MC-05-66 (2) Miami Shores Village �.
10050 N.E.2nd Avenue
Miami Shores,FL 33138-0000
Phone: (305)795-2204 �aAM 1,0920t
�a Expiration: 09/0112014
Project Address Parcel Number Applicant
8787 BISCAYNE Boulevard 1132060280450 COMMERCE PARTNERSHIP#11
Miami Shores, FL 33150- Block: Lot:
Owner Information Address Phone Cell
COMMERCE PARTNERSHIP#1124%JIF PO BOX 2967
HOUSTON TX 77252
Contractor(s) Phone Cell Phone Valuation: $ 3,000.00
A/C TECHNOLOGY INC (954)344-0300 Total Sq Feet: Q
Tons: Available Inspections:
Additional Info: Inspection Type:
Classification:Commercial Ventilation
Approved: In Review Rough
Comments: Date Approved: : In Review Hood
Date Denied: Type of Work: Rough Duct
Scanning: 1 Smoke Test
Final
Duct Detector Test
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80
DBPR Fee Invoice# MC-12-08-33411
$0.00 03/04/2014 Check#:24286 $ 107.90 $0.00
DCA Fee $0.00
Education Surcharge $0.60
Permit Fee $100.00
Permit Technology Fee $2.50
Scanning Fee $3.00
Total: $107.90
Applicant Copy
For Inspections, Call (305) 762-4949 or Log on at https://bldg.miamishoresvillage.com/cap/.
Requests must be received by 3 pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
the public records of this county. DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES.
March 04, 2014 2
STATE OF FLORIDA
= DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
.�°�.. TALLAHASSEE FL 32399-0783
LEVY, RUSSEL S
A/C TECHNOLOGIES INC
11834 WILES ROAD
CORAL SPRINGS FL 33076-2008
i STATE 0#,FLQR1,0 AC 6 �►7,4 e7 .
Congratulations! With this license you become one of the nearly one million # SOSSS mp .
Floridians licensed by the Department of Business and Professional Regulation. PROgSSOiALt 1SGIILATION
Our professionals and businesses range from architects to yacht brokers,from
boxers to barbeque restaurants,and they keep Florida's economy strong. f CAC036957 6T /2i12 11819318
Every day we work to improve the way we do business in order to serve you better.l
For information about our services,please log onto www.myfloridalicense.com. CERTIFIED` C"OND :i40'=R
There you can find more information about our divisions and the regulations that { r RIISS # w"
impact you,subscribe to department newsletters and learn more about the AJC T8CH3" ES
Department's initiatives.
l '
Our mission at the Department is: License Efficiently, Regulate Fairly.We
constantly strive to serve you better so that you can serve your customers. IS BRTxF RA under..tHs saoiai4n8 6f ch 4.89 Fs
Thank you for doing business in Florida,and congratulations on your new license! ati� mt•q AUG 3 ,; 2E314 1,12A6Z600S66
L .�....._..._.__..____._._ __�.._."..�._._.._._.__.....
DETACH HERE
THIS DOCUMENT • •' i BACKGROUND '•' i PAPER
AC# .617.4 6,32. ST-TATE-0-17 FLORID/
DEPARTMENT :OF BUSINESS PRppFESSI6NAL R$GULATION
CONION INDRY LICENSING BOARD SEQ#L12062600566
.• LICENSE NBR . r;
Q6` .26 2012 1819 :15$ < CC 01.tS5'� #
Thi `CLASS. B SIR CbNDIT-EONTN� COT7T C
Lamed below IS CERTIFIEgx
Under the provisitsns o . Chapte _ £ V`3,
Expiration date: AUG 31, 2014 $$
r`
LEVY,: RUSSEL `S
A/C TEC9N6Lp01ES INC
11834 'WILES. .10AD `
CORAL SPRINGS FL 33076=2d&,B
RICK SCOTT , REN LAWSON
GOi�FRNOR �
3E
,. CRETARY
nicoe .A-N/ no ocni nocn nti i nAni _
Broward County 11/13/2013 3 : 16: 44 PM PAGE 2/002 Fax Server
BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S.Andrews Ave., Rm. A-100. Ft. Lauderdale, FL 33301-1895—954-831-4000
VALID OCTOBER 1,2013 THROUGH SEPTEMBER 30,2014
DBA: 183-950
A C TECHNOLOGIES INC Receipt#HEAT NG/AIRCONDITION CONTRACTR
Business Name: Business Type:(A/C CONTR)
Owner Name:RUSSELL LEVY Business Opened:07/06/1986
Business Location:11834 WILES RD State/County/Cert/Reg:CAC036857
CORAL SPRINGS Exemption Code:
Business Phone:954-3 44-03 00
Rooms Seats Employees Machines Professionals
5
For Vending Business Only
Number of Machines: Vending Type:
Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid
27.00 0.00 0.00 0.00 0.00 0.00 27.00
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is
non-regulatory in nature. You must meet all County and/or Municipality planning
WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when
the business is sold, business name has changed or you have moved the
business location.This receipt does not indicate that the business is legal or that
it is in compliance with State or local laws and regulations.
Mailing Address:
A C TECHNOLOGIES INC Receipt #033-12-00001573
11834 WILES RD Paid 09/18/2013 27.00
CORAL SPRINGS, PL 33076
2013 - 2014
BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S.Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000
VALID OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2014
DBA: Receipt#:18 3-9 5 0
Business Name: Business
C TECHNOLOGIES INC Business Type:HEATING/AIRCONDITION CONTRACTR
(A/C CONTR)
Owner Name:RUSSELL LEVY Business Opened:07/06/1986
Business Location: 11834 WILES RD State/County/Cert/Reg:CAC03 6857
CORAL SPRINGS Exemption Code:
Business Phone: 954-344-0300
Rooms Seats Employees Machines Professionals
5
Signature For Vending Business Only
Number of Machines: VendingT e:
Tax Amount Transfer Fee I NSF Fee Penalty Prior Years I Collection Cost Total Paid
27.00 0.001 0.001 0.001 0.001 0.00 27.00
Receipt #033-12-00001573
Paid 09/18/2013 27.00
■
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03/04/2014 14:36 9543440441 RM ENT OF S FLA PAGE 01/01
CERTIFICATE OF ��ABI<_ITY INSURANCEF3/4/2014
DATE(MMR10l1rYYY)
PRODUCER (954)382-4350 FAX: (954)382^2810 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Setnor Byer Insuran4e Risk - Premier Agents ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
900 S. ]Pine Island Road #300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
Plantation FL 33324 INSURERS AFFORDING COVERAGE NAIC
INSURED INSURER A:]? C G I
R&M Enterprises of S Fla, Inc. DBA INs1RER13;Bridge£ie1d Employers InB Co 10701
A/C Technologies INSURER C:
11834 Wiles Road NSURERM
Coral Srtrings FL 33076 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED,NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS 01SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR p q�ICYEFFECTNE POLICY IRT N
'LY,�,OF INSURANC POLICYNUMBER hT�.(MM✓11D LIMITS
GENERALLIABTUTY EACH OCCURRENCE $ 1a 000 000
nNTFU
X COMMERCIAL.GENERAL LIABLRREM
Y PISES(Ea oeeinnee S 100,000
A CLAIMS MADE L:—I OCCUR =007.02122 4/22/2013 4/22/2014 MSD EXP Arry are arson $ 5 000
PERSONAL 8 ADV INJURY $ 1,000,000
_ GENERALAGGREGATE $ 2,000,D00"
GEN'L AGGREOA79 LIMIT APPLIES PER: PRODUCTS.COMWOP AGG $ 21000,000
POLICY X PRO- LOC
AUTOMOBILE LIABILITY COMBINED SNGLE LIMIT $
ANYA= (E9 acaldart)
ALL OWNED AUTOS
BCORY INJURY $
SCHEDULED AUTOS (Per Dersw)
MIRED AUTOS
BODI.Y INJURY $
NON-OWNED AUTOS (Per awde")
PROPERTY DAMAGE $
(Par aaldenU
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANYAUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS I UMBRELLA L"11,ITY
M EACH OCCURRENCE $
OCCUR CLAUS MADE AGGREGATE $
$
DEDUCTIBLE $
RETENTION $ $
B WORNERSCOMPBNSATION X WCSTATU- OTIC
AND EOY
MPLERS'LIABILITY
ANY PROPRETOR/PARTNERMxECVTfA E.L.EACH ACCIDENT $ 11000 000
OPPCEMEMBER EXCLUDED?
(MsndelaryInNH) 830-41941 4/22/2013 4/22/2014 I:,L,DISEASE•FAEMPLOYS $ 1,0004000
'"I,deseMb under
SPECIAL PROVISIONS below EL.DISEASE.-POLICY LIMIT $ 1 GOO,OOO
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS lVE141CLES I EXCLUSIONS ADIAD MY ENDORSEMENT/SPECIAL PROVISIONS
HVAC- Beating, ventilation and air conditioning. service, repairs, installations. Split sAetpms, paakege un,i,tc, dust
work.
CERTIFICATE HOLDER CANCELLATION
(305)7568972 SHOULD ANYOFTHE AMOVE DEURIMPO POLICIES BE CANCELLED BEFORE THE 6XPIRATICIN
Miami Shores Village DATE THEREOF,THE I38UINO INSURER WILL iNDEAVOt TO MAN,10 DAYS WRrrTEN
Building Depaixtsnant NOTICE TOTHA CERTIFICATE HOLDER NAMC,D TO THE LEFT,BUT FAILUIIN TO DO 30 SHALL
10050 NE 2nd Avenue IMPOSE NO OBL10AT110N OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Miami Shores Villag, FL 33139
R6PRE8ENTA7'NES.
AUTHORIZED REPRESENTATIVE
D Saunders/PHY.LLI
ACORD 2S(2009/01) 01988 2009 ACORD CORPORATION. All rights reserved.
INS025(100901) The ACORD name and logo are registered marks of ACORD