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MC-13-2723Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-227373 Permit Number: MC -12-13-2723 Scheduled Inspection Date: February 02, 2015 Inspector: Perez, JanPierre Owner: PATRICK DESBIOLLES & LING rrnonvA 1A1 DAYOW%lr nccoini 1 cc Q_ Job Address: 390 NE 98 Street Miami Shores, FL 33138-2410 Project: <NONE> Contractor: CENTRAL COMFORT AIR CONDITIONING Building Department Comments REPLACE TWO 3 TONS A/C UNIT Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement INSPECTOR COMMENTS Phone Number (305)527-4748 Parcel Number 1132060135670 False rTt 2,,l -1,11 - � 2 0 4-T January 30, 2015 For Inspections please call: (305)762-4949 Page 15 of 31 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-203947. Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. January 30, 2015 For Inspections please call: (305)762-4949 Page 15 of 31 t� ;,Miami Shores Village ® uilding Deptittment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 `4; -h CA, PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING [--]PLUMBINGP< MECHANICAL JOB ADDRESS: J u P�s� SEP 262014 FBC 20 Sub Permit No. �Y) G-- � jREVISION ❑ EXTENSION []RENEWAL ❑PUBLIC WORKS ❑ CHANGE OF CONTRACTOR [:]CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores Countv: Miami Dade Zip: 33 k.38 Folio/Parcel#: Is the Building Historically Designated: Yes NO _ OccupanEy Type: Load: Construction Type: Flood Zone: BFE: FFE: U OWNER: Name (Fee Simple Titleholder): PX6 `Ck beL a (Ci 11Q S_Phone#: 1) 9 J Z- -1--10 Address: 3 �o // rE Hl and l S hc1%eS Y� Cit �LJtf lil t t1d.�fS State: TL. Zip: 33 13 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: ee*aLV1J(�C�(J(`� L1W Phone#: Address: �oZ���(�,�, City: ML State: zip: 33 (8Co Qualifier Name: A1�1�iQ Phone#: State Certification or Registration #:C .6&QL Certificate of Competency #: DESIGNER: Architect/Engineer: hone#: Address: City: State: Value of Work for this F+&rrtlt: $ Square/Linear Footage of Work: Zip: Type of Work: ❑ Addition ( Alteration Q� J ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: � Specify color of color thru tile: Submittal Fee $ Permit Fee � CCF $ CO/CC $ Scanning Fee $ - V Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) Double Fee $ Bond $ 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 f 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 $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. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this day of w 20 4 L( by �GL f iG� bo�x �1 , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: � ff , Sign: Print: al /n Seal: WXARLA ® CACHULA *� °® My COWISSION # EE110029 EXPIRES July 07, 2015 �'. dans Examiner Signature 4 CONTRACTOR The foregoing instrume t was acknowledged before me this day of 20 by is Enally known as me or who has produced identification and who did take an oath. NOTARY Seal: DMNA L SWORDS W COMmIlIM N 6 EE1646 E)03i 3 Apa 20, 2016 APPROVED BY (Revised02/24/2014) I Structural Review as ************* Zoning Clerk Sep 2614 08:24a Central Comfort 3055988210 STATE OF FLORIDA - } DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MARTINEZ, ALEX ALBERTO CENTRAL COMFORT AIR CONDITIONING CORP 9721 SW 102ND AVE RD MIAMI FL 33176 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you getter. For information about our services, please log onto www.myfloridalicanse.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License 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! DETACH HERE RICKSC_OTC GOVERNOR (850} 487-1395 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CAC057552 ISSUED: '0611512014 CERTIFIED AIR COND CONTR MARTINEZ, ALEXALBE.RTO CENTRAL COMFORT AIR CONDITIONING C IS CERTIFIED under the provisions of Ch.489 FS. Expiration date : AUG 31, 2016 L140615DOM74 KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CACW7552 The CLASS BAIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 MARTINEZ, ALEX ALBERTO CENTRAL COMFORT AIR CONDITIONING CORP .. 9721 SW 102ND AVE RD MIAMI I. IFL 33176 ISSUED: 0611 5/2 01 4 DISPLAYAS REQUIRED BY LAW SEQ# L1406150000974 Nov 12 14 09:29a Central Comfort t STATE OF FLORIDA 3055988210 ° DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MARTINEZ, ALEX ALBERTO CENTRAL COMFORT AIR CONDITIONING CORP 9721 SW 102N DAVE RD MIAMI FL 33176 Congratulations! With this license you become one of the nearly— one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida'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.myfLoridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to sere you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! RICKSCOTT, GOVERNOR LICENSE NUMBER DETACH HERE p.2 (850) 487-1395 4STATE OF FLORIDA N. DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CAC057552 ISSUED: 06116/2014 CERTIFIED AIR COND CONTR MARTINEZ, ALEX ALBERTO CENTRAL COMFORTAIR CONDITIONING C IS CERTIFIED under the provisions of Ch.489 FS. Expiralion date . AUG 31, 2016 L1406150000974 KEN I.AWSON. SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD I 0PUM UVIVUI I IUNtIVV LUIV 1 Nf U IEJK Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 MARTINEZ, ALEX ALBERTO= CENTRAL COMFORTAIR CONDITIONING CORP . 9721 SW '102ND AVE RD MIAMI FL 33976 ISSUED: 06/15/2014 DISPLAYAS REQUIRED BY LAW SEG # 1-1406150000974 Nov 12 14 09:28a Central Comfort Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOTA BILL - DO NOTPAY 3870533 BUSINESS NAM@/LOCATION RECEIPT NO. CENTRAL COMFORT AIR CONDITIONING CORP RENEWAL 1206E SW 117 CT 4040869 MIAMI FL 33186 3055988210 LBT EXPIRES SEPTEMBER 30, 2015 Must be displayed at place of business Pursuant to County Code Chapter BA - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS AAYMENT RECEIVED CENTRAL COMFORT AIR COND. CORP 196 -SPEC MECHANICAL CONTRACTOR BY TAX COLLECTOR Worker(s) I 67552 $75.00 08/04/2014 CHECK21-14-042390 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holders gaalit! cations, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply totbe business. The RECEIPT N0. above must be displayed on all commercial vehicles - Miami -Dade Code Sac Ba -774. For more Wormatiomvisit www.rpie i�cwhaxcollectar 11/12/2014 09:23 305-220-2263 EUI PAGE 01/01 co�• CERTIFICATE OF DATE (MM/DDIYYVY) LIABILITY INSURANCE 11/12/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAQE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT- I -the certificate holder Is an ADDMONAL INSURED, the polloy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this ceniflcete does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER (305)220-2260 `T JAIME C. ORDONEZ Eastern United Insurance PHONE JAIME CARLOS ORDONEZ A-196817 305 220-2260 Ext. No. (305)220-2263 EMAIL 175 Fontainebleau Blvd, aI�DREss: JCORDONEZOEASTERNUNITEDINS.COM Su I to 2A-1 INSURER(S) AFFORDIN 1, COVERAGE NAIC N Miami, FL 33172 INsuReR A : WESCO INSURANCE COMPANY 26011 INSUREDCENTRAL COMFORT AIR CONDITIONING, CORP. 9721 SW 102 AVE. RD. MIAMI, FL 33176 (305)281,7697 Ext, INSURANCE COMPANY 42376 UvimnAu1;$ CERTIFICATE NUMBER: REVISION NUMBER; THIS !3 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOE 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. A GENERAL LIABILrrY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR GEN1 AGGREGATE LIMIT APPLIES PER: X I POLICY PRO LOC AUTOUOBMX LIAgKJry ANY AUTO Ab FD SCHEDULED HIRED AUTOS Y ---' — WPP1199405 00 mm/WWTTTT 09/28/14 1N 1p1Y YY LIMITS 09/20/15 EACH OCCURRENCE y ES EO eatwrr■ $ MED EXP An one arson PERSONAL & ADV INJURY $ QENERAL AGGREGATE s PRODUCTS - comp/op A00 i $ COMBINED SINGLI .. Ea agedo BODILY INJURY (Per penton) $ BODILY INJURY (Per acckbm) $ PROPERTY $ s B UMBRELLA UAB RXCEgg LIAB DED RETENTION WORKERS COMPENSATION AND EMPLOYERS, LIABIL TYY/ N ANY PROPMEroRIPARI NE"XECUT"EJ . r=h } EXCWbED7 NIA Y TWC3431114 1O/01/14 10/01/15 EACH OCCURRENCE $ AGGREGATE $ $ X WC STATU. OTH- 61, EACH ACCIDENT s E.L, DISEASE - EA EMPLOYE s 1,000,000 2,000,000 1.000.000 DESCRTPIION OF OPERATIONS I LOCATIONS I VEMCLE3 (Alteoh ACORD 101, Atltlitlenel R■rnarke $ehatlWe 1! mnr■ ■ pm -6 Is AIR CONDITIONING CONTRACTOR. $250.00 DEDUCTIBLE B.I. & P,D, PER CLAIM APPLIES. WRITTENrNOTICE FOR WORKER'S COMPENSATION SHOULD READ 30 DAYS IN LIEU OF 45. WAIVER OF SUBROGATION APPLIES TO THE GENERAL LIABILITY POLICY, PRIMARY AND NON CONTRIBUTORY PROVISION. BLANKET ADDITIONAL INSURED. CANCELLATION MIAMI SHORES VILLAGE 10060 NE 2 AVE. SHOULD ANY OF THE AROVt DE50RIBED POL1C1£S BE CANCELLED BEFORE THE E%PIRATION DATR THEREOF, NOTICE WILL BE DELIVERED IN MIAMI SNORES FL 33135 ACCORDANCE WrrH THE POLICY IONS. (305)7588972 Ext. AuTHORIzED REPRESENTATIVE ACORD 25 (2010/05)0 1908-201U ACORID COR The ACORD name and logo are registered marks of AOORD 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 FBC 20 BUILDING Permit No. PERMIT APPLICATION Master Permit No. /m (', �j���% "1_3 Permit Type: MECHANICAL JOB ADDRESS: 3O� n N F q City: Miami Shores County: Miami Dade Zip: 331 31 Folio/Parcel#` Is the Building Historically Designated: Yes _ NO % Flood Zone: r�; 0Q,)6 o Ivs OWNER: Name (Fee Simple Titleholder)` lLl��Cf a i Phone#: —M,� A LI IS 2DAddress: CIO N E I�s SIT City: WUVI Tenant/Lessee Name: Email: State: �— zip:�J 1 ": >I V CONTRACTOR: Company Name: i �ns`�Y AL, Cfar'-&tj Q&_ Phone#: ?03!5 ' SW)5 T_ Address: 00:2_1 Fit-, ) 10 Z P"je 9-0 City: `i sar.�' T'\State: �g� Zip: Qualifier Name: Phone#: `= I - State Certification or Registration #: C n C-0 S S 5'2-. Certificate of Competency #: Contact Phone#: '; " '2A 1 - `1 t; °I 1 Email Address: DESIGNER: Architect/Engineer: � Phone#: c Value of Work for this Permit: $ 010 a G av Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New Wepair/Replace ❑Demolition Description of Work: _ b e),Qco_ 2— 3 "ta,,, .gl ` NT, \__-4Z 'jkN 9Q®-$!%— It Submittal Fee $t�_,CO Permit $ CCF $ CO/CC $ Scanning Fee $ Radon F DBPR $ Bond $ Notary $ Training/E cation Fee $ Technology Fee $ Double Fee $ Structural Review $ .p TOTAL FEE NOW DUE $ O Bonding Company's Name (if applicable) Bonding Company's Address CityState 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 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 roved nd a reinspection fee will be charged. I ASignature Signature caner o Agent lContracto The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 2 , 20 13 by 1_ 7 g2 1`f ✓ day of ) D (A.� , 20 -3 by �'� Ct/`- r-eZ who is personally known to me or who has produced who is personally known to me or who has producedZ � D As identification and who did take an oath. 4,/ 16 Q 46 Peas identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: I.,0\1111uu,,n ````� Sign: .� `� bQi Sign: Print: _ ; �� = r Print: My Commission Expires:IF My Commission Expires: APPROVED EY Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk Miami Shores Village Building Department 10050 N. E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 AIR CONDITIONING REPLACEMENT DATA Fax; (305) 756 8972 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): '310 >N 'V-- City: fiCity: Miami Shores Village County: Miami Dade Zip Code: X31 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 N0�] Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT C a MANUFACTURER 0 10 AHU or PKG. UNIT MODEL # q gw,. Sri 0 - b L A 11 COND. UNIT MODEL # m0 sse 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 _4VOLTS AHU CU PKG PKG UNIT / I PKG UNIT EER/SEER YES NO REPLACING DUCTS Y U 0 YES NO REPLACING THERMOSTAT ES NO YES NO NEW 4"CONCRETE SLAB kin NO YES YES NO NO NEW ROOF STAND NEW RETURN PLENUM BOX YES YES kN jNn Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): b Q A I- 3. - 3. Voltage of Circuit (208/240/480): 240 rycc� 4. Size Disconnecting Means:_ 4 S,P Contractor's Company Name: _ C.Qr4jr7,L. 0 e �-( Phone: State Certificate or Registration N. CL\Cty 51 55Z,,. Certificate of Competency N. Signature Date: 11— (Qualifier's signature o Dec 03 13 11:46a Central Comfort 3055988210 p.1 MEN This combination qualifies for a Federal Energy A "Imp,■ , Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. Certificate of Product Ratings AHRI Certified Reference Number: 5885389 Date: 12/312013 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TT86036A1 Indoor Unit Model Number: GAM5BOB36M31 Manufacturer: TRANE TradelBrand name: X1316 Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 35000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): - Ratings followed by an asterisk r) Indicate a voluntaryrerate of previously published data, unless accompanied with a WAS, which indicates an involuntaryrerale_ DISCLAIMER AHFtl does not endorse ties product(s) listed on this Certificate and makes no representation$ warranties or guarantees as to, and assumes no responsl ity for, the products) listed on this CerWicate. AHP! expressly disclaims all liability for damages of any kind arising out of the use or performance ofthe produet(s), or the unauthorized altewtion of data listed on this Certlicate. Certified ratings are valid only for models and configurations listed in the directory at wwwahridirectory.org. TERMS AND CONDITIONS This Cerdficate and is contents ars proprietary Products of AHFtl. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a comip ter database; or otherwise utilized, in any form or manner orby any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The information for themodel cited an thiscertificate, can be verified at wwwahridirectory.org. Air -Conditioning, Heating, click on "Verify Certificate" link and ester the AHRI Certified Reference Number and the date on.�'/ whkh ft certifikxte was issued, which is fisted above, and the Certificate No., which is listed below. and Refrigeration institute 02013 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130305594718957736 Dec 03 13 11:42a Central Comfort 3055988210 p.1 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service anal CERTIFIED,. between Feb 17, 2009 and Dec 31, 2013. www. ahrid ire ctary, o. Certificate of Product Ratings AHRI Certified Referents Number: 5885389 Date: 12/3/2013 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTB6036A1 Indoor Unit Model Number: GAM5BOB36M31 Manufacturer: TRANS Trade/Brand name: XB16 Manufacturer responsible for the rating of this system combination is TRANE Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 35000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): Rating f0IIUWed by an asterisk (•) indicate a voiuntaryrerate of previously published data, unless accompanied with a WAS. which indicates an imokaitary rerate. DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representations, warrartles or guarantees as to, and assumes no responsibility fo r. the product(s) listed an this Cerlificate. AHRI expressly disclaims all Ilabiity for damages of arty kind arising out of the use or performance ofthe product(sN or the unauthorized alteration of data listed on this Certificate. Certified ratings am valid only for models and corifiguratiom fisted Irr the directory at wwwahridirectory om 'PERMS AND CONDITIONS This Certificate and its contents are proprietary products of AFRI. This Certificate shall only be used for individual, personal and confidential reference purposes, The eoirIents of this Certificate may not; In whole or In part, be reproduced; copied; dlsseminated; entered into a computer database; or otherwise utilized, to any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The Informadury for the model cited an this certificate can be verified at www.ah rid irectory.org, A "IMP Air -Conditioning, Heating, dick on -Verify Certificate" link and enter the AHRI Certified Reference Number and the date on A. an �� which the certificate was issued,whIchIslistedabov%andtheCertificateNo..whichIslistedbelow and Refrigeration Institute 02013 Air -Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 130305594718957736 Dec 03 13 11:49a Central Comfort 3055988210 ` &1411- PROPOSAL AND CONTRACT Sates Service Installation Licensed & Insured CAC057552 PA 11jo�= 035 i State Certified Contrator • 12066 SW 117 Ct. Miami, FL 33186 date CORP - Tel: (305) 5g8-7575 Fax: (305) 598-8210 Email: centralcomfortacmiami@yahoo.com Job No. 'QUR SERV i ICE !S YOUR COMFORT It ` Q REFRIGERATIQN LINE (ZaDUCTWORK n1 't MAKE MODES_ SEER ADDRESS ,CITY/STIZIP �1h � ,. 1. 4�•�• 3 ` � .�••�-�'��..C;a. PHONE �, G D. PHONE MAIL Gtr vZ Gt, % l ! wlGt[ CO�v>� EPRESENTATIVE. I?EFERRED BY JFDIGITAL THERMOSTAT 4 PROGRAUMABLE ❑ OUTDOOR METAL STAND CQNCRETE 5LA 0 ❑PACKAGE UNIT ❑HEAT pUINF 4VA14.,1' 2.1,4vee � iGl�-ee.� 2 - .M�, � � l� z 1 2Nc.L»,j 3 �o % S" r �❑ IJ WATER PUMP SDISCONNECT BOX ` Q REFRIGERATIQN LINE (ZaDUCTWORK n1 't II AELECTRIC HEATERg INDOOR METAL STAND SPLIT SYSTEM ❑ ELECTRICAL JFDIGITAL THERMOSTAT 4 PROGRAUMABLE ❑ OUTDOOR METAL STAND CQNCRETE 5LA 0 ❑PACKAGE UNIT ❑HEAT pUINF ElMAINTENANCE AGREEMENT YEARS SAFETY FLOAT SWITCH AAUXILARYDRAINPAN HORIZONTAL (AIH) �❑ IJ WATER PUMP SDISCONNECT BOX ❑ AUXILARY FLOOR PAN ,(VARIABLE SPEED INDOOR UNIT TTIC Q71E DOWNS 47 CLEAN AIR PACKAGE EDUCT CLEANING WARRANTY /} WORK DETAILS 8 MISC. f(J DUCT SANITATION ' UV COMPRESSOR YEARS PARTS ARS LIGHT 17 HIGH PROFILE AIR PURIFIER COILS LABOR YEARS , �y U PLENUM MOLD ELIMINATOR --:!—YEARS' iFAPPLICA9LE $�fsv ©SMART FILTERS EXTENDED YEARS $ (j OOTAL �--%ERATE Authorlmd specirioations$rvolving extra costa will be executed xecuted dy upon written orders, and will become an extra charge over and above Signature the I agreements contingent upon strikes, aecidantli OF delays beyond our Control. pruner �. !FAPPLICABLE O Q f REBATE ESt. START DATE: RMS: DUE UPON COMPLETION Central Camforthe. the authorityYo ardor mo above rk and so order as Outlined above. It is agreed that wall ronin title to any oquiPment or d famished unfit isnot and oarn ie WMANUF, APP 1CA8LE remove same and the seller will be d harmless for any damages resulting from the removal thereof. Pv $ -COMPANY REBATE iFAPPLICA9LE $�fsv $ IGr $ (j PERMIT FEE $ �/ $ C7 $ BALANCE DUE S-© $ $ ,NOTE: ALL PRICES SHOWN ARE AFTER FPL REBATES HAVE BEEN APPLIED, 9g DAY WARRANTY ON WATER LEAKS, BUILDING PERI1eRS ARE REQUIRED A Y Q SYSTEM. FAILAWyETO PULLA PERMtT COULD RESULT IN PENALTiESIRNEAT OWNERS EXPENSE. REPLACHNfENT OF AN HVAC CHECK # ❑CREDIT CARD # ENDING ❑CASH ❑FINANCED mentmaybemade asfollowing: Dollars(_ ) ring: TOTAL AMOUNT g DEPOSITS _ BALANCE DUES I material is guaranteed to be as specified. AN work to be Completed in a subatanttat )rkman!ike manner accordingto Authorlmd specirioations$rvolving extra costa will be executed xecuted dy upon written orders, and will become an extra charge over and above Signature the I agreements contingent upon strikes, aecidantli OF delays beyond our Control. pruner carry fire, tornado and other accessary insurance. Our workers are fully Covered by arkmen's Compensation insurance. Mote: Thea proposal may be by usifnotaccepted w!thin days. :CEPTANCE OF PROPOSAL The above Prices and conditions are satisfactory If are hereby accepted. You are authorized to do the work as specified. Payments will be ide as outline above. ESt. START DATE: RMS: DUE UPON COMPLETION Central Camforthe. the authorityYo ardor mo above rk and so order as Outlined above. It is agreed that wall ronin title to any oquiPment or d famished unfit isnot and oarn ie de as Payment made, and If settlement is not o a s agreed, the aetler shalt have the right to remove same and the seller will be d harmless for any damages resulting from the removal thereof. Signature Miami Shores Village Building Department CONTRACTORS' REGISTRATION 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE* D. COPY OF WORKERS COMPENSATION INSURANCE* *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: CorAv rL-- 17-c-r-Xa A wic. Cv BUSINESS ADDRESS: "I'`12.1 Cw 1 OyV'- kWe F-0 CITY T-. , m g -j ,. STATE I -N ZIP CODE 33 1-) L BUSINESS PHONE: (3-0-5) '39% '15 1 E FAX NUMBER (-'ZPS ) U1 X15 �1 CELL PHONE ( ) QUALIFIER'S NAME: ypjn. QUALIFIER'S LIC NUMBER: c -A" -1 13S -L' Created on 3/19109 BY MLDV 1 RV 3126109 MLDV I RV 6127111 AS 12/03/2013 09:24 305-220-2263 EUI PAGE 01/01 1__"qaN CERTIFICATE OF LIABILITY INSURANCE D12/3/203""' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGKrG UPON THE CERTIFICATE IHOLDER, 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. It 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 (305)220-2260 Eastern United Insurance A-196617 JAMIE CARnta i ne Oeau Blvd. 175 Fontainebleau B1v�d. Su I to 2A-1 Miami, FL 33172 CONTACT NAME: JAIME G, ORDONEZ IAIG. No, PNDNE 305 220-2260 Ext. AAX No; 305 220-2263 ADDRESS. JCORDONEZOEASTERNUN I TED I NS. CONI INSURERS AFFOR[NNG COVERAGE NAIC R INSURER A: SCOTTSDALE INSURANCE COMPANY 41297 INSURED CENTRAL, COMFORT AIR CONDITIONING, CORP. 8721 SW 1D2 AVE. RD. MIAMI, FL 33176 (305)281-7597 Ext. INSURER e :CASTLE POINT FLORIDA INSURANCE COMPANY 13599 INSURER C e INSURER A 1NsuRERE INSURER F: COVERAGES CERTIFICATE NUMBER., RFV1SInN 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 FIESPECT 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, LTR TYPE OF INSURANCE SMSH POLICY NUMBER MM CD/YYY�Y MHOIIDD/YYx� UMITS GENERAL LIABILITY x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1 000,000 PREMISES Ea eeourroneo 6 100,000 MED EXP (Any oneperson) $ 6,000 A CLAWS -MADE D OCCUR X Y CPS1854179 09/28113 09/28/14 PERSONAL 5 ADV INJURY $ 1,000,000 OFNF.RAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: x POLICY PRO LOC PRODUCTS . COMPIOP AGG $ 1,000,000 $ AUTOMOBILE LIABILITY comIMNED SINGLE LIMIT ANY AUTO AUTOS�FD AUTOSUI,ED HIRED AUTOS NON -OWNED BODILY INJURY (Per person) $ BODILY INJURY (Per eocWw) 6 PtiPerUPb I Y $ aoadenf 6 UMBRELLA LIABODOUR HCLAIMS-MADE EACH OCCURRENCE S EXCESS LIAR AGGREGATE $ DED I I RETENTION 6 $ js WORKERS COMPENSATION EMPLOYERS' LIABILITY Y / N ANYOFFPRO RIETOER ARTNEXCLUE /E ECUT --� (Mandatory In NH} U 11a' do—"o undor gF.SC IIPTION OF OPERATIONS bobw711 N / A N 1 WCP7605218002 10/01/13 10/01/14 WC STAT11 OF -TRH X E,L. EACH ACCIDENT $ SOD OOO F L DISEASE • EA EMPLOYE5 $ 600,000 E.L DISEASE - POLICY LIMIT I $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Sctmduln, It more ap000 to rogolred) AIR CONDITIONING CONTRACTOR. $250.00 DEDUCTIBLE B.I. A P.D. PER CLAIM APPLIES. WRITTEN NOTICE FOR WORKER'S COMPENSATION SHOULD READ 30 DAYS IN LIEU OF 45. WAIVER OF SUBROGATION APPLIES TO THE GENERAL LIABILITY POLICY, PRIMARY AND NON CONTRIBUTORY PROVISION. BLANKET ADDITIONAL INSURED. VILLAGE OF MIAMI SHORES 10050 NE 2 AVE. MIAMI SHORES FL 33138 (305)756-8972 Ext. A%;V tlu Zb (Zplwpb) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 5915 -ORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLI0k: i11 IONS- AUTHORtZleD 01988-2010 The ACORD name and logo are registered marks of ACORD 40/ riahts VG�J VV IL IL.VWjj VGI ILI QI VVI I IIVILrU/ uVlff. IV >�.'„�- DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ,, CONSTRUCTION INDUSTRY LICENSING BOARD t L��a w W_ TALLAHAS 40 SEE TALLAHASSEE STREET LL 32399-0783 MARTINEZ, ALEX ALBERTO CENTRAL COMFORT AIR CONDITIONING CORP 9721 SW 102ND AVE RD = FL 33176 Gongs istwns! With this license you become one of the nearly one million Floridia s licensed by the Department of Business and Professional Regulation. Our prosionals and businesses range from architects to yacht brokers, from boxers barbeque restaurants, and they keep Florida's economy strong. (854) 487-1395 STATE of FLOPMA AC# r 5 p DEPARTMENT OF BUSINESS,AND PROFESSIONAL .REGULATION CAC057552 07/05/12 120010335 Everyd we work to improve the way we do business in order to serve you better. For info on about our services, please log onto w w -myfloridatir.ense.com_ CERTIFIED AIR COND CON'TR There y u ran -find more information about our divisions and the regulations that MARTINEZ, .ALEX ALBERTO impact fou, subscribe to department newsletters and team more about the CENTRAL COMFORT AIR .CONDITIONING Depart ent's initiatives. Our Tri n at the Department is: License Efficiently, Regulate Fairly_ We co y strive to serve you better so that you can serve your customers. Thank u for doing business in Florida, and congratulations on your neve license! DETACH HI=RE A%r-� ^ L a =. � �'o � � STATE OF FLORIDA . ti...._, ,._ IS CERTXF3MD Under the provisions of Ch -489 Fs 8=piratuoa date. AVG 31, 2014 L12070500668 DEPARTMENT OF BUSINESS .AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L12070-500668 The C S B AIR CONDITIONING CONTRACTOR Name below IS CERTIFIED Under trhe provisions of Chapter 4897S. Expi tion date: AUG 31, 2014 RTINEZ, ALEX ALBERTO NTRAL COMFORT AIR CONDITIONING CORP 21 SW 102ND ANTE RD 21IFL 33176 RICK SCOTT KEN LAWSON GOVERNOR- SECRETARY DISPLAY AS REQUIRED BY LAW 009488 Local Business Tax Receipt Miami -Dade County, State of FloridaLBTI THIS IS NOT A BILL- DO NOT PAY 3870533 SEMMEW " ME/LOCAnom RECOP r NO. EXPIRES CENTRAL COMFORT AIR CONDITIONING CORP RENEWAL SEPTEMBER 30. 2014 9721 `SW 102 AVE RDMust be displayed at place of business MIAMI FL 33176 Pursuant to County Code r' Chapter 8A — Art. 9 & 10 OW"M SEM SYPE OF SUGMESS PAYMENTRECEVED CENTRAL COMFORT AIR COND CORP 196 SPEC MECHANICAL CONTRACTOR SY TAX COUACTOR CACM552 $75.00 07/31 /2013 UNSI-13-039295 1. Y Local Rusiaess7ax R��e�� aoht coafirtas pagt of the Local 8asiuess Tax Tire Rece%pt is eat a Rcense, pe. "uG 9r a cer66csLrea of tllelroldefs gadMaMans, to do Holder MustCoMply VJft Say WMWAUW O riot wanNneandragdatorylaws wMeh applyto Me busiam The RECEIPT NM above most bs displayed on all comertW vWdes-!{rwW Dada We Soft 276. For mote bdwaM ioa,visit l mill lull l�lll lull Illll 11111 hill llll 1111 `?i t ,�$%d-��Cii-t` OR Bk 23913 Pss 2465 - 2466; f2Pss) RECOfiDED111151201,3 12:11.34 DEED DOC TAX 3!315.00 HARVEY RUV01 CLERK OF COURT This Instrument Esq !red By MIAMI -DADS COUNTYs FLORIDA Craig M. Dorne, 3132 Ponce de F o33Blvd Coral Gables, Return to: LLP Salpeter Gitkin, Suite 503 200 South Andrews Ave, SS Ft. Lauderdale, FL FOLIO NOS. 11-3206-013-5670 WARRANTY DEED �✓r�� day of October, 2013, between made this company THIS INDENTUP-EI Group, a Florida limited liability ton Cap LLC` Washing * to Patrick Desbiolles and Lana hereinafter called the Grantor )Whose post office address is 390 M. Caravajal, husband and wife, Ng 98th street, Miami Shores, FL 33138 (hereinafter called the Grantee*). SSETH, that the Grantor, for and in considerationod and Of the �� NO/100 ($10.00) DOLLARS. and other g said sum of TEN ANDaid by acknowledged, hereby valuable considerations s whereofldis Grantor he in acknowledged p conveys and Grantee, the receiptaliens, remises, .releases; assigns grants, bargains, sells, described land, situate, lying and being in confirms unto the Grantee, and Grantee's successors an forever, the following to-wit:Miami-Dade County, Florida, according Lot 1 and 2, Block 42, Amended Plat of Miami shore ea ee701°ofNtheliublic to the RecordspoftMiamithereDadeof sCountyaed in Floridaat Book 10, Page year 2013 and subsequent Years; and SUBJECT TO: Taxes for the y dedications, covenants and conditions rights record, way of record, reservations, limitations, easements, rlg imposed by restrictions, regulations and ordinances Baring on applicable zoning 9ictions and governmental autcommon toand the subdivision ttwitho appearing of the Plat or otherwise reimposing same.. TOGETHER with all the tenements, hereditaments and thereto belonging or in anywise appertaining. appurtenances TO HAVE AND TO HOLD, the same in fee simple forever. that the AND the Grantor hereby covenants wit n sfee simpleid ; that the Grantor is lawfully seized of said land 1 to sell and convey Grantor has good right and lawful author warrants llyarrants the title to said land; that the Grantor hereby against the law said land and ful claims of will defend the same oer; and that said Sand is free of all all persons whomsev encumbrances. Warranty Deed Page 1 of 2 OR BK 28913,PG 2466 L -AST PAGE *"Grantor" and "Grantee" are used for singular or plural, as context requires. IN WITNESS WSEREOF, Grantor has signed and sealed these presents the day and year first above written. Signed, sealed and delivered WASHINGTON CAPITAL GROUP, LLC., a Florida limited liability company BY'&32:0 - Geor rdi on, Manager 8530 NE 0� AVE MIAMI, FL 33138 The foregoing instrument was sworn to and subscribed before me this �4 day of October, 2013, by George Besson, Manager of WASHINGTON CAPITAL GROUP, LLC., a Florida limited liability company, and who is ( ) pazAQnally known to me or who ( ) produced a Florida drivers license as identification. NOTARY PUBLIC, STATE OF FLORIDA My Commission Expires: THIS INSTRUMENT PREPARED BY: Craig M. Dorne, Esq. 3132 Ponce de Leon Blvd Coral Gables, FL 33134 [NOTARIAL SEAL) Cnk Pie ffl ids of Pla MyC FF 002371 p Expk'w 050aM17 Warranty Deed Page,2 of 2