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MC-15-1317 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FIL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-226800 Permit Number: MC -1-15-131 Scheduled Inspection Date: March 11, 2015 Inspector: Perez, JanPierre Owner: MANION JTRS, COREY Job Address: 138 NE 106 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: AIR Q INC Building Department Comments REPLACEMENT OF A/C UNITS 3 TONS Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1121360050050 Phone: (786)486-7810 INSPECTOR COMMENTS False March 10, 2015 For Inspections please call: (305)762-4949 Page 5 of 29 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. March 10, 2015 For Inspections please call: (305)762-4949 Page 5 of 29 Miami Shores Village 0 CRIVW57i Building Department �a o205 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 $ r INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 ( BUILDING Master Permit No._ .Ak- IL3 _ 131 PERMIT APPLICATION Sub Permit No. (BUILDING ❑ ELECTRIC F� ROOFING ❑ REVISION ❑ EXTENSION QRENEWAL ❑PLUMBING "MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: -38 ',. 9 City: ' Miami Shores County: Miami Dade Zip: ?. Folio/Parcel#: It ® Z 1 I��Q-- 00 ` - o s � Is the Building Historically Designated: Yes NO Occupancy Type: 9' 'k-11 Bad: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): �' 1 i}1ii Phone#:� 1. Address: jj . �°� `)t-'ree-t City: ' ,' -S State: Zip; i Tenani/Lessee Name: m Phone#: Email:- CONTRACTOR: mailrCONTRACTOR: Company Name: �e� o= c ° Phone#: 186- Lob -18 10 Address: 410 to e" �-L> City: YA i 0-"'I "k State: 5` L Zip:_-)..) 6 S p: Qualifier Name: 0 ko0 E -o D ve :; p Phone#: 126-436-130 State Certification or Registration #: C.. 114 � � �' Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $? Square/Linear Footage of Work: 16 Type of Work: ❑ Addition ❑ Alteration ❑ New /Re lace Re air p p ❑Demolition Description of Work: c p a t e M It ® (� K Uld Specify color of color thru tiler Submittal Fee $�_ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee Structural Reviews $ (Revised02/24/2014) Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ T Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zi 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 no a approved and a reinspection fee will be charged. Signature Signature ' OWNER or AGENT The foregoing instrument was acknowledged before me this �Z— day of20 by who is personally known to me or who has produced 55101 U UZ Gas identification and who did take an oath. NOTARY PUBLIC: Sigr,:_^ tLotary Public State of Florida CONTRACTOR The foregoing instrument was acknowledged before me this 20! day of , VJVCJ(V 20 1-6 by 9004 0 Fo Alon S o who is ersonally kno to me or who has produced identification and who did take an oath. NOTARY PUBLIC: as 5�o, My co eth Yslin Seal:,,GtBELUGUERREROa M Commission FF 063558 , N: Expires t o/t 8/201 7 :+. + MY COMMtiNSSK3N if Ff 103292 q= EXPIRES: March 18, 2018 Baled Thru Notary Public Undefwftrs APPROVED BY �. (l lans Examiner Zoning Structural Review (Revised02/24/2014) Clerk 1( GITYMiami Shores Village uilding Department 10050 N.E.2nd Avenue Mi i Shores, Florida 33138 0 P Tel: (305) 795.2204 Fax:(305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC MC IS I A 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): 138 NE 106 Street City: Miami Shores Village County: Miami Dade Zip Code: 33138 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 AH RI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO Q ARHI Sheet Attached: YES FMIu NO ❑ Contract Attached: YES Q UNIT BEING REPLACED DATA NEW UNIT Carrier MANUFACTURER Carrier 40YA036300 AHU or PKG. UNIT MODEL # FV4CNF003L00 38TMO3630ODL COND. UNIT MODEL # 24ABC636A000 • s KW HEAT • • 'g . 3 NOM TONS ....••3 • AHU 48 CU 19APKG 1) M.C.A AHU4$C;1--B.IPKG • AHU SO CU 3 0 PKG 2) M.O.P AHU 5 Ctl3Q PKG:'. '. AHU240CU240 PKG 3) VOLTS AH1240"40PKG PKG UNIT / / PKG UNIT• • /' .' EER/SEER ...013 16 • YES NO REPLACING DUCTS YES . N15 • • YES NO REPLACING THERMOSTAT YES •JfQ' YES NO NEW 4"CONCRETE SLAB YES " Ni5 . • • YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): AH (6), CU (10) 2 Maximum Overcurrent Protection (Fuse/Breaker Size): AH (50), CU (30) 3. Voltage of Circuit (208/240/480): 240V ►a] Size Disconnecting Means: AH (50), CU (30) Contractor's Company Name: Air -Q, Inc. Phone: 786-486-7810 State Certificate or Registration No. - o. CM 1249976—Certificate of Competency No. Signature Date: 2015-01-17 {Qualifier's signature� (RevisedO2/24/2014) •0000• • 0.0.00 0000.. 0000. 00.00 0000•. 0000.. 000.0. 9410 S.W. 32nd Street Miami, FL 33165 Name /Address Corey Adam Manion 138 N.E. 106th Street Miami Shores, Fl. 33138 Ship To Corey Adam Manion 138 N.E. 106th Street Miami Shores, FL 33138 Estimate Date Estimate # 1116/2015 2892 Phone # Project E-mail Description Qty Cost Total 3 TONS SPLIT SYSTEM, CARRIER ,16 SEER,10 YEARS WARRANTY ON COMPRESSOR AND LIMITED PARTS AFTER OWNER'S REGISTRATION, 1 YEAR WARRANTY ON LABOR, R -410a 3 Tons Air Handler. Carrier, Model# FV4CNF003T00, Dimensions: 1 1,215.00 1,215.00 H:53-7116" x W:21-118" x D:22-11116" Air Handler Heater 8 kW. Carrier, Model# CE2501C0B 1 95.00 95.00 3 Ton Condensing Unit. Cartier, Model# 24ABC636A003, 1 1,410.00 0000 • • 1,41(�QQ • Dimensions: 11:28-5116" x W:35" x 35" • • • • • • • • Digital Programmable Thermostat 1 •1••1.�5.Oi1 : • • • • 175ifa • Safety T Switch, SDSS3 1 • •'l.$M • 25400 Air Handler Units Stands 1 's3 � • 5-6— • Concrete Pad 40"x40"x4" 1 .' •13.tg •• .00 V. 75• Mount; Condensing Unit Stand Adjustable 1 173.x0 • • • 175 000 • Refrigerant Lines Installation 1 • S:A.ba • 0000 • 55000 Replacement of Air -Handling Unit 1 •'300.50 • • • • 300.00 Replacement of Air -Handling Unit 1 ; 2AQ.5Q • 200.00 Subtotal4,275�0� • • :...: • FPL REBATE ••• ' :•• FPL Rebate -100.00' •' ; • : -20010 Subtotal •' 04,075.00 Notes: This estimate is good for 30 days. Electrical worm, by others, excluded from this estimate. Drawings and calculations, excluded from this estimate. Miami -Dade County Sales Tax 7.00% 0.00 9 Thank you for your business, Tota $4,075.00 Phone # Fax # E-mail 786-486-7810 786-363-8810 airginc@yahoo.com This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. 0Ratin �� #�a� P ��; � �= t s em . AHRI Certified Reference Number: 7019298 Date: 111712015 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number. 24ABC636A**30 Indoor Unit Model Number. FV4CN(B,F)003L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER Series name: COMFORT SERIES PURON AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING 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: Gaoling Capacity(Btuh): 33200 EER Rating (Cooling): 13.00 see**o. Y SEER Rating (Cooling): 16.00 •••s • •, :...: , IEER Rating (Gaoling): YYYY •• + • ... Y•YYYY .YYY• YYYY • • YY YY Y • YYYY YYY• YYYYIY • • • • • Y YYYY .*see* • • Y Y Y • • YYYY YY Y • YYY Ygo 0 " Ratings followed by an asterisk(*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at TERMS AND CONDITIONS t;i, I This Certificate and its contents are proprietary products of AHRI. 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 computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, TWIM 11111117% personal and confidential reference.' CERTIFICATE VERIFICATION The information for the made[ cited on this certificate can be verified at „ click on t r ~irk fink we mace life be ter and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at botulin right. - -- 13065988495766746902014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-230369 Permit Number: EL -2-15-297 Scheduled Inspection Date: March 17, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: SANCHEZ, ALFONSO Work Classification: Alteration Job Address: 32 NE 92 Street Miami Shores, FL 33138- Phone Number (305)588-2652 Parcel Number 1132060130050 Project: <NONE> Contractor: SHINE ELECTRICAL ENGINEERING Phone: (305)688-2000 Nulla comments CONVERT FPL SERVICE FROM OVERHEAD TO ------ UNDERGROUND -----_UNDERGROUND / INSTALL NEW METER COMBO INSPECTOR COMMENTS False Inspector Comments Passed Failed l Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. March 16, 2015 For Inspections please call: (305)762-4949 Page 38 of 38 FEB 11 NIS f T ,� 4 CLAUDIAALVAREZ 4 32 NE 92 ST MIAMI SHORESFL33138 l "EXISTING ELECTRICAL RISER OUTSIDE EXISTING METER .. • • . . . • • • • . . SOS • —err . ri--*—:— . ........ . .. .. .• . . . .. 1 •.r^ Y•f ••• •es . . . . .• •• •• . • . • f • • • • V • or• • • ••• • • • ••• • • ItIISIDE EXISTING PANEL 34 DO THHN/THVVN I IN1lC. A SHINE ELECTRICAL ENOINEERINO Master Electrician: f 3873 Nidi 125 ST Signatures k- OPA LOCI A,FL.33054 TEL: 306 688-2000 Notary,•?o; ECO001514 "NEW ELECTRICAL RISER DIAGRAIP OUTSIDE I 111SIDE NEW METER COMBO 200 AMP FPL ELECTRICAL REVIEW APPROVEODATE NEW # 4 Cu. (EOG) 6' APART MINIMUM ISP �fRFs.��'�FFI942o ���ND ggy�o16 34 2QTHHNffFM IN 1 1i2G. po Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING Q ELECTRIC ❑ ROOFING F BIC 20 10 Master Permit No. I IT- P-4 Sub Permit No ❑ REVISION ❑ EXTENSION ❑RENEWAL F-IPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 32 NE 92 Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3206-013-0050 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Sanchez, Alfonso & Claudia Phone#.305-588-2652 Address: 32 NE 92 Street City: Miami Shores State: FL zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Shine Electrical Engineering Phone#: 305-688-2000 Address: 3876 NW 125 Street City: Opa Locka State: FL zip: 33054 Qualifier Name: Francisco E. Santos Phone#: 305-688-2000 State Certification or Registration #: EC0001514 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: City: State: Zip: Value of Work for this Permit: $ -Zi Z`1s . C)o Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition Description of Work: Convert FPL service from overhead to underground / Install new meter combo 200 Amps Specify color -hoof color thru tile: Submittal Fee $ `" X) -') Permit Fee $ lro'eo CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Training/Education Fee $ Double Fee $ _ Bond $ Q TOTAL FEE NOW DUE $ I I 1 -30 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 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 �i OWNER or AGENT The foregoing instrument was acknowledged before me this dayof20 by 7 who is personally known to , me or who has produced 6 U' as identification and who did take an oath. NOTARY PUBLIC: Signature ° —'" ONTRACTOR The foregoing instrument was acknowledged before me this I day of (lelCJlY 20rJ by 15minam--Q-0 E. 5"5, who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Print: Seal: 4* -*i '= Ahisley Huezo 'sCakMISSIOM#EE 194256 Awl APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 1 I @ OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-013-0050 Property Address: 32 NE 92 ST Owner ALFONSO SANCHEZ CLAUDIA ALVAREZ Mailing Address 32 NE 92 ST MIAMI SHORES, FL 33138-2812 Primary Zone 11000 SGL FAMILY - 2101-2300 SQ Primary Land Use 10101 RESIDENTIAL - SINGLE IFAMILY: 1 UNIT Beds / Baths / Half 4/2/0 Floors 1 Living Units 1 Actual Area 2,531 Sq.Ft Living Area 1,768 Sq.Ft Adjusted Area 2,215 Sq.Ft Lot Size 19,675 Sq.Ft Year Built 1946 Assessment Information Benefit Type Year 20141 20131 2012 Land Value $184,000 $125,695, $108,280 Building Value $166,446 $167,698 $192,733 XF Value $0 $0 i $0 Market Value $350,446 $293,393 $301,013 Assessed Value 1 $235,383 $231,9051 $228,029 Benefits Information Benefit Type 20141 2013 2012 Save Our Homes Cap Assessment Reduction $115,0631 $61,488 $72,984 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,0001 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 1 AMD PB 10-70 LOT 9 & W1/2 OF LOT 8 BLK 1 LOT SIZE 75 X 129 OR 18219-3836 0798 1 COC 26379-1851 05 2008 1 Generated On : 2/10/2015 Taxable Value Information Previous Price OR Book - 2014' 2013 2012 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $185,383 $181,905 $178,029 School Board 2008 and prior year sales; Qual by 07/01/1998 $122,000 Exemption Value $25,000 $25,000 $25,000 Taxable Value $210,383 $206,905 $203,029 City Qual by exam of deed Exemption Value 1 $50,000 $50,000 $50,000 Taxable Value $185,383 $181,905 $178,029 Regional exam of deed Exemption Value $50,000 $50,000 $50,000 Taxable Value $185,383 $181,9051 $178,029 Sales Information Previous Price OR Book - Qualification Description Sale Pa9e 2008 and prior year sales; Qual by 05/01/2008 $340,000 26379-1851 exam of deed 2008 and prior year sales; Qual by 07/01/1998 $122,000 18219-3836 exam of deed 04/01/1998 $0 18090-0510 Qual by exam of deed 2008 and prior year sales; Qual by 11/01/1992 $119,500 15724-4242 exam of deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version http://www.miamidade.gov/propertysearch/index.html 2/10/2015 STATE OF FLORIDA - =-_ -_- DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD _ 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 SANTOS, FRANCISCO E DBA SHINE ELECTRICAL ENGINEERING 3876 NW 125TH ST OPA LOCKA FL 33054 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 sere 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 sere your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE RICK SCOTT, GOVERNOR (850) 487-1395 KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD EC0001514 The ELECTRICAL CONTRACTOR Named below I5 LERTIFIED Under the provisions of Chapter 489 FS Expiration date: AUG 31, 2016 ISSUED: 05/28/2014 DISPLAYAS REQUIRED BY LAW SEQ# L1405280001101 August 20, 2014 Re: Acct # 50815851 US Cold Storage Plant 11801 NW 102 Road Medley, FL 33178 TO WHOM IT MAY CONCERN: This is to certify that the above named customer has a fire system that is monitored by Protection One, Inc. or its affiliates as of the installation date listed below: Installation Date: 8/27/2009 The type of coverage the system provides is as follows: Signals are generated from the fire system and communicated to our Central Monitoring Station. 1) Fire 2) Temp Alert/Water Detection 3) Runner response per local fire code (testing allowed up to 4 hours in a 24 hour period. If more time needed fire prevention must be notified). Protection One, Inc. is a U.L. Approved Monitoring Center. Our Underwriter's Laboratory identification number is 370746-002. If you have any questions, please have your insured contact us at 1-800- GET- HELP (1-800-438-4357) Customer Support Protection One, Inc. BETTER CHOICE FOP YOV9* 4221W. John Carpenter Freeway 9 Irving, TX, 75063 • 877-357-1808 • www.Protectionl.com 4 005235 SEC. —196 1 iceipt 0 firms,jentoft 6fiCot o0all the hoalificati s, to do business. tory Mr,equire tswhi_qb.qpplvto 45.00 RED11 Tax. The Rei is not a any you a Sec 8 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 09/23/14 PRODUCER All Motors Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 11934 S.W. 8th Street ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Miami, FL 33184 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone (305)559-8818 Fax (305)227-0977 INSURERS AFFORDING COVERAGE NAIC # INSURED SHINE MAINTNANCE ELECTRICAL CONTRCTR CORP D/B/A SHINE ELECTRICAL ENGINEERING 3876 NW 125 STREET - A: SCOTTSDALE INS. CO. INSURER B: ASCENDANT COMMERCIAL INS. CO. INSURER C: INSURER D: PROGRESSIVE INSURANCE CO. OPALOCKA, FL 33054 INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L'. TYPE OF INSURANCE'�POLICY EFFECTIVE POLICY EXPIRATION.' j LTR INSRD POLICY NUMBER DATE (MMIDDIYY) DATE (MMIDof LIMITS OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ELECTRICAL CONTRACTOR INCLUDING FIRE & SECURITY SYSTEM, PHONE LINES, ELECTRICAL ENGINEERING CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL E911COWN)CO MAIL VILLAGE OF MIAMI SHORES 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 10050 NE 2 AVE THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY MIAMI SHORES, FL 33138 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) CIF © ACORD CORPORATION 1988 GENERAL LIABILITY ! EACH OCCURRENCE 1,000,000; d' COMMERCIAL GENERAL LIABILITY JOSTO-L DAMAGE TO RENTED50,000 07/27/14 07/27/15 PREMISES (Ea occurence) CLAIMS MADE OCCUR MED EXP (Any one person) 5,0001 A 1 PERSONAL & ADV INJURY 1,000,000! I GENERAL AGGREGATE 3,000,000' GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 1,000,000 POLICY k PROJECT LOC ! AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY C u SCHEDULED AUTOS (Per person) d! HIRED AUTOS j BODILY INJURY J NON OWNED AUTOS ! (Per accident) PROPERTY DAMAGE (Per accident) j GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY,AUTO OTHER THAN EA ACC AUTO ONLY: AGG p EXCESS/UMBRELLA LIABILITY i EACH OCCURRENCE OCCUR CLAIMS MADE AGGREGATE DEDUCTIBLE !� RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC -66006-0 WC STATU- dl OTH-. 09/23/14 09/23/15 — TORY LIMITS ER F B; ANY PROPRIETOR /PARTNER /EXECUTIVE i E.L. EACH ACCIDENT 500,0001 OFFICER /MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE'; 500,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 500,000. OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ELECTRICAL CONTRACTOR INCLUDING FIRE & SECURITY SYSTEM, PHONE LINES, ELECTRICAL ENGINEERING CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL E911COWN)CO MAIL VILLAGE OF MIAMI SHORES 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 10050 NE 2 AVE THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY MIAMI SHORES, FL 33138 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) CIF © ACORD CORPORATION 1988