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MC-15-511
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-229767 Permit Number: MC -3-15-511 Scheduled Inspection Date: March 16, 2015 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: ZELNIK, KENNETH Work Classification: A/C Replacement Job Address: 623 GRAND CONCOURSE Miami Shores, FL 33138-2473 Phone Number Parcel Number 1132060172141 Project: <NONE> Contractor: IGLAIR AIR CONDITIONING Phone: (305)316-8967 6uuaing uepanment comments REPLACE AIR CONDITIONING UNIT 4 TON ISPEC Passed Comments INNSPECTOR COMMENTS False March 13, 2015 For Inspections please call: (305)762-4949 Page 24 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 24 of 36 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Expiration: 0910812015 Project Address Parcel Number Applicant 623 GRAND CONCOURSE 1132060172141 KENNETH ZELNIK Miami Shores, FL 33138-2473 Block: Lot: Owner Information KENNETH ZELNIK 623 GRAND CONCOURSE MIAMI SHORES FL 33138-2473 Contractor(s) Phone Cell Phone IGLAIR AIR CONDITIONING (305)316-8967 Tons: 4 Additional Info: REPLACE AIR CONDITIONING UNIT 4 TON Classification: Residential Approved: In Review Comments: Date Approved:: In Review Date Denied: Type of Work: Scanning: 3 Fees Due Amount CCF $3.00 DBPR Fee $2.24 DCA Fee $2.24 Education Surcharge $1.00 Permit Fee $149.34 Scanning Fee $9.00 Technology Fee $4.00 Total: $170.82 Phone Cell Valuation: $ 4,267.00 Total Scl Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # MC -3-15-54728 03/12/2015 Credit Card $ 120.82 $ 50.00 03/10/2015 Credit Card $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Review Mechanical In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify t all the jbregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore I augj&4the above-named contractor to do the work stated. Authorized Building I March 12, 2015 Copy / Contractor / Agent March 12, 2015 1 4 a\o Miami Shores Village Building Department artmen t MAR 0 9 2015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 CD BUILDING Master Permit No. Irl C S PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL r-] PLUMBING [MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP t CONTRACTOR DRAWINGS JOB ADDRESS: Cc9CS. City: Miami Shores County: Miami Dade Zip: 1.3 cam_ Folio/Parcel#: Is the Building Historically Designated: Yes NO �X Occupancy Type: Load: ,� //Construction Type: Flood Zone: BFE: FFE: 1 OWNER: Name (Fee Simple Titleholder): 4 Zug -2,e- V, Phone#: 3 cl A Address: 62-3 & e�'L"- .A C�!tA-, .,r rA_, City: N" `+G S�;J ��� State: Zip: 33 f 3� Tenant/Lessee Name: �^ i Phone#: Email: It( >/` Z tJ �az 1 S.a..�. CONTRACTOR: Company Nam"" e: � _ C,, Phone#: Address: Z/ �-7 �, ) fisk City: V C State: %' Zip: 3 3)o e Qualifier Name: e,< Phone#: 30 - � y State Certification or Registration #: to Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: �7 City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Ad 'tion ❑ Alteration ❑ New 14 Repair/Replace ❑ Demolition Description of Work: x Specify color of color thru tile: Submittal Fee $ Permit Fee $ + CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ �D 0 ' U 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 � Signature OWNER GENT The foregoing' strument was acknowledged befor me this fL day of 201 by who I ersonally know to me or who has produced identification and who did take an oath. NOTAR%A, C .Z..A V Print: Seal: .sr MY COMMISSION #FF006428 EXPIRES July 9, 2017 407) 398.0153 F10ridaN0tMServ1c0.c0m as The foregoinginstrum4nt was acknowledged before me this day `--t of�--t��1 %grl2C l�1 20 IS— by -^oSiE Lu � s `I &i who is personally known to me or who has produced r��Z li Q ktA Ste= u- as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: * = MY COMMISSION #FF172561 EXPIRES December 14, 2018 398-0153 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 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): bn C_,> _, r - City: Miami Shores Village County: Miami Dade Zip Code: 3 V 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 [� NO ❑ Contract Attached: YES [j 1. 2. k] Minimum Circuit Ampacity (Wire Size): 2 Maximum Overcurrent Protection (Fuse/Breaker S , Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name:Phone: ,.% 013 State Certificate or Registra ion No �A [7 .W 7 Certificate of Competency o. i Signature Date: =r t (Q iier's si ture) (Revised02/24/2014) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER L - -Vi 6V(' AHU or PKG. UNIT MODEL # ' _ (_ COND. UNIT MODEL # G' KW HEAT NOM TONS. H CU PKG 1) M.C.A HU CCV PKG AHU U PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES N YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES N YES NO NEW ROOF STAND E NO YES NO NEW RETURN PLENUM BOX YES O Minimum Circuit Ampacity (Wire Size): 2 Maximum Overcurrent Protection (Fuse/Breaker S , Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name:Phone: ,.% 013 State Certificate or Registra ion No �A [7 .W 7 Certificate of Competency o. i Signature Date: =r t (Q iier's si ture) (Revised02/24/2014) This combination qualifies for a Federal Energy; Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. AHRI Certified Reference Number: 6937972 Date: 3/9/2015 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA16NA048*'A Indoor Unit Model Number: FX40N(B,F)049L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER Series name: 16 SEER PURON AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING ' Ratings followed by an asterisk (')'indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AH RI 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. AH RI 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 rti This Certificate and its contents are proprietary products of AHRL 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; 7 1, 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 oke life betz,r- 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 @20:14 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130703884986999760 ------------- --- ............. r s Kenneth 1. Zelnik Email. example@mail.com SHR .75 :Number of residents ' 2 Ceiling height 9 Wall U -value R -value 0.09111 Floor U -value I R -value 0.215 Ceiling U -value f. R -value. 0.05,3,1, 19 Window U -value p.5 Window SFGF 0.85 Moisture grains 58 Duct lass % Duct gain % 10 Cooling infiltrac#ion tACH) Heating infiltration (ACH) 0.8 Winter ventilation 0 Ade' qu'.ate' Expos-ure -Divers1111,, I AtU 'r-jpj 30000 2 0 11) 00 i0000 8anl "n I an I 12 olrn d r" n 3p, -n 41om 5P11 6p, -r, ?pi's 8 PI'm selfection ��v-,' be nn-ade usincl 'if z., Glass (E) ............. 170 sq. ft. - ........ .... n, .. ... ...... 151 ass 221, ft - Glass (N) .. ........ 22 sq. ft. ... ........... ,Gi.as,s (W) 150 q ..... .. .... Summer Outdoor . 90OF ..... .......... �*1 11 ........... . ........... .......... Summer Wet Bulb . ......... --------- 77°F> Summer Indoor 750F ............. ... ...... . . Sum m-er Desioh -Grains-1:... .............. 5 0 Winter Outdoor 50QF wiriterindoor ...... ..... .. -Sensible Cooling 36,213 Btuh Area Rtuh Hear, Q L. 0 a 0 3S', System Efficiency Loss This need to be notarized 137215W 280 YER HOMESUAD FL 33033.1305)316-6961, CAC1817253 Date: State of: Florida County of: Miami -Dade Before me this day personally appeared who, being duly sworn deposes and says: "'023 e rY a n ` The contractor has provided an affidavit statim that he or she will be the only person allowed to work on your projecL Sworn to [or affirmed) and subscribed before me this day of 2Q , by J Personally know OR Produced Identification of Print, Type or Stamp Nalpe of Notary FREDI M. NOVAK MILBERG t MY COMMISSION #FF006428 EXPIRES July 9, 2017 (407) 398-0153 FloridallotaryS OMA-com Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: State of Florida County of Miami -Dade Th foregoing was acknowledge before me this J� day of 20 By tom. (Z ✓i• t�- jp_'R�, z� Vl ( K--- who is personally known to me or has rock eed �--^ as identification. .i CASANDRA HARRISON F � °• Notary Public, State of Florida Commission #EE 198163 SEAL ACORV CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDD"YYY) 03/05/15 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. Iatl']IiOTf1 •IT. It ....t.1-:.. Ann1T1f1af wt fafnf lncn at.___ 1t t.,lnnti�wTfAi, In falwnlCn— 1gIrVrt lAiV ,. u .. c.—Icate i.owe is all AV Vf law- 4Yioumm, LIM PV114ytitl5l 11MUL UC WIUVrseu. 4 0U01%VVA 11V19 10 VVAI VGV' suujecL tv 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 Accurate 8300 West Flagier Suite 114 Miami, FL 33144 Phone (305)226-8727 Fax (305)226-8767 CONTACT NAME: Lucie Estrella PHONE t . (305)226-8727 No : (305)226-8767 luciaestrella0bellsouth.net LIMITS INSURERIS) AFFORDING COVERAGE NAIC # INSURER A: Granada insurance Co. INSURED i(GLAIR AIR CONDITIONING SOLUTIONS LLC 13721 SW 280 Terrace LHomestead, FL 33033- INSURER 8: iNSURERC: EACH OCCURRENCE $ 1,000,000.00 INSURER D : INSURER E: MED EXP (Arty ons person) $ 5,000.00 INSURER F: ❑ COVERAGES CERTIFICATE NUMBER:. REVISION 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 RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD USR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/D LIMITS A GENERAL LIABILITY R COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Q OCCUR I ❑ [-]01/15!2015 GL -43840-1 01115!2016 EACH OCCURRENCE $ 1,000,000.00 DAMAGE ISES ETO RENTEDa occurrence $ 100,000.00 PREM MED EXP (Arty ons person) $ 5,000.00 PERSONAL 8 ADV INJURY $ 1,000,000.00 ❑ ! GENERAL AGGREGATE S 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: 0 POLICY ❑ PRO- ❑ LOC PRODUCTS - COMP/OP AG. $ 2,000,000.00 $ AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ AUTOS OWNED ❑ SCHEDULED AUTOS NON -OWNED F] HIRED AUTOS ❑ AUTOS ❑ ❑ COMBINED BINGLE LIMIT accident -lEa BODILY INJURY (Per person) $ BODILY INJURY (Per accident S PROPERTY DAMAGE $ Pec accident $ ❑ UMBRELLA UAB (❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS-MADE� I EACH OCCURRENCE S AGGREGATE------- I $ RETENTIONS S _ __❑_ _DED _❑_ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR(PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA ORH-; ❑ WC STAT TS 1:1 TORY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space is required) Air conditioning Unit replacement Contractor License # CAC1817253 I I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE: WILL BE DELIVERED IN 10050 NE 2 Avenue ACCORDANCE WITH THE POLICY RO S. Miami Shores, FI 33138 AUTHORIZED REPRESENTATIVE I i Lucia Estrella ©1988-20101A'B4F ft0,,RPORAT)ON. Ali rights reserved. ACORD 25 (2010105) QF The ACORD name and logo are registered marks of ACORD Report Viewer 150% Page 1 of 2 PLEASE CUTOUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE r----------------------------------------------------------------------------------------- STATE OF FLORIDA -------- DEPARTMENT OF FINANCIAL SERVICES EIt1Vl$ION?F:UORKERS" CIARENATION lrt : F CONSTRUCTION INDUSTRY EXEMPTION `^ ;O CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDAD WORKERS' COMPENSATION LAW EFFECTIVE DATE: 11!2712014 EXPIRATION DATE: 112612016 H ' PERSON: IGLESIAS JOSE L E ' FEIN: 461099319 :R BUSINESS NAME AND ADDRESS: ' E IGLAIR AIR CONDITIONING SOLUTIONS LLC 13721 SW 280 TER HOMESTEAD FL 33033 SCOPES OF BUSINESS OR TRA IMPORTANT Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.0.5(12), F.S., Certificates of election to be exempt .. apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. ;HEATING, VENTILATION, 'AIR-COND ----------------------------------------------------------------------------------------------------- DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-161 https:llapps8.fldfs.com/crrevortviewerlreportViewer.asDx?data=kdvnginc9D703gH6TF,R6--- 1 /170015 4'Was STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 01940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 IGLESIAS, JOSE LUIS (GLAIR AIR CONDITIONING SOLUTIONS LLC 13721 SW 280TH TERRACE HOMESTEAD FL 33033 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 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 p STATE OF FLORIDA DEPARTM T QF BUSINESS AND `� ••�' PROFESSi I '0kEGULATION CAC1817253 : { S 0$/10/2014 CERTIFIED AI®OI IGLESIAS, JOSS IGLAIR AIR COR TOW , UTtONS IS. CERTIFIED under the provisions of Ch.489 FS. Expiration date AUG 31, 2016 L1408100001658 RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CAC1817253 w The CLASS B AIR CONDITIONING CONTRACTOR:_ :. . Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 v ,IGLESIAS, JOSE LUIS (GLAIR AIR CONDITIQNFI T LLQ S 13121 SW 280�"H-TE ' -=� ->' HOM STEAD. 033 F ,w i�si IFn nFvtnnnl4 nISPI AY AS RFni IIRFn RY I AW cGn I +en%t4nnnn4aan � D0 QT/15/2014 'ECK21 -017991 ; he Local $asiness Tax. T eipt is a z business. Nolder must c with any i A apply to� ercial vNf b Code Sec lla-276.