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MC-15-413Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-229000 Permit Number: MC -2-15-413 Scheduled Inspection Date: March 16, 2015 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: , Work Classification: A/C Replacement Job Address: 10540 NE 2 Place Miami Shores, FL 33138- Phone Number (954)671-1400 Parcel Number 1122310130540 Project: <NONE> Contractor: UNITED BREEZE CORP Phone: (305)262-2530 :sunamg uepartment comments EXACT AC CHANGE OUT INSPECTOR COMMENTS False l March 13, 2015 For Inspections please call: (305)762-4949 Page 19 of 36 Inspector Comments Passed Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. March 13, 2015 For Inspections please call: (305)762-4949 Page 19 of 36 v n� � �, ��' � �' �� Midifit JIIU(CJ VIIId6C113*1; Building Department ������0'� * 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 CILJQ--�`- Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20(,x% BUILDING Master Permit No. Inc I i' PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC F-1 ROOFING ❑ REVISION ❑ EXTENSION MRENEWAL [PLUMBING X MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ' ` D CONTRACTOR DRAWINGS JOB ADDRESS: /D�'d/d 41- / A _ City: Miami Shores County: / A Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type:r'e04" ad _ Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 46R %4s :5UA3 —UZ Phone#: Address: 7-740 9// N/� tf" 011g A City: State: AL Zip: :7—'7 Tenant/Lessee Na/me: Phone#: ���7''(�•%f���� CONTRACTOR: Company Nam -01 e:�02— J rc-EA�r / /� � Phone#. Address: Uhl %� /�/ �-�� City: kL/State: /2 Zip:ft`O(i Qualifier Name: � /'/ !� U/`�Y-G Phone#: ;=-�C� State Certification or Registration #:Lj�,YS %72 Certificate of Competency #: DESIGNER: Architect/Engineer: Address ne#: City: State WH Value of Work for this Permit: $ 2331-te" Square/Linear Footage of Work: F Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: � (! C f\ - Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ CCF $ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE 5<F— B� )mpany's Name (if applicable) — Bonding Company's Address r r< City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State M. R 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;b'Ul9NER or AGENT The foregoing instrument was acknowledged before me this % day of � %�� 20 /4; , by Aow `1M*4 vwho Is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print GREIDY MARTINEZ Seal: _ A NLMY COMMISSION #FF153840 EXPIRES August 24, 2018 (407) 388.0153 FI®rld®N®t9 S81vI09,com APPROVED BY Signature,_ CONTRACTOR The foregoing instrument was acknowledged before me this 17- day of _ J1//�20 /-� , by t iP/" 00 iT-? iG , who 1s personally known to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: as fans Examiner Zoning Structural Review Clerk GREIDY MARTINEZ Seal: ; MY COMMISSION #FF153840 'EXPIRES August 24, 2018 (40"'71398-0153 Flor(dnNotarvAo-ine n.,... fans Examiner Zoning Structural Review Clerk 0 To; 3057568972 From; 3052622532 2-20-15 10;59am p. 2 of 2 CERTIFICATE OF LIABILITY INSURANCE DAT21201'2015YY, a2/2o/2015 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 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(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 certificate does not confer rights to the certificate holder in lieu of such endorcamnnticl PRODUCER CONTACT Xamet Barreras Temax Insurance Inc NAM . PHONE (786) 539 - 5989 FAX I , (305) 356 .1235 7990 SW 117 Ave E-MAIL xamet@temaxinsurance.com Suite 113 MiamlFL 33983 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Capacity Insurance Company United Breeze Corp FINIURIER 6979 NW 82 Ave Miami FL 33166— -- COVERAGES CERTIFICATE NUMBER: INSURER F THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED REVISION NUMBER: BELOW HAVE BEEN ISSUED TO THE INSURED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF NAMED ABOVE FOR THE POLICY PERIOD ANY CONTRACT OR OTHER CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE DOCUMENT WITH RESPECT TO WHICH THIS AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN HEREIN IS SUBJECT TO ALL THE TERMS, INSR MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDL SUER LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP --- —""— GENERAL LIABILITY M DD/YY MM/ DI LIMITS v - AR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED 1 00,000 PREMISES c rren e $ _ _ T A CLM01002278B 9/25/2014 9/25/2015 MED EXP (Any one person) — $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 �i PRO- 7+� POLICY PRODUCTS - COMPIOPAGG 3 2,000,000 LOC AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT ANY AUTO de t ALL OWNED SCHEDULED BODILY INJURY (Per person) $ AUTOS AUTOS NON OWNED _ BODILY INJURY (Per accident) $ HIRED AUTOS AUTOS PROPERTYDAMAGE $ JEeLamdwij— UMBRELLA LIAB OCCUR EXCESS LIAB EACH OCCURRENCE $ CLAIMS -MADE DED RETENTION AGGREGATE $ ---— WORKERS COMPENSATION $ AND EMPLOYERS' LIABILITY WC STATU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) El EACH ACCIDENT $ _ If yas, describe under E.L. DISEASE - EA EMPLOYE $ DESCRIPTION OF OPERATIONS below — E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) CAC -1817220 CERTIFICATE HOLDER City of Miami Shores SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2 Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores ACORD 25 (2010/05) AUTHORIZED REPRESENTATIVE 3 FL 33138 c0 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD To: 3057568972 From; 3052622532 2-20-15 11;35am p. 1 of 1 CERTIFICATE OF LIABILITY INSURANCE DATE(M01201YYY] 02/20/2015 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 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(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 certificate does not confer rights to the certificate holder in lieu of such endorsPmanrict PRODUCER CONTACT Xamet Barreras Temax Insurance Inc NAME: PHONE (786 539 - 5989 7990 SW 117 Ave G Na Ext), ) (A/c No!; (305) 356 - 1235 E-MAIL xamet@temaxinsurance.com - Suite 113 MiamiFL 33183 INSURERS AFFQRDING COVERAGE NAIC p --- INSURED INSURERA: Capacity Insurance Company United Breeze Corp INSURER e : 6979 NW 82 Ave INSURER C: — City of Miami ShoresI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2 Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores ACORD 25 (2010/05) AUTHORIZED REPRESENTATIVE FL 33138 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ;c Miami FL 33166 —•-- ---- — COVERAGESINSURER F: CERTIFICATE NUMBER: . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE REVISION NUMBER: LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM POLICY PERIOD OR CONDITION OF ANY CONTRACT OR OTHER CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, DOCUMENT WITH RESPECT TO WHICH THIS THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO EXCLUS)ONS AND CONDITIONS OF SUCH POLICIES. LIMITS ALL THE TERMS, ILTR NSR SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP GENERAL LIABILITY N'M/I)DNY)W -IMMIDDNYYY1 LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMA E TO RENTED PREMISES (Ea occurr e 5 100,000 _ 4 CLM01002278B 9/25/2014 9/25/2015 MED EXP (Anyone person) S 5,000 PERSONAL &ADV INJURY _ $ 1,000,000 GEN'L AGGREGATE UMITAPPLIES PER; GENERAL AGGREGATE $ 2,000,000 POLICY PRO PRODUCTS - COMP/OP AGG $ 2,000,000 LOC AUTOMOBILE LIABILITY $COMBINED SINGLE LIMIT ANY AUTO fEe Q2&q l S- ALLOWNEDBODILY SCHEDULED INJURY (Parperson) $ AUTOS NUTOS OWNED _^ BODILY INJURY (Per accidem) $ - HIRED AUTOS AUTOS PROPERTY DAMAGE $ ci nt UMBRELLA LIAB OCCUR $ EXCESS LIAB EACH OCCURRENCE $ CLAIMS -MADE "- -- DE RETENTIO AGGREGATE $ ------ WORKERS COMPENSATION $ AND EMPLOYERS, LIABILITY WCSTI.ATT. I TU ANY PROPRIETOR/PARTNERIEXECUTIVE YIN -ER- OFFICERIMEMBER EXCLUDED? N / A (Mandatory In NH) E.L. EACH ACCIDENT $ V If yes, describe under DESCRIPTION OF PERATION low E.L DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) CACIS17220 CERTIFICATE HOLDER City of Miami ShoresI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2 Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores ACORD 25 (2010/05) AUTHORIZED REPRESENTATIVE FL 33138 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ;c V 0 Detail by Entity Name RP TRS SUB, LLC Filing Information Document Number FEI/EIN Number Date Filed State Status Principal Address 1999 Harrison St Oakland, CA 94612 Changed: 03/17/2014 Mailing Address 1999 Harrison St Oakland, CA 94612 Changed: 03/17/2014 M12000004126 N/A 07/20/2012 DE ACTIVE Registered Agent Name & Address Corporation Service Company 1201 Hays St Tallahassee, FL 32301 Name Changed: 03/17/2014 Address Changed: 01/21/2015 Authorized Person(s) Detail Name & Address Title Member SRP TRS Sub Inc. 1999 Harrison St Oakland, CA 94612 Title President Beasley, Gary http://search. sunbiz. org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity Page 1 of 2 2/20/2015 v K Detail by Entity Name 1999 Harrison St Oakland, CA 94612 Title Vice President/Treasurer Tr_ an_Nina 1999 Harrison St Oakland, CA 94612 Title Vice President/Secretary 1999 Harrison~ t� Oakland, CA 94612 Report Year Filed Date 2013 07/09/2013 2014 03/17/2014 2015 01/21/2015 Page 2 of 2 Document Images 01/21/2015 ANNUAL REPORT View image in PDF format 03/1712014 ANNUAL REPORT View image in PDF format 07/09/2013 ANNUAL REPORT View image in PDF forma=t 07/20/2012 F -View image in PDF format j; wr�i�'rit :Z) and ELjvat�r etpi€ries State of Honda; Department of State http://search.sunbiz.org/lnquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 2/20/2015 I- ) SRP TRS Sub, LLC c/o Starwood Waypoint Real Estate Trust 1999 Harrison St. Oakland, CA 94612 FEB 2 5 2015 (---(A- November 5, 2014 Re: Permit Authorization Letter To Whom It May Concerti: This serves as authorization for Larry Baum, Stephen Petrucci and or any other representative from Stellar Home Group, LLC to open and close permits for and on behalf of SRP TRS Sub, LLC (the "Company") for properties owned by the company, If you need further information please contact our legal counsel Giles Inirie at (510) 356- 2558 ext. 339 or by email at Giles@wayt)oititp-roiii).com. Please have all correspondences sent to the following address: 1999 Haffison St. Oakland, CA 94612 Thank you, Signature Print Name: Tamra Browne Title: Authorized Signatory State of California County of Alameda 'ri � The foregoing instrument was acknowledged before me on this day of , 2014 by Tamra Browne as an officer of SRP TRS Su—b, —LLC, who is personally known to me or has produced_as identification. f cation. WMANDEEP KAUR RATIA COMM. #1986761 LA m Notary Public = PubficCv%mia (Seal) EDA COUNTY Comm. Ex , LY 30 201 1999 Harrison Street # Oakland, CA94612 * T: (510) 250-2200 F: (510) 550-2828 i STELLAR HOME -GROUP LLC •2700 W Cypress Creek Rd Ste. D118 Fort Lauderdale, Fl. 33309 FA August 2.1,2013' Re: PermitAuthorization Lettov To Whom It May Concern: .This serves as authorization for "homas Tamayo from United Breeze Corp. to open acid close Air Conditioning Perm is for and on behalf of SRP Sub, LLC (the Compauy) -for properties owned or operat d by the company. If you need further information Please contact Stephen Petrucci at (954) 671-1400 or by email at s_ot;ti=, d_,,c� 1j.9=g.a1 Please ha a all correspondence send to the foilowing address 2700 W Cypress Creek Rd Ste. D118 Fort Lauderdale, Fl, 33309 Thank you; S.i.gnai e Print Name Stephen Petrucci Tittle: Authorized Signatory State of Florida County of'Broward The oregoing instrument was acki 5wledged before me this �� day of 2013 by 't,-�.�,,x� , Group, LLC who is ger !.._�as of Stellar Home ,l ...SQp�lll lcnown to m.e or has produced Identification. --Tas ALEX PIERCE 40tary-P611C ••Shia W'ftortAa Pa {Ay Gpmm. epkei 00 X.,2016__ �fP�'iu't�s' Comm{a,tilon � EE��47.D83, ' • Property Information 2014; Folio: h..^s,. .:?-` ;10540 NE 2 PL Owner ,SRP TRS SUB LLC ... Exemption Value WEST CYPRESS CREEK RD Mailing Address Taxable Value 'r 11000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE��� "a3 ;FAMILY: 1 UNIT * 13/2/1 Floors 'J Living Units � u � _4� �,�'� s. ., _�. .. ��'F � ,,d Actual Area .n e � �. .. Living Area.1,916 Sq.Ft Adjusted Area i 1,940 Sq.Ft Summary Report Sq.Fi Year Built.._ ,1955 e Assessment Information $69,475 Year 20141 2013' 2012 Land Value Generated On : 2/16/2015 Property Information 2014; Folio: =11-2231-013-0540 Property Address: ;10540 NE 2 PL Owner ,SRP TRS SUB LLC ... Exemption Value WEST CYPRESS CREEK RD Mailing Address #D-118 Taxable Value FT LAUDERDALE, FL 33309 Primary Zone 11000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE��� ;FAMILY: 1 UNIT Beds / Baths / Half 13/2/1 Floors 'J Living Units 1 Actual Area 1,988 Sq.Ft Living Area.1,916 Sq.Ft Adjusted Area i 1,940 Sq.Ft Lot Size-�____._..�-18,625 Sq.Fi Year Built.._ ,1955 e Assessment Information $69,475 Year 20141 2013' 2012 Land Value $103,258` $116,484 -$86,284 Building Value f $131,531 $131,532: $149,455 ��$2,880 XF Value� $2,466 i $2,484 1 Market Value $237,256; $250,500; $238,619 Assessed Value $119,475; $117,710'. $115,743 Benefits Information $65,743 Benefit ; Type 1 20141 2013 [ 2012 11Save Our Homes ;Assessment `Reduction $117,781 $132,790:$122,876 Cap Homestead 1Exemption $25,000; $25,0001 $25,000 Second Homestead Exemption $25,0001 $25,0001 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description FIRST ADD TO PASADENA PARK PB 6-82 LOT 4 & S1/2 LOT 5 BLK 14 LOT SIZE 75.000 X 115 OR 14523-128-14465-642 0490 4 (Taxable Value Information Sales Information SalePrevPage Price; O Pa e k Qualification Description 9 01/08/2015 1$265,300' 29462-2645 ;Financial inst or "In Lieu of ForclOSUre stated 04/01/1990 $0: 0 00000 Qual by exam of deed 00000 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 hftp,//www.miamidade.gov/info/disclaimer.asp 2014; 2013 2012 County_ ... Exemption Value $50,000 $50,000 $50,000 Taxable Value $69,475 $67,710 $65.743 School Board Exemption Value $25 000; $25,000 $25,000 Taxable Value $94,475 $92,710 $90,743 City,._.. Exemption Value $50,0M! $50,000: $50,000 Taxable Value $69,475 $67,710 $65,743 Regional Exemption Value $50,000; $50.000: $50000 Taxable Value $69,4751 $67,710 $65,743 Sales Information SalePrevPage Price; O Pa e k Qualification Description 9 01/08/2015 1$265,300' 29462-2645 ;Financial inst or "In Lieu of ForclOSUre stated 04/01/1990 $0: 0 00000 Qual by exam of deed 00000 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 hftp,//www.miamidade.gov/info/disclaimer.asp 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): %4q,,!5*g0 lve ;2A— 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 AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES [rNO ❑ Contract Attached: YES LK 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): -,209-2-30 _ 4. Size Disconnecting Means: Contractor's Company Name: ��i'..L � / � aue _?,h Phone: -361.5 State Certificate or Registration No. A&49, !Z^- Certificate of Competency No. Signature )_L Date: cV-/~7—/S UNIT B ING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # ,U COND. UNIT MODEL # KW HEAT 10Z140 NOM TONS AHU CU PKG 1) M.C.A A U4.111,CU.VA,4SKKG AHU CU PKG 2) M.O.P AHU/ PKG AHU CU PKG 3) VOLTS AH PKG PKG UNIT / / PKG UNIT EER/SEER // 13 YES YES .(P40 NO REPLACING DUCTS REPLACING THERMOSTAT YES ' O NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES 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 (208/240/480): -,209-2-30 _ 4. Size Disconnecting Means: Contractor's Company Name: ��i'..L � / � aue _?,h Phone: -361.5 State Certificate or Registration No. A&49, !Z^- Certificate of Competency No. Signature )_L Date: cV-/~7—/S AHRI Certified Reference Number: 5586696 Date: 2/16/2015 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX130611A* Indoor Unit Model Number: ARUF60D14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR Series name: GSX13 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO,, LP. 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: 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 �vwv ?I�ri53 v$3ct'. TERMS AND CONDITIONS ` This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and v confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at , click on link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right. @2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130685932910021243 DESIGN SCH'EDULE: Schedule gives minimum rumber of tie -down clips required 'Jong each side of condensing unit - see diagramL DESIGN NOTES: V), lcrl" CENTRAL A/C SYSTEM tal UN -TS for solid freestanding Ir ,Aar%, X 230 mph mph 150 mph 156 mph 160 mph 265 mph 170 mph c`rontal Area ExD'C+'D' 24.7 psf 9110 SMS , per Glp: ExpC+'D' 29.0 psf #10 SMS per Clip: Exp'C!+V 33.6 psf 910 SMS per Clip: Exp'C'+ V 38.6 psf #10 SMS per Clip: Shaded "FRONTAL AREA" Exp'C' + V 43.9 psf #10 SMS per Clip: Exp'C+'D' 46.7 psf #:G SMS per Clip. Exp'C'+'W 49.6 psf #10 SMS per Clip: HEIGHT x WIDTH Kzt=1.0, Kd=0.85, G=0.85 (2) 7. Wt size limits: a. 1 (13 (2, ) 41) *HeWAWX" S 13 jiP. 1. OLsignWin -,+i6ijWDepth 512 accordance with the i -JI) or (2) holes at ..AW. iti beyond these limits, rl 4 b6ittorn flange 2 'useAarger "Frontal Area" .2 2 2 z i tZ2 --Existing concrete 2 2 —A- 2 Alum: 0-080" min gab an grade 2 2 2 2 Z 2 (.Win 3OW psi, 2 2 2 2 1 3 Min 4" thick) Ref 00IG-K.SC!!EDUtE for number of 2 . 2 2 212 3 2 clips atootURIT WID I H (each side) 3 i 2 3 1 2 Central AjC.$ySWM Condensing Unit .112 4 2 3'2 4 3 2516 Tie -Down RTmarn a 2 4 1 2 3 i 2 A i 3 .4 3 5 3 UJI Scale; 1,W isometric DESIGN SCH'EDULE: Schedule gives minimum rumber of tie -down clips required 'Jong each side of condensing unit - see diagramL DESIGN NOTES: V), lcrl" CENTRAL A/C SYSTEM CONDENSING UN -TS for solid freestanding Ir 120niph 230 mph mph 150 mph 156 mph 160 mph 265 mph 170 mph c`rontal Area ExD'C+'D' 24.7 psf 9110 SMS , per Glp: ExpC+'D' 29.0 psf #10 SMS per Clip: Exp'C!+V 33.6 psf 910 SMS per Clip: Exp'C'+ V 38.6 psf #10 SMS per Clip: Exp'C! + V 41.7 psf #10 SMS per Clip: Exp'C' + V 43.9 psf #10 SMS per Clip: Exp'C+'D' 46.7 psf #:G SMS per Clip. Exp'C'+'W 49.6 psf #10 SMS per Clip: Up To: Kzt=1.0, Kd=0.85, G=0.85 (2) i4l screws to condensing w t2l 1.11 (Z. 1 (13 (2, ) 41) M (2 etio 1. OLsignWin accordance with the i -JI) or (2) holes at requirements of the 2010 -2 4 b6ittorn flange 2 2 2 .2 2 2 z i tZ2 Steel: 14ga min 2 2 —A- 2 Alum: 0-080" min 2 2 2 2 2 Z 2 2 1 2 2 2 2 2 1 3 12,W 2 2 2 . 2 2 212 3 2 2 1 r 2 3 i 2 3 1 2 3`2 3 1 2 .112 4 2 3'2 4 3 2516 7 3 2 a 2 4 1 2 3 i 2 A i 3 .4 3 5 3 4 1 3 S3 4 3 5 i 3 4 3 S 1 4 5 3 6 4 3 Az 44 2 —47 4 3 3 5 4 6 4 6 4 6 4 35W 7 ---777 5 5 4 6 implied, is contained i 5 9, 1 S 4O ft= 5 i 3 S 4 6 t 4 7 5 9 1 5 8 5 8 J 5 I 9 2 6 DESIGN NOTES: V), lcrl" Wind-f6a-ds jierAk0l-10 for solid freestanding Ir structures at grade: S4 ASD Loads coeff = 0.6 Wind Speed &Exposure as noted in design schedules. -$i Condensing unit height: IN 15 ft max above grade Prepunched slots for Kzt=1.0, Kd=0.85, G=0.85 i4l screws to condensing Cf=1.55 (H/W ratio 51.3) V In. unit housing GENERAL NOTES: etio 1. OLsignWin accordance with the i -JI) or (2) holes at requirements of the 2010 4 b6ittorn flange Florida Building Code for use within & outside the 4 High Velocity Hurricane Steel: 14ga min ). Zone (HVHZ2. Alum: 0-080" min This engineering certifies only the structural integrity of those systems, -11 9 components, and/or other construction explicitly Tie -Down Clip specified herein- a- The existingheist Scale: 3" = 1'-0-- isometricstructure niusTl�capable systern as veriffedby building departmeint or architect / engineer of record. No warranty, either expressed or implied, is contained LU herein - 4. Systems shall be as V) noted herein. Ali (n #10 SMS to unit references to components, extrusions, & other Mousing (22ga min). Quantity per installation criteria shall DESIGN SCHEDULE conform to that of applicable product -i UJI C 'E d' approval &/or mfr's specs- 5- Where site conditions 1. Z < deviate from those shown LU Z 6 (1) V4" IT%VV Tapcon in this plan, revisions may 0 00 per clip, With: be required or a separate0 C:) - min embed site-specific engineering •1%" U. C) - 2%" min edge dist evaluation performed. Z 6. Engineer seal affixed Clip Fastener Detail hereto validates structural design as shown only. Use U Scale -11"' j= V-0" Isometric of this specification by% contractor, et. al. 0-4 (1) indemnifies & saves 0 LAJ harmless this engineer for 0 0 all costs & damages dj Z omA including legal fees & 0 appellate fees resulting U from deviations from this plan. 7. Any modifications orZ.L-a 14, additions to this document Drawing No. will invalidate engineer's certification- E10TD1 8. Except as expressly # provided herein, no additional certifications or affirmations are intended. Uni6979 N.W. 82nd Avenue, Miami, Florida 33166 ted t Phone: 305-262-2530 • Fax: 305-262-2532 Date: B 1-888-499-0385 re ez e ww w. unitedbreeze. com Invoice#: Air Conditioning 9 Commercial & Residential AGREEMENT Lic.& Ins.: CAC1817220 To: /��'— �'— '✓ "' �� E-mail 4 �4 07'wz' Street: L / as Home Phone: Cell: I Work: / / CityZ p� Fax- 111%44177.7 ax: /144� � 791&45 may-- �yU-�ac� We hereby submit specifications and estimates for: X in boxes = yes ❑ Vertical A/H / Closet ❑ Garage A/H ❑ Attic A/H / Ceiling Mount ❑ New A/H Support Bracket ❑ New Aluminum A/H Stand ❑ Filter Rack ❑ New A/H Platform (Wood Box) ❑ Insulate Return Air Base ❑ New 3/4 Plywood Base Top ❑ Smoke Detector to Code ❑ New Emergency Drain Pan ❑ Reconnect Heat Recovery jdtVew Thermostat H_, V_ ❑ New Humidistat ❑ New De-Humidistat ❑ Condensate Pump 110_220_ ❑ Water Cooled Unit ❑ Condenser on Ground ❑ Condenser on Roof ❑ Condenser Wall Bracket ❑ New Concrete Slab MA-urricane Strap to Code bration Pads fety Caps New Roof Stand ❑ Seal Roof Stand ❑ New Steel Wall Bracket ❑ New Unit on Existing Mount ew Float Switch ystem Start Up and Test ❑ NewAMP Disconnect at A/H ❑ NewAMP Disconnect at condenser ❑ Package Unit Mobile Home ❑ Package Unit on Ground ❑ Package Unit on Roof ❑ Package Unit on Wall Bracket ❑ New Refrigerant Lines econnect to Existing Lines ❑ Liquid Line Size ❑ Suction Line Size ❑ Insulate Suction Line (Armaflex) ❑ New Drain Line ❑ Insulate Drain Line (Armaflex) econnect to Existing Drain Line econnect to Existing Electrical ❑ Line Cover ❑ New Duct System (See Plans) ❑ Whip Electric Permit Not Included. See Electrical Contractor. EXISTING CONDITIONS MAKE Condenser HSF1 Air Handler MANUFACTURER TONNAGE S.E.E.R. CONDENSER UNIT AIR HANDLER UNIT HEATER PACKAGE UNIT PRICE YEARS OF WARRANTY Labor Parts Compressor TO BE INSTALLED: RECOMENDATIONS / NOTES OPTION # 1 Initials) MODEL OPTION # 2 - (initials) ❑ Add New Supply Duct (See Plans) ❑ dd New Return Duct (see Plans) Reconnect to Existing Ductwork ❑ UV - Light �alance Air Flow ❑ Return Air Type RH_RHF_ ❑ New Return Grill ❑ Replace All Supply Air Riser (Plenum) rop Cloths Used IMP ❑ Crane Service )20ermit Included ❑ Permit Not Included emove Old Equipment from Premises Duct Cleaning ❑ Duct Sanitizing ❑ Condenser Cage ❑ Box of Filters DIMENSIONS (H x W x D) OPTION # 3 (Initials) ❑ A.M. ❑ P.M. TYPE OF PAYMENT ❑ Check No. Name on Check: ABA Routing: Check Account ❑ Credit Card ❑ FINANCING Authorization No 1W Exp. Date: CW: Zip Code: - Job Price: 8 - FPL FPL Discount: $ Tax: $ Job Total: Deposit: $ Balance Due: Service & Warranties: All equipment and materials installed by Seller shall be guaranteed by the manufacturer for the period of one year from date of installation unless otherwise specified. Labor required for replacement of defective parts of workmanship shall be furnished by Seller free of charge for a period of one year from the date of installation, unless otherwise specified above. Failure by lack of maintenance is not covered under warranty. Any alteration or deviation from the above specifications involving extra cost will be executed only upon written order and will include an extra charge over and above this estimate. Acceptance of Proposal: The above Prices, Specifications, Terms and Conditions (Articles 1-4, Reverse Side) are satisfactory and are hereby accepted, you are authorized to do the work as specified. Then payment will be made at outlined above, Section 501.025.Florida Statutes (Consumer Protection) provides that ... the buyer has the right to cancel a home solicitation sale until the midnight of the third business day after the day on which the buyer signs an agreement... Please go to manufacturers website to insure proper registration and compliance for all warranties. Date United ze Representative Date A- Article1-Allowances Where allowances are given the Contractor will only provide for services and/or malerials and /or labor up the allowances amount. The Owner is responsible for any amount of exceeding the allowance. Article2-Notes and Exceptions L This Agreement does not include any fees imposed by any jurisdiction in obtaining permits for the construction of the named structure, nor does it include, any fees associated with processing the permits which will be reinbursed to United Breese, Corp, a rate of $350.00 per permit. 2. Owner is solely responsible for sewer and water connections beyond the property boundaries and for all electrical power fees imposed by the local Electric Power Company, Also shall pay for all fees and deposits required by the local Water & Power Companies, ' 3. Owner shall pay for all Surveys needed in connection with the construction of the named structure. 4. Landscaping and Grading, Septic Tank and Drain Field, Driveways and Walkways are not part of this Agreement. 5. Repair or replacement of existing imigation system is excluded. Removal, replacement of existing fences is excluded, Removal, relocation, and replacement of existing trees are excluded. Sod ding and Processed Topsoil are excluded, Soils / density testing is excluded. 6. Electrical fixture (Fans, lamps, etc) is not part of this Agreement. AUC units, if any, are not part of this Agreement. 7. Excavation of footings, pads, elevator pits, and for other trades is excluded. 8. Before commencing the work, the Owner will provide a CAD File compatible with Auto CAD 14 with the State Plane Coordinates for Contractor use in laying out the work and As Bunt drawings. 9. Agreement based on (1) crew mobilization at $1.800,00/ each. 10. Permit fees and permit processing is excluded, Processing fees to be reimbursed (Qa $ 350,00. Payment and Performance Bond premium is excluded 11. Plans, Drawings and Designs made by United Brix, Corp. for the construction of this Agreement will remain under United Brea% Corp. property until all construction work is completed andpaid in full. All drawings and plans are preliminaries to estimate the cost of projects. Once the construction job is accepted by the customer and a deposit is rendered, United Breeze, Corp. will produce engineered drawings required for construction. Engineering costs as well as "measure + layout" costs will be reimbursed to United Breeze, Corp. Article 3 -Time of Completion It shall be commenced and completed on date undetermined. Article 4 -General Provision This document is the full Agreement between us, regardless of any prior proposals of communications. Any deviations from the specifications or modification of the terms of this Agreement and any extra or, incidental work, or reductions in work, shall beset ford in writing and signed by both parties prior to the making of such change. We will be compensated for any increase in our cosis caused by such change, on the hais of the increase plus ten percent (10%) profit. If a time is set for the performance of work, and if, in our judgment, such change or other circumstances beyond our reasonable control will increase the time necessary for our performance, we will be granted a reasonable extension of time. We will provide and pay for Workers' Compensation covering our employees, as well as General liability and Properly Damage Insurance. You agree to carry General Liability and Property Damage Insurance sufficient to protect yourself against any and all claims and liabilities arising from the performance of the work, including but not limited to claims arising under your Agreement to indemnify and hold us harmless under this contract. We shall be provided with suitable access to the work area. If our work is dependent upon or must be undertaken in conjunction with the work of others, such works shall be so performed and completed as to permit us to perform our work hereunder in a normal uninterrupted single shift operation, Untess a time for the performance of our work is specified, we shall undertake it in the course of our normal operating schedule, We shall not be liable for any failure to undertake or complete the work for causes beyond our control, and we mayh suspend the work for causes beyond our control, including but not limited to fire, flood or other casualty; the presence on or beneath the work site of utilities, facilities, substances, or objects, including but not limited to any substance that in our opinion is hazardous or toxic or the reporting, remediation, or clean-up of which is required by any law or regulation (together "subsurface conditions"); klabor disputes or other disagreements; and accidents or other mishaps, whether affecting this work or other operations in which we are involved, directly or indirectly. Payment in full for all work performed hereunder shall be made upon completion. Final and complete payment for all work performed hereunder shall be made upon completion of such work. Interest at the highest rate allowaM under the laws of the in state which the work is done, or one and one half percent (1 h °/9) per month, whichever is greater, shall be charged and paid on all unpaid balances from the due date to the date we receive payment. You agree to pay in full all -costs and expenses incurred by Contractor, in collecting the amounts owed by you under the Agreement, including any and all Court costs and attorneys' fees. Payments received will be applied against open items on unpaid invoices in an order and sequence determined by Contractor in its sale discretion. Any monies paid by you for our work shall behold in trust for our benefit. We shall not become obligated to perform the work called for under this Agreement until we check and approve your credit, The contractor under this Agreement in their sale discretion has the right to require additional monies or not to move forward with the project and in no way will the contractors decisions or right's under this Agreement void the 30% cancellation fee. If payments is not made when due, Contractor may suspend work on the job until such time as all payments due have been made, A failure to make payment for a period in excess of 3 days from the due date shall be deemed a material branch of this Agreement. Right of cancellation; Owner has the right to cancel this Agreement without any penalty of obligation by informing United Breeze, Carp. in writing, via certified return receipt letter before midnight of the third business day after signing Agreement. If there is any cancellation of this Agreement by the Owner prior to the being performed, the Owner shall bear 301/o of the Owners contract withUmted Breese, Cerp.as cancellation fee. If there is any cancellation of this Agreement by the Owner after work has commenced, the Owner shall bear subcontractors conract with UdW Bin, Coop. plus 30% of the Owners contract withlb" Breeze, CogLcancellation fee. All bounce checks and NSF checks shall be subject to a $100.00 processing fee in addition to any bank charges incurred as a result of the insufficiency of the check. In addition, the following General Provisions apply: L All work shall be completed in a work -man like manner and in a compliance with all building codes and other applicable laws. 2. To the extent required by law works shall be performed by individuals duty licensed and authorized by law to perform said work. 3. Contractor may at his discretion engage subcontractors to perform work hereunder, provided Contractor shall fully paid subcontractor and in all instances remain responsible for the proper completion of this Agreement. 4. Contractor shall furnish Owner appropriate releases of waivers of lien for all works performed or materials provided at the time the next periodic payment shall be due. 5. All Change Orders shall be in writing and signed both by Owner and Contractor, and shall be incorporated in, and become a part of this Agreement. 6. Contractor shall obtain all the permits for the work to be performed. T Contractor agrees to remove all debris and leave premises in broom clean condition. S. In the event Owner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment or resolution of any dispute, 9. Alf disputes hereunder shall be resolved by binding arbitration in accordance with rules of the american Arbitration Association. We, Contractror and Owner agree that the proper jurisdiction and venue for adjudication concerning this Agreement is florida, and we waive any right to jurisdiction and venue in any other place, 10. Contractor shall not be liable for any delay due to circumstance beyond its control including strikes, casuaity or general unavailability of materials. 11. Where a coinpletion date is given, Contractor will make every effort in completing the job by a completion date given above, however, due to many factors inherent in construction the Contractor makes no guarantees, written or implied as to the completion date. 12. Contractor warants all work for the period of 3 months following completion. 13. Measurements: The measurements appearing on the estimate of Agreement are for the purpose of preliminary pricing. A final measurement shall be taken and may be modified to. match with the actual work done. This measurement will be used to calculate the final payment. 14. Unforeseen: Should any unforeseen site conditions exist (debris buried, unstable soil, unstable wall or rotten, termites, muck, illegal installations, plumbing clogged or rotten, etc.) corrections will be the sole responsibility of Owner. 15. Customer shall be personally liable for any and all terms +ma Attidel-ARovvanc� Whore allowances are given the Conuactor will only pm* forservicesand formalerials and /or labor up.the allowances amount. The Owner Is responsible for any amount of exceeding the anowant& . Ardde2-Notes sudEucepflmms I. This Agreement does not include any fees imposed by any jurisdiction in obtaining permits for theeonsuocUnn of the named structure, nor does itincludo, any fees associated with Processing the permits which will be ret ibursed to United B ante, Carp.a rate of x.00 per permit. 2. Owner is solely respomffi'ble for sewer and water connections beyond the property boundaries and for all electrical power An unposed by the Iced Electric Power Company, Also shall pay for all ices and deposits required by the local Water& PowerCom anim 3. Owner shall pay for all Surveys needed in coonectionwith the construction of the named stroatum 4. , I.andicapingand Grading, Septic Tank and Drain Field, Driveways and Walkways are not part of this Agreement. 5. Repair or replacement of existing imigationsystem is oulttded. Removal, replacement of existiagibuces is excluded, RemovaLrelocation, and replacement of existing tree$are excluded. SoddmgandProcessedTopsoil are excluded, Soils I deity testing is excluded. 6. Electrical R i ', (Fans;'lamps, etc) snotpart of this Agreement AiCuoi%if any, are output of this Agreement 7. E=Yzdmoffootings, pads, devamrpita,andforothertmdesisexcladaL, 8. Before commencing the work; the Owner will provide a CAU Filecompatible with Auto CAD 14 with the State Plane Coordinates for Contractor use in laying out the work and As Bunt drawings 9. Agreemem based oa (i) crewmelnlbstion at 51.800600! each. 10. Permit fees and permit processing is excluded, Procassingfew to be reimbursed ® 5350,00. Payment and Performance Bond previiato Is exeinded 11. Platte, Drawings and Dedgasmadeby lkhed Bmem, Corp. fortheconstro don of this Agreomeatwill remain under ugWBtesz%Corp. property unto all construction work is completed andp9d in fall. Ail drawhip and glans are preliminaries to estimate tho can of projects. Once the construction job is accepteddby the castomer and a depositis tendered, United bwA%, Corp will produce engineered drawings required for contraction: Engmeering cows well as "measure+ layout" costs will be reimbursed to United Rwze; Co* Ard&3 =Time of Compldlon ItshaIl be commenced and completed oo dateundetemrined. Ardele4-GesecalPmddint This document is the fall Ag eementbetween us, regardless of anyliduipropgsals of communications. Any deviations fromthe spedACatimra ormodification of the terms of this Agreement and any extra orincidental, .work orreductions in work, shall beset fwd in writing and signed by bothpardoe prim to themaking of such change: WeviElbecompausaWfortayintreasain our costa caused by such change, an tie bail of the increase plus tri percent (10!/ojprofit Ua timeis set for the performance of work, and If. in our judgment, such change or other arumnstantes beyond our reasonable control will increase the time necessaryfor our periormaaca, we will be a reasonable extension. of time. We will provide and pay for Wohiceas' Compensation coveringourertrploye , as wall as Gancral Liabilityand- Prop�lyDumpInsatan+x: You agree to carry General Uability and Property Damage Insurance snfficfent to pmted yomeffagmnst any and all claims andflabilities arising &amu the performance of the work, including bin not limited to claims arising underyour Agreemeut toiadenu fp and hold usharmlunder thiscmntract " We shall beproWM withsuiWAa access to the work area. If ourworkis dependentupon ormu st be undertaken in conjunction with the work of others, such works shall be so performed and completed as to permit nato perform our work hereunderrin a notmat uninterrupted do& shift operation, Uatess a time for the performance of our work is speclfie we shall undertake it in the course of our normal operating shedula, We shad not be liable for an failnreto undertake ete, the work for causes beyond our control, and wemnayhsuspend the work for causes beyond our control, incladmg but not limited to fire, flood or others the presence on or beneath the work site ofutif s, facilities, substances, or objects, including but not limited to any substance that in our opinion is hazardous or toxic or the reporting, remediation, or clean-up ofwhkh is required by any law or regulation (together "sabsurfaee c onditioms"k klabor disputes or other disagreements; and accidents or other mbliaps,whether affecting this work or other operations in which we are*�olved, directly or indlredly. PaymentinfnU for OR work performed heremmder shall be made upon completion. Final and complete payment for all work performed hereunder shall be made upon completion of and work. Interest at the highest rateallowabel under the laws.of the state which the worths done, or one and on half percent {1,b %) per month, whichever Is greater, shall be charged and paid on an unpaid balances rpm the due date to the date we receive payment You agree to pay in full all -costs and expenses incurred by Contractor, is collecting the amounts owed by you under the Agteenment, including any and all Conn casts andattamuye fees. Payments received will be appiiedagainst open items on unpaid invoices in an order and sequence determined by Contractor in its sale dismdon. Any monies paid by you for our work shall be held in trost for ourbene6t We shall not become Obligated to perform the work called for under this Agreement until we check and approve your credit. The contractor under this Agreement in their sale discretion has the right to require additional monies or not to move fa ward with theWgea and in noway will the contractors decisions orrfgWs under this Agreement void the 304 cancellation fee. If payments is not made when dmm, Contractor may suspend work on thojob until each time as all payments due have been made, A failure to make payment for aperiod in excess of 3 days from the due date shelf be dea>med a material branch of this Agreement Rigbt of cancellation; Owner has the right to cancel this Agreement without air pamaityofobligation by informing tWedgmes%Q p.inwrift via ond8ed return receipt letter belmomidnight of the third business day after signing Agreement Ifthere is any cancellation of thisAgiecrambythe Owserprior to the bemgpedormed, the Owner shall hear W. of the Owners contract withl)mftedlla:ae 0 as canctilation fee. If there is any canceilatlon of thisAgreement by the Owner atter work has commenced, the Owner shall bear subcontractors contract with IIs�Beewx, Cap. plus MA of the Owners contract witlitk WEme� �cellation fee. All bounce and NSF cheeks shall be a*=to a $100.00 processing fee in addition to any bank charges incurred as a result of the insutBaency of the check. In addition, thefollowing General Provisions apply: 1. All work shall be completed in work -man like manner and in a compliance with ail building codes and other applicable laws. L To the extent required by law works shall be performed by individuals duty licensed and authorized bylaw to perform add work. 3. Contractor may at his discretion engage subcontractors to perfomtwork hereunder, provided Contractor shall brolly paid subcontractor and in all instances remain responsible for the propercompletion of" Agreement. 4. Conuactorsball furnish Owncrappropriatereleases of waivers offim for allvmb performed ormaterials provided at tiro time thenw pcdo& payment shall be due. 5. All Ch=V Orders shall be in writing and signed both by Owner and Contractor, and shall be incorporated m, mid become a part of this Agreement 6. Contractor shall obtain all thopemnits for thework tobepmformed. 7. Contractor agrees to remove all debris and leave premises in brown &an condition. 8. In the event Owner shad fail topay a" periodic or installment payment due hereunder, Contractor may cease work without brench pending payment or resolution of any dispute, 9. All disputes hereunder &all be resolved by Waftrbitradan in eccerdancewith rules of the amedcan Arbitration Association. We, Contractror and Owner agree that the proper ju isdtctionandvenne for adjudicaflon concerning this Agreenient is Ulda, and we waive my right to jurisdiction and venue in my other place, 10. Contractor shall not be liable for any delay due to knee beyond its control including strikes, casoaily or general unavailability of materials. 11. Where a coin;i1adon date is given, Contractor will make Query efartin pompledng the job by a completion date given above, however, duo to many thctors inherent in construction the Contractormakes no guarantees, written or implied as to thecampletion date 12. Contractor warants all work for the period of 3 months following completion. 13. Measurements The measurements appearing on the estimate of Agreement are for the purpose of preliminary pricing. A final measurement shall be taken and may be modified to. match with die actual work done. This measurement will be used to calculate the fmalpayment 14. Unforeseen: Should any unforeseen site conditions exist (debris bnded, unstable soil, unstable wall or rotten, termites, muck illegal fnstattations, plumbing clogged or rotten, etc.) corrections will be dig sole responsibility of Owner. 15. Customer shall be personally liable for any and all terms 7•-"",:.;7 v Tln �a979'N 182nd AVenue, Miami, I^lAida; Rhone.W 305 262 530.Oax: 306- 62-2532 Dat&% u 4 ` 1-$8"99rb385 vdww.uniiedbr ze.egm Inv t cl I 1 olnd'itioning • I bll im ��cial & Residential;' ' cl' II I.Ic; ins �CAC1s1i220 i. AGRE'EkE.NT i r` TO iFw 1. Street' 1 F Home Phone, Cell Wp' Ww City{ ti V ��p r F�, We hereby submit specificafi ,ns and estimates for: X in boxes = yes 4 ; 1 0 VerticatA/F{ J Closet L] Water Cooled Unit Q Package Unit Mobile Homes ❑ Add N6 3up�'ly Duct (S Plrts) d a; 0 Garage NH O Condenser on Ground ❑ Package Unit or Ground Add N Rehm Duct (Se'a Piens) ' ❑ Attic A/H / Ceiling Mount Q Condenser on Roof ❑Package UnR bn Roof' Reconn to',t xisting Ductwork O New A/H Support Bra ❑ Condenser Wall Bracket ❑ Package Unit on Wall Bracket ij UV - Light s O New Aluminum A/H Stand Ll New Concrete Slab ❑ New Refrigerant Lines „, Balance Air Flow �i� ❑ Filter Rack Hurricane Strep to Code ] Reconnect to $Acting Lines 1'I:! O Retum!l Ty a �RH,.,_RHF,,,�,. i ❑ New A/H Platform (Wood Boz)i Vibration Pads ©Liquid LJne SizQ (❑ New R, m Grill ' s ❑Insulate Retum Air Base Safety caps ❑ Stiction Line Size I] Replac•i All Supply Air Riser (Pienurn) ❑ New 3M Plywood Bass'l'op New Roof Stand ❑ Insulate Suctidn Line 0jmds4 Drop Goths Used 0 Smoke Detector to code . , ❑ Seal Roof Stand ❑ New Drain Ling Crane Service', `. A New Emergency [)Train � ❑ New Steel Wall Bracket ❑ Insulate Drain line VxMde4 � Permit ) luded t N ❑ Reconnect Heat;Recov�t ❑,New Unit on Existing Mount CI R nnect to xisNng Drein Line ❑ PeRnit�l. In iluded New Thermosta# W,`, New Float Switch Reconnect to I xisting Electrical Remov d qulpment from Premises 0 New Humidlstat 0 System Start Up and Tdst ❑ Line Cover ❑ Duct dl�aninii " 1; New Ds-Humldlstht ❑ New�4MP Disconnect at A/W 0 Now Duct System (see Pians) ❑.Duct Seniddng u (� Condensate Pump 110.220 ❑ New_�MP Disconnectst condenser ❑ Whip ❑ Conden$erCage Electric Permit Not Included. See Electrical Contractor.FA Box oflifters' kl MAIC MODEL DIMiENSIONS (H'I W'x D) ' y' EXISTING coNDmOhs ; , Con sneer ri a IiISFi i11r andler41 f CPTiON # 1 OPTION # 2 Q TID�1 jA �)� �niri�ie) i k MANUFACTURER �. TONNAGE I I i j�,� CONDENSER UNIT y 1. AIR HANDLER UNIT y ,3 BEATER ACKAGEUNIT RIJ YEARS OF WARRANTY r �I 3 Y Parts I Comp essor + j TO BE 1NSTALI DATE: ❑A M. ❑ P.M. A`. I ? RECOMENDATIONS / 00TES ,3 4 41 K t z a i II � � Y / /� �F�/�—yam, j, ,r j A"' 6' dt:--�Or ���, .�..e° �v'F..'` y�"CC 'ems ,F°Q�Y"'� ✓r_ 4 P,4, b.Y�! �A.. �',. �.Y :1 I' i it i r, TYPE OF PAYMENT Pride: $ ❑ Check No. N e on Check: ABA Routing: FPL Discount:. $ - , Chi k Account r is `4 're•��,r-.' a .�-�-.,,;k ,�4 wTr�`� r`"`.•; ;� 4�>�.� �.-i.,,rj,� ASF` mea i t �� .�I(� TOtai Credit Card, NoI P b: ZZ natew� code F , posit: $ r ay ❑ FINANCING Author)iation No. ❑ C/) is Balanloe Dye: $A' M1 II i ervice & •Warraritids: Alli equip ent and material installed by' Seller shalt be guaranteed by the manufacturer fo,the period of on y641,frons date of install unless otherwise specified. r required for replacement of defective ports of workmanship shall be furnished by Seller free of c, arge:for a period' of one year from the date of installation, unl otherwise specified above. ,Failure by lack of maintenance is not covered under warranty. Any alteration or deviatio from �he:above specifications involving extra,cost will be executed only upon written order and Will inc Ae an extra charge over and above this estimate. ',a�cceptance of Proposal he ve Pn'ces, SPecjfrcat"II TOrms and:, onditions (Articies 14; Reverse` Side) am isfactory anaf are hereby accepted, you arl j" $uthorized;to do the wor ' ass if!. an men wtll.be made at oia'linad above, Section 601.025.FIorida Statutes (Consumer f lrota�tlon) provides buyer has the right to cai$C6f a h me solicita#ion sale until the, riIght of the third lausinesa day' after the. day on which the buyer ei ns an agreement.. x` Please go to manujactur$rs w Bite to insure propar registration and complianos for all warranties. e. ,^ay Ll Owner's lame(P nt) Date ��Utittllrexe Ftepresentatrve Datep aP � y r�., „ a >��"r�,+a Te.-+.n� , •`,�Y'�i f�� .,f ''�6� 45' '�3�. ::45 t,�* � t �4�,w, ., t > > ar}t t� h �.".� 1 � 1 �r+ w Arddal -Allowances Where allow are given the Contractor will only provide for services and /or malerials and for labor up the allowances amount. no Owner is responsible for any amount of ems$ the allowanbe Ardde2 -.Notes and Ficseptions 1. This AV --M does not include any fees imposedby any jurisdiction in oblahtingpermitsfor tbeconstraction of the named structure, nor does it include, any fees associated with processing the permits which will berehibursed to U*W Btega%Corp.a rate of$3M.00 pe rpe taut. I Ow= is 901dYnspondble for Baer and water connections beyond iheproparty boundaries andfor all electrical power fees unposed by thelocea Electric Power Company, Also shall pay for all fees and deposits required byte local water & Power Companies. 3. Owner shall pay for all Surveys needed in connection with the construction of the named structure 4.. Iandxaping and Grading, SepticTauk and Drain FieK.Driveways and Walkways am not part of this Agreement S. Repafir orxeplaexment of existing irrigation system is excluded. Removal, replacement of oxistingfences is excluded, Removal, relocation, and replacement of existing trees are excluded. SoddmgandProcessedTopsoil are adudexi, Soils/density testing is excluded 6. Metrical RUM (Far s, hmp hetc) isnot part ofthis Agreement A/Cuuits, if an%are not part oftbisAgreement 7. Excavation offootinn pads; elevatorpi%andfor othertradesis excluded. 8. Befinecommancing the work, the Owner willprovide a CAD M compatible with Auto CAD 14 with the State Plane Coordinates for Contractor use inlaying out thework and As Buntdrawings. 9. Agreemrentbasedon (1) crew mobilization at S1.86M each 10. Permit few andpermit processIngis-cwtuded, Precrsdngfees to be relmbutsed @ S3AOO. Payment and Performance Bond premium Isexeluded It. Penns, Drawings and Designs made by Urutted Base, CogL- for the construction of this Agreementwill remain under bilnl W Breeze, Carp. property -until all construction work is completed andpaid infWL All drawings and plans arepreti n m Wto e-slimta the cost ofprojexxs. Once the construction jobis acceptedbq the custem►er and. a depositiarendered, Vdted Rnism, Corp. WM produce engineered drawings required for construction, Bigineecing comas well as "messurre + layout" costs will be reimbursed to U Brumes, Ck rp. Ardele3-71meof Completion It"be commenced and completed on date undetermined. Article4-GeneudProvisloo This document is the fall Agreement between us, regardless ofanypdo . proposals ofcommtmicadria Any deviations from the specifications or modification, of the teems of this Agreement and my extra. otinadentalwork orredndionsin work, shall badetford inwriting and signed by bothpatties prior to themaldng ofsuch chango. Wewiil be compensated fee agyinereasein our cods =used by such change, on the bail of the incremphis tanpaMe it (l(%) prdfiLlf a time is sett for the•perimniance of work, and If, In our judgment, such changeor other cironmstances beyond our reasonable control will increase'the time nocessaty for quoerformanccxe, wewill be� ��gg a reasonable extension oftime. We will provide and pay for workeW Compensation covering our employees, as well as General lJobr'Sty and Properly Damage lnanram You agree to cant' General I bbb'tit r and Property Damage Iu Rtmace sufficient to protect yourself against any andall claims and liabilities arising ftom the performance of the work, including bin not limited to claims wisingunderyour Agreement toin4caudy and hold us haunnless under thiacontract We" beprovidedwithsoitable access to the work area. If ou rwork is depnmdentupon or must be undertaken in co*nctkmwith the work of others, sack works 9M be so performed and comgletedas-ter pannituts to perform ourwork hamtmdain anormatuu>ntertnptedsingieshiRoperation,- ' Ututess a tirrefor the performance of ourworkis specified, shall uttduttakeit in rho course of our normal "ting schedule, We shall not be liable for ran fanlureto undertake or tomp1 tliework forcautses beyond our eoutrpl, aadwemayh suspend the work for u�ases beyond our control, including butnotliodtedto fire; flood cr othercasualt-, thepresence on or•beacath the worksite ofanlirie , firplities, actbdtances, orobjtxts, inctndingbnt aotl3mitnl to auysnbstance that in our opinion is hazardous or toxic or the reporting, remabdon, or clean -rep of which is required by any law or regulation (together "srubsurface tottditions"); Idabeu distales or otimer disageemumts; and aex3denta err otluer misimage, whcther effecting this work or other eiperat&ns in which we are duectlyorindiraxly. Paymantininii all workperformed heneumderahaY ire made ugwniompletion Final and complete payment for all workperforated hereunder shall be made upon completion of such work. Interest at the highest rate allowabel under the laws of am in state which the work is done, or one and one haifpucw (1 h %) per month, whichever is greater,"be charged and paid on all unpaid balances fisom the due date to the date wereceive payment You agree to pay in fail all -costs and expenses iasaurrerlby Contractor, in collectarg the amounts owed by you order the Agmement,Including any and all Court costs andattomeye fees. Payments received will be applied against open items on unpaid invoices in an order and sequence determined by Contractor in its sale discretion. Anypaid by you for our work shall be held in trust for ourbenetit. Anti We shall not become obligated to perform the work salted for under this Agreement until we cheek and approve your credit. The contractor under this Agreement in their sale discretion has the right to requite additional monies or not to move forwordwith the project and i a no way will the contractors dechians ort4ght'a nndar,this Agree mentvoid the 30%cane ellation fee. If payments is not made when due, Contractor may suspend work ontbe•ob until such time as all payments due have ben made, A failure to make payment for aperiod in excess of slays from the dote date shall be deemed a material branch of this Agreement Right of cancellation; Owner has the right to cancel this Agreement without any penalty of obligation by informing LWWRaMCmp.inwriting, via certified return receipt letter before midnight of the third business day after sigoingAgreement. Ifthere is any mon of this Agreement by the Owner prior to the beingperformexl, the Owner shall bear 301/o of the Owners contract with itedt�,Ceap.as cancellation fee If there is any cancellation of thisAgreement by the Owner atter work has commenced, the Owner shall bear subcontractors contract with &eere, plus 30% of thin Owners txintrurct wttlilhNedliame,(� cancellation fee. nttcee�s and NSF cheeks shall be subject to a $100. pxaoessbngfie in addition to any bank charges incurred as a result of the insuillciency of the check. addition, the fallowing General Provisions apply 1. AUC ufhBY b0 CAmpleted in a work -man Yke manIIer and urea eximpYantriwith all building codes and other applicable laws. 2- To the euxteatregnumd bjylawworkd shaD )e pertorned bYiadivIduals dtrrylicenaed and authorized bylaw to�l 'Arm said work. 3. Couttactormay at bis eitserction engage sul>rwmxacteas to perfo>mwark lrerennder, provided Contractor shalfullypaid subcontractor and in all instances remain responsible for the proper completion of this Agreement. 4. CoutrsctorsWfitmish Owner appropriate of waivers of Yen for as works performed ormae mals provided at the time thenextpedodic payment" be duce. S. All Change Orders dhall beinwritmg and signed both by Owner and Contractor, and shall he incorporated in, and become a part ofthis Agreement. 6. Contractordhall obtain all the permits for the work to bepadbrmed. 7.; " Contractoragrees to remove all debris and leave promises in broom clean condition. S. In the event Owner shall Earl to pay any periodic orinstaYmeut payment due hetemder, Contractor may cease work without branch pending payment or resolution of any dispute, 9. All disputes bexemoder shall be resolved by binding arbitration in accordance with rales of the amedcan Arbitration Association We, Contractror and Owner agree that tleproper Jurisdiction andvemm for adjudication concerning this Agreement islorida, and we waive any right to jurisdiction and vai a in any other place, 10. Contractor shall not be liable for any delay due to cbmunsnnc a beyond its control including stokes, city or getters! unavallali tyofmaterials. 11. Whew a coinpletion date is given, Conuaetorwill make every effort in completing the job by a completion date given above, however, due to many factors inherent in confliction the Contr ictormakes no guarantees, written or implied as to theautpleti in date. 12. Contractor warants all work for the period of months following completion. 13. Measurements: The measurements appearing on the estimate of Agreement are for the purpose ofprelimnary pricing. A find measurement shall be taken and may be modified to. match with the actual work done. This measurenemwrg be tided to ealculate the lind payment 14 Unforeseen: Should any unforeseen sites conditions exist (debris buried, unstable soil, unstable wall or rotten, termites, truck. illegal installations, plumbing clogged or roten. etc.) corrections will be the sole responsibility of Owner. 14. Customer shall be personellyliablefor any, and all term