MED EXP (Any one person $ 5,000.00 PERSONAL &ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: O POLICY ❑ PRO- ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000,000.00 $ AUTOMOBILE LIABILITY ❑ ANY AUTO ALL OWNED SCHEDULED ❑ AUTOS ❑ AUTOS ❑ HIRED AUTOS ❑ NON -OWNED ❑ ❑ COMBINED SINGLE LIMIT Ea axident BODILY INJURY (Per person) $ BODILY INJURY (Per accident $ PROCP.r IaY AMAGE $ Per acct ent $ C❑ D ❑ UMBRELLA LIAB 0 OCCUR �/ EXCESS LIAR CLAIMS -MADE N N/A N N AN016526 WC -66087-0 08/04/2014 10/06/2014 08/04/2015 10/06/2015 EACH OCCURRENCE $ 1,000,000.00 AGGREGATE $ ❑ DED ❑ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNERIEXECUTWE (Mand to EnNEI)REXCLUDED? a If yyes describe under DESGcRIPTION OF OPERATIONS below $ ❑ WC STATU © OTH- E.L. EACH ACCIDENT $ 1,000,000.00 E.LDISEASE -EAEMPLOYE $ 1,000,000.00 E.L.DISEASE -POLICY LIMB $ 1,000,000.00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) AIR CONDITIONING INSTALLATION SERVICE AND REPAIR wG'wTKM^ATC Uf%l r%Cn cn NctLun0ry MIAMI SHORES VILLAGE ZONING DEPARTMENT 10050 NE 2nd Ave MIAMI SHORES, FL, 33138 305-756-8972 ACORD 25 (2010/05) OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE U 7178d•LU 1 V NVVr7u vvnrvrv+� w... w...,y..w ........ •....• The ACORD name and logo are registered marks of ACORD